HomeMy Public PortalAbout10618 ROSEGLEN ST_Building__ DEPABL"ir aE Mmifix EN®�
COUNTY OF LOS GSAFETYBUI I.DING_
lvu-L M ,J. P= c«INTY lWa cum ASI CATION...
+ OAMATT D. GMFFIN, Sur"[or ■ln Lorm
FOR APPLICANT TO FELL IN FOR OFFICE USE .ONLY
RUILDIILO / DISTRICT NO. PAX Cv-opt Ria.No. PERMIT NO.,
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PL1CATlOIi AND'fTAT= THAT THR INFORMATION brPiZN 18 BRACIN SOL'To 47 J
CORRXCT. FURNACI� LOCATION.
ANI fR% TO cow-Ly WITH ALL f:41Uwry ORDINANCIE aM VENTDUQTS
D ATI LAWS REGULATING SI+ILOMM OOMMUCTION.
SIGNATURE CW �- � �• LATH, INT. -
PRM V / LATH. QCT.
ADD ,
FLASTR, INT.
AUT14ORE=AbT.
PLASTER, MET.
S� `T� HOURIK HUMB[R COR-
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79.x'. U&S P•Ei
-4 "% APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or tyoe only)
EUI DING COUNTY OF LOS ANGELES
ADDRESS levJ DEPARTMENT OF COUNTY ENGINEER
CITY --� r zIP BUILDING AND SAF DIVISION
J NO.OF BLOGS. BUILDING
SIZE OF LOT /� /1"o NOW ON LOT ADDRESS g
TRACT BLOCK LOT NO LOCALITY Z-
D TEL.'/,/ ,/ NEAREST
OWNER �, i-�"'�""�- O. �7'Y .�77�- CROSS ST.
ASSESSOR
ADDRESS m(. MAP BOOK PAGE RCEL
DISTRICT I GROUP TYPE FIRrl_�PROC SSE BY
CITY ZIP CONST Z Q(
ARCHITECT OR i TEL. 1 Z - ✓
ENGINEER ON C NO.
STATISTICAL CLASSIFICATION WER AP
ADDRESS CLASS NOQ!!!-1 _DWELL.UNITS IS PG
TEL.
CONTRACTOR IN U ZONE NOP I O
LIC.
ADDRESS Np, SPECIAL
CITY LIC. CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BL G.SETBACK FROM a
FR NTPROP.LINEOF (STREET) c:)
V
ADDRESS CITY HIG WAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING =
SO. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH O
SIZE STORIES FAMILIES ONE V
DESCRIPTION OF WORKNEW PCO N
BLDG.SETBACK FROM Z
ADD L SIDE PROP. LINE OF (STREET)
ALTER Lf�j TOTAL HIGHWAY + YSETBACK FROM T OF EXISTING
ARD =
REPAIR❑ SIDE PROP. LINE HIGH WIDTH
USE OF
NG BLDG. -a/V'l; DEMOL ❑ +
EXISTING
APPL CANT - TEL 'L CORNER CUTOFF YES ❑ NO ❑
(PRINT) J N0. T�L
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO E]
Q }'7� IN COASTAL ZONE YES E] NO [:]VALUATION Y (g< (/ V CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE.
SIGNATURE OF
PERMITTEE
ADDRESS I
NAL
CITY -L° 7 NOL S%y DIA T E _ , _ ,-.,/ B Y ,r
P.C. 4 ,/ PMT.C
MAKE CIIECKS PAYABLE. 1-0: FEE FEE A
FHARVEY T. BRANDT. COUNTY ENGINEER
PLAN CHECK VALIDATION CK M 0. CASH PERMIT VALIDATION CK. M O. CASH
3 2 3 jUN 6 1 0 1 5.0 0 •Jn
76A638A CE+t803 7/73 / 7
_AAeaeACereoa 9-07
APPLICATION POR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER' ADDREss
B=ING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBS E, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, BUP'T OF BUILDING CROSS ST.
DISTRICT N GR P TYPE P D BY
FOR APPLICANT TO FILL IN co
Print or a only) 0
BUILDING + STATISTICAL C ICATION SER MAP
ADDRESS (/ r
CLASS NO DWELL,UNITS
LOT NO. BLOCK rONE MAP D
TRACT NO.SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LO NOW ON LOT
usl� or
EXISTING BLDG. BLDG.SETBACK FROM
EL FRONT PROP.LINE OF (STREET).
OWNER Q NO. TYPE OF ISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HID A WIDTH FROM C.L.
CITYl + oZa
8LOG.SETBACK FROM (STREET)
ARCHITECT OR TEL. SIDE PROP.LINE OF
ENGINEER NO. _
TYPE OF EXISTING BET SACK HIGHWAY + YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR TOL ) ^ + _ oo
ADDRESS LIC / D�� CORNER CUTOFF YES ❑ NO U
CITY �/ LIC.
ILASS G�-U SEE REVERSE SIDE FOR SPECIAL APPROVALS U
DESCRIP ON OF WORK `�
z
NEW DD ALTER REPAIR DEMOLISH `�
SQ. NO. OF NO. OF 3
SIZE STORIES FAMI IES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION S
APPROVALS DATE INSPECTOR'S SIGMATUR
P.C. PMT. /-ri FOUNDATION: LOCATION
FEES FEES v C/ FORMS MATERIALS
FRAME: FIRE STOPS,
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND R
STATE THAT THE ABOVE 18 CORECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATS LAWS RKOULATINO GAS VENT, DUCTS
SUILDI NO CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
U
ATH 0/1IZED HERESY
TION OF THE R LASOCODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURAIIC
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEERECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRAL ENGINEER
PLAN CI-= VALIDATION cK. M.O. CASH _ PEWIT VALIDATION CK. M.O. CASH
�,4 4 2- 6� APR 25 1 0 . 2 2.50-
�
it
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PL13LIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0311190019
PHONE: (626) 285-0488 EXT:
LEGAL ID: *0. OF CONST LDING ADDRESS:
TR: 19189 LT: 40 SQ. FT STORIES TYPE %1118 ROSEGLEN ST
STRUCTURE: VN TEP CA 917804130
ASSESSOR INFORMATION NUKBER:8585-026-015 NEAREST CROSS STREET: PAL MAL
THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE LUNt:
1 ISSUED ON: rmiCESSED BY: EXPIRES ON:
EXIST OCC GRP: - 11/19/03 JK 11/13/04
OMER: TEC- *0: BLDGS. NOW ON LOT: VALLIATTOW-- FIKA� PRT� FINAL BY: CODE:
1PETTERSON
0618 ROSEDONNA L (626) �-7290-CELL 4,700
TEMP 917804130 ftlz-b PAW
INET L 30YR COMP OVER EXISTING ON HOUSE & GARAGE• C/O 14
APPLICANT: TEL. NO: FEE DESCRIPTION: OLMNTITY: UOM: AMOUNT: WINDOWS; CHANGE KITCHEN WINDOW SIZE TO BE SLIGHTLf SHORTER
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION REBID 4700.00 VAL 0.50 SPECIAL CONDITIONS.
D2 PERMIT W/O.EN-WC 4700.00 VAL 132.60
TOTAL FEES 160.85
CONTRACTOR: Wo- APPROVALS ME— INSPECTOR SIGNATUREi
SAME AS OWER -
LIC. NO LOCAII ON AND SETBACKS
I
LIC. N0: SLAB/UKDER FLOOR
ZONE: RAISED FLOOR FRAMING
790=59--
UNDERFLOOR
X 3 01
K.
OF FAMILIES: DWELLING UNITS: AP1- jam—.-
No 21 ROOF SHEATHING
HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO MO
REQUIRED TOTAL SET FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL-
SIDE PL-
EXTMIOR LATH
RATED 6kkLL ASSEMBLIES
T-aAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROLTrE TO: RS0508