HomeMy Public PortalAbout10645 ROSEGLEN ST_Building__ DBUILDI-NG-
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FOR APPLICANT TO FILL. IN FOR OMCE.,VSE OFFICE., ONLY
MUILDF" /� DISTRICT No. FL ALM Cx.OR H-c No. FSI2YIT NC.''
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FOUNDATIONt LOCATION
FORMS YAT[RIAL8 - u
1 KMCOY ACKNOWLJMQS THAT I HAVS RSAD THIS AP- FRAY[, FIRS ti'TOM r
PLICATION AND STAT[ THAT THS mrOIUmnoN GIVQi I1 SRACIN soLTS
CORRSCT. fURNACi� LOCATION X
I /� TO COiIPLY WITH ALL COUNTY QRDINAlICi1 GM C& DUCTS
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AND $TAT[ LAWS REWULATING WILDII Q OOKSTRUCTION.
filaNATURIL OF �� ✓ '/ 4worr LATH, INT.
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F. 'l
Y WORKERS' COMPENSATION DECLARATION
r insureboraafcertif cafirm tharte of Workers' Comtpennsat on eInsuran elf APPLICATION FOR BUILDING PERMIT
or a certified copy thereof (Sec. 3800, Lab. C.)
• COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company,
LDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- BUILDING _
tion department. ADDRESS 106'JJ _7. o S/— t,_N
Date Applicant CITY - F� '/�` ZIP �/ LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one ASSESSOR
TRACT (t ,. BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) _
TEL, L L 2 J USE ZONE MAP
I certify that in the performance of the work for which this OWNER ��itJ �/J/��i"NO. d 7J�J NO.
permit is issued, I shall not employ any person in any manner ADDRESS �d3/� C� ^� S J SPECIAL p•
CONDITIONS
so as to become subject to the Workers'Compen tion Laws. O
Date Applican � CITY C/� /� r/✓ ZIP C,/
NOTICE TO APPLICANT: If, after making Thi ertificate Etf ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O
ENGINEER NO. CONST. ZONE I"
Exemption, you should become subject t the Workers' U
Compensation provisions of the Labor Code, you must forth- ADDRE CL
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked. CONTRACTOR NO. Z
LICENSED CONTRACTORS DECLARATION LIC, CLASS NO, DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ. FT. NO, OF NO. OF CHECK
License Number Lic.Class SIZE STORIES FAMILIES ONE
VALUATION
Contractor Date DESCRIPTION OF WORK L"'ta fy kA NEW ADD $
I am exempt under Sec. ,- f✓ t' d '+'
_ / ALTER
B.BP.C. for this reason -� r /fie' L, ' ( REPAIR $ ;99 8 7.8 A
Date: USE OF f DEMOL
EXISTING BLDG. - • • • • •
APPLICANT TEL.
Signature t FINA
g PRINT) t `lF't/ ^. F_ /J O. J �� % • • 28,50
OWNER-BUILDER DECLARATION DAT A
I hereby affirm that I am exempt from the Contractor's License ADDRESS J~ �� /%�J��=�"f `• A • • • G 5 c=i
Law for the following reason (Section 7031.5, Business and
Professions Code): PRESENT V
BUILDING 0 61 4-88
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation, will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
CK FROrM
CONSTRUCTION LENDING AGENCY REQUIRED
YARD HWY TOTAPROP.SETBpLINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name LDMA Ref. N
P.C. Fee$ Permit Fee
Lender's Address ,
I certify that I have read this application and state that the Issuance Fee LDMA PTC M
9 above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, Total Fee LDMA Perm. it
o
and hereby authorize representatives of this County to enter
upo the ab ve-men Toned property for inspection purposes.
— SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature 7 1ppl7c.'nt or Agent Date
COUNTY OF LOS ANGELES TE2.1PLE CITY G 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
B=ING AND SAFSI'Y / L.AND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0706150008
P80NE: (626) 285-0488 RZT:
LEGAL ID: NO. OF CONST BUILDIISG ADDRESS: '
TR: 19189 LT: 51 SQ. FT STORIES TYPE 10645 ROSEGLKN ST
STRUCTURE: 1B VN -TEMP CA' 917804133
ASSESSOR INFORMATION NUMBER: NEAREST CR099 STREET: .
8585-028-004 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
T2NAN - EZL9T BLlDG USE: RE9ID USE EOHR: R-1 ISSUED ON: PROCESSED BY: EKPLR R9 ON:
EXIST OCC GRP: 06/15/07 SR 06/09/08
OWNER: TEL. NO: BLDGS. NOW ON LAT: VALUATION: BY: CODE:
TON JAMES - 4,200 m
10645 ROSEGLEN ST
TEMP 917804133 FEES PAID DkStRIPTION OF WORK
T/O EXISTING ROOF MATERIAL ON HOUSE, GARAGE INSTALL 30 YR
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: COMPOSITION SHINGLES CLASS A
APPLICANT: TELL. NO:
ASTROM ROOFING (213) 749-9938- AA BLDG PERMIT ISSUANCE 27.75
3912`8; GRAND AVE. AC STRONG MOTION PESID 4200.00 VAL 0.50 SPECIAL CONDITIONS:
LO,9'AANGERS 90007 D2 PERMIT W/O RN-HC 4200.00 VAL 132.60
TO`IAL FEES 160.85
CONTRACTOR: TEL. NO: - •• - �` APPROVALS DATE INSPECTOR SIGN[ATVRE
ASTRO14 ROOFING (213) 446-4677-
3912 S. GRAND AVE. LIC. no ON AND SETBACKS
LAS ANGELES CA 90037 779011039
SOILS RSGIAEFiR APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOIINIIATION TRENCH FOR}
LIC. 190: SLAB UNDER FLOOR
RA-T$-RD FLOOR FRAMINIG
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: .�-- - UNDRRFLAOR INSULATION
144E273 3 01
FLOOR Sffi+THIA3
NO. OF FAJ(TLI&S: DWELLING UNITS: APT/COND: SLAT CLASS:
NO 21 ROOF SHEATHING
SCIML WITHIN FAZARDOUS SHEAR PAREIS
AIR QUALITY: 1000 FEET 14kTERIALS
NO no NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM RZSST FIRE SPRINKLER HA3GEaS
SET BACK YARD: HWY: PROP LI1TE: WID'LL'H:
FRONT PL- INSULATION wEATHRR G=p
SIDE PL-
L1fPSRIOR LATH DRYWALL,
EXTERIOR LATH
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPKNING.9
T-BAR CETTINGp
LOT DRAINAGE
REPORT ID: DPP-261 ROUTE TO: B.90508