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HomeMy Public PortalAbout10645 ROSEGLEN ST_Building__ DBUILDI-NG- � OF � 1 IMS!" J. rro= cOLINTY ENWN M kPPT.CAMON CASSATT D. QIUFFM Surz of WmLouoa FOR APPLICANT TO FILL. IN FOR OMCE.,VSE OFFICE., ONLY MUILDF" /� DISTRICT No. FL ALM Cx.OR H-c No. FSI2YIT NC.'' D AD v 6 a S� e-'# , 3 - vJ RxciavirD<Y DAT=OF AFFL DATK'LASUKD NiARKST(Moss WT. ell H OWNER ADDRES- � ADDRESS 7SIC S4.17 r ' LOCALITY R1CorT CITY ,5ah +4 / I m- T. b NSA 1' �L c'oo's ST"-Aa _ ARCHITECT OR TKL- FIRE No. of - GROUP, QIGIN ZONI Pf1.Nf BLDG. - - ADOPUESS /LTGACK S TQ- USE AP,akovm CO ZO A D Si Houft NUYD m LZGAJL D1PR 20/-o---�-NO. A58ImNwpIFy DMICR FTI _ i ,& . COEHECTIONB O. of TRACT S IZi CR LOT NO w ON d OT USS OF NO. OF - 0 DESCHMMN OF WORK o — N WN G RSPAIR D!!I!OLFTION SQ. FT. �' No. OF ROohm m SIZS COV>DUNG 5rue-ev I FING USS OF STRUCTURS QQ V APPHOY INfFSCWIIGNATURS DATm? 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 ! AND $TAT[ LAWS REWULATING WILDII Q OOKSTRUCTION. filaNATURIL OF �� ✓ '/ 4worr LATH, INT. FIal1V1 �° � LATH. tac-r. 60/ ADD ' � PI-ASTR. 1 MT. AUTHORlZZD AGT. t PLASTWR, IDCT. FQ S �J HOUSK NUYDR CoR- m .�// R[CT AND POST VALUATI�N FS= •2-2,r FIIAL ` 76A+e049A DES 1 0-" 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