HomeMy Public PortalAbout10657 ROSEGLEN ST_Building__ DEPAN"dENT OF COUNTY IIIA .
D1 VURONF BOII.DMGrAND COU!"I OF UX �SAFETY BUILDING
1 WIL11 TT . r, mUFFI COU T �aI1®e TION
- aS/►SSATT b. QRNrFIN: sttrr of Slna,nntS �
FOR APPUCAPIT TO FII . IN FOR OFFICE Pg. ONLY
EUILDIILQ /�} DISTRICT NO. PEAK C P1.OR FtM NO. PERMIT
ADD ✓ D e78 3 Z 141
L..00 ALITY Lp Al
C RECEIVID fY DATE OF APrL. TE SSU Wb
NER
AEST H q=ST. N42
BUD >r' V
RIRI�
OWNER
MAULADD ozz� ' S - �+ I�AIRL C
i f Tom-- 7= G C fT
ARCHITECT OftTp- Z i I 140. OF TYFfL_��j
OUP
KNIZINom Mo.
5L.DG. n O
7 3
jswrwAcxajmiE .0
co !'/ (� InE OVED A
T9 41b
APPRKMZ .. GA'A'-'e-
LXCLAL KAP NuMmKR ag NO. Aft GNKD IfY —1
DEfC1tipmolm LOT NO. pJ.QCX
WRREC _y
TRACT 1918
NO. OF E DGI
Sizz OF A / LOT -
UfEOF NO. OIF
OF WOBI o _
EW ALTMAnm momQ
REPAIR ION
SQ, FT. NO. OF -
SIu l STORImp
COVERT.RIWAI1 ROOF
USE OF STRUCTURE
Lig t
- APPROV
INSF •S•I QNATURE QATZ
FOUNDATION+LOCATION
FORMS MATERIALS r'
1 ACdKNCW R+aLE THAT 1 HAVE READ THIS AP- FRAMEi FIRE STOPS,
LICA
PON AND STATE THAT THit INFORMATION GIVEN IS ■RACI G BOLTS
1AGREE TO COMTL1f wrrH ALL COUNTY ORDINANCp aRN' CE,VENT,LOCAT
AND STATE LAws REWJLAnm ISUP-12MG,CONSTRUCTION.
CTS
SIGKATURE OF v LATH, INT. -�
LATH. EXT. J-
ADDRESSV ¢�
FL Asimt, INT.
AUTHORIZED AGT.
PLASTER, EXT. '
oa
F s J HOUSE HUMfR COR'''
Q V RI CT AND POSTED
VALUATION FEE F94AJL
I
ti?4w t COUNTY OF LOS ANGELES• TEMPLE CITY 050M5 U BUILDING
PP MIA R
DEPARTMENT OF PUBLIC WORKS 9071 LAS TU AS {
BUILDING AND SAFETY / LAND DEVELOPMENNT ( TEMPLE PHONE: (8TM CA - 488 EXT: BL 0508 970922¢030
28S-
TR: 19189 LT:-53 SO. FT STORIES TYPE 180_65Z ROSEGLEM ST
STRUCTURE: 0 ym TTEW to 917804133
ASSESSOR INFORMATION NUMBER: NEAREST CRASS STREET:
8585-028-006 iTKNAS PAGE: 597 GRID: C4 LOCALITY; fEMPLE CITY
PROCESSED BY: EXPIRES ON: .
EXIST OCC GRP:• D9 UT D9/22/96
SMITHERMAN, PAM (909) 599-0192- 1 3,800 S .
1314 E. SOMERSET DR.
SAM DIMAS, G FEES PAID
FRONTJBAY WINDOW REPLACEMENT (NEW FRAMING) AND NEW WOOD
FEE DESCRIPTION QUANTITY.--LOU AMOUNT. SIDING-
TEL.
SAME AS OWNER' - AA BLDG PERMIT- ISSUANCE 27. 5
AC STRONG MOTION REBID 3800.DD VAL 6.30
D2 P ERM I T W/O EN- QO VAL 116.10
iF LL E� 144.35
TEL, NP: ORNALS DATE INSP
CONT ZACTOR.
SAME AS OWNER ®� LOCAT ION AND SUBACKS
LIC. MO C
®
ARCHITECT OR ENGINEER: TEL. *0: FOUNDATION/TRMXVTWW
LIC. NO: SLABf NDER FLS
MAP W: SEWER ;E: FIRE-.ZONE: rwil UND2FLOOR INSULArrW-
144H273:. 3 01 PUBLIC tl H ORKS
NO 21 ROOF�SHEATHINGco
SCHOOL-WITHIN RAZARDOUSQ
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO �REQUIRED IMAL SETBACK FROM D(IST � E3 `OON
` `
SET BACK YARD: HWY: PROP LIME: WIDTH:
FRONT PL- ekSb �1c G �� NEATHER STRIP
SIDE PL- 1
EXTMiJOR LATH
I` RAT FLOOR/= •
RATED WALL ASSEMBLIES
RATED SHAF
T= I CEILINGS
fLOT PiLA I RAG
RFPORT ID: D45R261 ROUTE TO:. BS05D8
I
WORKERS -
I �Weby.... .. . . }x havb a.ce�Ff Qate aft canignt.to self _.. Iii►P P L I C ATI O N f Off,..��U I LD ING�_ PERM l '
Iruure, or a ce�rtlficate oris Compbnsatlpn JnsurarKe, _n
of.�K ¢ra
or q ceifffied �} th'ereof'(Sda..3800'Lab. G. _ . .. . -
�' .. , c;. 5 �'._. , COUNTY OF LOS ANGELES 6UILDING!AND AOtt* `
P-ollay.No. 7:. • 'CrgFjlpanX,-
Ce;ttfied.t6py la+mreby.furniahe&� FOR APPLICANT TO FILL IN auA I !
Certtfied copy'1i filed wlth`the-cc;'h�biJlldlriq Iris�sec- - BLIILQING b n
Non departmerif. ADDRESS,
Dafe, Applh , - - ZIP QTY_kO
bER1l%_kiE bF EXEAA"C')N FRC111A RS'''" - OF LOT - - NOW BLDGS
( ' CC3AAPENSAT 4W I NSU
(Tb7i abtfloh•neec�t�af%e_com' leted if the permit,lt'•for one - ,- ' 1 .._. _" •, , .�
(1Undrad.dol�gTa ($10Q)o.r ICSI � :. , TRACT BLOCK LOT tJO. " MAP�OOK PAGE P
a. !•, No. _.. _
�� ``
I certtfy.that In the pgrrprmance of thQ.work f9r14h this NO. - - -
r L15E Z
perhiit is hslied,1 Thal not etfi��oy arr�person Ind ytnbNn�r . _ _ _ - ." .-
.. SPECIAL - _.. -rv,
s$: to bdcoMetaublect to the WorKdYi"Campo naatlo.6 Law}. � - OOrDMCt6
CrTY._ ZIP. JI.
NOTIt :'t0,>4�PIJ�AKIT?';If lrftef making thR'Cbrfffita4r of BIT6Ci,OR ; NO.CDISTRICT... C4fYST IYPE ... : FRE. ; BY-
EjcenROtlori; yyddu��llaUld becbmb.- bled` to 'the!Wo+lkeni
Com petuatlbh provLsions
-Oft{ae Labor Code, you must forth ADDRESS
wlth tomply .wlthl-such provlslonf or,7h la permlti shalF be
deemed revoked,';_� IN TEL STATLSlTCA1 CLASSIF1ClTKXJ AFT.
i CONTRACTOR
UCENSED-CQNTRACT.ORS bK1A�RATIOt� -,I . . . -- - - L� - NO. - L UNITS
I,he5eby dff)Lin that J dm II need un,*p{ovgtlons of Chapter.9 NO. '
i( - ! Qg With.a560ok Qf.Dl r).3 of:the Cyril and - L1C -- SEW6t AARP I
P,tofealu4ns Code, 4nd,my Ilcgrnd Is In It 'and of f1PSS - - ' FIG,
jceru Numbvt T4+ ti �.. �c CI rC'`�ct SIZE rc;A FAMAS - .
VALIJAMN_ _ -
^ DESCR]Fncf�OF WORK
I am wtempt under.Sec..d�n act air ADD
_ ALTER
13 6 4 3=A ''
B.$P.C. for This reason _ REPAIR
•.4. OF 1 # 0 0 0 0 0'�
-- Ddte: .._ _ IDUSTING BLDG. DEMOL - - -
_ srr;. , -' . — - - - TEL ANAL l c.'o59,25
g
OWNER-BUILD R DECLARAT'EON _ .(PRI _ _ _. _._ 1J0. _ __. DATE, ZJ - � r
1-heraby dfflrm'•thbta am,exam pt-from-the Gontrocfora Llaenae T ; ' o a 10.15
Low fpr the followlho:H cion {Settlbl5 7031.5, Buafness and ADDS'
'-Pta�Tdn9_Codb-r� _ _. .-. -. .. _- J�;p 5 8 5'
i,..as'owner of.'the or m em o with BOILDING }
_ Pr�h'r � Y .. _Pl yeas -+-- - - -- - - . . ... _ - --- - - -• -•-- -
V a (Yzwelr sole compensatlo'n,will do the work and
the sfivctvre Ip not Intended or offered for sale(Section LOCALITY y.
7041;BuslT>•es and ProfesslorwCode)" AAONINC3 -- TEL
riI, as owntr of tiie prop", am exclusively contracting s NO.
wlitr Ilcerned cdntracidn to'consiructthe'prolecY(Sec-
(A/
tion 7044, Birslnees'and Professlbns.Code) ADt S i
-CONSTRUC1lON LENDING-AGE4CY " --' SET BACK YARD HWY TOTAL PROP. LIRE WI _ . _. �'•rt_-''_ -
I hereby offlrm that there Is a construction lending agenty for-' FRONT I Ir
the performance of the work for,whlch:thls.permit It Jawed P,L-
(Sec 3097, Clv. C.)•.
P.L
Lender`s Name
8 .. _.
P.C_Fee$ Pa..It Fee. - .
LDMA W. 1 T
>= 'Lendw's-Address _ ,
Ip I.certtfy thaf I hgve,rood this appllcatlon_arid,state that-thc - e Fer LDAM P/C 1
above Information Is cofred. I agree to comply with all County Ihveotgatlon Fee
' ordlnan�s_ansl.SjQtii I relating rA bvllding tonstrucnon, - Total'Fer- / J iDAnA P.°T,;I - - - ,- r
and hereby authorize representdtivet of thit County,to enter
upon the'abo "ehtloned properJor Inspection purposes.
ie JIM!UVf POR OMAtIAT09Y PUXWAGE
S tamrorAQent -- Date - -