HomeMy Public PortalAbout10661 ROSEGLEN ST_Building__ APPLICATION FOR BUILDING PERMIT
FOR X, PLICANT TO FILL IN (Print or tya. only)
BUILDING COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
O
CITY z I P BUILDING AND DIVISION
ION
BLOGS, BUILDING i
SIZE OF LCkT NOW ON LOT ADDRES
TRACT BLOCK LOT NO. LOCALIT
TEL NEAREST
OWNER NO. CROSS ST.
ASS ESS O R
ADDRESS MAP BOOK I PAGE PARCEL
- DISTRICT GROUP TYPE FIRE P ESSED BY
CIT ZIP rh n CONST, ZONE 1
ARCHITECT R TEL
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER 4A P
ADDRESS CLASS NC4N;?_DWELL,UNITS BK PG
CONTRA CTO TEL
U ZONE MAP
LIC. NO. O•LC/ / O
ADDRESS Np,. SPECIAL
Lle. CONDITIONS
CITY CLASS
4&4�4 led ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONST UCT10N L DER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGHWAY + YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING OC
SQ, F T. NO. OF +S NO. OF CHECK FRONT PROP. LINE -HIGHWAY WIDTH
SIZE STORIES OG FAMILIES ONE
DESCRIPTIO OF WORK NEW ❑ + fn
BLDG,SETBACK FROM Z
DD SIDE PROP.LINE OF (STREET)
• A L T E R ❑ - TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD
EPIA 11R SIDE PROP. LINE HIGHWAY WIDTH
USE OF + _
EXISTING BLDG. EMOL ❑
APPLICAN TEL CORNER CUTOFF YES ❑ NO ❑
(P 111 NT) O4
BY ($IONATUR IN OPEN SPACE YES ElNO 1:1
IN COASTAL ZONE YES ❑ NO ❑
VALUATIO CATEGORICAL EXEMPTION YE$❑ NO ❑
I HEREBY ACXNO LEDSE TI I HAVE REA HIS APPLICATION ENVIRONMENTAL
AND STAT[ THAT THE ABO" S ORRECT AND AGR[E TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORD,.A.C.. Wa R LATING BUILDINS CON-
STRUCTION. IC
HA IN D THE WO UTHORIZE IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT P ANY E ON IN 10 T
WOR.LABOCOS COIAPENH AI R E.IFO R TO
clN r'Y
SIGNATUR
PERMIT dqx
ADDRES
FINAL M - `
TEL. DATE
CITY NO. t
MAKE CHECKS PAYABLE TO: FEE � / FEE $
HARVEY T. BF3ANDT, COUNTY ENGINEER r / ,Z-o
PLAN CHECK V ATION CK. M. . CASH _ VALIDATION cK. o. CAiN
426N 23 0 6 1.6'5 A38
7 -54aAP 3 23 D _1 6.20 y3
7(5A838A CEMB03 7/73 -
7.5 5"APR 30 1 D 1 2 9.755 ,&�r8
APPLICATION FOR BUILDING PERMIT
FOR'XPPLICANT TO FILL IN (Print or type only)
BUILDING I
vo COUNTY OF LOS ANGELES
_V'�M C4 ZIP DEPARTMENT OF COUNTY ENGINEER
CITY BUILDING AND SAPM;Y)DIVISION
NO,OF BLDGS. BUILDING
SIZE OF LOTd,12,j NOW ON LOT ADDRESS
TRACT J l 1159 19� OCK LOT NO D LOCALI
OWNER T
EL NEARES
0.jj_,_41 j
CROSS ST..
ASSES.5oR
ADDRESS MAP F300K PAGE 1EAXEL
CITY �51 TT ZIP DISTRICT GROUP
CONST. FIRE OC_ SED Y
Z O:kARCHITECT OR9 1
ENGINEER NONE_ NOL.
STATISTICAL CLASSIFICATION SEWER F,
ADDRESS CL-ASS NO_4:2/ DWELL,UNITS--- BK PG
CONTRACTOR K4KPM. kIT44rr, TZL17-4311 ZONE MAP
-1 0.
ADDRESS 7 No -rl
'c. lq • SPECIAL
LIC. CONDITIONS
CITY CLASS Rf�D DEPARTMENT APPROVAL REQUIRED YESF-1 NO❑
CONSTRUCTION LENDER 'r
NAME AND BRANCH BADG.SETBACK FROMy.
ADDRESS CITY F ONTPROP,LINE OF (STREET)
SIZE FT1+00s" OFRIES NO.FAMIOFLIES CHECONEK
H AY + YARD TOTAL SETBACK FROMI TYPE OF EXISTING cc
06 1 FRONT PROP. LINE HIGHWAY wioTH
SI1
DESCRIPTION OF WORK ADD I T10 0 —NEW El BLDG, BACK FROM
%To ADD G (STREET)
+ C
F ADD Si nr.
ALTER E =[OTAL SETMACK TYPE OF EXISTING
f1coF To Py- L HIGHWAY + YARD
SID rNQ-t�
EPAIR❑ E PROP. LINE QIGHWAY WIDTH
USE OF +
EXISTING BLDG. EMOL ❑ I
AP(PRINT)PLICANTFMIE- A7E NELai� CORNER CUTOFF YES
-
By (SIGNATURE) IN OPEN SPACE YES ❑ No ❑
IN COASTAL ZONE YES ❑ NO ❑
VALUATION$ -10m, CATEGORICAL EXEMPTION YES[j NO
❑
IHEREBY ACXXOWLIEDSE THAT I HAYS READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE 12 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)WI T H IK
ALL ORDINANCES AND LAWS RSULATIN4 BUIL DIMS CON-
STRUCTION. I CERTIFY THAT IN DOINd THE WORK AUTHORIZED IMPACT REPORT PROCESSED -(DATE)
HERE&Y I WILL N07 EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR
CODE
DE OF THE STATE OF0
SUR
WORKMEN'S Com SATIO A,"IN )VLATIN
SIGNATURE OF 1> I
Lir
��
PERMITTEE pt:lr
ADDRESS- I A/
TEL. FINAL IS y
TE
CITY I N NO. 1+
MAKE CHECKS PAYABLE TO: P i C. PMT, C
HARVEY T. BRANDT, COUNTY ENGINRERI FEE $ FEE 'o
1015- -
PLAN CHECK VALIDATION PERNUT VALIDATION
7 5 6r"-APR 3023 D 1 3.05 •
7 5 7r'-APR 30 o 2 1.75A�
70A830A CE#803 7/73
1
DEPARTMMqT � COUWff Mm � BUILDING
DIVISION OF MU DING AND SAFETY
AaL-L" J. FOX. CouwrY ¢HGINEER APPLICATION
M S IATT M mRIFFIli, &UP-r o* XMLODla
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT No. PLAN Cx.on Ria No. PERMIT No.
FDD
D 'B17
S -RECEJVI D BY DATE OF ADPL. D Tlt ISSUED4r
(7-Roff VT. a Q BUILDING
ADDRESS4n- No rr7 J S' /7'e / TTMH
t7 6a To-- 7. ROSS ST.R TEL FIRE NO. OF NO ZONE PLw
BLDG. _�j/ BETRACK E
' Tom- �!1- '/ ueE "MOVED
L�� ZONE DY Dw l�
�7 � So (I� �' HOUSE NUYo10lINO
AD I� v V (�'
r V _
EGA 1 /NUMSKR �` d NO. AEWGMKD GY
D¢6CRIPTI
COONS
TRAGI 3
S= of LOT /V O NOW ON�'
USE OF NO. OF
MUSTING ELM
ONION OF WORK o —
N G
Z
REPAIR DKMOLMON
SQ. FT. NO. OF
rro
SIZE ROOM r Rla
COVERING / t° a ROOF ING
USE OF STRUCTURE
APPROY
INSP R'S JUGHATUU DATE
FOUNDATIONi LOCATION,
FORMS YATERIALS LJ
1 HEROY AC CHOWLmGE THAT I HAVE READ THIS AP- FRAMES FIRE STOPO, n
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS
OORRXCI <REE T. To COMPLY.WITH ALL COUNTY ORDINAHCa FURHAM LOCATION
AND VATS LAWo REGULA77NG tU///d����DDw copewmUQTION. GG VLFft DUCTS
/U pr LATH. IM.
•IGNATURE OF
PA"
7 / (l� / LATH. EXT.
ADD 7 J
PLA Prim 1 NT. u
AUTHORIZlm AOT.
PLASTER, EXT.
FEE HOUGE NUMBER COR-
O� RECT AND PCSTm
VALUATIONFu S FT1AlA1
�� y
74A M" E. 8 .♦a �X
MINTY OF LOS MIRES TEMPLE CITY D508 BUILDING PERMIT
DEPARTMENT OF.PUBLIC WORKS 9701 LAE TUUAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT' TEMPLE CITY G 91750 BL 0505 0204.080016`
PHONE: (626) 265-04M EXT:
LEGAL ID: 100. OF CONST 91 U I
TR: 19159-= LT: 54- EQ. FT STORIESTYPE10661 ROSEGLEN
STRUCTURE: V►i TE1P G 917504133
ASSESSOR INFORMATION 8585-025-007 NEAREST CROSS STREET.-
MAL
THOMAS PACE: 597 . GRID: G4 LOGLITY: TEMPLE CITY
EXIST BLDG ISSUEP ON: PRCPES� By:. EXPIRES
EXIST OCC GRP:: - 04/08M JK 10105/02
OWNER: TEL. NO: RM. W)W ON LOT: VALUATION: F F BY: OWE:
BROWN MICHAEL C•MIRIAM H 3,2DO
10661 ROSEGLEN �IT
TEMP 9178D4133 -
INSTALL 30YR COMP OVER EXISTING $HEATING ON HOUSE i GARAGE
FEE.DdCRIPTION: QUANTITY: LION: AMIOLKT:
APPLICANT: -m. NO:
DOWDROOFING
CID kr (626) 857-1070- AA BLDG PERMIT ISSUANCE 27.75
932,'SANiND 91740 AC STRONG MOTION RES .00 VAL 0.50 SPECIAL CWITIONS:
PERMIT Y/0 VAL 115.80
GEL 144.05
CONTRACTOR: TEL NO,
APPROVALS DATE INSP
DOW ROOFING (626) 657-101-
932 SANDSTONE DR. LIC. NO
GLENDORA, G 91740 380611 C39
SOILS.ENGINEER-WOVE-
ARCHITECT-OR EKGINEER:. TEL. NO: FOLKOATION/TRERMT-MRW.
LIC. NO: RAISED FLOOR FRAMING
llllll
-r f
MAP NO: SEWER MAP BOOK: PAAE- --FIRE cmp�I
144H273 3. .0 F1ULUJL��
. OF FAMILIES: DWELLING UNITS: WT/CCO: STAT COOK7
NO 21 8 RCOF�3HEATHING
SCHOOL WITHIN HAZARDOUS T
o ❑
AIR QUALITY: 1000 FE1;T MATERIALS
100. NO _ NO
RMOIRED TOTAL S&BACK FROM EXIST
w
FSET EBACK_ YARD: MY: -PROP LIME: WIDTH: S'g ❑ That�O<
ICA
EIDE PL- .
INT TH/5ff7WMr
t i�riiR J
_`-.^rT -
1 - ' qwTgw
f - '
LOT,DILA IMAGE _
- 1 , REPORT ID: DPR261 ROUTE TO: 890508 _
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMST
DEPARTPCINP OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFET7 / LAND DEVRWPI� TF3'= CITY CA 91780 BL 0508 1011170001
PHONE: (626) 285-0488 ETT: DUPLICATE
LOGAi. ID: NO. OF CONST BUILDING ADDRE99:
TR: 19189 LT: 54 SQ. FI' 9TORIRS TYPE 10661 ROSEGLEH ST
STRUC-=: V-B TEMP CA 917804133
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-028-007 THOMAS PAGE: 597 GRID: C4 LOCALSTY: TEMPLE CITY, C
TENT: EZIST BLDG USE: RFSID USE ZONE: R-1 T49UED ON: PROCESSED BY:
EZT4T OCC GRP: 11/17/10 SR
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F DATE FINAL BY: CODE:
BROWN, MIRIAN (626) 484-8460- 22,420
10661 ROSEGLEH ST.
TENQ' 917802625 FEES PAID ON OF WORK
LSPCEIEN REMODEL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TES,. NO:
RANDY COLE (619) 402-0828- AA BLDG PERMIT ISSUANCE 27.80
PO HOZ 711564 AB STATE GREEN BLDG FEE 22420.00 VAL 1.00 SPECIAL CONDITIONS:
4ANTER, CA 92072 AC STRONG MOTION RESID 22420.00 VAL 2.20
B2 PERMTT W/ENRRGY 22420.00 VAL 480.00
TOTAL FEES 511.00
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SEARS HORSE Il{PROV124ENT (800) 807-9889-
10395 9LUSHER DR #1 LIC. NO
LOCATION AND 9z-raaCtra
SANTA FE SPRINGS, CA 90670 721379
SOILS ENGINEER APPROVAL
ARCHITECT OR E24GI2ffit: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB.UNDKR FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOR: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
14711269 3 00
FLOOR 9EYATHMgG
NO. OF FAXILIRS: DVIE I-ING ON=: APT COND: STAT CLASS:
NO 21 ROOF vu&iT IMG
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
ASR QUALITY: 1000 FEET MATPRTALS
NO NO NO FRAME IHSPE CTION
FIRE SPRINKLER FDMERS
INSULATION/WEATHRR STRIP
INTERIOR LATH/DRYWALL
M7rkRIOR LATH
RATED FLOOR CEIL ASSUM.
RATED WALT A.SHEN13i IMS
RATED 9HLETS OPENINGS
T-BAR CELLSNGR
LOT ERA-IMAM U
REPORT ID: DPR261 ROUTE TO: BS0508