HomeMy Public PortalAbout9202 ROSEGLEN ST_Building__ 76A698A CE#808-6-57 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS `
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.ICT NO. GROUP
FT R. I TYPE SEWER MAP
FOR APPLICANT TO FILL IN CONST. BK BUILDINGc
ADDRESS - dse ' STATISTICAL CLASSIFICATION
LOT NO. BLOCK CLASS.NO.�DWELL.UNITS�I
uMAP STATE YES O
TRACT I '/0 z NUMBER HWY.
U Z NE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF �BO
EXISTING BLDG. BUILDING EXIST.
YARD HWY STREET NAME
SETBACK WIDTH
OWNER i e8 c x FRONT �Z D
MA'LP.L.
ADDRESS /Y J SIDE
TEL
CITY • NOAf 7A
3
ARCHITECT OR TEL. INSPECTION RECORD
ENGINEER NO.
ADDRESS
.p )/� TEL
CONTRACTOR l7• 1 f NO.
ADDRESS 7072.,'�"� Sa -rA At
DESCRIPTION OF WORK
NEW V ADD ALTER REPAIR DEMOLISH
. T. / / NO.OF NO.OF
S
J STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRE 'Y 'Sl FOUNDATION: LOCATION
FORMS.MATERIALS � -
$ P.C. $ B FRAME: FIRE STOPS,
'/Z- 7®O FEE "�' BRACING.BOLTS -
VALUATION S' FURNACE:
FURNACE: LOCATION,
FEE GAS
VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WIT LL CO NTY ORDVANES ND I
STATE LAWS REGU G B DI COU ON. LATH,EXT.
SIGNATURE( r- HOUSE NUMBER COR-
PERMI- � RECT AND POSTED
ADDRESS /� �y "} FINAL
JOHN A. L BIE.COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
0806u ;JMQ3016 18.003
t o871s JAN 31 1 A 36.00
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUDDING C eCOUNTY OF LOS ANGELES
ADID.ESS DEPARTMENT OF COUNTY ENGINEER
CITY :Fe Z,P BUILDING AND SAFETY DIVISION
,/ NO.OF BLOGS. BUILDING e wf
SIZE OF LOT T 5 O NOW ON LOT ADDRESS sp Re a,,.# ��+
TRACT T d 2 BLOC Kp LOT NO LOCALITY tC� /t ` l
OWNER G er At) �O bl NS(7V�N / // NEAREST E.� C G H i t �
r N0. (� T CROSS ST.
ASSESSOR ^ PAGE 3 c-I PARCEL
ADDRESS Se MAP BOOK 2 /
CITY C/'j' - CI ZIP DISTRICT GROUP CONST.TYPE ZOIRE NE ESSED BY
ARCHITECT 15R TEL Q '
ENGINEER I" NO. �j -L�(JJa
STATISTICAL CLASSIFICATION :::�;�CEWER MAP
ADDRESS CLASS NO..2_�___DWELL•UNITS B --G
TEL.
CONTRACTOR p n e r NO. USE ZONE MAP
11 NO.
ADDRESS "�'-- NO �r -'7 SPECIAL
LIC. CONDITIONS
CITY .--- CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO
CONSTRUCTION LENDER ❑
NAME AND BRANCH O fi r BLD .SETBACK FROM a
FRO T PROP.LINE OF (STREET) V
ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING
SFT. NO. OF NO. OF CHECK HiGHW Y } YARD - HIGHWAY WIDTH CD
FRONT PROP. LINE O
SIZE STORIES FAMILIES ONE V
} = W
DESCRIPTION OF WORK NEW y
ADD BLD G.SETBAC )STREET) Z
C SIDE PROP.LINE OF
ALTER ❑ TOTAL SETBACK FROM TY OF EXISTING
EPAIR
HIGHWAY } YARD = SIDE PROP. LINE HIGH Y WIDTH
R ❑
USE OF } _
EXISTING BLDG, DEMOL ❑
APPLICANT TEL CORNER CUTOFF YES ❑ NO L](PRINT) O.
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL ZONE YES ❑ NO ❑
VALUATION,QQ P ��
CATEGORICAL EXEMPTION YES❑ NO ❑
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE ISCORRECT 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. ' �� 0'• f i-.,�, - O•
SIGNATURE OF
PERMITTEE
ADDRESS .(S' T ��•
�.'L/
FINALBY
CITY I NOL ! DATE D-_r'/
M,9 KF. (11E(_KS PAYABLI: TO: FEE ��/' FEE
HARVEY T. BRANDT. COUNTY ENGINEER f V
PLAN CHECK VALIDATION CK M o. CASH _ f PERMIT VALIDATION CK. M O. CASH
5 1 6,�-jUN 14
1 a 1 2.0 0 ,&�jo
76A638A CE*803 7/73
L - -
COUNTY O1 LOS ANGELES TEMPLE CITY / 0508 BUILDING PERXIT
DZPARTMENT OF PUBLIC WORKS 9701 LAB TUNAS ALTZRATION/REPAIR
BUILDING AND &ARTY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 050E 0601070015
PHONE: (616) 785-0488 IIS:
LEGAL ID? NO. OF CONST BUILDING innR?eslB?
TR? 74071 LT: 0 SQ. FT STORIES TYPE 9707 ROHZQLEN 8T
STRUCTURZ? 7700 VII TEMP CA 917803709
A39ZBGOR INFORMATION NUMBZR? NEAREST CROSS BTR—=T: EICIMITA
0590-079-001 THOMAS PAGE: 596 OBID: J5 LOCALITY: TOOLE CITY, C
TENANT? EXIST BLDG USE: REBID USE LONH: R-1 ISSIIID ON: PROCESSED BY: EKPIRH.B ON?
EXIST OCC GRP? 07/07/06 JK 07/07/07
OWNER. TEL. NO. BLDGS. NOW ON LOT? VALUATION: FINAL DATE FINAL BY: CODE:
ROBLES JAIM;YOLAIIIA (909) 597-7381- 7,600
6733 SAY M3ULDOW IN
FZZS PAID DESCRIPTION OF WORK
REMOVI 1 COMP ROOF INSIX.L 30 TR RIX ANTIQUE SLAT POOP '
FEE DESCRIPTION: QUANTITY: UOQ(? AMOUNT? CLASS A
APPLICANT? TEL. NO.
GUY GRATER (909) 593-4987- AA BLDG FIRMST ISSUANCE 77.75
7115 MONTER.ZY ST. AC STRONG MOTION RZ8II7 7600.00 VAL 0.50 SPECIAL CONDITIONS:
LA VER", CA 91750 D7 P" T W/O II-HC 7600.00 VAL 99.00
TOTAL FEES 177.75
CONTRACTORTEL. NO? APPROVALS DATE INSPECTOR SIGIATUR.Z
D AND G ROOFING (676) 593-4987- _
7115 MONTEREY STYNYP LIC. NO LOCATION AND BETBACKS
LA VZRNE, CA 91750 534906 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR aGINffi: TNL. NO? lOUY1]11TION Z•YEICH FORMS
LIC. NO: BLAB UNDNR FLOOR
RA-19= FIAOR FRAMING
MAP NO? SEWER MAD BOON? PAGE? FIRE ZONi? CMD: UNDERFLOOR INSULATION
144H765 — 3 01
FLOOR SHEATHING
NO. OF FAMILIZB? DWELLING UNITS? ADT COLD? STAT CLABS?
NO 71 ROOF BBSATHING
SCHOOL WITH II zn*AQnnUS SITYaY PANELS F (/1
AIR QUALITY? 1000 Fl= ramQvrir.A
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM ZZIST FIRE SPRINXIA v HAIGYR8
BET BACK YARD? HWY: PROP LINE: WIDTH:
FRONS PL- IIBULATION WEATHER STRIP
BIDE PL-
INTERIOR LATH DRYWALL
13TZRIOR LATH
RATED PLOOY CZIL ASHEN.
RATED MALL ASBn(B.LIES
RATEp SHAFTS OPENINGS
S-BAR CEILINGS
LOT DYAINaGZ
REPORT ID? DPR761 ROUTE TO: BS0508