HomeMy Public PortalAbout9209 ROSEGLEN ST_Building__ 7ewcsaACl1903_e-7 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVOON LOCALITY
i
JOHN A.LAMBIE,COUNTY ENGINHER NEAREST
Ck"ATT D.GRIFFIN BUVT OF DUB INa CROSS
DISTRICT NO. GROUP TYPE HEWER MAP
FOR APPLICANT TO FILL IN K
CONST
B U'La'"
LD I N O CC STAT I ST I CAL CLASH I F I CATION
ADDRE88
LOT N0. BLOCK CLASH'NO UN
MAP STATE YES
TRACT NUMBER HWY.
T USE zONE SPECIAL
NO.OP BLDGH. J/ CONDITIONS
SIZE OF LOT S s S NOW ON LOT
USE OF
ISTI BUILDING YARD HVJY HTREIST NAME EXIST'
SETBACK WIDTH
OWNER FRONT
MAILP.L'
ADDRESS /J S�+N 'noes)
`�" . TEL J 3 1 P.L
ARCHITECT OR TEL
INSPECTION HECORD . .
ENGINEER NO.
�+ oTEL
CONTRACTOR J 6. NO.
D AI) QiqBLV
DESCRIPTION OF WORK
NgW ADD ALTER REPAIR DEMOLISH
MM.
FT. NO.OF NO.OF
.I 0 IITORIEH FAMILIES
USE OF STRUCTURH
SIGNATURE OF APPROVALS
APPLICANT
Y .rp DA INDPE TU RE
ADDR
FOUNDATIONS LOCATION
FORMS,MATERIALS -
�' FRAMEi FIRE STOPS.
FEE BRACING,BOLTS
VALUATION s FURNACEi LOCATION.
E GAB VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT r r
PLICATION AND STATE THAT THE ABOVE IS CORRECT AAD
AGREE TO COMPLY WI ALL C �t�
STATE LAWS RHO NO I TH.EXT•
SIGNATURE OF USE NUMBER COR-
PgRl,,ll ECT AND BE
ADDRES MAL, -
JOHN A. MBIE COUNTY ENGINEER CLYD N. DIRLAM RIN 1PAL STRU GINEER
PUN CE =VAT-TTI MON m.o. cAsH PERbUT VATSTIAT10M iLo, cASH
s � - �r30-1 6 8-3812 -
~_ LACQo 8.7.919-J 31 1 n 3 6.00 �.
1 f WORKS61COMPENSATION DPQA-RAnON
- '
' tlfi f w e pe ,dt�Q �ro self _' ..'..-APPLICATION F R" � L D��G PIERM IT
cettifled copy th'erraof (Sec X800, lai,."C) COUWtY OFAOS ANGELES p DUIUDING AND.SAFETY
Follc�TVt � �. �ompaAY
Getttfied copyji7li eby furi.(ihPd: R APPLICANT TO FILL IN Bun.DIr�G Z_(0
l� Certified copy Is filed with the coo my k uIIdlr4 lrepec-' POF"t0i
tion-department. f _ e I
Applrce�r z ZJPLOCA_try
1. NO. OF 1CFRTi�ICA E �APTICJN WORKERS' NOW ON LOT fF rFAREST
CROSS ST.
({fi1s'setflon''ne6d not be cbm Iratgd;Ji the.Perm lf is fdr arm '' TRACY_ BLOCK LOT NO. yV PAGf PARCEL
hundred-dbHors (;t00}or'lees: T O►
OwwER NO'
I ce that 1n the:.performanm of the-Wotk fgr which this ►-�
j - SPLCIAL
It U Issued d shall riot employ pny In any hnanner =- CONDffIONS
as to bgeQ.m9►ub)00 to the Work mprtnscrt) Laws- oQ
r - CrrY LP r' V
Applleant ARCH TEL D ROU TYPE BY ( ' O
NOncE T0.'- c'Lf-tl7tfr rnakJrrg,this cote of IN NOT .
emptlon, :you ahopld-'become. yubyIe,U'.�to the" Workers', �i _ R 3 -. 'rte04
Compgnsatioh'provl�lory of,
1.gbQr �r4�, yoy must fortfr - aDok>5s "- �� ✓ ZZ��
with,tQmply with,4tugh proylslohs"Qr.thit pertnIt,sl•cII be T� STAUMCA.i ASSIFtC/�TION AP7.•
{ depm revoked. OONRAGOR �•
r *' 11ce3 sm CONTSjACI DECi, T`OfJ; LtC NO. lJtJfr3_
I here'6y affirm}hat I am Ilcrarned under provhlorn bfSEWER�f q. �'
(comrneucing-wlth Section 7000)of•i?lvlslon 4 of t4-Byslness LKr MAP
and ProfgpIpnt qc>(*and.my.license Is In full force artd effect: _ Criy• � BK. - VAUDADON• .
SQ. Fr. NO. OF iJO.-OF Q rE-a -
LTUn,! ,, Urn I�c.CkmFAMlU6 „ VAWATFON i
�a0 • �.
a,GorltracTa , r E�4te ' PiION OF WORK -" ❑ ; 4.
I
am pxempt under S6c -
_ ALTER'
BAR C,.for this feasa.� — e R1TAIR D7 ;
bate: •- -� EXISTING BLDG. Yitl�lG-TfJ DEMOi LJ I
Signature —��. SINAL
OWNER-BUILDER T]ON No
I hereby affirm that I am exempt from the.Confratfor's LJaen�se f -
LaWI-or tha fol lo�ving rb6ipn (Section 7031.5,'Bu4lness and 1
Professions Cdde): . _- 1 -4 - 1'
EJA 1,;ai owner'of:the' - m empl ees with BUILDING ' K.�'7'T
Pr h, on Y. oY, -rte,
wages as thelrsole cofipbRsation,=Wul do the.�work'and
the structure Is npt Intended or offered for sale(Section:, 1 ; j
Builnew and Professlons Code.) NG Ta.,
L1 I,,as gwner of.tho ptoperty, amr•xcluslvbly cpritrading NO. 1 TOTAL
w{th llcgnsed co.btraKtors to construct-th6 prolecf.(Sec-
tion'7j*,,Bwlness dad'PtQfe"jonz Code..)• � M.f.,J
-�r`a. - L OfJSTRLICTION`LNbINO"AGEF3CY" V�RD I.IWY PRC7M M'x` I
I h"by affirm-tbat there.It a cgnstructlop lending agency for DONT.
the perfortndpce of the work foY whleh'th-1i permit Is Lasued 'P:L
y (sec 9097, aY. C "SIDE..
Le e's'Ndrne
nd p. .Esta. - PeianitFe*
.S' LDMA Rraf..# .'}' - 1 Wj:57
L.endees•Addreris FM r r
i'certify }fidt,'I hdv& lead.thls',appllcatiorr ar)d attrte that the
Isumce F« ✓ LDMA p/C I ► "
above Irrfbr•hiatlon Is,rtprrecf. l agree tp"comply with all County Inveicttgafton _
-ordl noes-and"$tate laws relati 'to kulldlnag conshuctldn; �J Total Fee •� /5 LDMA Perm,
a by authorlie-r esentatives of this County to &rater u
the qbo men &prgpeeIAy for InsPectlon purp6m&
=jW.1MM RM UMANATM LA
� Slpnaturrt Aoplkartt ar.�gdnt Date / � _ .
COU TY OF LOS ANGELESTEMPLE CITY # 0506 BUILDIMG PERMIT
DEPARTMENT OF PIBLIC WORKS - 9071 LAS TUlt1AS. ALT¢tATJOK/REPAIR
BUILDING AND SAFETY ] LAND DEVEXPIIEMT TEMPLE CITY CA BL 0508 9710130009
PHONE: (818) 285-0466 EXT:
LEGlAL ID: MD. OF CONST ElUILDING ADDRESS:
TR: 24021 LT:, 2 SQ. FT STORIES TYPE 92D9 ROSEBLEN ST
STRUCTURE: 0 VM TEMP CA 917803710
ASSESSOR ER: NCROSS STREET:
696-030-002 THHOMASTPAGE: 596 GRID: J5 LOCALITY; TEMPLE CITY
TENANT: JEXIST BLDG : -
EXIST OCC GRP: 10/13/97 UT 10/13/98..
OWNER: TEL. NO: ON LOT: VALUATION: FIlLkU DATE FIWAI
ERLNEN ANITA 2,100 r -
9209 ROSEGLp1 ST l
T EMp 917803710 FEES PAID DESGWIPTION UF BORK
APPLY ONE t15 FELT LAYER AND 20 YR. GJ F FIQERGLM SHINaE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: OVER'b(ISTING ROOF - HOUSING 9EHABILITAT IOM
LEACH L ASSOC. ROOFLNG (626) 651-1427- AA B4DG PERMIT ISSUANCE 27.75
AC STkONG'MOTION RESID M0.00 VALp 50 CONDITIONS-
D2 PERMIT W/0 -y@' 100.00 VAL 99.15
<.+S 127.40
SIUAAIUKtLEACH F.'ASSOCIATES ROOFIiiG SYSTEMS (626) •1-1477r INSPECTOR,
1627 M HUMBOLDT AVENUE LIC. NO LOCA�IION AND SETBACKS
ONTARIO CA 91764. _ _ 691152/09, Cb
SOILS ENGINEER APPROVAL
LIC. MO•
' SLAG�MDER FLOOR
KAk'.*O: -SEWER MP BOOK: ?AGE: F rU ZOW M057
144H265 _ 3• 7i PUBUC WORKS
®R11 S
FLOOR SHEATHING
k%O- OF FAMILIES: D61ELLING UNITS, APT/COND: STAT CLASS' 7- 1 a . ./ -
NO 2 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
o / co
AIR QUALITY: 1000 FEET MATERIALS..
00 MO NO +� O FRAME INSPECTION
REQUIRED 7W TM-3mm
TOTAL SETBAff IP(l ST ;oleo _
SET BACK TURD: HWY;•• PROP LIME_ WIDTH: �� p
FRONT Pt- /'
f H'
SIDE PL- - _
INTERIOR LATH/LPKTbLFkLL
EXT dl I OR LATH
RATED FLOM/CEIL.ASSEN.
RATED WALL
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: B20508
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