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Home My Public Portal About9215 ROSEGLEN ST_Building__r + 71FA"BAa100S-G.-M APPLICATION FOR BUILDING PERMIT' 1 COUNTY OF IAS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUELDING AND SAFETY DIVMON LOCALITY JOHN A.LAMBIE,COUNTY ENGINES NEAREST CAGUATT D.GRIFFIN Hurn OF BUILDING CROSS EDICT NO. GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN K PG C:ONGT BUILDING TICAL CLASSIFICATION ADDRESS S i - . LOT NO. 3 CLOCK NO I STATE Y" TRACT Z R HWY. NE SPECIALHIZE OF LOT ` NNO.OF OW ON LOTSCONDITIONS USE OF 1 IN B NG YARD HWY STREET NAME ®GIST. K WIDTH OWNER TMAIL ADDRESS - QrTy ARCHITECT OR TEL INSPECTION RECORD ENGINEER NO. z,- ADDRESS •p TEL CONTRACTOR J 0, W r V NO. DD DESCRIPTION OF WOR$ NEW ADO ALTER' REPAIR DEMOLISH SQ. FT. NO.OF NO.OF SIZE STORIES FAMILI6H- UBE OF srRucruRa 9Ai9 SIGNATURE OF APPROVALS APPLICANT INSP GTOE+L"IANATURIK ADDR e� '1� so, S FOUNDATION: LOCATION FORMS MATERIALS Z Q P.C. f 3 FRAME: FIRE STOPS, Q OY FEE BRACING BOLTS VALUATIONf 0 FURNACE: LOCATION. i FEE s GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WI ALL COUNTYRDINANC STATE LAWN REGU G H 1 N. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- I PERMITTE RECT AND POSTED ADDR FINAL 6 JOHN A.LAMBIE.CouNTY ENGINEER. CLYDE N. DIRLA PRINCIPAL Sl RU NGINEEIR PLAN CEECCL VALWATION M-o. CASH PEBM f VALMATION ->td. CAsH O p JAN 30 1 6 A 8.3 V n o $ .fi JM 31 1 A 3 6.0.0 WORKERS' COMPENSATION DECLARATION hereby affirm that I haver certificate of consent to self FOR BUILDING PERMIT Insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING ANDFETY Pollcy No. Company BUILDING ! - ' Certified copy Is hereby furnisbed. FOR APPLICANT TO FILL IN ADDS l ❑ Certified copy Is filed with the county building Inspec- BUILDING r7 O /i J z' tlon department. ADDRESS O� / TJ [s !� c 7 Date Applicant CITY 07 " !"" / Z1P l/ Q LOCALrTY CERTIFICATE OF EXEMPTION HZOM WORKERS' n . OF B1DGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT / NOW ON LOT t ST. (This section need not be com leted if the permit Is for one ASSESSOR hundred daIIars ($100)or less. TRACT BL= �LOgT�No. W1Ap BOOK MME PARCH I certify that In the performance of,the work fol• which this OWNER C �4'fy41o. �/ � NO. permit Is Issued, I shall not empl6y anyperson In any manner /I OSPECIAL ADDRESS r� �/ f to as to become subject to the Workers Compersatlon CITY /T ZIP Date —�� Applicant 04 NOTICE TO APPLICANT: If, after making this CeritfiCate of ARCHITECT OR ENGYNNANO.TELDISTRICT GROUP TYPE RRE 6Y Exemption, you should become subject to 'the Workers J CONST, ZONE Compehsatlon provisions of the Labor Code,"you'.must forth- ADDRESS J �U ELUt with comply Nwith such Provisions or this Permit shall be sTAT15T1CA1 CII.SSIFK'ATK?tJ AFT. Co deemed revoked. CONTRACTOR LICENSED CONTRACTORS DEC7ARATION LIC . - CLASS No. DWELL UNTTS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS / 40. SEWER ((comme+xlnp with Section 7000)of.DtvWon 3 of the Business and LIG MAP Profeeslors Code, and my license is In full force and effect. CITY CLASS BK. PG. VALIDATION SO. FT. NO.OFCHECK License Number LIc.Clan sin STORIES FNO. ONE f VALUATION Contractor Date DESCRIPTION OF WORK NEW $ S/l/O.✓ OO� ADD y I am exempt under Sec. ALTER , B.3R.C. for this reason /t�" 4� D/ 0D REPAIR $ USE OF Date. EXISTING BLDG.APkKANT DfJNOL SIg nature OWNER-BUILDER DECLARATION PR1NT liE�C}r0. %� DAA I hereby affirm that I am exempt from the Contractor's License ADDRESS Low for the following reason (Section 7031:5, Business anq 0 4 9.7 A Professions Code): BUILDING By 7 # 0 0 0 0 .0�l I, as owner of the property, or my employeea with ADDRESS wages as their sole compensation,will do the work and LOCALITY ' o.3 O O the structure Is not Intendoffered Intended or oered for sale(Section 7044, Business dnd Professions Coded &40VING NO. o - 330.06 o I, as owner of the properly, am exclusively contacting CONTRACTOR with licensed contractors to construct the project (Sec- ADDRESS �a 2 2—8 8 tion A44, Busineu and Professions Code CONSTRUCTION LENDING AGENCI YARD Fr1M1 TOT SETBACK fiKw PROP. UNE DTH I hereby affirm thavthere Is a construction lending agency for FRONT the performance of the work for which this permit Is blued- P.L (Sec. 3097, Cly. C.). SIDE P.L. Lender's Name LDAhA Ref. / • 8 P.C- Fee f Permit Fee Leader's Address ' I certify that I have read this appllcatlon and state that the tasuFee P/C Frs� LDMA P/C# -above rn Inforatlon Is correct. I agree to comply with all County Inrawtpatlon F« /�}) ordinances and State laws relating to building construction, Total Fee33 l/ LDIry\'Penn-'I Q and hereby authorize representatives of this County to enter uPon the above-menti o ed for Inspection purposes. W RlVRRfti POR DPLANATOCY LAPOGUA04 Signature of Appikant or Agent Date J • r WORKERS'COMPENSATION DECLARATION sure, affirm that I haver certificate of pion Int to self APPLICATION FOR BUILDING PERMIT Insure, or o certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec: 3900, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING m ❑ ,Certified copy is hereby.fumished. FOR APPLICANT TO FILL IN ADDRESS 2— t ity� Certified copy Is filed with the county bullding Inspec- BUILDING 1 ` fla/n�de�porratm`ent. ADDR�SST 1 QSe l t Dam I 1 V V Appllca g any \� C-' z P G`\ LOCALITY C1 4-, CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. N AREST COMPENSATION INSURANCE SIZE OF LOT NOW ONLOT ST. -(This section need not be completed If the permit is for one ASSESSOR hundred dollars (=100)or lesm) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCH MAP �TEL 115E I certify thdt In the performance of the work for.which this '2 permit Is Issued, I shall not employ any person In any manner 1M SPECLAL C) 4 so as to become subject to the Workers'Compensation Laws. Date Appl(cont CITY ZIP NOTICE TO APPLICANT: If, after making this Certificate of ARCHIT[{T t DISTRICT P TYPE FIRE BY O Exemption, you should become subject to -the Workws CONST. Compensation provisions of the Labor Code, you must forth- ADDS with comply with such provisions or this,permit shall. be deemed revoked. �� E efvl C1 T° A C.AL C=DWELL APT OONDO.CWTRA �J UCENSED CONTRACTORS DECLARATION LJC CLASS NO. UNITS I hereby affirm that I am licensed under provlslons of Chapter 9 Awem NO. 7 'L (commencing with Section 7000)of Division 3 of the Buslnea and LIG SEWER MAP Professions Code, and my llcerne Is In full force and effect. CITY J_'CA h CLASS BK. PG VALiDAT}ON IL (1 SQ. FT. NO. NO. OF CHECK License Number ILOLk7- Llc.CI SIZE STORIES 1FAMUES ONE (� (� A r D1'\7�rC ` te :5=1-85 DESCRIPTION OF WORK ' i� V r NM VALVA ; O Contractor H' tY dt 1 Da I am exempt under Sec. M I,n z., ADD , G ALTER B.BP.C. for this reason L v REPAIR Date: USE OF DWOL EXISTING BLDG. SI9 natureFINAL OWNER-BUILDER DECLARATION APPLtC4fIT�QPh �TEL" �Y DA I hereby affirm that I am exemptfrom the Contractor's Ucense +_ Low for the following reason (Section 7M1.5, Business and ADDRESS r red R ;F 0 3,2 4 Professlons Code): BUILDING #le o o • • 1, as owner of the property, or my employees with ADDRESS wages as their sole compensatlbn,will do the work and ° the structure Is not Intended or offered for sale(Section LOCALITY 7044, Business and Professlons Coded MOVING TEL ' • (� 8 t I, as owner of the property, am exclusively contracting OR NO. with licensed contractors to-construct the project (Sec- 1� 8 8 tion 7044, Buslness and Professions Coded REQUIRED TOTAL SETBACK FROM ADDRESS CONSTRUCTION-LENDING AGENCY SET BACK YARD HWY PROP. UNE D ' I hereby affirm that there Is a construction lending agency for 7DE the performance of the work for which this permit IsJssusd 20 3 2 5 A (Sec. 3097, Ov. C.� # . . a °'e I" Lender's Name I LDMA Ref. * YI ° ° 4 Q.8 8 2 $ Lenders Address P.C. Fe.s Pa..It Fee ' °.0 0 4 9.8 8 U I certify that I have read this application anal stgte that the houance Fee LDAAA P/C/ above Information Is correct. I agree to comply with all County Investigation Fee 0 a O ll —88 ordinances and State flaws relating to building Construction, Taal F« L13MA Perm. •' R and hereby authorize representatives of this County to enter b upon the above-mentioned property for Inspection purpcses_ M KOt OQLANATO[Y LANOUACM of Appikant or Agent Dale - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TURAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0503280079 PHONE: (626) 285-0488 EXT: TR: 24021 LT: 3 SQ. FT STORIES TYPE 9215 ROSEGLEN ST STRUCTURE: 1D00 VN TEMP CA 917803710 ASSESSOR EX: NEAREST CROSS STREET: E]NCINITA 8590-030-003 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C TBLANT: EXIST BLDG USE: RESID USE-ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES EXIST OCC GRP: 03/28/05 JK 03/23/06 . OWNER: TEL. W: BLDGS. NOW ON LOT: VALUATION: FINAL DATE MM: CODE: PALMER MICHAEL P;RENEE C (626) 286-8186- 900 9215 ROSEGLEN ST &d 12 TEMP 917803710 FEES PAID UMIPTION OF WORK PUT ROOF ON FRONT OF HOUSE ONLY AND GARAGE 30 YR SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AJC"T: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION REBID 900.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 900.00 VAL 65.40 TOTAL FEES 93.65 CONTRACTOR: TEL. NO: APPRCTVALB DATE SAME AS OWNER - LIC. NO LOCATION AND SETBACM SOILS: ENGI LIC. N0: SLAB/UNDER FLOOR X 3� X 01 NO. OF FAMILI . DWELLING UNITS: . - FLOOR-SHEATHING NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTILM REIUUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER SET BACK YARD: HYY: PROP LINE: WIDTH: FRONT PL- SIDE PL- REPORT ID: DPR261 ROUTE TO: BS0508