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HomeMy Public PortalAbout5117 ROSEVALE DR_Building__ 76A839 CF 879 8 62 11 APPLICATION FOR RELOCATION BUILDING RMIT ILII COUNTY OF LOS ANGELES I BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUPT OF BUILDING CROSS ST FOR APPLICANT TO FILL IIQ DIST O R C SE KSR MAPP CE Y PROPOSED /� ADORES BUILDING,1. 117 Rosevale Dr. WATER pI /� Calif. CERTIFICATE NOT REQUIRED RECEIVED LOCALITY TV Temple it CafMAP HIGHWAY PRESENT NO 19 CIRCLE) STATE MAJOR SEGO LOCAL SU ADDRESG QI 2 Ba/l�dwin Ave• f USE ZO E SPECIAL -� r / / �J LOCALITY Tem le Cit Calif. CONDITION,-AK �iL6_ % �,.y / A OWNER .TO RQASU MAIL SETBAICK YARD WY STREET NAME WIDTH ADDRESS 10107 La Rosa Dr. FRONT CITY Temple Cit NO 017Q P L SIDE l MOVING TEL p L CONTRACTOR NO BYRPrF� A ADDRESS e f I ¢ BY BUILDINGTEL C ¢ Ta RIc y CONTRACTOR A. Amoroso NO 3 7018 DEPOSIT f ILe '?� Y O I APPR ALS DATE INSPECTO 5 SIGNATURE ADDRESS PRESENT FOUNDATION LOCATION USE OF FORMS MATERIALS BUILDING Vacant acant FRAME FIRE STOPS PROPOSED BRACING BOLTS d USE OF BUILDIN O11S@ FURNACE LOCATION Z GAS VENTS DUCTS SO FT 16A,A9�EE22 NO OF LATH INT SIZE ROOMS STORIES 1 WALL COV RINGplaster ROOF COVVLEGALQERING shingles LATH EXT NUMBER DESCRIPTION LOT NO J BLOCK HOUSE AND POSTEDR TRACT 2933:6 JJ{{QQ FINAL SIZE OF LOT iJ�W ON LOTS none SURETY BOND DISTRICT ENGINEER USE OF NO RELEASED OP EXISTING BLDG L.NILIEB I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION I HEREBY STATE TH T TH INFORM T ON GIVEN S AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CORRECT v'v WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING SIGNATURE OP BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK APPLICANT AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA ADDRESS D TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE VALUATION $ P C $ 5 SIGNATURE OF FEE J PERMITTEE . I FEE $ ADDRESS VMMATI N cx rG -GBH JOHN F LEWIS PRINCIPAL STRUCTURAL GINE PERMIT VALIDATION — m G cuH LAGO5805z8 NOV1425 D 25.0 QG6,9851 NOv23 6 D 1.8/.5Ov 9 Lila y R 4L llfZat/�v ( �� � NBSo-�� V- ' YHORRERS-CQMPENSATION DECLARATION r affirm shot I hove certificate of consent to self APPLICATION FOR BUILDING PERMIT insure or a certificate of Workers Compensation Compenaoon Insurance or a certthed cdby thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AN AFETY Policy No Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN WILVINU ADORES Certified copy is filed with the county budding inspecBUILDING hon department ADDRESS /T D3,E Date Applicant CITY CIT zip �449TLOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGT NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT S (This section need not be completed if the permit is for one -2ASSESSOR hundred dollars ($100)or less ) TRACTfiIOCK LOT NO MAP BOOK PAGE PARCEL TEL U ONE MAP I certify that in the performance of the work for which this OWNER NO 0� NO off- permit is Issued, 1 shall not employ any person in any manner ADDRESS 6149'q ZA RMA —' SPKIAL 6 so as to become subject to the Workers'Compensation Law COFDITIOM1LS O Date 1y_ he t CITY ZIP 917 0 lJ APP aO NOTICE TO APPLICANT If, ah making ilia Certificate of ENGINEER NOR O DISTRICT GROUP TYPE FIRE DNY Exemption you should beco a subject to the Worken CONST ZONE Compensation provisions of the Labor Code, you must forth ADDRESS d with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT CONDO deemed revoked CONTRACTOR NO 49 LICENSED CONTRACTORS EC TRACTORS OASS NO - DWELL UNITS_ I hereby affirm that I am licensed under provismns of Chapter 9 ADDRESS NO (commencing with Section 7000)of Dwivon 3 of the Business andLIC SEWER MAP Professions Code, and my license is in full force and effect CITY CLASS VALIDATION SO FT NO OF NO OF CHECK PIG License Number Lic ClassSIZE STORIES FAMILIE ONE //p vALl1ATION Ciro Contractor Dote DESCRIFTIONCIF WORK NEW $ l r_11 am exempt under Sec 4, , ALTER B dP C for this reason REPAIR $ Date USE OF EXISTING BLDG DFMOL Signature APPLICANT TEL FINAL DECLARATION PRINT NO DATE I hereby affirm that I am exempt from the Contractor z License Low for the following reason (Section 7031 5 Business and ADDRESS Professions Code) 0 1 as owner of the property or m employees Ywith ABDunMG UDDING wages o t their sole compensation wil l do the work and , the structure is not intended or offered far sale(Section LOCALITY 7041 Business and Professions Code) MOVING TEL F11, as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sac- ADDRESS —4 4 0 9 3 A tion 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY SET REQUIRED YARD H1YYTOTAL LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work far which this permit is issued PILL ( • ' 49, 88 (Sec 3097 Civ C ) SIDE Lender s Name P L • • 4 9 8 8 a 3 DMARef 0224-86 Lender is Address PC Fee f Permit Fee �l ' I certify that 1 have read this application and state that the Issuance Fee LDMA P/C N above information is correct I agree to comply with all County Inveatpoeon Fee ordinances and State jaws relating to building construction T=ee v and hereby outhortze representatives of this County to enter Lam`P•rin R upon the above-mentio ed property for inspection purposes .&ZkZ � � SO REVERSE FM EXPLANATORY LANGUAGA $igreiare of Apti or Xgerit �--DdIte 8 i COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY LA 91780 BL 0508 0503140016 PHONE (626) 285-0488 EXT LEGAL 10 -m. ur---eugr-- BUILDING ADDRESS TR 29316 LT 5 SQ FT STORIES TYPE 5117 ROSEVALE DR STRUCTURE: 2800 VN TEMP CA 917803308 ASSESSOR INFORMATION NLP48ER 8585-007-052 NEAREST CROSS STREET- LA ROSA THOMAS PAGE. 597 GRID 84 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE RESID USE 7W—W-�F— ISSUED ON PROCESSED BY EXPIRES ON: EXIST OCC GRP: 03/14/05 JK 03/09/06 OWNER' No ULDGS. NOW ON LOT' VALWMTM-- FINAL DATE FINAL sY- CODE CHAN, PETER (818) 444-5019- 5,000 5117 ROSEVALE DR \ - Z 3 - TEMP 917803308 FEES PAID DESCRIPTION 1/0 THE SHINGLE COVER UP OSB PLYWOOD 30 YEARS ASPHALT APPLICANT: --rrr NO: FEE DESCRIPTION QUANTITY: LION AFAXMT SHINGLES HOUSE AND GAVAGE FIMG'S CONSTRUCTION CO (626) 287-8075- AA BLDG PERMIT ISSUANCE 27.75 8K9 ELM AVE AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITiDNS: SA GABRIEL CA 91775 D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 TOTAL FEES 160 85 CONTRACTOR: TEE--VF— APPROVALS DATE INSPECTOR SiGNATUAr— FUNG'S CONSTRUCTION CO , INC. (626) 625-7048- 8449 ELM AVENUE LIC NO LOCATION AND SETBACKS SAN GABRIEL, CA 91775 753441 B SOILS ENGINEER APPROWAr- LIC. RD 9M7aflFMF-)'166F— RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK. PAGE TrRr-2NE---UV amrqrluo" 147H273 3 01 1 40. OF FAMILIES DWELLING UNITS: APT/C0NDr-§TXr-00%T-- FLOOR SHEATHING NO 21 ROOF SHEATHING AIR QUALITY SCHOOL WITHIN —1909RD50T- 1000 FEET MATERIALS NO NO NO FRAKF INSPECTION REQUIRED TOTAL SETBACK FROM EXIST 1T1�� SET BACK YARD HWY PROP LINE WIDTH FRONT PL- INSULATION/WEATHER STRIP SIDE PL- REPORT 10: DPR261 ROUTE TO: BS0508