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HomeMy Public PortalAbout4853 FRATUS DR_Building__ < • we- 76A638A CE ft8'.,,.7-,,.,`APPL'ICATIO'N", BUILDING PERMIT COUNTY OF LOS ANGELES 'BUILDING DEPARTMENT OF COUNTY ENGINEER ' ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A'LAMBIE COUNTY ENGINEER ' NEAREST .R WILLIAM A JENSEN SUP T OF BUILDING ,CROSS,ST - f DISTRI T,NO G TYPE P �SED �- FOR APPLICANT TO FILL IN CONST BUILDING STATISTICAL CLASSIFICATION SE R MAP ADDRESS J , , - _ - CLASS NO _(_DWELL UNITS LOT NO - ''BLOCK WATER CERTIFICATE <NOT REQUIRED IX I' RECEIVED El TRACT 3 r _ MAP HIGHWAY NO OF BLDGS _ NO _ .(CIRCLE) STATE MAJOR SECOND OCA SIZE OF LOT NOW ON LOT . ', USE ZONE` PECIAL .t - USE OF CONDITIONS 1 EXISTING"BLDG42 _ a �,1/ .r.- TEL �, OWNER NO BUILDING- +' EXIST ` + SETBACK YARD HWY - TREET NAME WIDTH ADDRESS /� (� FRONT ARCHITECT OR TEL P L ' •ENGINEER NO SIDE ADDRESS ' - it - d } TEL O CONTRACTOR .V ADDRESS' G1fna DESCRIPTION OF WORK 4 o a NEW ADD ` ALTER REPAIR, DEMOLISH ' / a C I SQ FT NO OF NO OF SIZE STORIES 'FAM ILI S USE OF STRUCTURE SIGNATURE OF 'APPLICANT VALUATION $ � APP ROVALS DATE IN S SIGN ?UdE ' P C PMT FOUNDATION LOCATION - FEE $ t r, FEE'$, 7 '� FORMS MATERIALS FRAME FIRE STOPS w ��. %•"��.',r� „+ •I HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO-COMPLY FURNACE LOCATION' `i WITH'ALL COUNTY,-ORDINANCES AND STATE LAWS REGULATING GAS VENT 'DUCTS" ,' BUILDING CONSTRUCTION 'I CERTIFY THAT IN DOING THE WORK y AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA TION OF THE LAB R CODC OF THE STATE OF CALIFORNIA REL,4T LATH INT INGtTO WORKMEN COMPEN2:NlNSURAlpF , LATH EXT - e ( a , \�v ��� ",.` �•rr SIGNATURE•OF HOUSE-NUMBER COR PERMITTEE RECT AND POSTED �`�_'• ADDRESS • I- 7 FINAL i JOHN F`LEWIS PR'INCIPALLS URAL ENGINEER' PLAN,lCHEC VALIDATION CK 46 •CASH , _ PERMIT-VALIDATIO JCKMO CASH 76 14,—. `HPC 1-3 1 ' 2 2.0 3– s 76A698?CE#809.7-56 A P P L I C A T I O ISI FOR BUILDING PERMIT 1 BUILDING AND SAFETY DIVISION BUILDING 4�,,[ Department-of County Engineer' ADDRESS -" County Of Los Angeles `LOCALITY 'JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST �'��'�— DISTRICTO � I TYPE-, I SEWER -MAP G FOR APPLICANT TO FILL IN qR CONST BUILDING ADDRESS STATISTICAL CLASSIFICATION LOT NO. BLOCK - CLASS. NO.�DWELL. UNITS—' - --7 MAP y� / _ STATE YES O TRACT �C � NUMBER (:J L ,�j HWY ? ( yI U�SjE Z NE SPECIAL SIZE OF LOT#7,9106x r• k 14rOW ON LOTS�ON � CONDITIONS ' USE OF EXISTING BLDG. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER 7. G i^ - FRONT- I MAIL _� ��6,,. SIDE ADDRESS� �� � - CITYTELNO.AT ' INSPECTION RECORD - ARCHITECT OR TEL. ENGINEER - NO. - - 'ADDRESS CONTRACTOR( 7 y 67 TEL ADDRESS��L Z ✓� �aK , ��DESCRIPTION OF WORK - NEW � ADD ALTER REPAIR DEMOLISH - - SIZE T' STORIES OF STRUCTU APPROVALS SIGNATURE OF APPLICA " ` ' DATE INSP TORS SIGNATURE ADDRESS . r}? S �h.� C?iER FOUNDATION: RIALS OGATION / i-O FEE AT S Q FRAME FIRE STOPS, �y r�+_ BRACING. BOLTS O L FURNACE: LOCATION, VAUATI Q f FEE $O( !J GAS VENT. DUCTS __r Z Z-V7 l 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND- V -AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND - -W• VL STATE LAWS -REGLAG G ILDING CO TRUCTION. LATH, EXT. SIGNATURE OF � HOUSE NUMBER COR- PERMITTE ��a,. /' RECT AND POSTED ADDRESS --� `i"'[it EX - FINAL JOHN'A. LAMBIE, COUNTY ENGINEER,' CLYDE N. DIRL"AM, PRINCIPAL.STRUCTURAL ENGINEER PLAN CHECK VALIDATI cK. M.O.- CASH PERMIT VALIDATION CK: Wo. CASH LA 7._2 6; 4- APR 16 1 6 6.5-0 In - l07 .265 -- 'APR16 1 28.00.. 'x. WORKERS.COMPENSATION DECLARATION hereby affirm•that 1,have a certificate of consent to self . APPLICATION F O !PILDING P E RM I T insure, or a certificate'of Workers'Compenstio Insurance, or ' a certified copy thereof (Sec,380 L � 1- COUNTY OF LOS ANGEL , BUILDING AND,SAFETY Policy No. Compan L `- F Certified'copyis hereby furnis ed T FOR APPLICANT TO FILL•IN •' ADDRESS - Certified copy is filed with the county building inspec- BUILDING "tion' 'partmeni ADDRESS \ LOCALITY NEAREST Dat Applicant t ( CITY ZIP (— CROSS ST CE TIFICATE OF EXEMPTION FROM WORKERS' NOF ASSESSOR \ COMPENSATION INSURANCE' -SIZE OF LOT N ON•LOT MAP BOOK PAGE PARCEL :(•This section need not be'completed if the•permit is for one V USE=ZONE MAP ©� \ hundred dollars ($100)or less )• TRACT BLOCK LOT NO NO \ _ - TEL �/ SPECIAL d I certify that in the-performance.of the work.for which this ., OWNER NO CONDITIONS l O DISTRICT GROUP TYPE FIRE P SSED BY• permit is issued;I shall not employ any person in any manner' V so as to become'su6lect to the Workers'Compensation Laws ADDRESS NST ZONE OC V4�4 'id*n? 11 ,A Date ' Applicant = CITY STATISTI CLASSIFI ATION APT CONDO ~ NOTICE-TO APPLICANT- If, after making this Certificate of ARCHITENGINEERT OR ELO . 1 7 jr L Exemption, you should become' subject to the 'Workers' CLASS N DWELL UNITS d N Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP ;.with comply-with such•provisions or this permit shall be deemed revokeda TE( �� VALIDATION ' CONTRAC �, _ N BK�ae PG LICENSED CONTRACTORS DECLARATION' 1 1 hereby affirm that I am licensed under-provisions of Chapter 9 ., ADDRESS - VALU T N (commencing with Section 7000)of Division-3 of the Business andLIC Professions Code, and my license;is in full force and effect CIT, CLASS ( 1' SQ T NO OF NO OF CHECK License.Number OL Lic Class �' SIZ STORIES NEW FAMILIES ONE .. $ .. • �' �( DESCRIPTION OF WORK i Contractor Date ADD ' I am exempt from the licensing requtreme is as I am a licensed architect or a registered professional engineer ALTER FINAL acting in my .professional capacity (Section 7051, ! REPAIR DATE Business and Professions Code). USEOF DEMOL FINAL EXISTING BLDG,'' FI 4'5 9,9 A By Lic. or Reg.'No. Date APPLICANT TEL- OWNER-BUILDER^DECLARATION _ (PRINT) NO ? # o o'o o `z 1 -I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS � 2'0•o 6 0,4 8 Professtons Code): PRESENT' �7 ❑ BUILDING ® o'o b'0,4 8�' I, as owner of the property, or my employees with ADDRESS wages as their sole compensation, will do the work and O 4 0 '� —8 - the structure is not mtendedror offered for saleLOCALITY(Section _ _ - 7044, Business,and Professions Code) MOVING. TEL 1, as owner of,the property, am exclusively contracting CONTRACTOR. NO with licensed contractors to construct the project,(Sec- Y ADDRESS tion 7044, Business and Professions Code) REQUIRED YARD HWY TOTAL SETBACK FROM EXIST% CONSTRUCTION LENDING AGENCY ,SET BACK PROP LINE WIDTH a,4'6.0. A I hereby affirm that,there,is a construction lending agency for FRONT the performance of the work for which this permit is issued• P L # o' o'0 0 0 (Sec 3097, Civ .C ) SIDE PL - 2:- 1 1 5100 Lender's Name _ icy ,� '' , Lender's Address, PC Fee Q/ Permit Fee�C/!/ o;0 1 1 0-0 U W I certify that I have read this application and state that the Issuance Fee L/ !/ O U.O 1 —8 1 above information is correct I agree to comply with all County • 0 ordinances and State laws relating°to building constructionInvestigation Fee,- Total Fe� U and hereby authorize representatives of this County to enter _ a u n the e-mentionned� p�rop�ert(y-�fo}�spect ion vrp es ) _ t �1\�✓V.iY V a ' • SEE REVERSE FOR EXPLANATORY LANGUAGE J - Signatere of Applicant or Agent ote �+ APPLICATIOkFOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN _BUILDA RESS o.J BUILDING Dv I � I I hereby affirm that I have a certificate of consent to self insure, �3 � FKATUS or a certificate of Workers'Compensation Insurance,or a certified lb Ri Oe CITY ZIP copy thereof Sec.3800,Lab.C.) Policy No. -485-9s—Company ST141e F-OA.) J TE e C t T LOCALITY _ SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST t-6ertified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. ' USE ZONE MAP NO. Date 111-12- 1 Applicant AAM""I p���F W� ASSESSOR MAP BOOK PAGE PARCEL I� SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER W EI Rl r S iTENO _J�9 Q YES NO L COMPENSATION INSURANCE LF1 w t WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred S14 % A1ooe DISTRICT GROUP TYP ONST' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY t IL ZIP 1 1 certify that in the performance of the work for which this permit �� _ is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate ofREQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' CONTRACTOR TEL.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith H CO . ;2 Ig S-901 ADDRESS LIC.NO. FRONT comply with such provisions or this permit shall be deemed revoked. o , T Av� 3 Q PL � LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS v SIDE CD I hereby affirm that I am licensed under provisions.of Chapter 9 T9L CIT` C-3 SEWER MAP SQ.FT.SIZE NO.OF STO ES NO. FAMILIES (commencing with Section 7000)of Division 3 of the Business and NEW ❑ BK PG 0G, Professions Code,and my license is in full force and effect. v C- 3� DESCRIPTION OF WORK ADD ❑ VALUATION W License Number r�3 8 338 Lic.Class _ �e- AJ $ 3 y 12- �� v Contractor R�kdOYA 2tbFDate !b- 12- 13 ALTER ❑ Z • a}. talTii ELS 1 5 ❑ I am exempt under Sec. REPAIR ❑ P CU4sS aku ttQEL n µ�Np7 vd�3old r,E� DEMOL ❑ BARC.for this reason LOMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) I TEL.NO. LDMA Perm i ❑ I, as owner of the property, or my employees with wages as 8r O 0 :�iS.i_Tos their sole compensation, will do the work and the structure is AD KESS — not intended or offered for sale (Section 7044, Business and I Z Z 6 T. C FINAL DATE Professions Code.) �G Z 3 WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLER HAZARDOUS MATERIAL ❑ 1, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN a vial ' • Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINALBY > _ licensed contractors to construct the project (Section 7044, YES❑ NO 1:1 �� 1 1 HL .iL�� 25 Business and Professions Code.) `� — WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING H _ 7 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH l"n y> ,Jj f �_i?(-E-•E: .L+:"f a 27' CONSTRUCTION LENDING AGENCY COAST AlR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST ?r/0�1 FOR GUIDELINES ��V((( //��••CCC..•/// ! y I••}'.{AFi/-(_ I hereby affirm that there is a construction lending agency for VES 1:1 - NO El "•'ice the performance of the Work for which this permit Is Issued(.Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO 3097,CIV.C.). PERMITTING CHECKLIST I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES ` 0-000, y' - •a r; :, COUNTY CODE,TITLE 2,CHAPTER 220 SECTIONS 2.201 OD THROUGH 2.20140 CONCERNING /,/(� :/� 11 / I I E II}-S 3�RI�l {,•)•!i,�;+? Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD l ' U{ .� CL enr's LdeAddress i J j - AW 4 0~ CL OWNER oa AGENT7T L,. 0 1 certify that I have read this application and state that the above information is correct. I agree to comply with all county PC FEE PERMIT FEE ^'� ordinances and State laws relating to building construction,and P / hereby representatives of this County to enter upon ISSUANCE FEE th en'med pro rty for inspection purposes. INVESTIGATION FEE TOTAL FEEftf� n O" leant a Aq.M Date SEE REVERSE FOR EXPLANATORY LANGUAGE i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD / BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0305290011 PHONE: (626) 285-0488 EXT: GAL ID: NO. OF -tONST NEW BUILDING ADDRESS: TR: 22321 LT: 18 SQ. FT STORIES TYPE OCCUP GROUP 4853 FRATUS DR STRUCTURE: 143 1 VN U1 TEMP CA 917803718 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: RIO HONDO 8590-029-013 OTHER: THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/02/03 JK 05/27/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN BY;,z CODE: CHEUNG;NICHOLAS (626) 281-6599- 5,000 4853 FRATUS DR I / 1 D TEMPLE CITY 91780 FEES PAID DESCRIPTION OF WOR ADD WORKSHOP/STORAGE ROOM TO NORTH WALL OF EXISTING DETACHED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GARAGE *COVENANT RECORDED* APPLICANT: TEL. O: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: D1 PLANCHECK W/O EN-HC 5000.00 VAL 112.71 D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 TOTAL FEES 273.56 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS t� 3 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENC FORMS % LIC. NO: SLAB/UNDER FLOOR 1�U RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEA NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSP SET BACK YARD: HWY: PROP LINE: WIDTH: �- FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER L- INSULA ION/W AT R STRIP INTERIOR LATH/DRYWALL XTERIOR LATH � l SMOKE DETECTION D VIM S FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508