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Home My Public Portal About4861 FRATUS DR_Building__ t 78A698A_`E*809.75c, APPLICATION FOR BUILDING PERMIT e� BUILDING AND SAFETY DIVISION BUILDING /_ L ADDRESS orA �7 Department of County Engineer County of Los Angeles LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, SUP T OF BUILDING CROSS ST DISTRICT N� GRO� I TYPE SEWER MAP FOR APPLICANT TO FILL IN ate` B PG r ----- BUILDING Lj , �r� STATISTICAL CLASSIFICATION I ADDRESS 4 If CLASS NO DWELL UNITS LOT NO /C BLOCK MAP / HWY YES O NUMBER O [ TRACT C USEZ NE SPECIAL 1 NO OF BLOT VC CONDITIONS SIZE OF LOT J V�y�x x I4�OW ON LOT U USE OF o _ EXISTING BLDG BUILDING EXIST YARD HWY _ STREET NAME OWNER ., - `676�� SETBACK WIDTH ^7 �7 ` / FRONT '90 t[J MAIL -�L /2 y JK�1 (.� P L J--f7--- ADDRESSy" � pLfjE/' SIDE �.ly� � I B� NO T! P L CITY INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO ADDRESS CONTRACTOR �j r 'P`��f 1�1� N�Of ADDRESS DESCRIPTION OF WORK NEW L—_A5DJ'� ALTER REPAIR DEMOLISHSQ - - NO OF F SIZE T �/�(� STORIES ( ILI • I 1 OF STRU CTURE �$f " ` arm /,� ��k� std, 1 IGK. I�� 1 APPROVALS SIGNATURE OF APPLICAN - DATE INSPECTOR S SIGNATURE ADDRES FOUNDATION LOCATION FORMS MATERIALS �I r` 0f] '�� P C $ / �v FRAME BRACING BOLTS Bl /l y�� "70 FEERA I (fJ FURNACE LOCATION A VA AT 10 1 Z t9 FEE $ GAS VENT DUCTS Al L:lll�fAl% I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINA CES AND LATH EXT v STATE LAWS REGU G ILDING O .'RUCTION — SIGNATURE OF HOUSE NUMBER COR- PERMIT RECT AND POSTED 6.011 6 - � ADDRESS• �� ',J � � "��'J� FINAL 0 `#7 JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK m o CASH PERMIT VALIDATION m o CASH Fel; 7 2 6 0, APR 15 1 6 6.5 0 LAG 2 PR 16 2 8.0 0 +� APPLICATION FOR BUILDING PERMIT r COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN XSS I hereby affirm that I have a certificate of consent to self Insure BUILDING AD_DOS� ,1C or a certificate of Workers Compensation Insurance or a certified `RJ copy thereof(Sec 3800,Lab C) � Ivy (JJ� POIICy No Company CI /r o) k ZIP 1 I `� LOCALITY SIZE OF LOT---7:-` ^^ NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished WNs NEAREST CROSS ST ❑ Certified copy is filed with the county building Inspection TRACT BLOCK LOT NO department USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS �� CERTIFICATE OF EXEMPTION FROM WORKERS' OWNS TEL NO �..p /�— COMPENSATION INSURANCE o�P7✓a 75� WITHIN 1000 FT OF SCHOOL'S Yes No (This section need not be completed If the permit is for one hundred AD ES DISTRICT GROUP TYPCONST FIRE ZONE PROCESSED BY dollars ($100)or less) /,`/��+ ' / 6— I that the performance of the work for which this CITY/' ZIP issue permit Is Issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws ARCHITECT 415R ENGINEER TEL NO STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO �g DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith complywith such provisions or this permit shall be deemed revoked FRONT P P ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9EWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ T S ZEA NO OF STORIES NO OF FAMILIES Professions Code,and my license is in full force and effect �.� NEW BK PG a License Number Llc Class DESCRIPTION OF WORK ADD $� �O,VALUATION f� Contractor Date ALTER C30 ❑ 1 am exempt under Sec REPAIR ❑ $ U B&PC for this reason ., DEMOL ❑ LDMA P/C# W Date USE OF EXISTING BLDG URM ❑ gnature APPLICANT(PRINT) TEL NO LDMA Perm# a Z 125.5.E5 — 1, as owner of the property, or my employees with wages as z, TOTAL� ITEMS15 their sole compensationwill do the work and the structure Is ADDRESS O IL25 not intended or offered for sale (Section 7044, Business and FINAL DATE Q Pr ) CHECK 125.55 ofessions Code WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1 ❑ I, as owner Of the OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY 5 licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code) CHANGE �DO WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES nn oo I hereby affirm that there Is a construction lending agency for YES❑ NO 11 OM-0001 07 7/95 N the performance of the work for which this permit Is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING /� L 3097, CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE 1!7 11 1 A{r{1111+e7, TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD o Lenders Address 0 O.NER OR AGENT ' 0 1 certify that I have read this application and sta under penalty of perjury that the above Information is I agree to comply PC FEE PERMIT FEE with all county or nces a - e a s relating to`building / �l m construction, an h or e e re s of this County ISSUANCE FEE 3a co to enter u -m io e r r r I spection purposes a INVESTIGATION FEE TOTAL FEE `DpS � alum of rod o Aae ��/Dale _ SEE REVERSE FOR EXPLANATORY LANGUAGE I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1007190053 PHONE (626) 285-0488 EXT (LEGAL ID 1 NO OF CONST BUILDING ADDRESS ITR 22321 LT 16 1 SQ FT STORIES TYPE 4861 FRATUS DR 1 STRUCTURE V-B TEMP CA 917803718 1 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LA ROSA 1 18590-029-011 1 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl I I I I (TENANT (EXIST BLDG USE REBID USE ZONE R-1 11SSUED ON PROCESSED BY 1 I (EXIST OCC GRP 107/19/10 SR I (OWNER TEL NO IBLDGS NOW ON LOT VALUATION 1F AL ATE FIN BY CODE ITUNG, GRACE (626) 215-7857- 1 3,300 I 14861 FRATUS DR I I �+ I (TEMP 917803718 1 FEES PAID (DESCRIPTION OF WORK V1 I I (CHANGE OUT 13 WINDOWS 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 (APPLICANT TEL NO I I (SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 80 J_ 1 IAB STATE GREEN BLDG FEE 3300 00 VAL 1 00 (SPECIAL CONDITIONS I IAC STRONG MOTION REBID 3300 00 VAL 0 50 1 1 I ID2 PERMIT W/O EN-HC 3300 00 VAL 116 00 1 I I TOTAL FEES 145 30 1 1 ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC NO 1 (LOCATION AND SETBACKS I I I I I I I I I I I (SOILS ENGINEER APPROVAL I 1 I I I I I I I 1ARCHITECT OR ENGINEER TEL NO 1 (FOUNDATION/TRENCH FORMS I I I 1 LIC NO I (SLAB/UNDER FLOOR I I I I I I I I I 1 I IRAISED FLOOR FRAMING I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I 1144H265 3 001 1 I I I (FLOOR SHEATHING I 1 INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I 1 1-1 I 1 NO 21 1 (ROOF SHEATHING I 1 I I I I I I I SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I 1 1 1AIR QUALITY 1000 FEET MATERIALS I I I I I 1 NO NO NO 1 (FRAME INSPECTION I I I I (FIRE SPRINKLER HANGERS I I I I I I I I I I 11NSULATION/WEATHER STRIPI I I I I I I I I I (INTERIOR LATH/DRYWALL I 1 I I I I I I I I 1 1EXTERIOR LATH I 1 I I (RATED FLOOR/CEIL ASSEM I I I I I 1 I (RATED WALL ASSEMBLIES 1 I I I I I I IRATFD SHAFTS/OPENINGS 1 I I I I I I 1 IT-BAR CEILINGS I I I I 1 ILOT DRAINAGE I I I I I I I I I (REPORT ID DPR261 ROUTE TO BS0508 I I I I I I I