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HomeMy Public PortalAbout4871 FRATUS DR_Building__ 78A838A CE#809.7 58 APPLICAT I O N FOR BUILDING PERM-IT 1 BUILDING AND SAFETY DIVISION BUILDING 4�f noDREss Department of County Engineer �f County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, SUPT OF BUILDING CROSS ST / DI STRICT NOGRO P I TYPE SEWBER MAP G FOR APPLICANT TO FILL IN /� CONST ADDRESS f F7/BUILDING OJ�ys .(/Y� - STATISTICAL CLASSIFICATION LOT NO BLOCK CLASS NO DWELL UNITS MAP -2 STATE YES 1<0 Z � ` NUMBER 0 CI HWY TRACT / USE Z NE SPECIAL NO OF SIZE OF LOT x- I NOW ON LOTS��I,�� CONDITIONS USE OF EXISTING BLDG BU- NGEXIST YARD HWY STREET NAME 1� v SETBACK WIDTH OWNER `��rC FRONT MAIL ^� J vA-h L ADDRESS S SIDE TEL ' P L CITY ;S rt rim NO `f �� 'INSPECTION RECORD r ARCHITECT OR TEL ENGINEER NO _ ADDRESS TEL _/ D CONTRACTOR '/3- ' r� NO tS ADDRESS R /2 �- S- %SA K 0a6 k I e l DESCRIPTION OF WORK NEW / ADD ALTER REPAIR DEMOLISH SIZE T / �_76) NO OF N STORIES / LIES U E OF STRUCTU$ {'v - e _,A VQ t �.iY i APPROVALS SIGNATURE OF APPLICANT `" � DATE INSPECTOR S SIGNATURE ADDRESS 2a'-� �Qh L'u�H�LFOUNDATION LOCATION w' FORMS MATERIALS -4J'1C1 $ /� C S FRAME FIRE STOPS �- 7 FEE BRACING BOLTS Q `� VALUATION // FURNACE LOCATION - / tt40 FEE L�f� GAS VENT DUCTS 171 - I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND I I_ AGREE TO COMPLY WITH LL COUNTY ORDINAN ES AND STATE LAWS REGUL ^ LDI C NS UCTION LATH EXT _ SIGNATURE OF �-- HOUSE NUMBER COR- PERMITTE RECT AND POSTED ���+ " ADDRESS �� Z AH FINAL 'g-'y YVI.�!%LGC JOHN A LAMBIE, COUNTY ENGINEER CLYDE N DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION - M o CASH PERMIT VALIDATIO cK M o CASH LAC,p 7 2 5 APR 16 1 6 6.0 0 In - LA077257—un APR 16 1 24,00 �� WORKERS'COMPENSATION DECLARATION I hereby affirm that I have certificate of consent to self A P P L I CAT I O N �T O R- BUI L D I N G PERMIT insure, or a certificate of Workers' Compensation Insurance, /r Feftified copy thereof (Sec 3800, Lab C ) '11 ' f 7- `Z�/ COUNTY OF LOS ANGELES_- BUILDING AND SAFETY o,! No 0 7,Z 7YZ Company J P'M 1L! �ut'JJ�// /� PY y FOR APPLICANTJO FILL IN BUILDING ertified co is hereby furnished ` ADDRESS Certified copy is filed with the county building inspec- BUILDING Q 7 �' �) tion depart enntt ADDRESS �J / /� fA- r✓� del' l' LOCALITY (E NEAREST Date _ 1ST// ��d/ Applicont, '/y/� a CITY P �� 1 / - ZIP 171/p g CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' / NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 5I /` NOW ON LOT - MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE NO MAP // hundred dollar's ($100)or less ) TRACT r BLOCK LOT I NO _ td TEL - J SPECIAL ' I certify that in the performance of the work for which this OWNER fiHieS %✓A G uv NO �/ CONDITIONS H =d permit is issued, I shall not employ any person in any manner ,/ r s ISTRICT GROUP TYPE FIRE, PROCESSED BY O so as to become subject to the Workers'Compensation Laws ADDRESS `jc7 FA u S 1)l V l� CONST ZONE, V �o - 3 Date Applicant CITY e 1�t e r / ` ZIP 7 STATISTICAL CLASSIFICATION APTI— NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL Exemption, you should become subject to the Workers' ENGINEER NO CLASS NO DWELL UNITS a Compensation provisions-of the Labor Code, you must forth- ADDRESS - SEWER MAP with comply with such provisions or this permit shall be �e �} o deemed revoked a CONTRACTOR C NO 7 �` 6 BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION 4:1 1 1 / �� f� 1:1Co I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS oZ ro OI� •L/ 4`' JIMO 3��7VALUATION ' (commencing with Section 7000)of Division 3 of the Business and i LIC / Professions Code, and,m/y license is in full force and effect CITY ���/(�/ /✓ /7 CLASS �6/ $ lY �Oy tCJ / SIWZE__ b STORIES NO-OF INO F MILLIIES CONEK License Number Lic Class Contractor y5 D / DESCRIPTION OF WORK NEW E]/ ate $ / - I am exempt under Sec /,-/vU M �L7,0 / DUN ,ADD _ Q rT l ALTER E] _ FINAL B&P C for this reason - REPAIR DATE (V Date USE OF R - FINAL EMOL EXISTING BLDG _ - - -r BY Signature APPLICANT TEL OWNER-BUILDER DECLARATION PRINT NO - I hereby affirm that I am exempt from the Contractor's License ADDRESS ® 2389.7 A Law for the following reason (Section 7031 5, Business and Professions Code) PRESENT #� o'a a -2 3 BUILDING _ + El I, as`owner of the-property, or my employees with ADDRESS 2 50 0 3 ] 5 O wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY _ _ , y o o ,0'3 7.5 0 i 7044, Bbsiness and Professions Code) MOVING TEL 01R'SJ —8 4 I,-as owner of the property, am exclusively contracting CONTRACTOR NO _ - with licensed contractors to construct the project (Sec- g 3 8 9,8 A ` tion 7044, Business and Professions Code) ADDRESS REQUIRED TOTAL SETBACK FROM EXIST # o i o 0 0 0 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH ; I hereby affirm that there is a construction lending agency for FRONTpoll- _ ,2 0 0 4 9 8 8 the performance of the work for which this permit is issued P L t ` (Sec 3097, Civ C ) SIDE Or$ 4 9 ca; g PL v Lender's Name ' Lender's Address P C Fee$ Permit Fee I certify that I have read this application and stale that the Issuance Fee n above information is correct I agree to comply with all County Investigation Fee ry� ordinances and State laws relating to building construction, Total Fee ® `c u and hereby authorize representatives of this County to enter III upo a above-ment o�ned� property for inspection purposes a tA4146 ___9: /r O♦ ���Q+ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date - ®s T a r - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFE-EY,/-LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9909240014 PHONE: (626) 285-0488 EXT: DUPLICATE LEGAL ID NO. OF CONST BUILDING ADDRESS TR: 22321 LT: 14 SQ. FT STORIES TYPE 4871 FRATUS DR STRUCTURE 400 VN TEMP CA 917803718 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8590-029-009 THOMAS PAGE 596 GRID: J5 LOCALITY• TEMPLE,CITY, C i TENANT: EXIST BLDG USE, RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY. EXPIRE ON: EXIST OCC GRP- 09/24/99 VG 03/ 00 OWNER: TEL NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE: MADIGAN, JOHN (562) 468-6851- 1,000 4871 FRATUS DR Z- TEMP 917803718 FEES PAID DESCRIPTION OF WORK CONVERT GARAGE BACK T ORIGINAL US FEE DESCRIPTION: QUANTITY: UOM• AMOUNT: APPLICANT: TEL NO R L CLOTWORTHY CONSTRUCTION (909) 698-2945- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN=HC1000 00 VAL 65.40 �X4GELESTO�,T'®FEES 93.65 CONTRACTOR: TEL. NO: �j �/� APPROVALS DATE INSPECTOR SIGNATURE R L CLOTWORTHY CONSTRUCTION (909) 698-2945- 40960 CALIFORNIA OAKS RD LIC. NO LOCATION AND SETBACKS SUITE 143 381880 MURRIETA, CALIFORNIA 92562 SOILS'ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: // FOUNDATION/TRENCH FORMS LIC N0 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE. FIRE ZONE- CMP 00,1,n f1�n O /7 3 UNDERFLOOR INSULATION II U JU 8 ILIA FLLLJJJ <111IL1K(u FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- NO 21v 0 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS 17 SHEAR PANELS 0 �� AIR QUALITY: 1000 FEET MATERIALS 0 E3 NO NO NO ,' FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST iso ®dam FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- ,+ sej'v-C�-T ajtl INSULATION/WEATHER STRIP SIDE PL INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE i REPORT ID DPR261 ROUTE TO BS0508