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HomeMy Public PortalAbout4925 FRATUS DR_Building__ ADBS•9 11.55 APPLICATION FOR BUILDING PERMIT1 11.55 DIVISION OF BUILDING AND SAFETY BUILD 1 ADDRESS Deportment of County Engineer Gouty of Los Angeles LOCALITY - JOHN A 1LAMBIE, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, SUPT OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO C' O TYPE SEWBK MAPTYPE CONST BUILDING /�� wMAP ADDRESS /y � c L/�J J4 NUMBER ZD STATE YES Ol fS ? -�ZNE SPECIAL LOT NO r' BLOCK UU — CONDITIONS ? TRACT 116'y 7 si-7NOOF A�J1 SIZE OF LOT (�D"/ I NOW ON LOTS y. BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH USE OF FRONT EXISTING BLDG •� P L OWNER L SIDE P L MAIL ADDRESS O, TRACT DWE 1 UNIT _ TEL 5 INDUSTRIAL CITY NO 1 DWELL I UNIT 6 PUBLIC BLDG ARCHITECT OR 'TEL 2 DUPLEX 2 UNITS ENGINEER I1 7 ADDN ,ALT, ETC. 3 APT UNITS 8 MISCEL ADDRESS 4 COMMERCIAL TEL CONTRACTOR NO INSPECTION RECORD ADDRESS �'"{ / O * DESCRIPTION OF WORK ' G_t NEW ADD ALTER r REPAI DEMOLISH �T SO FT. NO Ci?----- NO OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INS ECTOR S SIGNATURE FOUNDATION LOCATION 4 k $ P C S — FORMS.MATERIALS "1 1sl FEE FRAME FIRE STOPS. f VALUATION S7 _BRACING, BOLTS FEE FURNACE LOCATION, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT AND STATE LAWS REGULATING BUILDING CONSTRUC- TION .. LATH EXT SIGNATURE OF � HOUSE NUMBER COR- PERMITTEE RECT AND POSTED F JA 7 I e ADDRESS L FI�i�N//I���A�M7�TL JOHN A. LAMBIE, COUNTY ENGINEER AL AC� CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR CK MO CASH �, 0 3 0 .2- JAM, I,2 1 2.0 0 ' �' 76A636A CE+6032-63 APPLICATION FOR BUILDING PERMIT _ COUNTY OF LOS ANGELES BUILDING ` DEPARTMENT OF COUNTY ENGINEER ADDRESS r L BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST l n'l WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT NO GROUP TYPE P ES B FOR APPLICANT TO FILL IN 1.� _12f 0 CONST BUILDINGCf,.( C STATISTICAL CLFICATION SEWER MAP - ADDRESS ,,JJ 1 D J 190CLASS NO DWELL UNITS K P D LOT NO BLOCK/ WATER CERTIFICATE NOT REQUIRED RECEIVE TRACT / `,� MAP HIGHWAY NO OF BLDGS NO p�Q (CIRCLE) STATE MAJOR SECOND CAL SIZE OF LOT Q)( �� NOW ON LOTP. USE ZONE SPECIAL' USE OF CONDITIONS EXISTING BLDG A- 1 OWNER NO y BUILDING YARD HWY STREET NAME EXIST q2f� FRONT WIDTH ADDRESS• / I (�f ARCHITECT OR 17 TEL P L ENGINEER NO SIDE ' ADDRESS TEL ` ✓/� /`�+�' � `v"" O CONTRACTOR © NO _ a �i ce 0 ADDRESS j V DESCRIPTION,OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF - SIZE STORIES FAMILIES ' USE OF STRUCTURE ^ SIGNATURE OF APPLICANT VALUATION $ �V r t' APPROVALS DATE, INSPECTOR S SIGNATURE PC PMT FOUNDATION LOCATION !� FEE $ FEE $ f FORMS MATERIALS 1Y ^ FRAME FIRE STOPS I HE BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION j WITH ALL COUNTY ORDINANCES AND STATE LAWS-REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK V ) ✓ [/ AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT (I{ TION OF THE,LABOR GOD C OF THE STATE OF CALIFORNIA RELAT f��pprr� ING TO WORK M'cN S COM ENSATION INSURANCE LATH EXT _SIGNATURE OF HOUSE NUMBER COR 'PERMITTEE - RECT AND POSTED �r f 'ADDRESS FINAL JOHN F LEWIS PRINCIPAL STRRAL ENGINEER PLAN CHECK VALIDATION CK MO CASH _ = PERMIT VALIDATION ' CK MO CASH Y :LAC;o1 8 8 8G OCT 25 , 1 D. 4.00N . ' I .76AGSBACIZA086_38 APPLICATION IFOR BUILDING PERMIT �. COUNTY OF LOS ANGELES BUILDING ADDRESC, -DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION- LOCALITY r ' JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST mmm DISTRICT NO GRC. P I TYPE PRO ESSED'BY FOR APPLICANT TO FILL IN CONST , BUILDING + {• STATISTICAL CLASSIFICATION ADDRESS - 4925 Fratus SEWER MAP LOT NO / CLASS NO DWELL UNITS " BLOCK MAP �j � j STATE 16475 NUMBER rte' HWY YES N TRACT USEZONE SPECIAL NO OF SIZE OF LOT 60x163 I NOW ON LOTS 1 41— CONDITIONS USE OF Guest House `'r L EXISTING BLDG BUILDING EXIST OWNER HenryAshley SETBACK YARD HWY STREET NAME WIDTH r� - - �y�/�1y FRONT MA'L � 7tLLwl1 S L� ADDRESS4925 Fratus 7W, SIDE P L CITY ' Temple City No AT INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO * ' c, e m6mzved ADDRESS ' hv CONTRACTOR .Santa Anita Cons-06 AT 7974 `' ocr a I�� N � /e ADDRESS 8717 Las Tunas, San Gabrielb _ _ ✓s& — k>ac0tS�./� DESCRIPTION OF WORK G�9CwT //t/ ©io tL/g/'L F NEW ADD ALTER REPAIR DEMOLISH /'e� SO FT. c+ NO OF NO OF 1 / /,S � �-t� 1110 SIZE +Att arSTORIES 1 FAMILIESI I USE,OF STRUCTURE ✓L Ta��� '��/��' Lv Dwelling Rc Gara e - I SIGNATURE OF ,�,- &APPROV'L'S+�,y APPLICANT DATE INSPECTOR-S'SI'6 'ATURE ADDRESS k�J7 La� oC�A• GN�u FOUNDATION LOCATION -� rORMS MATERIALS FEE uv' FRAME FIRE STOPS, <� BRACING BOLTS VALUATION �i"1 j /}�J FURNACE LOCATION FEE �(Q � GAS VENT DUCTS �q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INTs--�J PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH.A,LL COUNTY 40rkDINANCES 'D _ • STATE LAWS REG,ZtJTTII G�B_Z� 1 O C 1 1 LATH, EXT SIGNATURE O •/"' vr� I HOUSE NUMBER COR- PERMITT�EYE �-!a (/��,, Iv/men' RECTANDPOSTED ADDRESS c+ T V 7 ���� �'T 1 jL.P�'_4 I FINAL _" CLYDE N DIRLAM, P INCIPAL ST AL EN6rNEER PLAN CHECK VALIDATION cK m o CASH PERMIT VALIDATION cfc m o CASH L�Cfl 7'o .g 5 �, DEC ,1#2, 3 A 18-.0 0�LO :, M ..,� ,7 A 2 2 ' HCH --j 1 I A 3 6.Q G �. 7WE WORKERS' COMPENSATION DECLARATION {' Affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insusu (ir re a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800, Lob C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY P❑oRcy No Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING g ADDRESS / ❑ Certified copy is filed with the county budding inspec- BUILDING tion department ADDRESS r �.( Date Applicant CITY , ZIP 17/-790 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less ) TRACT BLOCK LOT NO d / MAP BOOK PAGE PARCEL f OWNER �� 1 NO OO�p f�O USE ON MAP 1 certify that in the performance of the work for which this NO permit is issued, I shall not employ any person in any manner ADDRESS k f 1 SPECIAL i so as to become subject to the Workers'Compens on Laws CONDITIONS C) Date Applicant CITY G r ZIP � ARCHITECT OR TEL NOTICE TO APPLICANT' If, after making this Certificate of ENGINEER �� NO 300—g 0 DISTRICT G OUP TYPE FIRE PROCESSED BY C) Exemption, youshould become subject to the Workers' �� CONST ZONE W Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be _ T d deemed revoked CONTRACTOR go STATISTICAL CLASSIFICATION APT ONDO N LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS Z I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect CITY CLASSBK VALIDATION SQ FT NO OF NO OF CHECK PG License Number Lic Class SIZE STORIES FAMILIES - ONE VALUATION ContractorDate DESCRIPTION OF WORK NEW ❑ ADD $ ❑ ❑ I am exempt under Sec ro a1'Yl r:..✓ � � - p ALTER B 8P C for this reason l ( REPAIR $ Date A ,EXISTING BLDG Wrier' Q u art' ❑USE OF 2 8 5 `�4 A. ` DEMOL ❑ Signature YW= APPLICANT / TEL FINAL / n� # e o o 0,0 1 WNE -BUILDv ER DECLARATION PRINT r>7 NO d — DATE /1/ Z/�s 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS FINA / J a ? 4Q50 Professions Code) — PRESENT By i BUILDING - - , 0 0 a 4 Q 5 0 U I, as,owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and - 0 the structure is not intended or offered for sale(Section LOCALITY '�► � 2 9 r,$7 7044, Business and Professions Code) - MOVING TEL oil ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS - tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK R CONSTRUCTION LENDING AGENCY 'SET BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE PL Lender's Name LDMA,Ref # m - PC Fee$ Permit Fee Lender's Addre-ss _ 3 I certify that I have read this application and state that the o Y PP Issuance Fee a�� LDMA P/C# above information is correct I agree to comply with all County Investigation Fee t 0 ordinances and State laws relating to building construction, o \ oTotal Fee LDMA Perm # and hereby outhonz representatives of this County to enter m upon he a ave-m ti ned property for inspection purposes a 7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of A plicant or Agent Date _ r WORKERS' COMPENSATION DECLARATION nerelo :affirm that I have a certificate of consent to self ins.gre: or a certificate of Workers' Compensation Insurance, .- APPLICATION FOR BUILDING PERMIT or a cert?;ied copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY oPolicy No. Company BUILDING � 1 z.� ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ADDRESS V` ❑ Certified copy is filed with the county building inspec- BU ADDRESS .� s �/C.. tion department. Date Applicant CITYTWFC - ZIP / (7 LOCALITY E�vl -i G1' NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT SFj O NOW ON LOT CROSS ST. : '40,u COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK d PAGE PARCEL hundred dollars ($100) or less.) r_ ' TEL. OWNER [4NO. USE ZON'E MAP I certify that in the performance of.the work for which this NO. SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS 9 ZS �lS OP- CONDITIONS so as to become subject to the Workers'Compensation Laws. -� 0 CITY � U t ZIP Date HI Applicant ARCH OR ..,,,� TEL. I DISTRICT GROUP TYPE FIRE PR CESSED BY 0 NOTICE TO APPLICANT: If,. after making this Certificate of ENGINEER I Je( W1 NO. t CONST. Z.0 NE F_ Exemption, you should become subject to the Workers' q r '�Ci: t�3 `) Compensation provisions of the Labor Code, you must forth- ADDRESS `2� w 6 with comply with such provisions or this permit. shall be 7EL. STATISTICAL CLASSIFICATION APT. C NDO. Z deemed revoked. CONTRACTOR NO. ? _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 2- DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force.and effect. CITY CLASS BK JPG �-- VALIDATION SQ. FT. / NO. OF NO. OF CHECK License Number - Lic. Class SIZE (� STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK p- p� NEW ❑ �� Q(�� ❑I am exempt under Sec. D'n� Roo, Pl4 0- ADD Z !J poll._ ALTER ❑ BAP.C. for this reason REPAIR ❑ $ Date: ' USE OF EXISTING BLDG. kC15 Jk%102 DEMOL ❑ Signature APPLICANT —" .•� TEL. g(g, FINAL (PRINT) U1 t{tJ C. C NO. L•'v OWNER-BUILDER DECLARATION DATE Z2 `1 I hereby affirm that I am exempt from the Contractor's License �'1 / s D� TPL�Cj i Law for the following reason (Section 7031.5, Business and ADDRESS / n FINAL ' Professions Code): BUILDING � P. By _^ _ `'t`'1'�? °•� _ I, as owner of-the property, or m employees with 2, TRAT LS D P P Y yADDRESS - I' wages as their sole compensation,will do the work and [AD ALITY the structure is not intended or-offered for sale(Section ► .' ; ITEM-9 7044, Business and Professions Code.) VING TEL. Y I I�'t= NTRACTOR NO. — i -• r-x f= ,� ❑ I, as owner of the property, am exclusively contracting a( L ,'n, � ® •=- with licensed contractors to construct the project (Sec- DRESS - - YT tion 7044,Business and Professions Code.) 21"HC,t.. s=i'• CONSTRUCTION LENDING AGENCY EQUIRED TOTAL SETBACK FROM JWXID'STTH. ETBACK YARD HWY PROP. LINE ;{; ti,js` °'L! I hereby affirm that there is a construction lending agency for_, RONT If the performance of the work for which this permit is'issued L• (Sec. 3097, Civ. C.). DE L. 3t 11 1-t_s,l: i. .:n Lender's NameLDMA Ref. #Fee$ Permit Fee Lender's Address 1 certify that I have read this application and state that the Issuance Fee LDMA P/C#above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee a oLDMA Perm. # a and hereby authorize representativ is County to enter upon the above-mentioned pr erty for in pection purposes. SEE REVERSE-FOR EXPLANATORY LANGUAGE ignature of Applicant or Agent Date 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 1203210014 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST BUILDING ADDRESS I ON FILE SQ FT STORIES TYPE 4925 FRATUS DR I ISTRUCTURE 1850 V-B TEMP CA 917803720 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18590-030-031 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl TENANT IEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY (EXIST OCC GRP 103/21/12 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE (THAI, HUNG (626) 286-6577- 1 3,000 1L l 14925 FRATUS DR I I� ITEMP 917803720 I FEES PAID jDt§CRfPTION OF WORK I I I IRE-ROOF OVER EXISTING WITH 30 YR COMPOSITION SHINGLES I I IFEE DESCRIPTION QUANTITY UOM AMOUNT _ (APPLICANT TEL NO I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 80 I IAB STATE GREEN BLDG FEE 3000 00 VAL 1 00 ISPECIAL CONDITIONS I IAC STRONG MOTION RESID 3000 00 VAL 0 50 I I I ID2 PERMIT W/O EN-HC 3000 00 VAL 99 00 I I IFR INV WORK W/O PERMIT 257 00 DOL 257 00 I I ICONTRACTOR TEL NO I TOTAL FEES 385 30 (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER _ - I I I I LIC NO I ILOCATION AND SETBACKS I I I I I I I I I I ISOILS ENGINEER APPROVAL I I I I I I (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I LIC NO I (SLAB/UNDER FLOOR I I I I I I IRAISED FLOOR FRAMING I I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION 1144H265 3 001 I I IFLOOR SHEATHING INO OF FAMILIES DWELLING UNITS APT/COND- STAT CLASS I I I 0 NO 21 I IROOF SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS I I I 1 NO NO NO I (FRAME INSPECTION I 1 I IFIRE SPRINKLER HANGERS I 1 I I I I I I (INSULATION/WEATHER STRIPI I I I I I I I I I (INTERIOR LATH/DRYWALL I I I I i I I I I I (EXTERIOR LATH I I I I I I I I I I IRATED FLOOR/CEIL ASSEM I I I I I I I I I (RATED WALL ASSEMBLIES I I I I I I I I I IRATED SHAFTS/OPENINGS I I I I I I I I I IT-BAR CEILINGS I I I I I I I I I ILOT DRAINAGE I I I I I I I I I 1 IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I I I I I