HomeMy Public PortalAbout5102 FRATUS DR_Building__ 76A638A CE #803 1/71
APPLICATION FOR, BUILDING PERM
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS �J �
COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print ort a onl CROSS ST
DISTRICT GR U T PE P $ D
BUILDINGu /► (Jf/ CONST
ADDRESS �'® 5 J)�I t/ 0
LOT NO BLOCK
STATISTICAL CLASSIFICATION SE ER MAP
�
CLASS NO�1—DWELL UNITS BK PG
TRACT J USE ZONEMAP ��/
NO OF BLDGS NO
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG
TEL
OWNER A NO BLDG SETBACK FROM
ADDRESS �p� pjp,* t"4lC FRONTPROP LINEOF —(STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY K HIGHWAY WIDTH FROM C L
ARCHITECT OR EL } _
ENGINEER NO
BLDG SETS ROM
ADDRESS SIDE PROP LINE (STREET)
TE TYPE OF EXISTING SETBACK AY } YARD = TOTAL d
CONTRACTOR NO $ HIGHWAY WIDTH FROM C L COD,
ADDRESS �;, ���j0 (�� } - �
O
LIC
CITY&3ae_�'?� , CLASS 9 CORNER CUTOFF YES ❑ NO ❑ W
LAPPLICANT .a
CTION LENDER
NAMED BRANCH ��11 SEE REVERSE SIDE FOR SPECIAL APPROVALS z_
L
, ` N O NO OF NEW
QSJgfSR FAMILIES
USE RE ADD ❑
' -- ALTER ❑
E OF REPAIR
T .a DEMOLN $ p�s'V ,
APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT ,qFOUNDATION LOCATION
FEE $ FEES / /J (/' FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
ST
HERE
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THj
LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATI G'T
WORKMEN'S COMPEE SATION INSURANCE �J„ LATH EXT
SIGNATURE OF I/ HOUSE NUMBER COR-
PERMITTEeEJ' / ,rg 'I RECT AND POSTED
ADDRESS '�/�� e'/�" "AJ)) F I N AL
JOHN F LEWIS PRI CIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION CK M o CASH
0 7 1 9 c JUN 7 1 D 1
T _ ��
DEPARTMENT OF-BUILDING AND SAFETY,, r APPLICATION FOR PERMIT
COUNty OF,KLOS ANGELES `
/ LDING 2
WM. J. FOX. CHIEF ENGINEER = ' i
FOR APPLICANT TO FILL: IN FOR OFFICE USE ONI it
" DISTRICT�!P. PLAN CK.NO. // PERMIT NO.
ADD QISB .9 RosaZ+LV V �.. �� 5:'
� a�ri /1 �f a.C+
LOCALITY �'I.L AT�"piB City. CL3.L1.J.J.orni , RE6f_l�Vlt0 8Y DATE Or APPL. DATE BBUED
NEARECROBBBT r= .� DriV�A
BUILDING
OWNER mWrN!T490MI�Sbkw;• ADDRESS -T7a--
MAIL LOCALITY
ADDRESS 26 East Santa' Clara St � C T $•
► +
' t NEAREST
�Q
VA'? %a 6N -' 0 ►s CROBBST
CITY SD L /
FIRE NO.OF TYPE a-c"I" OR
ARCHITECT OR TEL. ZONE PLANS' yy�,�r �
ENGINEER NO
BLDG.
ADDRESS BETBACK LINE j" yj�G
nf� APPROVED
TEL
CONTRACTOR Same No .
BY DATE
USE ` APPROVED
AD REBS h ZONE BY ' DATE
DESCRIPTION I LOT NO. BLOCK vt CORRECTIONS
D
TRACT 16475
SIZE OF LOT 6.L x iv-i I NOW ON LOT9. A10 J �� r-41 S.
USE OF NO OF NO OF
EXISTING BLDG. No FAMILIce I ROOMS - t
DESCRIPTION OF WORK -�
NEW ALTERATION ADDITION O
-REPAIR I� p .MOVING" DEMOLISH r
SIZE J�r.1.*�1+,J,J ROOMS 4 STORIESWALL -
Por
COVERING 1&i3�E7Y' I COVERINGmt�0
NEW
BUCLDING DvrelliriJ' P�
¢ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INSPECTOR. DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
' FRAME: FIRESTOPB.
81ONATURK OF 1� i�C1°1L� r BRACING,BOLTS
PERMITT[ 1 (/ 1 lsr i.tn�f LATH, INT.
AUTHORIZED AmT
LATH, EXT.
3
7GA63BA-3 2-E0 / s, � P.C.S ryA PLASTER.INT.
;3 30
C� PLASTER.EXT.
^ 'Y VALUATIOON�;,_ cx°r 2w�n
FEE
FINAL '
F
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self p I CAT I O N FOR BUILDING PERMIT
Insure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof (Sec 3800, Lab C )
S A-TE C�n h t COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Company , L
PUILDIN
Cerci Zed copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS
a-
DCertified copy is filed with the county building Znspec- BUILDING+�, 0
tion department ADDRESS✓_/V d. (�( 5 S 7 LOCALITY
NEAREST
Date Applicant CITY��/tl — t ZIP a CROSS ST 4
CERTIFICATE OF EXEMPTION FROM WORKERS' N6 OF BLDGS ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one f USE ZONE MAP /
hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO {r
r,// /� TEL / SPECIAL 1-
I certify that in the performance of the work for which this OWNER f-/[25 /� dW R! NO r CONDITIONS CL
permit is issued, I shall not employ any person in any mannerj'`/� _ DISTRICT GROUP TYPE FIRE PRO ESSED BY O
so as to become subject to the Workers'Compensation Laws ADDRESS 1:5—/� 2 P 7-L4 S S 7 CONST ZONE V
�^ tJ
J r �� 3 0
CITY 7-c,� F- c, r � ZIP � o
Date Applicant STATISTICAL CLASSIFICATION APT CONDO I.-
NO TICE 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 LU
Compensation provisions of the Labor Code, you must forth-
ADDRESS n SEWER MAP
with comply with such provisions or this permit shall be �^f
deemed revoked CONTRACTOR lr/A,1 a,2:� K NR �Z�KI�O� �lS y7�- BK v PG, 7, VALIDATION
LICENSED CONTRACTORS DECLARATION LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 7 Z- ��(G j'�N NO 3 p 2 7 VALUATION
(commencing with Section 7000)of Division 3 of the Business and 7— p LIC
Professions Code, and my license is in full force and effect CITY / C-�`1/ LC` C C y CLASS $ (� 0 U
r1f� .Z7 fC i SlZ 6G ST OF NO OF CHECK
License Number J �Lic Class 7J O STORIES FAMILIES ONE
Controctorr„i � �-w'�' Date j` ~ DESCRIPTION OF WORK (--I Q NEW ❑ $
❑ I am exempt under Sec ADD
ALTER ❑ FINAL< f�r
B&P,C for this reason ❑ DATES
REPAIR
Date USE OF (�77 y FINALd,
r -
EXISTING BLDG�f ala C C=�^/{/''r -f(C S DEMOL ❑ By �_ ►�1 l 1
Signature APPLICANT TELv --�
OWNER-BUILDER DECLARATION PRINT itl C, L cl.v�}.2 Qryp `Z$5'4 72`
I hereby affirm that I am exempt from the Contractor's License / ,
Law for the following reason (Section 7031 5, Business and ADDRESS (� Z Z 4 �- N o Q 6 0,6,�
Professions Code) PRE ENT �,
❑ BUILDING��� � '�'CA s S T _ o
I, as owner of the property, or my employees with ADDRESS 2 1 6 2 3,8
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY / /n( ��C 7- o o 1 •6 2 v 8'1-5:
7044, Business and Professions Code) MOVING TEL
❑ j, as owner of the property, am exclusively contracting CONTRACTOR NO 0 (! 1 9—8 4
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code)
REQUIRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P L + I
(Sec 3097, Civ C ) SIDE
m PL r
Lender's Name
P C Fee$ Permit Fee !'
Lender's Address
j certify that I have read this application and state that the Issuance Fee Iry -
above information is correct I agree to comply with all County Investigation Fee 3
g ordinances-and State laws relating to building construction, Total Fee r
u and hereby authorize representatives of this County to enter
f/
upon the above-mentioned property for inspection purposes -
o � t SEE REVERSE FOR EXPLANATORY LANGUAGE
n I
Signature of Applicant or Agent Date .,.. ®s
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers' Compensation Insurance,
ora certified thereof
� a C )
Policy No mpa y a/^ -P �'i✓ COUNTY OF LOS ANGELES BUILDING AND SAFETY
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS
1(Certified copy is filed with the county building inspec- BUILDING a
tion department ADDRESS
Date 150�v 'Applicant CITY ZIP LOCALITY
CERTIFICATE'OF EXEMPTION FROM WOR ERS' - NO OF BLDGS NEAREST
Gig
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 I LOT NO MAP BOOKPAGE PARCEL
TEL
I certify that in the performance of the work for which this OWNER L� � /�� r7 NO US ONE AP
permit Is Issued, I shall not employ any person in any manner ADDRESS �J IG (,(S Q. I NO
SPECIAL O
so as to become subject to the Workers'Compensation Laws CONDITIONS
CITY G'T ZIP U
Dote Applicant ARCHITECT OR TEL
NOTICE TO APPLICANT If, after making this Certificate of DISTRICT GROUP TYPE FIREPR ESSED BY O
Exemption, you should become subject to the Workers' ENGINEER NO /I CONST ZONE I--
Compensation provisions of the Labor Code, you must forth- ADDRESS Jr V(Y v J W
with comply with such provisions or this permit shall be
deemed revoked TEL STATISTICAL CLASSIFICATION APT C DO N
CONTRACTOR NORZ
LICENSED CONTRACTORS DECLARATION l LIC CLASS NO DWELL UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS , 4.)NO 3,161T 3
(commencing with Section 7000)of Division 3 of the Business and _ LIC F SEWER MAP
Professions Code, and my licen 'is In full force and effect CITY CLASS 1 VALIDATION
SQ FJW- N OF NO OF / CHECK BK PG
License Nim er Lic Class SIZE STORIES FAMILIES ONE
/�� VALUATION
Contractor 'f `�� "' Date DESCRIPTI N OF WORK NEW ❑ $ � COO
1. 2fo Z d ADD J
❑ I am exempt under ec ALTER
,B&P C for this reason ` �/ f Q ���� REPAIR ❑ $
Date USE OF �_c C--
EXISTING DEMOL ❑
BLDG
Signature APPLICANTTELA FINAL
OWNER-BUILDER DECLARATION PRINT NO
DATE
I hereby affirm that I am exempt from the Contractor's License
Low for the following reason (Section 7031 5, Business and ADDRESS 6(7. FIN
Professions Code) PRESEN BLiL= y $031,1 A
BUILDING
I, as owner of the property, or my employees with ADDRESS ' # e • e • oil
wages as their sole compensation,will do the work and
the structure Is not intended or offered for sale(Section LOCALITY •'• 5 9,iG 5
7044, Business and Professions Code) MOVING TEL
01;
I, as owner of the property, am exclusively contracting CONTRACTOR NO c o 0 5 9 2 5 c=i
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code) 1
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH
0 9,3 0"$7
REQUIRED TOTAL SETBACK F
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for w ch this permit is issued P L
(Sec 3097, Civ C ) SIDE
_ PL
Lender's Name
m P C Fee$ Permit Fee 777
LDMA Ref #Lender's Address
I certify that I have read this application and state that the Issuance Fee 0.0 LDMA P/C N
ao above information is correct I agree to comply with all County Investigation Fee
!TtuVof
and State jaws relating to building construction,
a out"e representatives of this County fo enter Total Fee LDMA Perm R
m b: me bone operty for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
Applicant or Agent - Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9702130009
PHONE: (818) 285-0488 EXT:
LEGAL 1D: NO. OF CONST BUILDING ADDRESS
TR: 16475 LT: 106 SQ. FT STORIES TYPE 5102 FRATUS DR
STRUCTURE 2100 V TEMP CA 917803724
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA
8590-010-006 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON
EXIST OCC GRP: 02/13/97 TC 02/13/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE:
BROWN HERBERT G (818) 287-1893- 1 2,800
5102 FRATUS DR ZTIg�
TEMP 917803724 FEES PAID DESCRIPTION OF WOR
REROOF OVER EXISTING ROOF W/25 R. TIMBERLINE SHINGLE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
EAGLE ROOFING (818) 291-5700- AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 2800.00 VAL 0 50 SPECIAL CONDITIONS-
D2 PERMIT W/0 ENjHC�I , 02800,00 VAL 99.15
�(( � [ TOTAL FEES� 127.40
CONTRACTOR: TEL. NO: - / •� APPROVALS DATE INSPECTOR SIGNATURE
EAGLE ROOFING (818) 291-5700-
6327 W LIVIA AVE LIC. NO \ LOCATION AND SETBACKS
TEMPLE CITY CA 91780 698529 C39 O
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: - �, FOUNDATION/TRENCH FORMS
LIC. N0: I �ii,�ti SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERILOOR INSULATION
144H265 3 01
FLOOR SHEATHING
NO OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 �i /I �\
�- ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS �� �� ,' SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS / , /� ;l ��
NO NO NO DO/_� � \ �= � FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: �J
FRONT PL- // INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
I
T-BAR CEILINGS
I
LOT DRAINAGE
i
REPORT ID: DPR261 ROUTE TO: BS0508
I
-�v
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 0310290030
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 16475 LT: 106 SQ FT STORIES TYPE 5102 FRATUS DR
STRUCTURE: VN TEMP CA 917803724
ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET' LA ROSA
8590-010-006 THOMAS PAGE. 596 GRID. J5 LOCALITY. TEMPLE CITY
TENANT. EXIST BLDG USE RESID USE ZONE R-2 ISSUED ON: PROCESSED BY EXPIRES ON
EXIST OCC GRP- 10/30/03 JK 10/24/04
OWNER- TEL NO: BLDGS NOW ON LOT: VALUATION. FI LTE FINA BY. CODE
CHAN REGINA (213) 922-7452-
5102 FRATUS DR 500 a t7 3
TEMPLE CITY 91780 FEES PAID DES RIPT ON OF WORK
MOVE WALL TO EXPAND BATHROOM INTO BEDROCM CLOSET (BEDROOM NO
APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY UOM: AMOUNT- LONGER HAS CLOSET) TTL WHEN DONE: 2BR/1BATH
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 500.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 500.00 VAL 43 65
TOTAL FEES 71 90
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK PAGE- FIRE ZONE- CMP. UNDERFLOOR INSULATION
X 3 01
NO OF FAMILIES. DWELLING-UNITS- APT/GOND: STAT CLASS._ FLOOR SHEATHING
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY. PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
Q
EXTERIOR LATH zr
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO. BS0508