HomeMy Public PortalAbout5103 FRATUS DR_Building__ �DEkRTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ' ® �
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
'�. BUILDING DISTRICT NO PLAN CKNOPERMIT NO
ADDRESS 10Fratus Drive � `��x I a c. q
LOCALITY Temple- City, California RECEIVED BY DATE OFAPPL DATE ISSUED
NEARESTCROSS ST Pentland Avenue BUILDING I '?) R — J `(_�6
® Rl I
OWNER TURNER HOMES INC. ADDRESS WT 0MAILp
ADDRESS 26 East Santa Clara St. LOCALITY O
� NEAREST
CITY Aroadja NO DO 6 CROSS ST.
FIRE NO OF TYPE"'- GROUP
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO
BLDG 13RD NO
ADDRESS SETBACK LINE
APPROVED
CONTRACTOR ►SamA NO BY DATE
USE 1 APPROVED
ADDRESS ZONE �( 1 BY DATE
LEGAL
DESCRIPTIO�NJ� LOT NO 133 BLOCK CO�I+RREC"T�IONS ,
ll
TRACT 164 I e �� I
NO OF BLOGS
SIZE OF LOT 61 x 138 NOW ON LOT No
USE OF NO F NO OF
O
EXISTING BLDG No FAMILIES I ROOMS '
DESCRIPTION OF WORK
NEW X ALTERATION I ADDITION
REPAIR MOVING DEMOLISH
SO FT NO OF
SIZE 801 ROOMS 4 STORIES
WALL ROOF r
COVERING I COVERING
9UIEDINGW Dwelling — Attached Garage -
r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS_
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FFORMS, AT LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS,MATERIALS e v/Ld)/I
'
FRAME' FIRE STOPS, �1
SIGNATURE OF TURNER HOMES] NC,a, BRACING,BOLTS
PERMITTE LATH, INT
AUTHORIZED AGT n
LATH, EXT. ,
76A638A 9-48
0
13
S-3 SOM SETS $ �q...� `_ P C $ PLASTER,INT
FEE PLASTER,EXT.
V4LUATION FEE �. FINAL �CetQ"'�S�t,/SZ
COUNTY bF 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 0505120016
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
TR 16475 LT 133 SQ FT STORIES TYPE 5103 FRATUS DR
STRUCTURE VN TEMP CA 917803725
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET PENTLAND
8590-031-013 THOMAS PAGE 596 GRID JS LOCALITY TEMPLE CITY, C
TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON _
EXIST OCC GRP 05/12/05 JK 05/07/06
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINADAA FINAL BY CODE
OHIO, RITA (626) 216-6670- 700
5103 FRATUS DR
TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK
REPLACE 4 WINDOWS (SAME SIZE) ON THE BACK
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 700 00 VAL 0 50 SPECIAL CONDITIONS
D2 PERMIT W/O EN-HC 700 00 VAL 43 65
TOTAL FEES 71 90
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO I 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 UNDEPFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS
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
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO DS0508
'V
` 1!►
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 0504260042
PHONE: (626) 285-0488 EXT:
LEGAL NO. OF CONST BUILDING ADDRESS:
TR: 16475 LT: 133 SQ. FT STORIES TYPE 5103 FRATUS DR
STRUCTURE: VN TEMP CA 917803725
ASSESSOR INFORMATION BE : NEAREST CROSS STREET: PENTLAND
8590-031-013 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE 20 E: - ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 04/26/05 JK 04/21/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI L�" FINAL BY: CODE:
CHID, RITA (626) 216-6670- 1,820 �C c /�
5103 FRATUS DR. 4!
TEMPLE CITY CA 91780 FEES PAID b SC IPT ON0
FEE DESCRIPTION: QUANTITY: UOM• AMOUNT:
REPLACE 4 WINDOWS (SAME SIZE) FRONT DOOR, & GARAGE DOOR
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 1820.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 1820.00 VAL 82.20
FR INV WORK W/O PERMIT 257.00 DOL 257.00
CONTRACTOR: TEL. N0: TOTAL FEES 367.45APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCAlION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: FOUNDATIONPRENCH FORRS
LIC. NO: SLAB/UNDER FLOOR
RAISED FOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01 _ _
FL00 SH TH
NO. OF FAMILIES: DWELLING UNITS AP /CO D. AT CLA S:
NO 21 ROOF SHEATHING
SCHOOL WITHIN - —FA—ZARDOUS SHEARP MELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER H GERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR A D LL
3 EXTERIOR LATH
RATED FLOOR/CEIL SSEM.
RATED WALL ASSEMBLIES
Af�TED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
WORKERS'COMPENSATION DECLARATION �r
hereby affirm that I have certificate of consent to self I APPLICATION FOR BUILDING PERMIT
Insure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof (Sec 3800, Lab Co COUNTY OF LOS ANGELES BUILDING AND SAFETY
cc �AcyCo
��4-106327mpany Argonaut Ins .
E-1Certifiedcopy is hereby furnished FOR APPLICANT TO FILL IN BUILDING
ADDRESS
® Certified copy is filed with the county building inspec- BUILDING
tion department ADDRESSLOCALITY
NEAREST
Date 11-1-84 Applicant Ran dol Roof,nq CITY Temple C i ty zip 91780 CROSS ST
CERTIFICATE OF EXEMPTION FROM WORKERS' - NO 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 oneUSE ZONE MAP D�
hundred dollars ($100)or less ) TRACT BLOCK LOT NO �� NO
TEL � SPECIAL
I certify that in the performance of the work for which this OWNERIErnestNO — CONDITIONS CL
permit is issued, I shall not employ any person in any manner - - DISTRICT GROUP TYPE FIRE PRO SSI BY
so as to become subject to the Workers'Compensation Laws ADDRESS 5103 F r a t u s S 9 CONST ZONE
re
CITY Temple Cit zip 91780 d .� 3 O
Date Applicant STATISTICAL CLAtSIFICATION APT CONDO V
NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL
Exemption, you should become subject to the Workers' ENGINEER �y NO CLASS NO DWELL UNITS LU
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER
with comply with such provisions or this permit shall be Z
EL
deemed revoked CONTRACTOR R a n d o l Roof i n NO 288-4040 BK J PG, VALIDATION
LICENSED CONTRACTORS DECLARATION LIC 111111
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 5 2 9 E. Valley B1 . No 451937 VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC
Professions Code, and my license is in full force and effect CITY Sari Gabriel CLASS C-39- $ 998 . 00
,SQ FT NO OF NO OF CHECK
License Number 4 5 1 A 3 7 LIc Class 17—'1 A SIZE STORIES FAMILIES ONE
- % , - _ 1 $
Contractor R a n d O l Roof in cfiate 3-22-84 DESCRIPTION OF WORK Re—roof house & NEW ❑
❑ I am exempt under Sec ga r age with 175# storm ADD _ ❑
ALTER ❑ FINAL
B&P C for this reason - ER DATE REPAIR
USE OF S F D DEMOL ❑
Date EXISTING BLDG FINAL
Signature APPLICANT TEL ('1 �•.
OWNER-BUILDER DECLARATION PRINT NO _
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031 5, Business and ADDRESS 2 9 E Vallev S
Professions Code) PRESENT
❑ BUILDING _ _ - L 0 2 1'0 A
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure Is not intended or offered for sale(Section LOCALITY # a o e e o
7044, Business and Professions Code) MOVING TEL ` I ' ' '
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO 2'0,o Q,0 5 0
with licensed contractors to construct the project (Sec- ADDRESS t
tion 7044, Business and Professions Code) o'o o !1 0, 0
REQUIRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY SET BACK YARD HwY PROP LINE WIDTH 0 4r $4
I hereby affirm that there Is a construction lending agency for FRONT 1 , ,-
the performance of the work for'which this permit is Issued P L -
(Sec 3097, Civ C ) SIDE
FD PL
Lender's Name
Lender's Address P C Fee$ Permit Fee 30 . 00
t I certify that I have read this application and state that the Issuance Fee 1 . 56
above information Is correct I agree to comply with all County Investigation Fee
9 ordinances and State lows'relating to building construction, Total Fee 40 . 5 0
v and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes -
SEE REVERSE FOR EXPLANATORY LANGUAGE ®s
Signature of Applicant or Agent Date