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HomeMy Public PortalAbout5320 FRATUS DR_Building__ ©s 76A638A CE#803(REV.11/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING ' FOR APPLICANT TOFILLIN ADDRESS V BUILDING ADDRESS ✓� S Y� LOCALITY >� NEAREST CITY ,17 ' ZIP CROSS ST. NO.OF BLDGS. i� ASSESSOR SIZE OF LOT ���Co'- NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT -GROUP' TYPE FIRE PRO SED BY TRACT BLOCK LOT NO._ry qty g . 9CJ 1,_J� � CONST ZONE OWNER . . b 62 17 �� NOTEL.. i,5" � � lr�C STATISTICAL CLASSIFICATION SEWE /p ADDRESS �� Js p CLASS NO. DWELL.UNITS. BK7G CITY .1 - ZIP- ARCHITECT OR f TEL. VALUATION $ ENGINEER �� -NO. ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING . LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS !- NO. LIC. + CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER �_ SIDE PROP.LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM I TYPE OF 1EXISTING ADDRESS CITY SIDE PROP.LINE IHIGHWAYI WIDTH , u SO.FT NO.OF NO.OF CHECK + _ ag SIZE kdo STORIES FAMILIES ONE U 77�� .+� DESCRIPTION OF WORK NEW ❑ NO. SPECIAL FFFF4�7 © ADD -7QL COONNDITIONS will ALTER ❑ L / C BY REPAIR ElDA E USE OF DEMOL ❑ EXISTING BLDG. Z APPLICANTTEL i O (PRINT( ��! t?/d� NO. 7 QQ . #_ Q BY(SIGNATUR4=z4x�"_ > IHEREBY ACKNOWLEDGE THAT i HAVE RE IS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE x WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z PENSATION INSURANCE.' g d SIGNATURE OF f 9 7 9,9 A PERMITTEE # ADDRESS _ �f Z C 2 �J TEL. o - 4300 CITY r NO. Q o 0 o43006 P.C. Fee$ Permit Fee -. 40 > O 0-80_8O Issuance Fee arc Ly d Total Fee 75A555A CE#.03 10-50 APPLICATION FOR BUIL NG PE.R COUNTY OF LOS ANGELES BUILDING f DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING"AND SAFETY DIVISION LOCALITY JOHN A LAMBIE. COUNTY ENGINEER NEAREST - CASSATT D GRIFFIN, SUPT OF BUILDING CROSS ST � DIS-I�AICT NGRO I TYPE O BY FOR APPLICANT TO FILL IN `5 r U' O CONST BUILDING STATISTICAL CLASS FICATION ER MAP ADDRESS 5318 -Fnatus ST,Temple Cit CLASS NO SE DWELL UNITS- Z BK LOT NOZj! BLOCK BMAP /) STATE YES NO _ NUMBER (/ - HWY TRACT 11492 USE ZONE SPECIAL NO OF CONDITIONS *SIZE OF LOT 50X215 I NOW ON LOTS 1 �1 USE OF 1 7'If-_1� //_ ,�', ,� ;o —�/�'�c,/ EXISTING BLDG Residential BUILDING j" // ( !ir rEXIIST! YARD HWY STREET NAME SETBACK WIDTH OWNER Paul Williamson FRONT ADDRES's 5318 Fratus St Temple Vit SIDE 6.-a/-1! /� r - ,��p TEL P L CITY ' No none INSPECTION RECORD ' rt ARCHITECT OR TEL ENGINEER NO ADDRESS . CONTRACTOR Valle Craft In�L G13-1 lo r,23 Lower Azusa Temple ADDRESS � DESCRIPTION OF WORK a NEW ADD ALTER REPAIR DEMOLISH SQ FT11 27 NO OF one NO OF ^ i SIZE STORIES FAMILI yl USE OFN STRUCTURE e`� rn a �/ 0 - . ­Valley Craft CO,Inc, SIGNATURE OF } �' •� OGf9� - --� ' APPLICANT Cl APPROVALS DATE ' INSPECTOR S SIGNATURE ADDRESS 10523 Lower Azusa em le9NDAION LO RMSTMATERIALSION dI X1 VALUATION$ COQ FRAME FIRESTOPS, •p �/'1/^�A/ �_/ + x`J �I/� BRACING,BOLTS tjJJ !�f+ //] •� I �' - PMTp FURNACE LOCATION, / { f • FEE $/ 9th DI FEE S3f' GAS VENT,DUCTS Y r /J� //b" _ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT 1 I !!!r A !///� PLICATION AND STATE THAT THE ABOVE IS CORRECT AND �f AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND ' V. STATE LAWS REGULATIN BU -DING CONSTRUCTION LATH,EXT SIGNATURE OF� HOUSENUM RECTAND B S EDR 1 A•1 F, / /fYl! IN1//� PERMITTEE �s 1 ADDRESS-11523 mM L l 1 % (l v��Uv ­/CLYDE N DIRLAM, PRINCIPAL ST CT RAL ENGINEER PLAN CHECK VALIDATION CK sM D cnsH ` ! PERNIIT VALIDATION CK/ M o cwsH g 3 SEI'- _ ,5 : 7 .1 ! OCT 1 r", D 3J 9.l' {,.f � tet// - - •;�„�'/ 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 0111060044 PHONE: (626) 285-0488 EXT: LEGAL . OF CONST - B I G ADDRESS: TR: 11492 LT: 19 BL: B SQ. FT STORIES TYPE 5320 FRATUS DR STRUCTURE: VN TEMP CA 917803118 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE 8590-002-021 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY T EXIST BLDG USE: RESID USE ZONE: R-1 PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/06/01 JK 05/05/02 OWNER: TEL NO: BLDGS. NOW ON LOT: VALUATION: FINAL, DATE FINAL BY: CODE: BANEGAS MARGARITA (626) 287-2523- 1 6,300 �/J`_ 5320 FRATUS DRZI TEMP 917803118 ITI- F e CRPOWORK T/O 9SF FLAT INSTALL APP TORCH DOWN, RECOVER 21SF SHINGLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 25YR DIM. SHINGLE OVER 2 LAYER OF SHINGLES APPLICANT: TE . NO: ANDRE RAMOS (310) 210-4870- AA BLDG PERMIT ISSUANCE 27.75 __ 20795 S.• MAIN ST AC STRONG MOTION RESID "6300.00 VAL 0.63 SPECIAL CONDITIONS: CARSON 90745 D2 PERMIT W/O EN-HC�_ 6300.00 VAL 166.20 TOTAL`�FEES 194.58 �,OGELES CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DEFCON INCORPOPRATED (310) 516-5700- 20795 S. MAIN STREET LIC. NO LOCATION AND SETBACKS CARSON, CA 90745 754181 C39 SOILS ENGINEER APPROVAL L _ ARCHITECT OR ENGI EER: TEL NO: FOUNDATION/TRENCH FORMS LIC. NO 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE. CMP: n�� UNDERFLOOR INSULATION X 3 d0U � LC v � 0�K8FLOOR SHEATHING 0. OF FAMILIES: DWELLING U S: APT/COND: STAT CLASS:— NO 21 V oROOF SHEATHI N QSCHOOL WITHIN HAZARDOUS G �2 Q SffEKR PANELS AIR QUALITY: 1000 FEET MATERIALS ��--- r L NO NO NO �� FRAME INSPECTION REQUIRED TO ALS BAC FROM 1 EXIST !� _.,1 q� FIRE SPRINKLER HANGERS FRONT SET APL- YARD: HWY: PROP LINE : WIDTH: 6%%C Service��i�� �tl® INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED LOOR/CE L ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE OT DRAINAGE REPORT ID:DPR261 ROUTE TO: SS0508 APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING A SS BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, s3�Q ���5 or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,La C.) C�- � ZIP � LOCALITY Policy NO Company SIZE OF NO.OF BLOGS.NOW ON LOT (ter ❑�Certified copy is hereby furnished. �1d 3 NEAREST CR Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. U USE ZONE MAP NO. de e . gi. Az�S �Od�i Date Applicant ASSESSOR P B K _ PAGEPARCEL PP O U O � j SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ' L �� YES NO COMPENSATION INSURANCE a WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred /f DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which'this permit is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. Ot+�✓ become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. 'f� DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CO A T R T N SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith N? FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.N PL SIDE LICENSED CONTRACTORS DECLARATION Cl/T��p // LIC.C PL U I hereby affirm that I am licensed under provisions of Chapter 9 'I G/ �'z�r �® D� SEWER MAP (Commencing with Section 7000)of Division 3 of the Business and S%FSSI O NO.OF SJORES NO.OFCDFAMILIES Professions Code,and my lic rise is in full force and elle t. j NEW ❑ BK PG K V License Num er Lic.Class DESCRIPTION OF WORK ADD C] VALLIATI N�j ti Contractor ��/U�Date Z. ALTER ❑ $ �� O �_ REPAIR ❑ ❑ I am exempt under Sec. B.&P.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature AP /q��T��RI T L.N LDMA Perm# �. i<:�� Z ElI, as owner of the property, or my employees with wages as w p their sole compensation, will do the work and the structure is AD ES ` / C�L �- ~ not intended or offered for sale Section 7044, Business and 6 FINAL DATE .9110. Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL _ -•T.;_;,,,1_. OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ❑ I, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL ''___,-- licensed contractors to construct the project.(Section 7044, V" r' _ -- Business and Professions Code.) ves❑ No❑ WILL THE INTENDED USE OF THE BUILDING By THE APPLICANT OR FUTURE BUILDING +-- OCCUPANT REQUIRE PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST /����IIII � FOR GUIDELINES. V'rl il:, ❑ NO 1:1 I hereby affirm that there is a construction lending agency for YESU ! li the performance Of the work for which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD .3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES m. COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. Lender's Address _ . . .Q OWNER OR AGENT o 1 certify at I have read this PO 1 ation and state that the above inform ion is correct I agre to comply with all County RC.FEE PERMIT FEE in ces and State re trnglo building construction,and d he e y authorize re an Iv of this County to enter upon ISSUANCE FEE y� th bo men on r for inspection purpos s / INVESTIGATION FEE TOTAL FEE 4, . n netum of ApgkaM o^mt lMe SEE REVERSE FOR EXPLANATORY LANGUAGE