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HomeMy Public PortalAbout10240 FREER ST_Building__ - TEMPLE CITY ifAEDCA cf#ao! I-s, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING D°Ess Cg — ` L��c%rt- BUILDING AND SAFETY DMSION LOCALITY ✓ JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUPT OF BUILDING CROSS ST ` DISTRICT N RO P. TYPE P ESSED BY FOR APPLICANT TO FILL IN �y �, CONST i%�l:li BUILDING STA I TICALCLASSIFICATION SEWER MAP ADDRESS © "' ' •,� BK PG' _ - CLASS NO DWELL UNITS_ LOT NO BLOCK WATER NOT REQUIRED, ❑ RECEIVED CERTIFICATE _ TRACT .�� MAP - J HIGHWAY A/�� NO OF BLDGS NO,_ ` (CIRCLE) STATE MAJOR SECOND, LOCAL SIZE OF LOT ,v NOW ON LOT USF ZONE SPECIAL USE OF - - CONDITIONS EXISTING BLDG OWNERTEL - -��& NO J BUILDING YARD HWY STREET NAME EXIST ADDRESS 6_fFb- Tm»IG L^I% RI.-d" SFRONTK WIDTH ARCHITECT OR TEL P L ENGINEER - NO SIDE ADDRESS TEL INSPECTION RECORD p CONTRACTOR A NO U ADDRESS 0 O DESCRIPTION OF WORK W CL NEW AD'DD ALTER REPAIR , DEMOLISH h ZET -J�_� 9J TOR NO EF NO OF S / FAMILIES / Z USE OF STRUCTURE SIGNATURE OF _ APPLICANT - VALUATION APPROVALS - DATE INSPECTOR'S SIGNATURE PMT FOUNDATION LOCATION F E $ �- FEE $ -� FORMS,MATERIALS -2�3-6� FRAME FIRESTOPS, /�I^ �-� I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACNG, BOLTS Cl G.- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, (� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS Y BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT I�7 /.A TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ��✓ T y �-�� ING TO WORKMEN S COMP ATIO INSURAN E LATH,EXT SIGNATURE OF HOUSE NUMBER COR- fl PERMITTEE ! RECT AND POSTED ADDRESS % - Yei &IIG I I U,1 v v v G' FINAL J CLYDE N DIRLAM, PRINCIPAL STRyMTURAL ENGINEER PLAN CHECK VALIDATION eic M O. CASH PERMIT VALIDATION CK M o. CASH LilbO 4;0 1V R 12 2 5J D 3 0.25 A d Lrio 7 7 7 4 2 PFR 1 6 1 D 6 4.L 0 3' -r� 9w Lltl� r 76A638A CE*803 '8-63APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY'ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ` JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST DISTRICT N( GROUP TYPE PR ES BY FOR APPLICANT TO FILL IN S [b/ QJT coNsr BUILDING STATISTICAL CLAS IFICATION SEWER MAP ADDRESS 10240 Freer St. , Temple City K �. CLASS NO DWELL UNITS LOT NO 5, Tract 29148 BLOCK WATER [,( CERTIFICATE NOT REQUIRED RXI RECEIVED TRACT 2(']7148 A Z O/6 HIGHWAY NO OF BLOGS NOS E) STATE MAJOR SECON OCAL SIZE OF LOT NOW ON LOT Z USE ZONE SPECIAL USE,OF ON TIONS EXISTING BLDG OWNER William De Buys E442-0329 BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS 10240 Freer Street FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE , P L ADDRESS per, TEL - O CONTRACTORNO I. U ADDRESS �� p - . ° DESCRIPTION OF WORK - G W a NEW X ADD ALTER REPAIR DEMOLISH i IIAZ SO FT NO OF NO OF �' SIZE 247, STORIES 1 FAMILIES -� USE OF STRUCTURE Work Shop ��" r '`� wC L� wr �) E��Ays- I til 126, hr AIALiNEI 'rHe W 2. SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR 5 SI NATURE PC PMT FOUNDATION LOCATION FEE FEE FORMS MATERIALS D- t A� FRAME FIRE STOPS (t I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT ' A TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE LATH EXTSIGNTURE I� {,R• 1"I CYC` � r P RMpITTOUSE NUMBER COR- EE 0 ���y� / HRECT AND POSTED ADDRESS 10240 Freer St'.t Templq( City FINAL JOHN F LEWIS PRINCIPAL STRUCTURAL-7) PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M L�a.o 5 0 0 6 1 OCT 1 g , 1 D 8.� 0_ APPLICATION FOR COUNTY OF LOS ANGELES 4 "B U I L D'I N G PERMIT DEPARTMENT BUILD NG AND SAFETY DNIS ONBUILDING ENGINEER FOR APPLICANT TO FILL IN ADDRESS /0. D BUILDING O� _ ADDRESS n /� LOCALITY CITY Zf GCC I�/ NEAREST ZIP CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT M NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT I GROUP TYPE FIRE ESSED BY TRACT BLOCK LOT NO D �j CONST ZO,E .ff _ �Z�TEL a OWNER eS, STATISTICAL CLASSIFICATION •SEWER AP ADDRESS Cep CLASS NO�DWELL UNITS _ SK PG CITY ZIP USE ZONE MAP / /1 NO (/ ARCHITECT OR ,TELSPECIAL ENGINEER NO CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES NO E] EL CONTRACTOR S Al, �1�N0. /•-�Cj�� BLDG SETBACK FROM //'' A_- +� Q FRONT PROP LI NE OF (STREET) ADDRESSa.3 < <// NO LIC '_ �• HIGHAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING , 9 LIC tl J FRONT PROP LINE HIGHWAY WIDTH, CITY Gf✓• v/AAW _ CLASS g✓-/ _ CONSTRUCTION LENDER } d NAME AND BRANCH - BLD SETBACK FROM _ 0 ADDRESS CITY SIDE P LINE OF (STREET) C.7 SQ FT NO OF NO OF CHECK HIGHWAY } YARD _ TAIL SETBACK FROM TYPE OF EXISTING O SIZE STORIES FAMILIES ONE SIDE LINE HIGHWAY WIDTH LLJ DESCRIPTION OF WORK NEW ❑ + _ N ADD CORNER CUTOFF YES ❑ NO Z ALTER ❑ �,��•�,/bQlj/�� IN OPEN SPACE YES NO REPAIR❑ USE OFn / +� IN COASTAL PERMIT ZONE EXISTING BLDG YES NO QA��J (1 /DEM�OL�I AP NT PRI N T) /�/Y Yv'• //C� E / "'C�Y�"/ • ,- f, BY (SIGNATURE) I HEREBY ACKNO EDGE'THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES D LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY T AT IN DOING THE WORK AUTHORIZED ` HEREBY I WILL NOT P OY ANY PERSON IN VIOL TION OF THE LABOR CODE OF T TATE OF CALIFORNIA RE ATI NG TO -WORKMEN'S OF TION IN SIGNATURE Or I FINAL PERMITTEE v DATE VV ADDRESS LUA TEL PC Fee$ Permlt Fee Issuance Fee I Total Fee PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M o CASH 7 9 1r"-'DEC '1a V, 6-9.0 0 ,&,- 76A638A CE*803B 12/75 - / r J 76AW8A CE*803 8-63 APPLICATION FOR BUILDING- PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ?t�c-ee,-c ST' BUILDING AND SAFETY DIVISION LOCALITYC'_ C',-TV JOHN A LAMBIE, COUNTY ENGINEER NEAREST LL WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST /7 r DISTRIJC,T NO GROUP TYPE RO SED BY FRE R APPLICANT TO FILL IN 5 coNsr O _ P�� STATISTICAL CLASSIFICATION SEWER MAP Qo` MBK CLASS NO DWELL UNITS BLOCK WATER CERTIFICATE NOT REQUIRED c ECEIVED El MAP HIGHWAY ��YY����}}NO OF BLDGS NO (CIRCLE) STATE MAJORSECOND OCA NOW ON LOT USEZONE SPECIAL CONDITIONS DG e"LL1.(1 TEL ( ` OWNER,/` •N/ NO ',2 BUILDING EXIST / !J SETBACK YARD HWY STREET NAME WIDTH ADDRESS J� �C✓ FRONT ARCHITECT OR TEL P L ENGINEER NO 47 /p 0 SIDE /� P L ADDRESS ) Q µ0dT-A L1 C � d TE O CONTRACTOR - oj/ NOS -�(�l u ADDRESS'-' Q S J. MLC-W r 4 II � O DESCRIPTION OF WORK W d NEW AD ALTER REPAIR DEMOLISH 1A SQ T NO OF NO OF SIZE 7 STORIES FAMILIES /. USE OF STRUCTURE L U� L ' SIGNAURE OF ,, D APPL CANT VALUATION $ S G7, Y-�� APPROVALS DATE INSPECTOR S SIGNATURE PC �!� PMT <g OV FOUNDATION LOCATION FEE 7p FEE $ 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 " WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS - BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSU ANCE LATH EXT SIGNATURE OFHOUSE NUMBER COR- PERMITTEE OR- ' PERMITTEE^ 7 RECT AND POSTED ADDRESS g1Sd SrJ"L PjC U • FINAL _•L .,6�- PLAN CHECK VALIDATION CK MO CASH JOHN F LEWIS PRINCIPAL STRUCTURAL CCASH'PERMIT VALIDATION CKV M D Ui1�048821 OCT14 1 D 8.00~ v -�. APPLICATION FOR BUILDING PERMIT COUNTY_OF LOS ANGELES BUILDING AND SAFETY, WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS r BUILDING ADDRESS ` ��� � I hereby affirm that I have a certificate of consent to self Insure, !^ C i7 '� - or a certificate of Workers' Compensation Insurance,or a certified lJ /�- copy thereof(Sec 3800,Lab C) CIT -V1 l7" ZIP �. r zC' v LOCALITY , Policy NO Company - SIZE OF LOT NO OF BLDGS NOW ON LOT , ❑ Certified copy is hereby furnished NEAREST CROSS ST ❑ Certified copy is filed with the county b'u16ing Inspection ` TRACT - BLOCK LOT NO department - USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK- i PAGE-, - PARCEL r SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS'- OWNER �� T L j L COMPENSATION INSURANCE Z a'— LJ� WITHIN 1000 FT OF SCHOOLS YES NO (This section need not be completed If the permit Is for one hundred ADDRESS S ' DISTRICT GROUP TY CONST FIRE ZONE PROCESSED BY dollars($100)or less) + - ' CITY ZIP I certify that in the performance of the work for which ails permitD� _� is Issued, I shall not employ any person m,any manne so as to, becomes bject tot Workers'Compensation Laws ARCHITECT-OR ENGINEER TEL NO �- _ _ ^� - STATISTICAL CLASSIFICATION APT CONDO / G Date ( Applicant ADDRESS CLASS NO DWELL UNITS r NOTIC TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you. should become subject to the Workers' CQ�LIR�CTjaF� V l`-^C/ r—�• TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith c (� FRONT comply with such provisions or this permit-shall be deemed revoked ADDRE LIC qL;.x�� S` z P L { t �� GJV/7J SIDE LICENSED CONTRACTORS DECLARATION CITY LIC,LIC,CLAS�`��' PL I hereby affirm that I am licensed underprovisions of Chapter 9 T / - C� SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT,SIZE NO OF TORIES NO OF FAMILIES Professions Code,and m license I in full force and effect NEW BK PG d DESCRIPTION F OR - VALUATION License Number � � Llc Clas � _ _ r� ,• y,� ADD ❑ e.�' `0 ContractorTlS�j�r-Date ( Lv" ALTER ❑ $ �vD 0 �-ha Bxempt under Sec K REPAIR ' ❑ $ VV B&PC for this reason V" DEMOL ❑ V USE OF EXISTING BLDG URM 11LDMA P/C# /`('T d Signature - APPLICANT(PRINT) TEL NO - LDMA Perm# - - �•v+■'$�• Z ❑ I, as owner of the property, or my employees with wages as Z' C e�7 .,their sole.compensation, 'will do the-work and the structure is ADDRESS 12 3303158.85 ( not intended or offered for sale Section 7044, Business and FINAL DATE Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 000. 1 ITEMS OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE "'j ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY '5 TOTAL IL58 .85 licensed contractors to construct the project (Section 7044, VES El No❑ , Business and Professions Code) CHECK 158.85 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT"OR FUTURE BUILDING ,. _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHANGE - ENDING AGENCY CHAN COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING-CHECKLIST FOR CONSTRUCTION L- ' GE ■QO GUIDELINES - I hereby affirm that there is a construction lending agency for YES❑ NO❑ - - a the performance of the work for which this permit Is Issued(Sec I HAVE READ THE (�n{� (� (� ITTING 3097,CIV_C) CHECKLIST I UNDERSTAND UMYiREQUIRE MENATERIALS D SMUNIDER THON ELOSOS ANGELEAND THE S COUNTMD Y OOOQ-0001 8/14/95 TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS' 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD 161•1 i 1 PM 4■00 0 Lender's Address 10'F 1 W ' 0 OWNER OR AGENT , t' o I certify tbat-I have read this application and state under penalty 0 of perjury that the above information correct I agree to comply PC FEE - - PERMIT FEE C. ' -- oN with all county ordinances and Stat laws relating to building 'construction, and hereby author e�f•this County ISSUANCE FEE, ID t nter upon th ov n Ione ro t r inspe ti purp ses GX INVESTIGATION FEE TOTAL FEE/ - sgnamre SEE REVERSE FbR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATION Y .. L1 " '. - * i �' -I ,hereby affirm that I,^have t certificate of consent to self. w. y 7 t ,nsuie, or o certificate'of Workers' Compensation In'su'rance, A P P L I CATION F O R�r,6_U,I LD I-N G`--PERMIT" or a�certified copy"thereof•(Seca3800, b C') y ' » '^=' - ' -. - -' • ' " � , ' ' COUNTY OF LOS ANGELES _ BUILDING AND SAFETY, P,oliey,No Company O _Cert,fied,copy,,s'hereby furnished, FOR APPLICANT TO FILL IN BUILDING ODl �'U ADDRESS'-' L 'Certified co ,'is filed with-tlie'courity bu,ldirigYmspec- BUILDING xtionFdegaririient',1 "' '• + ADDRESS 0�_ DoT +s ac,Applicdnt CITY ZIP t~ t LOCALITY ~i CERTIFICATE;OF EXEMPT FRO WORKERS'"'I yw. - - NO OF BIDGS- -� NEAREST_ _ �.,;,;COMPENSATIO INSURANCE'+••- •, ` SIZE OF LOT NOW ON LOT CROSS ST (This"section-need-not be'completed if the permit,is for,one, - - _ _ _ ASSESSOR - t�'• '^ hundred dollars ($100)or less ) a TRACT- B CK LOT NO MAP BOOK %^ = PAGE PARCEL _ t _ - TEL USE ZONE MAP - �y I 'ertify than m the"performance,of the work'for wh,Sl Ith,s OWNER -NO NO perxmrt is issued, I's'hall not emjiloy'any person m-any manner y SPECIAL-"- - r •••-•-•per---- «- - d r . + -_ ADDRESS^ " CONDITIONS x V so as to become sublect,to We Workers CompensaTion Laws 4%,t•„ ,-s ZIP - xh,.,c•u -•'� ,. ` ,v I- '• b'".'i ti•a, i.>!' '.,,','++l' t _ CITY ,._ __ ' j JIM Dare Applicant ARCHITECT OR TEL « O NOTICEIMJ',APPLICANT If, `cifter m6king'this"'Certificate of DISTRICT _ GROUP TYPE_ _ ! FIRE PRO ESSED BY V o _ ENGINEER NO CONST i' r'^ ' ZO E Exernptton,'`you,should become subject-to -this-Workers' r P �' ;r; W Compensation provisions of the Labor Code, you,must forth- ADDRESS wifh•,comply w,tli",such provisions or,:this*permit'shall•be - -- - -- deemed revoked'L,7t,, •,, f,. ;' CONTRACTOR NO EL Il(6 STATISTICAL CLASSIFICATION ' 'f 1- , APT C NDO u r Z LICENSED CONTRACTORS DECLARATION.- :+ r_. - LIC CLASS NO F Z t DWELL UNITS I hereby.offirm that I am licensed under provisions of Chapter 9 ADDRESS (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP P�ofessionstiCode'and my+license ,s tri-full-fo-rce and efhect ` CITY ��i » CLASStl�<L,3 '" BK - :r `VALIDATION t. rq^��I Yn t. ti r, SQ FT NO O NO F CHECK - LicPG ense Number /�7/�L / `L ,Clas`s''� SIZE STORIES r FAMILIES tt+ ONE VALI.IATION tDESCRIPTION OF WORK NEW j //-7 Contractor Dates - a ADD - - - --. _.._. •._ . I am exempt under Sec - - j ALTER (' r`• 1 B 8P C forthis reason ~ _ c REPAIR 0 ` " 1 A 1 $6 7'A USE OF - Da`te - ` ' DEMOL : 0 0 0 0 0' . EXISTING BLDG - � i.._. _-. .,.. � _ _ St nature tr`«i APPLICANT TEL FINAL g o _ NER- ILDER DECLARATION (PRINT)- _v NOT J DATE �. 1 0 b 1 3 I.herebyaffi that I am exempt4rom the Contracto`r.'s License; ^' '> = t ' ` Law for the following,re6sori,(Section 7031 5, Business and ADDRESS FIN 1`'Q 6 1,3 c) Professions Code) '- - -„'_"" ,• ­ PRESENT' ;­ -Ber I //., O T BUILDING µ"1 8=8.5 I„as owner of the property or my employees with' ADDRESS s wages as thea sole compensation,will doithe work and ' the structure is not intended or offered for sale(Section LOCALITY -x17044, Business and'Professions^Code) "' ”' MOVING "- - TEL'.CONTRACTOR NO y r _NO I ,.as owner of the property, am exclusively contracting with licensed contractors to construct the-prolect`(Sec- tion 7044, Business and Professions Code) ADDRESS } t i,aMt i , REQUIRED TOTAL,SETBACK.FROMEXIST 'AGENCY SETBACK HWYCONSTRUCTION LENDING PROP.LINE. WIDTH hereby affirm that there is a construction lending agency for FRONT -the'performance•of•the-work-for,which this permit is issued - PL (Sec 3097, Civ C ) . SIDES ,'n ",'•,ry*„1 ' PL Lender's Name' n s L LDMA'Ref` Lender's Address_ _ f - P C Fee'$ - Permit Fee 1 CJ kLD I certify that I have-read th,s,application and-state that.theµ ._ _ _ Issuance Fee• - tJ - ' P/C above information is,correct I agree to comply with all County Investigation Fee 1 orc i_nances.and State laws_gelating to_building construction, � LDMA Perm_�_ ' t�. ,_r_ {•tx�rn•+ and hereby authorize-representatives of this County•to enter — Total Fee c- #* y m upon he?I�ov!-rnjlt.oped property for inspection purposes ; / :•, SEE REVERSE FOR EXPLANATORY LANGUAGE_` i ;­/6eSignotL>W of Applicant or Agent- -- -