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Home My Public Portal About10249 FREER ST_Building__ rY . TEMPLE C9T Ll MJ 79AG38A Cr:803, 1-61' APPLICATION FOR BUILDING PERMIT COUNTY -OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. ' _ � ✓'; FOR APPLICANT TO FILL IN DISTRICT N GROUP -TYPE (P,/�,OCESSED BY BUILDING � /, STATISTICAL CLASSIFICATION SEWER MAP ADDRESS [% 7 e i BK PG _ CLASS.NO. DWELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED a RECEIVED CERTIFICATE. TRACT MAP, y� / HIGHWAY - / p `'� NO OF BLDGS. NO.[_�_.S� (CIRCLE) STATE MAJOR SECOND, LOCAL SIZE OF LOT C-O / I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. }� TEL. q OWNER J R e bee -Ak NO. 27i)? BUILDING EXIST. - ��•• . �- SETBACK - YARD---HWY - - _ STREET NAME - ,WIDTH _ ADDRESS AlZ(p T��'YI17/d �//y �IV�+ FRONT ARCHITECT OR L. - P. L. ENGINEER NO. SIDE ' P.L.- ADDREss TEL. INSPECTION RECORD O CONTRACTOR NO. ADDRESS - O DESCRIPTION OF WORK c . u W1 a � to NEW i ADD ALTER REPAIR DEMOLISH Z SQ. FT. ' / /� NO.OF NO OF IZE &^"'�` STORIES � FAMILIES � USE OF G STRUCTURE SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE P.C. E.� PMT. S� FOUNDATION: LOCATION FEE $ FEE $ FORMS.MATERIALS FRAME: FIRE STOPS, ,1 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. ICERTIFY THAT IN DOING THE WORK ^ AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. r'/,fJ II lI TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA ING TO WORKMEN'S COMP E -TIO INSURANCE. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- p PERMITTEE - RECT AND POSTED A ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STR 5 RAL ENGINEER - PLAN CHECK VALIDATION cK M.O. CASH PERMIT VALIDATION CK. M.O. CASH L 1La U ill il 1 2 2 3 D 37.254 APPLICATION FOR COUNTY OF LOS ANGELES B U L D I N G P E R M I•r. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING ADDRESS �v od BUILDING ] ADDRESS (JI�^ . LOCALITY NEAREST CITY CROSS ST NO OFGS ASSESSOR SIZE OF LOT % ' NOW O LOT MAP BOOK PAGE PARCEL (, DISTRICTCO�P: . ' FIRE SSED BY ; TRAC � d, BLOCK•' - LOT NO ST Z OWNERN �'' , vg nn STATISTICAL CLASSIFICATION SEWER ADDRESS v! CLASS NO _DWELL UNITS BK PG CITY U ZONE MAP• iy�yy, ARCHITECT OR [ NO ENGINEER p SPECIAL: � G CONDITIONS ADDRESS J ROAD DEPARTMENT APPROVAL REQUIRED YES ElNO _ TEL CONTRACTOR NO BLDG SETBACK FROM- .--LIC LIC FRONT_PROP'LINE OF- _ (STREET) ADDRESS X' W TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY, + YARD - FRONT•PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION'LENDER + a NAME AND BRANCH BLDG SETBACK FROM �V ADDRESS CITY SIDE PROP LINE OF (STREET) � O SO FT ��f!�� NO OF NO OF-., CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING U SIZE GV STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH IL + Z DESCRIPTION OF WORK NEW = J` ADD , . E] CORNER CUTOFF YES .❑ NO Aa-,l ALTER -❑ IN OPEN SPACE YES ❑ NO /� L REPAIR '❑ EXISTTIING BLDG ' `- �!' DEMOL ElIN COASTAL PERMIT ZONE YES ❑ NO APPLICANT. TEL (PRINT) NO BY(SIGNATURE( / t y7� h // HEREBY ACKNOWLEDGE THAT I HAVE READ HIS APPLICATION'AND STATE / �4/ry�j � v/l.. 'S,�=� THAT THE ABOVE IS CORRECT AND AGREE-TO COMPLY,WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE ' WORK AUTHORIZED.HEREBY-I'WILL NOT EMPLOY ANY PERSON IN VIOLATION OF ' THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELArINGTO WORKMEN S COM- - PENSATION INSURANCE - SIGNATURE OF FINAL- �_''/�yXy BY* PERMITTEE DATE ADDRESS _ TEL P.0 Fee$ Permit Fee CITY NO Q Issuance Fee VALUATION p / �� _ �j vv Total Fee � ' PLAN CHECK VALIDATION ; ' M.O. CASH PERMIT VALIDATION 2 7 ,5 Jd � c 'tF '� ;,• _ _ :.. 0 4.24- SEP 23 •1D = 5. 5.5 U ,&�',8 (�)3 76A638A GE N803A W76' ' COUNTY OF LOS AMGELEz TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBi'[C'WORIiS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709110023 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 29148 LT: 9 SQ. FT STORIES TYPE 10249 FREER ST STRUCTURE: 2100 VN TEMP CA 917803314 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ARDEN 8585-005-034 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/11/97 VG 09/11/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE: WONG SHING;KUO L (562) 690-6127- 4,000 10249 FREER ST _ - 2 1 TEMP 917803314 FEES PAID DESCRIPTION OF OR TEAR OFF EXIST ROOF, RESHEAT AND INSTALL 25-YR ASPHALT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES APPLICANT: TEL. NO: A C H CONSTRUCTION (818) 360-4481- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW:FEE 54.70 D2 PERMIT W/O EN HC' 1� 4000:00 VAL 116.10 1� TOTAL FEES 199.05 CONTRACTOR: TEL. NO: --- APPROVALS DATE INSPECTOR SIGNATURE A C H CONSTRUCTION (818) 360-4481- 17536 SAN JOSE LIC. NO LOCATION AND SETBACKS GRANADA HILLS, CA 91344 697153 B C SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR ��' '�;. _ =�;; � ; I � �+ �iii�•i�. �� 'i RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ��r �� r�� ;p ",o,�-V'- UNDERFLOOR INSULATION 147-27333 01 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: FLOOR SHEATHING \ --- - �,5 �r ,,j NO 21 \ '�'•� ROOF SHEATHING / SCHOOL WITHIN HAZARDOUS ,, A , � �� SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS X FRAME NSPECTION NO NO NO �i �_ / i�� r _ SVA-i REQUIRED TOTAL SETBACK FROM EXIST �0�� -_- �� FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL INSULA•fION/WEATHER STRIP SIDE PL INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RAS-SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508 WORKERS'COMPENSATION DECLARATION hereby-affirm that I have certificate of consent to self A P P LI CAT'IO' N FOR B U I L D I N G PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS,ANGELES BUILDING AND SAFETY . •. Policy .No. Company/ BUILDING. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ' ADDRESS 11 Certified copy is filed with the county building inspec- BUILDING IY �^ iS..,tion department. ADDRESS ¢ Or NEAREST DateApplicant CITY ZIP CROSS ST CERTIFICATE OF EXEMPTI ROM 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 one USE ZONE MAP hundred,dollars ($100)or-less.) TRACT BLOCK LOT'NO NO. TEL SPECIAL 9' I certify'ihat in,The performance of,the work for which this OWNER NO CONDITIONS a permit is issued, I shall not employ any person in any manner DISTRICT GROUP , TYPE FIRE PROCESSED BY O •so as to become subject to the Workers'Compensation Laws. ADDRESS �- CONST. ZONE U _ _ 0 Date Applicant CITY ZIP- ST TISTICAL CLASSIFICATION !!�� APT. CONDO. O NOTICE TO-APPLICANT: If, after making this Certificate of ARCHITECT OR TEL LU Exemption, you should become sub ect to the Workers' ENGINEER NO CLASS NO. DWELL. UNITS P Y I Compensation'provisions of the Labor Code, you must forth- N ADDRESS - SEWER MAP with comply with such provisions or this permit shall be z - deemed revoked. EL CONTRACTOR NO � (a --BK--- PG,' VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 - ADDRESS 6 NO. 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 CLASS $ �� ► SQ. FT NO OF NO."OFCHECK License Number � '�A3 1 1 Lic.Class �' 3 p SIZE STORIES FAMILIES ONE Contractor wuu�J�st 4.t.EY�. J'D.te 9 � DESCRIPTION OF WORK NEW ❑ $ ❑ I am exempt under Sec. ADD ❑ ALTER ❑ FINAL �� B.BP.C. for this reason E] DATE REPAIR Date: USE OF FINAL EXISTING BLDG - DEMOL ❑ APPLICANT TEL. BY Signatu4..P � - NERIPRINT NO LDER,DECLARATION , I hereby offre i that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions-Code): - - - - PRE ENT:- ❑ BUILDING I, as.owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 3 9116 A the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I, 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). 09,03-84 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' (Sec. 3097, Civ. C.). SIDE = m PL.. a Lender's Name - Lender's Address P C. Fee.$ Permit Fee I certify that I have read this application and state that the Issuance Fee I above information is correct. I agree to comply with all County Issuance Fee $ ordinances and State laws relating to building construction, Total Fee u andh reby authorize representatives of this-County to enter .upo e o -mentioned property for inspection purposes. n.. SEE REVERSE FOR EXPLANATORY LANGUAGE /ignature of Applicant or-Agent Date .0s