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Home My Public Portal About10308 FREER ST_Building__ DEPARTMENT OF BUILDING-.AND SAFETY _ APPLICATION FOR PERMIT 44',z COUNTY OF LOS ANGELES LD 1 WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN -FOR OFFICE USE ONLY l' (' DISTRICT NO. PLAN CK.NO. "PERMIT NO. BUILDEI NG ADDSA �iP.G/=/e �JTi s .��• �' ,LOCALITY / "o J_ 05 l.. /f T)f RECEIVED- Y DATE OF A`PPL. -PATE ISSUED NEAREST CROSS ST. 111 BUILDING z /�� OWNER CE.(F.c% (.�/E�J.7-/P. l.•(7• ADDRESS 1;03 9) C�/W�� MAIL LOCALITY �J'� G ADDRESS ...3` ��,3 ��i.O.C�ADD 2?4 VIS NEAREST cITY Riot/�.�tieN.� No syr//.a/ CROSS ST. v ,� FIRE NO.OF TYEKor GROUP ARCHITECTOR TEL. ZONE PLANA ENGINEER NO. BLDG. / ORD.NO. ADDRESS SETBACK LINE' -;o, APPROVED CONTRACTOR ISA /y/= /?.( NO. BY DATE USE APPROVED ADDRESS ZONE BY DATE LEGAL DESCRIPTION LOTNO. BLOCK 2_0 CORRECTIONS TRACT NO.OFN ILDGS. SIZE OF LOT e�,3 �Q Q I NOW OLOT Q USE OF NO.OFNO OF - - EXISTING BLDG. FAMILIES I ROOMB DESCRIPTION OF WORK NEW ✓ ALTERATION ADDITION - O REPAIR MOVING DEMOLIBH O Sq.FT. NO.OF d'.• Z SIZE �. � ROOMS S~ STORIES WALL ROOF COVERING 157-41,242 o COVERING CORM"/2-/0/I, USE OF NEW TT BUILDING S//'VL ,s. /'AM II.� 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ• THIS, APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION I-NSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS - A 6,Y,.JN 1 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, army BIGNATURE_OF _J BRACING,BOLTS PERMITTEE- -B L /` .� , LATH,INT.: / AUTHORIZED AOT 56 •�- �� v - LATH,EXT.: 0es-3 soM SETS t-ae P.C. PLASTER,INT. �.. FEE S/ PLASTER,EXT. _ III �p `` VALUATION FEE ��`� FINAL r WORKERS' COMPENSATION DECLARATION • {, to nsere,'o as ce of carte ofave Wo kers' Compensat on a certificate of coent Insuran elf P P I CAT'I O,N F®R BUILDING P E RIVI I T or a certified-copy thereof (Sec. 3800, Lab C.) ap(6g) 9S`a_�p / 1 COUNTY OF,LOS'ANGELES BUILDING AND SAFETY Policy No. Company 11 Y\\b -0.5\+Lq F Q Certified copy is hereby furnished ) FOR APPLICANT TO FILL IN: ADDRESS aM a ,4",u ADDRESS U u ❑ Certified copy is filed with the county building inspec- BUILDING ' tion department. ADDRESS n Date 24 •Applicant k-k"r \ CITY, IP �" LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. 04 BLDGS NEAREST COMPENSATION INSURANCE SIZE,OF LOT NOW ON LOT CROSS'ST. (This section need not be completed if the permit is for oneASSESSOR hundred dollars ($100)or less.) - TRACT /S BLOCK LOT NO MAP'BOOK PAGE PARCEL 1 TEL USE NE MAP I certify that m the performance of the work for which this OWNER 6 C NO NO. permit is issued, I shall not employ any person in any manner 1 ,� - f SPECIALi so as tobecomesubject to the(Workers'Compensation Laws. 4 ADDRESS -I O Y -� CONDITIONS 0 Date 7T N0;3 1 APPlicanF'" CITY 1-• c ZIP a [ice NOTICE TO APPLICANT: If, after making'this Certificate'of ARCHITECT OR -TELf�f_ DISTRICT G@@@OUP TYPE FIRE- PRO ED BY 0 Exemption, you. should become'subject to the Workers' ENGINEER NO. 44 ` a� CONST. Z U Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or•this permit_shall be D. deemed revoked. CONTRACTOR PS l¢�.� TEI NO STATISTICAL CLASSIFICA ION AVT CO (n Z LICENSED CONTRACTORS DECLARATION• - ,^ s LIC �� CLASS NO DWELL UNITS - I hereby affirm that I am licensed under provisions ESS of Chapter 9 ADDR5 � l�C:*&�� `NO. �t,q (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code,,and my (cense is in full force and effect. ect. CIT CLASS ^ gK PG. VALIDATION •' 1 �( _ SQ. FT. /6► O:OF NO OF, CHECK License Number t1J` C1T, • Lic.Class SIZE QfY STORIES FAMILIES ONE _ V^ ^ VAL TION 18 0 2,'.3 A Contractor `+ I DESCRIPTION OF WORK °= 1 NEW ❑ Date ❑ $ 55100® # a;o a 923 L ' ADD ❑ I am exempt under Sec. c ALTER ❑ �� .o (j a 7 B.BP C. for this reasonu. EPAIR ❑ $ O 9 a 1 �' Date: 2�Ix�CJ I Ex L�E7L' EMOL ❑ APPLICANT TEL Sianatur FINAL LL NO PRINT) a DATE n.DECLARATION ./ZZ (.hereby affirm that I am exempt from the Coritractor's License ADDRESS � �4t �� Law for the following reason (Section 7031.5, Business and FI • Professions Code): PRESENT ❑ BUILDING t 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 D G /-42 7 7044, Business and Professions Code). - MOVING TEL. ® a ❑ I, as'owner of the property, am exclusively contracting CONTRACTOR NO. V / -\ - with licensed contractors to construct the project (Sec- ADDRESS - � - tion 7044, Business and Professions Code). o',- 505.5 0." REQUIRED TOTAL SETBACK FRO t� 2 5 S 7 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 P L. Lender's Name C� LDMA Ref M' m Lender's Address P.C. Fee$ Permit Fee o I certify that I.have read this appYication and state that the Issuance Fee 0� C� LDMA`P%C+N- '• '''t• .j o above information is correct. I agree to comply with,all County Investigation Fee ``� ti ;• ' =r. 0 ordinances and State laws relating to building construction,,, Total Fee. J LDMA Perm. fi and hereby authorize representatives of this County to enter m u the above-mentio ed property for inspection purposes. •^ r SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date f ' 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 0812080031 PHONE: (626) 285-0488 EXT: ILEGAL ID. - NO. OF CONST I BUILDING ADDRESS: ITR: 15874 LT: 2 SQ. FT STORIES TYPE 10308 FREER ST STRUCTURE: 2100 V-B TEMP CA 917803442 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ARDEN 18585-019-002 THOMAS PAGE. 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXIST OCC GRP: 112/08/08 SR OWNER: TEL. NO- IBLDGS. NOW ON LOT: VALUATION: IFINA=DATE FIN BY: CODE: IPITTMAN DALE E;MARY L (626) 350-5028- I 3,100 1 (6 //� 110308 FREER ST I I ITEMP 917803442 FEES PAID ID'ffgCRIPTION OF WORK 41 (REMOVE ONE LAYER AT COMP PUT BACK 30 YEAR SHINGLES HAS I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT (EXISTING PLYWOOD I (APPLICANT: TEL. NO: I I I IKEEFER'S ROOFING (909) 608-0622- IAA BLDG PERMIT ISSUANCE 27.75 I 1 11216 BEGONIA COURT IAC STRONG MOTION RESID 3100.00 VAL 0.50 ISPECIAL CONDITIONS: 1 (UPLAND CA 91789 ID2 PERMIT W/O EN-HC 3100 00 VAL 115.80 1 I TOTAL FEES 144.05 I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE IKEEFER'S ROOFING (909) 608-0622- I I 11216 BEGONIA COURT LIC. NO ILOCATION AND SETBACKS I I (UPLAND CA 91784 760903 C39 I I ISOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I I - I LIC. NO- iSLAB/UNDER FLOOR \r IRAISED FLOOR FRAMING I I 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( ` (UNDERFLOOR INSULATION 1147H273 3 001 _ "�1 �^ ++( {1, u 03 1 1-1 I I �i 1 `�U�l ' I FLOOR SHEATHING I INO. OF FAMILIES: DWELLING UNITS: 'APT/COND: STAT CLASS: I I I I NO 21 1 (ROOF SHEATHING _ SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NO 1 IFRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE• WIDTH: I I I I (FRONT PL- I (INSULATION/WEATHER STRIPI I I I SIDE PL- I I 1-1 I (INTERIOR LATH/DRYWALL I I I (EXTERIOR LATH I I I IRATED FLOOR/CELL ASSEM. IRATED WALL ASSEMBLIES I I I I I IRATED SHAFTS/OPENINGS I I IT-BAR CEILINGS I I I I ILOT DRAINAGE I \ IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I