HomeMy Public PortalAbout10325 FREER ST_Miscellaneous__ COUNTY OF'LOS ANGELES TEMPLE CITY # 0508 MISCELLANEOUS PERMIT
DEPARTMENT OF PUBLIC WORKSI 9071 LAS TUNAS MP 0508 9705050001
BUILDING AND SAFETY / LAND DEVELOPMENT•,, I TEMPLE CITY CA
R I PHONE: (818) 285-0488 EXT:
LEGAL ID: ! N0: OF CONST NEW BUILDING ADDRESS:
TR: 11699 LT: 3 i SQ. FT STORIES TYPE OCCUP GROUP 10325 FREER ST
STRUCTURE: 0 1 VN R3 TEMP CA 917803443
ASSESSOR INFORMATION NUMBER: f NEAREST CROSS STREET:
8585-020-009 '+ I EXIST BLDG USE: RESID THOMAS-PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
I ' EXIST OCC GRP: R3 USE ZONE: R-1
TENANT: ISSUFD ON: PROCESSED BY: EXPIRES ON:
BLDGS. NOW ON LOT: VALUATION: 05/05/97 LC 05/05/98
(_ 0
OWNER: TEL. NO: FINA`_• DATE FINA CODE:
WEED ROBERT J;MAUREEN P (818) 442-4145- i LIST ITEMS: x:
10325 FREER ST
TEMP 917803443 DESCit[PTION OF W RK
! INSPECTION OF AD ION
MASTER EDROOM W/BATHROOM & FAMILY
OCCUP LOAD EXIST: ROOM W/FIREPLACE AND 1/2 BATH AN A COVERED OPEN PATIO
APPLICANT: TEL. NO: OCCUP LOAD NEW:
SAME AS OWNER
PARKING SPACES REQUIRED: SPF iA CO NS: ,-,r- -
PARKING SPACES PROVIDED,- ' . 4vk 'w QY X1 1•e
EXIT HARDWARE:U� % Qi''1¢A4-Q lAALL-/y y _
CONTRACTOR: TEL. N0: -• �� � LIMITED TIM SE
SAME AS OWNER -' NBR -F EXITS �� \\ _ FROM TO
LIC. NO _ 1J -
FEES PAID" (/ _
� ��� APPROVALS DATE INSPECTOR SIGNATURE
__i_ FEE DESCRIPTSION: QUANTITY: UOM� �jAMOUNT:
RCH17ECT OR ENGINEER: TEL. NO: /7 //// x TRAILER USF.
OA-PERMIT ISSUANCE` 27.75
LIC. N0: 01 R%M OCC/USE INSPECT-q III�1 \ 145.95 SAFE'IYiPERMII" —
j���-w—I ( I TOTA! FEES- ��� � 173 7
��t J���� 0 TEMP.•STRUCT. APPROVED
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CtPll: _ TEMP. STRUCT. REMOVED�(� OD � �UJ
b_tiJ I _
NO. OF FAMILIES: DWELLING NITS: APNOCLW
T-STAT CLc \�C �� D -- -' (Z —
�d't11�
SCHOOL WITHIN HAZARDOUS---'--
��,f - ��• -- -
AIR QUALITY: 10000 FEET MATEERIALSNO
NO
REQUIRED TOTAL SETBACK FROM EXIST
SET BACK YARD: HWY: PROP LINE: WIDTH:
FONT
PL-
SIDE PL-
t -
REPORT ID: DPR267 ROUTE TO: BS0508
s
WORKERS'COMPENSATION DECLARATION 76M444
�•` CE 875 (2-80) MISCELLANEOOS APPLICATION .
1. hereby affirm that I have certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION
insure, or a certificate of Workers!Compensation Insurance,or
a certified copy thereof(Sec. 3800,Lab.C.)
Policy No Company FOR APPLICANT TO FILL IN BUILDING
ADDRESS
-Certified copy is hereby furnished. BUILDING .�
ADDRESS + F C44
LOCALITY „
Certified copy is filed with the county building inspection• -rempF NEAREST
department. LOCALITY 1 p� T- CROSS ST.
Date Applicant NEAREST ii--lJ IIIJJJ 1 DISTRICT {_O/// G OUP TYPE PROC S Y
CROSS ST. UV CONST, /
CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL o V
COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCKNOP (CIRCLE)Al }
STATE MAJOR SECOND LOCAL '
NO. OF BLDGS. a
(This section need not be completed if the work involved TRACT NOW ON:LOT USE ZONE SPECIAL CONDITIONS Q
by the permit' is for one hundred dollars ($100) or less.)
- USE OF
SIZE OF LOT EXISTING BLDG. - R, QcC
I certify that in the performance of,the work for which this
permit is issued, ["shall not employ any person in any manner' OWNER s =
so as to become subject to the Workers"Compensation Laws. MAIL p T'OCCUPANCY GROUP I �I W
ADDRESS (6 • / /' 1... �� ♦ r d
Date Applicant z
TEL. /1 /�
NOTICE TO APPLICANT': If, after making this Certificate of clrY - No. �./-•/l (/J OCCUPANT LOAD '
Exemption, you should become subject to the Workers' APPLICATION FOR - EXIT HARDWARE:
Compensation provisions of the Labor Code, you must forth-
with comply with Such provisions or this peimit shall be TRAILER USE- GEOLOGY INSPECTION
deemed revoked: ❑ No Spec. Knowl. ❑❑
LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION O, Panic Devices '
I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT q - (LIST ITEMS BELOW) NO. OF EXITS
9 (commencing with Section 7000) of Division 3 of the Busi-
ness and Professions Code, and my license is in full force and PARKING.
effect: REO'D D PROVIDED O
SPACES
f License Number Lic. Class "
LIMITED TIME USE
Contractor Date DATE DATE -
I am exempt from the licensing requirements as I aa
licensed architect or a registered professional engineer SIZE OF NO. OF
FRO.: TO, INSPECTOR'S
acting in my professional capacity (Section 7051, Bus- EXISTING BLDG. STORIES SI NATURE
iness and Professions Code). - PRESENT USE OF BUILDING - FINAL APPROVAL 7
Lic.or Reg.No. Date'
> Q CCU we n1
HOME OWNER-BUILDER DECLARATION NO. OF EXISTING BUILDING — ;23524A
ON LOT,
USE�' -
:1 hereby affirm that, I am exempt, from the Contractor's e L� �e # o 0 a 030
License Law for the following reason (Section 7031.5, Busi-
ness and Professions Code) SNO. PARKING �. o o'8 0.5 0
PACES PROVIDED
I, as owner of the property, will do the work and the • e,� 8 0.5
5 O
structure is' not intended or offered for sale (Section'.
7044, BUSmeSS and Professions Code). PROPOSED USE OF BUILDING 1 'I r] 1 �8 5
CONSTRUCTION LENDING-AGENCY 1 L v
I hereby affirm that there is a construction lending agency'
for the performance of,the work for which this permit is '
Issued (Sec. 3097,Civ.C.).
Lender's Name PROPOSED MAX. OCC.
Lender's Address PERMIT FEE Ut VO
I certify that I have read this application and state that the. 1-0
' O
above information is correct. I agree to comply with all Count ' ISSUANCE FEE V
ordinances and State laws relating to building construction, TOTAL FEE' �a
and hereby authorize representatives of,this County to enter ;
upon he above-mentioned property for inspection purposes. SEE REVERSE F R EXPLANATORY LANGUAGE
Signature of Permittee Date