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Home My Public Portal About10533 FREER ST_Building__ 76A638ACE18032_63 APPLICATION, FOR---BUILDING PERMIT COUNTY OF 'LOS;'ANGELES .' 16U"PLDING ~=DEPARTMENT OF- COUY NTENGINEER'. 'ADDRESS BUILDING AND.-S''AFETY DIVISION; y`'LOCALITY' rr -J0HN'A':•LAMBIE, COUNTY-ENGINEER NEAREST°- x --WILLIAM A JENSEN„SUP;T OF BUILDING CROSS ST ' DISTRICT„NO GROUP- TYPE �,. PR C BY 1.OR APPLICANT_TO'FILL IN” - ;,, CONST BU'IL:DING - ,,r STATISTICAL CLAS FICATION -•SEWER MAP ' - ^^ 'ADDRESS 3 '- V ASS NO DWELL-UNITS P i LOT' NO "�- BLOCK /�" - WATER ,.._ M1IOT,R EQUIRED: i_•IRECEIVED •'� Q �• -CERTI F,ICATE - '.�"�'" TRACT'''.•.'' ,a - ,. - -r_ , MAP, a'f, HIGHWAY NO OF BLDGS NO �:. „t/ - �6RCLE) STATE MAJOR SEC OC - SIZE'OF('LOT - c'-_ X NOW ON LOT.- , 'lUSE ZONE •}"}SPECIAL. ','fi-.; - •_ 'USE OF ". - '� ,,ll!! -' y�. "3r1 'CONDITIONS'- F' ��y.+ EXISTIN ;BLDG' W, EL ,.i, •I `ice/ ,-4� a' �� 'OWNE ', BUILDING- .:EX T- SETBACK 'YARD, HWY, STREET NAME'-_ ,:� -yyIDTH'-, - •.ADDRESS'. ; .. :FRONT. '•ARCH,ITECT OR . �' TEL y'' _ P. L,-.' ENGINEER k• _ NO SIDE ,ADDRESS - - P L - • ) \0 _ CONTRACT_O - /r ,J- ��h� r_- ,•/ N T �R, A ,, YG�F` �'w'rif i `� ADDRESS �••ff'/ , '!/+L•s:��^" ' 6' F ,0, DESCRIPTION OF WORK �. �" [��"'-�� ^r 'W NE ,_ADD - ALTER REPAIR, DEMOLISH �y SO-FT - NO ,OF- NO•-OF - �l�Oi"�C•LE/a' . SIZE,-.,. '` _ _6 STORIES . �FAMILIE - -USE OF'-' .< <(If�C/'/L+•' :✓.J.be'E�'f_ .Y. C%p�� STRUCTURE - - _ lav - _ •,. `SIGNATURE O - - •� YAPI 6c'..9'r:L'n'R'..• aL >' 'C ✓�T.a�--.s °6J.1�,/-'. APPLICANT - 'VALUATIONYF - APPROVALS AT INSPECTOR'S SLG _URE , PC [�' Q `PMT'•• �f O7) FOUNDATION LOCATION / /q - FEE-5,2- r"' - r FEE �, / °..-'FORMS, •MATERIALS- FRAME FIRE STOPS p�F •.I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-APPLICATION--, - BRACING,-BOLTS - _ /' I-• �-e ' AND STATE THAT THE ABOVE 1S CORRECT'AND AGREE TO COMPLY- FURNACE LOCATION'° WITH• ALL, COUNTY%ORDINANCES AND iSTATE' LAWS REGULATING__-_. GAS VENT-DUCTSi .BUILDING CONSTRUCTION I CERTIFY THAT IN,'DOING THE WORK AUTHORIZED HEREBY I.WILL NOT EMPLOY ANY PERSON IN VIOLA•-, LATH. INT. .TION,OF THE L•A OR CODE-OF THE STATE OF CALIFORNIA LATS ' T •ING,TO WORKME CO�PENSAIN URANCELATH. EXTSIGNATURE tT HOUSE NUMBER COR-PERMITTEE' E= - RECT AND POSTED - - - ADDRESS FINAL:- •JOHN'F' LEWIS PRINCIPAL ST URAL ENGINEER-, ' - PLAN. CHECK VALIDATION,.. CK M o CASH _ PERMIT VALIDATION :CKCK •° M O CASH Leo<0'_-Y8:6" 'SEP,1'9"::2,.3':Q 2'-'8' 50, -.. '3'` 3=0``' -G£� 1 2 D 5 7.G'.Q� �1t,o- v. 1'''. 1 APPLICATION FOR BUILDING PERMIT COUNTY'OFLOS ANGELES BUILDING AND SAFETY' WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN B ILDINQADDDRESS � Lr I hereby affirm that I have a certificate of consent to self Insure, ulLDlLt ADDRESS,. ec 02) 3 L'- 1 I ee, �61, or a certificate of Workers'Compensation Insurance,or a Certified ��J 3 I-- t rr'eer J-ft copy thereof(Sec.3800,Lab:C.) e, C ij f ZIP q -� ?p - e e, r l/' ` LOCALITY Policy No Company SIZE O LO7 NO OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building Inspection TRACT BLOCK LOT NO department. USE ZONE MAP NO i Date Applicant ASSESSOR MAP BOOK PAGE PARCEL • SPECIAL CONDITIONS •� � n— O/ CERTIFICATE OF EXEMPTION.FROM WORKERS' NER r TEL NO (� /� COMPENSATION INSURANCE !tel' � a-�e m �u`L'— �-}� — � � WITHIN 1000 FT OF SCHOOL? YES No (This section need not be completed If the permit is for one hundred ADDRESS D6� 3 FEe�! ��+ DISTRICT GROUP TYPE CONST FIRE ZONE PROCE D dollars($100)or less) t ! /� n :!j) I certify that in the.performance of the work for which this permit t ZIP O /O}( ��p�O is Issued, I shall not employ any person in any manner so as to ARCHITE OR ENGINEER -! (J /t1L F� 1� become subject to the Workers'Compensation Laws STATISTICAL CLAA�SIFfATION APT CONDO Date Applicant ADDRESS CLASS NO- G/ DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRAC R NO SETBACK YARD HWY PROP LINE WIDTH Compensation.provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO FF L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business'and SQ FT SIZE NO OF STORIES NO OF FAMILIES SEWER MAP Professions Code,and'my license is in full force and effect NEW ❑ BK PG O U D C IP ION OF WORK License Number Lic Class + ADD ❑ VALUATION �� Contractor Date' P. ALTER $✓ w ❑ 1 am exempt under Sec r REPAIR ❑ $ N z B.BPC.for this reason DEMOL •❑ LDMA P/C# Date USE OF EXISTING BLDG URM ❑ Signature APPLICANT(PRINT) TEL NO LDMA Perm# _ I,as owner of the property, or my'employees with wages as z Xi `their sole compensation, will do the work and the structure Is ADDRESS O (yt- _is T.3 not Intended or offered for sale (Section 7044, Business and FINAL DATE Q O Professions Code.) _eft y -`•�Ix :I WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ' ❑ I, as owner of the property, am exclusively contracting with Q AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES - licensed contractors to construct the project (Section 7044, FINAL BY Business and Professions Code) YES El11f _No • WILL THE INTENDED USE OF THE BUIDLING BV THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH '•I ji; y 4'o-I'I CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES ) _ I hereby affirm that there Is a construction lending agency forves❑ No❑ " we D — T i r a the performance of the work for which this permit is issued(Sec _ p) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING ` -�{ 3097,Civ C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, -h��- S 9 � a }' u TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS - - r - - -- Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD CHECK o Lender's Address -.- 0 OWNER OR AGENT oI certify that I have read this application and state under penalty 0 of perjury that the above information is correct I agree to comply P C FEE PERMIT FEE N with all county .ordinances and State laws relating to building' .-i constr tion, �A�. y authorize epresentatives of this County ISSUANCE FEE / �`=' [ i co `' r upon ab ned perty for inspection p rpos (p i�d e;_• - \ {� INVESTIGATION FEE TOTAL FEE a Ap l n, Dare U - - SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709080021 PHONE: (818) 285-0488 EXT: a LEGAL ID: NO. OF CONST BUILDINT ADDRESS: TR: 11290 LT: 14 BL: .001 SQ. FT STORIES -TYPE 110533 FREER ST - STRUCTURE: 0 VN ;TEMP CA 917803446 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: 8585-021-038 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES N: EXIST OCC GRP: 09/08/97 UT 09/08/9 ,. OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: ODE: RULE PAUL D;KAREN K (818) 444-5414- 1 4,800 /�- 10533 FREER ST 7 TEMP 917803446 FEES PAID DES RIPTION OF -WORK REMOVE EXISTING SHAKE, INSTALL 30 YR CLASS A TIMBERLINE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COMP SHINGLES APPLICANT: TEL. N RANDY WILLIAMS ROOFING (626) 339-0792- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID .4800.00 VAL 0.50 SPECIAL CONDITIONS: ' D2 PERMIT W/O EN-,HC X4800.00 VAL 133.05 TOTAL ,FEES 161.30 CONTRACTOR: TEL. NO: l� � APPROVALS DATE INSPECTOR SIGNATURE RANDY WILLIAMS ROOFING (626) 339-0792- ' 4425 SUNFLOWER AVE. LIC. NO- ��— LOCATION AND SETBACKS COVINA, CA 91724 314413 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: , FOUNDATION/TRENCH-FORMS LIC. N0: 1(—� _! .. -- - SLAB/UNDER FLOOR II --- �. ,�� , _ `� RAISED FLOOR FRAMING "u '---) � - MAP N0: SEWER MAP BOOK: . PAGE: FIRE ZONE: CMP:' 1I UNDERFLOOR INSULATION 153H269 3 01' \>> �;�� ti� i`�`_._- -__-- -- ------------ ----'-�-'-�j FLOOR SHEATHING ' NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 �' �� gs ��'� ROOF SHEATHING ,rr / SCHOOL WITHIN HAZARDOUS a /,, C� SHEAR.PANELS AIR QUALITY: 1000 FEET MATERIALS �� NO NO NO /r� ��;_ �� FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- �� ''/ l�L��i�� INTERIOR LATH/DRYWALL C." EXTERIOR LATH RAT D',FLOOR/CEIL ASSEM. RATED'IWALL ASSEMBLIES • ; r G RATEDISHAFTS/OP NINGS T-BAR?CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 r