HomeMy Public PortalAbout10545 FREER ST_Building__ Lot 15 in Block "B" Tract No. 11290 as per map rcorded in1,Book 203
pages 13, 14 and 15 of Maps, in the office of he County R corder of said
r
County.
EXCEPrl' fro1 said lot the Southerly 166.12 of the Weste y 62.00
.0pr18°f•APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING -
EPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT-OF BUILDING CROSS ST ?
DISTRICT N GROUP TYPE OCE Y
FOR APPLICANT TO FILL IN Q5710 cods
5
BUAPING STATISTICAL CLASSIFICATION SEWER MAP%
ADD ESS f �l.b� ,��i� K �P
CLASS NO _z_ DWELL UNITS�
,
LOT NO BLOCK WATER 21
CERTIFICATE NOT•REQUIRED V RECEIVED El
TRACT MAP HIGHWAY
NO OF SLOGS. r NO O D (CIRCLE) STATE MAJOR SECOND, OCA
SIZE OF LOT 0 t") I NOW ON LOT ✓" USE ZONE SPECIAL. �• �^� J��
USE OF CONDITIONOC� `7
EXISTING BLDG A ./LQ, ' L'1'-'C 'i I P_"'
/ rQ ^ I /
OWNER N '
U I I G 01 •EXIST.
SET ACK YARD HWY STREET NAME WIDTH
ADDRESS - FRONT or 1
ARCHITECT Rry TEL. P L O
ENGINEER �!� �/ '�NO SIDE BR, DRIVEWAY APPROACH.
P L
ADDRESS / / - ' "' d
CONTRACTOR C �� 1✓vr�I`:n NE. .1 -� - V
s T �7- PIKmitf for curb, gu.'s , s ^'Yap-., r:J driveway approae ie-
ADDRESS �/ `� 'v'�J / J•�L'an ...� / t.i¢rrf 'ou to en ccl st•in^ .. . .moo. oao ep , a e�
DESCRIPTION OF WORK Office. ^r`s.��iiice immedia:el in order t vo
4' lengthy delay. Survey $I &sign• work takes time-and is not s4 rt
IJE�� ADD -5 ALTER REPAIR NO. OF / DEMOLISH/ Un I erm of been Issue µpy or p r way free rm a
SIZE T 3' i� _Ll STORIES / NO OF
Ci Hall. �_ ��o+ �Z
USE OF
STRUCTURE /Cf•� � i.s� ' R'i U
SIGNATURE OF ;� ,J�
APPLICANT 1 ,Q /
VALUATION $ �,��� ®h�t�;p�✓.
APPROVALS DATE INSPECTOR'S SIGNATURE
//�� PMT �y,. FOUNDATION LOCATION [�
FEE $ O�.. FEE $ v FORMS. MATERIALS
FRAME- FIRE STOPS. Y p d
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS U
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION p -
WITH ALL COUNTY ORDINANCES AND STAto
TE 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 CODE OF THE STATE OF CALIFORNIA RELAT- °�
ING TO WORKMEN'S CO ENSATION INSURANCE. y pa
LATH EXT
SIGNATURE OF �I�•� `t�6✓V✓J� r _ HOUSE NUMBER COR- ®0// tp.�+�
PERMITTEE RECT AND POSTED 00
ADDRESS /✓ ��' "'�%�^' @� JJ//pp
1 . FINAL �1'll'dEd
PLAN CHECK VALIDATION CK. M O CASH JOHN F. LEWIS PRINCIPAL ST cT RAL ENG NEER
PERMIT VALIDATION CK M O. CASH
�`1 8 9 `EP 2 1 D 57.00-
' APPLICATION FOR BUILDING PERMIT,
COUNTY OF LOS ANGELES ., '; BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION- FOR APPLICANT TO FILL.IN BUILDING ADDRESS
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS
or a certificate of-Workers' Compensation Insurance,or a certified �� �� �" t• /' _ f
Copy thereof(Sec 3800,Lab:C.) CITY ZIP
�� i LOCALITY v J
Policy No Company SIZE OF LOT NO OF BLDGS NOW ON LOT
,-❑ Certified copy-is hereby furnished NEAREST CROSS ST
❑ Certified copy is flled'wlth the County building,inspection TRACT BLOCK - LOT NO
department'
USE ZONE MAP NO
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS. n�
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL N Ci
COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? YES NO
ADDRESS _ ,, ,,
(This section need not be completed if the permit is for one hundred - / 6�� DISTRICT' GROUP T E CONST FIRE ZONE PROCESSED BY
dollars($100)or less.)
- -CIT
I certify that in the performance of the work for which thls'permit - � -/.�-' ("'Li��e•/ �j' "
is issued, I shall not employ any person in-any manner so as to
beco Subject t t e WOrkefS' peg6align �i G" ARCHITEC ,OR ENGINEER TEL NO
G /�/ fj r STATISTICAL CLASSIFICATION
APT CONDO
D — Applicant ADDRESS - CLASS NO- '•✓ r. DWELL UNITS
NOTICE TO APPLIC4NT.• If, after making Jh is Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become Subject t0 the Workers' CONTRACTOR L/ ` i- !� TEL NO SET BACK YARD H_WY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith ` ft?
FRONT
comply with such provisions or this permit shall be deemed revoked ADD t LIC NO PL
LICENSED CONTRACTORS DECLARATION SIDE
CITY LIC CLASS PL
I hereby affirm that I am licensed underprovisions of Chapter 9
(commencing with Section 7000) f Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES SEWER MAP �
Professions Code,and y Iicens is In full force an efff, t NEW � BK PG U
License Numb r � ( ic Class ✓ DESCRIPTION OF WOR ` I ADD ❑ LUATI
Contractor 4 2 G bate - � _ ALTER ❑ f/� wCL
H.167k el-/ REPAIR Elr�
ElI am exempt under Sec $ Z
B&PC for this reason � 3 DEMOL ❑ LDMA P/C#-
Date - USE'OF EXISTING BLDG URM ❑ •'
Signature _ APPLICANT(PRI TEL NO LDMA Perm#
❑.1,as owner of the.property, or my'employees with wages as ' Z •, s
ADDRESS 0 = ' ''
"their sole compensation, will do the-work and the structure is / c .
not intended or offered for sale (Section 7044, Business and t FINAL DATEZiik
PfOfeSSlOr1S Code.) WILL 74E APPLCANT OR FUTURE BUILDING OCCUPA HANDLE A HAZARDOUS—MATERIAL
❑ I, as owner of the property, am exclusively contracting with
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
•AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE" FINAL BY
licensed contractors'to construct the project-(Section 7044, y; F i
T. , VES❑ NO❑ - ,:_I?A,I i - 65
Business and Professions Code.)-
. WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING :—'•t� • •i•i- r
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH /]/,�� ,l/ `,: =1•.'+. .�.�. a t
- COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMDI SEE PERMITTING-CHECKLIST FOR
CONSTRUCTION LENDING AGENCY (�
GUIDELINES -G !'D'III"""�1"G_/// Y�CC�� , t �,. c:ICi
H If"If r�t..:d.it
. I hereby affirm that there is a construction lending agency for ves❑ No❑ - ® -•
a. the performance of the work for which this permit is issued(Sec
3097,Civ C HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
N ) CHECKLIST I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS j
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD -'
o Lender's Address
� OWNER OR AGENT -
o I certify that I have read this application and state under penalty
0 of perjury that the above information is'COrrect"I agree to comply PC FEE PERMIT FEE
with all county ordinances and State laws relating to building
co
construction and h reby au o ze representatives of this County ISSUANCE FEE
ato en u nth wive-me d operty for msp�cfi urposes.
'0 �J �•— INVESTIGATION FEE TOTAL FEE-
� mre of Apoi�am .Apem at (0 (/'
SEE REVERSE FOR EXPLANATORY LANGUAGE
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 0508090008
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 11290 LT: 15 BL: .001 SQ. FT STORIES TYPE 10545 FREER ST
STRUCTURE: 161 VN - TEMP CA 917803446
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HALIFAX
8585-021-050 THOMAS PAGE. 597 GRID: C4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/17/05 JK 08/12/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
LEE TERRY TEH-YANG;JOCELYN HSYAN-HU (626) 622-0800- 15,000 r (�/ �p
10545 FREER ST / F�'
TEMPLE CITY 91780 FEES PAID DESCRIPTION OF WORK
CONVERT EXIST PATIO TO DINING & KITCHEN AND ADD 13X13
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT. OPEN PATIO
APPLICANT. TEL. NO:
SAME AS OWNER - B1 PLANCHECK W/ENERGY 15000.00 VAL 281.06
AA BLDG PERMIT ISSUANCE - 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION RESID 15000.00 VAL 1.50 .
B2 PERMIT W/ENERGY 15000:00 VAL 330.66
_ TOTAL FEES 640.97
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS-
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS / GQ_�_----
L.A. MUSE DESIGN (626) 300-5792-
102-D CASUDA CYN DR. LIC. NO: SLAB/UNDER FLOOR _
MONTEREY PARK, CA 91754 NONE
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP - UNDERFLOOR INSULATION
XX 3 01 _
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS "
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: _
FRONT PL- - INSULATION/WEATHER STRIP ✓ /��- /
SIDE PL- r �--
' INTERIOR LATH/DRYWALL
EXTERIOR LATH /
RATED FLOOR/CEIL ASSEM. `
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS - - -
T-BAR CEILINGS
(
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508