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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