HomeMy Public PortalAbout10623 FREER ST_Building__ •75A838A CE1803 11-57APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING ,
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
'JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. •GROUP TYPE SEWER MAP
FOR.APPLICANT TO FILL IN ' I CONST, I 14
.
BU'
D/LDING S - STATISTICAL CLASSIFICATION
DDRESS
A (ff
n CLASS-NO: DWELL UNITS
LOT NO. _ ZJJ - BLOCK MAP STATE
NUMBER in
YES O
TRACT / ` U E ZONE SPECIAL �7 HWY •�. r �J
ISIZEOFLOT �O NNO OF OW ON LOTS , CONDITIONS T ��p
USE OF L
EXISTING BLDG. �_S C[� BUILDING EXIST.
YARD HWY STREET NAME
y� ^ c/ SETBACK WIDTH
OWNER . E�STGGLiGJ'tNL] FRONT
MAIL / _ �y P L.
ADDRESS PBZ C,-r•� XtLe_ S r SIDE
CITY �� G V NOL(T� - P.L.
ARCHITECT OR TEI A INSPE TION-'RECORD /
ENGINEER NO. •� �f
ADDRESS
..5'� TEL,�� - 7'Z-• � icJ r L.F w! rtS49
CONTRACTOR NO!�' S- fg�
ADDRESS D C r 40 SARfi 444VAf iZ -
DESCRIPTION OF WORK "�=
NEW �ADD ALTER REPAIR DEMOLISH -
SQ.-FT. NO.OF NO.OF
SIZE �Z- STORIES FAMILIES "
USE OF STRUCTURE r+/ L ✓lr��
SIGNATURE OF APPROVALS
APPLICANT �`•e
_ DATE INSP tTOR'S SIGNATURE
ADDRESS i FOUNDATION: LOCATION )Aso
FORMS.MATERIALS �•-
�• //-� �4 O P•C• S C� FRAME: FIRE STOPS.
FEE 3' BRACING.BOLTS "Z/22'hies
VALUATION $ c�✓J FURNACE: LOCATION, 9.
FEE /)G GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATHINT
PLICATION AND STATE THAT , .THE ABOVE IS CORRECT AND ,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONS UCTION. LATH,EXT.
SIGNATUREOF HOUSE NUMBER COR-
19
PERMITTE RECT AND POSTED
ADDRESS - FINAL
CLYDE N. DIRLAM; RINCIPAL Slims URAL ENGINEER
PI L CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH-
. . .
L ACO 6.8 3.2 "!aV 1 S' 2 3 A 1350 A ' ®.
` t LACO6882 - 0420 1 A 27.00 M
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 1301310004
PHONE: (626) 285-0488 EXT.
ILEGAL ID- I NO. OF CONST I BUILDING ADDRESS:
ITR: 11290 LT: 18 BL: B SQ. FT - STORIES TYPE I 10623 FREER ST 1
(STRUCTURE: 1400 V-B I TEMP CA 917803426
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: PAL MAL - I
18585-021-027 I I THOMAS PAGE: 597 GRID: C4 - LOCALITY: TEMPLE CITY CAI
I I I I
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
• 1EXIST OCC GRP: 101/31/13- SR
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE_ FI AL BY: CODE: 1
ICAROTHERS RICHARD C;JOY L - 1 3,100
15503 HALIFAX RD LL!
(ARCD 910078414 _ FEES: PAID IDESCRIPTION 6P WORK
I I IREMOVE EXISTING ONE LAYER OF COMP SHINGLE INSTALL NEW COMP I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ISHINGLE OVER EXISTING PLYWOOD 1
(APPLICANT: TEL. NO: I _ I I
IKEEFER, BRIAN (909) 608-0622- IAA BLDG PERMIT ISSUANCE 27.80 I I
11216 BEGONIA COURT - IAB STATE GREEN BLDG FEE 3100.00 VAL 1.00 ISPECIAL CONDITIONS: I
(UPLAND CA 91784 _ IAC STRONG MOTION RESID 3100.00 VAL 0.50 I 1
1 ID2 PERMIT W/0 EN-HC 3100.00 VAL 115.80 I I
I _ TOTAL FEES 145.10 I 1
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
IKEEFER'S ROOFING (909) 608-0622- I _
11216 BEGONIA COURT LIC. NO ILOCATION AND SETBACKS I I
(UPLAND CA 91784 760903 * I 1_ I I I
I I ISOILS ENGINEER APPROVAL I 1 I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
LIC. NO- 1 (SLAB/UNDER FLOOR
I I I
I I IRAISED FLOOR FRAMING I
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I I
1147H273 3 001 1 � I I I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I
0 NO 21 1 1ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS 1 I I I
NO NO NO 1 IFRAME INSPECTION
I I IFIRE SPRINKLER HANGERS I I
I I I I I I
I _ (INSULATION/WEATHER STRIPI I
I (INTERIOR LATH/DRYWALL 1 I 1
I I I
I 1 1EXTERIOR LATH I
I I II I I
I I IRATED FLOOR/CEIL ASSEM. I I I
I IRATED WALL ASSEMBLIES I I I
I I I
I IRATED SHAFTS/OPENINGS 1 I I
I I I
IT-BAR CEILINGS I I I
I I* ADDITIONAL DATA ON FILE I
I I I
ILCT DRAINAGE I I I
I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I