HomeMy Public PortalAbout10708 FREER ST_Building__ 76A638A CE 803'9-67APPLICATION FOR BUILDIN PERMIT {/(//1� _"
'''COUNTY OF L10S ANGELES\ BUILDING J
DEPARTMENT OF COUNTY ENGINEER ADDRESS /O 7d �cyQ_
BUILDING AND SAFETY DIVISION LOCA LI T
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP T OF BUILDING NEAREST'
CROSS ST.-
DISTRICT N M�TYPE PRO. E D
FOR APPLICANT TO FILL IN CONST.
(Print or type only) }'
BUILDING STATISTI AL CLASSIFI ATION S ER MAP
ADDRESS CLASS NO. DWELL,UNITS BK PG
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT SPECIAL
OT
NO.OF BLOTS. CONDITIONS
SIZE OF LOT NOW ON L
USE OF f
EXISTING BLDG, BLDG.SETBACK FROM
TEL.. FRONT PROP.LINE OF (STREET)
OWN NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
ADDRESS
CIT �2�' } _
BLDG. ETBACK FROM
ARCO L. SIDE PROP.LINE OF —(STREET)
ENGIN O.
TYPE OF EXISTING SETBACK HIGHWAY } YARD — TOTAL
A DD RESSr HIGHWAY WIDTH FROM C.L.
ADDRES2h
} = a
NTE O
ADD IC CORNER CUTOFF YES ❑ NO ❑ U
CITY CLASS L` �� SEE REVERSE SIDE FOR SPECIAL APPROVALS
LLJ
DESCRIPTjHAVE
ORK
�
NEW ✓ADD ALTER DEMOLISH
SQ. FT. NO. OF
SIZE FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
V A_L LIA T_ _ _ r
APPROVALS A � I P CTo R'S SI ATU RE
P.C. MT, ��J') FOUNDATION: LOCATION
FEE$ // EE $ ,J C! FORMS, MATERIALS'
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAD THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE ISD AGREE TO COMPLY FURNACE- LOCATION, '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DO'
N THE WORK
AUTHORIZED HE BY 1 WILL NOT EMPLOY ANY PE O IN VIOLA-
TI ON OF TH R D OF THE ST OF C IA ELAT: LATH, INT.
ING TO WO M N N! .` LATH, EXT. � � /� Y �' �' ✓�
SIGNATURE OF HOUSE NUMBER COR- /
PERMITTEE RECT AND POSTED
FINAL
i..�
JOHN F. LEWIS. PRINCIPAL STR CTURAL ENGINEER
PLF�TIFCAVA� TON CK M cns PERMIT VALIDATION V CK �M.o CASH
LHLo 5- 1 7 5-0 tIUA 2 4 1 D 2250- 17
7GAG3aA CE.#80911-G7 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
= DEPARTMENT OF COUNTY ENGINEER ADDRESS (! O
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. C -
_ DISTRICT NOGROUP TYPE �y�" �SEWER MAP
FOR APPLICANT TO FILL IN :�y.-I CONST. I 5K PG
/s
ADDRESS y
BUILDING fo U �/ i--�" STATI .STICAL CLASSIFICATION
c
CLASS NO.--jefDWELL. UNITS
LOT NO. BLOCK MAP STATE
• NUMBER HWY. YES
TRACT US Z E SPECIAL
NO.OF BLDGS. 0 CONDITIONS
SIZE OF LOT ] NOWA
'ON LOT o�D
EXISTING BLDG. +" ''~ BUILDINGYEXIST.
ll SETBACK ARD HWY STREET WIDTH
OWNER �C 6!! .j Y �� �- FRONT
ADDRAl LESS �J / 0 �r /sr �L P.L.
SIDE
CITY I NO. P.L.
•ARCHITECT OR TEL.
r -5,� INSPECTION RECORD,
ENGINEER NO.
ADDRESS °� �1 \/�/ p
CONTRALTO
RY .o "' � NO.
ADDRESS (9a 6 ®i
'DESCRIPTION OF WORK �"��� ��`�� �� •
/
' . I i
NEW ADD v ALTER REPAIR DEMOLISH �� r�� � '�j
SO.FT. g I - NO.OF NO.OF e �_�fj / g ,/� �fJ'�� =•,F/
SIZE g STORIES O FAMILIES
USE OF STRUCTURE . leAkIY f
SIGNATURE OF APPROVALS
APPLICANOTI� /�� /� �a
ADDRESS ,Y�g 6 9 Q O'er A� 4 `"' ' FOUNDATION: LOCATION DATE �J�' INSPECTOR'S SIGNATURE �•
FORMS,MATERIALSA � d�d�.. �t•�\ ��
P C. $_- FRAME: FIRE STOPS.
F
rFEE
EE'' - --- - SRACIN'G,BOLTS-`-
VALUATION v i/ - $ FURNACE- LOCATION,
GAS VENT.DUCTS'
Q s
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATHINT /f 1 •�K� ^d71` �, ) Gr; b
PLICATION AND STATE THAT THE ABOVE ISQINANCES CORRECT AND , . f r
STATE LAWSAGREE TOMR GULAT NGITH L COUNTYAND
CONSTRUCTION. LATH,EXT.I /' C�i WI wf.'
SIGNATURE OFNUMFBERr
PERMITTEE�� HRECT AND POSTEDR
_✓✓✓ ���
ADDRESc9 �Q �O y'�` � "I FINAL ' . P��I�` , f i.
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E E
'PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION - CK. 'M.O. cwsH
3902 - AUG 151. A 11 .00 ®ll
*_k DEPARTMENT OF BUILDING AND SAFETY -"� -APPLICATION FOR PERMIT
COUNTY OF LOS_,A.NGrLES � � �® I
�~ WM. J. FOX, CHIEF ENGINEER
IN
FOR OFFICE USE ONLY
FOR.APPLICANT TO FILL IN
DISTRICT NO. •' y!PLAN CK. NO. p PERMITNhO.•
BUILDING
ADDRESS !G:%'�fJ �` �`�Lp'� ��. IIY � 'tl - �L/S•�0 .0
LOCALITY. /� /7� RECEIVED BY DATE OF APPL. DATE ISSUED
h
NEAREST �
CROSS ST. �s �'s�i - if J �� BUILDING
/ ADDRESS
OWNER'
MAIL _ �f LOCALITY-
ADDRESS
OCALITY '
ADDRESS��,,� SiQ/I. (�-C�j, NEARESTv
CITY s,tq'�y' ... C i"/•� /.._••TEOL• A7 �7� IRENO. OF CROSS ST.�,J��„� TYPE UPS �.
ARCHITECT OR TEL.r ZONE �� I PLANS � I. •.p1 I • j J
ENGINEER' NO. BLDG. A ORD. NO.
SETBACK LINE Y 104 • `SL'�D Iti
ADDRESS
' APPROVED /,. -- DATE
TEL. t, /'/ _
CONTRACTOR, /'//C�� NO. "a9 USE APPROVED �` o�
r ZONE -1 BYDATE
ADDRESS �r7 2 �•� �fy����,/ HOUSE NUMBERING
_LEGAL
DESCRIPTION. 'I LOT NO. �� I BLOCK MAP NUMBER S _FIELD CHECK BY
TRpa:T ;��� NO. ASSIGNED-BY HATE
Q NO. OF 1t
`
BLDcs. TIONS
SIZE OF LOT • �OI•o / INOW ONLOT /hoe.m ,�,, CORRECTIONS
�( �/{�/'� �7�`�^ ION ^ t 1 1
USE OF NO. OF ����'� .. ^+�•�•YE ft/'-h,-� sEe(-�dG� � L� ��e�. �«-h F
EXISTING BLDG. : I FAMILIES
DESCRIPTION OF WORK
NEW I �•ALT•ERATION I I A4DITION
O
REPAIR I I DEMOLITION I - I I - - - --- - -•-• - _A
SQ. FT. 4Fq NO. OF D
SIZE -' ROOMS j STORIES ,QNe D
EXT. WALL ROOF r
COVERING (,�(�,Q v I COVERING
USE OF STRUCTUREAPPROfr
�• '� ^ �'•�� NSPECCT,RI'SSIGNATURE DATE
I HEREBY.ACKNOW ED E THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS " FORMS, MATERIALS
CORRECT. '
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON-AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION.
FURNACE: LOCATION,
SIGNATURE OF,- L' /N/ L, GAS VENT, DUCTS '
PERMITTEE ✓�+ [ '
ADDRESS �•�' i 7 'o• 'k �9. /(®f1/ / LATH, INT. - t "'
LATH, EXT.
AUTHORIZED AGT. � �?-S-3
i6 p PLASTER, INT. GT/(A/LC
76A638A• DBS3 10-50 $ '7D d° m mm P. C. $ O -
® n p D O FEE PLASTER, EXT.
VALUATION .••��J-7 iLd 6 � 'FEE $6 � 16 FINAL
/�
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 1207120002
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS 1
ITR: 17867 LT: 5 - I SQ. FT STORIES TYPE _ - 10708 FREER ST
I ISTRUCTURE: V-B TEMP CA 917803405 1
(ASSESSOR INFORMATION NUMBER: - I NEAREST CROSS STREET: EL MONTE I
18574-001-005 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I I I I
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON. PROCESSED BY: I
I (EXIST OCC GRP- 107/12/12 SR I
I I I I
DOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION- IF AL DATE FIN Y: CODE: I
JHSU, PETER H (626) 298-4363- 1 2,030 1 I
110708 FREER ST 1 I
ITEMP 917803405 FEES PAID C PTION OF WORK
I IKITCHEN REMODEL I
IFEE DESCRIPTION-_ QUANTITY: UOM: AMOUNT: (
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER - JAA BLDG PERMIT ISSUANCE 27.80 I
I JAB STATE GREEN BLDG FEE 2030.00 VAL 1.00 ISPECIAL CONDITIONS: I
IAC STRONG MOTION RESID 2030 00 VAL 0.50 I
IB2 PERMIT W/ENERGY 2030:00 VAL 108.90 I I
1 _IFR INV WORK W/O PERMIT 342.20 DOL 342:20 I I
CONTRACTOR. TEL. NO: I TOTAL FEES 480.40 (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS-OWNER - I
I LIC. NO ILOCATION AND SETBACKS
I I I
ISOILS ENGINEER-APPROVAL I I I
JARCHITECT OR ENGINEER - TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
LIC. NO- I ISLAB•/UNDER FLOOR
I I I
IRAISED FLOOR FRAMING I I I
I I I
IMAP NO: SEWER MAP BOOK- PAGE: FIRE ZONE: CMP: ( _ (UNDERFLOOR INSULATION I I I
I147H273 3 001 - I _ 1-1 I
I I cl• -, IFLOOR SHEATHING I I I
INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I
0 NO 21 —1 -� (ROOF SHEATHING
' SCHOOL WITHIN HAZARDOUS I _ ISHEAR PANELS I I
(AIR QUALITY- 1000 FEET MATERIALS I I I I I
NO NO NO I FRAME INSPECTION
IFIRE SPRINKLER HANGERS
,^•,(INSULATION/WEATHER STRIPI _ I I
S-`
(INTERIOR LATH/DRYWALL
(EXTERIOR LATH I I I
I I I
IRATED FLOOR/CEIL ASSEM. .I I I
I IRAT•ED WALL ASSEMBLIES
I I I
IRATEP SHAFTS/OPENINGS
I I I T-BAR'CEILINGS I i I
I I _ _ ;(,LOT DRAINAGE 1 1
I IREPORT ID DPR261` ROUTE TO: BS0508 I _
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 1407080008
PHONE- (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 17867 LT: 5 SQ. FT STORIES TYPE 1 10708 FREER ST 1
I I STRUCTURE;• 1150 '"; '.' V-B 1 I TEMP CA 917803405 1
(ASSESSOR INFORMATION NUMBER- I NEAREST CROSS STREET:
18574-001-005 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
ITENANT: IEXIST •BLDG •USE: RESID fK USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
(EXIST OCC GRP: 107/08/14 SR I
I I I I
TOWNER: TEL. NO: TBLDGS. NOW ON LOT: VALUATION: 1FI DAT FINAL BY: CODE:
THSU, PET (626) 298-4363- 1 5,300 T
110708 FREER ST 1 1
ITEMP 917803405 FEES PAID T SCR PTI N OF WORK 1
1 1
IRE-ROOF EXISTING STRUCTURE ITH ASPHALT SHINGLES 2 1/2 PLY T
I __1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ITORCH FLAT AREA T
(APPLICANT: TEL. NO: I I I
IRONALD GREEN (562) 407-5350- IAA BLDG PERMIT ISSUANCE 27.80 J_ 1
114535 VALLEY VIEW AV IAB STATE GREEN BLDG FEE 5300.00 VAL 1.00 ISPFCIAL CONDITIONS I
ISANTA FE SPRINGS IAC STRONG MOTION RESID 5300.00 VAL 0.50 I 1
1 ID2 PERMIT W/O EN-HC 5300.00 VAL 149.40 T T
1 1 TOTAL FEES 178.70 1 1
ICONTRACTOR: TEL. NO: I TAPPROVALS DATE INSPECTOR SIGNATURE 1
TALL SEASONS HOME IMPROVEMENT (562) 407-5350- 1 1— I
114535 VALLEY VIEW AVE.,#J LIC. NO T ILOCATION AND SETBACKS 1 1 I
ISANTA FE SPRINGS, CA 90670 830895 1 _ T
I I ISOILS ENGINEER APPROVAL 1 1 I
1ARCHITECT OR ENGINEER: TEL. NO- 1 IFOLTNDATION/TRENCH FORMS I I
LIC. NO: 1 ISLAB/UNDER FLOOR I I I
I I I 11 1 -
1 1 IRATSED FLOOR FRAMING I 1
IMAP NO SEWER MAP BOOK: PAGE: FIRE ZONE. CMP. 1 (UNDERFLOOR INSULATION I I I
T 3 001 1 11 1
1 _1 IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS- APT/GOND. STAT CLASS: I I
1 NO 21 1 IROOF SHEATHING I
T SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 I
1AIR QUALITY 1000 FEET MATERIALS 1 I I 1 1
1 NO NO NO 1 IFPAME INSPECTION I I 1
I I IFIRE SPRINKLER HANGERS 1 I 1
1 INSULATION/WEATHER STRIP I 1 1
1 T (INTERIOR LATH/DRYWALL 1 1 1
1 I EXTERIOR LATH I I I
I I I I I I
1 (RATED FLOOR/CEIL ASSEM. I 1 1
I I I I I I
1 IRATED WALL ASSEMBLIES I 1 1
I I I I I I
I IRATED SHAFTS/OPENINGS I I I
1 I IT-BAR CEILINGS I I
I I I I I I
1 I ILOT DRAINAGE T I 1
,ti -,rte. �,%,,���••,.-� _.j iREPORT ID: DPR261 ROUTE TO- BS0508
930090 SB --
APPLICAMON FORBUILDINGPERNT
` COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
I hereby a'f'firm I have a certificate of consent to self Insure, BUILDING ADDRESS ���� ;
or a certificate of,Workers' Compensation Insurance,or a certified 1T0708 E. Freer
copq'thereof(Sec.3800,Lab C.) Temple City, CA ZIP 91780 LOCALITY
Policy No' W2710598 Company Cal Comp
SIZE OF LOT NO OF BLDGS NOW ON LOT V
❑T Certified copy Is'hereby furnished _ NEAREST CROSS ST
IN Certified copy Is filed with the county bulldmg�mspectlon _ TRACT BLOCK LOT NO '
.department USE ZONE MAP NO
Date 7/1/93 Applicant Virgin Roof Co. ASSESSOR MAP BOOK PAGE PARCEL
- SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER . T NO
COMPENSATION INSURANCE Sara Colony 4 !8-48.95 WITHIN 1000 FT OF SCHOOL? YES NO
(This section need not be com pie if the permit Is fcr one hundred ADDRESS
Dollars($100)or less.)
p p 10708 E. Freer DISTRICT GROUP TYPE CO ST FIRE ZONE- •PROCESSED BY
CITY ZIP
;I certify that In the performance of the work for which this permit Temple City CA 91780
is issued, I'Shall riot employ any person In any manner s0 as to ARCHITECT OR ENGINEER TEL NO �J
become subject to the Workers'Compensation Laws STATISTICAL CLASSIFICATION APT CONDO
Date `Applicant - ADDRESS CLASS NO �— DWELL UNITS
NOTICE TO' APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should. becomd Subject t0" the Workers' CONTRACTOR' TEL NO SET BACK YARD HWY PROP LINE - WIDTH
Compensation provisions of the Labor Code, you'must-forthwith Virgin Roof Co. 287-0507 FRONT
comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L '
LICENSED CONTRACTORS DECLARATION PO BOX 5010 160650 SIDE
PL
I hereby affirm that I am licensed underprovisions of Chapter 9 Un Gabriel LI6CLASS SEWER MAP
RIES
(commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STONO OF FAMILIES
3S�7
Professions Code,and my license Is in full force and effect 2600 1 NEW BK PGCL
License Number 160650 LIC.CI3Ss C39 DESCRIPTION OF WORK DD ❑ VALUATION , Q
Over existing apply C1 A Composition U
contractor ,Virgin Roof Coate 6/30_/93. ALTER ❑ $ 4688.00
shingles (20 sqs) Flat deck w REPAIR ElO
cc
❑,I'am exempt under Sec $ I—
yr B&PC for this reason Tear off & apply 1 4628, 2 •4611 ��MOL ❑ LDMA P/C# •' - W
y Date LCaPF t 87_ LDG sqs URM '❑ I . 0-
g
Dwelling Cl)
Sinature APPLICANT(PRINT) N LDMA Perm#' i Z
Virgin.-Roof Co. —8507
❑ I, as owner,of the property, or'my employees with,wages as g ZO f:{.
their sole compensation, will do the work and the structure Is ADDRESS PO Fi •:Tne
CA
not Intended or offered for sale (Section 7044, Business'and Box 5010, San Gabriel, 91'778-501,0 FINAL DATE Y � ,3307 iO3.,
PfOfeSSIOr1S Code) - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE- T`
❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDEI FINAL BY I"ENS
licensed contractors to construct the project (Section 7044, EX T --n
Business and Professions Code) Yes❑ "° I Il(rj� . 7�,� m 07
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING �J '` -
• OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH I�, CHECK ECK- 203.0'
CONSTRUCTION LENDING AGENCY COAST-AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR ;LCHANGE
GUIDELINES ` ._ n('�
I hereby affirm that there is a construction lending agency for YES[I- NO.❑❑X 4 - - CC/J 5Jl
N the performance of the work for which this permit Is issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
3097, CIV.C) CHECK ST I UNDERSTAND MY REQUIREMENTS DER T E LOS ANGELES COUNTY CODE, Fy��}•y�j�y '}}} t{
TITLE CHECK)
HAPTER 2 20 SECTIONS 2 20 100 T O GH 2 0 ONCERNING HAZARDOYIS 0 i00-0001 4/ Li�J
Lender's Name MAT IAS E ORTING AND FOR OBTAINING P I AOMD 1 jC 'n
(L
o Lender's Address - - 1�' 1 QM •• `
OW OR AGENT
O _ ��
o I certify that I'have read this application and state under penalty
O of perjury that the above Information is correct I agree to comply PC-FEE PERMIT FEE
o with all county ordinances and 'State laws relating to building 178.32 -
00 con ruction, and hereby authonz repres s f this County ISSUANCE FEE r
� t E, pon the abovv�-menUo r p t�f ection purposes 5 - -'
4/6/93
INVESTIGATION FEE TOTAL FEE 203-07
co ,^ 1 a a t Or Agem aye .
SEE REVERSE FOR EXPLANATORY LANGUAGE