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Home My Public Portal About10817 FREER ST_Building__ 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 1104200005 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 47219 LT: 1 UN: 6 SQ. FT STORIES TYPE 10817 FREER ST STRUCTURE: V-B TEMP CA 917803538 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: SANTA ANITA 1 18573-014-068 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl TENANT: IEXIST BLDG USE: RESID USE ZONE: R-2 JISSUED ON: PROCESSED BY: IEXIST OCC GRP: 104/20/11 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINNAL��L BY: CODE: ILIN, THOMAS - 4,500 110817 FREER ST (TEMP 917803538 I FEES PAID IDESCRIPTION OF WORK I I IKITCHEN REMODEL IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( (APPLICANT: TEL. NO: I I 1168 CONSTRUCTION & REMODELING (626) 284-6682- IAA BLDG PERMIT ISSUANCE 27.80 1 1821 S. 4TH ST. #17 JAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 ISPECIAL CONDITIONS: JALHAMBRA, CA 91801 JAC STRONG MOTION RESID 4500.00 VAL 0.50 I JB2 PERMIT W/ENERGY 4500.00 VAL 146.10 JFR INV WORK W/O PERMIT 257.00 DOL 257.00 1 (CONTRACTOR: TEL. NO: I TOTAL FEES 432.40 (APPROVALS DATE INSPECTOR SIGNATURE 1168 CONSTRUCTION AND REMODELING (626) 284-6682- 1 11 1821 S. 4TH STREET #17 LIC. NO 1 LOCATION AND SETBACKS J IALHAMBRA, CA 91801 899733 B I1 (SOILS ENGINEER APPROVAL 1 1 JARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I LIC. NO: I ISLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING 1 I 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J (UNDERFLOOR INSULATION J 1 I 1147H277 3 001 1 I 1 I I (FLOOR SHEATHING I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I J I NO 21 (ROOF SHEATHING J J 1 1 SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS J 1 I (AIR QUALITY: 1000 FEET MATERIALS II I J NO NO NO IFRAME INSPECTION J I I (FIRE SPRINKLER HANGERS J I (INSULATION/WEATHER STRIPI I (INTERIOR LATH/DRYWALL I I (EXTERIOR LATH J 1 I (RATED FLOOR/CEIL ASSEM. 1 1 (RATED WALL ASSEMBLIES 1 1 I I I (RATED SHAFTS/OPENINGS 1 1 IT-BAR CEILINGS I 1 ILOT DRAINAGE I 1 1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I I I (L _ ' WORKERS' COMPENSATION DECLARATION Z" • insure hereby d certif caaffirm rte of WorkersrlCompensat oificate of n eInsuran ent to , APPLICATION FOR BUILDING P RMIT or a certified copy thereof (Sec: 3800, lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.1005574 Company Bello Construction .�1t.�j1/ BUILDING X ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ch ❑X Certified copy is filed with the county building inspec- BUILDING AD tion department. DRESSTemple City, CA 91780 5/10/91 Mike Bello CITY Tem le it ZIP LOCALITY Freer & McCulloch Date Applicant NO. OF BLDGS. CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 37,397 NOW ON LOT'. —0— NEAREST CROSS sFreer ASSESSOR COMPENSATION INSURANCE R lII��JJJ (This section need not be completed if the permit is for one TRACT 47219 BLOCK LOT NO. MAP BOOK 1171 PAGE 47&48 PARCEL hundred dollars ($100)or less.) OWNER Michael Bello 818NEo 357-4880 USE ZONE MAP FT,7 77 t Z I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADDRESS290 Whispering Pines DR. /iC/— 2— SPECIAL a V� CONDITIONS so as to become subject to the Workers'Compensation Laws. O CITY Arcadia zip 91006 Date Applicant ARCHITECT OR TEL. W Artech 818 445-1882 DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE Exemption, you should become subject to the .Workers' '� o Compensation provisions of the Labor Code, you must forth- ADDRESS '218 Longdon Irwindale �, OG Q 3 �V_f I___; pw.. with comply with such, provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N CONTRACTOR Bello Cons rll t Z deemed revoked. � - — X LICENSED CONTRACTORS DECLARATION 2250 Lindsay Way No 605484 CLASS NO. DWELL. UNITS 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS (commencing with Section 7000)of Division 3 of the Business usiness LIC.endora CLASS B SEWER MAP Gl and Professions Code,and my license is in full force and effect. BK. pG G- e VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number 605484 Lic. Class B SIZE STORIES IFAMILIES ONE VALUATION Contractor Bello Const. Date 5/10/91 DESCRIPTION OF WORK NEW ❑I am exempt under Sec. Construct 7 detached Condos ADD ❑ $ ► ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ USE OF 0(] Date: EXISTING BLDG. DEMOL ❑ g_ature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE •—�— L I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By ❑ I, as owner of theproperty, or m em to employees with BUILDING Y P Y ADDRESS wages as their sole compensation,will do the work and , the structure is not intended or offered for sale(Section LOCALITY ln� 7044, Business and Professions Code.) MOVING TEL. LX1 I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business-and. Code.) i` i i •a+, CONSTRUCTION LENDING-AGENCY SET�BACK YARD HWY UIRED TOTAPROPAINEFROM WIDTH ; \ I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ: C.). SIDE Lender's Name, California State BAnk P.L. 3 3 -71- LDMA Ref. # 925 Badillo Covina 91722 P.C. Fee $ Permit Fee � ' 3 Lender's Address I certify that I have read this application and state that the 73 3• y Issuance Fee LDMA P/C# O above information is correct. I agree toCou •comply with all nty Investigation Fee //__'' 8 ordinances and State laws relating to building construction, Total Fee YJ LDMA Perm. # a and hereby authorize representatives of this County to enter upon the above-mentioneo property arnspection purposes. 6 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of App icant or Agent Date ' —WORKERS' COMPENSATION DECLARATION U `Y -insure, or afcertif carte of Workers' Comtpensat on eInsurancnt to e, APPLICATION FOR BUILDING PERMIT or a certified•co T ereof (Sec. 3800, Lab COUNTY OF LOS ANGELES BUILDING AND SAFETY .Policy No. (O Company L El Certified copy is hereby furnished. �� FOR APPLICANT TO FILL IN BUILDING ADDRESS /� ❑ Certified copy is filed with the county building inspec- BUILDING re ADDRESS � tion department. T A� CITY 'J /�t ZIP LOCALITY Date Applicant j NO. OF BLDGS. i NEAREST _ CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT ( NOW ON LOT CROSS S7. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if The permit is for one TRACT' BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) /J TEL.tqqg USE ZONE MAP J OWNER �C NO. OS� NO. / I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS 2 r SPECIAL - a CONDITIONS so as to become subject to the Workers'Compensation Laws. O CITY /r ZIPT100 !!/ U Date Applicant IT OR L NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER e NO. L 5 /615� DISTRICT GROUP TYPE FIRE PROCESSED BY O /� CONST ZONE J1 H Exemption, you 'should .become subject to the Workers' N Q� �2 / , w Compensation provisions of the Labor Code, you must forth- ADDRESS �G 0 V 3 I - a with comply with such provisions or this permit shall be f _ NO STATISTICAL CLASSIFICATION APT. CONDO. N V Z deemed revoked. CONTRACTOR - LICENSED CONTRACTORS DECLARATION LIC. 1'1 CLASS NO.�DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. LIC. SEWER (commencing with Section 7000)of.Division 3 of The Business /O(v 23 and Professions Code,and my license is in full force nd effect. CITY CLASS gK. PG. V/�LIDATION SQ. FJ NO. OF NO. OF CHECK t SIZE STORIES FAMILIES ONE ACCT a$ License Number {� / Lic Class / �J{ n VALUA O v��7 4teel}5 Contractor C/ J�L Date �! 1 DESCRIPTION OF WORK 'C NEW �• 4 ITEM yy�C r ADD ❑ Yt+i ITEMS GL 6•:r ❑I am exempt under Sec. V v N ALTER ❑ f �Gt , TOTAL" g 6 AL" . 31.0,15 ® 05 B.BP.C. for this reason $ l , USE OF REPAIR ❑ CHECK��`;r�� 385.'�6 l Date: EXISTING BLDG. DEMOL ❑ �� CHANGE ►t!`I .00 Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License DATE — r Law for the following reason (Section 7031.5, Business and ADDRESS G- FINALQ!{ i iV Professions Code): PRESENTNG B3 1 AM 10 tt E] 1 ,as owBUILDING owner of the property, or'my employees with ADDRESS wages as their sole compensation,will do the work and _':':a. the structure is not intended or offered for sale(Section LOCALITY � 7044, Business and Professions Code.) MOVING TEL. lop. 5`'�� a =)Ire!`_ ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. ✓' s.I A`' `, c,' ` , with licensed contractors to construct the project (Sec- ADDRESS o tion 7044, Business and Professions'Code..) � �`'r� ;4� C"•L� t";:i � =.`; REQUIRED TOTAL SETBACK FROM EXIST. t(Li•tt t`rt,•": CONSTRUCTION LENDING AGENCY . SET BACK YARD HWY PROP. LINE WIDTH (� ^•tom=:t-- N I hereby affirm that there is a construction lending agency for FRONT ='t efHr7U� =" the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE . P.L. -- Lender's Name )_i�)I_i "i E,(1_IL :':, `• f �j LDMA Ref. P.C. Fee$ Permit fee - . # Lender's Address 0 1 certify that I have read this application and state that the • �7 Issuance Fee LDMA P/C# above information is correct. I agree to comply with all.County Investigation Fee y�. � 8 ordinances and State laws®relatinglding construction, Total Fee LDMA Perm. # and her by authorize.repris County to enter upon t above-mentionedspec' pur ses.�/ 9vr. % SEE REVERSE FOR EXPLANATORY LANGUAGE ignature ofApplicant Date • WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy c. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N C Jpany BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with th coun uilding inspec- BUILDING ,ptv, do aADDRESS lid✓ de rt ent. � Date Applicant CITY Q ZIP LOCALITY NO. OF BLDGS. NEAREST ERTIF CATE•OF EXEMP FROM WORKERS' SIZE OF LOT C/ NOw ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if The permit is for one TRACT BLOCK I LOT NO. Lp MAP BOOK PA �klPARCEL hundred dollars ($100)or less.) TE ' USE ZONE MAP OWNER NO n NO. I certify that in the performance of the work for which this n✓ ✓ SPECIAL } permit is issued, I shall not employ any person in any manner ADDRESS �iI ' CONDITIONS O_ so as to become subject to the Workers'Compensation Laws. Q CITY ZIP f/U Date Applicant ARCHITECT OR TEL. ,j DISTRICT GROUP TYPE FIRE PROCESSED BY W NOTICE TO'APPLICANT: If, after mak; this Certificate of ENGINEER NO. �¢ /� CONST: E ExemP tion,.you should become subject t the Workers' (� ) ,r j rj`� "] V� Compensation provisions of the Labor Code, you must forth- ADDRESS 2S LQJ ✓ I / ��///"' with comply with such provisions or this permit shall be L STATISTICAL CLASSIFICATION APT. C O. N deemed revoked. CONTRACTOR y Z LICENSED CONTRACTORS DECLARATIONLIC CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS DY NO. (commencing with Section 7000)of Division 3 of the Business LIC. ] SEWER MAP and Professions Code,and y�—Lic ense is in full force and effect. CITY CLASS 1 BK. PG. VALIDATION . (� /s i SQ. FT. NO. OF NO. OF CHECK License'Number D I . Class SIZE STORIES FAMILIES ONE Q TTT VALUATION Contractor Date J DESCRIPTION OF WORK NEW El 457:00, r/OD• 0-0 �r I/I n. ADD El'G, (J ► 1 .:. a s ❑I am exempt under Sec. ALTER ❑ _.__ ' _?is B.&P.C. for this reason REPAIR ❑ USE OF EXISTING BLDG DEM Date: OL ❑ Signature APPLICANT hf- 1 TEL. ';jt 3 '?(PRINT) N NO. FINAL s{R r H= 5 5 a. _s OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License 7 J r J DATE kCHE K L i^ Law for the following reason (Section 7031.5, Business and ADDRESS L FINAL �IN-� R it I Professions Code): PRESENT ey t_:H sw -- ❑ I, as owner of the property, or my employees with BUILDINGADDRESS wages as their sole compensation,will do the work and LOCALITY L_ I t:} the structure is not intended or offered for sale(Sect(Section , rf I —t:i � L 7044, Business and Professions Code.) MOVING TEL. ' ¢"►�;I ,i j of c ❑ I, as ownCONTRACTOR NO. ;e! ' wrier of the property, am,exclusively contracting r r L Li=ftlsaa with licensed contractors to construct the project.(Sec-. ADDRESS tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY SETT BACKK YARD HWY TOTAPROP.SETBALINEFROM WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE rW= Lender's Name mLDMA Ref. ,..t :: F 0?,-5 P.C.fee$ �J Permit Fee Lender's Address O 0 1 certify that I have read this application and state that the IssuanceLdICfA P/C# 8 above information is correct. I agree to comply_with all County Investigation Fee R ordinances an State laws relating to building construction, Total Fee LDMA Perm. N a and hereby u orize representatives of this Cou ty to enter aon a ab v e ned roperty for inspecti pur oses. 1': �rI A wrl d / SEE REVERSE FOR EXPLANATORY LANGUAGE =t fit Signature of Applicant or Agent bate' 01