HomeMy Public PortalAbout10847 FREER ST_Building__ APPLICATION F01 UILDING P RM IT "
FOR APPLICANT TO FILL IN' (Print or type only)
COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDING AND SAFETY DIVISION.
O OF BLDGS BUILDING '
SIZE OF LOT �. /� .�� NOW ON LOT ADDRESS -71
TRAC OBLOCK LO NO LOCALITY �1J
TEL �^ p NEAREST -
OWNER — NO. JTJ. �/ CROSSST
ASSESSOR
ADDRESS MAPBOOK PAGE IPARCEYJ
,Q DISTRICT, GROUP TYPE FIRE ROC S D BY
-CITY ZIP (} q CONV E
ARCHITECT OR EL U�: z_ Y
ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS _ CLASS NO, DWELL UNITS' ''BK G
TEL
CONTRACTOR NO r USE ZONE P
NO �—�-
ADDRESS NC D SPECIAL ;
LIC CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER _
NAME AND BRANCH EJB BLDG SETBACK FROM Y
FRONT PROP LINE OF / /�-l�.lZ_-Z/ (STREET)
ADDRESS - CITY -- TOTAL SETBACK FROM TYPE OF EXISTING
SQ F NO.OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
SIZE Z. STORIES FAMILIES ONE `
DESCRIPTION OF WORK NEW + /S' O
ADD ❑ BLDG SETBACK FROM
t(� g � SIDE PROP LIN_E OF (STREET) O
ALTER ❑ = TOTAL SETBACK FROM TYPE OF EXISTING w
HIGHWAY + YARD SIDE PROP LINE HIGHWAY WIDTH N
,,USE OF - REPAIR ❑ Z
EXISTING BLDGDEMOL ❑ +
APPLICANT " TEL CORNER CUTOFF, YES ❑ NO ❑
(PRINT) NO
IN OPEN SPACE YES ❑ NO ❑
BY ISIGNATU 9 IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$ -S� / _
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ,
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM.
•-0ENSATION INSURANCE - — - -• - - ,�rw'•'•'� � � `""
SIGNAT RE r
PERMITT
ADDRESS '2.a
S FINAL BY `
CITY _ NO f% DATE
MAKE CHECKS PAYABLE TO. $ PM
f •9�1 FEET
HARVEYT.BRANDT.,COUNTY ENGINEER FEE / 6 _/�1
PLA CHECK VALIDATION CK O. CASH _ PERMIT VALIDA ION CK. M.O. CASH
1 CO) 62.0
2:0 t,-,EP 1& 1 A. 1' 7. 7.0.0 a z .
j~Os 76A638A CE#803 3J5 -
APPLICATION FOR BUILDING PERMIT
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FOR APPI�(CANT TO FILL IN (Print or,type only)
_ COUNTY OF LOS ANGELES
ADDRESS I (� S 9—I IQ L E VZ S {• DEPARTMENT OF COUNTY ENGINEER
CITY tem �, CIT zip 61 (ISO BUILDING AND SAFETY DIVISION
LDING
SIZE OF LOT ') afAv /� -16 NOW ON LOT ADDRESS
TRACT a U BLOCK i LO' O 3 y LOCALITY
NEAREST
OWNER 3��vl�S �}{dl$d�`� NO 4'4 -1�1t�4 CROSSST
ASSESSOR
ADDRESS 0 r�q 1 FKEE"1e S—C •• -y MAP BOOK PAGE PARCEL
-CITY TC v-o ' �I- I F ��
ZIP
(. { l Q C1 DISTRICT GROUP TYPE FIRE PR ESSED BY
^ CONST ZONE �
ARCHITECT OR - TEL )c
ENGINEER NO STATISTICAL CLASSIFICATION SEWER P
ADDRESS CLASS NO *DWELL UNITS BK PG
TEL
CONTRACTOR NO ZONE MAP Gam]
LIC NO v
ADDRESS NO SPECIAL
LIC CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
ADDRESS CITY __ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY t YARD
SQ FT,.�- NO OF � NO OF 7 CHECK FRONT PROP LINE HIGHWAY WIDTH
SIZE {^� STORIES FAMILIES 1 ONE r
DESCRIPTION OF WORK NEW ❑ + O
ADD ❑
BLDG SETBACK FROM !
(STREET) O
�`,(5rJ;1»Z 106eSIDE PROP LINE OF
(+ ALTER TOTAL SETBACK FROM TYPE OF EXISTING w
�-AIR4gr. ' Td R4smit—Ij �ROe4LNl HIGHWAY + YARD = SIDE PROP LINE HIGHWAY WIDTH N
USE OF REPAIR 1:1Z
EXISTING BLDG DEMOL ❑ +
APPLICANT JELL CORNER CUTOFF YES ❑ NO ❑
(PRINT(
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE( �.(`' G�►�Q -� N COASTAL PERMIT ZONE YES'❑ NO ❑
VALUATION $ �
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE '
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM-
PENSATION INSURANCE
SIGNATURE f- +
PERMITTEE ` /rte �L
ADDRESS 4,1 PK15FINASys.
CITY - C(T-1[ TELNO.�QC�"7�0� DATE L. �. / ��g BY
MAKE CHECKS PAYABLE TO FEE (� FET $
HARVEY T.BRANDT,COUNTY ENGINEER
PLAN CHECK VALIDATION) 3CK. M 0. CASH PERMIT VALIDATION cK. M.o. CAS
4 0 7 i`JUL 6 1: a 1 J_'.0 C0 A j
L' !.0
Os 76A638A CE N803 3-75
COUNTY OF LOS ANGELES TEMPLE CITY - -4 0508 ` 'BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS . 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9608200031
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 10260 LT: 34 SQ. FT STORIES TYPE 10847\FREER ST
STRUCTURE: V TEMP CA 917803538
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8573-016-022 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/20/96 ' TC 08/20/97
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL 941TEFINAY: CODE:
NIMRI OUSAMA;ROXANNE (818) 448-1706- 1 6,600
ALHM 918021002 FEES PAID DESCRIPTION OF WORK
TEAR OFF 1/2" CDX W/EAGLELITE TILE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 6600.00 VAL 0.66 SPECIAL CONDITIONS:
D2 PERMIT W/O,EN-H_ II 6'600,.00 VAL 166.95
((\_� EL TOTAL FSS 195.36
CONTRACTOR: TEL. NO: (�� OO/� APPROVALS DATE INSPECTOR-SIGNATURE
SAME AS OWNER - v
LIC. NO �A LOCATION AND SETBACKS
Ol/ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: , TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: Will SLAB(UNDER FLOOR
RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
147H277 01
p � UC I` n"�S UNDERFLOOR INSULATION '
3
SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: O 6 Gln FLOOR
NO 2$ O 0 � .1 ROOF SHEATHING �g
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS O SHEAR PANELS
NO NO NO D� FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- � INSULATION/WEATHER STRIP
SIDE PL- v�
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