HomeMy Public PortalAbout10938 FREER ST_Building__ I
79A63"CE►.o3>t., APPLICATION FOR PUILDING PERMIT
COUNTY OF LOS ANGELES 4�C:A
!LDING f�
DEPARTMENT OF COUNTY ENGINEER DRESS C/
BUILDING AND SAFETY DIVISION L ITY
JOHN A. LAMBIE, COUNTY ENGINEER RESTWILLIAM A. JENSEN, SUPT Or BUILDING oss ST.
G STRI N O T P
,,:-'OR APPLICANT TO FILL IN co ST.
BUILDING p 8'ATISTICAL CLASSIFICATIOtf ER MAP
ADDRESS 10 30 Freer Temple Cit BKT PG
p CLASS. NO. L DWELUNITS
LOT NO. 2 BLOCK II B i� �TER
G(RTIFICATE: NOT REQUIRED RECEIVED
TRACT 1 1497 WP 11
-
NO.OF BLDG6. rb �_31-0 HIGHwwr STATE MAJOR SECOND LOCAL
(cIRCLR)
SIZE OF LOT 6ox72 NOW ON LOT U�-Cz
ZONE SPECIAL
USE OF CONDITIONS;
EXISTING BLDG.
TEL
OWNER • BUILDING EXIST.
S£i'BACK
NYARD HWY STREET NAME WIDTH
ADDRESS 502 Fare eO T .C. FRONT �1
ARCHITECT OR TEL IP. IN
(J - _
ENGINEER NO. ISIDE I >
P. L. O
ADDRESS
CONTRACToRValley craft Cc st . 443 DRIVEWAY APPROACH, i IX
O
ADDRESS 10523 Lwr .. Azusa R d. T .C AND PARKWAY TRrr RroQUIRrrl
-
I
DESCRIPTION OF WORE curb. guitar, sl ewal , and driveway approecJ Inv
NEW Y ADD ALTER REPAIR DEMOLISH �ka or T. C. Co. Engineer's Office Immodlafaly 1n ordw to ai ofd
SO. FT. NO. OF NO. OF
SIZE 15 W STORIES 2 FAMILIES 1 • "g delay. urvay & Design wock fakes tlnw md I&Awsi .
USE OF.
STRUCTURE Res i dente •�
CNy H I.
2 0 x ?
SIGNATURE OR
APPLICANT f1
VALUATION S
APPOOVAL13 IDATE INSPECT •■■IG
P C PMT �f`� FOUNDATION: LOCATION
FEE S 3! FEE S FORMS, MATERIALS (.JO
FRAME: FIRE STOPS,
I HRT ACKNOWLEDGE THAT I HAV[ ROAD THIS APPLICATION BRACING OLTB
AND STAT[ THAT THK ARr,VK IS CORRECT AND AORKK TO COMPLY FURNACE: LOCATION.
H Y
WITALL COUNTORDINANCES AND STATI LAWS REGULATING GAS VENT, DUCTS `
LA
SUILDI NG CONSTRUCTION. I CRTIFY THAT IN DOING THK WORK
AUTHORI>rFD HERKSY I WILL NOT EMPLOY ANY PIER-SON IN VIOLA- LATH. INT.
TON OF THK LA" CODK OF THE STATE OF CALIFORNIA RXLAT-
ING TO WORKMEN'S COMPENSATION INSURANCa. LATH, EXT.
SIGNATURE ,Jd� }/'/�,� HOUSE NUMBER COR-
PERMITTEE / �_�,�c � RECT AND POSTED
ADDRES FINAL
JOHN F. LEWIS. PRINCIPALS RAL ENGI ER
PLAN CHECII VALIDATION 0 M.O. CAA4 _ PERMIT VALIDATIO CK. M.O, twirl
LAC040231;9 JUL 27. 23 D 33.75
L -o 5 5' 6 SEEP 2 0 1 D b 7.5 0—
i��2T/N�1Z¢�rc/
w6RKERs' COMPET wioN DECLARATION
�I surety -4firm-
cod that I have r certificate ns consent tti self APPLICATION FOR ,B 4J JL D I N G P E RM I T
Insure, or,q c-6rttflcate of Workers Compensation Insurance,
or arterttfled copy thereof (Sec. 3800, Lab. C.) COUNTY OF 1.0;,491GQ.E5 �. JILDING AND SAFETY
Policy No. Company
Elcertified copy is hereby furnished. FOR APPLICANT TO FILL IN app
❑ Certified copy la filed%*the county building Inspec- ZLDING V
tion department.
Date Applltant CITY h, ZIP ��7� Logy
CERTIFICATE OF EXEMPTION FROM'WORKERS' S�OF LOT ON LLOOT� T
. CROSS
COMPENSATION INSURANCE ASSESSOR ��w
(This section need not be completed If the permit Is for one BLOCK LOT NO. &W BOOK pAGE p, g�
hundred dollars (;100)or Ips.) Ta- USE ZONE MAP
1 certify that In the performance of-the work for which this p
permit Is Issued, I shall not.employ any-person In arty manner ADDRESS ��'�.30
SPECIAL
permit
so as to become subject to the Workers'Compensation 1¢ws. O
7J �J,Cl D/ U
fy
Date Applicant rrE(T OR TEL D GROUP TYPE IRE PROCESSED BY O
NOTICE TO APPLICANT: If, after making this Certificate of r� B4GIN� NO. CONST.
Exemption, you should become subject to the Workers'
Compensation provlslons of the Labor Code, you must forth- "O ADDS `3 Y k
with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICAT)ON APT. CONDO. to
JJ Z
deemed revoked. _ CONTRACTOR_ NO. -
ucENsED CONTRACTORS DECLARATION LIC. CLASS NO.GI / _DVAIL UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS N0'
(commencing with Section 7000)of DIVIIIon 3 of the Business uc_ SEWER MAP
and Professions!rode,and my license is In full force and effect. CITY CLASS BK pG VALIDATION
SQ. Fr. NO. NO. OF CHECK
ucense Number Llc. Class- STORIES FAM!IJJES ONE
VALUAtION
Contractor Date DESCRIPTION OF ❑ _ / rep,
❑I am exempt under Sec ►
_ALTER ❑
B.&P.C. for this mason REPAIR ❑ $
°' USE
EXISTING BLDG. DEh10l ❑
Signature APPLICANT TEL FINAL
OWNER-BUILDER DECLARATIONNO. DATE
I hereby affirm that I am exempt from the Contractors License
Law for the following reason (Section 7031.5,.Buslnesa and FINAL. 1w�r
Professions Code): ILDING BY Fi4�•T.A
El1, as owner of the property, or my employees with 7
� wages as their sole compensation,.wiII do the work and ] 541.�3
the structure Is not Intended or offered for sale(Sedlon LOCALITY
j 7044, Business and Professions Code.) MOVING Ta. 23
Lil I as owner of the am exclusive! contracting CO � NO• i
Y,. r g ACCT.A
with Ilcbnsed contractors to construct the project (Sec ADDRES� ir
-
Ilan 70", Business and Professions Code.) L _?.`.' zr
ONSTRUCTION L$NDING AGENCY I YARD HWY T FROM _ � �jO.•_rO
C
I hereby affirm that there Is a construction lending agency for FRONT - u - 2 ITEMS
the performance.of the.work for which this permit Is Issued. -P•L _ TAL �$ 1
(Sec. 3097, Clv. C. SIDE * T Q
Lenders Name f , Ca ICS 591.7
�Io•` b Psrmlt Fw 3 LI3AhA Rsf. I
P: CH .00
^ G F«
Lenders Address
I certify that I have read this application and state that the hsucncs FN �. LI]MW P/C i
above Information Is correct. I agree to comply with'all County Invatigatlon Fee0000-W]1 / f6
ordlnances and State laws relating to building construction, I
To►al Fos A LDMA Per.,.
and hereby authorize representatives of this County to enter
upo the b6 menti ned property for I Ion purgpose& 'fF 1 3
SU RE RU rOR DX]PLAHATO RY LA1+01JA60
Signature of Applicant or AQsnt Date =l s/
J
.~ COUNTY OF LOS ANGELES TEMPLE CITY 0508 BUIJ.DING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9071 LAS TUTAS RESIDENTIAL ADD
BUIL.DING•AND SAFETY / LAND DEVELOPFD]M TEMPLE CITY CA BL 0504 9709220024
PHONE: (818) 285-0488 EXT: DUPLICATE
LEGAL ID: NO, OF MST NEW BUILDING
TR: T1497 LT: 2 BL: .001 SQ. FT STORIES TYPE OCCUP GROIP 10938 FREER ST
STRUCTURE: 0 2 YM R3 TEMP CA 917803542
GARAGE: NEAREST CROS STREET:
8574-009-005 OTHER: .132 1 THOMAS PAGE: 597 GRID: D3- LOCALITY: TEMPLE CITY
TEKANT: USE ZONE: I SSLIED ON: PROCESSED BY: expl*Es OR'
E(I$T .00C GRP: 09/22/97 LIT . y
DEC�(V�IRALE SUSIE - 1,8DO
109'8 FREER ST.
TEMP 91-1803542, AIDFEES P F WORK
MEW ATTACHED OPEN WOOD PATIO 132 SQ. FT.
FEE DESCRIPTION:- QUANTITY: UOM: AMOUNTAPPLICANT: TEL. NO-
SAME AS OWNER AA BLDG-PERMIT ISSUANCE 2 .75
AC STRONG MOTION RESID. 1800.00 VAL �.50 SPECUL CMITIONS.
D2 PERMIT il/Q �p EX800,� VAL 110.45
. L �T L �o
SAME AS OWN Ek - - .
LIC. NO r_ �jLOCATION AND sE-raAcxs�
- �� SOILS E*GINEER APPROVAL
TEL. 100;
LIC. NO; SLAB/UNDER FLOM
iu
RAISED FLOOR FRA14ING
MAP W- SEWER MAP DOOK- 'PAGE: ZONE
,3� Dt. PUBLIC WORKS L t
I SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT
21 , ti
O oHOO4 WITHIN ��' ROOF SHEATHING
AIR QLIKLITY: 000 FEET_ MATRIALS d '�
NO NO NO � ❑REQUIRED FROM
B(IlT13LDG DEPT.
SET BACK YARD: HUY; PROP LIME: WIDTH:
FRONT PL- SHEARr p
SIDE PL- �r/! Y }�
INTERIOR LUUM7WT�
LOT DRA15ME
SMOKE DETECTION- bEVICES
tFIRE DEPARTF0ff-XMsMWT
a
REPORT ID: OPR261 WE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY- # 0508 BUILDING.PERKIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUU1S RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA -8L 0508 97'1
PHONE: (818) 255-0488 EXT:
LEGALL ID: *0. ENST EW
TR: 11497 LT: 2 BL; .001 SG. FT STORIES TYPE OCCUP GROUP 7.0938 FREER ST
1 STRUCTURE: Q 1 VN R3 TENP CA 917803542
ASSESSOR WORMATION NUMBER: GARAGE: Q 1 NEAREST CROSS STREET:
85574-CM-065 OTHER: 11Q 1 THOMAS PAGE; 597 GRID: D3 LOCALITY: TEMPLE CITY
USE E: ED ON: PROCESSED OT--. EXPIRES ON:
EXIST OCC GRP:• 10/ 2/97 UT 10/02/98
DECEMVIRALE SUSIE (626) 443-1176- 1,500
10938 FREER ST DEtNIOTT OF WORK
•l
TEMP 917803542 FEES PAID
EXTEIm COVERED PATIO 110 ADDITIO&ISQ FT ADD TO
FEE DESCRIPTION- OUTANTITY: UOM: AMOUNT: BL9709220024
APPLICMT: TEL. NO:
SAME AS 06MER - AA BLDG PERMIT ISSUANCE 27.75
D2 PERMIT W/O EN-HC 1500.00 VAL 82.95 SPEML CONDIT -
����T�AL FEES 110.70
CONTRA OR: TEL. NO: DATE INSPECTOR—SINUIUKt:
SAME AS OWNER
LIC. NOS ,j Jn
CD; /� r
ARCHITECT OR ENGINEER: TEL. NO:
LIC. NO: '� 'I f 1 � �-" SLA�/LJNDM FLOOR
a '1%, , RAI�M FLOOR FRAMINGMAP NO: SEWER MAP WOK:—PAGE: FIRE ZONE '
3 01 "�LI1 , �41� �G llu�
.ate V
YIDL
W. 0"AMILIES: DWELLING UNITS: APT/COND: STAT CLASS
NO 21 Tc �`ti' �'a a 1—�'- /�/SCHOOL WITHIN HAZARDOUS -�
i f ROOF SHEATWIXG
AIR QUALITY: 1000 FEET MATERIALSNo No No FiRE DEPT. FRAME INSPhLl
REQUIRED TOTAL SETBACK FROM EXIST -z
` BLDG DEPT. FVXr
J.
SET BACK YARD: HWY: PROP LINE: WIDTH:
1�y — Y
SHER PANELS
FRONT PL /
'` ff
SIDE PL- p �:' -•�'� 'oINSULATIONIWEATHER STRIPff
EXT UOR LATH
LOT DRAIWAGE
Mtn DETECTIMREPORT ID: DPR261 ROUTE TO: RSD508
' - I
COUNTY OF LOS ANGELES TEMPLE CITY f 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUiAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9704030066
PHONE: (818) 285-0488 EXT:
LEGAL- ID: No. OF Lims I NEW BUILDING ADDRESS:
TR: 11497 LT: 2 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 10938 FREER ST
STRUCTURE: 0 2 V R3 TEMP CA 917803542
ASSESSOR INFORMATION NUM'BER: GARAGE: 0 2 NEAREST CROSS STREET:
8574-009-065 OTHER: 24 1 THOKAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: T99um—m— PROCESSED BY: IRES ON:
E)(IST OCC GRP: 04/03/97 TC' 04/03/98
OWNER: TEL NO: ON LOT: VALLIATTOW—. FINAL DA CODE:
DECEMVIRALE SUSIE (818) 443-1176- 1 1,780
10938 FREER ST
TEMP 917803542 FEES PAIU— DESCRIPTION OF-WCRK
NEW ENCLOSED ENTRY WAY 24 SQ. FT. DDITION TO BL9610220005
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. W:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG NOTION RESID 1780.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING REVIEW FEE 54.70
B2 PERMIT W/,ENPgY- ' 1780.00 VAL 90.42
:TOTAL FEES 173.37
CONTRACTOR: TEL. NO: APPRMLS DATE INSP
SAME AS OWNER
LIC. NO
SOILS ENGINEER APPROVAL
ARCHITECT OR TEL. NO: FOLINDATION/TRENCH FORMS
h + .
ENGINEER:
LIC. N0: _ � '. y_ � r' I 3 , -- - -` '
- - - RAISED FLOM FR ING
MAP NO: SEWER MAP BOOK. PAGE: FIRE
3• 01
40. OF FARTIrEF-WEIET9 1ST LEVEL FL55UMUTE
No 21ROOF SHEATHING
SCHOOL WITHIN
ZND LEVEL FLOOR SHEATH
AIR QUALITY: 1000 FEET MATERIALS �.
NO NO NOFIRE DEPT.
'+` ----'
REQUIRED TOTAL SETBACK FRO14 E)(I STBLDG DEPT. TUT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- �� 1,Biz ti ,It �Q 1' SHEAR PANELS
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
POKE DETECTION DEVICES
REPORT ID: DPR261 ROUTE TO: BS0508
r COUNTY OF LOS ANGELES TEMPLE CIT( 0 0508 BUILDING PERMIT
'1 DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ~ RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9610220005
PHONE: (818) 285-0488 EXT:
LEGAL ID: W. OF CONST NEW BUILDING ADDRESS:
TR: 11497 LT: .2 BL: .001 SQ. FT STORIES TYPE OCC1P GROUP 10938 FREER ST
STRUCTLAZE: 525 2 V R3 TEMP CA 917803542
GARAGE: NEAREST CROSS STREET:
8574=009-065 OTHER: THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISMED ON: PROCESSED BY: EY IRES ON:
EXIST OCC GRP: 12/18/96 TC 10/22/97
OWNER: TEL. NO: BL.DGS. NOW ON LOT:- VALUATION: FINAL DATE FI CODE:
DECEMVIRALE SUSIE 38,850
10938 FREER ST
TEMP 917803542 FEES PAID DESCRIPTION OF WORK
NEW 2ND STORY ADD. 525 SQ. FT. STER BED/BATH
FEE DESCRIPTION: �QIiAM T�'ti,�11U�17. 1 ,AMOUNT
SAME AS OWNER - B1 PLANCHECAPPLICANT: TEL. W.
K W/ENER61(4.� G&�8 AL-_W X 717 42
AA BLDG PERMIT ISSUANCE _-"`!- - �'-,`� 2 .
AC STRONG MOTIOK-RESIL1- - -- O.-OL"AL, �;. 3t89
B2 PERMIT W/ENERGY �,.. --38850.00 V� 717:
FEFS r 1;466`48 -CONTRACTOR: TEL. -
SAME AS OWNER
LIC. I}0 �ZUTION AND SET
ARCHITECT OR ENGINEER:
LIC. N0: -=-1 - - �T - --_�-��f AT
RAISED FLOOR3 01
1ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: s
SCHODL WITHIN HAZARDOUS
'• ! •'z
AIR QUALITY: 1000 FEET MATERIALSREQUIRED TOTAL SETBACK FROM BLDG DEPT. FRAME INSPECT
fi`i
NO NO No
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS ./
SIDE PL-
INTERIOR LA TT
FIRE DEPARTMM-WOVE
REPORT ID: DPR261 ROUTE TO: BS0508