HomeMy Public PortalAbout10950 FREER ST_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TONA9 ALTERATION/REPA-IR
BUILDING AND SAFETY / LAND DEVELOPMENT T� CITY CA 91780 BL 0508 1102220027
PHONE: (626) 285-0488 ETT:
LEXIA . ID: NO. OF CONST BUILDING Annuuay:
BK: 237 PG: 100 PC: 1 1 9Q. FT STORIES TYPE 10950 FREER ST
STRUC-=: V-B TSS CA 917803542
A9SESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8574-009-085
THOla9 PAGE: 597 GRID: D3 LOCAL.ZTY: 7124PLE CITY, C
TAT: EEIST BLDG USE: RFSID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 02/22/11 SR
OWER: TEL. NO: BLJGS. NOW ON IAT: VALUATION: FpqAL DATE FINAL BY: CODE:
LAU LAV-f A SIU-FLING (626) 255-8036- 3,000
10950 FREER ST
TEMP 917803542 FEES PAID DESCRIPTION OF WORK 14
TTTCB.EN RENADEL AND REPLACE 1 WINDOW
FEE DESCRIPTION: QUANTITY: OOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.80
AB STATE GREEN BLDG FEE 3000.00 VAL 1.00 9PECLAL CONDITIONS:
AC STRONG MOTION RESID 3000.00 VAL 0.50
B2 PERMIT W/ENERGY 3000.00 VAL 109.00
FR INV SARK W/0 PERMIT 128.50 DOL 128.50 -
CONTRACTOR: TTL. 190: TOTAL FEES 266.80 APPROVALS DATE' INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNLATION TRENCH FORMS
LSC. 190: 9LAB UM= FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOL: PAGE: FIRE ZONE: CHP: UNDERFLOOR INSULATION
147H277 3 00
FLOOR 9HEAIET?4G
NO. OF FAIL: DWELLING UNITS: APT/COPD: STAT CLASS: _
NO 21 ROOF SlTATHING
SCHDOL WITHIN HAZARDOUS SHEAR PANEL.9
AIR QUA=: 1000 FRET NgLTERIALS
NO NO NO FRAME INSPECTION
FIRE 9PFINI Rn HANGERS
INSULATION/WEAT1-ffi2 STRIP
INTERIOR LATHDRYWALL
EXTERIOR LATH
RATED FLOOR CELL ASSEM.
RATED FELL A99EMBLSEB
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT LFA
REPORT ID: DPR261 ROUTE TO: B90508
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1
certif atte of Workers' Com-m I have atpensationn Insurancof consent to e, APPLICATION FOR '' BUILDING PERMIT
,ortifted copy therogf (Sec. 3800, Lab. C.J
COUNTY Of LOS ANGBES WILDING A!p
Nb. Company
Certified copy is hereby furnished. FORA ICANT TO FILL IN BUiLDItV(
ADDREss ►
Certified copy is filed with the county building inspec-
tion depprtment. ADDRESS
App l icont CITYQ]Cf ZIP LOCALITY
CERTIFICATE OF EXEMPT►ON FROM WORkERS' ► .NO.OF BLDG& t&AREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON OT ST.
section nASSESSOR
eed not be completed If the permit is for ore TRACT ( b 3 BLOCIc LOf N0. i,MP PJ1�
dollar($11 OD)or lea.)
OWNCR L 11%J rg ]-j d LJSE
that In the prformance of the work for hnrfhicfm thist�
H b tsared, I shall not employ any *In any manner, ADDRESS [E3 Z i
iD become subject to the Worker% Cotnpernntlon Laws
k / !OApplt iCITY
CIC �Ihl. erttflcahofARCHITECT OR Thi DiSTRtCT TYPE BY
TO APPUCANT: ff; mak
mption, you should become subject to the Workers'.. r�R NO ZtiP!
ion provbiorn of the 6obor Code, you must forth-, i
comply with such provisions or this permit shall be ADDRESS
STATION AFT.
Tied revoked. CONTRACTOR I CLASS NO. DveL min=1—ucltr�coNTwAcrof:s DECLARATION LIC.
affirm that I am fkxmssd urx*r provisions of Chapter 9 ADDRESS V Na
mwr.dng with Section MW)of DivWon 3 of the Buskmees and` LIC. WWER
bnkmu Code, and my Iicertse is Ih full force and effect. 4 CITY CLASS k EK Pa. 3 YAiDJ►TIOIi
Si IVO.OF NO.OF OEOC
Number Lic C SIZE STORES F ONE
VALUATFON
rractbr Dat. DESU"ON OF WORK $
{ ADD ,
1 am exempt under Sec.
� Qgu ALTi:e
B.&P.0 for this reason REPAIR
Dais. LISE OF DEM01. Z
EXISTING BLDG.
TEL
Sigrmature OWNER-BUILDER DECLARATION nF nNT r DATE
*by affimi that I am exempt from the Contractor's License �'
for the following reason (Section A21.5, BvWnass and
Ions Code):
BUILDING
t I, as owner of the property, or my emplayests with ADDRESS
wages as their sole compensation,will do the work and
the sure Is not Intendoffered ed or oered for sake(Section LOCALITY
truct
7044, Business and Professions Code). MOVING TEL 1
I, as owner of the property, am exclusively contracting OR NO ACCT,?
with Ikensed conkociors to construct the pro(ect{Sec- ADDRESS j 60.50
tion 7041, Business and P.afegiona Coded TOTAL j
CONSTRUCT10N LENDING AGENCY I B%� YARD HWPiWa
1
affirm that*.*re is a construction kw-ding agency for T
(performance 0 the work for which this permit Is k P L TOTAL 60 -50
3097, Civ. C. SIDE MOO
P.L A�S�H�y�+
i s Nur a LDMA Ref. ! 1�711t3. p9.50
:Ier's Address P.C_ Fee,$ PwmH Fee
tify that I haw read this application and state that tfe I.uonce Fee LDMA P/C 1 JJ 10/89
information is correct. I agree to comply with off Couhtllnvestlgatton Fee �u.I r1 n6
cm and State laws relatkmg to building construction;. TokA Fee �VV (DMA Perm. L, 1 AM10�09
hereby outhortze represernaHves of this County to enter
n ifs vo-recti `property for InspettIon purposes. .0
Signa«,r.of Applicant or Agerrt Dore ,.il!<1►t.tf! /��� 3 r G/ r ^Ili/G It- �h.l T�-
6 � p
WORKERS'COMPENSATION DECLARATION
rnsu certlficca'hot
teo Workers'tComte of pennsatoneInsurane, APPLICATION FOR BUILDING PERMIT
orb certified copy thereof (Sec. 3900, Lab. C.)' '
�� �� COUNTY OF LOS ANGELES BUILDING AND SAFETY
Polity No o Company
❑ Certified topy A
hereby furnished. FOR APPLICANT TO FILL IN ADDREBLqJNWSS
DDRESS
Q, Certified copy is filed wjth thacoun(y building Inspec-
tion Department.hry/
�FICA
Ica ' CITY ZIP LOC,,LMPTION.FROM NO.OF BLDGS. i NEAREST
COMPENSATION INSURANCE SIZE OF LOT D -NOW ON LOT 1 ST.
(This ectign need not be completed If the permit Is for one TRACT LOT NO MAPPAGEPARCH
BOOK
hundred dollan'($100)or lest.) TEL ,y��—
OWNER i Y110� ONE.
I certlfy that in the performance of the work for which this NO.
.
' permit is Issued, I sball,not employ any person in any manner �� SPECIAt
to as to become sublectto the Worker CompensADDRESSatlon Laws. COND
' CITY � ZIP
Date
— Applicant ARCH ITK7 0Q TFL
NOTICE TO APf LICANT: If, after making.this Cer.lflcats of ENIGI�R / DISTRICT TYPE ZotBRE By
'Exemption, you shoJld become subject to the Worker' �� COtJST.�. ZO�fE
Compensatlon provlslorn..of the Labor Code, you mutt forth- - ADDRESS ��jr, s 1
with cgtnpty with such provisions or this-'*mlt shall be .
ddemed revoked.' / STATISTICAL CLfti551FlCATION APT. CQhDO.
CONTRACT
LICENSED CONTRACTORS DEO,ARATION 0155 NO. D4VIELL UNTTS�
I hereby affirm that I am licensed under prbvlslons of Chapter 9 ADDI//D s• �� 0
NEW
(comrnedan
nctng with Sen 7000)of DivWaci 3 of the Buslsss and U<_ SEWER MAP
Professlons Code, and my litems is in full force and effect. CLASS 13 BK_F_PG. 3 VALWAT101411
/�� SQ, FT. NO.OF tJO. OF CHECK
11cense Nu�myl•�w �"�.-�,���- r� Llc.Classy SIZE STORIES FAMILE5 ONF
Contraa -o 4 `^—�r� ~ e• p �S IPTION OF WORK r SAL # e a�
❑ laexempt under Sec. �—� A41 7 5 5 4 5
B,RP,C. for this reason
• 75545
OF
Date:. o T ,G BLDG. DEMO I=1,,p 2,'�8 8 Z
APNKANt p ATCCT.T . n,L
Signature PRIN7NAL
� �{7 0 7�� VJT.
OWNER-BUILDER TION DATI ;-`
I hereby affirm that I am exempt from tHe Contractor's License _a
Law-for the following reason (Section 7031.5,'Buslnen and jq 1 ITM .
Professions Code): 1. PRESENT TOTAL- 11334.'25
. BUILDING
I, as owner of the property, or my employees with ADDRESS r
-.wages as their sole compenW Ion,wl I I do the work anq Cly
the structure Is not tniended"or offered for sale(Section LocALrTY a'_f i J J ti
7044, Buslnea and Professions Code} MOVING Ti , `� ` .w
I, as owner of the property, am exclusively contratting "
OR NO... 1
HWY PROP.
with licensed contractor to conafruct the protect (Sec- �+ A{ _
tion 7(11 , Bwlness and Professions Code). ADDRESS � , '� (f �
CONSTRUCTION LENDING AGENCY, YAIf 89
t
TOTAL SETBACKt� `\ :. _ _
RD Ld,E WIDTH ,. �J ` 22'� 1 AM 3.
.I hereby affirm that there Is a construction lending agency for11
FRONT ' 'y, >;`"•„� t;1
the performance of the work for which this permit Is Issued P.L
($ec. 3097, Ov. C )_ SIDE
P.L
LDMA Ref. f f
9 P.C Fee f Perm k Fee r
Lender's Address
I'certify that I have read thl/ appllcatlon and.state that the r�7 d. LOMA P/C
a above Inforrrwtlon Is correct. I agree to comply wtfh all County Invest on Fee
19at1 i
$ ordinances and Stpte laws relating to building construction, Total Fei LDAAA Perm.1
R' and hereby authorize repretentativet of this County to enter
upon the above-mentioned property for Inspection purposes.
3 D SM R/Vl FOR OQLAMATORY LASIGUA44 r ;#
Slgnafure of