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Home My Public Portal About10022 DAINES DR_Building__ DEPARTMENT OF G AND SAFETY APPLICATION FOR PERMIT `1--- �r(;,= COUNTY O NGELESB- U 1 L ® 1 14 G _ C WM. J. FOX, CHIEF ENGINEER r FOR APPLICANT TO FILL IN FOR OFFICE iTSE ONLY BUILDING DISTRICT NO. --PLAN-CK.-NO. - - --PERMIT-NO.. •1 ADDRESS LOCALITY V2W RECEIVED BY `'I DATE OF APPL. �'� ` DATE ISSUED NEAREST I '�Y� �// 'S�� Z Z..3 /4"/ CROSS ST. .n' Lo A A ` 1 BLJILDINO � OWNER J► !) ADDREBS �Od2-.� � /,_ �.e,.�.,,�s�0,,.►y MAIL ` LOCALITY �:rW ADDRES9. 4®off 1 t NEAREST o♦ CROSS ST. CITY .gi;•� /7 NO.✓ -I FIRE -I—ND.-OF TYPE GROUP ARCHITECT DR-_ .� (2IZ�wld'/' NO. �oe ZONE PLANS-7l, ENGINEER �G rte(// �f (/,� BLDG. ORD: NO. ADDRES9 % Z �T SETBACK,LINE / EL [� PPROVED CONTRACTOR&. NO. ,7 Y DATE e ,, P • USEAPPROVED ADDRES9 19 W CCG ,, ZONE BY DATE LEGAL - ' ;n f CORRECTIONS DESCRIPTION 1. LOT NO. BLOCK TRACTf3.� �/�/p� 'f 4' NO. OF BLD 9. / SIZE OF LOT NOW ON LOT qty # USE OFI NO. OF I NO.OF EXISTING BIDG. FAMILIEH ROOMS ' DESCTION OF WORK NEW ALTERATION ADDITION - REPAIR MOVING DEMOLISH - O SW.FT. NO.OF — � F 6 c' SIZE -! ® ROOMS STORIES �t -q� �,4 , - 9 �� WALL ROOF / COVERING e I COVERING //��,i.f Is ,/ USE OF NEW BUILDING d`�rA tl � I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS' AP OVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION INSPECTOR DATE AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS, MATERIALS % �y'r/ ._...•- � , FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTS PERMITTEE , � LATH, INT. AUTHORIZED AGT. LATH, EXT. �J 76A639A-3 i❑-sv $ g 'r-o P.C. G/ TS+ PLASTER, INT. Jm FEE / I PLASTER, EXT. VALUATION FINAL ,r FEE - I6A838A CE.#8035-61 APPLICATION I FOR BUILDING PERMIT , COUNTY OF LOS ANGELES :BUILDING l' DEPARTMENT OF,COUNTY ENGII`JEER ADDL , BUILDING AND SAFETY-DMSION LOCALITY r JOHN A.'LAMBIE, COUNTY ENGINEER NEAREST ` WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST r' DISTRICT G OU TYPE P ` SSED BY' FOR APPLICANT TO FILL IN j';`} TV NPE BUILDING STATISTICAL CLASSIFICATION l SE ER MAP ADDRESS- : K PG. CLASS NO DWELL'UNITS " : LOT NO. BLOCK WATER NOT REQUIRED RECEIVED I r CERTIFICATE TRACTJ yy MAP HIGHWAY STATE MAJOR SECOND, LOG AL SIZE OF LOT; /� / sC I NOW ON,LOTS SO ZONE SPECIAL LE) E'OF / CONDITIONS EXISTING BLDG , ° TEL,(; OWNER V • U BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS a O / - FRONT L /yam f /s ARCHITECT OR TEL. P L /L�L�L v�c•��I' _ G_• ENGINEER _ NO SIDE IL _ r P L O V ADDRESS TEL. INSPECTION RECORD. m CONTRACTOR NO. I O ADDRESS W DESCRIPTION OF WORK Y /A H '3 Tl�/,�_ ,��`'�.'W �rtt� _•tee--, r��f�)... .a�.�.o�G � NEW ADD ALTER- REPAIR DEMOLISH SQ FT. NO OF NO OF IZE 0 STORIES FAMILIES A,An J USE OF � w r">^� STRUCTURE • i SIGNATURE OF �-� APPLICAN VALUATI 041 APPROVALS DATE INSPECTOWSSIGNATURE FOUNDATION. LOCATION P C 07PMT. FORMS, MATERIALS FEE $ '�- FEE $ r FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 'BRACING BOLTSm0 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE. LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS ' BUILDING CONSTRUCTION I CERTIFY'THAT IN DOING THE`WORK _ AUTHOR I ZED,HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABO ODE OF THE STATE OF CALIFORNIA RELAT- ING TO WO KM COMPE SA ION INSURANCE LATH,EXT. SIGNATUR HOUSE NUMBER COR- ' PERMITTE RECT AND POSTED n/ ADDRESS t FINAL / Ml��l CLYDE N. DIRLAM,'PRINCIPAL STRUCTURAL EN R PLAN CHECK-VALIDATION cKi. M.O. CASH PERMIT VALIDATION cK. m.o. CAYN APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY, WORKER'S COMPENSATION DECLARATION � L FOR APPLICANT TO FTL'L IN `r BUILDIN OADDRE,SS ti 'L BUILDING ADDRESS ts I hereby affirm that I have a certificate of consent to self Insure, DIZ 1 C z or a certificate of Workers'Compensation Insurance,or a Certified L �� !. copy thereof(1Seec 3800,Lab C) � `/L• / LOCALI Policy NR/�, 9z Company ZIP,/ SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby fumished `1��.3 N T rROOSSSS T , ''f� TRACT BLOCK LOT NO Vo^t&, �w� 'vAI N ❑ Certified copy is filed with the county building Inspection USE ZONE MAP NO depa en //c Date 7 L Applicant &JAw'V t /'j tuAs , �ESSORAOA Qy PAGE�� PARCEL/O SPECIAL CONDITIONS IN ICERTIFICATE OF EXEMPTION FROM WORKERS' R S.7F' �'� `. Al- T�, „� • YES NO COMPENSATION INSURANCE M WITHIN 1000 FT OF SCHOOL? AD/pRESS T (This section need not be completed if the permit is for one hundred I O ZZ V� DISTRICT GROUP CONST' FIRE ZONE PROCESSED BY dollars($100)or less) , ZIPI ! 7� I certify that in the performance of the work for which this permit L O F is Issued, I shall not employ any person In any manner so as to ARCHITECT ENGINEER TEL NO - f pa become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS - CLASS NO P�2-_l —DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of EE REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR �[ L/L N �� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith I/i/ • �7 7 , FRONT comply with such provisions or this permit shall be deemed revoked PIL �ply DR � t �� LIC NO 1&Z SIDE a LICENSED CONTRACTORS DECLARATION +1 ��/T . LIC LASS PL CD � v I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP so(commencing with Section 7000)of Division 3 of the Business and O OF STORES NO OF FAMILIES Professions Code,and m license is in full force and effect NEW ❑ BK PG p DESCRIPTION OF WORK • ADD ❑ VALUATION d License Number Lic Class Q STItt �TcN4.� g Ooo°A z Contractor��rE ate S�Z7� ALTER ❑ O O F V REPAIR ❑ ❑ I am exempt under Sec B&PC for this reason Ric, SNKr Abit P4=11k F DEMOL ❑ LOMA P/C# Date USE OF EXISTING LDG URM Cl i Signature APPLICANT(PRINT) TEL NO " LDMA Perm# El 1, as owner of the property, or my employees with wages as #/4 IL 4 17_7SIS Q their sole compensation,will do the work and the structure is D � ✓4 /S_ - -- A not Intended or offered for sale (Section 7044, Business and /�'� FINAL DATE ) Professions Code) ' . j' • G y __`I-, WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ^� i I�: _ , OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ❑ 1, as Owner Of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > i'-i!A licensed Contractors to construct the project (Section 7044, YES 1:1NO❑ iiL --x- Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING -- OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH• t CONSTRUCTION LENDING AGENCY COAST DR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLISTFOR ES hereby affirm that there Is a construction lending agency for YES ElNO 11the performance of the work for which this permit is issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,Civ C) PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES , I •I_.i"y-j'' =•rr;•x y, COUNTY CODE,TITLE Z CHAPTER 220 SECTIONS 2 20 100 THROUGH220110 CONCERNING - -)'r(`^'' ^i''•' Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 9 e ; Lenders Address O- MMER OR AGENT ' 0 1 Certify that I have read this application and state that the above PC FEE PERMIT FEE 2 information is correct I agree to comply with all county O 'Qd ordinances and State laws relating to building construction,and ✓ v v hereby authorize representatives of this Co my to enter upon ISSUANCE FEF the a e-mentioned rope in ctf purposes INVESTIGATION FEE TOTAL r spurn. Imm«pan SEE REVERSE FOR EXPLANATORY LANGUAGE -0-6-JTY Of"LOS O�GELES� w: TLMPLE CITY - # 05158 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS- 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP r BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9908130024 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF CONST N LD G D SS:- ON FILE SQ. FT STORIES TYPE OCCUP GROUP 10022 DAINES DR STRUCTURE: 145 1 VN R3 TEMP CA 917802704 ASSESSOR INFORMATIONBER: GARAGE: NEAREST CROSS STREET: BALDWIN 8586-023-010 OTHER: THOMAS PAGE: 597 % GRID: B3 LOCALITY: TEMPLE CITY TENANT: L SE: USE ZONE: ISSUEPROC ES 0 : EXIST OCC GRP: 08/13/99 'UT 02/09/00 OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINA BY: CODE: ERDMANN ROBERT W JR;BARBARA (626) 579-4949- 1 30,000 _// &V - 10022 DAINES DR. c TEMP 917800057 E DS T K ADD 145 SO. FT.-ADDING DINING ROOM,APAND EXIST. LIVING ROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ADD WALK IN CLOSET TO MASTER BATH AND REMODEL KITCHEN APPLICANT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 30000.00 VAL 3.00 SPECIAL CONDITIONS: AX BUILDING REV IEW_FEE—� 54.70 B1 PLANCHECK-W%ENERGY---30000-00 VAL 501.80 CONTRACTOR: . NO: � d-��TOTA,-FE�� 587.25 S APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NOARCHITCA 0 D S A/ ECT OR ENGINEER: F RE C LIC. N0� lllllll SLAB/UNDER FLOOR RAISED FLOOR FRAMING !z� MAP 0: SEWER MAPBOOK: PAGE: FIRE ZONE: UN E FLOOR INSULATION 3 U1AA V UEDS L � V n V G�K3 L /� N0. OF FAMILIES: I GP /CON S:- NO 21� 0 D LEVEL FLOOR SHEATH SCHOOLWI HAZARDOUSi,` O ;* F SHEATHING AIR QUALITY: 1000 FEET MATERIALS i NO NO NO �� n � y FIRE DEPT. FRAME INSPECT REQUIRED L SETBACK EXIST !�� (� '�(� D PT,,FR EC SET FRONT PL- YARD: HWY: PROP LINE: WIDTH: ��pVL'JC�� SHEAR PA LS OOH SIDE PL- &� INSULATION/WEATHER STRI - INTERIOR LATH/DRYWALL EXTERIOR LATH i r LOT DRAINAGE SMOKE DETECTIONDEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508