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Home My Public Portal About10030 DAINES DR_Building__ DEPARTMENT OF BUILDING AND SAFE Z81 APPI.ICATION.FOR PERMIT gV COUNTY OF LOS ANGELES - V- WM. J., FOX, CHIEF ENGINEER -t• 'BUILDING FOR APPLICANT TO FILL IN FOR,OFFICE USE ONLY DISTRICC�NO. PLAN2CK. NO. PERMITT NO Lj ADDREBUILDSS .� Dpi , V V �l I,y F S R CEIVED BY - DATE OF APPL. DISSUED LOCALITY ' ^j � lrE- NEAREST CROSSST. VN BUILDING ADDRESS /O 3•,0 OWNER MAIL ` LOCALITY ADDRESS h6;l I - �� NEAREST CITY • -t+ �-w NO �`/Et�'`Il R FIRRE S ST. I NO. OF I P ARCHITECT OR TEL. ZONE, PLANS p! ENGINEER NO. SETDG.ACK LINE / (L ADDRESS APPROVED - DATE CONTRACTOR /� '� t1 b�NE. USE APPROVED ^ / • ZONE BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION LOT NO. BLOCK t-a>� MAP NUMBER 0' ---FIELD CHECK BY , TRACT ASSIGNED BY�AT No. OF BLIDGS.. CORRECTIONS d SIZE OF LOr I NOV OJN LOTV USE OF aOn / �, i•"91) F MILDIES • �DESCRIPTION'O£ WORK .G�ncF �! �// Thi O >tfrK '//ou.s6.'S�iN at.UrK, NEW I A: - I ALTERATION I I ADDITION O ' REPAIR •` 11 I DEMOLITION I I I / A SQ. FT.• NO. OF, 7— SIZE „' ROOMS STORIES _ Z EXT. WALLROOF - r' COVERING /'I(;OVERING USE OFSTRUCTURQ 41 APPROVALS INSPECTOR,pS SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT I HAVE•READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS Z �i�/'� CORRECT. 1 AGREB TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, n HEREON AND WITH ALL COUNTY ORDINANCES 'AND STATE BRACING, BOLTS N �y LAWS REGULATIG IirD1IJG Ci)NSTRUCTION. \ C� FURNACE: LOCATION, , SIGNATURE OF GAS VENT, DUCTS PERMITTt< 411 1 / /....P�!'��..r�GC.f LATH, INT. ADDRESS LATH, EXT. AUTHORIZED AGT: PLASTER, INT. 7awes8A car's 10-00 P. C. $ "--7U, S ® P, 0-% FEE �� PLASTER, EXT. yA VALUATION iv b FEE $ a [ o FINAL v V , TEMPLE-CITY 76A638A Ci#803- 1-61 -APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY 'JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUP'T OP BUILDING CROSS ST DISTRICT N G P TYPE PRO BY FOR APPLICANT TO FILL IN ��'� (� CONST. BUILDING `/ STATISTICAL CLAS CATION SEWER MAP ADDRESS 1 fJ lK BK PG CLASS NO DWELL UNITS LOT,NO BLOCK WATER ��ss •�/ / CERTIFICATE NOT REQUIRED RECEIVED TRACT G N �! "/ d/g'�I�g/-Yj(/� MAP /� HIGHWAY STATE MAJOR SECO LOCAL ,/' NO OF BLDGS. NO �W�/ (CIRCLE) SIZE OF LOT �/� �+O0 I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. 04gz TEL OWNER FL E �VNO I�,�' BUILDING ' YARD HWY TREET NAME EXIST SETBACK - WIDTH ADDRESS OO D S ;c. FRONT ERCHITECTAi�`� /ANTE �Ti.S'��✓NO / P L /r /1' SIDE P L ADDRESS C TEL. IplSPEQTION RECORD- - ,� a CONTRACTOR / y" NO. F� Q ADDRESS 'DESCRIPTION.OF WORK W NEW ADD ALTER 'REPAIR- DEMOLISH .n, ' y SQ F ' NO OF NO OF Z IZE STORIES FAMILIES USE OF STRUCTURE ' SIGNATURE OF APPLICANT _ VALUATION$ - APPROVALS jDATE INSPECTOR'S SIGNATURE FPC PMT EE $ �- FEE $ FOUNDATION LOCATION di/ I`f ��d "/�� ' FORMS, MATERIALS FRAME FIRE STOPS, iC IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS [/ AND STATE THAT THE ABOVE IS'C0RRECT AND AGREE TO COMPLY FURNACE. LOCATION, _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT ��/ /�• TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPE ATION ISURAN E i• C� LATH,EXT SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL CLYDE N DIRLAM, PRINCIPAL STRU RAL ENGINEER PLAN CHECK VALIDATION cK. m.o. cABN PERMT VALIDATION//(!K M.o. cASH ��,�a 1 12 3 APR 13 1 D. .�J G I APPLICATION , FOR BUILDING PERMIT -FOR•APPLICANT TO FILL IN (Pnnt or ty De-only)' ,B U' Lol NG COUNTY .OF LOS ANGELES ADDRESS V - S '. )"� - - DEPARTMENT OF, COUNTY ENGINEER _ clry^^� " ' zl P�;y�� ' BUILDING -AND SA TY DIVISION ,_= r 40 OF'BLDGS ,+ BUILDING SIZ,E,O-F. LOT.'QQ X ZQ NOW ON LOT / v - ADDRESS1 ILA . TRAC -3� BLOCK' - , LOT NO v LOCALITY -- TEL ^' j NEAREST 1 OWNER' ",V"S LL. ( NO 1�^�1� � CROSS ST - ' _ ASSESSOR ADDRESS 3Q y MAP•BOOK PAGE EL DISTRICT GROUPTYPE FIRE ROCE ED BY ,CITY /.� 1 ZIP % 6 0 �D CONST r ZONE ARCHITECT OR- _ TEL (ENGINEER �F NO - _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS_ CLASS NO p�J ,_DWELL UNITS BK PG CONTRACTOR - - - TEL USE ZONE MAP - NO NO d LIC _-/ _ •ADDRESS _ — NO '- SCO CIT :LIC ONNDIPECIAL TIS ff Y„- vlj - '-1 -CLASS - ROAD DEPARTMENT APPROVAL REQUIRED YES❑- NO ❑ CONSTRUCTION krifNDER NAME AND BRANCH '- BLDG SETBACK FROM - _ _ - - - FRONT PROP LINE OF (STREET) AD RISS - CITY _ TOTAL SETBACK FROM TYPE OF EXISTING U HIGHWAY. } YARD >NO OF NO OF - -- CHECK -FRONT PROP LINE= - HIGHWAY WIDTH STORIES FAMILIES ONE = + CD DESCRIPTION OF WORK NEW W ADD [:] BLDG•SETBACKFROM (STREET) N SIDE'PROP. LINE OF Z - - - ALTER ❑ HIGHWAY + YARD ' = TOTAL SETBACK.FROM TYPE OF EXISTING - REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH USE OF DEMOL ❑ + - .EXIST(NG.BLDG - - APPLICANT TEL- CORNER CUTOFF YES ❑ _ NO:❑ (PRINT) . NO, BY (SIGNATURE) - - IN OPEN SPACE Y-ESS❑ NO ❑ - t QQ IN COASTAL ZONE - YES ❑ NO ❑ -VALUA-T-ION-•D- Q! 'r -- CATEGORICAL EXEMPTION YES❑;_ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL , AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED-^ (DATE) WITH 'ALL ORDINANCES AND LAWS REGULATING BUILDING CON- S T RUqTION ON-STRUCTION” I CERTIFY THAT IN DOING THE WORK AUTHORIZED, IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON INT-VIOLATION OF THE - LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO - WORKMEN'S -COMPENSATION INSURANCE D SIGNATURE OF - M . PERMITTEE ADDRESS Btf-� FINAL'' BY . TEL' DATE -- CITY Pi NO 111E E (,111,-'RS. P1)-1f3LL 10 -F E � FEE HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK-VALIDATION' CK M O CASH _ - PERMIT VALIDATIO c M o CASH 76A638A CE#80312/72 tin 1 1,6 3'i3. 'MAY17. 1. o 9.0 OM 4- WORKERS' COMPENSATION DECLARATION 'I herey insure,loraafcertif catteiof ofWorkers' Compensation eInsuran ent to' lf APPLICATION FOR_ BUILDING PERMIT or a certified copy Thereof(Seca 3800, Lab. Cr) - Z2.1 7 ,� x • / :COUNTY OF LOS ANGELES. BUILDING AND SAFETY Policy NoW Company F d�'-�'�'�YY .,.Certified copy is hereby furnished: w / FOR APPLICANT TO FILL 1N ADDRESS QG� � ❑ Certified copy is filed with the county building inspec- BUILDING7 &011& d& tion department. ADDRESS u Date �I'.^I' Applicarr+� c CITY a (Er ter ZIP 1 a o LOCALITY ^ CERTIFICATE OF EXEMPTION FROM WORKERS' / NO. OF BLDGS. NEAREST "COMPENSATION INSURANCE SIZE OF LOT X 17�+ NOW ON LOT CROSS ST. � (This section'need•not be-completed if the permit.is for one - -- . ASSESSOR , hundred dollars ($100)or less] TRACT BLOCK LOT NO. MAP BOOK' PAGE PARCEL _ TEL , I certify that in the,Performance of the' for which this OWNER ww NO. — EZONi /�� "'vr.ry USP pC(�JD NO. permit is issued, I shall not employ any person in any manner SPECIAL so as'fo become subject to-the Workers'Compensation Laws. ADDRES-S—�� CT 5 dLl i�' {� CONDITIONS V CITY . ' \�'' nt'z L�.G ZIP 7 sv -- O Date Applicant ARCHITECT OR ��LZ. DISTRICT J.GROUP TYPE FIRE PROCESSED BY IN TICE`'TO APPLICANT: If; after making this Certificate of ENGINEER NO. Exemption, you should become subject to The Workers' r• CONST. �. ZONE � Compensation-provisions of the Labor Code, you must forth- ADDRESS ; ✓`U�with comply with such provisions or This permit shall be TEL. deemed revoked. .,, ,�}� �� STATISTICAL CLASSIFICATION APT. ONDO. CONTRACTOR ai. iv11✓ i NO. y( LICENSED CONTRACTORS DECLARATION ,[ LIC. CLASS NO. HZ ' DWELL.UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS G 4- +✓ (,3 '� i+H-� S� NO.4 7/k.'Z SEWER MAP (commencing with Section 7000)of Division 3 of the Business and ¢ LIC. Professions Code, and my license is in full force and effect. CITY 4 Sd' ? ;, Com#}, 11/0 ' CLASS BK PG.-- VALIDATION ' SQ. FT. / S- 6 NO. OF NO. OF CHECK 7 �S .2'L- ,�' SIZE _ STORIES FAMILIES' ONE ' � 11 License Number ` Lic.Class C $ 8 7,8 A a ' ContractorAll"'0`L�F`'S h"�C`y" Date 4—/r tc '" DESCRIPTION OF WORK DD 2 i3�D �� NEW,- VALUATION d, ❑ z 1 ❑ ADD I am exempt under Sec. 'Y 1 ISA h:� 14 `il1 ATT Aci4 'r,� ❑ , ALTER # 0 0 0 0 0; BAP.C. for this reason tHFr I:�:AIZ c j� vxlST.l�r(j P3t.DF) REPAIR ❑ $ - a4.9, 88 USE OF Date: j) DEMO" ❑ 0 0 0 4 9. 8 8 v EXISTINGBLDG. = . Signature APPLICANTT TEL. _ FINA OWNER-BUILDER DECLARATION (PRINT) �%t (�',� NO. �// DAT ,0-i� 1-9-85 I hereby-affirm.that I am exemptfrom the Contractor's License ��i G/flo Law for the following reason (Section 7031.5, Business and ADDRESS �q �% I/`��`�L` ^" ��• �'E►ic =r 64: FI Professions Code)`:' PRESENT B ❑ BUILDING I, as owner of the property, or my employees with ADDRESS •� lv . wages as their sole compensation,will do the work and t L' the structure is not intended or offered for sale(Section LOCALITY 7044, Business and-Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. "with licensed contractors To construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE 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 P.L. Lender's Narhe LDMA Ref. # m -• P.C. Fee$ - Permit Fee ' Lender's Address > ' . 'I..certify that I-haveread this application and state that the Issuance Fee �� LDMA P%C.# a above information is correct. I agree to comply with all County Investigation Fee C 1 a ordinances and State laws relating to building construction, Total Fee o LDMA Perm. # d and hereby authorize representatives of this County to enter m upon a above-mentioned property for inspection urppossees. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent -- Date l t - APPLICATION FOR, BUILDING PERMIT . . i1 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, a or a certificate of Workers'Compensation Insurance,or a certified O D 3L) copy thereof(Sec.Mab ab.C.) ,rte CITY ZIP AWES VO -7y/- b } LOCALITY Ll. Policy No. Company Company L "' SI OF LO NO.OF BLDGS.NOW ON LOT Certified copy is hereby furnished. ( l -?O NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. de art ent. r ASSESS R APB OK PAGE PARCEL SPECIAL CONDITIONS Date 2 �°' Applic E^�"' W p 2 00 CERTIFICATE OF EXEMPTION FROM WORKERS' OWNE '" 44 (THIN 1000 Fr.OF SCHOOL? YES NO COMPENSATION INSURANCE ADDRESS (This section need not be completed if the permit is for one hundred p a '+� �7 DISTRICT GROUP TYPE CONST.' FIRE ZONE CESS BY dollars($hat or less.) CITY.— ZIP j`� f-3 n• i'� certify that in the performance of the work for which this permit l �.. C.: f is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject t0 the Workers' CONTRACTOR TEL.NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith U 4 f- `7 + - 3 f 7-7 VJ-s comply with such provisions or this permit shall be deemed revoked. ADDRESS y� 1 , q LIC.NO. FRONT 5 Q• �V .. '1 Amb Yi y —� E'2- SIDE LICENSED CONTRACTORS DECLARATION cl LIC.CLASS PL ftps.� Is I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SLZE tG NO.OF STORES NO.OF FAMILIES O Professions Code,and my license is.in full force and effect. �1--1 f NEW ❑ BK PG � DESCRIPTIONOF ORK VALUATI N �/�,. Poo. N License Numb r �' Lic.Class ►� ADD ALU �(/ Contrac e J—��`�� ALTER ❑ Z ❑ I am exempt under Sec. REPAIR ❑ $ B.&P.C.for this reason DEMOL ElLDMA P/C# Date: OF EXI ING BLDG. URM ❑ Signature APPLI ANT(PRINT) TEL NO. LDMA Perm# ❑ 1, as owner of the property, or my employees with wages as -7 f �'-7 p their sole compensation,will do the work and the structure is ADDRESS ` � 9 AA ,t At t:j Bg not intended or offered for sale (Section 7044, Business and '' IBJ• ��h r-.7 t, e�✓C FINA 7E fn r� Q PfOfeSSIOnS Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1✓ J Ir 00'3307 _ , 39. OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q �� ❑ I, as owner of the property, am exclusively contracting With THE AMOUNTS$PWIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY �j i € L!E f licensed contractors to construct the project.(Section 7044, }�' Business and Professions Code.) YES❑ NO/ESPi l HL339 - 63 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING COAST AOCCUPAIIR QUQALIRE A PERMIT FOR CONSTRUCTION OR ITY MANAGEMENT DISTRICT(SCAQMD)SEECATION FROM THE SOUTH P PERMITTING CHECKLIST CHECK a i°�.F,6ti; CONSTRUCTION LENDING AGENCY i"IE�f� FOR GUIDELINE . I hereby affirm that there is a construction lending agency for YES❑ No CHANGE .00 the performance of the work for which this permit is issued(Sec. I HAVE READ HE HAZAgDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES - •-- co. COUNTY CODE,TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING _1_ C nen r ,; a Lender's Name OUS MATERI s REPORTING N iFOR OBTAINING A PERMIT FROM THE SCAOMD. I��f I„�0itr a Lender's Address {1 / 3' i0 OR AGENT' t F(� 7 L j•�i o 1 certify that I have read this application and state that the above PC.FEE PERMIT FEE g information is correct. I agree to comply with all county /_ . a ordinances and State laws relating to building construction,and SCJ a. hereby authorize representatives of this County to enter upon ISSUANCE FEE �� m �thea ove-mentioned prop rt y for inspection purposes. 3, .`f/� INVESTIGATION FEE TOTAL FEE �/ c., SIB^etre of ApplNant^r ABmrt Deb 1,93 SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0506 0810070003 PHONE (626) 285-0488 EXT LEGAL ID' I NO OF CONST BUILDING ADDRESS ON FILE I SQ FT STORIES TYPE 10030 DAINES DR ISTRUCTURE V-B I TEMP CA 917802704 ASSESSOR INFORMATION NUMBER - I I NEAREST CROSS STREET- - - - - -- -�- - I8586-023-009 I I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl I I I I TENANT IEXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY I IEXIST OCC GRP 10/07/08 SR T OWNER TEL NO iBLDGS NOW ON LOT VALUATION (FINAL DAT 13Y CODE RAMIREZ, RICK (626) 780-0100- 3,000 10030 DAINES DR I- EXPIRED TEMP 917802704 I FEES PAID IDESCRIPTION OF WORK I IBATHROOM REMODEL VANITY REPLACEMENT/SHOWER/TUB REPLACEMENT I IFEE DESCRIPTION -QUANTITY UOM AMOUNT ITILE & GRANITE INSTALL I (APPLICANT TEL NO I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 I I IAC STRONG MOTION RESID 3000.00 VAL 0.50 ISPECIAL CONDITIONS I JB2 PERMIT W/ENERGY 3000 00 VAL 108 90 I TOTAL FEES 137.15 _ I I I I ICONTRACTOR TEL NO- I (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I I I LIC NO ILOCATION AND SETBACKS I I I I I I I I I ISOILS ENGINEER APPROVAL I I I I I I I I (ARCHITECT OR ENGINEER: TEL NO. I IFOUNDATION/TRENCH FORMS I I I LIC NO (SLAB/UNDER FLOOR I I I I I I I I I IRAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I I147H269 3 001 I 11 I I I IFLOOR SHEATHING I - INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I I NO 21 1 IROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I (AIR QUALITY. 1000 FEET MATERIALS I I NO NO NO (FRAME INSPECTION I I I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS ISET BACK YARD HWY- PROP LINE WIDTH - (FRONT PL- I INSULATION/WEATHER STRIPI I I I SIDE PL- I (INTERIOR LATH/DRYWALL I I I I I I (EXTERIOR LATH I I I I I I I I (RATED FLOOR/CEIL ASSEM I I I I I I IRATED WALL ASSEMBLIES I I I I I I IRATED SHAFTS/OPENINGS I I I I I I IT-BAR CEILINGS ILOT DRAINAGE I I I I I I I I I IREPORT ID DPR261 ROUTE TO. BS0508 I I I I I I I I I