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Home My Public Portal About10052 DAINES DR_Building__ 76A838A•CE#8033-88APPLICAT.ION FOR -BUILDING PERMIT CO tY OF LOS ANGELES BUILDING DEPART��i QF COUNTY ENGINEER ADDRESS - /67os,Z • •&—,'nom �• Dn - •^ BUILDIMO ANO'SAFETY DIVISION LOCALITY, JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W.`JENKINS, SUP T OF BUILDING CROSS ST.' DISTRICT..NO '.G OU/GPZP-)T�YPET..^ - ,PROCESSED BY- FOR Y FOR APPLICANT TO FILL IN CONS ` y,•� , Print or type only) - BUILDING STATISTICAL CLASSIFICATION , ,: SEWER VAP, ADDRESS Z. CLASS-NO. DWELL.UNITS ��. BK,Jrr LOT NO. ice BLOCK - USE-ZONE NADP OOg w TRACT - -7 SPECIAL NO.OF.BLOGS. CONDITIONS $ ' SIZE OF LOT 5y' 30 NOW ON LOT ° w 7C ±•1}-ln f R USE OF ��-.��,""�� ! / EXISTING BLDG,yuv�lr '&1(Z.d'1C7� -BLDG SETBACK FROM TEL. FRONTPROP.LINEOF �aas1GS -C (STREET) OWNERJAfS. rU NO.LL��j 4 TYPE,OF EXISTING SETBACK HIGHWAY- +; YARD _ TOTAL ADDRESS- 1 `r G> _ HIGHWAY WIDTH FROM C L. ,. CITY •T[=i-�IPLC � ARCHITECT OR TEL. BLDG.SETBACK FROM - -(STREET) SIDE PROP.LINE OF ENGINEER NO. TYPE OF EXISTING•-S ETBACK- HIGHWAY-,, -+� -•YA RDS-•^= -TOTAL ADDRESS - HIGHWAY WIDTH FROM C.L. TEL. ; - - '' + _ ,- CONTRACTOR A 'p .Q �f5 ADDRESS-A 4 t Go• F"�NO Iei65C>; ` CORNER CUTOFF YES ❑ _ .• NOu❑ v CITY Q C IC ss��N' SEE REV6FRSES IDE FOR SPECIAL A�PROV LS DESCRIPTION OF WORKr cn [� a vi z NEW ADD ALTE REPAIR DEMOLISH SQ. FT. NO. OF NO.',OF SIZE STORI AWL USE OF STRUCTURE ' Q SIGNATURE OF Ig {fj VALUATION S APPROVALS 'DATE INSPECTOR'S SIGNATURE P.C. PMT.•, FOUNDATION: LOCATION FEE $ FEE $ �7 GS FORMS, MATERIALS FRAME: FIRE STOPS; - I:HEREBY ACKNOWLEDGE THAT, 1 HAVE READ THIS APPLICATION BRACING BOLTS ' 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. 1 CERTIFY THAT IN DOING THE WORK •-AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON-.IN VIOLA. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• LATH, INT. ' ING TO WORKMEN'S OMPEN SATION INSUR qCE ,z LATH, EXT, SIGN ATURE.OF HOUSE.NUMBER COR- .PERMITTEE RECT AND POSTED " ADDRESSTS FINAL- JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK MO . CASH PERMT VALIDATIO CK' M O CASH -LPA,-9-s',2 5 MR 2 3 -1 0 1 .7.2 5 "DE,JMTMENT OF-BUILDING AND SAFETY. APPLICATION FOR PERMIT - POUNTY OF LOS AlgGELES WM. J. FOX. CHlti�eN[?IPIEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING _ - - -DISTRICT NO. •PLAN OK.NO. PERMIT NO. ADORERS: 10052 E. Raines Drive LOCALITY •Tel]• le City- ,,,RECEIVED BY DATE OOr AP�.PLL. DATE ISSUED NEAREST: N• R land CRO 9 BT BUILDING DrIiY �JC OWNER^-' J,ohn r-bO_�U is -Rei,d 0, 2 1 Y- - ADDRESS ADDRESS- "lO9-•So`: "Fi'rst Ave:- ' LOCALITY. NEAREST CITY' 'a Arcadia •ENo DO -7-8 CROSS ST. ,ARCHITECT OR STEL. ZONE .+�� PLAN® TYPE GROUP =ENGINEER NO. _ BLOB. �r {� ORD.NO. ADDRESS SETBACK LINE �� r�/"/ �� 1'� P I b Q U APPROVED f aONTRACTORrOhn Douglas R idNo Do 7.=8121 aY DV.T[ USE APPROVED ADORER -109 So. First.Ave.- Arcadia' ZONE BY;L DATE `- LEGALr /� CORRECTIONS DESCRIPTION - ALOTNo.- BLOCK v TRACT See -other s:de _ _ _ •• - NO.OF SLOGS. - 912E OF LOT 52 X LOS NOW`ON LOT mOYA9 ;6SE,or ,T` NO.OF NO.OF U q -EXISTING BLOB, FAMiLiEN ROOMS - " DESCRIPTION OF .WORK NEW- x ALTERATION ADDITION O REPAIR MOVING 'DEMOLISH ,p 9q.FT. y NO.OF - - 912E 1183-- ROOMB 5 STORIES 1 WALL - ROOFglp • - - _ y` "COVERING Stucco I COVERING IL1ngle USE OF NEW BUILDING Residence and detached garage Design No. 600 I HEREBY ACKNOWLEDGE THAT I HAVE.-,READ THIS APPROVALS,,: _ APPLICATION AND STATE ThAT THE ABOVE IS CORRECT _ INSPECTOR DATE AND AGREE TO CO P WI ALL COUNTY-ORDINANCES FOUNDATION: LOCATION AND STATE LAWS E LAT, BUILDING ONSTRU FORME.MATERIALS � ..�,_�� FRAME: FIRE STOPS, u SIGNATURE OF - I r BRACING.BOLTS PERMIT-" ;ILZ _ LATH. INT. l'y AUTHORI D A T _ LATH, EXT. AP� 76A638A-3 2-60 $ op p C.B ! PLASTER.INT. T//T , _ .700 I: , co r `FEE r r ST _ PABTER.-EXT. VALUATIONFEE - ' � �� ' FINAL, a. �✓�w� �/u Q _ APPLICATION FOR BUIL®INGPERMIT A COUNT-Y,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, d ` f or a certificate of Workers' Compensation Insurance,or a certified - copy,thereof (Sec 3800,Lab C) CITYP C C ZIP LOCALITY Policy No , Company.' SIZE OF LOT NO OF BLDGS NOW ON LOT 11Certified copy Is hereby furnished NEAREST CROSS ST ❑ Certified copy is filed with the county-building Inspection TRACT BLOCK LOT NO department ' ' USE ZONE MAP NO' Date Applicant ASSESSOR MAP BOOK PAGE• -PARCEL Pp I SPECIAL CONDITIONS _ ' CERTIFICATE OF EXEMPTION FROM WORKERS'. OWNER' TEL NO-. ^ WITHIN 1000 FT OF SCHOOL? YES NO ' COMPENSATION INSURANCE P �G L • (This section need not be completed If the permit Is for one hundred ADDRESS ` PS DISTRICT GROUP TYPE CONST FIRE ZONE 'PROCESSED BY dollars($100)or less) j CITY ZIP I-certify that in the performance-of the work for which this permit- Is Issued, I shall not employ any person m any manner ASO'as to, ARCHITE OR ENGINEER TEL NO 4 become subject to the Workers'Compensation'Laws STATISTICAL CLASSIFICATION APT CONDO Applicant ADDRESS CLASS NO C2 DWELL UNITS NOTICE TO APPLICANT If, .after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you 'Should become subject to the Workers' CONTRACTOR ` TEL NO SET BACK YARD ]WY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith /1G �� a&—'2120 FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO' - P L LICENSED CONTRACTORS DECLARATION 1E.11416-cc- C• b SIDE CITY LICCLASS P L , I hereby affirm that I am licensed underprovlsions of Chapter 9 Cam CE SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES Professions Code,and my license Is In full force and effect �Q NEW VA PG a Ci DESCRIPTION OF WORK i VALUATION , Q License Number l��y�7? r Lic Class � ADD ❑ • Contractor,(_ Date 2—/-51- ALTER ❑_ $ �6' ❑ I am exempt under Sec /Z "� �4"m REPAIR 11 B&PC for this reason Lg15V.4 146.1 Q/P0 L� DEMOL ❑ LDMA P/C# ' U Dater �� l —�s USE OF EXISTING BLDG URM 1:1 L /6 CD Signature .� ��' APPLICANT(PRINT) TEL NO LDMA Perm# : Z ❑ I, as owner of the,property, or my employees with wages as' ZO j-tl:�.' ,$ their sole compensation, will do the work•and the structure Is ADDRESS _ FINAL DATE < i�= w not intended or offered for sale (Section 7044, Business and • =sf V1=_I Professions Code) .• WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �_ ❑ I, as owner Of the. r0 ert am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q - :I J I E i P P y. Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE2 FINAL BY �! _ licensed contractors to construct the project (Section 7044, F (( � '80 / YES El NO El t I!�FfL � '�' .T - Business and Professions Code) .WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING -•: • 'OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ t_.j•IL:i• - ,L_, e L� CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINESt+} I hereby affirm that there Is a construction lending agency for YES El NO El =• �t�� a I N the performance of the work for which this permit Is Issued(Sec I HAVE READ THE HAZARDOUS MATE RIALS INFORMATION GUIDE AND.THE SCAQMD PERMITTING ' 3097,Civ C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N _ TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS 013013-00,11-1 i./•'II`y 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD ; EL Lender's Address s•nf lc 1 Hit +:+ OWNER OR AGENT O •• o 1 certify that I have read this application and state under penalty O of perjury that the above Information IS correct I agree to comply PC FEE - PERMIT FEE � N with all county ordinances and State laws relating to building i construction, and hereby authorize representatives of this County ISSUANCE FEE00 to enter on the above-mentioned property for inspection purposes (p a a m �Y_ �� INVESTIGATION FEE TOTAL FEE lu¢�App-- TApant Dare SEE REVERSE FOR EXPLANATORY LANGUAGE AP.PUCATIONFOR-BUHL.DING PERMIT. COUNTY OF LOS ANGELES BUILDING AND SAFETY DIN ,PDDRE S� - WORKER'S COMPENSATION DECLARATION � FOR APPLICANT TO FILL(N BUIL07 - - I hereby affirm that 1-have a eerticate of consent to:self Insure, BUILDING vAC'R / or a:certificate of Workers' Compensation Insurance,or a certified Vv copy'thereof(Sec 3800,Lab C) ' CITYG �EZIP U LOCALITY •+. Policy No Company' SIZE,OF•LO NO OF BLDGS NOW ON LOT ❑ Certifiedcopy Is hereby'furnished NEAREST CROSS ST ❑ Certified copy Is filed with the county building.,inspection a TRACT BLOCK LOT NO department •• USE ZONE MAP NO - - i S' PAGE PARCEL ASSESSOR MAP BOOK L - Date 'Applicant „ SPECIAL'CONDITIONS CERTIFICATE,OF EXEMPTION FROM WORKERS' OWNER I 7 y0� ! COMPENSATION INSURANCE L•V `J�O! WITHIN 1000 FT OF SCHOOL? VES NO (This sectlQn need not be completed If the permit Is for one hundred ADDRESS C 1 dollars ($100)or less) 1 �' /}ti,llf S DISTRICT GROUP TYPE CONST, FIRE ZONE PROCESSED BY - _ I certify,that In the performance- CITY ZIP of the work for which this permit Is-Issued, I shall not employ any person In any manner so as to ARCHITECT OR NGINEER TEL NO _ I _ - becOme SUbJeCt't the Workers'Co - sa n S - STATISTICAL CLASSIFICATION APT -• CONDO-Date Applicant ADDRESS - CLASS NO' DWELL UNITS NOTICE TO APPLICANT If, after a6king Is Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption,' you- Should become subject' to the Workers - CONATAZ_ TEL NO _"' SET BACK ' YARD ' Hwy, PROP LINE WIDTH , Compensation provisions of the Labor Code, 'You must forthwith �L O L FRONT " comply with such provisions of this permit shall be deemed revoked AD SS 1 y�,--� IC NQC� P L �- b( 1' -( r -7 T 1 SIDE a. LICENSED CONTRACTORS DECLARATION CIT n I — I d LIC CLASS P L !• 0 I hereby affirm that I am licensed underprovisions of,Chapter 9 /�—u�' /i SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ F SI NO OF{STORIES NO OF FAMILIES ProfessionsCode,and_my license Is In full.force and. ect NEW ❑ BK PG O License Number- r 1 1` LIC Class DESCR TION OF WORK ADD VALUATION eLIE!7• , W, Contractor I kE- !7QtS/bkDate ALTER ❑ $ ElI am exempt under Sec REPAIR ❑ $ Z BBPC for this,reason DEMOL ❑ .DMA P/C# 73 Da•te USE OF.EXISTING BLDG / . _ ,.. ID1241 URM ❑'• - ; ff - • ' ' Signature - - 'x ,� <F�l•�•T°a 1• -- APPLICANT( NT) A • �� .TE OQ O LDMA Perm+� -� I ❑ I, as owner of the property, or my employees with wages as — K _ r >» Z Vtiy .,03 50.50 their sole compensation,"will do the.work and the stricture Is ADDRESS i not Intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code) �AL:GT°. WILL THE APPLIGAM.OR FUTURE BUILDING OCCUPANT HANDLE'A HAZARDOUS MATERIAL ,i� J p ❑ 1, as Owner Of the property, am exclusively contracting wiAMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE'OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE th Q 3 C4 fC licensed contractors to construct the project (Section 7044, FINAL BY > w 36-03 YES❑ NO❑ ITEMS,`Business and Professions Code) e,2 . WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING - t •. - ' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR '' •'N:•��--•�� TL.ITr"SL � 's '�`�—B . - GUIDEUNES `.S 1�` :; , I hereby affirm that there Is a construction lending agency for ves❑ No❑ �•'` 'I t:riEC:�i 09•°Z! the performance of the work for which this permit Is Issued(Sec . (jAk+ I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING `• �'`.-•"`:y -.,_ �:kA�E 4 0 -°C,0 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, H nYll'! C _ L TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD Lender's Address 13000_0001 - / 1 J OWNER OR AGENT I .I _U 1/�f f I certify that I have read this application and state under penalty PC FEE PERMIT FEE - 8,O•I of pequry that the above information Is correct I agree to comply �C'�� d ,- r� • �6_I�i 1 ,Fl� v° 1•� with all county ordinances and State laws relating to building \�(� •J constructn, d hereby uthonze representatives of this County ISSUANCE FEE, to entre, e abovZntioned property for inspection purposes / g ID INVESTIGATION FEE• - •TOTAL FEE y - - cL SEE REVERSE FOR EXPLANATORY:LANGLIAGE