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HomeMy Public PortalAbout10112 DAINES DR_Building__ 6/ 81 APPLICATIONS FOR. BUILDING PERMIT COUNTY OF LOS ANGELES ;' BUILDING AND SAFETY BLDING FOR APPLICANT TO FILL IN ADDRESS, BUILDING ' ADDRESS LOCALITY NEAREST 9 - CITY ZIP �Q CROSSST GtNI NO�OF.BLDGS- ASSESSOR SIZE OF LOT- /0 NOW ON LOT MAP BOOK PAGE PARC L p DISTRICT GROUP TYPE FIRE: PR SSEDBY ' TRACS� COCK` LCT W51 i�, p^� CONST v E OWNER/1^ NO► % T " ,f STATISTICAL CLASSIFICATION {,/SEWER MAP)) ADDRESS D /l> CLASS NO DWELL UNITS I' BK-7 PG . ! CITY ZIP 7 96 - -• � "' ARCHITECT OR TEL VALUATION $ / d, ENGINEER NO _ ADDRESS Q rL BLDG SETBACK FROM TELFRONT PROP LINE OF (STREET) pp , CONTRACTOR NOS '7 /' TOTAL SETBACK FROM TYPE OF EXISTING - LIC HIGHWAY + YARD ,= FRONT PROP LINE' HIGHWAY WIDTH ' ADDRESS NO LIC + CITY CLASS CONSTRUCTI LENDER BLDG SETBACK FROM NAME AND BRANCH _ - SIDE PROP LINE OF -' (STREET) 4. _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY +, YARD — SIDE PROP LINE 1HIGHWAY1 WIDTH A6DRES!7�1 9 CITY 0 SO FT NO OF NO OF CHECK +_ _ v SIZE STORIES FAMILIES ONEp' 99 DESCRIPTION OF WORK NEW C:] P C Fee$ Permit Fee / If ADD ❑ Issuance Fee / W ^�-.��— ALTER ❑ REPAIR ❑ Total Fee U USE OF EXISTING BLDG DEMOL ❑ Z APPLICANT TEL C " (PRINT) (f jS� j v' NO Q BY(SIGNATURE) > IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE .Y , THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THEI _ - V 1 4 • WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF ' THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM - •. 3 9, 6 1 A PENSATION INSURANCE - {{ o p o o SIGNATURE OFPOLA /� PERMITTEE A`s1,0600 L ADDRESS 'O 1-0 6 0 C TEL - CITY NO USE ZONE NO A 00 > 1 SPECIAL CONDITIONS FINAL BY o DATE DEPA�A4ENT OF BUILDING AND SAFETY,-_ ` APPLICATION FOR PERMIT � y' -moi'_=s;,.COUNTY OF-LOS-ANGELES WM.-J.-FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN : FOR OFFICE USE ONLY FA NG - _ __- �} DISTRICT NO. PLAN CK.NO. PERMIT NO.- SS 10112:•E. Daines--Drive - - r 997t? �(,�^/� os '� ITY- Tem le Cit-j' • RECEIVED BY DATE OF ADPL. DATE ISSUED BTN• RylndBUILDING ��'Rex -Flahar� 'ADDRESSMAILSS 118- E. Huntington Drlve - LOCALITY _ _ / NEAREST' / 19- A/D/f� C,�, Arcadia No• DO 7-3573 CROSS 9T. (�... J �IVV 1J •= ' FIRE NO.OF TYP$� GROUP ARCHITECT OR T[L ZONE PLANS ENGINEER NO. BLDG. ,/ ORD.NO. ADDRESS BETBACK'LINE APPROVED CONTRACTOIYT ohn Douglas R id No.' Do 7-8121 BY US D�T� UHEAPPROV[D ADDRESS 109 So. First Ave*, Arcadia ZONE BY DATE LEGAL Z p O CORRECTIONS • ; DESCRIPTION LOT NO. BLOCK TRACT See other side NO.OF SLOGS. j SIZE OF LOT 52 x 108 NOW ON LOT None ' USF NO.OF I NO.OF EXISTING BLDG, FAMILIES ROOMS :v DESCRIPTION OF WORK NEW X ALTERATION ADDITION O A REPAIR MOVING DEMOLISH ,p Sq.FT. NO.OF - •-, - Z SIZE 1183 ROOMS 5 ST13RIEB 1 - r COVERING Stucco I COVERING ShWALL ROOF ingle USE OF NEW BUILDING Residence and detached garage Design No. 900 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS ' APPLICATION AND STATE THAT THE ABOVE 18 CORRECT I INI P[CTOR DAT[ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATIOWL LOCATION AND STATE LAWS R ULATING BUILDING CONSTRUCTION- FORMS,`MATERIALB FRAME: FIRE STOPS, ,���„� SIGNATURE OF /p BRACING.BOLTB PERMITTEE C/" I LATH, INT. AUTHORIZED AOT - LATH, rkT moi'O_ 7GA63BA-3 2-513 $ L = 9J�d 0- '- P C.S y�• PLASTER,INT. o ®s !! -� - `0_6 �� FEE �r1� _PLASTER.EXT. co Ze T- VALUATION y( U � FEE � i"'�i FINAL WORKERS' COMPENSAT*7N DECLARATION y herebv- -a "n that I 'have a certificate of consent to'self insure, or='a certificate of Workers:Compensation Insurance, ; ' APPLICATION_ FOR ,BUILDING- ,P E RM I T ror a,c�rtfied c y thereof (Sec•'-3800. Lab C') ' _— _ ,,? .'-s yCOUNT•Y OF LOS ANGELES + BUILDING AND'SAFETY Pol:c�No Company BUILDING': t,'CertrfieZI-copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS © / v BUILDING rt' _ <Certified copy.is filed with the county building ms ec- ADDRESS G k"''tion d�epartmeent - �.- 2 ) , Date's CITY _ ZIP LOCALITY Applicant �•t F NO OF BLDGS NEAREST 'CERTIFICATE OF EXEMPT( ROM,WORKERS' t SIZE OF LOT NOW ON LOT ' CROSS ST �4. COMPENSATION INSURANCE ,, ASSESSOR, -77 (This sectwn need not be completed,if.The pe`rmit'is for'One - TRACT•. BLOCK LOT NO MAP BOOK PAGE > PARCEL hundred dollars-($100)orless )' r ••, = ." TEL �• „� 4 OWNER. {— NO USE ZONE ' MAP ('certify that m.the performance of'The work'forwFiich this' _• NO permit'is issued, I,shall,noT employ any person•in any manner ADDRESS 1/ 2 S'._: SPECIAL y CONDITIONS' so as to'become,subject to,the.•Workers'_•Compensatio_n Laws :. rk ! O :c CITY. T C ZIP` Date t J, Applicant ARCHITECT OR TEL` t • Y r O �, DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT If,-,after making this-Certificate of ENGINEER:. NO CONST ZONE- H Exemption, you.,should become subject, to,.The;Workers' ` w Compensation,provisioris of,the Labor Code, you>m1ust`;for'th- ADDRESS J 3 -�.�• � a .with comply with,such provisions or'rThis permit shall be '" ' •�! TEL tt STATISTICAL CLASS( (CATION APT CONDO N deemed revoked CONTRACTOR . ��(! [�1�/�T �� � NO 7/��74-So Z LICENSED CONTRACTORS DECLARATION / st LICNO CLASS NO DWELL UNITS I hereby affirm that<I am licensed under provisions of Chapter 9 ADDRESS' / 0 A (commencmg'w:th Section 7000)of Division 3 of-the-B'usiness LIC SEWER MAP and;ofesstons Code,and m"y license;is<m full force aril effect CITY A QE/VA-r CLA `�� BK VALIDATION F �Q SQ FT NO OF'.'_ NO. OR CHECK Y'- Lice'se.Number 6 J /��� / Lic Class �t`'?' SIZE STORIES FAMILIES ONE f _ VALUATION ., _,r ConiracTorb�✓�iYJ L�IA `�ate Z'�'� DESCRIPTION-OF WORK NEW ❑ t ❑I am exempt under Sec p p^ '"ADD � $ B&P C''f 'ALTER ❑ or,this reason p � , " - • �, REPAIR ❑ s , Date USE OF '' I DEMOL EXISTING BLDG _ Signature _rS 7r �b APPLICANT TEL _ TINA , -BFJICDER DECLARATIO ' � -"(PRINT) NO - D ' '• • ' _ I hereby affirm tha am exempt'from the Co ractor's License s _ .,• " _ Law•for the following reason (Section 7031 Business and ADDRESS P,r6fess:ons Code). PRESENT- Bjv w�I�7 I, as owner of'ihe ro er} `oi m ern to BUILDING 1 r' Ei1:•41•.L µ2 P P Y, Y P Yees with ADDRESS - 4 +�e wages as their sole compensaTion"will d -the work and'. - - r � 13307` �' t the structure is not intended of offe�ed'for sale Section LOCALITY ' ' 4', ,, c "2•' s --7044, Business'6nd Professions-Code'.)•-•- (a- --� -- MOVINGG. - - TEL >w ►�, GRA-�y' ,:,- ? ;�k1,- >yi ITGIID J CONTRACTOR NO ❑`.'I,'as owner of the property, am exclusrvely(contracting with licensed contractors To'construct the project (Sec- w ��% TOTAL, L209---25 ADDRESS, z•" r. 4 tion 7044, Business and Professions Code ) " .�y�ye REQUIRED .TOTAL SETBACK FROM - EXIST-.• �;_ ;' � 09.25 CONSTRUCTION LENDING'AGENCY SET BACK YARD" HWY PROP LINE WIDTH' e ' IG I hereby affirm that there is'a construction lending agency for FRONT. ^:t ; �- t-� the performance of the wofk for` which this permit is issued "P L 'F' (Sec 3097, Civ C ) -1 SIDE r r P L as t #� '•����yy��7t �'yy ii p Lender's Name = ro ` w✓ �V11uU'VU�1.: 8�11�89 :(DMA•Ref n Lender's Address PC Fee$ Permit Fee J "'` # xb v'19 o ' I certify,that I,have read this application and state that the Issuance Fee 'V .• LDMA P/C# 8 above information is correct. I agree to co ply with all County Investigation Fee ,�> R, ordinances and State laws relating to ilding construction, Total Fe . d t`•� ) LDMA Perm # a and hereby authonie representatives f his County To enter: ti ., upon the above-mention proper y' or spection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ignat pplicont or Age9t • Date - •- - ' g - - WtiR�KER$'+i✓OMPENSATIONDECL'ARATION I hereby affirm that I have'a,ceriificate of consent to,self insure, or a certificate of Woikers' Compensation Insurance, i4 P.P L,I CAT I O nI \FOR- B U I L D I N0-PERMIT ,' '. ora certified lcopy!hereof'(Sec 3800'nLab'C)=' " - -_. .,..- .• _ - V1 . COUNTY OF,LOS ANGELES ;_ BUILDING,A'ND SAFETY.. a Policy,No Coinpony 3w _ _ Certified copy is'hereby furnished•,-; , ° ai. BUILDING 1 Q_` FOR APPLICANT TO FILL IN �Q�/,�L• r ADDRESS i a 'Certified copy is filed wlth'the•county•tiuilding inspec BUIiDING l ;' r t " 'tidn'departmenT ADDRESS .`' ht,•.�, ,r<r:r.�.�,.�8 .r i°; •'.�,. :'�3 r^.?' 3•�'��4 ,ti' �.• ti.-._-�- -. _ ,- _...« .... - _ .... .. '- , Afu - Date' a F Applicant'.•' CITY,' ZIP LOCALITY '" CERTIFICATE,OF EXEMPTION'FROM. 7WORKERS'' Z ' -'"' r`NO-OF BLDGS- - NEAREST SIZE OF LOT, NOW ON LOT CROSS,ST 'rc -'"'a'COMPENSATIONxINSURANCE �. (Th`is seciionan'eed Not•beticompleted if the permit,is for one - - ^• Y. ,i.., ASSESSOR ` huridred',dollars ($100)or,less,);„ t.- ;, + TRACT: BLOCK LOT NO MAP-BOOK S" a'� 1<, PAGE PARCEL' ;; -s,;h OWNER _61'5e)EL`s USE ZONE MAP T r• :I'certify that.iri the,,performance of,,the work''for,wh`ich„this 0�+���` ' f NO _ "�: . t• I” } perrr'it'is issued: 1 shall not employ any person-m"any manrier. ' /� i' I ' SPECIAL '- =f,• - - y -- - so as'to becomes°sublect'to'The'W&rk"ers''Compensation,Laws^ �} ADDRESS, Q f� 0'`- CONDITIONS . O f ��r J,'>�• ',/ ' o .....,c. CITY- ... C._a - ° ZIP: ..'n Date S pPPlica'nt'' s c "� ,„ ¢ `te-" N ARCHITECT OR TEL DISTRICT,' GROUP, TYPE _ FIRE PROC SED BY O NOTICETO APPLICANT ,'If,'after making'this'Ce�trficate•o = - -- u r ENGINEER CONST+ I'ZONE,� r, Ezemptiony.,you�'should become subject to'-thei'Work"ers' /'x , „- W Compensation provisions of the LabonCode`;•you mu"st.forth- ADDRESS �LVv -=T �%7: �!;�. e 1 d with comply•-witht)such, provisions or,Thig,,k mii shally be',- rt,- - J - deemedirevoked t, .` ' w' , ,--. TEL L STATISTICAL'CLASSIFICATION - APT NDO•'.'- Z �:rN r u CONTRACTOR I NO t 3V- a' LICENSED CONTRACTORS DECLARATION�gt ,r; -•--. -d-1- -•-, LIC•- 1 CLASS NO DWELL. UNITS r I hereby affirm thdt Y(am licensed under provisions of Chapter 9 ADDRESS a NO SEWER MAP •• ,^U" ?, i�77t; (commencing wit 7000)of Drvision 3 of the Busness arid, _., UC- •- ~.� ' Piafessi66s`C6`de,•6nd m'y licerise'is m�full`force and effect• CITY _ CLASS J "' " ' — `- "' VALIDATION -:.• .�',,i"� a.,. r.,yF^_, ...n •-,1' ;3Z '8,.;, r _ }BK PG ,r. _ , t. d 9 `. SQ FT s NO OF NO OF" _ _ _ _ CHECK License Numb'e'r { " Lic Class '''{" ''i SIZE _ STORIES FAMILIES tl'1,r• r: �, %+• ,;r _ , -•;}.. =., u , ,, : - - VALUATION- roe, Date u DESCRIPTIOWOF•WORK' - � NEW-4--a Contractor. ;4 " " ; :' t ` ❑ 4 n a�•ay _,v'i: ,t p, -.,5�.r ";S ADD ' _ _ 31,_4 1:A; 'am exempvunder Sec z.. a: ;a•,., 7• > s. ALTER B 8P C for this reason �y $ # o o e°o.s,'� ; i - - -- REPAIR'.,.Q o 0 2&-5,0 _ USE OF i Date ' EXISTING BLDG DEMOL ;Q _ 'I �_ ,• b :'_ _o. ) Signature APPLICANT- r - TEL i FINAL ''` 2 0 5 0.4-!, i o s o "OWNER-BUILDER DECLARATION, PRINT NO -7 - �. _ _ DATE. _ ....._a I hereby affirm that.l•am exemptfrom the Contractor's License �.FINA Law,for the following:reason':(Section 7031•'5,.Business and ADDRESS PRE EN 'Profe'ssions`Code), - t . - - - By— _ ..,. _ 4 `;. ,_ w' BUILDING IX} I, as,owner of the property, or my employees-with' ADDRESS w 7 " ages as then sole,compen'sation,'will do the woik and L, the structure is not intended or offered°fon sale(Section LOCALITY.- 7044; OCALITY, 7044; Business-and Professions Code) "' MOVING' ' s` -.-.• .,. -r ' CONTRACTOR NO 'a iF �,l• r".-' .,,-.•:! I, as owner'of the property, am exclusively contracting with licensed contractors,to'consirucT`The'protect (Sec- ADDRESS ~ 'tion 7044, Business and Professions Code) x ` REQUIRED ;YARD r WY TOTAL SETBACK FRO - � - - - 4- CONSTRUCTION LENDING AGENCY` SETBACK- PROP LINE - WIDTH ,I hereby affirm that there is a construction lending agency for FRONT --the-performance of the-work for-which this permii•is'issued -PL (Sec 3097;Gv'C'-) SIDE �€ 'r• d `Lender's Name rj r f t _ /\ r LDMA Ref #f l t 1'� P•C Fee L... Perry,t Fees - t , - - - .�'_ .- -• ` Y Lender's Address c._ _ ^_ _ _ • T a 4,' w _r I.certrfy that„I have read-4his application and stateMthat-The : . . _ Issuance Fee -J O• LDMA P/C fi 'i K'_ .r ' - J ' a above information is correct I agree.to comply with all•County.. 1 Investigation Fee ; r „•+ �t^ } �•, g ordinances and,State•laws relating To,building.construction, Total Fee LDMA Perm tf J� ;t F- •--h»x=- u r ' «and hereby a6ihor,ze representatives of this County to enter`-. _ •� y « '- - ,,• - - ' ) upon the above-mentioned property for inspection_purposes f- j ,L SEE'REVERSE FOR EXPLANATORY LANGUAGE T-nSlgnoture of-Applicant or Agent - Date / ;. =-• z v 4• t :a` 1 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 0508 0509160006 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 10112 DAINES DR STRUCTURE 1400 VN TEMP CA 917802705 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET RYLAND 8586-025-023 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, C TENANT - EXIST BLDG USE RESID USE ZONE- R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 09/16/05 JK 09/11/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINA DA FINAL BY CODE PRINDLE, BEVERLY (626) 422-9573- 3,000 10112 DAINES DR TEMP 917802705 FEES PAID DE CP-IPTION OF WORK - TEAR OFF - REROOF OVER EXISTING SHINGLES 20 YR COMPOSITION FEE DESCRIPTION QUANTITY UOM: AMOUNT SHINGLES HOUSE AND GARAGE - APPLICANT TEL NO- - SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 JAC STRONG MOTION RESID 3000 00 VAL 0.50 SPECIAL CONDITIONS D2 PERMIT W/0 EN-HC - 3000.00 VAL 99.00 - FR INV WORK W/O PERMIT 257.00 DOL 257.00 TOTAL FEES 384.25 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC- NO - LOCA'T'ION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL. NO FOUNDATION/TRENCH FORMS LIC NO SLAB/UNDER FLOOR - � - RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 147H273 3 01 FLOO!, SHEATHING NO OF FAMILIES DWELLING UNITS. APT/COND• STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTEPIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS_ T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 \; CE 0803(REV.6/78) APPLICATION-FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS ll 2- BUILDING ADDRESS LOCALITY r NEAREST CITY ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL TRACT' = BLOCK LOT NO` / DISTRICT GROUP TYE PE FIRE PROCESSED BY i CONST. ! Z1 OTEL WNER - - NO.....' STATISTICAL CLASSIFICATION 'SEWER MAP ADDRESS CLASS NO. ! DWELL.UNITS ! BK * PG CITY ZIP ARCHITECT OR TEL VALUATION ENGINEER NO ADDRESS BLDG.SETEACK FROM TEL FRONT PROP.LINE OF ISTREETI CONT RACTCR NO TOTAL SETBACK FROM TYPE OF I EXISTING LIC HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP LINE Or ISTREETI HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF 1EXISTING ADDRESS CITY SIDE PROP.LINE IHIGHWAYI WIDTH SQ.FT. s NO OF N0 OF 7 CHECK r - tea SIZE STORIES FAMILIES ONE U. DESCRIPTION OF WORK NEW ❑ P.C. Fee$ Permit Fee lx ADD ❑ ¢ . Issuance Fee O ALTER ❑ a REPAIR ❑ Total Fee EXI OF (r�a ❑ EXISTING BLDG DEMOL Z APPLICANT TEL O IPRINTI NO. Q O ; BY(SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y THAT T44E ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES _ AND LAWS R.EGULA TING BUILDING CONSTRUCTION.1 CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COM - Z is 7 rT'. 1 PENSATION INSURANCE - S `- •i ICiNATURE OF . . PERMITTEE ' TT 7.4 i ♦ .i.rl'j�' ADDRESS Z TEL. • j til ��11 1 p= NO. Q �.' WK ZONE MAP .r �. �., O L ] { .�- a ` [ SPEOIAL CONDITIONS RL BY TE d t n i Y7, �a,{e� ` i� * ✓j s '�.-i ~"'^.-ss�� 'S�.y,�*,�• € •., � "fit iky _ v K I' n rJx .�. y T•,,. ,f �. -r5 '`b r,