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HomeMy Public PortalAbout10140 DAINES DR_Building__ 80]•9ay T• - -� J, ,AcE# - BO APPLICATION FOR BUILDING PERMIT- T f .COUNTY OF LOS ANGELES BUILDING ADDr DEPARTMENT OF'COUNTY, ENGINEER ; -BTftLDING AND SAFETY =M ION - LOCALITY JOHN A.LAMBIE, COUNTY.ENGINEER NEAREST 'WILLIAM A. JENSEN-SUP'T OF BUILDING CROSS ST' DISTR T NO. G P_RA , SED BY 'A - FORPPLICANT TO FILL IN' ® �� - TYPE,, RR ,� / x STATISTICAL CLASSIFICATION' S R MAP BUILDING�/h / _ /',, JIL✓L�'� U° r �� ADDRESS � /,� !r� '��'� '' _PG CLASS�NO DWELL UNITS - LOT NO BLOCK MAP STATE YES" O. NUMBER - 'WY - TRACT _ USE ZONE SPECIAL,t NO OF BLDGS. / /1, CONDITIONS' ' SIZE OF LOT pL X�`(y I NOW ON LOT USE OF , T SETBACK-TEL EXISTING-BLDG /J f.1✓� c 'i., BUILDING' � EXIST .YARD HWY STREET NAME WIDTH ' , OWNE��/ 1, � dn/ "NO o" FRONT ADDRESSjIO/ �O >� ��/i'c��V -SIDE ARCHITECT OR TEL' P L ENGINEER ' No, 'INSPECTION-RECORD ADDRESS _ - TEL.' _ - 0 CONTRACTOR '' I ./ NO. r 'ADDRESS Q 'DESCRIPTION OF-WORK \ G t '/Al CL ��/� - 'NEW A� DD ALTER REPZAIR DEMOLISH _ SO FT., ' •• NO OF - .NO OF.. ' ' SIZE.' D Q STORIES FAMILIES USE OF . . ? STRUCTURE SIGNATURE APPLICANT VALUATION$ -(/ V I, - _ I ' ' APPROVALS - DATE INSPECTOR'S SIGNATURE _ PMT _ FOUNDATION LOCATION _ FEE $- r' • 'FEE $ - �'� -FORMS, MATERIALS- r ' FRAME`FIRE +' I HEREBY ACKNOWLEDGE THAT I'HAVE READ THIS APPLICATION 'BRACING, BOLTS r AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION'. WITH -ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -GAS VENT DUCTS. r BUILDING CONSTRUCTION I CERTIFY THAT IN;THE,PERFORMANCE - OF THE,WORK"FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT.' ,-LATH, INT EMPLOY.ANY PERSON IN ANY MANNER SO AS,TO BECOME SUBUECT TO THE WORKMEN 5 COMPENSATION LAWS OF CALIFORNIA • - _ LATH, EXT SIGNATURE OF "HOUSE NUMBER COR_- - , PERMITTE ,A - RECT•AND POSTED 15 ADDRESS15- "�i 'FINAL / ' 'CLYDE-N. DIRL4M, PRINCIPAL STRU RAL ENGINEER . PLAN CHECK 'VAUDATION cK. M.O. ' CASH• PERMIT'VALIDATION CIC.YM O. t CASH LA[',01- 5 5 -1-110 JAW 2 5 5 .00 �. L - 7GA638A 008-3 2.86 ' '. APPLICATION FOR BUILDING PERMIT 1 MVISION OF BUILDING AND SAFETY ' ace Ess (� �-'', -1191 Deportment of County Engineer County of Los Angeles LOCALITY WM.J. FOX. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. Al - DISTRICT NO. r'R�uP TYPE, I SEWER BK MA PG FOR APPLICANT TO FILL IN BUILDING - ADDRESS NUM ER S�TWY YES' NO ,LOT NO. BLOCK USE ZONE SPECIAL CONDITIONS TRACT NO. OF BLDGB. BUILDINGYARD fH EXIST. SIZE OF LOT I NOW ON LOT SETBACK STREET NAME WIDTH USE OF FRONT ' EXISTING BLDG. P. L. - SIDE OWNER MAIL ADDRESS O -TRACT DWELL I UNIT 7 �,/ g INDUSTRIAL TEL. i 1 DWELL. i UNIT CITY ` NO. "C� 6 PUBLIC BLDG. ARCHITECT ORTEL. 2 DUPLEX I UNIT ENGINEER TEL 7 ADDN.. ALT., ETC. 3 APT. UNITS 8 MISCEL. " ADDRESS 4 COMMERCIAL CONTRACTOR rTio' m�,6y f INSPECTION RECORD ADDRESS ESCRIPTION OF WORK NEW koo"ADD ' ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE, 6r Si) PiA - 139q- SIGNATURE OF APPLICANT APPROVALS ADDRESS / DATE INSPECTOR'S SIGNATUR JE 0 P. c. $ 'I FFORMS,rMATERIALSION FEE �t—��' FRAME: FIRE STOPS. VALUATION J 'L FEE ✓f �'�"' FURNACE: LOCATION, � I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS Y ��J / APPLICATION AND STATE THAT THE ABOVE IS CORRECT �'/O�rjl �+W✓` AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH, EXT. ry � _.Ai ✓ 2�� SIGNATURE TTEEF ( —/ HRECT AND OUSE NUMBER OSTEDR /��f� v,� / _/'O / ADDRESS v FINAL 7-2417 WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR 3 2 APR 2 1 6 LA(�15775; APR 2 1 S 5 .0 J '� WORKERS'COMPENSATION DECLARATION hereby affirm that 1 have certificate of consent to self A P P L I CATION• FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, � or a certified copy thereof (Sec 3800, Lab C ). - ' . .• " No RCS 137880 iCompany'ROYAL INS. ! COUNTY. OF LOS ANGELES BUILDING AND SAFETY •�olicy � COUNTY Certified copy is'hereby furnished FOR APPLICANT TO,FILL IN ADDRESS 0IV �''/ © Certified,copy is filed with the-county building inspec- BUILDING 10120 E. Daines Drive ' , tion department ADDRESS LOCALITY LQ •bate. , 4/6/83 Applicant' -CAL-PAC ROOF ,INC. CITY T� le-Cit NEAREST zfP 1 80 CROSS sT !L CERTIFICATE OF EXEMPTION FROM WORKERS', NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE. PARCEL •(This section need not be completed if the permit is for oneTRACT BLOCK LOT NO NO USE ZONE MAP O() hundred dollars ($100)or less ) TE448 �''� ` SPECIAL I certify that in the performance of the work for which this OWNER M GT e Cranda l: N( }H- CONDITIONS d permit is issued, I shall not employ any person.in any manner _ DIS ICT GROUP TYPE- ,. FIRE PROCESSED BY O ADDRESS so as to become subject to the Workers'Compensation Laws 40 'L+' e CONST ZONE _ U CITY " Temple Cit zip 180 17"f � O Date Applicant STATISTICAL CLASSIFICATION APT CONDO V NOTICE-TO APPLICANT If, after.making this Certificate of ARCHITECTOR TEL W Exemption, you shouldCLASS NO- 6- / DWELL'UNITS' become. subject to the Workers' ENGINEER _ NO � Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP CA with comply with such-provisions' or this permit shall be Z deemed revoked CONTRACTOR C.&L-PAC ROOF TEL 978-6446 BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 618 N'•'Eekhoff st NO 228 — 6 'VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC - 6 Professions Code, and my'license is in full force and effect CITY Orange CLAP Z 0 $ ��9•v SQ FT NO OF NO OF CHECK License Number' 379503 Lic Class B (C-� SIZE STORIES' FAMILIES 1 ONE m—_ $ Contractor Mel Egen Date, 21 DESCRIPTION OF WORK RerO f with 26,• NEW El• : - ' f7I am exempt under sec gauge galvanised steel ADD ❑ ALTER ❑ FINAL B 8P C for this reason I REPAIR L7 DATE Date. USE OF, single family dwellin DEMOL FINAL EXISTING BLDG l ❑ BY Signature APPLICANT CAL-PAC -ROOFING INCo 8-621 ' OWNER-BUILDER DECLARATION PRINT , I hereby affirm that I am exempt from the Contractor's License ADDRESS 618 N•'F'elOff St, *ran a CA Law for the,following reason (Section 7031 5, Business and " Professions Code) PRESENT BUILDING 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL 1, as ownerof the property, am exclusively contracting CONTRACTOR NO with licensed contractors'to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) 1 0 2 5 A REQUIRED TOTAL SETBACK'FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PSETBA NE WIDTH I hereby affirm that there is a construction lending agency for FRONT #,o•0 0 0 0 the performance of the work for which this permit is issued P L 2'0,o19 6,'7 5 (Sec 3097, Civ C ) - - SIDE _ - _ '- o ' P L Lender's'Nome -' o o 0 9 67 5 5 Lender's Address PC Fee$ Permit Fee 0A 0 6'—'8,3 .— , _ , I certify that I have read this application and state that the Issuance Fee 0 �I above information is correct I agree to comply with all County Investigation Fee qordnsand Sta laws relating to building constructioTotal Fee y au onze re sentotives of this County to enterabo -m nt arty for inspection purposes a 4 6 83 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature plicant or Agent Date ®s 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 SL 0508 1008030034 PHONE (626) 285-0488 EXT ILEGAL ID: NO OF CONST I BUILDING ADDRESS- 1 ITR- 22438 LT. 17 SQ FT STORIES TYPE 1 10140 DAINES DR 1 I (STRUCTURE- V-B I TEMP CA 917802706` 1 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET. BALDWIN 1 18586-027-026 - - - THOMAS PAGE: 597 GRID B3 LOCALITY TEMPLE CITY, Cl I I I I (TENANT- IEXIST BLDG USE- RESID USE ZONE R-1 11SSUF.D ON PROCESSED BY 1 IEXIST OCC GRP- 108/05/10 SR I I I I 10WNER: TEL. NO IBLDGS NOW ON LOT VALUATION- 1 TE F��f CODE I ISHUM, KIN K (626) 448-3228- 1 - 3,000 1 OTE 110140 DAINES DR I J I'TEMP 917802706 FEES PAID IMSCkIPTION OF WORK VI I IBATHROOM REMODEL I I IFEE DESCRIPTION- QUANTITY UOM AMOUNT (APPLICANT: TEL. NO I ISAME AS OWNER - ,IAA BLDG PERMIT ISSUANCE 27 80 IAB STATE GREEN BLDG FEE 3000 00 VAL 1 00 ISPEC-AL CONDITIONS 1 JAC STRONG MOTION RESID 3000 00 VAL 0 50 JB2 PERMIT W/ENERGY 3000.00 VAL 109 00 IFR INV WORK W/0 PERMIT 257 00 DOL 257 00 ICONTRACTOR- TEL. NO I TOTAL FEES 395 30 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I 1 11 I - LIC NO 1 ILOCATION AND SETBACKS I ISOILE ENGINEER APPROVAL 1 1ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I 1 LIC NO 1 ISLAB/UNDER FLOOR I I I I I I I IRAISED FLOOR FRAMING I I (MAP NO: SEWER MAP BOOK: PAGE. FIRE ZONE CMP I JUNDERFLOOR INSULATION I I I147H273 3 001 - _ - I 1 FLOOR SHEATHING INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 i - 1 NO 21 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS I 1SHEAR PANELS I I (AIR QUALITY• 1000 FEET MATERIALS I I 1 1 NO NO NO 1 IFRAME INSPECTION I J I I I I I I IFIRE SPRINKLER HANGERS I I 1 _ JINSULATION/WEATHER STRIP( I I I I I I I JINTERIOR LATH/DRYWALL I I I J I I I I I JEXTERIOR LATH I I IRATED FLOOR/CEIL ASSEM ' ) I I I J I I IRATED WALL ASSEMBLIES I I IRATED SHAFTS/OPENINGS I I J I I I IT-BAR CEILINGS II I I I I I I I I ILOT DRAINAGE I I I I I J I IREPORT ID DPR261 ROUTE TO BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1307100061 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST NEW BUILDING ADDRESS 1 ITR 22438 LT 17 SQ. FT' STORIES TYPE OCCUP GROUPI 10140 DAINES DR STRUCTURE 354 1 V-B R-3 I TEMP CA 917802706 I (ASSESSOR INFORMATION NUMBER GARAGE _ - NEAREST CROSS STREET 18586-027-026 OTHER THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY CAI I _ TENANT IEXIST BLDG USE USE ZONE ,ISSUED ON PROCESSED BY EXIST OCC GRP 09/26/13 SR _ (OWNER TEL. NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE (SHUN, BILL - 1 - 52,470 110140 DAINES DR I -t) 1 (TEMP 917802706 FEES PAID ISCRIPTION OF WORK I1 11-STORY ADDITION BEDROOM & BATHROOM IFEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT- TEL NO I IWU, MONICA (626) 253-0188- JB1 PLANCHECK W/ENERGY 52470 00 VAL 776 60 1 118888 LABIN CT B213 IAA BLDG PERMIT ISSUANCE 27 80 (SPECIAL CONDITIONS. 1 IROWLAND HGHTS 91748 IAB STATE GREEN BLDG FEE 52470 00 VAL 3 00 1 _ - - 1AC STRONG MOTION RESID 52470 00 VAL 5.30 - - I IB2 PERMIT W/ENERGY 52470 00 VAL 913 70 1 1 CONTRACTOR TEL NO 108 CERTIF OF OCCUPANCY 101 40 .JAPFROVALS DATE INSPECTOR SIGNATURE IMING'S CONSTRUCTION AND (909) 909-2069- TOTAL FEES 1,827 80 1 IHOTEL RENOVATION LIC NO 1 ILOCATInN AND SETBACKS 1 118888 LABIN CT UNIT B213 973795 1 ROWLAND HEIGHTS CA 91748 (SOILS ENGINEER APPROVAL 1 1ARCHITECT OR ENGINEER: TEL. NO (FOUNDATION/TRENCH FORMS , r IT AND W CONSULTING ENGINEERING (626) 288-0708- 1 - l 11168 N SAN GABRIEL BLVD #N LIC NO I (SLAB/UNDER FLOOR 1 I I IROSEMEAD, CA 91770 NONE I .. I IRAISED FLOOR FRAMING 1 I I AIK I IMAP NO. SEWER MAP BOOK PAGE FIRE ZONE CMP I IUNDRRFLOOR INSULATION 1 3 OOI 11ST LEVEL FLOOR SHEATH / INO OF FAMILIES- DWELLING UNITS APT/GOND STAT CLASS I 1 1 W431 0 NO 21 1 12ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS IROOF SHEATHING III I 1AIR QUALITY: 1000 FEET MATERIALS 1 I 1A&411 A 1 NO NO NO 1 IFIRE DEPT FRAME INSPECT( IBLDG DEPT. FRAME INSPEC - - ISHEAR PANELS I 1 (INSULATION/WEATHER STRIPI 1 f 11NTERIOR LATH/DRYWALL I 1EXTFRIOR LATH I I LOT DRAINAGE ISMOKE DETECTION DEVICES 1 IFIRE DEPARTMENT APPROVALI I ` IREPORT ID DPR261 ROUTE TO BS0508 1 I I I I I