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HomeMy Public PortalAbout10154 DAINES DR_Building__ ©5 76A638A , CE#803(REV 6/78) _ , - APPLICATION FOR' BUILDING PERMIT COUNTY OF LOS ANGELES BUILDIING'AND SAFETY FOR APPLICANT TO FILL IN . - ADIDRESS LDING ADDRESS �` LOCALITY _/"7 C / NEAREST CIT ZIP CROSS ST C /� • O OF BLDGS ASSESSOR _ SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP I TYPE' FIRE' PROCESSED,BY TRACT BLOCK LOT NO / CO ZONE 1^, f TEL 0 �^ (Q3 1� C� OWNER NO , STATISTICAL CLASSIFICATION , SEWER MAP ADDRESS CLASS NO DWELL UNITS BK&7PG CITY ZIP ARCHITECT OR TEL VALUATION OQQ ENGINEER NO I, ADDRESS, BLDG SETBACK FROM _ r `�. ' TEL ��OSI,a2 FRONT PROP LINE OF (STREET) CONTRACTOR Q V �,J/ [ANO �j�j HIGHWAY + YARD _ LIC TOTAL SETBACK FROM TYPE OF EXISTING ? Q O .7 FRONT PROP LINE HIGHWAY WIDTH ADDRESS ;J J CITY �j ( 160 q LIC CLASS' 31 + �O _ 2-0 L(g G CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH - - SIDE PROP LINE OF C' C ��� s STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAYI WIDTH O SQ FT NO OF NO OF CHECK + = V SIZE STORIES FAMILIES - ONE 0 DESCRIPTION OF WORK vA// G? � NEW ❑ -PC Fee$ _-Permit Fee • ADD ❑ Ii Issuance Fee -7O Q ALTER ❑ REPAIR ❑ Total Fee USE OF DEMOL ElEXISTING BLDG 'mss w Z APPLICANT. TEL - O (PRINT) NO Q BY(SIGNATURE) I HEREBY'ACKNOWLEDGE THAT I HAVE READ'THIS APPLI CAT ION'AN D�STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE S 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 S COM PENSATION INSURANCE t SIGNATURE OF PERMITTEE ADDRESS GO0 Nt =� O O NO TEL CITY �3'l�E� NO n� N Q 0` CA USE ZONE MAP I' N O v NO19 0 0 Rr SPECIAL \1 -0- el O y C NDITIONS 'T Im FINAL ' W DATE � 6' �.A88BA3; 8 .,--APPLICATION FOR BUILDING PERMIT �. ]DIVISION OF BUILDING AND SAFETY BUILDING D ADDRESS Deportment of County Engineer County of Los Angeles LOCALITY - ' WM.J. FOX. COUNTY ENGINEER NEAREST - CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN B2r -497 BUILDING 14��q MAP STATE YES NO - ADDRE86 ,��t� ���6'7RX,s�� NUMBER HWY LOT NO. 20 BLOCKUSE ZONE SPECIAL _ /� CONDITIONS TRACT 22438 A - NO. OF BLDGS. BUILDINGYARD HWY STREET NAME EXIST. SIZE OF LOT NOW ON LOT SETBACK WIDTH USE of FRONT --r EXISTING BLDG. y, r P.L. OWNEELenne y,fill F. Williams PDE - MAIL ADDREsa.0111 E Olive •t O TRACT DWELL. 1 UNIT 5 INDUSTRIAL TE�,,, 1 DWELL. 1 UNIT _CITY Temple City.Calif, Mi 4=52'48 � 6 PUBLIC BLDG. '2 DUPLEX 1 UNIT ARCHITECT OR - TEL. � 7 ADDN.,ALT., ETC. UNITS ENGINEER None NO. 3 APT. _ 8 MIBCEL. ADDRESS 4 COMMERCIAL TEL. ' INSPECTION RECORD CONTRACTOR NO. ADDRESS DESCRIPTION OF WOR$ NEW X ADD ALTER REPAIR DEMOLISH 80. FT. NO. OF NO.OF SIZE STORIES FAMILIES USE $well Ing Plan B 3tandard Plan 1-19911 SIGNATURE OF _ APPLICANT APPROVALS ADDRESS xivj DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION / $ 15 J00 FEE $ FORMS, MATERIALS , J FRAME: FIRE STOPS, VALUATION $3,5 �`-+ &-V BRACING, BOLTS FEE 3 v FURNACE:-LOCATION, �/ C I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT �.0�AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- - T 1-147 I /7 TION. _ LATH, EXT. YX Ol r - ` SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED J '✓/•�/ AD RES we FINAL D'J WM.:J. FOX COUNTY ENGINEER VALI15ATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR LACo9 0 0 4-16'_; JUN 7 1 6 8.7.5 L�lCo9005, JUN 7 1 35.00 Ti 'erWORKERS' COMPENSATION DECLARATION yor-a affirm that I have a certificate of consent to self certificate of Workers' Compensation Insurance, APPLICAT-ION FOR BUILDING PERMIT ied ropy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy 1111111 kvz Company u 4 BUILDING x �p ❑ Certified co y is hereby furnished. l FOR APPLICANT TO FILL IN ADDRESS ® Certified copy is filed with the county building inspec- BUILDING IV U� 1 tion department. ADDRESS �� /_ 1/ Date i U / Applicant 17- -5 CITYTb4b ` - ZIP q/ b © LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE—OF EXEMPTION FROM WORKERS' SIZE OF LOT �'G O NOW ON LOT CROSS ST. COMPENSATION INSURANCE n ASSESSOR t��, (This section need not be completed if the permit is for one TRACT �j > BLOCK LOT NO. L r� MAP BOOK c� ��,1 PAG� P EL hundred dollars ($100) or less.) TEL. / OWNER VA! N 31 USE ZONE MAP I certify that in the performance of.the work for which this �y �T�- la NO. SPECIAL >_ permit is issued, I shall not employ any person in any manner. ADDRESS 624/Z y H CONDITIONS a so as to become subject to the Workers'Compensation Laws. 1J �! O CITY ZIP / (J 0 U Date Applicant ARQ44&4 OR • TEL. G aj j, � NOTICE TO APPLICANT: If,. after making this Certificate of ENGINEER s� N0.��6 `�/31 DISTRICT GROUP TYPE FIRE PROCESSED BY O CONST. ZONE Exemption, you should become subject to the Workers' �j�a� v U LU Compensation provisions of the Labor Code, you must forth- ADDRESS ( A �hri CGt eee��� 1 with comply with such.provisions or'this permit shall be .� TEL.- �,(�/ e'• STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR .� / z LICENSED CONTRACTORS DECLARATION C. [ CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS C7 _ LIO. 1 Z0.'3 b_3 LIC. SEWER MAP CITY (commencing with Section 7000)of Division 3 of the Business Q - � and �Professions Code,and my license is in full force and effect. CLASS✓ � BK, PGVALIDATION SQ. FT. NO. OF NO. OF CHECK License Number d 30�' Lic. Class 115�' SIZE ® STORIES FAMILIES ONE VALUATION Contractor­nr/`y�,Ox-,� �Zi y Date I �u DESCRIPTION OF WORK NEW ❑ !90 ❑I am exempt under Sec. /L ` IUI�IZ DI �0U ADD S�D OD©. Poo 1. _ ALTER ❑ B.&P.C. for this reason 6 — ws� OLJ - REPAIR ❑ E' i Date: SE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT' /"+//W JELL..(yp_2 FINAL ����� OWNER-BUILDER DECLARATION (PRINT) (`j(, n J7 r6f v DATE 1 hereby affirm that I am exempt from the Contractor's License -^�2 Law for the following reason (Section 7031.5, Business and ADDRESS.2 J/ #E GL sv FINAL s Professions Code): PRESENT By '4-i 1, as owner of theproperty, or m em to ees with ADDRESS. � ti fff Y P Y ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY pop. ? ( t. { r.•hM 7044, Business and Professions Code.) MOVING TEL. CONTRACTOR NO. �• ❑ I, as owner of the property, am exclusively contracting 48 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code. ' CONSTRUCTION LENDING AGENCY SETT BACKK YARD HWY 'TOTALPROP.ALINEFROM 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 Name, mZA., LDMA Ref. # P.C. Fee$ Permit Fee Lender's Address a 1 certify that I have read this application and state that the Issuance Fee /� LDMA P/C# 0 8 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 0 O LDMA Perm. # a and hereby authorize representatives of this County to enter upon the above-mentioned.property for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Svnature o p is Qi or Agent- Date 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 1311180028 PHONE (626) 285-0488 EXT ILEGAL ID NO. OF CONST BUILDING ADDRESS: I ITR 22438 LT 20 SQ. FT STORIES TYPE 1 10154 DAINES DR I I ISTRUCTURE V-B TEMP CA 917802706 I (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 1 18586-027-029 1 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY CAI I I I I ITENANT IEXIST BLDG USE RESID USE ZONE R-1 11SSUED ON PROCESSED BY 1 I IEXIST OCC GRP 111/18/13 SR 1 I I I (OWNER TEL. NO IBLDGS NOW ON LOT VALUATION IAL ATE FINAL BY- CODE 1 ILEE HUNG CHUN,EMILY T (626)442-4639- 8,500 110154 DAINES DR I / ITEMP 917802706 FEES PAID 1 S RIPTIO OF WORK 1 I I (REMOVE EXISTING WINDOWS RE LACE NEW VINYL WINDOWS WITH SAME 1 IFEE DESCRIPTION- QUANTITY UOM AMOUNT ISIZE TOTAL 15 WINDOWS 1 (APPLICANT TEL. NO I I ITAI-SHENG LIU (626) 625-3000- IAA BLDG PERMIT ISSUANCE 27 80 1 1 1510 CATALINA AVE IAB STATE GREEN BLDG FEE 8500 00 VAL 1 00 ISPECIAL CONDITIONS I IFULLERTON CA 92835 IAC STRONG MOTION RESID 8500 00 VAL 0 90 I 1 ID2 PERMIT W/O EN-HC 8500 00 VAL 199 80 I IFR INV WORK W/O PERMIT 344 00 DOL 344 00 I ICONTRACTOR TEL NO I TOTAL FEES 573 50 (APPROVALS DATE INSPECTOR SIGNATURE I IT S L CONSTRUCTION, INC (626) 968-4800- 1 1 I IPO BOX 5819 LIC NO I ILOCATION AND SETBACKS 1 I HACIENDA HEIGHTS CA 91006 520303 1 _ I ISOILS ENGINEER APPROVAL I I I I I I I I I (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I 1 LIC NO I (SLAB/UNDER FLOOR i I I I I I I 1 IRAISED FLOOR FRAMING I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I 3 001 I 11 I 1 IFLOOR SHEATHING I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I - I 1 NO 21 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I 1AIR QUALITY 1000 FEET MATERIALS I I I 1 NO NO NO 1 ;FRAME INSPECTION 1 I I \ IFIRE SPRINKLER HANGERS 1 1 I - INSULATION/WEATHER STRIPI II I 1 (INTERIOR LATH/DRYWALL I I 1 I IEXTERIOR LATH i I (RATED FLOOR/CEIL ASSEM I I I I IRATEP WALL ASSEMBLIES 1 I I I I I I I IRATED SHAFTS/OPENINGS 1 I I I I I I I I IT-BAR CEILINGS 1 I I 1* ADDITIONAL DATA ON FILE I1 I 1 ILOT DRAINAGE I i I I I I I I 1 IREPORT ID DPR261 ROUTE TO BS0508 I 1 I I I I I I