HomeMy Public PortalAbout10166 DAINES DR_Building__ 11.55 APPLICATION
gPLICATION FOR ' .BU9L®ING PERowlIT
11.58
"DIVISION OF.BUILDING AND SAFETY BUILDING _
Department of County Engineer ' ADDRESS �'
County of Los Angeles LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF•BUILDING CROSS ST.
DISTRICT NO. 'GROUP TYPE SEWER MAP
FOR AP LICANT TO FILL IN / BK PG
CONST
BUILDING
MAP STATE ADDRESS E S NUMBER HWY YES NO
L'OT NO. L08,1� USE ZONE SPECIALI
CONDITIONS - 6 t - d
TRACT _4AXTA A JY iT 4 C o Low w -
6 NO.OF SLOGS.
SIZE OF LOT a G Z D I NOW ON LOT d BUILDING YARD HWYSTREET NAME EXIST.
USE OF - SETBACK WIDTH
EXISTING BLDG. FPOLT !_ _
30
OWNER /ty. cfJl,-� I� n ' t SPIDE
IL
•ADDRESS 2 6 0& S ��/4�.L.E S O TRACT DWELL. I UNIT
/ TEL. 5 INDUSTRIAL
_CITY S/q X Y A �E'd.. NO. t DWELL.! I UNIT .6 PUBLIC BLDG. '
ARCHITECT OR TEL. 2 DUPLEX 2 UNITS ADDN..ALT.. ETC.
ENGINEER NO. 3 APT. UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL -
CONTRACT RM A/Y T w/}A 1�0 0 INSPECTION RECORD
_ADDRESS/Of C t d,9 Pl/✓6 -sr
DESCRIPTION OF WORK .
NEW ✓ ADD ALTER REPAIR DEMOLISH
SQ FT. NoOF NO-OF ,
SIZE
STORIES FAMILIES
• USE TRUCTURE '
S / QN L E �iQi�GE
SIGNATURE O
APPLICANT-
PPLICANT APPROVALS
ADDRESS&/,'57 DATE INSPEC�OR•S SIG,"TURE
�7 FOUNDATION LOCATION _
/• �OOQ'-�-- P. C. S BC'J FORMS,MATERIALS / ^
• / FEE �- FRAME: FIRE STOPS. /
VALUATION S _� BRACING. BOLTS /
FEE FURNACE: LOCATION,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS
•, APPLICATION AND STATE THAT THE ABOVE IS CORRECT _
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.
AND STATE LAWS REGULATING BUIL_�D.�INN�GCrrO'�NSTRUC-
TION. n��c�w[r! LATH, EXT. /
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE _ RECT AND POSTED /yam
-'ADDRESS-/go / FINAL
JOHN A.LAMBIE, COUNTY ENGINEER NIDATION CLYDE N.DIRLAM."CHIEF BLDG. INSPECTOR
' CC /Mo CASH
LACO2-3-7 3'n NOV.15 16 1 6.0 0 , m
�,2 4 ,2'C', NOV 16 1 3 2.0 0
6 APPLICATION FOR BUILDING PERMIT
.� COUNTY OF-LOS ANGELES _ BUILDING AND SAFETY__
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FK-L IN BUILDING ADDRESS
BUILDING ggqDD ESS
'I hereby affirm that I have a certificate`of consent to self Insure,.'
or a certificate of Workers',Compensation Insurance,,o_r a certified w J _
copy thereof (Sec 3800,Lab C) - • ,
CIT ZIP
- �
LOCALITY
Policy No Company SIZE OF T NO OF B GS NOW ON LOT ,
❑ Certified copy Is hereby furnished' NEAREST CROSS ST t
❑ Certified copy IS filed with the county'building Inspection, TRACT - BLOCK LOT NO
., department r• - USE ZONE MAP NO ; -
' ASSESSOR MAP BOOK PAGE - PARCEL
Date Applicant
_ -SPECIAL CONDITIONS
OWNE)kb - TEL /
CERTIFICATE OF EXEMPTION FROM WORKERS' S
COMPENSATION INSURANCE NO WITHIN 1000 FT OF SCHOOL YES NO
-(This section need not be completed If the permit Is for one'hundred• ADDRESS
DISTRICT GROUP.' TYP CONST, FIRE ZONE PROCESSED BY _
dollars ($100) or less) ' /�I
CITY ZIP
I certify that In the performance of the work for which this permit. q ) ,780
Is issued, I shall not employ any'person In any manner-so as to _ d
AR HITECT R ENGINEER - L NO
become subject to the Workers'• pensation g� _ STATISTICAL CLASSIFICATION t " 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'- CQW.T,RACTO ^ T L O - , SET BACK YARD. HWY PROP LINE WIDTH
L
Compensation provisions,of the Labor Code, you must;,forthwith OSS FRONT
comply with such provisionsfor this permit shall be deemed-revoked
%4DDESS LIC`NO- p L
LICENSED CONTRACTORS DECLARATION � ��' ���' sIDE- LIC LASS P L
I hereby affirm that 1 amjhcensed underprovisions of Chapter 9 — SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES
-
Professions Code,and my license is In full force nd eja NEW BK PG
License?Nu r LIC CIdSS DESCRIP NOF WORK It N ADD ❑ VALUATION �� Q
&019Contra'c'tor,Lam M C(4A .Date — ALTER •,❑
cc
Xam exempt under Sec REPAIR ❑ _
B&PC for this reason -•DEMOL ❑ V
LDMA P/C# W
Da SE OF EXISTING BLDG •URM _ ❑ _ 1
_ CO
Signature �P C-4�( s4 Z
APPLICANT(PRINT) ; TEL NO LDMA Perm#
❑ I, as owner of the property, or my employees with wages'as OZ
their sole'compensation, will do the work and the structure Is ADDRESS
- not Intended or offered for sale (Section 7044, Business and " FINAL•DATE
Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL1 Z� 7
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL-TO OR GREATER THAN THE 6I'1� •f '' � �'
El1, as owner of the property, am exclusively contracting WITH AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS•INFORMADON GUIDES FINAL BY 5 q
licensed contractors to construct the,project (Section 7044, P' i" 121 e_E.
Business and Professions Code) YES El NO 1:1 — G_•K
WILL'THE INTENDED USE OF THE GUIDING BY THE APPLICANT OWFUTURE BUILDING _ -9�y} e�It_)
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH i•�i¢1 *•�I: ^
CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT,DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
GUIDELINES
.l hereby affirm that there Is a construction lending agency for YES❑ NO❑ o-
a ,the performance Of the work for which this permit Is Issued(Sec 's #; r� •i) yy ,, '�st
•3097, CIV C I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING `7'
1 EUI��-111311 J. �•1:'
N _ ) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, _
TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS I:Ir •1_i n
IL
Lender's Name- MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD - - e 4 I 't'"a
IL Lender's Address
O OWNER OR AGENT
0 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 � - j ,
with all county ordinances and State laws relating to building 7
m const cUon, and here uthonze representatives of this County ISSUANCE FEE
o,�n r uponupon t� tioneypr ty for ecI/on p rp's ;
� J INVESTIGATION FEE TOTAL FEE
S,p,wmre of Apr Ka «neem Dare
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 0508 1112190008
PHONE (626) 285-0488 EXT,
ILEGAL ID NO OF. CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE _ 10166 DAINES DR
STRUCTURE V-B TEMP CA 917802706
ASSESSOR INFORMATION NUMBER - - I NEAREST CROSS STREET. BALDWIN - -
18586-027-024 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl
(TENANT. JEXIST BLDG USE RESID USE-ZONE R-1 (ISSUED ON. PROCESSED BY 1
1 (EXIST OCC GRP 112/19/11 SR
JOWNER TEL NO JBLDGS. NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE
ILEE, ANN W (626) 203-2330- 15,000AV
110166 DAINES DR
ITEMP 917802706 FEES PAID 113ESCRIPTION OF WORK
IREMODEL KITCHEN, TWO BATHROOMS REMODEL AND SEAL OFF SIDE
I 1FEE DESCRIPTION QUANTITY UOM AMOUNT- 1DOOR NEXT TO GARAGE
1APPLICANT TEL NO: I ° - J
ILEE, ANN W (626) 203-2330- IAA BLDG PERMIT ISSUANCE 27 80 J -
110166 DAINES DR JAB STATE GREEN BLDG FEE 15000 00 VAL 1.00 ISPECIAL CONDITIONS -
ITEMPLE CITY CA 91780 - JAC STRONG MOTION RESID 15000 00 VAL 1 50 1 j I
I JB2 PERMIT W/ENERGY 15000 00 VAL 331 60 1 1
J _JFR INV WORK W/O PERMIT 257 00 DOL 257 00 -
ICONTRACTOR. TEL NO I TOTAL FEES 618 90 1APPROVALS DATE INSPECTOR SIGNATURE
JZ. S CONSTRUCTION INC (626) 203-2330- 1J
1608 E VALLEY BLVD #D-274 LIC NO - 1 ILOCATION AND SETBACKS
JSAN GABRIEL, CA, 91776 912278-B I - I 1 1
• ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER TEL NO 1 (FOUNDATION/TRENCH FORMS J
J LIC NO I ISLAB/UNDER FLOOR -
I 1 1
RAISED FLOOR FRAMING -I
IMAP NO. SEWER MAP BOOK PAGE - FIRE ZONE CMP JUNDERFLOOR INSULATION J
1147H273 3 OOJ - 1
I I IFLOOR SHEATHING J
INO- OF FAMILIES DWELLING•UNITS: APT/COND STAT CLASS II -
0 NO -21 IROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS I JSHEAR PANELS
1AIR QUALITY 1000 FEET MATERIALS I
1 NO NO NO J - JFRAM,E INSPECTION
- 1FIRE SPRINKLER HANGERS
JINSULATION/WEATHER STRIP( -. I
J- I
• JINTERIOR LATH/DRYWALL J -
1 r
(EXTERIOR LATH
1 J (RATED FLOOR/CEIL ASSEM
I I
JRATED WALL ASSEMBLIES I
IRATED SHAFTS/OPENINGS
I I .
T-BAR CEILINGS -
ILOT DRAINAGE
IREPORT ID DPR261 ROUTE TO BS0508
1 I I ' I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
ol DEPARTMENT OF PUBLIC WORKS - 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1201180002
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
1 ON FILE SQ FT STORIES TYPE 1 10166 DAINES DR
STRUCTURE V-B J TEMP CA 917802706
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BALDWIN
18586-027-024 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl
TENANT IEXIST BLDG USE RESID USE ZONE R-1 JISRUED ON PROCESSED BY -
- IEXIST OCC GRP 101/18/12 SR -
I
DOWNER- TEL NO JBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL CODE
ILEE, ANN W (626) 203-2330- -3,500 (�� I
110166 DAINES DRy
ITEMP 917802706 FEES PAID IDESCRIPTION OF WORK
REPLACE 10 WINDOWS WITH MILGARD TUSCANY RETRO FIT WINDOWS
IFEE DESCRIPTION -QUANTITY UOM AMOUNT -
JAPPLICANT- TEL NO:
ITHANH HARRISON TRAN (626) 297-2829- JAA BLDG PERMIT ISSUANCE - 27 80
11635 SUPERIOR AVE #6 JAB STATE GREEN BLDG FEE 3500 00 VAL 1 00 ISPECIAL CONDITIONS. -
ICOSTA MESA, CA 92627 JAC STRONG MOTION RESID 3500 00 VAL 0 50
ID2 PERMIT W/O EN-HC 3500.00 VAL 116 00
TOTAL FEES 145 30
CONTRACTOR TEL NO: JAPPROVALS DATE INSPECTOR SIGNATURE
INEWSTAR DESIGN GROUP INC (626) 297-2829- 1 1
1635 SUPERIOR AVE #6 LIC NO LOCATION AND SETBACKS
COSTA MESA, CA 92627 954530-B
I SOI-.,S ,ENGINEER APPROVAL
JARCHITECT OR ENGINEER- TEL NO IFOUNDATION/TRENCH FORMS
LIC NO JSLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDFRFLOOR INSULATION
I147H273 3 001 1 11
—1 (FLOOR SHEATHING
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I
0 NO 21 1 IROOF SHEATHING
I I I I I
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS -
JAIR QUALITY 1000 FEET MATERIALS
NO NO NO IFRAME INSPECTION
FIRE SPRINKLER HANGERS
INSULATION/WEATHER STRIPI I
INTERIOR LATH/DRYWALL
1 1 EXTERIOR LATH I 1
J I RATED FLOOR/CEIL ASSEM
J RATED WALL ASSEMBLIES 1
RATED SHAFTS/OPENINGS
IT-BAR CEILINGS J
JLOT DRAINAGE J
J (REPORT ID DPR261 ROUTE TO BS0508
)` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING ANL SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 1303040037
PHONE (626) 285-0488 EXT
LEGAL ID I NO OF CONST NEW BUILDING ADDRESS
1 ON FILE _ SQ. FT STORIES TYPE OCCUP GROUPI 10166 DAINES DR
_ISTRUCTURE 1252 1 V-B R3 I TEMP CA 917802706
(ASSESSOR INFORMATION NUMBER I GARAGE I NEAREST CROSS STREET BALDWIN
(8586-027-024 I OTHER 163 1 V-B U I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl
I I I I
ITENANT (EXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY I
1EXIST OCC GRP 104 /29/13 SR
I
(OWNER- TEL NO IBLDGS NOW ON LOT VALUATION (FINAL DATE FINAL BY CODE I
1LE1, ANN W (626) 203-2330- 174,472 If 1t �Q�
1101G6 DAINES DR I �
ITEMP 917802706 _ I FEES PAID IDESCR�N OF WORK I
(ADD FAMILY ROOM, MASTER BEDRM, MASTER BATHRM, WALKING IN CLOI
IFEE DESCRIPTION QUANTITY UOM AMOUNT- ISET, DINING RM, DEN, FULL BATHROOM, LAUNDRY ROOM, ATTACHED
(APPLICANT TEL NO I IPATIO COVER AND ATTACHED TRELLIS 331 SQ FT
ILAM, GARY (626) 588-8615- IBI PLANCHECK W/ENERGY 174472 00 VAI, 1,667 80 1
12250 W MAIN ST IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS
IALHAMBRA CA 91801 IAB STATE GREEN BLDG FEE 174472.00 VAL 7 00 1 I
IAC STRONG MOTION RESID 174472 00 VAL 17 50
IB2 PERMIT W/ENERGY 174472 00 VAL 1,962 20 I
ICONTRACTOR TEL NO 108 CERTIF OF OCCUPANCY 101 40 APPROVALS DATE INSPECTOP SIGNATURE
IY S L CONSTRUCTION INC (626) 320-7602- 1 TOTAL FEES 3,783 70 1 \\ 1
11323 W DURNESS STREET LIC NO I ILOCATION AND SETBACKS
IWEST COVINA CA 91790 982850 1 I 1'
I - I ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I
ILAM, GARY (626) 588-8615- 1 1 1
12550 W MAIN STREET LIC NO 1 _ ISLAB,IINDER FLOOR I 1
JALHAM13RA CA 91801 982850 * I I 1 1 1
I 1- 1 RAISED FLOOR FRAMING Itl Cr
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I
I 3 001 1-- 1
I I IlST LEVEL FLOOR SHEATHI
INO. OF FAMILIES DWELLING UNITS: APT/GOND STAT CLASS I I- I
1 0 NO 21 I 12ND LEVEL FLOOR SHEATH
I I
I SCHOOL WITHIN HAZARDOUS I IROOF-SHEATHING I I
(AIR QUALITY. 1000 FEET MATERIALS I • - I
I NO NO NO I IFIRE DEPT FRAME INSPECTI I
I _ I (BLDG DEPT FRAME INSPECTI 1 1
I I ISHEAR PANELSI
I I I
I _1 11NSULATION/WEATHER STRIPI 1
I 1 (INTERIOR LATH/DRYWALL I1 1
I I (EXTERIOR LATH
I I
I ILOT DRAINAGEI I
i ' I I
I - ISMOKE DETECTION DEVICES I I
I IFIRE DEPARTMENT APPROVALI I
I I* ADDITIONAL DATA ON FILE I I
I I I I
I IREPORT ID DPR261 ROU'T'E TO BS0508
I I_
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 1307080018
PHONE (626) 285-0488 EXT
ILEGAL.ID NO OF CONST BUILDING ADDRESS
bN'FILE SQ FT STORIES TYPE I 10166 DAINES DR
STRUCTURE- V-B -TEMP CP: 917802706
JASSESSOR'INFORMATION NUMBER NEAREST CROSS STREET BALDWIN
18586-027-024 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl
ITENANT JEXIST BLDG USE GARAG USE ZONE R-1 JISSUED ON PROCESSED BY
(EXIST OCC GRP 107/08/13 SR 1
(OWNER TEL NO IBLDGS. NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE 1
ILEE, ANN W (626) 203-2330- I 2,000 I /f I
110166 DAINES DR 11-` � 1
ITEMP 917802706 FEES PAID 15SCRIPTI N OF WORK J
I INEW CEILING JOINTS, DRYWALL @ GARAGE ONLY
I IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 I
(APPLICANT TEL NO I J
IYONG, SHUANG LIANG (626) 320-7602- JAA BLDG PERMIT ISSUANCE 27 80 1
11323 W DURNESS ST JAB STATE GREEN BLDG FEE 2000 00 VAL 1 00 ISPECIAL CONDITIONS
IWEST COVINA CA 91790 JAC STRONG MOTION RESID 2000 00 VAL 0.50 1
I ID1 PLANCHECK W/O EN-HC 2000 00 VAL 82 10
I ID2 PERMIT W/O EN-HC 2000 00 VAL 82 20 I
1CONTRACTOR TEL NO TOTAL FEES 193 60 (APPROVALS DATE INSPECTOR SIGNATURE
JY S L CONSTRUCTION, INC. (626) 320-7602- 11
11323 W DURNESS STREET LIC NO ILOCATION AND SETBACKS I J
IWEST COVINA CA 91790 982850 I I I I
I ISOILS ENGINEER APPROVAL 1
(ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I I
LIC NO ISLAB,'UNDER FLOOR
IRAISED FLOOR FRAMING I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDERFLOOR INSULATION
3 001 1 I I I
I IFLOOR SHEATHING
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I
NO 21 1 IROOF SHEATHING 1
SCHOOL WITHIN HAZARDOUS i JSHEAR PANELS 1
I I I
JAIR QUALITY 1000 FEET MATERIALS
1 NO NO NO 1 JFRAME INSPECTION 1 1 t I
1 I IFIRE SPRINKLER HANGERS 1 I I
JINSULATION/WEATHER STRIPI I
1 1 JINTERIOR LATH/DRYWALL I I I
1 I JEXTERIOR LATH I 1
I I (RATED FLOOR/CEIL ASSEM I I
IRATED WALL ASSEMBLIES I
I IRATED SHAFTS/OPENINGS I I
IT-BAR CEILINGS 1
ILOT DRAINAGE I J
IREPORT ID DPR261 ROUTE TO BS0508 I I I
I i I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AN,D SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1307250086
PHONE (626) 285-0488 EXT.
ILEGAL ID I NO OF CONST I BUILDING ADDRESS
ON FILE I SO FT STORIES TYPE 1 10166 DAINES DR
ISTRUCTURE V-B I TEMP CA 917802706
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET BALDWIN
18586-027-024 I I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl
I I I I
ITENANT IEXIST BLDG USE GARAG USE ZONE R-1 JISSUED ON PROCESSED BY
JEXIST OCC GRP 107/25/13 SR
(OWNER- TEL NO BLDGS NOW ON LOT VALUATION IFINAL DATE FINAL AY CODE
ILEE, ANN W (626) 203-2330- 1 4,000 ( "�
110166 DAINES DR _1
ITEMP 917802706 FEES PAID ID SCRIPTION OF WORK
I ITEAR OFF REROOF WITH 30 YR COMPOSITION SHINGLES TO MATCH
1 IFEE DESCRIPTION QUANTITY- UOM AMOUNT INEW ADDITION
(APPLICANT TEL NO I
IYONG, SHUANG LIANG (626) 320-7602- IAA BLDG PERMIT ISSUANCE 27 80 I 1-
11323 W DURNESS ST JAB STATE GREEN BLDG FEE 4000 00 VAL 1.00 ISPECIAL CONDITIONS
IWEST COVINA CA 91790 IAC STRONG MOTION RESID 4000 00 VAI, 0 50 I
1 ID2 PERMIT W/O EN-HC 4000 00 VAL 115 80 I
1 IFR INV WORK W/O PERMIT 344 00 DOL 344 00 I
(CONTRACTOR TEL NO I TOTAL FEES 489 10 (APPROVALS DATE INSPECTOR SIGNATURE
IY S L CONSTRUCTION, INC (626) 320-7602- I I —I
11323 W DURNESS STREET LIC NO I ILOCATION AND SETBACKS 1
IWEST COVINA CA 91790 982850 1 1 1 _
I ISOILS ENGINEER APPROVAL I I
I I I I I I
(ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS I
I LIC NO I JSLAB/UNDER FLOOR I I 1
I I I I I i
I IRAISED FLOOR FRAMING 1
I I I I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDEPPLOOR INSULATION _
1 3 ool J I
I I IFLOOR SHEATHING I I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I
I NO 21 1 IROOF SHEATHING
I I I I I I
1 SCHOOL WITHIN HAZARDOUS J ISHEAP. PANELS I I I
(AIR QUALITY 1000 FEET MATERIALS I 1 1
NO NO NO I IFRAM_F INSPECTION 1 1
I IFIRE SPRINKLER HANGERS J
I I I I I I
1 J JINSULATION/WEATHER STRIPI I I
I I 1 I
1 I JINTEFIOR LATH/DRYWALL I J
I I I I
1 1 JEXTERIOR LATH I
IRATED FLOOR/CEIL ASSEM. I I I
I I I I I I
1 (RATED WALL ASSEMBLIES I 1 1
I I I I I I
IRATED SHAFTS/OPENINGS 1 I
T-BAR CEILINGS J I 1
I I I I I I
1 ILOT DRAINAGE I I 1
I I I I I I
J IREPORT ID. DPR261 ROUTE TO BS0508 1 1 1
I I I I I I