The URL can be used to link to this page

Home My Public Portal About10228, 10224 DAINES DR_Building__ ' 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 0711290004 PHONE (626) 285-0488 EXT ILEGAL ID: NO. OF CONST I BUILDING ADDRESS I ITR 15862 LT. 5 I SQ FT STORIES TYPE I 10228 DAINES DR 1 STRUCTURE- 1500 VN I TEMP CA 917802707 I (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET GRACEWOOD 18586-027-005 - - I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, CI I I ITENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY EXPIRES ON I I (EXIST OCC GRP 111/29/07 SR 05/27/08 I I I I I (OWNER- TEL NO IBLDGS NOW ON LOT VALUATION IFINAL D FINA CODE IMAK WAI CHOR (626) 401-1106- 1 3,000 _ 10228 DAINES DR _ s Ir I ITEMP 917802707 I FEES PAID IDESCRIPTtON dF WORK I I (OVER EXISTING LAYER OF SHINGLES ON ROOF TOP 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT I I (APPLICANT TEL. NO I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 I IAC STRONG MOTION RESID 3000 00 VAL 0 50 ISPECIAL CONDITIONS I I ID2 PERMIT W/O EN-HC 3000 00 VAL 99 00 I I 1 1 TOTAL FEES 127 25 I I I I I I (CONTRACTOR- TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I I I LIC NO I ILOCATION AND SETBACKS I I I ISOILS,ENGINEER APPROVAL I I I I I I I I (ARCHITECT OR ENGINEER. TEL NO: 1 (FOUNDATION/TRENCH FORMS I I i LIC NO _ ISLAB/UNDER FLOOR I I I I I I I I I IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK PAGE FIRE ZONE CMP (UNDERFLOOR INSULATION I I I 1147H273 3 Oil - IFLOOR SHEATHING I I I INO OF FAMILIES: DWELLING UNITS APT/GOND STAT CLASS I I I I I I NO 21 1 1R06F SHEATHING I I I I I I I I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I I I NO NO NO 1 -- IFRAME INSPECTION I I I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST 'I - IFIRE SPRINKLER HANGERS I ISET BACK YARD. HWY PROP LINE WIDTH I I I I I IFRONT PL- I IINSULATION/WEATHER STRIPI I I SIDE PL- I I I I I I IINTERIOR LATH/DRYWALL I I II I I I I I (EXTERIOR LATH I I I I I I I I I IRATED FLOOR/CEIL ASSEM I I I I I I I I I IRATED WALL ASSEMBLIES I I I I I I I I I IRATED SHAFTS/OPENINGS I I I IT'-BAR CEILINGS I 1 1 I I I - • I I I I I ILOT DRAINAGE I I I I I I I I I IREPORT ID DPR261 ROUTE TO. BS0508 I I 1 36A693A CE#803 9-68 APPLICATION FOR BUILDI G PERMIT COUNTY OF LOS ANGELES BUILDING — DEPARTMENT -OF COUNTY ENGINEER ADDRESS � BUILDING AND SAFETY DIVISION LOCA LI TY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUP T OF BUILDING CROSS ST Q Q DISTRICT NO. GROUP TYPE P"OSS BY FOR APPLICANT TO FILL IN - CONS (Print or type only) � BUILDING "' J " STATISTICAL CLASSIFICATION - SEWER MAP" ADDRESS 'Ol'c CLASS NO. / DWELL rUNITS BK PG.l7 LOT NO '' BLOCK USE ZONE MAP NO O TRACTSPE IAL ] = CONDIT ONS y NO.OF BLDGS SIZE OF LOT �G /l '� NOW ON LOT - USE OF EXISTING BLD BLDG SETBACK FROM c L. ' B FRONTPROP:LINEOF - - (STREET) OWNER / TYPE OF JEXiSTING SETBACK HIGHWAY YARD – TOTAL HIGHWAY WIDTH .FROM C L. ADDRESS _ .• CITY �/ + BLDG•SETBACK FROM'" ARCHITEC f OR - TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING" ETBACK HIGHWAY + YARD = TOTAL ADDRESS - HIGHWAY_WID _ FROM C L. _ TEL } = a CONTRACTOR NO C C% LIC. ADDRESS NO CORNER CUTOFF YES ElNO ❑ C CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS LL CONSTRUCTION LENDER u NAME AND BRANCH ? ADDRESS SQ FT NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OFADD ElSTRUCTURE ALTER ❑ REPAIR❑ SIGNATURE O APPLICANT DEMOL VALUATIONS APPROVALS DATE ',INSPECTOR'S SIGNATURE P C - - PMT. _ p.0 FOUNDATION'. LOCATION FEES FEE $ �' FORMS, MATERIALS FRAME: FIRE STOPS„ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED _ HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S C ENSATION I URA ` LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE. - RECT AND POSTED ADDRESS _ FINAL PLAN CHECK VALIDATION CK M O CASH JOHN F LEWIS PRINCIPAL STRUCTURAL ENG R PERMIT VALIDATION CK M O CASH 4 MAY 8 '4 D 9.0 0;:' WORKERS' COMPENSATION DECLARATION insure, or,I hereby �a certificate cate of Workers rtCompensat on eInsuran e, p. AP P L I C�►T LO N FOR R U I L D I N•G PERMIT or a certified copy thereof (Sec "3800, Lab C ) y - COUNTY OF LOS ANGELES . BUILDING AND SAFETY Policy No Company - ' BUILDING ElCertified copy is hereby furnished FOR APPLICANT TO FLLL IN 7 ADDRESS ❑ Certified copy is filed with the'county building inspeo- BUILDING O� tion department ADDRESS Date Applicant J CITY r P •'Y LOCALITY F BLDGS NEAREST— CERTIFICATE OF EXEMPTION FROM WORKERSSIZE OF LOT 1 N ON LOT- CROSS S7 COMPENSATION INSURANCE _ a ASSESSOR (This section need not be completed if the permit is for, one- TRACT BLOCK LOT NOS MAP BOOK PAGE PARCEL hundred-dollars ($100) or.less ) TEL r OWNER O USE ZONEOP I certify that in the performance of the work for which this -' `SPECIAL a permit is,issued, I shall not emp oyany person in any manner ADDRESS•y , CONDITIONS O to becomes�jpec to or ers'Corn-pensation,Laws , 7 n L - f U CITY ZIP' Q' D e pl ARCHITE 7 TEL DISTR GROUP TYPE FIRE OC SED Q '�OTICE'TO APPLICANT- If, after•making•this ,Certificate of ENGINEER , NO CON E F_ Exemption, you should become, subject to the Workers' (> Compensation provisions of,the Labor Code, you must forth- ADDRESS N with comply with such provisions or'this permit.shall be EL ATISTICAL C IFIL TION A CONDO Z deemed,revoked . - = : CONTRACTOR TN — LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS I hereby affirm that I am licensed under proJisions of Chapter 9 ADDRESS NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business' LIC E and Professions Code,and my license is in full force and effect CITY CLASS BK PG VALIDATION SQ FT NO OF NO OF CHECK License Number Lic 'Class ` SIZE STORIES FAMILIES ONE VALLI ION DESCRIPTION OF WORK NEW EJ Contractor Date s „O�JV O � ADD ❑ pop- []'I ❑I am exempt under Sec ALTER B BPC for this reason' - REPAIR ❑ s Date USE OF EXISTING BLDG DEMOL ❑ Signature _ APPLICANTTEL FINAL OWNER-BUILDER DECLARATION (PRINT) _ NO' O DATE � - -1 hereby affirm that I" m exempt from the Contractor's'License • - - - Law for the followingreason (Section 7031 5, Business and ADDRESS FINAL - Professions Code) z e PRESENT - By BUILDING i=jt:L.1 ,4 R ❑ I, as owner of,the property, or my employees with ADDRESS wages as their sole compensation,will do the work and E LOCALITY i it7)]7 the structure is not intended or-offered for sale(Section � - _ _ + •�_ •g a • . 7044, Business and Professions,Code ) i MOVING TEL " . iITEMS CONTRACTOR NO ❑ I, as owner of the property, am exclusively contractingc with licensed contractors to construct the project (Sec- ADDRESS - ' 1 f, [I I I ' 10 a m '•a tion•7044, Business and Professio1 ns Code ) J• . ?u#' ;. i0trr,+ rc REQUIRED, TOTAL SETBACK FROM EXIST ~J � ' CONSTRUCTION LENDING AGENCY' v SET BACK YARD HWY PROP LINE WIDTH ' I hereby affirm that there is a construction lending agency for FRONT ,i ;i �+ ;�` '.CHECK the performance of the•work'for which this permit is'issued P L (Sec 3097, Civ C ) SIDE . PL f , c!T Lenders Name +` 131IJ - Q�i'- 1/2 , 1 $ - - LDMA-Ref,q �t74 t�l it� 9.+.•_ !1 Lender's AddressPoo PC Fee$ Permit Fee i , � � - °'. .,'.,•, ._ - - I certify that I have read•this application and state'�that the Issuance Fee LDMA P/C# 8 above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating To building construction, Toral Fee i LDMA Perm ti a a d hereby authorize representatives of this County to enter 3 p the above-m boned p rt"y f nspecft�on,Purposes a i �f SEE REVERSE,FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent 'Date oSS-3 25M SETS 6-46 Y ~� DEPARTMENT OF, BUILDING AND SAFETY iii: APPLICATIOl" _'RMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER ®� FOR APPLICANTT TO FILL IN _ FOR OFFICE USE ONLY BUILDING �Ta // /d� 1� DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS LOCALITY ✓�Jb�Iv�'� "�f y` RECf V/EDf BY DATE OF A{PPL`. DATE ISSUED NEAREST /,,,�/! n4�G �'V av7�" � / .>�I S � CROSS ST.CJ JJ BUILDING /�(J'Il ADDRESS MAIL ADDRESSSS,/1 JI'�V lr/^1!�`+ �,�y+y q►'/� X5 LOCALITY CITY Jh/i ) - NO./J-/ I7�t�/G� NEAREST ' �G-� � / CROSS 5T. C��• j+-rp ��t.� fl m Com__ FIRE NO.OF TYPE„,,. • GROUP— ARCHITECT R TEL. ZONE I PLANS ( I ENGINEER NO. BLDG. r� // // ORD. NO. ADDR SS 1�J7 (��/ SETBACK LINE �4' CONTRACTOR J/ /��/� /a� �`I TEL •�I BY DATE DATE ADDRESS 14171'1"" /�V ��' USE ,[`J, APPROVED ZONL"r •/ BY DATE LEGAL DESCRIPTION I LOT NO. I BLOCK CORRECTIONS TRACT CJ{�y ` SIZE OF LOT %r6 /` / a I NOW ONBLDG LOTS WA USE OF I EXNO.OF I NO. DF _LISTING BLDG. FAMILIES ROOMS DESCRIP ION OF WORK i NEW ALTERATION ADDITION p A REPAIR MOVING DEMOLISH Sq. FT. �f NO.of Z SIZE ROOMS STORIES / r WALLROOF COVERING . COVERING USE OF NEW BUILDING_ / APPROVALS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS COINSPECTOR DATERRECT FOUNDATION: LOCATION. .• FORMS, MATERIALS �� l AND AGREE TO COMPLY WITH ALL COUNTY O DINANCE9 AND STATE LAWS R¢G.ULATING BUILOIN CON TRUCT DN. - ��(13GU��A�TI � J FRAME: FIRE STOPS, SIGNATURE OP /e+'L�L, J :T BRACING. BOLTS OWNER ��fCCIII LATH, INT.: n AUTHORIZED AGT- ofLATH, EXT.: �i rI �e�� , P. C. 6 PLASTER, INT. V � FEE S /� PLASTER, EXT. VALUATION FEE Za yf FINAL -; '' "A l