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HomeMy Public PortalAbout10240 DAINES DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' I L D I G ' WK J. FOX, CHIEF ENGINEER Mv FOR APPLICAM TO FILL IN FOR OFFICE USE ONLY yy�� ,,yq�� DISTRICT NO. PLAN CK. NO/. PERM - IBUILDING T NO. ADDRESS FJ Cd �� 3 Z "� (., �a�. C' Q C9 LOCALITY RECEIVED BY DATE OF APDL. DATE ISSUED �..a NEAREST ov CROSS ST, ,(7 BUILDING /a �, o ADDRESS 72 Al 0 OWNER MAIL LOCALITY ADDRESS .�•� NEAREST I / TEL. CROSS ST. �'G.)6N CITY _ e NO. FIRE NO. OF , TYPE GROUP"^ ARCHITEC OR TEL. ZONE I PLANS ��I" I ^- ENGINEER NO. BLDG. r ORD..//NI!1,,O. SETBACK LINE / H"�f ADDRESS APPROVED TEL. BY DATE CONTRACTOR NO. USE �J APPROVED ZONE /J I BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. I BLOCK MAP NUMBER�iD'O FIELD CHECK BY TRACT 101 - NO. ASSIGNED BY�//,S 3 DATE —� NO. OF BLDGS. CORRECTIONS SIZE OF LOT , X 6�f-Q I NOW ON LOT y q USE OF � NO. OF EXISTING BLDG. I.FAMILIES DESCRIPTION OF WORK NEW I ALTERATION I I ADDITION I O REPAIR I I DEMOLITION SQ. FT. ,I NO. OF C SIZE ( � ROOMS STORIES e Z a EXT. WALLROOF r COVERING �°" f I COVERING USE OF STRUCTURE A. APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT 19 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. V - I AGR EQ TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATI' G BUILDING CONSTF�UCTION. lyy(/�,• •� Q' � FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS PERMITTER = LATH, INT. !/ ` 1l// '�• ADDRESS ig LATH, EXT. �'ry(�"•-�� �/O�' AUTHORIZED AGT. /v �� PLASTER, INT. 78AG38A, DBBi 10-E0 $ gqy!'s� P. C. $ (2) _ � 'Q FEE JPLASTER, EXT. �} VALUATION 79 r� /j FEE . FINAL �• / ll i 1� � ©S 76A638.'#- CJEb3 tREV.6/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING FOR APPLICANT TO FILL IN ADDRESS _�- BUILDING ADDRESS/ ` LOCALITY NEAREST J r CITY ZIP CROSSST.'g �[ NO.OF BLDGS. ASSESSOR SIZE OF LOT ( ?N SNOW ON LOT�J MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE _PROCESSED BY TRACT /�(�J Z� BLOfC�K LOT NO. s� CONST.' ZONE OWNE �_ c//� V//TEL. 1J..U� 3 -- STATISTICAL CLASSIFICATION. SEWER MAP ADDRESS 1A. D16,/� CLASS NO. 2—/JDWELL.UNITS BK PG CITY ZIP ARCHITECT Of TEL, VALUATION ENGINEER NO. ADDRESS BLDG.SETBACK FROM ` EL. FRONT PROP.LINE OF ISTREETI CONTRACTOR ,dgVN HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING '7 y. C FRONT PROP.LINE HIGHWAY WIDTH ADDRES oC ;vn 4 + X70 WI LIC. OL CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM I TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE THWAY WIDTH SQ.FT NO.OF NO.OF CHECK + _ u SIZE STORIES FAMILIES �G� ONE Gin DESCRIPTION OF WOR E NEW ❑ P.C. Fee$ 3 ef 7- 2-o Permit Fee Q c Q ADD ❑ Issuance Fee 'lei ALTER" ❑ C/ ll di REPAIR ❑ Total Fee ! c O V USEOF EXISTING BLDG (� _ DEMOL ❑ z APPLICANT TEL , 661 G IPRIN I O. �3 BY ISIGNAT REI Q I BY KNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Z U 7'c';z D x TH TH OVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES MVA AN S REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE S WORK AUTHORIZED HEREBY I �WILL NOT EMPLOY ANY PERSON IN VIOLATION OF '� V 6 9 b S A THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- 9-/ L PENSATION INSURANCE. _ V O C'O O O 1 SIGNAT E OF / " 2 o391,00 PERMITTE ) y 0-00/ 6Z Y Z. 0c3 � I,LI ? TEL. CITY (/Y= —NO�`�3 Q O,O 7 9 O USE ZONE IMAP g `D Q p SPECIAL r Y CONDITIONS FINAL r Z� BY ac DATE P� i, WORKERS'COMPENSATION DECLARATIONH603 O.;LA;,'-. I hereby affirm that I have a certificate of consent to,self .o insure,or a certificate of Workers' Compensation Insurance, - _ . or a certified copy thereof(Sec. 3800, Lab. C. )' APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. WOO7146 Company Beaver Insurance - - pv" v BUILDING FOR APPLICANT TO FILL IN Certified co is hereb furnished. ADDRESS © Certified copy is filed with the county building--inspec- BUILDING tion department. ADDRESS 10240 Da I nes 44 Date —16-86 Applicant V1r91n"-RnA'f Cn_ CITY ZIP LOCALITY CERTIFICATE OF'EXEMPTION FROM WORKERS' ` ' NO. OFBLDG NEAREST. - -- COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS$T. (This section need not be completed if the permit is for one - ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK' PAGE PARCEL TEL. USE ZONE MAP . OWNER NO.__ NO. I certify, that in the performance of the work for which this SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS 10240 Da I nes CONDITIONS O so-as.to become subject to the Workers'Compensation Laws. V . . .. . _ .. CITY. ._ ZIF'..._. Date Applicant ARCHITECT OR TEL. DISTRICT GR UP' TYPE FIRE PROCESSED BY. NOTICE TO'APPLICANT: If, after making this Certificate of ENGINEER NO. ,q/ CONST. ZONE Exemption;'you -should become subject!to the Workers' LU Compensation provisions of the Labor Code, you must forth- ADDRESS with, comply with such provisions or this permit shall be - - Z TEL. STATISTICAL CLASSIFICATION APT. CO O: Z deemed revoked.,.. CONTRACTOR NO. 77JJ'' LICENSED CONTRACTORS DECLARATIONrgig - LIC- CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX J NO. 16o650'- (commencing with Section 7000)of Division 3 of the Business and _ LIC. - SEWER MAP Professions Code, and my license is in full force and effect. CITY ' ',h CLASS BK PC. VALIDATION SQ. FT, NO. OF NO.OF- _ CHECK 160650 'C39 ' SIZE STORIES FAMILIES ONE License Number Lic.Class ,. - VALUATION DESCRIPTION'OF'WORK Over--exl I_n r0 NEW ❑ 830.00 Contractor Date ADD ❑ $ ❑ I am exempt under Sec. apply Class- '-'A"-GOm - shin 1 ❑ , ALTER B.BP.C. for this reason _ _ ___ .-. _- REPAIR Date: USE OF DWe l l I ng DEMOL ❑ EXISTING BLDG. r� n A Signature APPLICANT TEL. _ FINAL _ Jr O G OWNER-BUILDER DECLARATION PRINT) Vi ROOF Co. NO DATE /� GJ � # 0 0 0 ° '0 i1 hereby affirm that:I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS P oO• Box J San Gabriel H FIN/KCI Professions Code): PRESENT 7 /_ j o_® [�.Q-5 0 D 7 ❑ BUILING I, as owner of the property, or my employees with ADDRESS . .,. - _ °:° ° 4,0,5 0& wages as their sole compensation,will do the work and the structure is not intended or,offered for sale(Section LOCALITY O 7 18-66 7044, Business and'Professions Code).. MOVING " - " - TEL'. oil" ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with'licensed'contractors'to construct the project'(Sec- ' ADDRESS tion.7044, Business and Professions Code). REQUIRED YARD HWY' TOTAL SETBACK FROM T. _ — CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH' I hereby affirm that there is a construction lending agency for FRONT the performance df the work for which this permit is issued - P.L:;, ' (Sec. 3097, Civ. C.): SIDE Lender's Name m LD MA Ref. # \ P.C. F.ee$ Permit Fee Lender's Address 0 OO .I certify that I have read this application and state.that the Issuance Fee kLDMA P/C# - Q above information is correct..1 agree to comply with all County Investigation Fee ordinances and State laws relating to.building construction, Total Fee - S40.r30 LDMA Perm. # U and hereby authorize representatives of this County to enter Q upon the ab ve-mentioned property for inspection purposes. a /C� i%^ SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature of Applicant or Agent 'Date - - -- - •• - _ _ _ .OO •WORKERS' COMPENSATION DECLARATION •�- 4 9 leliet' affirm that-I have certificate of consent to self APPLICATION FOR BUILDING PERMIT - 'in�,re, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. CompanyBUILDING yl� Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ` p Y a Gl'r�►•2d Certified copy is filed with the county building inspec- BUILDING Y tion department. ADDRESS (� d/j�Q y r� 7 Date ZIP ypplicant (�( Gv�L CITY' G OF BLDGS. LOCALITY C TIFIGATE OF EXEMPTION FROM WO KER ' a SIZE OF LOT Ow ON LOT NEAREST / CROSS ST. L( W COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) L OWNER Gi^L�CJ NO USE ZONE MAP I certify that in the performance of the work for which this NO. �/ permit is issued, I shall not employ any•person in any manner ADDRESS -0 ��,•, [ � ' SPECIAL a {f\ CONDITIONS so as to become subject to the Workers' Compensation Laws. O CITY /, Z­R r- , U Date Y131Applicant ARCHITECT O TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO PPLI ANT: If, after making this ert ficate of ENGINEER NO. e CONST. ZONE 0 Exemption, you should become subject to the Work rs' U Compensation provisions of the Labor Code, you must forth- ADDRESS �`I?.fl►►'-{? O� with comply with such provisions or this permit shall be ' TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. p Z LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS' t/rp NO. -�'p;,3 (commencing with Section 7000)of Division 3 of the Business LIC. " SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS gK PG VALIDATION SQ. FT. NO. OF NO. O s F CHECK License Number a� Lic. Class SIZE STORIES NO ONE / VALUATION A(�s Contractor c �^ Date DESCRIPTION OF WO NEW ❑ 0 $ I 110111.❑I am exempty under Sec. O'L� ADD ALTER ❑ B.&P.C. for this reason n ❑ $ Date: UX7 REPAIR USE OF " EXISTING BLDG. DEMOL ❑ Signature APPLICANT J (PRINT) TEL / � /FINAL / s �N OWNER-BUILDER DECLARATION NO. 0 DATE r I ` � I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAiq Professions Code): PRESENT B BUILDINGct�� t/ . Yct ❑ I, as owner of the property, or my employees with ADDRESS v AMT.* wages as their sole compensation,will do the work and e the structure is not intended or offered for sale(Section LOCALITY 3307 181.13 7044, Business and Professions Code.) [ADDR ING TEL. ❑ I, as owner of the property, am exclusively contracting TRACTOR NO. TOTAL 1 with licensed contractors to construct the project (Sec- ESS t V i iLs 1 . 1� tion 7044, Business and Professions Code.) ;�� CONSTRUCTION LENDING AGENCY BACKUIRED YARD HWY TOTAL SETPROBACK FROM LINE WIDTH • I hereby affirm that there is a construction lending agency for ONTOWE the performance of the work for which this permit is issued . " • 00 (Sec. 3097, Civ. C.). E Lender's Name. t1tld0-�i01 5/31/89 m LDMA Ret. # Lender's Address Fee$ Permit Fee3"S 1 oy 8:ElI certify that I have read this application and state that the Issuance Fee O J v LDMA P/C# TTabove information is correct. I agree to comply with all County tigation Fee / 8 ordinances and Stare laws relating to b ildimg construction, Total Fee ` LDMA Perm. # a and hereby authorize representatives this County to enter upon the above-mention opert for inspection p pos s. a _ SEE REVERSE FOR EXPLANATORY LANGUAGE Sigp ut i',V-of Appl' t 16rAgen 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 0204170006" PHONE: (626) 285-0488 EXT: LEGAL0. SS: " TR: 15862' LT: 8 SQ. FT STORIES ' TYPE 10240 DAINES DR STRUCTURE: VN TEMP CA 91.7802707 ASSESSOR N RM 0 R• NEAREST CROSS STREET: ARDEN 8586-027-008 THOMAS PAGE: 597 GRID: 83 LOCALITY: TEMPLE CITY TENANT: X ST BL E: RESID USE ZONE: R-1 ISSUEDON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/17/02 JK 10/14/02 OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATION: 113-ESC:RIPTION DA FINAL BY: CODE: PANOFF OLEG M;MARIA (626) 442-6613- 21000 10240 DAINES DR TEMP 917802707 FEES AID OF WORK REPLACE 17/18 WINDOWS AND RELOCATE KITCHEN DOOR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 2000.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND S TBAC S SOILS ENGINEER APPROVAL ARCHITECT-OR-ENGINEER: TEL. NO: I FRUNDA ION TR NC FORMS LIC. NO: SLAB/UNDER FLOOR KH1J':D FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H273 3 01 FLOOR SHEATHING 0. OF FAMILIES: E NG NITS: APT/CO D: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN AR 0 S 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- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED OOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED HA S OPEN S T-BAR CEILINGS LOT DRAINAGE .i; :;';!:r. - - REPORT ID: DPR261 ROUTE TO: BS0508 " - 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 1211050098 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 NO. OF CONST I BUILDING ADDRESS: i ITR: 15862 LT: 8 I SQ. FT STORIES TYPE 1 10238 DAINES DR J I ISTRUCTURE: VN I TEMP CA 917802707 J (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ARDEN J 18586-027-008 1 1 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY 1 I I I I ITENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: J J JEXIST OCC GRP: 111/05/12 SR OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: WA _ NTITECODE: ILI, WILLIAM (626) 458-0041- 1 7,000 J� =. 110238 DAINES DR I _ ITEMP 917802707 FEES PAID Dcxi TION OF WORK I JBATHRO M REMODEL TILE/DRY gjraLL PATCHING 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ) 1 (APPLICANT: TEL. NO: I I I IVERED, NISSAN (818) 220-9452- IAA BLDG PERMIT ISSUANCE 27.80 1 1 16241 GLADE AVE JAB STATE GREEN BLDG FEE 7000.00 VAL 1.00 ISPECIAL CONDITIONS: J IWOODLAND HILLS 91367 JAC STRONG MOTION RESID 7000.00 VAL 0.70 J J 1 JB2 PERMIT W/ENERGY 7000.00 VAL 182.80 J 1 I I TOTAL FEES 212.30 J (CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE IS 0 D BUILDERS INC (818) 343-3520- 1 1 1 118344 OXNARD ST #209 LIC. NO I ILOCATION AND SETBACKS 1 ITARZANA CA 91356 942085 1 1 I I I ISOILS ENGINEER APPROVAL I I J I I I I I I 1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: 1 1SLAB/UNDER FLOOR I I I I I I I I I IRAISED FLOOR FRAMING I I I I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J JUNDERFLOOR INSULATION I I I 1147H273 3 011 I 1 I I I IFLOOR SHEATHING I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 1 NO 21 IROOP SHEATHING I I J SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I JAIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NO IFRAME INSPECTION i I I I I I I I I (FIRE SPRINKLER HANGERS I I I I I I I I I I JINSULATION/WEATHER STRIPI I 1 I I I I I JINTERIO LATH DRYWALL I k J�� 1 I I L I I 1EXTERIOR LATH I IRATED FLOOR/CEIL ASSEM. I I 1 I I IRATED WALL ASSEMBLIES I I I I I I I I IRATED SHAFTS/OPENINGS I I I I IT-BAR CEILINGS I I 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 I I I I I I