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HomeMy Public PortalAbout10252 DAINES DR_Building__ __�,-,. iYf'.� ,rte -^-^•-^— DEPARTMENT OF BUIL ING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® ({/� WM. J. FOX, CHIEF ENGINEERJAN 2 l 'IL 1 G FOR.APPLICANT FILL IN FOR OFFICE USE ONLY BUILDING 1 1 ' r DISTRICT PLAN CK. NO. PERMIT NO. ADDRESS 7-0 ,9-5 - LOCALITY RECEIVED BY DATE OF APPL. DATE 1 SU D i NEAREST + ,5 CROSS ST, Q,,(A BUILDING r ADDRESS �� "i.,J�•= �- OWNER MAIL • LOCALITY 'i ADDRESS NEAREST ' • TEL.5�� B �� CROSS ST. CITY NO. FIRE " NO. OF �I TYPE GROU.J ARCHITECT OR TEL:' ZONE - PLANS �L ENGINEER NO. BLDG. l t ORD. IjID ' r SETBACK LINE ADDRESS APPROVED - - - TEL. - BY DATE CONTRACTOR NO. USEAPPROVED ' °• ZONE / BY DATE - ADDRESS " ,HOUSE NUMBERING ' LEGAL DESCRIPTION' LOT NO. BLOCK MAP NUMBER FIELD CHECK BY TRACT 'S� NO. ASSIGNED BY Adl5,3fioATE NO OF BLDGIf - CORRECTIONS - SIZE OF LOT I NOW ON LOT LI EXISTING BLDG. FAMILIES .DESCRIPTION OF WORN NEW ALTERATION I I ADDITION 0l REPAIR I DEMOLITION I I I p SQ. FT. NO. OF l 0 SIZE • ROOMS STORIES 1 • - Z _ D EXT. WALL ROOF -- r COVERING + �jL-I COVERING USE OF STRUCTURE - e5 (97A Z, ' APPROVALS 'INSPECTOR'S SIGNATURE DATE I HEREBY •ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION,� � '�/ PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS �✓ �,/"4/f1` CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND _STATE BRACING, BOLTS LA� •�/J'/ AWS REGULA G BUILDING CONSTRUCTION. FURNACE. LOCATION, ' SIGNATURE OF GAS VENT, DUCTS PERMITTEE- ' LATH, INT. j 7 ADDRESS 8�t""♦7 LATH, EXT. AUTHORIZED AGT.' r V PLASTER, INT. 76AG38A• D833 10-50 P C. s © FEE PLASTER, EXT. ' VALUATION FEE 7e FINAL Lq' VVOPKERS' COMPENSATION DEO-LARATION ' he'r ,y dffcer that I have r ce' Come of consent To Self APPLICATION , FOR BUILDING' PERMIT • insure,�•)r a certificate of Workers' Compensation Insurance, - '•" ` or'a'cel4ified copy thereof (Sec 3800,'Lab C ) 4 - COUNTY OF LOS ANGELES : BUILDING AND SAFETY •PolKy,No Company �. BUILDING [� ❑ _ Certified copy,is hereby furnished FOR APPLICANT TO FILL IN ADDRESS ' I. ❑ Certtfied copy is filed with the county building inspec- BUILDING Z�Z ^��(j� ^.' - 7 Tion department. ADDRESS ? CIN �Z U 1 ZIP [ !'f5-C) LOCALITY G� Dare Applicant NO OF BLDGS c. ,- NEAREST CERTIFICATE`OF EXEMPTION FROM WORKERS' SIZE OF LOT, !�_6 X NOW ON LOT CROSS ST COMPENSATION INSURANCE /" ASSESSOR ' (This section need not be'completed if the.permit is for one TRACT _ 6, BLOCK LOT NO 1 d MAP BOOK PAGE PARCEL hundred dollars ($100) or less ) TENOL Z f,� ZZ�J NO OWNER USE 1 7 4 - �i�V�' 1 (/�G +ZONE MAP141 I certify that in-thwperformance of the,work for which this • - tet' ,f permihis issued, I shall not employ any'person-in any manner ADDRESS (v u � CONDITIONS 'aSPECIAL " so as to become subject to The Workers' Compensation L ws 0 �._ �f CITY sl �/.[ W �j ZIP O G Date tl 3 ���Applicantr'.' ARCHITECT OR TEL [�� :j DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT If, aftr-making t is Certificate of-- ENGINEER C r-,L O ' , CONST ZONE F' Exemption, you should become subject to The Workers' © 1 w Compensation provisions of the L°abor Code, you mustforth- ADDRESS .( b'-�•• `I�I[Ff!7 2 j/ to- 'iwith comply with such •provisions-or this permit-shall be_ TEL STATISTICAL CLASSIFI ATION APT CONDO Z _ deemed revoked CONTRACTOR 0WfgaA-t- — 'LICENSED CONTRACTORS DECLARATIONLIC CLASS NO DWELL'UNITS I hereby affirm that I am licensed under provisions of Chapter 9 _ ADDRESS' NO SEWER MAP (commencing with Section 7000)of Division 3'of the Business LIC and Professions Code,and my license is in full force and effect CITY CLASS BK PG ECK 23 VALIDATION r SQ FT NO OF •Z NO OF CH ' License Number: •;Lic. Class SIZE_ ?j fj - STORIES FAMILIES / ONE VALUATION 'AM-Tow vn NEW ❑ J�J7 t ? Contractor Date DESCRIPTION OF WORK ,D 171) �� r- 1� 1 ❑ Va /t OZd� ADD ❑ • J I am exempt under Sec ALTER ❑ , B&P C for this reason �Ict� /arc► 7r/ ❑ $ 1 I, USE.OF REPAIR -7O O V TOTAL 478. 1 3 " Date EXISTING BLDG 115 t • DEMOL El -70 lJ CWCK,- LTi.•13 Signature APPLICANT TEL FINAL 7 (PRINT) �C &C_ C aw NO O OWNER-BUILDER DECLARATION DATE '� Zl •� I hereb affirm that I am exem t•from the Contractor's,License +/ T. L'aw for the following reason(Section 7031 5, Business and ADDRESS ��GS �' GV�k��J F Professions Code) • .. - PRESENT Its - ` f BUILDING `i. s „ I, as owner,,of they property, or my employees.with ADDRESS i 1�110s wages as their sole compensation,will do the work and V 38 the,structure is not•intended or offered for sale(Section LOCALITY 704, Business and Professions Code ) ` MOVING TEL ❑ 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 ) PREQUIREDTOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY, SET BACK YARD HWY PROP LINE WIDTH _ I hereby affirm that there is a construction fending agency-for FRONT w i ` `} = 't •` the performance of the•work for which this permit is issued PL `- E (Sec 3097, Civ C ) SIDEn C� ►� [ J' ' Ito ; P L_ 4 CrJ Lender's Name 3 "'`J P C Fee S / Permit Fee 6. H Lender's Address ,� � �•' LP '� - ' 0 I certify that I have read this application and state that the �f r' / Issuance Fee /d• LDMA P/C# above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee (pOCO -J LDMA.Perm # -4- a and hereby authorize representatives of this County to enter T: �'= -•t.t �`� J e4 aupon thibove-m tioned roperty for ection purpose r. '- -•.�y t ,-� �t `�', '��� ' SEEREVERSE FOR EXPLANATORY LANGUAGE ■■,\ ■ :� ■ • 1' '.: L .' J� Signatur6 of Applicant or Agerit 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 1212030003 PHONE (626) 285-0488 EXT• ILEGAL ID: - NO ` OF CONST I BUILDING ADDRESS I ITR 15862 . LT - 10 SQ FT STORIES TYPE 1 10252 DAINES DR - 1 I ISTRUCTURE V-B I TEMP CA 917802707 - 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET. ARDEN _ 18586-027-010 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl I I I I (TENANT. (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY 1 (EXIST OCC GRP ' 112/03/12 SR I I I I I (OWNER TEL. NO IBLDGS' NOW ON LOT VALUATION IFINAL DA INAL BY �J-lL CODE IMACH, SUSAN/BEN _ (626) 448-6423- 3,500 I /3 110252 DAINES DR Ip y r a 1 ITEMP 917802707 I FEES PAID IDESCRIPTION OP W 1 I IKITCHEN AND BATHROOM REMODEL I _IFEE DESCRIPTION QUANTITY• UOM AMOUNT. ( I 1APPLICANT TEL NO I . I I ISAME-AS OWNER - IAA BLDG PERMIT ISSUANCE 27 80 1 _ 1 IAB STATE GREEN BLDG FEE 3500 00 VAL 1 00 ISPECIAL CONDITIONS I I 1AC STRONG MOTION RESID 3500 00 VAL 0.50 1 I I 1B2 PERMIT W/ENERGY 3500.00 VAI. 127.40 1n \` C I IFR INV WORK W/O PERMIT 339.60 DOL 339.60 1( J't j C (_47v1 G Y )1 ICONTRACTOR - TEL NO 1 TOTAL FEES 496 30 APPRO ALS DATE JINSPECTOR SIGNATURE I (SAME AS OWNER I I I LIC NO I (LOCATION AND SETBACKS 1 I I I (SOILS ENGINEER APPROVAL I 1 (ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I I i 1 LIC NO I ISLAB;UNDER FLOOR I I _ I A IRAISED FLOOR'FRAMING 1 I 1 1MAP NO SEWER NAP BOOK PAGE FIRE ZONE CMP I .�-- .,,� (UNDERFLOOR INSULATION I I _ I 1147H273 3 OC I r' J t I I I I rot �I c-A FLOOR SHEATHING I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 0 NO 21 1 (ROOF SHEATHING I I I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I 1AIR QUALITY 1000 FEET MATERIALS 1 NO NO NO I (FRAME INSPECTION I I I I IFIRE SPRINKLER HANGERS 11NSULATION/WEATHER STRIPI I I I (INTERIOR LATH/DRYWALL I I 1EXTERIOR LATH I I I IRATED FLOOR/CEIL ASSEM I I I I IRATED WALL ASSEMBLIES I I I I I _ IRATED SHAFTS/OPENINGS I I I I IT-BAR CEILINGS I I I I I ILOT DRAINAGE � I I I IREPORT ID DPR261 ROUTE TO- BS0508 I I I I • t , 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 1106130017 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST BUILDING ADDRESS 1 ITR 15862 LT 10 SQ FT STORIES TYPE 1 10252 DAINES DR 1 I _ISTRUCTURE 1050 V-B I TEMP CA 917602707 1 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET -ARDEN 18586-027-010 I I THOMAS PAGE 597 GRID B3 LOCALITY. TEMPLE CITY, Cl ITENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY I IEXIST OCC GRP 106/14/11 SR I (OWNER. TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE IMACH, BEN (626) 448-6423- 1 2,900 ��,�]�t/�� 110252 DAINES DR I I f �Q ITEMP 917802707 I FEES PAID 1 SCRIPTION OF WORK 1 IRE-ROOF WITH TILE & REINFORCE ROOF FRAMING 1 _IFEE DESCRIPTION. QUANTITY UOM AMOUNT I 1 1APPLICANT TEL NO I I ISAME AS OWNER - ID1 PLANCHECK W/0 EN-HC 2900 00 VAL 84 20' 1 1 IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS I 1 IAB STATE GREEN BLDG FEE 2900 00 VAL 1.00 1 I IAC STRONG MOTION RESID 2900 00 VAL 0 50 1 1 1 _ID2 PERMIT W/O EN-HC 2900 00 VAL 99 10 1 I ICONTRACTOR TEL NO I TOTAL FEES 212 60 (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I I LIC NO i ILOCATION AND SETBACKS I I I ISOILS ENGINEER APPROVAL I 1ARCHITECT OR ENGINEER TEL NO 1 1FOUN-:-,f ION/TRENCH FORMS I I LIC NO i ISLAB/UNDER FLOORI I I I IRAISED FLOOR FRAMING 1 I I I IMAP NO SEWER MAP BOOK PAGE. FIRE ZONE CMP 1 (UNDERFLOOR INSULATION I I I 1147H273 3 001 1 11 1 I I IFLOOR SHEATHING I I INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I I I 0 NO 21 1 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS 1 ISHEAP. PANELS I I (AIR QUALITY 1000 FEET MATERIALS I I I1 I NO NO NO 1 (FRAM,? INSPECTION 1 1 IFIRE SPRINKLER HANGERS 1 •(INSULATION/WEATHER STRIPI I I I I -1-1 1 11NTERIOR LATH/DRYWALL I I 1 I I I 1 1 IEXTERIOR LATH I I I IRATED FLOOR/CEIL ASSEM 1 1 IRATED WALL ASSEMBLIES I I 1 1 1 (RATED SHAFTS/OPENINGS 1 1 I I I I I I I 1 IT-BAR CEILINGS I I I I I I 1 1LOT DRAINAGE 1 1 I 1 IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I T 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 1003250002 PHONE (626) 285-0488 EXT (LEGAL ID- 1 NO OF CONST 1 BUILDING ADDRESS 1 ITR- 15862 LT 10 1 SQ. FT STORIES TYPE 1 10252 DAINES DR 1 I (STRUCTURE 700 V-B I TEMP CA 917802707 (ASSESSOR INFORMATION NUMBER 1 1 NEAREST CROSS STREET ARDEN 18586-027-010 1 1 j THOMAS PAGE. 597 GRID B3 LOCALITY TEMPLE CITY, Cl (TENANT JEXIST BLDG USE RESID USE ZONE. R-1 JISSUED ON PROCESSED BY. JEXIST-OCC GRP 103/25/10 SR 1 (OWNER TEL NO JBLDGS NOW ON LOT VALUATION. IF AL DATE FINAL CODE J 1MACH, BEN (626) 448-6423- .I 5,000 1 \0 110252 DAINES DR - I 1 J (TEMP 917802707 I FEES PAID (DESCRIPTION OF WORK 1 I I (TEAR OFF AND REROOF LITE WEIGHT TILE HOUSE AND GARAGE 1 I IFEE DESCRIPTION- QUANTITY: UOM- AMOUNT 1 JAPPLICANT- TEL NO. I I (SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 J JAB STATE GREEN BLDG FEE 5000 00 VAL 1 00 (SPECIAL CONDITIONS: I 1 1AC STRONG MOTION RESID 5000.00 VAL 0 50 I 1 JD2 PERMIT W/O EN-HC 5000.00 VAL 132 60 r f J JFR INV WORK W/O PERMIT 128 50 DOL 128 50 (CONTRACTOR _ TEL NO II TOTAL FEES 290 35 JAPPROVALS DATE I_N_SPECTOR SIGNATURE J SAMEAS OWNER , - LIC NO J JLOCATION AND SETBACKS J J I I 1 (SOILS ENGINEER APPROVAL J 1 JARCHITECT OR ENGINEER: TEL NO -J JFOUNDATION/TRENCH FORMS I I I I LIC NO 1 JSLAB/UNDER FLOOR 1 J J I I IRAISED FLOOR FRAMING 1 J I J IMAP NO SEWER MAP BOOK PAGE: FIRE ZONE CMP J JUN DERFLOOR INSULATION 1 J J 1147H273 3 00] 1-_ ' 1 1 I I I (FLOOR SHEATHING 1 1 J INO OF FAMILIES DWELLING UNITS: APT/GOND: STAT CLASS 1 I - ti -1-1 I NO 21 1 IROOE SHEATHING 1 1 J SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I JAIR QUALITY 1000 FEET MATERIALS 1 1 ` J NO NO NO 1 (FRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST 1 (FIRE SPRINKLER HANGERS I I I ISET BACK YARD. HWY PROP LINE WIDTH. 1 I I I I (FRONT PL- I JINSULATION/WEATHER STRIPI I I I SIDE PL- I i -1-1 1 I JINTERIOR LATH/DRYWALL I I J J 1EXTERIOR LATH 1 1 1 J (RATED FLOOR/CELL ASSEM. 1 1 I JRATED•WALL ASSEMBLIES I I I (RATED-SHAFTS/OPENINGS I I I 1 1 IT-BAR CEILINGS I 1 I I I JLOT DRAINAGE I I I 1 I 'IREPORT ID DPR261 ROUTE TO BS0508