HomeMy Public PortalAbout10540 DAINES DR_Building__ . V
7BA838A CE 4803162 APPLICATION FOR BUILDING PERM T
COUNTY OF LOS ANGELES BUILDING D
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST .J
0IS27G P TYPE P � BY
FOR APPLICANT TO FILL INJZ
CONST'/f/
BUILDING ^�/" / STATISTICAL CLA KATION SEWER MAP
ADDRESS 0 t ry 617 K G
/Af CLASS NO DWELL UNITS ��
LOT NO M �. BLOCK WATER � f
CERTIFICATE NOT REQUIRED f RECEIVED
TRACT D MAP /�O HIGHWAY STATE MAJOR SECON LOCAL
NO OF BLDGS NO (,� (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG TEL J+
OWNER AfK &W17MAN NO BUILDING EXIST
-YARD HWY STREET NAME
DIAMOND MON
O M SETBACK -� WIDTH
ADDRESSN FRONT
ARCHITECT OR TEL P L 1 '
ENGINEER NO I SIDE
ADDRESS r � � �/ TELCO Q � �'///�+� y/l� �• ��' O
CONTRACTOR �[, INA-t.KER NO Gf. SI/I1'/�
ADDRESS 3I a kl " D V(t4 -� •�/!/ �j O
DESCRIPTION OF WORK
N
NEW ADD ALTER REPAIR DEMOLISH _ Z
SO F NO OF NO OF
SIZE STORIES FAMILIES I
USE O
STRUCTURE U 11fC"SS [lµ C
SIGNATURE OF
APPLICANT
I
VALUATION �O L7 _
APPROVALS DATE INSPECTOR 5 SIGNATURE
PC PMT FOUNDATION LOCATION
FEE $ FEE �- I FORMS MATERIALS
/ FRAME FIRE STOPS /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS 0 1 1 I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I GAS VENT DUCTS (�
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK _
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR COD OF THE STATE Or CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE
LATH EXT
SIGNATURE OF {J�• HOUSE NUMBER COR-
P E R M I TT E E
OR-PERMITTEE �rffJJ UUUUM���'"'•••• RECT AND POSTED �,f
! ADDRESS _._. FINAL
JOHN
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION TRCK T1TRM O ECA HER
LAf;a2 5 5 2Qol AUG 3 1 Q 6.00~
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 1210250079
PHONE (626) 285-0488 EXT ,
ILEGAL ID - _ NO OF CONST
ITR 7690 LT 14 _ UN 002 I SQ FT STORIES TYPE BUILDING ADDRESS
_ I 10540 DAINES DR I
I - (STRUCTURE 1500 _ V-B TEMP CA 917802812 I.
(ASSESSOR INFORMATION NUMBER I• - - 1 NEAREST CROSS STREET
18586-029-021 -THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY, Cl
ITENANT - _ (EXIST BLDG USE RESID „ - USE ZONE- R71 . (ISSUED ON PROCESSED BY
` EXIST OCC GRP - 110/25/12 SR
(OWNER ? TEL NO IBLDGS NOW ON LOT VALUATION -I I AL FINAL BX CODE I
• IKOU (626) 447-3060- i - 4,800 i
110540 DAINES DR -
TEMPLE CITY CA 91780 I FEES PAID = - ID SCRIPTION OF WORK A 1
I _ IT/O OLD ROOF INSTALL RADIANT BARRIER INSTALL 30 YR COMP 1
11 IFEE DESCRIPTION QUANTITY UOM AMOUNT ISHINGLE (FRONT UNI-T)
(APPLICANT TEL NO I I -
LAU, ALFRED (626) 622-8108- . IAA BLDG PERMIT-ISSUANCE 27 80 -1
14533 -SHIELEY AVE - - _ IAB STATE GREEN BLDG FEE 4800 00 VAL 1 00 • SPECIAL CONDITIONS 1
IEL MONTE CA 91731 _ IAC STRONG MOTION RESID 4800 00 VAL 0 50 1 -
1 ID2 PERMIT W/O EN-HC 4800 00 VAL 132 60 I
I I TOTAL FEES 161 90 1 1
(CONTRACTOR' TEL NO 1APFROVALS DATE INSPECTOR SIGNATURE
•IGOLDEN KEY INC (626) 285-9016- I I -
IDBA NEVADA GOLDEN KEY LIC NO I - - _ (LOCATION AND SETBACKS I
14533 SHIRLEY AVENUE _ 775115 1
IEL MONTE, CA 91731 - _ - - - y ISOILS ENGINEER-APPROVAL
ARCHITECT OR ENGINEER TEL NO i - _ 1FOUNDATI0N/TRENCH FORMS I I 1
' • .CLIC NO _ - ISLAB/UNDER FLOOR
I I I
IRAISED FLOOR-FRAMING I
1MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I - 1UNCERFLOOR INSULATION I I I
1147H273 3 001 1 '
I I IFLOOR SHEATHING I 1
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS .
0 NO 21 i ,IROCF SHEATHING
SCHOOL WITHIN HAZARDOUS _ _ ISHEAR PANELS 1-
IAIR QUALITY 1000 FEET MATERIALS I � _
1 NO NO NO' IFRAME INSPECTION
IFIPE SPRINKLER HANGERS I
(INSULATION/WEATHER STRIPI I
= i • (INTERIOR LATH/DRYWALL
1EXTERIOR LATH I 'I
(RATED FLOOR/CEIL-ASSEM 1 I
I - I (RATED WALL ASSEMBLIES I 1
RA7ED SHAFTS/OPENINGS I I I
` I _ IT-BAR CEILINGS
1* ADDITIONAL DATA ON FILE
- I - - - ILOT DRAINAGE
IREPORT ID DPR261 ROUTE TO BS0508 I
I I I I