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HomeMy Public PortalAbout10558 DAINES DR_Building__ r ��F1�y��)� 11F1,1 71111' �(��. 1 _ L� V 0 LOU U V ��1 ADDRESS �O\7 7 //�f-F'�/✓�� �/1'. APPLICATION LOCALITY NEAREST R DIVISION OF BUILDING AND SAFETY i CROss9T. / _S� 'Y/ 10 Department of Los A eles I1eC[ DISTRICT NO. RECEIPT NO. 1 PERMIT� N O. County of Los Angeles {� 7 WIA. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATEISSUED CASSATT D. GRIFFIN, 5uwi OF BUILDING " .rl7 __S V FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY OY ISSUED BY ..� OWNER S �J,Y (STATE YES, ES, r MAP MAIL / NUMBER Iq ADDRESS O O HWY / jG. USE ZONE SPECIAL CITY No. O 4.y2 j dj�-e�n1 CONDITIONS ARCHITECTOR TEL. _ ENGINEER NO. i BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS ( FRONT CONTRACTOR Y w e Q// Na1' 033i P.L. JS(/ /Ir 4-1 _ r SIDE _ ADDRESS 7�SD JG A y a>.r Cl>T AAAzm � P. L DATE CORRECTIONS INSPECTOR BUILDING ADDRESS / LS r•, jv hp /{ LOT NO. — LJ &/: r VBLOCK 7GTRACT / Rea.„ NO. OF SLOGS. SIZE OF LOT S- I NOW ON LOT USE OF j EXISTING BLDD. •2' OVi DESCRIPTION OF WOR$ O M 0 NEW ADD(/ ALTER REPAIR DEMOLISH Z Sq. FT. ` NO. OF _._ NO.OF D SIZE &X7 BTORIE9 -/ FAMILIES - - -- - USE / STRUCTURnE GIle,f Ife. 07,1 rc /-)(I -4 C4ILyI /1 X 23 eat, L, I NO.OF EMPLOYEES �4 C THEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP, PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. IAGREE TO COMPL WITH ALL COUNTY OppDINANCEB ! FOU p NDATION: LOCATION ANO STATE LAWS R".. ATIND BUILDING CON 9TRI.ICT N. FORMS, MATERIALS F/F f I7` I ' FRAME: FIRE STOPS, F SIGNATURE OF BRACING,BOLTS PERMITTEE FURNACE: LOCATION, O GASVENT,DUCTS ADDRESS S LATH, INT. AUTHORIZED AOT. LATH, EXT. $ P., S HOUSE NUMBER COR- (STV FEE' RECT AND PORTED VALUATION U FINAL ��3G 76AG38A DBS 3 12-53 /} ADDRESS APPLICATION _LocALlry 2 , 1 . DIVISION OF BUILDING AND SAFETY GROSS T NEARE BT. Department of County Engineer DISTRICT NO. - RECEIPTNO.- PERMIT NO. County of Los Angeles WM. J. FOX, COUNTY ENGINEER 'DATC R[CEIVED DA IBB CD CABBATT D. GRIFFIN. H8P•T Dv BDILOINR ' �^ J7 3 A FOR APPLICANT TO FILL IN TYPE DONBT. nv Y 1 ♦ OWNER r MAP' . . / MAIL _ _ ZO ADDRESS O $HSE YFIt� O 8 �A 6 NUMB[R �� A USE ON[[[ SPECIAL CITY TEL CONDITIONS i l� ARCHITECT O TEL. ' ENOINEER NO. _� Sr toy�� ^Q�Q , SETBA NB YARD HWY STREET NAME EXIST. � ADDRESS '•/ SETBACK WIDTH TL FRONT EL. P. E V CONTRACTOR NO. P. — P.L ADDRESS BU ILDINn w DATE CORRECTIONS INSPECTOR ADDRESS +/ r LOT NO. //I.7Z ' BLOCK— ' O� TRACT _ NO. OF SLOGEL SIZE OF LOT' �� NOW ON LOT USEy IBTIN G DESCRIPTION OF WORK /"' X60 NEW ADD ALTER REPAIR D[NOLIBN �s SO. FT. NO. OF NO.Or �yr SIZE STORIES rAMILI[B•/- , USE OF STRUCTURE w O 0 r J, NO.DF M OY ' IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IB APPROVALS INBPECTORIS SIGNATURE DATE CORRECT. 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS.MATERIALS /J FRAME: FIRE STOPS, SIGNATURE OF /I ' BRACING,BOLTS PERMITTER 1. FURNACE: LOCATION, L� A , GAS VENT,DUCTS ADDRESSJ i.A 424 LATH, INT. -AUTHORIZED AS �(� /��� LATH. EXT. $ AO r 0.0P• C' S �YZ SHOUSE NUMBER CUR- FEE RECT AND POSTED VALUATION `V Jt FEE BSO FINAL 76A638A 0883 4-54 F �" WC+'> ER�COMP�NSATION DECLARATION � t I h 7Rrm"^ot I have a yerrifi<ote,of consent to self //p�� 1�y�� O ((/� //p�� M [FOR �r��( �Ipg1���/��-s ��,}a RO Fp�R//f�� ' ihsur ra <C'ificate of Workers' Compensation Insurance, A PLOCA �OO4V U OU�I LJ�����UV\/ �IS II�l00 U�� _ fl or-a ce�ifiedcopy thereof (Sec. 3800, Lab. C.) - ' 7b3'6-RV Company idTs �'nL.3D COUNTY OF LOS ANGELES BUILDING AND SAFE Y PaJi<y No' P Y�r�' - - v l;ertified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING /, �( /y� I'm, ADDRESS V��(J e O ,Certified copy is filed with the county building inspec- BUILDING �^ -^^�� tion depbrrmenl. ADDRESS I SJo , �Oata Applicant CITY (� ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT Q NOW ON LOT =CROSS ST. . (This section need not be completed if the permit is for one TRACT ' BLOCK LOT NO. ASSESSOR hundred dollars ($100)or less.) MAP BOOK PAGE, PARCEL TEL USE Z NE MAP I certify that in the performance of the work for which this OWNER V No NO. permit is issued, I shall not employ any person in any manner / SPECIAL so as to become subject to the Workers'Compensation Laws. 'ADDRESS CONDITIONS O CITY ZIP O Date Applicant _-- ARCHITECT OR TEL. 1 NOTICE TO APPLICANT: If, of making this Certificate of DISTRICT GRpUP TYPE FIRE PRO D BY O Exemption, you should become subject to .the Workers' - ENGINEER ^_ NO. (o- -• 9 /1 CONST.,. Z U Compensation provisions of the Labor Code, you must forth- ADDRESS .p � S ,J. K fV/ W with comply with such provisions or this permit shall be D-• deemed revoked. TEL STATISTICAL CLAS$JFI TION APT. CONDO. cn CONTRACTOR A3-T6&S GDO 1 NO O Z LICENSED CONTRACTORS DECLARATION A LIC, CLASS NO. DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS O Q.'ILLS l9/y�NO. Z6 '� SEWER MAP (commencing with Section 7000)of Division 3 of the Business ono LIC. Professions Code, and my licenseisin full force and effect. CITU O O(ZO 14 CLASS EX. r VALIDATION • s3-2.C7'4- �� SIIZZEFT•. S STORIIEES FAMIOLIES CHECK -- license Num6or Lic.Class - tj! _ VALUATION ,-�l Contractor - �'��C� ��^'�'<60te DESCRIPTION OF WORK I "' NEW ❑, $ ewe' I am exempt under Sec. LYTO {U L L ADD ❑ ewe' D AIiER ❑ 8.8P.C. for thl s 1 _ �y"' REPAIR ClS D e: USE EXISTTIF k ING BLDG. DEMOL ❑ # �.8 6 2 4.�1 Signak e ` / - ' APPLICANT iEl. FINA PRINT RA1 s_TT' O. "-9• 1 4.3.63 O E ER EC RATION DATE e e I hereby fflrm at s exempt from the Contractors License I Law for the fo lo, g reason (Section 7031.5, Business and ADDRESS Ad,C� •A' .�&VC-5 ,( Z ']--a'� Profess ons Code . PREADDRESS I, as owner of the property, or my employees with nd ADDRESS waste ct their sole compensation,will f o the work and D - the structure IB not intended or offered for sale(Section LOCALITY .7044, 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- RL DDREsS tion 7044, Business and Professions Code). ` I CONSTRUCTION LENDING AGENCY SETTUIREBACK YARD HWY .TOTA pROP.LCNErKum WIDTH P " �• ,t I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.I. Lender's Name 2 7LDMA,Ref. R m P.C. fee$ Permit Fee Lender's Address - , w\ h• t '^^'.k 1 certify that 1 have read This application and state that the Issuance Fee l/ry (/ LDMA P/C R �" " `- � \ ,J ., • 9 above' formation is correct. 1 agree to comply with all County Investigation Fee '7 / ^>� )moi\1` q or on and'State Iyy+s bring to building construction, Total tea 3 rv'J LDMA'Perm. R . -�•. T L'�. ` R d re authors 6 d sentotives of this County to enter I n t above- a ed pro t .inspection purposes. /-7�� SEE REVERSE FOR EXPLANATORY LANGUAGE I at re of Applicant ar Agent Date - WORKERS COMPENSATION DECLARATION' _ I hereby affirm that I'liave�a certificate ofconsent to self �PP. UC�Tpp. RBURDINV PpM of Tinsure or d certificate Workers Compensation Insurance, ,or a cerfifiedmpy thereof,(Sec.3800j lab. C.) _ COUNTY OF LOS ANGELES - BUILDING AND•SAFETY Policy No Company ❑ Certified',mpy.is NBUILDING, 2. hereby furnished.. '' FOR APPLICANT TO FILL IN - ADDRESS ❑ Certified copyis filed with the county.building inspec- BUILDING . 1 OG.S �. • (y� a /� - - - .- , ficin department., ^ ADDRESS ((,� r ,J�J ��.1Nv^L�J„ ��•' , ._ 1. •1;.. .. .. CITY LM l.M1.. �L ZIBP 1 LOCALITY .+ Date - Applicant NO. OF LDGS. • NEAREST ,L� _ CERTIFICATE OF EXEMPTION FROM WORKERS' " - SIZE OF LOT I L" -I tpV - NOW ON LOT. y ' - CROSS ST. COMPENSATION INSURANCE - //� ^ �JIP;�� 2 ASSESSOR (This section Tneed not b-e completed if.the permit is for one - TRACT (p �J BLOCK LOT NO: Mgp'BOOK -1 PAGE ' '`�• PARCEL' hundred-dollars ($100) or less.), , ✓C ��y' TEL. ,; . , �1 OWNER �- ajgp NO: _ US 'ZONES, OP t .",1 certify'that in the performance ofthework for which this - `A� - ISPEIAL _ _ permit is issued,I sli not employ any'peFson in any manner ADDRESS - L - - - CONDITIONS a so as to.become-subject ro_the Workers' Compensation.Laws. _ :Q • CITU ' ._ .- Date Applicant ' -` �;' ARCHITECT OR _ TEL - 'NOTICE TO APPLICANT: If; after Makin this Certificate of ENGINEER _ --. NO. DISTRICT GROUP TYPE FIRE OCESSED BY g' Ir,DI 7r(' 2 TYPE ���/ ^ ZONE' (/.J��� O Exemption, yo ;should become subject toy the Workers' ADDRESS - � /D(J �-�/ ^ . '• - �� {V a Compensation-provisions of the Labor Code, ou.must forth- with comply orthwith-.comply with .such,provisions-or this permit,shall be TEL N STATISTICAL CLASSIFICATION APT. CONDO deemed,revoked. CONTRACTOR NO. - -.. .., . Z LICENSED.CONTRACTORS DECLARATION • - NC. CLASS NO.�DWEU. UNITS .1 hereby affirm that I'am licensed under provisions.of Chapter 9 ADDRESS NO. -LIC. SEWERMAP (commencing with Section 7000)of Division 3 of the Business -•r ... and Professions_Code,and my,license is in.full force an0effect. CITY 'vim - CLASS -BK' --'- L -' 3 VALIDATION 50: FT. ry c NO. OF NO. OF - I CHECK _ 'I License.Nu tuber Lia Class SIZE I LOJ ORIS FAMILIES `L ONE:: 'L' T INC" ICH)iVALUATIO .T .�L [ �f Contro<tor Date DESCRIPTION OF WORK L�Dn�/�2 NEW -q❑ry $8 j , V -`5`�'t� 43 DESCRIPTION ❑1 am exempt under Sec. aW011.eL P�1`D GAJ I•PC�e "ADD' "I/y rp TOTAL'T:_L�1 I'TE/�. _ -- - ALTER FLJ, .D 1�11tL Y 2 'J. B.BP.C. for this.reoson - - ((''LL.4I��((��yy �'f - S-�'' FL-��IZ' .. - - REPAIR ❑ $ .. L�nGI•Es vDate- .. USE OF L�/'�' rte,.C _ _ dd?.nL,�i EXISTING BLDG.W�+�f - DEMOL ❑ CHANGE 'n�l .,Signature- APPLICANT- ` pt ytsti ���/(, FINAL - - ffllttUU`�IVVGG '• t-t- - OWNER-BUILDER DECLARATION (PRINT) -ILS J r.Mr,v�310: . -i 1 hereby affirm that I am exempt from the Contractors License. _ - T �y DATE - 8 Law for the following reason (Section 7031.5, Business and ADDRESS�n5 "PP, T..C• 11 U(� FINAL '�v �i Z9�/L+8If�1'9 Profe sions Code)`. - PRESENT By - _ J9'IT 1 Fll 111 Vl r, BUILDING "�� �� _ as owner of the property .or my employees with ADDRESS IO � wages as their sole compensation will do the work and the structure isnot intended or offered for sale(Section LOCALITY D' 7044 Business'and Professions Code.) MOVING -. .TEL._ �(f v I, as Owner of the property,.am exclusively'contracting CONTRACTOR NO. with licensed contractors to construct the project (Seo- ADDRESS - 1 f !' tidn'7044, Business and Professions Code.) - REQUIREDTOTAL SETBACK,FROM EXIST. .. CONSTRUCTION LENDING AGENCY - SET BACK YARD' HWY -PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the worB,foowhich this permit is'issued 'P. ,(Sec..3097,.Civ..C.). - SIDE .. . - Lender's Name,'- - mPermit Fee 'CDMA Refr'N . { Lender's Address P.C..Fee$- 1 - ' certify that I have read this application and'state that the Issuonce Fee - LDMA PTC& '` - 8 above information is correct. I agree to comply with all County Investigation Fee ordinances and $t a laws relating to bu ding construction, Total Fee LDMA Perm. N , and eby outho representatives of this County to:enter _ "upp' t e e tproperty for inspecti-n qp pos s. - SEE REVERSE FOR EXPLANATORY LANGUAGE .SignatvrA of Applicant or Agent Dat COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT. TEMPLE CITY CA 91780 BL 0508 0311210022 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILD NG ADDRESS: TR: 7690 LT: 16 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 10558 DAINES DR STRUCTURE: 1365 2 VN R3 TEMP CA 917802812 ASS SSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: PAL MAL 8586-029-024 OTHER: THOMAS-PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED N: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/12/04 VG03/07/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATES PIR`EY: CODE: SHELBURNE CHARLES F;BROWN GEORGIA E (626) 448-8545- 113,000 10558 DAINES DR TEMP 917802812 FEES PAID DESCRIPTIO F WORK ADD 2ND FLR (2BR&1 3/4BATH);EXPAND 1ST FLR:DINING RM,KITCHEN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LIVING RM & BEDRM; TTL WHEN DONE:4BR/2 3/4BATH APPLICANT: TEL. N0: SAME AS OWNER - B1 PLANCHECK W/ENERGY 108000.00 VAL 1,254.40 AN BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 113000.00 VAL 11.30 B1'PLANCHECK W/ENERGY 113000.00 VAL 30.85 B2 PERMIT W/ENERGY 113000:00 VAL 1,512.06 CONTRACTOR: TEL. NO: j'.� I TOTAL'FEES' 2,836'.36 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - CC�i.` .,J ' LIC. NO - LOCATION AND SETBACKS SOILS ENGfUEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS U - LIC. NO: SLABlUNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZON : CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT COND: SAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING_ AIR QUALITY: 1000 FEET MATERIALS -� NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- J INSULATION/WEAT ER STRIP / INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE J` SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0203290037 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 7690 LT: 16 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 10558 DAINES DR STRUCTURE: 565 1 VN R3 TEMP CA 917802812 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: PAL MAL 8586-029-024 OTHER: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: USE 0 : R- ISS ON: PROCESSED BY: EXPIRES ON: 09/10/02 JK 03/09/03 - OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: SHELBURNE CHARLES F;BROWN GEORGIA E (626) 448-8545- 42,000 10558 DAINES DR 'I TEMP 917802812 FEES PAID DESCR PION OF OR GUESTHOUSE - 565 S.F. FEE DESCRIPTION: QUANTITY: UCM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 42000.00 VAL 648.22 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION^RESID - 42000.00 VAL 4.20 NO KITCHEN; COVENANT RECORDED B2 PERMIT-W/ENERGYc - 42000:00 VAL 762.63 TOTAL,,FEES .. 1,442.80 CONTRACTOR: TEL. NO: ",�]- - APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - � LIC. NO LOCATION AND-SETBACKS SOILS ENGINEER APPROVAL i l ARCHITECT OR ENGINEER: TEL. NO: FOUNDAT I 0 NL FORMS 17797- LIC. flyLIC. NO: SLAB/UNDER FLOOR ' RAISED FLOORFRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP.: UNDERFLOOR INSULATION 147H273 N 17 3 01. . 1ST LEVEL FL 0 H NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: - - NO 12 ND LEVEL FLOOR SHEATH i SCHOOL WITHIN HAZARDOUS . _ OOF—SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO - FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EX[ -G BLDG DEP FRAME INSPEC SET BACK YARD: HWY: PROP LINE: WIDTH: '' / FRONT PL- - SHEAR PANELS SIDE PL- j /" n QST —1 INSULATION/WEATHER STRIP - INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508