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HomeMy Public PortalAbout10608 DAINES DR_Building__ AP`PLICATIO FOR 5f,�- Z -1P-76` COUNTY OF LOS ANGELES DEPARTMENT OF OUNTY ENGINEER -BUILDING PERMIT BUILDING AN S FETY DIVIS N BUILOING O6O ` FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS '=G" LOCALITY i- - .. NEAREST CITY -A7 ZIP CROSS ST. NO.OF SLOGS. ASSESSOR SIZE OF LOT 2 NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT I GROUP TYPEFIRE ESSED BY TRACT BLOCK LO CONST. TEL ' �- OWNERNO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS Qon ^� -CLASS NO. DWELL,UNITS B PG CITY ZONE MAP jAl C : ZIP / NO. G ARCHITECT OR TEL. SPECIAL ENGINEER ,O r2 NO. V, CONDITIONS ADDRESS —� ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ /�^ r L BLDG.SETBACK FROM CONTRACTOR ( ,1 NOFRONT PROP.LINE OF (STREET) LIC. ADDRESS .O 7r NO. 321YA114 HIGHWAY + YARD -_ TOTAL SETBACK FROM TYPEOF EXISTING CITY (( LIC. FRONT PROP-LINE HIGHWAY WIDTH fry N/f CLASS _ CONSTRUCTION LENDER + NAME AND BRANCH d - BLOG.SE ACK FROM ADDRESS -- CITY ' SIDE PROP, OF (STREET) SQ. FT. NO. OF NO. OF ( CHECK HIGHWAY + YARD = TO < FftOM TYPE OF EXISTING SIZE Zy(J STORIES FAMILIES / ONE IDE F. LINE HIGH WAv WIDTH DESCRIPTION OF WORK C NEW El NEW d ADD CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ EPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USESOF T NG BLDG. DEMOL IN COASTAL PERMIT ZONE YES ❑ NO'EX ❑ APPLICANL / TEL YIV IP/L/l J_„�A A Lav7I TCS2 �!LLI/JCr- (PflINT) l)Ay/n�� NO. $ 570"SI� BY (SIGNATURE( n/ (�� /�fJT�/V� W/p�Cljrr+XG j a ✓ r ��7 �h'la HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION f .�.. ` E�}2eG✓L•� sND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY r WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- I / Si RUC T0N. CEflTI FY THAT IN GOING THE WORK AUTHORIZED /?'� � GOr✓T/Z (Js� L P<<` ..) HENEBY i WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF TS STATE OF CALIFORNIA IN RELATING TO WOPKMEN'S COMPEN ON INBURA NC E. - SIGNATURE OF ` FINAL 1 L/ZIBY PERMITTEE 4 DATE ADDRESS 2263 CITY �C/l-' NOL P.C. Fee$ Permit Fee VALUATION$ Issuance Fee /s�� Total Fee PLAN CHECK VALIDATION CH.-' M.o. CASH _ PERMIT VALIDATIONS SH 70'- iff 9 1 0 55:50Ago Tfi ASSBA CEtlBO]B 12/75 - DEPARTMENT`OF BUILVING AND SAFETY APr ICATION FOR PERIM COUNTY OF LOS ANGELES S p �p WM. J.'FOX, CHIEF ENGINEER U I LD ©�1 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING Ih� .9� /y/��) s � ��} /� DISTRICT NO. PLAN CK.NO. �' PERMIT No. ADDRESS OJ,,V �,/J "V�'i' /lC'.+k� s �_ 62 U' LOCALITY 'V�"T�W/1(X�J/���• � ��/q RECEIVED'SY DATE OF APPL. �j DAT/EEIIISSUEO NEA CROBH T.aAu+�✓Iqa./�✓S•/��u.��+��/,/♦ /�w+o�c.t�_•¢w+ /�/2 �/ L ` BUILDING OWNER �. • I`I• `ti F �•r/td+a.C./I�x�II ADDRESS L t�V��`� >•'>. t.1/•L. . MAIL /,{ _. . n LOCALITY / • �- ADDRESS �PlIJ�L/ /rte/ CROBB ST. CITY NO. as� ®F'S ah. FIRM NO.OF TYPE GROUP p ARCHITECTOR TEG.. ZONE PLANB r /- ENGINEER NO. V BLDG. •�—.� _ T _ ADDRESS �� ORD No. SETBACK LINE TEL APPROVED CONTRACTOR �� NO. —BY DATE USE ,(q( APPROVED ADDREBB `— ZONE J J BY DATE LEGAL �.0 CORRECTIONS DESCRIPTION LOOTNO. BLOCK TRACT /1 i[.J I NO.Or BLOTS. SIZE OF LOT �A. NOW ON LOT USEOF A,' A, I NO.OF NO.OF EXISTING BLDG. I l L 1:F.•HILIEa ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH R . 3 ZE T. N6.OF -/ / Z ROOMS r STORIES D WALL ROOF F COVERING I COVERING 77Se! -- 1 - USE OFNEW�- f 0_ _BUILDING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY'ORDINANCES FORMS.MATERIALS ���� AND STATE LAWS REGULATING BUILDINGACONSTRUCTION. (� FRAME: FIREBT ' SIGNATURE OF B1pj1\l BRACINB.BOLTSTS PERMITTEE � LATH.INT.: AUTHORIZED AOT\ LATH,EXT.: 1 oes-a Som BETE rae $\ P C f PLATER.INT. FEE PLATER,EXT. B /m VALUATION FEE � � V v FINAL. �Vd'/ 5 7BA638A CE4803 B-64 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 11 DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY 11 JOHN A. LAM BI E. COUNTY ENGINEER NEAREST 42 COLEMAN W. JE NKINS.SUPT.OF BUILDING CROSS ST. l _ / �L DISTRI T N GFfO�e TYPE P E55ED✓BY/ FOR APPLICANT TO FILL IN ) CONST., I L<�` BUILDING STATISTICAL LASSIFICATION - SE ER MAP ADDRESS la CLASS NO, OW ELL UNITS BK PG//I c LOT NO. It- Jl Ir-BLOCK U Z NE MAP / TRACT is NO. C SPECIAL N0. OF SLOGS, CONDITIONS SIZE OF LOT ! NOW ON LOT USE OF E ISTING G. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF STREET) OWNER NO. _ - TYPE Of EXISTING SETBACK HIGHWAY } YARD - TOTAL ADDRESS (Q O -t HI WAY 10 H FROM C.L. T } CITY E +'CV LOO. SETBACK FROM ARCHITECT R TEL. 910E PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HI WAY WIDTH FROM C.L. Y d TEL. I } = O CONTRACTOR NO u LIC CORNER CUTOFF YES NO K ADDRESS NO O IC CITY CLASS LSEE REVERSE SIDE FOR SPECIAL APPROVALS u W DESCRIPTION OF WORK a NEW AD ALTER REPAIR DEMOLISH SQ.FT i NO. OFES NO. OF ��y f•� q / �•{/� SIZE .� STIED FAMILIES USE OF (� STRUCTURE SIG14ATURE OF / JiKF APPLICANT VALUATIONS SOF APPROVALS DATE INSPECTOR'S SIGNATURE P.EE C. PMT. FO FORMS,I MATERIALSON FS FEE S --� FRAME, FIRE STOPS, 4/`G IG7 1 HEREBY ACKNOWLEDGE THAT'll HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE E COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWN REGULATING GAS VENT. DUCTS AUTHORIZED CONSTRUCTION. CERTIFY THAT. IN DOING THE WORK TION EO HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABOR COOF OF THE STATE NC CALIFIA RELAT- ING TO WORKMEN'$Cl]MPENSATION INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- E OR- / -- PERMITTEE RECT NO POSTED /y ADDRES�V FINAL JOHN F. LEWIS. PRINCIPAL 5 ORAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION(' cK. M.D. GASH Lj,,o 4 9 9 61:,- AUB 2 6 1 0 8.00-, - 73 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUIL II�A DRESS ` I hereby affirm that I have a certificate of consent to self insure, �V N c / ��NCS or a certificate of Workers'Compensation Insurance, or certified .n, ZIP cQf(��,gr�of(Sec.3800,Lab.C.) �/ -T p Pocy No.'CCoZt31�i ''4�'om ah I f I .vt� C I / p O LOCALITN-�--J , ,. P Y SIZE OF LO NO.OF BLDGS.NOW ON LOT / ❑ Certified copy is hereby furnished. NEAREST CROSS ST. Uf�,ertified Copy is filed with the County building Inspection TRACT BLOCK LOT NO. dep'art�m/q�nt. USE ZONE MAP NO. Date 1„Q � IicanY M/UI JI #/d/J P-BCI I•S ASSESSOR MAP BOOK PAGE PARCEL PP ��.{ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWN�ADD ESS TEL.NO. �� I vE5 _NO COMPENSATION INSURANCE Z WITHIN TODD FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred X5,QNC DISTRICT - GROUP I TYPE CONST.' FIRE ZONE -PR CESSED 7 31dollars($100)or less.) it, ITY .ZIP N I certify that in the performance of the work for which this permit F , J D �„ 19 issued, I shall not employ any person in any manner 90 as t0 EL.ARCHITECT OR ENGINEER TNO. L./ become subject to the Workers Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REGUIRED TOTAL SETBACK FROM EXIST Exemption, f CON OR _ ITEL.NO. _ P you should become subject to the Workers ^� SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith OFS L FROM complywith such provisions orthis permitshall be deemed revoked. DOSS .�. q / PL SIDE LICENSED CONTRACTORS DECLARATION cl LIC. SS PL p I hereby affirm that I am licensed under provisions of Chapter 9 A, SEWER MAP U (commencing with Section 7000)of Division 3 of the Business and Sq�C IZE NO.OF TORES NO.OF AMILIES K Professions Code,and my license is in full force and ec[. G s NEW ❑ BK PG 0 //,�//�T RI ON OE WORK VpLUATI D w License Numbe�J_Lia Class _ _ ADD ❑ 'J Contract [q��1t�r o N go�.wnte 3 0 11Ir - (�� y ALTER ❑ Z ❑ I am exempt under Sea � REPAIR ,ee.. y B.BP.C.for this reason - V� r DEMOL -❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature - APPLI T(PRINT} TEL.NO. LDMA Farm# ❑ I, as owner of the property, or my employees with wages asC ACCT=a - their sole compensation, will do the work and the structure is ADDRESS _, F 7 Cr.�.IJIJ not intended or offered for sale (Section 7044, Business and FINAL DATE < "i)-)' __ Professions Code.) . 2 { i ('1Iee,� WILL THE APPLICANT OR FUTURE BUILDIN OCCUPANT HAIIDLEAHAL1flGREAERTHAL 1 J 1 ,13Et ID ORA MOUNTS CONTAINING A H H US MATERIAL LS INF TO OR N GUIDE?THAN ❑ I, e9 OWnor tr the property, ru exclusively contracting 044. THE AMOUNTS SPECIFIED ON THE HAUgDOU9 MATERIALS INFORMATION GUIDE? YI BV' 1 `aj '�+"7 licensed contractors to construct the project(Section 7044, _ T�I�R�- °�-'- °' �� YES❑ NO❑ t r� Business and Professions Code.) CHECK WILL THE INTENDED USE MI THE CONSBUILDING BY THE APPLICANT IO FUTURE BUILDING OCCUPANT gEWIREA PERMIT FORCONSTRULTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR DUALITY MANAGEMENT DISTRICT ISCADMDI SEE PERMITTING CHECKLIST / �4L ( / t;{'�AI�fE FORGUIDELINES ��t 1 hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance Civ.C.) Of the Work for WM1lch this permit IS ISSUBtl(Sea I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD (� (� l J iC/ t 3097,CIV.C.J. PERMITTING CHECKLIST.I UNDERSTAND MY REWMEMENTS UNDER THE LOS ANGELES 00010-00101 J/ 15/91-r m. COUNTYCOOETITLE2.CHAPTER2@ SECTIONS2.M.l D HOUGH2.B..lr CONCMNING 3 Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 1300 f MM� ey`,y Lender's Address a.Nm oAANM.. 1 V o' I Ce at I have Is application State that the above pC.FEE PERMIT FEE AO(J f� informatio orrect. I agree to comp with all county ordinances State laws relating to buildi construction,and hereby But Or a represenfaliv s Of this unity to enter OD ISSUANCE FEE ^ /L the bove- r pe f n oVS U INVESTIGATION FEE TOTALFEE y')J� SEE REVERSE FOR EXPLANATORY LANGUAGE.V CC// COUOY 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 0105070035 PHONE: (626) 285-0488 EXT: LEG D: NO. OF CONST BUILDING ADDRESS: TR: 7690 LT: 80 BL: .001 UN: .002 SQ. FT STORIES TYPE 10608 DAINES DR STRUCTURE: 0 VN TEMP CA 917802814 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL 8586-030-021 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TEXIST BLDG USE: SFR USE ZONE: S ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/09/01 U 11/05/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FI BY: CODE: SELTMAN BOBBY W CO TR (626) 574-1865- 2,200 iS' 10608 DAINES DR JJ TEMP 917802814 FEES PAID D IFIIUN OF WORK VOLUNTARY RETROFIT: ANCHOR HOUSE AROUND PERIMETER 4' O.C. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AP TEL. 0: CALIFORNIA QUAKE CONSTRUCTION (800) 228-2658- AA BLDG PERMIT ISSUANCE 27.75 151 S. 9TH AVE. SWO AC STRONG MOTION RESID 2200.00 VAL 0.50 SPECIAL CONDITIONS: INDUSTRY CA 91746 D1 PLANCHECK ,W/0_EN7HC -- 2200.00 VAL 84.15 02 PERMIT W/O EN-HC - 2200:00 VAL 99.00 n11' >'-- TOTAL;FEES 211.40 CONTRACTOR: TEL. N0: �;•�. �' ✓i;�., APPROVALS DATE INSPECTOR SIGNATURE CALIFORNIA QUAKE CONSTRUCTION (800) 228-2658- ' \`', 151 SOUTH 9TH AVE LIC. NO y� _ - LOCATION AND SETBACKS SUITE V 467808 5-1 CITY OF INDUSTRY, CA 91746 0 / SOILS ENGINEER APPROVAL i ARCHITECT OR G ER: TEL. 0: / 0 NDAT ION T RENCH FORMS VIVAT, LAZAR (714) 642-4855-I 2651 REDLANDS OR LIC. NR: I - j SLAB/UNDER FLOOR COSTA MESA, CA 92627 053737 ' RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 Ob" FLOOR SHEATHING NO. OF FAMILI : W L G UNITS: /COND: STAT CLASS: NO 21 .1, ROOF SHEATHING SCHOOL WITHIN HAZA 0 S 1 SHEAR PAN AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED T L SETBACK FROMST RE SPRINKLER RANGE S SET BACK YARD: HWY: PROP LINE: WIDTH: //- - - FRONT PL- C P2�Vic O INSULATION/WEATHER STRIP SIDE PL- - - _.--- - INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FL00 /C L -M RATED WALL ASSEMBLIES RATED SHAFTS/OPENING T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508