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Home My Public Portal About10614 DAINES DR_Building__ >aAss ACE#00311-57 APPLICATION FOR BUILDING PERMIT �. COUNTY OF LOS ANGELES AB�.REss O DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRI O. GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN BK G CONST BUILDING. O STATISTICAL SSIFICATION ADDRESS M�Z / CLASS.NO. DWELL.UNITS LOT NO. 'O BLOCK MAP STATE YES O TRACT NUMBER O HWY. USE ONE SPECIAL NO.OF BLDGS. ON DITIONS SIZE OF LOTKAA0,7 NOW ON LOT USE OF (7 EXISTING BLDG. je, Wu-rcDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER ' FRONT MAIL ADDRESS Q Q/YIQi SIDE CITY z NOLL////��_'V*GO/ ARCHITECT OR TEL `I /L INSPECTION RECORD ENGINEER NO. !r� �,ivr-•/�.� rte' CONTRACTORd) NO._j (it w 1o/ v ADDRESS DESCRIPTION OF WORN NEW ADD LTE. REPAIR DEMO SIZE STORIES FAMILIES O.OFNO.OFSpISH P 'P/ Gf +�✓1Gf �m USE OF STRUCTURE SIGNATURE F If APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION:FORMS. MATERIALS CATION / u FORMS. MATERIALS '}/+/ {A.� /J'H {'✓ s FEE FRAME-BRACING. STOPS. BOLTS1 S ✓ {� VALUATION ( O O� $&!t5 FURNACE: LOCATION. FEE GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- -� PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH,INT. JGti1'�-G AGREE TO COMPLY WIIH ALL COUNTY ORDINANCES AND STATE LAWS GU TING ILDINGA CONSTRUCTION. LATH,EXT. SIGNATUREOF HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. cws LHC04 5 7 1 SEP 8 1 A 8-50 ;Oa� 7GA635A CE#803-I0.59 APPLICATION FOR E'UILDING PERMIT BUILDING AND SAFETY DIVISION BUIL EIs"s Department of County Engineer J ... County of Los Angeles LOCALITY ✓ JOHN A. LAMBIE. COUNTY ENGINEER NEARESTi CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST I DISTRICT N . GROUP (TYPE SEWER BK MAPPG 7BU R APPLICANT TO FILL IN Lam• �J��y (� _y\ o CONST. L. v d'Gr.� P.r !./�I VlJ. /�{� CSTATISTICAL C SSIFICATION�/ /1+ /Or �� LOCK CLASS. NO. DWELL. UNI! D MAP - STATEYES NO / NUMBER HWY�/' /��J U/SEZONE SPgri ///% I NOW ON LOTS / !4CONDITIO_ / ��' 111 USE OF 6/,.Q q EXISTING BLDG. fN� B DING, YARD HWY STREET NAME EXIST. . SETBACK WIDTH, FRONT O)„° MAIL // ��/yam//t n.� �}n i L. OCU ADDRESS��gg/Df0// F. ,2�[/Di'Ca y,�^/ �I/'-�{I/.�I SIDE CITY 7G rid/V/& eV 1 l�"b/ NQ.�./h"'�(a 0/ P• L INSPECTION RECORD Cyt/ ARCHITECT OR TEL. ENGINEER ' / NO. lIJ ✓/A.Gf�/�L.w.A�[A/ / f�C�T+�M9�f ADDRESS CONTRACTOR GKJN 11 C:Y NO. �� ' N�N/ �f�P•��'1� sr .. e .•�.../. `� 7`i. 7`Gu� ADDRESSQOF DESCRIPTIWORK :NEW ” ADO ALTEDEMOLISH •�� '�� Jl �� SIOZE T, Win. P FAMIOF OLIES �USE OF STRUCTUR' ,'SIGNATURE OF ✓Y'/V� APPROVALS APPLICAN/T ((��"`www I` A DATE INSPECTOR'S SIGNATURE ADDRESS J/Y./I)' ,I 1C/A�I(/(�„ FOUNDATION: LOCATION FORMS. MATERIALS $ /d+/• P. G. S/� FRAME: G, BOLOPS. �(„��(=f% l,�`j� (•�vflL'� ,/�' FEE. BRACING. BOLTS / / v, �vn.•t. / VALUATIONj��" AV�� $ 0 FURNACE: LOCATION. GAS VENT, DUCTS ' FEE PLICATION HEREBYOWLEDGE THAT I HAVE READ AND THE ABOVE 5 CORRECT THI LATH. INT. AND �Py/�) / 7/�/1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. lU STATE LAWS REGULATING BUILDING CONSTRUCTION. J / SIGNATURE OF � HRECT AND POSTEDR 7 .2, OUSE NUMBER PERMITTE/E ADDRESS FINAL •� �J/I JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGLNIKR PLAN CHECK VALIDATIO M.O.<casR PERMIT VALIDATION CK. N.C. CASH L 20.2..7S; SEP 51 6 1. 3 .00A L 22;6 1,-F;'SEf .1 3 1 2 6.00' •� � WORKERS' COMPENSATION DECLARATION ^ n 1FP��, FOR I1I1 I�I1 III' s re, affirm that have a certificate of consent to self /O\ P P II �C A ��O Il�I II O UO B V�LS DD, O U V O P IS R C/ 07 Insure, or'a certificate of Workers' Compensation Insurance, !/"QIIII Illl IILyyS `��VVV!/"sl f� qS a ceyrt�_ 7 thereof (Sec. 3800, Lab. C COUNTY OF.LOS ANGELES BUILDING AND SAFETY a Po is o. om an N - BUILDING / ElCertified copy is hereby furnished. rte, E - 'FOR APPLICANT TO FILL IN ADDRESS L Certified copy is filed with the county building inspec- qu' LDIN �o L 0 INKS = DDRE tion department. 9 CITY T� Pc E C2T ZIP DateApplicant NO. OFBLDGS. NEAREST ` CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT - NOW ON LOT CROSS ST. • ' COMPENSATION INSURANCE - ASSESSOR ? (This section need not be completed if the permit is for one TRACT - ' LOT NO! ' MAP BOOK PAG .SD PARCEL�iC hundred dollars ($100) or less.) A TEL USE ZONE MAP 7-,:273 - OWNER /]LL�IL NO. .� NO. T certify that in,the performance of the work for which this permit is issued, IS hall not employ any person in any manner ADDRESS iy/Yf� - �� / ISPECIAL CONDITIONS a so as to become subject to the Workers' Compensation Laws. r/��j��C / �) O CITY /c,x4P4c ctr ZIP 'i./ Z) U Date Applicant ARCHITECT OR TEL � .NOTICE TO APPLICANT: If, after making,this Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY CONST. ZONE y.+ Exemption, you should become subject to the Workers' i _ 'S j� Y� w_ Compensation,provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be pE TELNO ��s /D STATISTICAL CLASSIFICATION APT. CONDO. ' N deemed revoked. - CONTRACTOR" .C" - z LICENSED CONTRACTORS DECLARATION - _ LIC CLASS NO. E DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 2� eG r NO' T ;�32 -2 SEWER MAP (commencing with Section 7000)of Division 3 of the Business "" ,� - LIC. , and Professions Code,and my license is in full force nd effect. CITY yG CLASS BK. L PG. �a VALIDATION +7 SQ. FT. NO. OF NO'OF CHECK License Number / C Coss SIZE STORIES FAMILIES ONE VALUATION ' Contractor to /�� DESCRIPTION OF WORK .S�%I�(.L NEW ❑ f /JD^ - " ❑I am exempt under Sec. vuL �,�D�jv, ,- ADD El �/ D ALTER _ BAP.C.'for this reason REPAIR ❑ $ Date: UEXSE ISTIOF NG BLDG.' _5,0g"^ ) - DEMOL ❑ Signature APPLICANT `` g - OWNER-BUILDER DECLARATION 'YPRINTj /�// / H/� FINAL DATEf I hereby affirm that I am exempt from the Contractor's License ADDRESS �i' �C/f/7l/f S U y� Low for the`following reason (Section 7031.5, Business and FINAIyv�� , -- y Professions Code): PRESENT 89 J 's''`t`f s8 E] BUILDING I, as owner of the property, or my-employees with ADDRESS r ''��d-I aC"."'J wages as their sole compensation,will do the work andthe - LOCALITY 7044, Business structure is not intended or offered for sale(Section 7044, Business and Professions Code.)' - MOVING - TEL x"77❑ _ CONTRACTOR NO. t-i' V I, as owner of the property, am exclusively contracting � with licensed contractors to construct the project (Sec- ADDRESS - tion 7044, Business and Professions Code.) .3Lkf REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY - SET BACK YARD HWY PROP LINE WIDTH d jT�i 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. ILJirit m ul- (Sec. 3097,.Civ. C.). SIDE - _ P.L. l•�ice!.i�. 144.C J Lender's Name / / �0 LDMA.Ref. N !HHF,''aE .0:f m P. C.fee$ •60 Permit Fee C� Lender's Address I certify that I have read this applicationand state that the Issvahce Fee /� LDMA P/C N D above information is correct. fogree to comply with all County Investigation Fee O w •Iiljd tU— I U1 . Ir r" 1 8 ordinances and State laws relating to building construction, Total Fee O LDMA Perm. N j!I[; i rfii7 ='=I a and hereby authorize representatives of this County to enter m upon The e- olio d p perty for inspection purposes. O .. a B $EE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date WORKERS' COMPENSATION DECLARATION I hereby affirm that h have a certificate of consent to.self n'� U C AI � O N F O R DB(( ((O(( D�N G P 2 R�/�� 1T .insure, or a certificate of Workers' Compensation Insurance,' - (!=L\Il ll G'll ((�f ((" LL3Jv LL ��f �C �f�u u or o certified copy thereof (Sec. 380�0,/Lob. C.) COUNTY 7�?�-9-d p - COUNTY OF-LOS ANGELES - BUILDING AND SAFETY Policy No.n�Li(1 Company (7ie - BUILDING< ❑ Certified copy is hereby furnished. - . FOR APPLICANT TO FILO IN ' ' ADDRESS ❑ Certified copy is filed with the c ty building inspec- BUILDING - tion departmenC, - ADDRESS ' Q CITY' IIP / LOCALITY Dote•? / -4a Applica NO. OF BLDGS. CERTIFICATE Of EX PTIO M W RKER S¢E OF LOT - ' 'NOw ON LOT NEAREST CROSS ST. COMPENSA RANCE ASSESSOR (This section need not be co ted if the-permit i f r one TRACT BLOCK LOT�N/O. MAP BOOK PAGE r PARCEL hundred dolldrs($100) or les • NOL7 USE ZONE MAP I IL h OWNER. . `/ NO. n 1 certify tissued the performance of the work for which this q - f� SPECIAL - } permit is issued, I shoe not the Woloyranyker person in any manner ADDRESS „S�Q ( ' CONDITIONS 11 so as to become subject to the Workers' Compensation Lows. O CITY ZIP U Date Applicant ARCHITECT OR /n� TEL. IX DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO.APPLICANT: If, after,making this Certificate of ENGINEER 0 LN NO. _ CONST. ZONE Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS k&O with comply with such provisions or this permit shall be TEL. /! STATISTICAL CLASSIFICATION APT, CONDO. N deemed revoked. - CONTRACTOR NO.' �� z LICENSED CONTRACTORS DECLARATION n, UC / - -L CLASS NO.�DWELL. UNITS— - I hereby affirm that I am licensed under provisions of Chapter ADDRESS /3/00 /ur,f) NO /3 3 r1L' SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. qq and Professions Code and my license is in full force and effect. CITY. CLASS BK. !� PG. �J VALIDATION _ e-4'1SQ. FT.gg NO. OF NO. OF CHECK License Number. Lia Classes SIZE lX STORIES FAMILIES ONE `^' -t 5 VALUATION • ContractoN Date rT('->t—9D DESCRIPTION OF WORK MD /a 0 NEW ❑} I _— ❑ c-I am exempt under-Se `�. ADD /o f D _ ALTER ❑ - - B.BP..C. for this rea /D/� na � Sy 9REPAIR ❑ D U5E OF - , EXISTING BLDG. b - DEMOL ❑ - Signmt - _ APPLICANT�//]] hL pt,aa. FINAL (PRINT)C15 r NO. /a '} - UI ER DECLARATto I . ' ,^OATS;, li 7 TT hereb of t am exempt from the Con mctor's License - - - Law f e f owing-reason($ 7031. Business and ADDRESS 9 NAt _ Professions ode): - PRESENT - B „•,..,_BUILDING �1p�T ❑ I, as owner of the'property; or my a loyees with ADDRESS - •"' N1.bi•iF wages as their sole compensation,will do t e work and - - - -" -•��m� the structure is not intended or offered for sale(Section LOCALITY 7044, Business and ProfessionsCode.) _ MOVING TEL.. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS - TdT�. X49 a-�� tion 7044, Business and Professions Code.) - TOT�Ay CONSTRUCTION LENDING AGENCY REQUIRED YARD HWV .•TOTAL SETBACK FROM EXIST. .. MICK 49.3E SET BACK PROP. LINE WIDTH 1 hereby affirm that there is a construction lending agency for FRONT - - . - ` -�`� _ .Go.the performance of the'workfor which this permit is issued P.L. _ - (Sec. 3097, Civ. C.). SIDE -. P.L.' Lender's Name - ' - O OD-000lye1 : IA�/24/89 P.C. Fee$ Permit fee $ .. .- � 'LDMA Ref. # 4022 r,l'.. 'NII 3:15 i- r Lender's Address - D ° I certify that I-have dead this pplication and state that the issuance Fee - 't TDMA PK q 0 8 above infar tion is correct. I red to comply with all-County Investigation Fee ordina s an St9f law w ding construction, - - Tmol Fee ♦ V LDMA Perm.-# ' fr a andereby a .repr se tatives of this County to enter n th ob - io d p operty for inspection purposes. - `� ��r{ SEE REVERSE FOR EXPLANATORY LANGUAGE - �SignApplicant or f Applicaor'Agent• Date �• WORKERS' COMPENSATION DECLARATION 7 , C 1-hereby affirm that I have a certificate of consent to self //p�� O O (��p //p�� rl�� gyp} I��Y �B MPONT.or a certificate of Workers' Compensation Insurance, Illi�'P �V W�� B V Il -O LI v1 ✓� D U'V IS UUI1 V 11� or cer tied copy thereof (Sec. 3800, Lab. .) / ' 0 COUNTY OF LOS ANGELES... BUILDING AND SAFETY Poo ��/ Company *� .. _ Certified copy is hereby furnished. { FOR APPLICANT TO FILL IN - ADDRESS 0�y Certified copy is filed with the county building inspec- BUILDING( >. tion department. ADDRESS' ' I�N7✓S"'g R, t LOCALITY- i T NEAREST Date Applicant CITY -r ZIP CROSSST. CERTIFICATE OF EXEMPTION FROM WORKERS'" / / .�/1,,NO. OF,BLDGS.1-f, r tix 'ASSESSOR COMPENSATION INSURANCE SIZE OF LOT. X- G NOW ON LOT f 'MAPBOOK PAGE PARCEL (This section need not 6e completed if the permit is for one v�'• �* USE ZONE - MAP n_®e hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. JEL ' /f SPECIAL ' I certify that in the performance of the work for which this OWNER ' JD6111 E4' .NO Az �� 1 CONDITIONS t li permit is issued, shall not employ an ,AL y� DISTRICT .GROUP TYPE FIRE PROCESSED BY O p p y y person in any manner ADDRESS �:-'�T , /�i r.1E.fl, L„)R,- /a� n CONST- �.�- ZONE so rm to become subject of the Workers'Compensation anyLaws. / f/O �R Date Applicant CITY `-- 1..-LT ZIP STATISTICAL CLASSIFICATION ,. qpT. CONDO. Q NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR - TEL. IJ 'Exemption, you should become subject to the Workers' ENGINEER L-PH :J�H NO. 98-- CLASS NO. DWELL. UNITS_ a Compensation provisions of the Labor Code, you must forth- "' Z with comply with such provisions or this permit shall be 'ADDRESS /Y] SEWER MAP deemed revoked. TEL' EKY pG,`!" VALIDATION - CONTRACTOR L_P14 NQ. '-64 LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chopter 9 r ADDRESS /`�.ElLlthf NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force,and effect. CITY L._-rA SiJA CLASS — S �� -]� �J SIZ FT �O� STORIES 'n NO. OF tW- REPAIR CHECK 0 D Lice nse Number / Lic.Class SIZE STORIES CJ FAMILIESONE �V/OQ 0 L [ Contractor �� Date r DESCRIPTION OF WORK EW ❑ I am exempt under Sec I _ DDoZ 3 _ (TLTER FINAL ? - 7 O B.BP.C. for this reason Z-`J K S77A-V- .J ❑ DATE `�f o s' " 1' Date: USE OF EMOt ❑ FIN- ° ^ ? I,v 0EXISTING BLDG. 0Dge NSA ' T2 BT Signature APPLICANT TEL. 12 1 6 -8 3, OWNER-BUILDER DECLARATION PRINT P' NO. 1 hereby affirm that I am exempt from the Contractor's License I Law for the followingreason Section 7031.5, Business and ' ADDRESS /`�� 01� �.e-. 1 ( � Onf. A Professions Code): PRESENT I, as owner of the ro art or m em to ees with BUILDING p p y, y p y ADDRESS wages as their sole compensation,will do the work and -, ,� the structure is not intended or offered for sale(Section LOCALITY o 7 0 , 7044, Business and Professions Code). MOVING TEL - I, as owner of the property, am exclusively contracting CONTRACTOR NO. ' 11 with licensed contractors to construct the project (Sec- ADDRESS 1 '.0 9'- 3 4 -tion 7044, Business and Professioris-Cdda). REQUIRED TOTAL SETBACK FROM EXIST. G CONSTRUCTION LENDING AGENCY. SET BACK YARD HWY PROP. LINE WIDTH 0 P A 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 Lender's Name PP Issuance Fee PCFee$ e, Permit Fee '- - ` 4 / �.' te r 5_ Lender's Address I certifythat I have read this a lication and state that the . . q r! ,� d ,l" �' 0 4- !rV a above information is correct. I agree to comply with:all County Investigation Fee I ves '� 9 ordinances and State laws relating to building construction, Total Fee O and ht o e re tativas of his County to a tar upo th v - e tion p party fo inspecjtion urp ses. to SEE REVERSE FOR EXPLANATORY LANGUAGE.. Sig `tura f App scant or Agent ..®s