The URL can be used to link to this page

Home My Public Portal About10617 DAINES DR_Building__ 76.638A CE#803 B-63 APPLICATION±,.FOR BUILDING PERMIT � . . COUNTY OF LOS ANGELES BUILDING \• DEPARTMENT OF COUNTY ENGINEER ADDRESS u BUILDING AND SAFETY DIVISION - LOCALITY r JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / WILLIAM A. JENSEN. SUPT OF•BUILDING CROSS ST.I Ci DISTRI T NO. GROUP TYPE CESSED I FOR APPLICANT TO FILL IN CONST. to BUILDING 0 STATISTICAL CLASSIFICATION EWER'MAP ADDRESS lG � ___CL_ BK P CLASS. NO. DW ELL:UNITS LOT NO. LOCK WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED Ll TRACT MAP HlcrvwAY - NO. OF BLDGS. NO., LC IRCLEI STATE MAJOR SECOND. OCA SIZE OF LO_T _ y�'"�(� NOW ON LOT U/S�E$ONE SPECIAL J USE OF - /p l CONDITIONS EXISTING BLDG. CIJ TEL / OWNER _ NO. (J Ble DING EXIST: SETBACK YARD HWY THE NAME WIDTH ADDRESS Q G FRONT o ARCHITECT OR - TEL. - P. L I 497k ENGINEER NO. SIDE P. L. ADDRESS TEL. O CONTRACTOR s.WNO. �I U T , ADDRESS �___��- C DESCRIPTION OF WORK S FA I� QZK" W.t- v a NE ADD ALTER REPAIR DEMOLISH _ W U' I._'w SQ. FT. NO:OF NO. OF ' SIZE STORIES FAMILIES USE OF STRUCTURE - -• SIGNATURE OF i APPLICANT VALUATION S (F- O ' , _ / APPROVALS S IDEATE IrvsPEcioR's slcNAruaE ' F, $ FEE $ J 7 Q FOUNDATION: MATERALS LOCATION �� J J 't,�.w�::E�.•^[.4. FRAME: FIRE STOPS. 11 f I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS 2 AND STATE THAT THE ABOVE Is CORRECT'AND AGREE TO COMPLY FURNACE: LOCATION. - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- 1 TION OF THE LABOR CODE OF'THE STATE OF CALIF...I A'RELAT- LATH. INT. �Z.—(p - (J` ' ING TO WORKMEN'S C PENSATION INSURANCE. "I �A yr LATH. EXT. J M r SIGNATURE OF C f HOUSE NUMBER COR- PERMITTEE— I "� O'�U„ RECT AND POSTED ,1 - '- ADDRESS FINAL 4- i JOHN F. LEWIS, PRINCIPAL ST T RAL ENGINEER PLAN CHECKVALIDATION, cK. M.O. CASH PERMIT VALIDATION( cK' M.O. GASH LN.GO 7 2 0 1 z- DEC '31.-2 3 D 3 0.2 5 G L-�i o 7 3 3 8 o JAN 7 1 D 6 0.Jr 0�., • 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 0302070006 PHONE: (626) 285-0488 EXT: GA 0. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 10617 DAINES DR STRUCTURE: VN TEMP CA 917802815 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EL MONTE 8586-010-054 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: EXIST BL : RESID USE NE: R-1 ISSUED PROCESSED B S ON: EXIST OCC GRP: 02/07/03 JK 02/02/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION. FINAL DATE FINAL BY: ' CODE: DELA FUENTE HECTOR T;DORETTA M (626) 443-1021- 4,521 10617 DAINES DR TEMP 917802815 FEES PAID DM PTCI ION OF WORK— T/0; INSTALL 1/21-CDX PLYWOOD, 30#FELT, & 50YR ELK CLASS A APPLICANT: 1. N0: FEE DESCRIPTION: QUANTITY: LION: AMOUNT: SHINGLE & RIDGLASS HIP & RIDGE J N DAVIS ROOFING (626) 821-4665- AA BLDG PERMIT ISSUANCE 27.75 235 E COLORADO #202 AC STRONG MOTION RESID 4521.00 VAL 0.50 SPECIAL CONDITIONS: PASADENA 91101 02 PERMIT W/O EN-HC:==X4521.00 VAL 132.60 ANGELESTOTTO FEES 160.85 CONTRACTOR: EL. N0: C> J N DAVIS ROOFING (626) 621-4665- APPROVALS DATE INSPECTOR SIGNATURE � T 235 E COLORADO BLVD #202 LIC. NO �' Y LOCATION AND SETBACKS PASADENA, CA 91101 572125C39 * �? SOILS ENGINEER APPROVAL ARCHITECT OR ENG ER: TEL. NO: / j FO NDATION T LIC. NO I/: � SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAPBOOK: PAGE: FIRE ZONE: CMP::::11 pp n n �//(�}��/p;�j�� ,I(/`J UNDERFLOOR INSULATION r 147H273 3 101:v 0 I J� V V wJ�K1\'\ LL�� FLOOR SHEA N 0. OF FAMILIES: DWELLING UNITS: AP D: S CLASS:_ _ NO 21 h ❑ ROOF SHEATHING SCHOOLto WITHIN A S \\� O O 'Y '.4a trl!\� SH LS IO AIR QUALITY: 1000 FEET MATERIALS O ❑ i +,,n*? NO NO NO FRAME INSPECTION o ❑ '= � 5 REQUIRED TOTAL SETBACK FROM S L• O��'- SPRINKLER HANG R BA SET BACK YARD: HWY: PROP LINE: WIDTH: b// ❑ FRONTPL- - . C, Servi,– TINSULATION/WEATHER STRIP SIDEINTERIOR LA R WAL EXTERIOR LATH RATED FL00 L ASSER7. RATED WALL ASSEMBLIES RATED SHAF P NINGS • ADDITIONAL DATA ON FILE T-BAR CEILINGS LOT DRAINAGE— . REPORT N. REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES BUILDING-AND SAFETY . WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING/ADDRESS - I hereby affirm that 1 have a certificate of consent to self insure, BUILDING AD REBS tr( C. I Q PAINS S p.R o fq CQ r� �o Or a certificate of Nbrkers'Compensation Insurance,or a certified PA Dig CITY zip fEHl� CtT q copy thereof(Sec.3800,Lab.C.) '�I�ptr QTy( �I7�'a LOCALITY Policy No. Company SIZE OF LOT - NO.OF BLDGS.NOW ON LOT - ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department I i USE ZONE MAP NO. _ Date Applicant ASSESSOR MAP BOOK PAGE PgRCEL - � -- ' ' SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER - TEL NO. 1._ COMPENSATION INSURANCE &CT DELA FIMA 4x+3-1oma.1 WITHIN 1000 FT.OF SCHOOL? YES .NO (This section need not be completed iftheADDRESS - " p permit i5 far one hundred I DISTRICT GROUP, TYPE CONST. FIRE ZONE PROCESSED BY dollars I$too)Or less) � � 0 6i 0Art/yr-S 17 2 CITY ZIP r-� I certify that h the performance of the work for which this permit •T-= �Z GI TY / ! i5 issued, I Shall not employ any person in arty manner So as to ARCHITECT OR NGINEER TEL NO become'Subject topthe Workers'COpmpena lion Laws. STATISTICAL CLAS IFICATION APT CONDO Dale -2�- 4'Applica0t�.,rG.i.N.. w.c'Jy ADDRESS CLASS NO. IMW DWELL UNITS NOTICETO APPLICANT, If, after making this. Artiticate of 14-�L {ALM &V' I'A 'REQUIRED' TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR TEL NO. SET BACK YgRD. HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith Y0J1d Cj LA16TRUCT(-A) g{$-S"-I)1-81i 2 FRONT ' comply with Such provisions or this permit shall be deemed revoked. gODRE55 LIC.NO. F L 1 LICENSED CONTRACTORS DECLARATION '4�0 A 2��r SIDE - CITY LIC.CLASS P L W I hereby'affirm that I'am licensed underprovisions of Chapter 9 44-iJ 6•0' el _ L'/J .1/n7 (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO,OF STORIES NO.OF FAMILIES SEWER MAP Professions Code,and my license is in full force and effect. NEW -❑ SK PG o License Number $S'.2 6 17 Lic.Claes 9 DESCRIPTION OF WORK ADD ❑ VALUATION ContractorYDu/•1Li [4.s7Rurn.I.yDate' 2 ' Z3:-.94 RL (Acr t'L%i"Dow 9No - $ ( 000 0- o ALTER. ❑ r Sry c "' ❑ I am exempt under Sec. - 12� (1 REPAIR ❑ $ - y B.&P.C. for this reason DEMOL''❑- LOMA P/C - - - Date: USE OF EXISTING BLDG. URM ❑ - Signature APPLICANT(PRINT) TEL NO. LDMA Perm k 1 ❑ I•.as Owner of the property, or my employees with wages as RC t� 5 OU AIC S q - their sole compensation, will do the work and the structure is ADDRESS •� _ O Fiat intended Or offered for Sale (Section 7044, Business and / Y1- ALM A Ur SArJ CAJ32IZ FINAL DATE _ _ G '5-11- 30 'y Professions Code.) V^1 o - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �tet' 1 4' _ - ❑ 1, as owner of the y, y g OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE property, am exclusive) contracting 44, - WOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ITEM: 1 licensed contractors i o construct the project (Section 7044, YES❑ NO❑ `T5 WILL.Business and Professions Code.) _ I�l��l� v`? m - OCC THE INTENDED USE OF THE BUTOUN3 BY THE APPLICANT OR FUTURE EBUILDINGSOUTH - - 'r OCCUPANT REQUIRE A PERMIT FOR L DISTRICT (SCAO OR EE PERMITTING FROM THE SOUTH %C . CONSTRUCTION LENDING AGENCY NT psrR�cT IscnoNto)SEE PERMnnNG cHEcxusT FOR _[' .. _ - GUIDEUNEB: .a. •v:' .. .�. - _ _ hiAINGE COAST AIR MAN4GEME _ ( I1'6. hereby affirm that there is aconstruction lending agency for "vas❑ No❑ - _�__ W the IHAVE READ THE HAZARDOUS MA - -- Tv' _�•_• ly 7,Ci mCOCe Of the.WOfk for which this permit 15155Ued(Sec. INFORMATION GUIDE AND THE SCAOMD PERMITTING - a 3097,CIV.D.) CHECKLIST,I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES QOUNTY CODE. Lender's Name TITLE 2.CHAPTER 2.20 SECTIONS 220 100 THROUGH 220 140 CONCERNING HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 4i7 1 - FIN 11: Lender's Address 1°I o I certify that I have read this application and state udder penalty q 'of perjury that the above information is correct.I agree to comply P.C.FEE - PERMIT FEE $ with all county ordinances and State laws relating to building � m construction, and hereby authorize representatives of this County IPSUANCE FEE to ent r u the above-mentioned property for inspection purposes. —�3 —4 44- INVESTIGATION FEE TOTAL FEE ri ' sNreWoa oW wwuol o,As• on. Or ` SEE REVERSE FOR EXPLANATORY LANGUAGE