HomeMy Public PortalAbout10621 DAINES DR_Building__ .'y A ROAD aDERT_q;.EF.hdI IS RECUIRED ��/:
4 1 FOR ANr MATE::iy!
` I DONE. IN THE 126A'
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APPLICATION FOR 13 ILDING PERMIT 1
COUNTY OF LOS ANGELES BUIiDING /
d
DEPARTMENT OF COUNTY ENGINEER ADRESS
BUILDING AND SAFETY DIVISION LOCALITY
.JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT IF SUILMIG CROSS ST.
rA'DR
DISTRI T NO.- GROUPTYPEED BY
FOR APPLICANT TOFILL IN CONSTNG - STATISTICAL CLASSIFICATION SE ER MAP
S 6' / K�ICLASS. NO. DW ELL.UNITS— /-!. // rBLOCK ryUMAP MBER Q H ATEYES N USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS LO Q NOW O LOT G BLDG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME . ,_WIDTH
FRONTS, O 7 - P:L
i SIDE
y T TEL - P.L .
"CITY No INSPECTION. RECORD
ARCHITEC ORLI TEL.
ENGINEE NO.
ADDRESS 1/e f-.r(rS /C T Fb •'
'TEL.
CONTRACTOR NO.
47-/0/6
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V/fn r*+ �i/• 6}T_-Qll`A� �o�Ae.•.. �'�^—� _
ADDRESS /➢ �J ./ /
DESCRIPTION OF WORN
/O e
NEW DD LTER REPAIR DEMOLISH
SFT NO. OF - rr�'•
SIZE
STORIES�JI� STORIEIE S FAMILIES
USE OF.
STRUCTURE
SIGNATURE.19F
APPLICANT
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS ' FOUNDATION: LOCATION /
FORMS,'MATERIALS
VALUATION S Q �I FRAME: FIRE STOPS, ,
BRACING. BOLTS
_ URNACE: LOCATION,
FEE $ I FEE E MT. O`I FGAS VENT, DUCTS "5 Y/•�%
HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT.. O ..
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ANDni
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH, EXT. /
SIGNATURE OF HOUSE NUMBER COR- �J
PERMITTE / RECT AND POSTED!) A�-
ADDRESS FINAL.
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION 'cK. M.G. CASH
IL ACo 993 7 2 APF, 2,7 1 n .
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A DE#BDSBSE<-APPLICATION FOR BU LDING PERMIT
COUNTY OF LOS ANGELES fluIL0 "
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY rt
I JOHN A. LAMBIE COUNTY ENGINEER NEAREST _ yJ
COLEMAN W. JENKINS,SUFT.OF BUILDING CROSS ST, dC
DISTRICT N . 'GROUP- TYPE P ESSED BY'
FOR APPLICANT.TO FILL IN ^^ CONST.
BUILDING
/O�;Z/ E D'ILIW �� STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS .
I QCLp55 N � L
O. DWELUNITS . ' GK '-PG-/
LOT NQS,- P j JryLOCKUSE ZONE MAP
TRACT HLO /'nom SPECIAL ' •/., t
N0. OP SLOGS. / V , CONDITIONS
SIZE OF LOT NOW ONLOT -
USE OF. //��
I NG L'S G!�NG A55 BLGO. SETBACK FRG = AA
�G .�/ TEL. PRONT PROP. LINE OF - A (STREET)
OWNER,A41 � /V NO. TYPE OF E%(STING SETBACK ' HIGHWAY YARD = TOTAL
ADDRESS O �/ D.PlA/�-5 XI OXWAY wl "H Y M C.L.
CITY PACE CAT
ARCHITECT OR TEL. SLOG. SETBACK FROM
ENGINEER NO: SIDE PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK _HIGHWAY } YARD = TOTAL }
ADDRESS HIGHWAY WIpTX FROM C.L. d
ww,F //TT�� ,/ _ .O
CO N T RA C 77g0 R,! /,V BC` 4ZWRO /6 -492/ } V
ADDRESS2S< / T fr.4,M5 NO /22527 CORNER CUTOFF YES. NO O
F
CITY A4N o LLC SEE REVERSE SIDE FOR SPECIAL APPROVALS W
DESCRIPTION OF WORK
NEW - ADD ALTER REPAIR DEMOLISH
SOFT, �J NO. RI NO. OF d7✓�" X .f/{ f� P.�9�t
SIZE .0 STORIES FAMILIES
USEOF
STRUCTURE ''T V t• �G+ �(�yy'��
STRUCTURE L/F"'• - . . y.a�• �
SIGNATURE OF /I/ G.tea' /¢v / ,j. Ir
"APPLICANT
-al'u/1/1 - [
VALUATION$
3p0� APPROVALS DATE/ INSPECTOR'S3IQNATURE
•FEE,.fp.�� FEE$ /� FO FORMS!MATERIALSON /2,B/�� /f 75� P'
FRAME, FIRE STOPS, id
j.�
HEREBY
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT U rt
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL
COU
ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS � I
GUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INTIrr
TION OF THE LABOR COO_C OF THE STATE OF CALIFORNIA RELAT- Y
INGTOWORK MEN'$COA EN6ATION INSVRANCE. LA•F NEXT. Sl.l�/nrG
SIGNATURE OF HOUSE NUMBER CO
�L R-- F
PERMITTEE ^*�Y` REG AND POST EO ,
ADDRESS -�62 FI NAL
JOHN F. LEWIS, PRINCIPAL ST CTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION ,cK. M.G. CASH"
LH! o5507 arp3 1 0 15 .00 s
J
T6A632A.:CE08033-66*APPLICATION FOR BUILDI PERIWIFT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS O
BUILDING AND SAFETY DIVISION LOCALITY M° Tay
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENK INS,SUP'T OF BUILDING _ CROSS ST.
DISTRICT NO G - T.YPE.
FOR APPLICANT TO FILL IN. -, Q J,1 CONST. (/
BUILDING 'STATISTICAL C SIFICATION S E MAP
ADDRE55.� CLASS NO. .WELL UNITS BKPG
LOT-NO. )'Q BLOCK USE ZZZ,,,ONE MAP - - - -
.. .
TRACT JI SPNOECIALFIL - -
NO. OF pL005. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
BLDG. SETBACK FROM
TEL - 356'S FRONT,PROP. LINE OF (STREET)
OWNER I NO. J U TYPE OF EX13TI NO SETBACK HIGHWAY } YARD = TOTAL
ADDRESS - HIGHWAY WIDTH FROM C.L.
} _
CITY BLDG. SETBACK FROM _
ARCHITECT OR .TEL.
ENGINEER NO. SIDE PROP. LINE Or - (STREETI'
TYPE OF EXISTING. SETBACK HIGHWAY } YARD„ = TOTAL
ADDRESS HIGHWAY WIpTH FROM C.L.
El. } _
CONTRACTOR NO _
ADDRESS LIC - CORNER CUTOFF YES ❑ NO E]NO
d
O
CITY LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
—/J 'C7 �it c,.v�d c.s tz mA.v+ed �wD
NEWAD❑ ALTER REPAIR DEMOLISH Z
SQ,FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF '
STRUCTURE - -
SIGNATURE OF a 4r
APPLICANT
VALUATION$ '� p •OO APPROVALS DATE NSPECTOR'A9IONAT'`OR`Eo
P.C. PMT. FOUNDATION, LOCATION
FORMS, MATERIALS
FEE$ _ FEE$ { (,' L.
FRAME, FIRE STOPS,-
HEREBY ACKNOW LEpGE THAT 1 HAVE REAP THI S'APPLICATION BRACING BOLT _/tl CSF Y✓\
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION. I CERTIFY TH TN DOING THE WORK .�
AUTHORIZED HEREBY WILL NOT EMP J.H SO IN VIOLA- LATH. INT.
TION OF THE'L OR COD E AT F I RNIA RELAT-
INGTOWO E! 1 � A> I IN AN .LATH. EXT. _
S
IGNATUR - HOUSE NUMBER COR-
ADDRESS
LAND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN EER
PLAN CHECK VALIDATION CH. M.D. CASH _ PERMIT VALIDATION CK. M.o CASH
LACO 7 4 8 2% MAR 71 1 D 8.0 0
COUNTY OF LOS ANGELES TEMPLE CITY _ H 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709050051
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SO. FT STORIES TYPE 10621 DAINES DR
STRUCTURE: 0 VN TEMP CA 917802815
ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET: EL MONTE AVE.
8586-010.034 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/05/97 UT /05/98
n
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
S10621 TEWART WILLIAM
J,CYNTHIA K (818) 350-0531- 1 3,600 4- a 917802815 FEES PAID DESCRIPTION OF WO K
REMOVE AND RECOVER WITH GAF 25 YR. MP. SHINGLE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27-75
AC STRONG MOTION RESID 3600.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC. !T' (3600-00 VAL 116.10
—TOTAL FEES 144-35
d (�'!lly�p➢
CONTRACTOR: TEL. NO: �_'
SAME AS OWNER APPROVALS DATE INSPECTOR SIGNATURE
- � - -'� qp�
LIC. NO �� LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: ry,�y _ •F r` \���_, OUN A fON/TRENCH FORMS
LIC. NO: 3 " SLAB/UNDER FLOOR
.� �_ - RAISED FL00FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H273 3 OS ��/ . �'..I:�G �� ��/ ` ��e� �
NO. OF FAMILIES: DWELLING UN APT/GOND: STAT CLASS:, FLOOR SHEATHING
NO 21 �(�( j G� li ,.t` ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS
SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO •�� -f �� c ! FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM E% Nl~. TFRY NK SPRIR HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
(_
SIDE PL- 1; INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL SS .
RATED WALL ASSEMBLIES
RATE) SHAFTS/OPENINGS
T-BAR CEILINGS
LOT A
REPORT ID: DPR261 ROUTE TO: BS0508