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COUNTY OF LOS ANGELES TEMPLE CITY BUILDING PERMIT
•
-DEPARTMENT -OF PUBLIC WORKS 9071 LAS TUNAS _ '-' � J - ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA - Q BL 0508 9808260012
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SO. FT STORIES TYPE 10623 DAINES DR
STRUCTURE: 0 VN TEMP CA 917802815
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8586-010-033 THOMAS-PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
TENANT: EXI T BLDG USE: RESID USE ZONE: R-I ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/26/98 UT 08/26/99
OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FINAL DAT FINAL By: CODE:
TARBELL ROLLAND M;CAROLE D - 1 40,000 -3_e� /
10623 DAINES DR
TEMP 917802815 FEES PAID DESCRIPTION OF WOR
FIRE DAMAGE-NEW KITCHEN,REPLACE PATIO ROOM WITH CONVENTIONAL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CONSTRUCTION, BATH REMODEL
APPLICAN TEL. NO:
TOM O'LEARY CONS. (626) 287-0927- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION-RESID 40000.00'VAL 4.00 SPECIAL CONDITIONS:
AX BUILDING„REVIEW;EEE_-7' 54.70
B2 PERM I T,W/ENERRGYY' ELE 40000-00 VAL 731.45
TOTAL7VEES 817.90
CONTRACTOR: TEL. NO: QS Z`Vp• APPROVALS DATE INSPECTOR SIGNATURE
TOM O'LEARY CONSTRUCTION (818) 287-0927 � d'
4856 ARDSLEY DRIVE LIC. NO LOCATION AND SETBACKS
TEMPLE CITY, CA 91780 489354 B-1
SOILS ENGINEER APPROVAL Y
ARCHITECT OR ENGINEER: TEL. N0: p� v _ �� \\ F0UNDAT IO TRENCH FORM
LIC. N0, � ___ __ j � ` 11 SLAB/UNDER FLOOR
7111111 `
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1ji� i�(� rl�l ��11�� UNDERFLOOR INSULATION
147H273 3
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: _ - -- —-'— -
NO 21 �� ROOF SHEATHING
�` // f 1 .i�NL' ,d r
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO F, FRAME INSPECTION
A
REQUIRED TOTAL SETBACK FROM EXIST G6/• i ) -n,0� FIRE SPRINKLER HANGERS
FRONT PL-SET BACK YARD: HWY: PROP LINE: WIDTH: 7C `�eQ/IC$Yh9�VV INSULATION/WEATHER STRIP `
SIDE PL-
"T'��' INTERIOR LATH/DRYWALL.-
EXTERIOR LATH rZ /
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
cA1o, T
aad...-e. • APPLICATION .FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ABUILDING
DDRESS'
DEPARTMENT OF COUNTY ENGINEER J
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, S.P'T OF BUILDINQ CROSS ST.
DISTRICT NO. -GROUP TYPE P SSED BY,
FOR APPLICANT TO FILL IN I CONST ./
BUILDING A rox. 10623 Daines Drive STA I STICAL CLASSIFICATION . I SEWER MAP
ADDRESS PP - - BK PG
n CLASS.N0. q�ttyy DgqWELL.UNITS ' Is
Y LOT NO. 3< BLOCK .N MA Eft •�[f 0I HWY.STATE YES NO
TRACT E.J. Baldwin's Addition No-' USEZONE SPECIA
70 K jiO NO.OF.BLDGS CONDITIONS
SIZE OF LOT A roX , NOW ON LOT none /
USE OF
EXISTING BLDG. none - BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER Charles J. Sacheli FRONT G7 �
MAIL
P.L. Q! -
ADDRESS Gl Farago . ,SIDE '
CITY Temple City NOL,GI P.L.
ARCHITECT OR TEL. INSPECTION RECORD
none
ENGINEER - NO, _
ADDRESS
CONTRACTOR Santa Anita ConsticELAT .79744
ADDRESS 8717 Las Tunas, _San GabrielG.ui =oR -Ig,4 i i_ </FA rF_ a, e *,r
DESCRIPTION OF-WOR% ^ �' ieic o` a moi.
NEW X ADD ALTER REPAIR _ •DEMOLISH - o
SO.FT.1118f .NO.OF - 1 'NO.OF 1 _Z A/G L c 5o I'L-.--.J
SIZE ageUSE OF STORIES FAMILIES
STRUCTURE 8 Attached Garage
�,,
SIGNATURE OF
APPLICANT-
.APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS -AL
FOUNDATION: LOCATION r _
Q'� FORMS,MATERIALS
VALUATION$ FRAME: FIRE STOPS,
"• J /��/� /L T
!� CT I� }/� c�/G, YnU
BRACING,BOLTS I A
(�� .FURNACE:LOCATION.
FEE: $ d 4 IF
EES� I, GASVENT,DUCTS '
1 H REBY'ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. Al�� G� AGO - �
PLICATION AND STA THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY I HALL COUNTY OROINANCES AND
STATE LAWS REG L TING B DING CONSTRUCTION. LATH.EXT. A s /IlIIGK�L
SIGNATURE OF ' / HOUSE NUMBER COR-
PERMIT TE L/ .r>7 RECT AND POSTED di 12 /) '
ADDRESS FINAL
CLYDE N. DIRLAM. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION cK. N:o. cnsN PERMIT VALIDATION cK. M.o. CASH
LAro 9 3 162 A.PR 14 2 3 A 18 .0 Q.6 "
LAC094682 APiliq 1 A 3600 �P:
WORKERS' COMPENSATION DECLARATION- ._ .. \ •�
hir eby af`=,in.that have a certificate of consent to self _ O O D
insure oro certificate ofWorkers'Co- nstiorilnsuronce, or APPd�CQ�� ON ISO [�MOdD�•f 1C� pERNT
(g"i, i tit(1 � opYY�ereof JSc. 3 L ) S �qn COUNTY OF LOS ANGELES BUILDING AND SAFETY
TI,yNo{`1—JI0—� mp AL C�,•N'
ILMNG
Certified copy is hereby:furnishe FOR APPLI NTTO FILL IN ADDRESS 0 �rZ
Certified copy'is filed with the L'nty but ing inspec- _ BUILDING �L Nc �+
tion dep imenf.- ADDRESS YLJ G...� LOCALITY
NEAREST
Date J Applicant CITY ZIP - - - CROSS ST.
'�'COER IFIC EOP EXEMPTI • 4 WORKERS' NO. OF BLDGS. ASSESSOR
• COMPENSATION Ijee
AN .. SIZE OF LOT NOW ON LOT - MAP BOOK AGE PARCEL
(This section need.not be complf th permit,is for one U E ryryE MAP qq,t
`hundred dollars ($100) or less ) - TRACT BLOCK. S Z LOT NO. :3-2-
TEL. / NO.
- /��-�^ n Lv, SPECIAL rx' d
I certify.that in the performancer which this OWNER OLLA'SAJL 1 IC��,L.L No, a CONDITIONS J O
ermit isissued, 1 shall not emploany manner. I- �+ Q DISTRICT GROUP TYPE FIRE PRO SED BY L,•)pADDRESS it lV� _/ CO ST ZONEXso as ro come sublecY,to IFe Wsahon Laws ! Y 3 �„ v y K// 11 ZIP N fO
Date�a� Applican ZZ
CITY �' L_�t-. C STATISTICAL CLASSIFI A"ON
APP. CO O. V
NOTICE A LICANL' If, afte making this Certificate of ' ARCHITECT OR /�J��r o� TEL �• y 1, W
Exemption, you should became subject 'fa the Workers' ENGINEER 1'ti .l NO. CLASS NO. DWELL. UNITS _ '6
Com ensat ion rovisions.of the Labor Code, you must forth - N
P P ADDRESS I C Z �t...[, 1 rT SEWER MAP jf] r a -. Z It
_ with comply with such provisions or this permit shall be � Nt
deemed revoked. - CONTRACTOR , G-��.. no TEL' BK. I;G. VALI ATION �'.
O.
-,LICENSED CONTRACTORS DECLARATION
I hereby affirm thati am licensed under provisins of Chapter 9 ADDRESS NQ I A2<d u T
(commencing with Section 7000)of Division 3 of toVALUATION Business and //''y�...rn LIC t�a
Professions Code, and mylicense is in full force and effect. CITY W 2-� CLASS $ d
1 SQ. FT. NO, OF tJO. OF -'CHECK t
License Numbertgz�A Lic.Class `✓�` SIZE STORIES //� /(^FAM,,//ILL ES //�� ONE s ' -
@ ATI C) PA"o NEW ❑ S 5 i
Conbocto Date I ( ��. DESCRIPTION OF WORK
w
O. I am-exempt from the licensing requlrem nts os I,am a .�C�G.�t/V ADD ❑ o i
licensed architect or a registered professional engineer -. _ ALTER ❑ FINAL ,r( 3O it _
actin in m professional. capacity DATE 4l�' r
. 9 Y P P Y. (Section 7051, r.f
Business and Professions Code). 115E OF .REPAIR. ❑ FINAL 7 ';-
I. - EXISTING BLDG. � � DEMOS ❑
LiC or Reg:Na, Date . . APPLICANT �t�'TEL Q^ By,
�2 '&4 A
- OWNER-BUILDER DECLARATION - (PRINT) � ]NO:
hereby affirm that am exempt from the Contractor's License � Y .r. '1 A P1� Q N'� „�i"•'�- '% e • e.•,2 1 r �-
Low forthe {allowing-reoson (Section 7031.5, Business and ADDRESS' �V fH 1V
Professions Code): - PRESENT T S� �Z 2 • e 2/70 0
BUILDING,
0 1: 09`owner of the property, or my employees with ADDRESS - e • • 27i.00•csi •.
wages as their sole compensation,will do the work and -
.the structure is no Yintended'or'offered for sale(Section" ' ' LOCALITY
7044, Business and Professions Code). MOVING TEL. ,I 1'. 0 67780
I, as-owner of the property, am exclusively contractingCONTRACTOR _ NO. -
with licensed contractors to construct the project,(Sec ADDRESS -
.tion 7044, Business and Professions Code). -
CONSTRUCTION LENDING AGENCY -
REQUIRED TOTAL SETBACK FROM EXIST.
- SET BACK YARD HWY .PROP. LINE WIDTH
- -dhereby affirm that there IS aconstruction lending agency for FRONT
the performance of the work for which this permit is issued'. ' P,I, -
(Sec. 3097• Co. C.). SIDE - ;'219,615 A
Lende
Address r Name ___ _ �7_ _ _ _ # e e e e .e•1
• - _ - - • - P:C. Fee$ px a Permlt Fee ,
Lender' • - 5200
.
2
.. r t
w certif that h ver ad this application and state that the1. _ Issuance Fee ,
p above nformati n is orrect. I agree to comply with all County, - 'le e e 5y2.0 0
a Inestigauon Fee - - - 51� i '-�
and in nces an Stat laws relating to building construction,
and ereb au hari a representatives of this Count to enter Total Fee
P v 11.06-80
mup n the abov -m nfloned property for inspecti -
aSEE REVERSE FOR EXPLANATORY LANGUAGE '
^ inure,of A plicant or Agent 0 Dice t - - �s