HomeMy Public PortalAbout10636 DAINES DR_Building__ COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT
DEPARTMENT OP PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 0910220019
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 7690 LT: 19 UN: .002 SQ. FT STORIES TYPE 10636 DAINES DR
I ISTRUCTURE: 16 VN TEMP CA 917802814
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET:
18586-030-029 1 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C�
I TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1
1155 UED ON: PROCESSED BY: EXPIRES ON: 1
IEXIST 000 GRP: 110/22/09 SR 04/19/08
T
OWNER: TEL. NO: HLDGS. NOW ON LOT: VALUATION: �FI V /� FIN
Wjt
�/�/J ly1Y/1
,9 CODE:
HILL RICHARD L (626) 444-1916- 6,000
10636 DAINES DR
TEMP 917802614 FEES PAID 1DE CRIPTI N OF WORK
ITEAR OFF REROOF PLYWOOD, 40 YEAR ELK SHINGLES CLASS "A"
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
ISIM ALLEN - IAA BLDG PERMIT ISSUANCE 27.75
IAC STRONG MOTION RESID 6000.00 VAL 0.60 SPECIAL CONDITIONS:
ID2 PERMIT W/O EN-HC 60DO.00 VAL 149.40 1
TOTAL FEES 177.75
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE 1
RIGHT-WAY ROOFING (909) 981-5499-
- 11042 N. MOUNTAIN SUITE B-124 LIC. NO LOCATION AND SETBACKS
UPLAND, CA 91784 652996 C39 1
SOILS ENGINEER APPROVAL
I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I I I
I I
I LIC. NO: J SLAB/UNDER FLOOR
I IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP HOOK: PAGE: FIRE ZONE: CMP1l
IUNDERFLOOR INSULATION
147H273 3 O11 I l
I IIFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I
I NO 21 1ROOF SHEATHING r"�J- "•
I SCHOOL WITHIN HAZARDOUS 1SHEA1R PANELS
1AIN QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
IR£QUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS
1SET BACK YARD: HWY: PROP LINE: WIDTH: I
FRONT PL- 11NSULATION/WEATHER STRIP
SIDE PL-
JINTERIOR LATH/DRYWALL
I I I
(EXTERIOR LATH
I I I
[RATED FLOOR/CELL ASSEM.
(RATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS
T-BAR CEILINGS
I I
(LOT DRAINAGE
REPORT ED: DPR261 ROUTE TO: RS0508
I I
TEMPLE COW
vueae�cc�eoa P/[a APPLICATION FOR BUI-LDI.NG PERMIT �..
COUNTY OF LOS ANGELES ABUILDING
DDRESS
DEPARTMENT OF COUNTY ENGINEER
ND
BUILDING ASAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST "
WILLIAM A. JENSEN SUPIT OF BUILDING CROSS ST.
I- OCES D'BY
FOR APPLICANT TO FILL IN. DISTRICT NO GRO. Q P TYPECONST.
BUILDING (`' <1` STATISTICAL CL IFICATION SEWER MAP
.ADDRESS PK / PG
�p 1- CLASS.NO.�DWELL. UNITS 4
LOT NO. w' ,,((jj�VII- 1 tlU I-�7 BLOCK NUMAP MBER. CEJ HATE YES O
TRACT qUSEZONE .SPECIAL
4
NO.OF BLDGS.
OCONDITIONS
SIZE OF LOT '�0 NOW N LOT - _
USE OF
EXISTING BLDG. BUILDINGEXIST.
TEL SETBACK YARD ST �NAYE WIDTH
OWNER - -.� -LD NO. r• FRONT r J
ADDRESS
S(o VV I�IT� ��- C- SIDE
ARCHITECT OR TEL.
ENGINEER No. INSPECTION RECORD
I ADDRESS
TEL. a
CONTRACT NO, - O
ADDRESS V
DESCRIPTION OF WORE °[
O
F
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO.OF NO.OF
SIZE . O STORIES FAMILIES - y
USE OF'•
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ '
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FE - FEE $ FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE.READ THIS AP- FRAME: FIRE STOPS, '
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING, BOLTS
FURNACE: LOCATION.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS
STATE -LAWS REGULATING BUILDING CON-
U-110-1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT.
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF T E
WORKMEN'S COM TISA ION LAWS OF LIFO NIA. LATH, EXT,
SIGNATURE O J (((VVV"`"'1\\\"'1'111"'... HOUSE NUMBER COR-
PERM ITTE RECT AND POSTED
ADDRESS FINAL
:CLYDE N. DIRLAM, PRINCIPAL STRUC AL ENGINEER
PLAN'CHECK VALIDATION�oK M.G. cnsH PERMIT VALIDATION K. M,a c sR
WORKERS' COMPENSATION DECLARATION-
.1 n P� p r�
.I hereby affirm that haver certificate Compensation
consent to self 4 0P1P 11 �C ,0`Y�O'ppfl FOR. U PNIG PD 2Rn .�r PT
insure, or a certificate of Workers' Compensation Insurance, � ll II LS !/-'Ll ll V FOR -IJ LS Il LC uGu
or a certified copy thereof (Sec: 3800, Lab. C.) COUNTY OF LOS ANGELES . . Bi a
UILDING AND SAFETY'.
Policy No. Company
1:1 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN nooaess _3(
❑ Certified copy is filed with the county building inspec- BUILDING �.
tion department. ADDRESS J - C/ T11
Date Applicant CITY dia cryZIP 0 LOCALITY
0. OF BLD S. NEAREST -
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT t CROSS ST. -
COMPENSATION INSURANCE ASSESSOR
(This section need not be completedifthe permit is for one TRACT BLOCK LOT NO. MAP BOOK - pgGE PARCEL
hundred dollars ($100) or less.) . 1, TEL
OWNER 'ry USE ZONE MAP
NO
terrify that in iI shall not employ any person
inwork-for which this OR
}
permit is issued, I shall not employ any person in any manner ADDRESS - CONDITIONS d
so as to become subject to the, ork Com cation Laws. � � �. C� - O
�j L CITY / .ZIP V
Dat , �-` - Applican ARCHITECT OR TEL DISTRICT GROUP TYPE - FIRE PROCESS BY . O
CIc
NOT CE TO APPLICANT: if, ate aking this Certificate of ENGINEER NO.
'/ n CONST. ZOr-fE, � ) U
Exemption, you should of
a subject to the Workers' O Y A� J {_j.. _ w
Compensation provisions of the Labor Code, you must forth- ADDRESS 000 _�� !J 0-
with
with comply with such provisions or this permit shall be TEL. fi--r en
deemed revoked. - CONTRACT - W NO. ` (� STATISTICAL CLASSIFICATION A CONDO. Z
LICENSED CONTRACTORS DECLARATION LIC. 2v CLASS NO. . DWELL. UNITS_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE NO. -
SEWER MAP
(commencing with Section.7000)of Division 3 of the Business � _ LIC. G
and Professions,Cocie,and my license is in full force and effect. - CITY — CLASS. BK PG VALIDATION
f f SQ. F - NO.OF NO. OF CHECK
License Number>�c>a-:IA Lic Class SIZE STORIES FAMILIES ONE
r1�` X21 U VALUATION q (�
Contractor,1�1 IV L_�/PQGb/I Date:��`^' I ' DESCRIPTION OF WORK E NEW ❑ $ �oo\l.�" s - �.
av D
Elam exempt under Sec r 'ADD --E]ALTER ❑- - - --
B.BP.0 for this reason - — _ v /QLD(. ts' 7)-_ _ $
Date: EXISTING BLDG.
�lj�"Z..,�C oo USE OF -Al REPAIR El
r� DEMOL ❑
: Signature APPLICANT r TEL�.�, (�O FINAL- .
PRINT 1 7
WNER-BUILDER DECLARATION (PRINT) - (rK NO. DAT r j' b °. .... .-.. '
I hereby affirm at I am exempt from the Contractor's License / 5 - + -
Law for the following reason (Section 7031:5,'Business and ADDRESS'C �(;l%/� /�' FIN r u 1
Professions.Code) , • - PRESENT Y
B
BUILDING .. . . ..,� act-l e .
❑r •1, as owner of the property, or my employees with ADDRESS -
wages as their sole compensation, will do the work and - -LOCALITY -� - - - -1-_707-1-_70707 r28.7
;7C
f the structure is not intended ocoffered for sale(Section - t,
1:70" Businessland Professions Code ) - - MOVING .. TEL. D �.•' ` i I IEn-
CONTRACTOR - NO. { -
'I,-as owner of the property, am exclusively.contracting _ C
with licensed'contractors to construct the project (Sec- ADDRESS L - - - TOTAL. :-•S.® f •.-s
Ton 7044, Business and Professions Code.) CHECK 53'75
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD 'HWY' PROP. LINE- I WIDTH
I hereby affirm that there is a Construction lending agency for FRONT . ..... .. {.HANUE - - - a _00
the performance of the work for which this permit'i's issued P.L' --
(Sea:3097,.Civ. C.). SIDE.
P.L.-
Lender's'Name. ' 0000-0001 .S/2h., 1
- - LDMA Ref. # - CL [w i i
Lender's Address P.C. Fee$ - Permit Fee0� AI I- i S1�J1
D.
I certify that I have Lread this application and state that the Issuance Fee n LDM; P/C# -
Sabove information is correct. Iagree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Tom] Fee LDMA Perm. # - -
a and hereb authorize representatives of this County to enter
3 upo the ove- en oned'property for inspection purposes.
Z4_� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date - -