Loading...
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 - -