HomeMy Public PortalAbout10703 DAINES DR_Building__ 1 ;
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF 'PUBLIC WORKS 9701 LAS TUNAS , ., RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - BL 0508 0006080010
PHONE: (626) 285-0488 EXT: DUPLICATE
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 13613 LT: 154 SQ. FT STORIES TYPE OCCUP GROUP 10703 DAINES DR
STRUCTURE: lMleIZ 2 VN R1 TEMP CA 917802820
ASSESSOR INFORMATION NUMBER: GARAGE: 483 / 1 VN R1 NEAREST CROSS STREET: EL MONTE
8573-002-017 OT ER: �f THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
a DG oo2iTo
TENANT: EXIST BLDG JOSE: USE ZONE: ISSUED ON: . PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/24/00 UT 04/23/01
OWNER: TEL. N0: 8LDG5. NOW ON LOT: VALUATION: FIN DAIE FINAL CODE:
TERESA (626) 441-6984- 1 118,000
1070 7 3 1 o f
10703 DAINES DR
TEMP 917802820 FEES PAID DES RIFT ON OF WORK
2-S DRY ADDITION - 105 LIVING AREA, 483 SF GARAGE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 2-CAR GARAGE, 3 BEDROOMS, 1 DEN, 4 BATHS, LIVING RM, DINING
APPLICANT: TEL. NO:
SAME AS OWNER - B1 PLANCHECK W/ENERGY 118000.00 VAL 1,316.11
AA BLDG PERMIT ISSUANCE27.75 SPECIAL CONDITIONS:
AC STRONG MOT,ION'RESID_-S1.18000.00 VAL 11.80
B2 PERMIT W/.ENP1vGEL ESpTA � 290
000EES VAL , 4
T . 02
' CONTRACTOR: TEL. N0: �OS -
/I/�, APPROVALS DATE INSPEC 0 SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
/ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: �� FOUNDATION/TRENCH FORMS
C L ARCHITECTS (626) 441-0411- ti 15 6U
LA
1026 MILAN AVE. LIC. N0: S /UNDER FLOOR
S. PASADENA, CA NO
'I 1111111 Q0.J�' I S :i
IN_ RAISED FLOOR FRAMING
60 a
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: �00U11(J (J�(7 (\ n //��n// C�'� UNDERFLOOR INSULATION
J U IIIA \1111/\\vll Ill^l<I ILIICC"S ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- I1 G-w
NO 21 ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS \�\ } fr'Mt, ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS Q Q ` 3� 1
NO NO NO A ® ®y FIRE DEPT. FRAME INSPECT
REQUIRED
SET BACK YARD: HWY: etVjCe ThaSHEAR PAN ELS
TOTAPROPT LINE. `
CK FRO
FROM WIDTH. `6�7C `S ❑ t��� FRAME INSPECT
SIDE PL-
INSULATION/WEATHER STRIP
2
INTERIOR LATH/DRYWALL Q-
EXTERIOR LATH
-, LOT DRAINAGE 3 'L
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
* ADDITIONAL DATA ON FILE
REPORT ID: DPR261 ROUTE TO: BS0508
I6A63BA CEP803 B-60 APPLICATION F R 'BUI DING PER - -
COUNTY OF LOS ANGELES aoo DIs"s O 9A
DEPARTMENT OF COUNTY ENGINE
BUILDING AND SAFETY DIVISIO LOCALITr
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST.
DISTR�IC,y NO: ,TYPE P R aC BY
FOR APPLICANT TO FILL IN
BUILDING �(� STATISTICAL CLASSIFICATION SEWER MAP -
ADORE'S
0, T /Q CLASS NO..__;L�DWELL UNITS. BK PG
LOT NO. BLOCK USE ZONE 'MAP Y�Q
�' N0.
TRACT _7
SPECIAL / ,
NO. OF BL0G5. CONDITION
SIZE OF LOT NOW ON LOT •f
USE OF _ )
E%(STI NG L BLDG. SETBACK FROM
/j0 - /17 ir-,v TEL. FRO P. LINE OF (STREET)
OWNER NO. _ TYPE OF E% INO SETBACK XI OX WA } YA_RO = TOTAL
ADDRESS C. ZG.,� /N� R HIGHWAY WIDT 'FROM C.L.
oco,
CITY e- L6 BLDG. SETBACK FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY' YARD' OTAL }
ADDRESS HIGH W AT WIDTX FROM C.L. D_
TEL. } — 0
CONTRACTOR T NO i' cR V)4
ADDRESS LO J CORNER CUTOFF TES NO O
F
CITY — Clclss SEE REVERSE SIDE FOR SPECIAL APPROVALS '
DESCRIPTION OF WORK h
NEW ✓ ADD. ALTER REPAIR DEMOLISH' '
1 NO. OF N0. OF
SIZE Y L STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF .f.>77C
APPLICANT
VALUATION$ ��
�31APFAR OVA LS D�AJTE INS CTOR.'SS 31110 NATURE
P.C. PMT. ✓ FOUNDATION,FORMMTERIALS"LaU
F FEE S
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
%UILOING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORN .
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- 'LATH. INT.
TION OF-THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'$COMPENBgTION IN$ AN,CE.'Q _ LATH. EXT.
SIGNATURE OF 111)
R L O HOUSE NUMBER COR- -
PERMITTEE RECT AND POSTED
ADDRESS _ ) oF� FINAL -
'JOHN F: LEWIS, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION DR. M.D. CASH PERMIT VALIDATION ck. M.o. CASH
l 1t o,0 1 3 9 W HII;t 2 1. D 4.0 0
TEMPLE CBTY
OEEa.. I-B. APPLICATION FOR BUILDING. 'PERMIT -
COUNTY OF LOS ANGELES . BUILDING ()7 0 D Ai Al LS Pn r
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY EtitPL G
JOHN A. LAM BIE. COUNTY ENGINEER NEAREST CONI-L
WILLIAM A. J ENSEN SUPT OF BUILDING CROSSST. EL
DISTRICT NO. GROUP TypE PROCESSEO BY
FOR APPLICANT TO FILL IN 5 . 0a coNsr� CotoVK
BUILDING y,{� �a Y.S Y STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS /IJ ✓ PG
CLASS. NO.-ff DWELL.
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT 3S' MAP — HIGHWAY
v / NO OFBLDGS. NO. STATE MAJOR SECOND, LOCAL
SIZE OF LOT. �J d /� 1Z
O I NOW ON LOT I USE ZONE SPECIAL
USF EOy,'C ) CONDITIONS
EXIST'NG BLDG.. �C+/e��� tt//a�
OWNER SG NC1 Z' s BUILDINGGEXIST.
I FRONT
H
YARD WY STREET NAME WIDTH
ADDRESS/10709 Oil-IVV0-5' ,0I r- . _
ARCHITECT OR TEL. P.L.TZV` DPrIN DR' ��'
ENGINEER NO. SIDE
P.L. A EL nONTL 7Z.'
QL
ADDRESS -
R��ZI5/ rE I / INSPECTION4RECORD G�nA Ou
CONTRACTO N4
DESCRIPTION OF WORK + ' w
v h
NEW ADD ALTER REPAIR DEMOLISH Z
SO. FT. NO.OF NO.OF
IZE klo STORIES FAMILIES
USE OF 1
' STRUCTURE
�'CLbSE�
SIGNATURE OF
APPLICANT Ap
VALUATIONSQ"y�
APPROVALS (DATE INSPECTOR'S SIGNATURE
I FPC.
EE S I FEE S� o FO FORMS. MATERIALSON (}^/-qI /:
FRAME: FIRE STOPS, 7/��iYF�//j 9�
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING,
"LT'
G
AND STATE THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS _T`V
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK JJ //
AUTHORIZED HEREBY I WILL NOTEMPLOY ANY PERSON IN VIOLA- LATH, INT.
I TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- �J/'� ��/ /n'
ING TO WORHMEN'S COfAPE jTIOTHTEXT.J//�N f,�f5 f'�O
SIGNATURE OF / HOUSE NUMBER COR-
PERMITTEE— F RECT AND POSTED 66/
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION OK- M.o. cABH PERMIT VALIDATION DK- wo(cAeHI
o3 8 6 1 A?R25 , 1 D 8.00"
' 76A638A. CE 9803 12/69
APPLICATION FOR BUILDING PERMIT �1
MUNTYC OF LOS ANGELES ASSESSOR
DEPARTMENT 'OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING _
JOHN A. LAMB]E, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SOFT OF Bw LDING LOCALITYj-
FOR APPLICANT TO FILL IN NEAREST �ry J/
Pri of ort a only) CROSS ST. G }7—
BUILDING _— DISTRICT NO. GROUP TYPE ESSEO BY
ADDRESS CONST.
S r L r d 0
�� 5 ��. I STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. (f BLOCK CLASS NO. 'L/ DWELL.UNITS B PG,(,
TRACT 13613
USE ZONE MAP �j �)
/ " : / NO.OF BLDGS.
SIZE OF LOT IU NOW ON LOT '� / SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
OWNER
TEL
')" — -NO. BLDG.SETBACK FROM
ADDRESS s FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACKHIGHWAY } YARD = TOTAL
CITY HIGHWAY WIDTH FROM L.L.
ARCHITECT OR TEL. + _
ENGINEERBLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OFE%I STING SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR �/ NO. HIGHWAv WIDTH FROM C.L.
ADDRESS Nom' +
LIC. CZI
CITY CLASS I -CORNER CUTOFF Y YES:❑ `Nq\N ` ,�• U
CONSTRUCTION LENDER
NAME AND BRANCH o _ SEE REVERSE SIDE FOR SP.ECIAL,APPROVALS
ADDRESS
SO. FT. NO. OF NO. OF NEW ❑ 0" - Z
SIZE (� STORIES FAMILIES -
USE OF ADD
STRUCTURE
ALTER ❑ _le
REPAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑ /.
VALUATION $ ' d
APPROVAVA LS GATE INSPECTOR'S SIGNATURE
R.C. PMT. /Z, 00 FOUNDATION: LOCATION
FEE $ FEES FORMS, MATERIALS
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS.
BRACING, BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, -
WITH ALL OI O NANCESCERTIFY
AND LAWS IN GU EATINGBUILDINGW.R. UTHO CON-
ST
DH- GAS VENT, DUCTS
STRUC TION. CEOTI FT THAT IN DOING THE N ION OFIZED _
HEREBY WILL NOT EMPLOY ANY PERSON NI VIOLATION OF THE LATH, INT. ;
LABOR CODE OF THE STATE OF 'CALIFORNIA IN q pTING TO _
'woRKrAEtl's CONIFERS A ON INSURANCE. LATH, EXT. -
SIGNATURE O �' HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
AODRESS I L
FINAL /
JOHN F. LEWIS. PR INCIP L R URAL ENGINEER
PLAN CHECK VALIDATION CH. M o. CASH _ PERMIT VALIDATIO STc, M.o. CASH
1 Ar5 6:9 69 JLk 6 . 1 D I :2.0`0
r "WORKERS'.COMPENSATION DECLARATION `
y L P °PUC °ATMN FOR BURRING FERN "
1n= b affirm that I have a certificate of consent to self
insure'.0 d cerfifi<ate of Workers' Compensation Insuranre, -• '
or a cert,fied copy thereof (Sec. 3800, Lab C.) •_COUNTY'OF'LOS ANGELES ` ' - BUILDING.AND SAFETY -
t;�l y No ,o46e q;Company.. _ _ . . .
Certified copy is hereby furnished., `t FOR APPLICANT TO FILL IN ADDRESS /O 3
Certified.copy is filed with tVAA,41,16S MR
he county building'inspec- Bu BRING - - -
•%lion department. - ' ADDRESS16
DateApplicant _ CITY' .'ZIP C LOCALITY '
/ // ', [[JJO. OF BLDG5. _- NEAREST - -
CERTIFICATE OF'EXEMPTI fR WORKERS' $¢E OF LOT =lbX �NOw ON LOT CROSS ST,
' COMPENSATIO NSU NCE - - - _ ASSESSOR _
(This section need not be completed if the permit is far one TRACT"•' j G/ BLOCK LOT NO',f&& . MAP BOOK' •PAGE. OQ-2 PARCE
hundred dollars ($100)or less.):'• ' ` TEL.
,,. . .. .. OWNER" NOS` - USE.ZONE. MA ,01
P ?
: certif that�in-. . , NO' --f a2 `�
y hesperformance of the work fon which this /� SPECIAL >
,permit is issued,:-I shall not.employ any person in any manner ADDRESS.( T.` / CONDITIONS d
soasto become subject.to the Workers-Compensation Laws. O
- CITY ZIP .. U
.Date - ' Applicant ` ARCHITECT OR ^ TEL -
DISTRICT" GROUP TYPE' FIRE PROCESSED BY
-.NOTICE TO APPLICANT: If, afteremaking'�this Certificate of ENGINEER - -'NO. CONST. ZONE H-
Exemption, you should become subject to .the, Workers' '/ _ U
Compensation 1provisions of the Labor Code, you.must forth- ADDRESS _ _ __ - CO - `� y 3 �,p[d���[1 .c`-
with comply.with such provisions or this permit.shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked. .., I � CONTRACTOR - -
Z_
LICENSED CONTRACTORS DECLARATION - - _ LIC CLaSS NO. �/ DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter-9 ADDRESS �� NO' SEWER MAP -
...,(commencing with Section 7000)of Division 3 o the Business LIC. .
and Professions Code,and my license is in full force and effect, CITY S[ CLASS R BK GL PG VALIDATION
t SO. FT. NO. OF NO, OF CHECK - _
'License Number p�,4-161-7 ic. Class SIZE STORIES FAMILIES. ONE
. , p , - ( 1 . - VALUATION
Contractor n4SA /.A;_4e-. ,}�� ���' DESCRIPTION OF WORK NEW 1:1 $
ElO D
I am exempt under Sea / DD _ t
ALTER
- B.BP.C. for this reasons, -
• _ EAF- L .p. ^ ' R ❑
Date:
-- EXISTING.BLDG. p . ;,{� DEMOL El !
' Signature - - APPLICANT TEL. FINAL
OWN ILD R DECLARATION (PRINT) _ NO. — -
•,DATE
hereby affirm that r exempt from the Contractor's License ADDRESS r�'L 1 '
`Law far the followingg reason (Section 7031.5,;Business and FINAL `
...;Professions Code): .
PRESENT. - - � - - - � -ey-
PRESE T,
❑ I, as owner'of the property, or my employees with BUILDADDRESS
wages as their sole compensation,will do the work and -' - -
the structure is not intended or offered for sole(Section LOCALITY '1 3
7044, Business and Professions Code.) - MOVING - TEL - • D= -
❑ 1, as owner of the property; am exclusivelyCONTRACTOR NO.
'<ontracting _
with licensed contractors to construct the project (Sec- ADDRESS 7•` -" " - - ' 4 -6,"
1 L(;ftL ``
tion 7044, Business and Professions Code.), �
CONSTRUCTION LENDING AGENCY 'SETOBACR 'YARD HWV _TOTA FROP.ALINEFROM'-"-W IIDH MiNi
I hereby affirm that there is a construction lending agency for ;FRONT
the performance.of-the work,for which'this"permit is'issued P.L. ,
(Sec'3097, Civ. C.). SIDE f -
Lender's Name. LDMA R
Permit ee
ef q`' `•fit -tll;I3 tir'I_.1, z ic•' `1
`- P C Fee $ FQ _
Lender's Address '. 1��� v't7_� • _ G.`I ft_j
Il;certify,that I have read.this application and state that the Issuance Fee ✓' LDMA P/C k D • '
8 above informatiori is correct. I agree to comply with all CountyInvestigation Fee
ordinances and Ste to laws relating to building construction, Total Fee ✓ LDMA Perm. # ,
m and hereby authorize representatives of this County to enter
'upon the above'menti ed property f r inspection purposes. -
>—/G'y q' SEE REVERSE FOR EXPLANATORY LANGUAGE - - -
Signat 'want or Agent Date