HomeMy Public PortalAbout10800 DAINES DR_Building__ COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0703010001
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST BUILDING ADDRESS:
I ON FILE SQ. FT STORIES TYPE 10800 DAINES DR
I (STRUCTURE: VN TEMP CA 917802918
(ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET: SANTA ANITA
18573-014-004 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
I
(TENANT: IE%IST BLDG USE: RES ID USE ZONE: R-2 JISSUED ON: PROCESSED BY: E%PIKES ON: I
(EXIST OCC GRP: 103/01/07 JK 02/24/08
(OWNER: TEL. NO: IRLDGS. NOW ON LOT: VALUATION: �A{fix./�A F 1 CODE:
BERMUDEZ, MIRIAM (626) 941-6057- 1 4,000 / £'
10800 DAINES DR
ITEMP 917802918 FEES PAID SC. PTI OF WORK 1
IRE-STUCCO ENTIRE HOUSE
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: (
(APPLICANT: TEL. NO:
(SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75
IAC STRONG MOTION RESID 4000.00 VAL 0.50 ISPECIAL CONDITIONS:
ID2 PERMIT W/O EN-HC 4000.00 VAL 115.80
TOTAL FEES 144.05
(CONTRACTOR: TEL. N0: (APPROVALS DATE INSPECTOR SIGNATURE I
(SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
I I ISOZLS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
LIC. NO: I ISLAB/UNDER FLOOR I I I
I I I
I I (RAISED FLOOR FRAMING
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 IUNDERFLOOR INSULATION I I I
1150H277 3 O11 I I
I IFLOOR SHEATHING I I
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 11
NO 21 IROOF SHEATHING I I I
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS
IAIR QUALITY: 1000 FEET MATERIALS _
NO NO NO FRAME INSPECTION
IREQUIRED TOTAL SETBACKFROM EXIST AFIRE SPRINKLER HANGERS
ISET BACK YARD: HWY: PROP LINE: WIDTH: II
IFRONT PL- (INSULATION/WEATHER STRIPI I
I SIDE PL- 1 11 1
(INTERIOR LATH/DRYWALL
(EXTERIOR LATH }j 7
RATED FLOOR/CEIL ASSEM. 1
RATED WALL ASSEMBLIES
I
RATED SHAFTS/OPENINGS
IT-BAR CEILINGS I
I I 11/JT DRAINAGE I I I
I (REPORT ID: DPR261 ROUTE TO: 850508 I I I I
I I I I I I
CPS 7616303
GEPXe03(.6L 6/78) LII III
APPLICATION FOR BUILDING. PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
„ BUILDING
FOR APPLICANT-TO FILL IN c ADDREss �J
ADDRESS I O O 04 V E ( l(„ �, _ LOCALITY
' 11 T NEAREST
CITY e C j ZIP CROS557. -
vv
NO.OF SLUGS. ASSESSOR
SIZEOF LOT -WON OF LOT MAPBOOK _ PAGE.a PARCEL
t 'DISTRICT. G P TV "'FIRE PROC SED BY
TRACT K "'" LOT NO. C ' ZON
�a ..TEC pU ' ' �, 1
OWNER l.`�• C ' NO. .�� C 7
/ STATISTICAL CLASSIFICAT ION $EWEkM
ADDRESSQ Q^
.�Jj CLASS NO.�_DWELL.UNITS
/ L7;/-(-/
BK PG
CITY � e � � ZIP
TEL
ENGINEER ARCHITECT OR W � NO.
ADDRESS PA11UArf BLDG.SETBACK FROM - - -
TEL FRONTPRO P-LINE OF ISTREED
CONTRACTOR le NO. - d TOTAL SETBACK FROM TYPE OF EXISTING
�/LIC HIGHWAY + YARD FRONT PROP.LINE" HIGHWAY WIDTH
ADDRESS 0 • 12
(iY NG.
LIC. +
CITY C , CLASS BLDG.
LEN ER BLDG.SETBACK FROM
SIDE PROP.LINE OF '(STREET)
NAME AND BRANCH -
'TOTAL SETBACK FROM TYPE OFEXISTING
_ HIGHWAY + YARD = 6
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH V
SO.FT. - NO.OF NO.OF CHECK + _
SIZE STORIES FAMILIES .ONE �-
DESCRIPTION OF WORK NEW ❑ P.C. Fee$ Perm if Fee p2
- ADDa 96 Issuance Fee -u
ALTER _
REPAIR ❑ Total Fee
USE OF
EXISTING BLDG. DEMOL ❑ Z
APPLICANT - TEL - G - -
(PRINT) - _ NO. Q
BY ISIGNATUREI .9 -
- T HEREBY ACKNOWLEDGE.THAT I HAVE READITHIS APPLICATION-ANDD STATE, -UYY
THAT THE ABOVE IS:CORRECT AND.AGREE.TO COMPLV..WITH.ALL ORDINANCES W
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE V bit 2 9 A
WORK AUTHORIZED HEREBY I`WILL NOT EMPLOY ANY PERSON-0N VIOLATION OF
THE LABOR CODE Of THE STATE OF CFLIFORNWIN RELATING_TO WORKMEN S COM- p. Z
PEP15AilON INSURANCE. If
•1M1 i i .1 f 1 ,] �' (1(`1,#, e _ a-e �}
SIGNATURE OF
PERMITTEE
ADDRESS O G VE �u =
7
NO.
o a l �4,-I9 _
USE ZONE,-,MAP 1 • 'T( Q -
NO:
ISPECIAL -- - - - - -
CONDITIONS
FINAL
DATE
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or tvice onlv)
BUILDING .r-O Qo AI E. -.. . COUNTY OF LOS ANGELES
ADDQEss DEPARTMENT OF COUNTY ENGINEER
CITY - LE Ci zip BUILDING AND SAFETY'DIVISION
NO,OF BLOGS. BUILDING -�
SIZE OF LOT //jj��//�� NO ION LOT ADDRESS
TRACT 9LOCK OT NO. LOCALITY
TEL. Jj NEAREST -
OWNER i(�I1 Q NO. &- CROSS ST.
ASSESSOR
ADDRESS S C MAP BOOK PAGE PARCEL
//,�� DISTRIyT GROUP TYPE FIRE PROCESSED BY
CITY CA ZIP I/ (i ` CONST ZONE
ARCHITECT OR TEL. S� y171
ENGINEER NO.
- - STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NOLr DWELL,DNITS r B �•,PG
CONTRACTOR TECLASS
USE ZONE NMAP
O�U.SL
_ LIC. SPEC AL
LIC.
ADDRESS - CONDITIONS
LIC •
CITY / .`- 'CLASS . ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO
CONSTRUCTION LENDER-
NAME ANO'BRANCH. • �' BLDG.SETBACK FROM ,��'�'' }.
FRONT PROP.LINE OFF15Ct.cirp (STREET)
ADDRESS CITY
• HIGHWAY } YARD -_ TOTAL SETBACK FROM TYPE OF E%IGTING U
SO. FT. NO. OF � NO. OFA, CHECK FRONT PROP. LINE HIGHWAv WIDTH DC
SIZE STORIES "-_y F MI LI SI t.yT'P,,ONEAA - 'O.
S
DESCRIPTION OFSWORK`, •�C%lNEW ❑ } / ' " a
�'�' s -'C�- "`'ADD''f❑ SIDE BACK PROP.
LINE OF OM (STREET) Z
Ga . .L c r*
E :4r4- i/F,.K; q.J .;r,RI •ALTER,;❑ HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING
REPAIR SIDE PROP. LINE HIGH Av WIDTH
USE OF. '.y-h Je t f = 0
EXISTING BLDG.* `\ >-Fr DEMOL ❑
A PP LICA,NT III TEL {,� CORNER CUTOFF YES NO ❑
IPRIN r) Il N0. 44 u13
/1 IN OPEN SPACE YES ❑ -NO
❑
BY (SIGNATURE) �+`�
��.Y\/0F� IN COASTAL ZONECATEGORICAL EXEMPTION YES❑ NO ❑
NO
VALUATIONS'/yO� ON
'
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE ISCORRECTAND AGREE TO COMPLY IMPACT E%EM PTION OEC LA RATION SIGNED - IDA,TE)
WITH ALL OPD(NA NCES ANO LAWBRE GULATING BUILDING CON-
STRUCTION. CERTIFY THAT_ IN DOING THE WORK AUTHORIZED IMPAGTf REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON. IN VIOLATION OF THE _
LA80R CODE OF THE STATE F CALIFORNIA IN RELATING TO
WORMMEN'S COMPEN TION INS P NCE. F L�
SIGNATURE OF
PERMITTEE
ADDRESS/ 'S'EconoJ
- FINAL'
TEL.
Aa DItl NO767 BY
DATE L \
,tL1l�F C111-CKS P:I1":1131_1: 'I'O: FEE $
I AJ FEE $ ¢/
HARVEY T. BRANDY„COUNTY ENGINEER
PLAN CHECK VALIDATION CK, MO. CASH PERMIT VALIDATION �M.o. CASH
9 7 7�-NOV 2'9 1 3 U 1 5.0 0 c58
76A638A CE480312/72