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HomeMy Public PortalAbout10817 DAINES DR_Building__ ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9611040058 PHONE: (818) 285-0488 EXT: a' LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 10817 DAINES DR STRUCTURE: 0 1 V R3 TEMP CA 917802919 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 8573-013-013 OTHER: 201 1 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/04/96 TC 11/04/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B .7_ CODE: SIMPSON EMILY V (818) 444-2854- 1 2,470 10817 DAINES DR iZ o-41 TEMP 917802919 FEES PAID DESC IPTION 0 WORK NEW 201',PATIO � FEE DESCRIPTION: OUANA1TTiYc'UOM: / AMOUNT: APPLICANT: TEL. NO: ,��y1 MCCURDY'S CONSTRUCTION (818) 963-0425- AA BLDG PERMIT ISSUANCE! &27.75 1123 E. ARROW HWY. AC STRONG MOTION RESID 247000=VAL .050 SPECIAL CONDITIONS: GLENDORA, CA D2 PERMIT W/O EN-HCm 2470-.00-VAL 99:15 TOTAL FEES 127:4�0`• CONTRACTOR: TEL. NO: /. � `1 , r, APPROVALS DATE INSPECTOR SIGNATURE MCCURDY'S CONSTRUCTION (818) 963-0425- - a 1123 E. ARROW HWY. LIC. NO 1 .t IP" 0 O ( LOCATION AND SETBACKS GLENDORA, CA 91740 57814 /Zlo1 2W! t SOI I�//pp�1� LS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - l I n q � •7 U• ��'� �/ ��• _�� FOUNDATIO /TR NCH FORMS !_p/ LIC. NO: ((( —" SLAB/UNDER FLOOR p. ui \ RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION — 3 01 1 ST LEVEL FLOOR SHEATH NO. OF FAMILIES:-DWELLING UNITS: APT/CONDI STAT CLASS: �p NO 21 6Y9 ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ,/�� ROOF SHEATHING PIR QUALITY: 1000 FEET MATERIALS NO NO NO ••J' FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FRO EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH - LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APP OVAL REPORT ID: DPR261 ROUTE TO: BS0508 DEPARTMENT OF BUILDING AND SAFETY rr APPLICATION FOR PERMIT" COUNTY OF LOS ANGELES F� EI WM. J. FOX. CHIEF ENGINEER U FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY q DISTRICTNO. PLAN CK.NO. PERMIT NO. BUILDING-ADDRESS 7 �i/�i� ��— 3 Z7� / �/(0 3 9 J— LOCALITY / / RECEIVE J/D/BY DATE OF APDL. DATEISSUED NEAREST -y // ' ` CROSS ST. ll.S 0 OWNER 463 BUILDING ���'� / �/ ADDRESS +�• / �.jl MAIL ADDRESS -41- � A AK / /� j LOCALITY ® y GITY ' / .1 G✓J'l E�,Q .� ND 1p.nosy CR0889TNEAREST. /'�L� ��U L.LbL.� ARCHITECT OR TEL. ZONE PLANS "� ENGINEER NO. ORD.NO. By4LDG. �.y ADDRESS SETBACK LINE �/V APPROVED CONTRACTOR �,�/ NO. BYUSE y�) DATE / { ZONE /,/ -J DATE DATE ' ADDRESS / /Ql ��.]�r LEGAL �, CORRECTIONS - DESCRIPT`IyO/'N' LO` N T �A BLOCK — TRACT / 0.OF OLD G�/�. rly'w ` SIZE OF LOT (� �� /` Q I N Gs NOW ON LOT,; VN1 / USE OF •, NO.OF NO.GF EXISTING BLDG. /V O N FAULLIEs ROOMS DESCW-TION OF WORK NEW ALTERATION ADDITION D A_ REPAIR Q. ISH Q MOVING DEMOLG SI FT / �� NR MS STORIES / r S WALL ROOF COVERING i✓!7�/� I COVERING�..+IO dyllV O USE OF NEwWWW 6UILDING �/IR� �Wf./ Y l/ U I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT - NSPECTOR DATE FOORMS,MATERIALS CATION AND AGREE TO COM L•x WITH ALL COUNTY ORDINANCES i'• FORMS.MATERIALS AND STATE LA nM BUILDING CC STRUCTION. / FRAME: FIRE STOPS. SIGNATURE OF .Aw_ - BRACING.BOLTS s�SF�4VI'�Y PERMITT � LATH, INT. AUTHORIZED AGT z� J'I� LATH. EXT. 7eAs3eA-3 T<s $ � C� � p,p,.� ���- PLASTER. INT. FEE �Z" PLASTER.EXT. / 9 :LC;; /y_ VALUATION FEE � � FINAL ]63BA C41603 0-6T C` C,<Z.c APPLICATION FOR BUILDIN PEW, � COUNTY OF LOS ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS p BUILDING AND SAFETY DIVISION LOCALITY 'Tr G JOHN A. LAMBIE, COUNTY ENGINEER ' COLEMAN W. JENKINS, SUPT OF SUILDING NEAREST �I CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP ITYPE PROLE Eo BY (Print or type only) ! . C Z CONST BUILDING � STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO._r—DWELL,UNITS BK PG LOT NO. +V= ,,? BLOCK USE ZONE MAP a O p NO. Iq TRACT SPEC AL NO.OF SLOGS. CONDITIONS GG�� SIZE OF LOT +{' D11 NOW ON LOT / USE OF EXISTING BLDG. ,�. BLDG.SETBACK FROM r.. TEL. FRONTPROP.LINEOF - (STREET) OWNER - diff NO. •7 TYPE OF EXISTING SET84 CK, HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. '/ CITU + BLDG.SETBACK FROM ARCHITECT TEL. SIDE PROP.LINE OF (STREET( O. ENGINEER N TYPE OF EXISTING SETBACK HIGHWgY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. } o > CON TRA CTOIC,4n r / �yj,3' NO. O ADORES ,� LNO. � CORNER CUTOFF YES ❑ NO ❑ c"T LIC. CITY c___ CLASS — SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a z NEW AD-- ALTER REPAIR DEMOLISH A' SO. FTS NO. OF NO. OF SIZE 3 - STORIES FAMILIES- USE OF STRUCTURE SIGNATURE OFr APPLICANT VALUATION 5� �O -_, �1 APPROVALS � YAIF rvs Pec Ton's SIcv ATU RE FEE S FEE S�Gn FOUNDATION: MATE RCALS ON FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY FURNACE: LOCATION, ✓ WITH ALL COUNTY ORD IMAM C ES AND STATE LAWS REGULATING GAS VENT, DUCTS a BUILDING CONSTRUCTION, , CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH,-INT: ING TO WORKMENS COMPENSATION INSURANCE. „I H, EXT. V SIGNATURE OF NUMBER COR- PERMITTEE - NAND POSTED ADDRESS [HOUSE AL E G L J JOHN F. LEWIS, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION GK. M.O. CASH _ PERMIT VALIDATION cK. M.D. ASH l}ii�p 4 9 8,6 e JUN 7 2 D 2.2:5 0, WORKERS' COMPENSATION DECLARATION �{( hereby affirm that havecertificate of consent to see, i �ppLpCQT-50 'F00 R - [�M��dNNG -P[�G�3NT LI IS nsure, or a certificate of Workers' Compensation Insurance, - or a certified copy thereof (Seo. 3800, Lab. C.) - -, 3259 �j/j7E A41/) COUNTY OF.LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING- Certified copy is hereby furnished. . - FOR APPLICANT TO PILL IN -- - 'ADDRESS - ©y Z ® Certified copy is filed-with they6unty building inspec- BWLDING �1 •f tion department. ADDRESS' y iy - -- - .LOCALITY - E r /) �j s .NEAREST Dote---7 J Applica r CITY ZIP /� Cl CROSS ST. CERTIFICATE OF-EXEMPTION FR RKERS' NO. OF BLDGS. . ASSESSOR COMPENSATION IN A E SIZE OF LOT NOW ON LOT MAP BOOK PAGE - PARCEL (This section need not 6e co mplet the permit is for one USE ZONE MAP hundred dollars ($100)or less.) _ TRACT BLOCK LOT NO. NO. .� TEL - SPECIAL } ( certify that in the performance of the.work for which this OWNER NO.� CONDITIONS I IL permit is issued, I shall not employ any person in any manner - ` / - ISTRIC - .GROUP TYPE FIRE PROCESSED BY ADDRESS f J !` l- CONST. ZONE V so as to become subject to the Workers'Compensation Laws. 4( / Date Applicant CITY - ZIP _�-- - - STATISTICAL CLA SIFICATION - APL CONDO. a NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL ''77 � U p you should become subject-to the Workers' ENGINEER NO. CLASS NO.�_DWELL. UNITS W Exem tion, y _ I IL Compensation provisions of the Labor Code,you must forth- ADDRESS - - - SEWER MAP N with.comply with such provisions orthis permit shall be TI�Ltel deemed revoked. CONTRACTOR - N '�� ` BK. PG; '• VALIDATION LICENSED CONTRACTORS DECLARATION /� LIG, _ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS _6.j Fy NO �y VALUATION - pT _ (commencing with Section 7000)of Division 3 of the Business and !2 ^ CLASS (-,-- $32�Q, Qv Professions Code, and my license is in full force and effect. CITV L:// D ' - Q SQ. FT. NO.OF. NO. OF -CHECK- License Number Lic.Class-e-_3g.. SIZE STORIES FAMILIES ONE P � rLnF ('_�/_ 0 $ Contractor l- �1 Datee� y OESCRIPTtONgqOF WORKS`J NEW F1 I am exempt under Sec.- - U' SS .ADD /v ADD. ❑ - - ALTER FINAL - B.BP.C. for this reason - - -REPAIR DATE Date: USE OF // _ FINAL EXISTING BLDG. E /r -- DEMOL ❑ By Signature - APPLICANT n TEL. OWNER-BUILDER DECLARATION PRINT -/C 4 O NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS - Professions Code): - PRESENT - BUILDING I, as owner of the property, or my employees with ADDRESS - - j �,1 0 3. 1 A wages as their sole compensation,will do the work and Z the structure is not intended or offered for sale.(Section LOCALITY 7044, Business and Professions Code). MOVING TEL I, as owner of the property, am exclusively contracting CONTRACTOR - - NOL._ c' with licensedcontractors to construct the project (Sec- tion 7044;Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST.' CONSTRUCTION LENDING AGENCY SET BACK- YARD HWY PROP. LINE WIDTH I.hereby affirm that thereis a construction lending agency for- - .- FRONT - !he performance of the work for which this permit is issued PA (Sec. 3097, Civ. C.).�. - SIDE ). Lender's Name f - ' Lender's Address I P.C. Fee.$ Permit Fee I certify that I have read this application and.state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee g ordinances and State laws relating to building construction, - - - and hereby authorize rep esentatives of this County to enter Total Fea upo above n ' d property for inspection purposes. -. - - - SEE REVERSE FOR EXPLANATORY;LANGUAGE Signa a Ai3jUNnt or Agent Date ®s