Loading...
HomeMy Public PortalAbout9334 DAINES DR_Building__ 76AGSBA .#8092/80 A'Y LL 'U1�.. ATION �V.H 1 BUILDING PERMIT V'9l 'll , COUNTY OF LOS ANGELES BUILDING ADDRESS rr . DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY o JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN-SUP'TPF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE P SSED BY FOR'APPLICANT TO FILL IN ' I CONST BU DING' i ✓ Ca - - STATISTICAL CLASSIFICATION I S�ERMAP AD SS .. jer e�.i yl,�_ / Y`, r K P .�J �rr�� j am -• CLASS.'NO.�1MAP �A D�1WE(LLL..UNITS s LOT 0.�a.i^C...e- •!-� ® L0:.Y"r ,l_.BKc Ek E NUMBER pC.,(J�v O STATE YES NO-� ` /� HWY. TRACT:'Al.!.f° ?. 1-1 /,'g�'1/ / /`moi"` -= USE ZONE - SPECIAL t ,,�,$e NO.OF BLDGS. CONDITIONS SIZE OF LOTT- r��'1r1(C� I NOW ON LOT . USE OF ' ". EXISTING'BLDG. ��- d�/4 BUILDING - EXIST s YARD HWY STREET NAME, TEL. SETBACK WIDTH OWNER.f s_� '! Ig•/tel YV�CrJI L : NO 7� 9 FRONT s P ADDRESS SIDE _ ARCHITECT OR TEL, P.L. - ENGINEER NO. INSPECTION-RECORD :. z ADDRESS TEL s-^ h/ii lr.:rI-+�. /l des• a CONTRACTOR I. O .ADDRESS t ..2 /Y e LF �'1'Ci•- Y'C "y;T_;'�� ...f J ! U 'DESCRIPTION OF WORK O Pro �IVEW/ ADD ALTER REPAIR DEMOLISH w' Q FT. NO.OF. ) NO.OF j 17� .XGA/ '7 "�\:P (i •�CJY �"',.U/�Z.; s....^.7.-.& .=1'.,�'`�„ 1 f es' SIZE �•'t /L--• -STORIES [ FAMILIESUSE OF STRUCTURE , rt.uw' A-awt r/ k/, I1' 'u.j e ^ Va SIGNATURE OF," APPLICANT 6 - VALUATION 'APPROVALS Q ATE♦ INSPECTOR'S SIGNATURE FEE $ i FEE $� -FOUNDATION:LOCATION FORMS,MATERIALS_ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, d` �fJ_ - �bMt�J/(Jig BRACING,.BOLTS 11 J,{.� / ➢ j�,�/J PLICATION AND STATE THAT'THE ABOVE IS CORRECT AND FURNACE: LOCATION, \ VI_ AGREE TO'COMRLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE- LAWS REGULATING BUILDING-CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED I. LATH, INT WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - f WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. / I 4 ICII //7f"��!��/J SIGNATURE OF � .-:c�^ � .� HRECTAND POSTED PERMITTEE � �y _ / ADDRESS�-�-i'°z-CJ p rvr c;r_ yd W. I FINAL /" 7 ll� I /!VP'`" CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATIONCK . M.O. CASH , PERMIT VAL'ID'ATION crc. M.O. . CASH ka �l; c3694.1 0UT 0 1 G 351 0 �, WORKERS COMPENSATION DECLARATION .1 her insure LoraaTiniri tcertrf cate.of•WorkerstCompensat on ensuran ent-to lf` �f .,M or a certifies)copy thereof (Sec '3800; Lab C �� COUNTY-OF LOS ANGELES BUILDING AND SAFETY •Policy NoCompany t s BUILDING.- ❑ Certified.copy is hereby,furnished: FOR APPLICANT'TO.FILL IN ADDRESSJ i Certified copy is'filed With the county building inspec- ^• BUILDING C ADDR ... tion.depdrtment; ESS r lL 1 CITY Q l' ZIP Cr I LOCALITY Date Ap'phcartt' O F BLDGS. O NEAREST CERTIFICATE'OF'EXEMPTION FROM WORKERS' :`..' `. SIZE.OF LOT NOW ON LOT, CROSS SL COMPENSATION INSURANCE - This sect n need riot be com leted'if ih`e ermit is for•one TRACT BLOCK. LOT:NO." ASSESSOR ( P P MAP'BOOK PAG PARCEL ' hundred d Lars ($100) or less.), " TEL. w —�_ t USE ZONE, P OWNER l S NO. —U lZL7 ) I certify that i the:performance of the.work for which this t _ NO: 1 permit is issued,- shallnot.employ anypersori'in any manner ADDRESS - CONDITIONS - d , so as To become.s_. IecT`to th'e.Workers'Compensation Laws. * O r - CITY - .. .. Date A_ IiantARCHITECT OR ZIP TEL. NOTICE TO-ARPLICANT after.making .this Certificate of ENGINEER., NO. DISTff,RICT: : GROUP, TYPE ,,•. FIRE PRO ED BY n 9 fte �' CONST 'i ZONE Exemption , you :should b come subject to the Workers " ��G/-- W ' Compensation,provisions of:1 e Labor Co( e, you;must forth ADDRESS : a with,comply-with such prowl ns:or ihts permit shall be TO '� � ,.. �- �� T STATISTICAL CLASSIFICATION A C DO.' deemed revoked ON $S16v.' Y, EL Z ° C TR C NO. LICENSED CONTyRACTO DECLARATION, ooS "^, No` SS NO. I hereby affil that I am'licensed un r provisions of Chapter 9 ADDRESSLA SEWER MAP : . C DWELL. UNITS (commencing.vrtth Section 7000);of D vision:3bf the Business ) LIC. > and Professions Code,',and mya,icense is i" full force and effect. f BK. PG. VALIDATION CITY �p�l"�-` CLASS � 3�:. SQ.,FT NO:OF NO. OF (( CHECK _ License Number �' ; Lic',Class q 1� SIZE STORIES FAMILIES 1' "ONE T g, , VALUATION '. DESCRIPTION OF WORK NEW C2fntrdctor' Date -� Ct r _ ADD' ❑ ❑ 1,5 I am exempt under Sec <' ALTER ❑ C.rfo'r this reason $ REPAIR. Date , USE OF• :.. DEMO . _ ... EXISTING BLDG.:. `: • ;$ignature' t _ FINAL APPLICANT TEL. Y .'OWNER- DECLARATION "(PRINT) g NO:" =s`C DATE 2 Lhereb affirm that 16m exempt frorn•The Contractor's License /yam Law for the"followtn redson, Section 7031.5,'Business and ADDRESS �/ K�-•.. .S FINAL ,., 9, (Section .-Profession Code) .a':., PRESENT BY.:. - BUILDING. . ❑ 1 as owner of the property; or my'employees-with ADDRESS i t; s•l ,sA Wage as their sole compensation;will do the-work and _ the stru ure is nat intended or offered for sale(Section ,� _330 i a.0Iz LOCALITY 7044,,Bus' ess andProfessions,Code.) MOVING JE.L. CONTRACTOR y N . 4I+=r ❑ I, as owner f The property am exclusively contracting �. I a O r_ with license - 'ontractors to construct the protect. (Sec �-•-� = ADDRESS TOTAL,tion 7044y'Busi- ss and Professions Code.)', .TAS " REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUC ON LENDING AGENCY SET BACK PROP:LINE WIDTH :� 1 ke ',u '.I hereby affirm that there i a.construction lending.agency for FRONT �' YARD HWY the performance of.the'.wor for which this permit is-issued P.L'.' =NAhl (Sec.,3097, Civ.'C:).. SIDE.. - .. • 11 Lender's Name, m LDMA`Ref. # 11(�14L�t'f It tLt t PC FL ReimitFee` J� % .'✓ Lender's Address _ i. i 110-1•t 4 ma�yy. �`J `;_ o I certify that I have read this:application and state that the Issuance Fee o above information is correct. I agree to comply with all County Investigation.Fee 8 ordinances and State laws relating to�,b•uilding construction, Total Fee _ 3; LDMA Perm. # a and hereby authorize representatives of this County to enter, o on th aboe-menti Wed property fo'r inspection purposes.' -SEE REVERSE FOR EXPLANATORY LANGUAGE- :Signature Signature of Applicant or Agent Date COUNTY OF LOS ANGELES - ` TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR ' BUILDING AND SAFETY. / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0611150037 PHONE: (626) 285-0488 EXT: LEGAL ID: - NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9334 DAINES DR ' STRUCTURE: 2200 VN TEMP CA 917803110 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY. 8588-029-017 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C TENANT: _ - EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/15/06 JK 11/10/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY:_._ CODE: NAKAMOTO DEBORAH Y (626) 664-7288- 4,400 9334 DAINES DR �/"?-x 6 -- TEMP 917803110 FEES PAID DESCRIPTION OF WORK TEAT? OFF, RE-SHEET WITH COMPOSITION SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: .S _ APPLICANT: - TEL. NO: f_ ' PAJAK (310) 398-4017- AA BLDG PERMIT ISSUANCE 27.75 - 5438 SELMARINE DR. AC STRONG MOTION RESID 4400.00 VAL 0.50 SPECIAL CONDITIONS: CULVER CITY CA 90230 D2 PERMIT W/O EN-HC 4400.00 VAL 132.60 .5 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ED PAJAK ROOFING (310) 398-4017- _ 5438 SELMARAINE DRIVE LIC. NO LOCATION AND SETBACKS CULVER CITY, CA 90230 760947 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: ' FOUNDATION/TRENCH FORMS LIC. NO: SLAB'/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION . 147H265 3 01 FLOOR SHEATHING NO: OF FAMILIES: DWELLING-UNITS: -APT/GOND: STAT CLASS: ' NO 21 ROOF. SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR-PANELS AIR QUALITY: 1000 FEET - MATERIALS NO NO NO - FRA:4E INSPECTION - - REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INT.3RIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508