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