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HomeMy Public PortalAbout9406 DAINES DR_Building__ 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 1104180064 PHONE: (626) 285-0488 EXT: ' ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUPI 9406 DAINES DR - ISTRUCTURE: 0 2 V-B R-3 I TEMP CA. 917803112 (ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 18588-029-022 _ - OTHER: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C (TENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: 1 _ IEXIST OCC GRP: a 105/24/11 SR (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: JFINAL DATE FINAL Y: CODE: ICHAU, THANK (626) 309-1325- I 28,000 19406 DAINES DR I �'I}r--t `�r I ITEMP 917803112 - FEES PAID SC IPT NOF WORK 1 ROOF MOUNTED PHOTOVOLTAIC SYSTEM, 14 MODULES, 2.68 K.W. IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: ITOWNSEND, JOSEPH (714) 357-8059- ID7 ADDNL PLANCHECK FEE 1_00 HOU - 109.40 I 1 115261 CONNECTOR LN IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1 IHUNTIGTON BEACH 1AB STATE GREEN BLDG FEE 28000.00 VAL 2.00 1 1 IAC STRONG MOTION RESID 28000.00 VAL 2.80 1 1D2 PERMIT W/O EN-HC 28000.00 VAL 109.40 1 ICONTRACTOR: TEL. NO: I TOTAL FEES 251.40 (APPROVALS DATE INSPECTOR SIGNATURE 1 IGALKOS CONSTRUCTION INC. . (714) 373-8545- 1— .115261 CONNECTOR LANE LIC. NO , - ILOCATION AND SETBACKS I IHUNTINGTON BEACH CA 92649 492715BC17 _- ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I 1 1 LIC. NO: I (SLAB/UNDER FLOOR I 1 (RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( '.1UNDERFLOOR INSULATION I I 1 3 001 I- I I. 1 _1 11ST LEVEL FLOOR SHEATH . I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING (AIR QUALITY: 1000 FEET MATERIALS I I— I NO NO NO - IFIRE DEPT. FRAME INSPECTI I - 1BLDG DEPT. FRAME INSPECT( I I I ISHEAR PANELS I _I (INSULATION/WEATHER STRIPI I I IINTERIOR LATH/DRYWALL I I I IEXTERIOR LATH l I_ ILOT DRAINAGE ISN,OKE DETECTION DEVICES I I I I 11 I IFIRE DEPARTMENT APPROVALI I I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I_ I R�. 78A838A CE#803 7.58 A P P L�C p. p I N FOR BUILDING VIL®I@G PERMIT. BUILDING AND SAFETY DIVISION BUILDING � Department of.County Engineer ADDRESS County of Los,Angeles' LOCALITY /T JOHN•A. LAMBIE, COUNTY ENGINEER NEAREST _ CASSAT,T D.GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYFE SEWER.. MAP FOR .APPLICANT TO F LL IN / PG L CONST., BUILDING. 4 44 STATISTICAL C ASSIFICATION, ,ADDRESS. LOT NO. OCK CLASS.NO.7=ELL. UNITS I MAP r r, STATE YES- �O-+ _ NU-MBER Ls'-'►.:+ r.- .' HWY `' . TRACT ' - USE ZONE SPECIAL _ I. NOW ON LOTS r CONDITIONS SIZE OF-LOT - DO 1. OC USE OF ("_ - _ _ EXISTINGBLDG. V � BUILDING EXIST RD HWY STREET NAME �! SETBACK WIDTH. OWNER @O9.f� -�_ ]'Fd1�E�J3,S•. FRONT T •/ - -�/�� . MAIL nn .; P. L. /"� 7�O fZS .uf /Z�•' S/V 'ADDRESS CJ11OSS pOr4jh4 '�WYYL"'3L, 7 SIDE • CITY -�.i'�1�/4 - li .'I TEL. Al. /./3�6 P: L.. - INSPECTION RECORD ENGIARC�NEERTOR IJ..-�G'Y��' NO..` 3Y6 ADDRESS TEL 11" ADDRESS CONTRACTOR 'a+J✓1 CY NO. 4f 7i J i$O • ADDRESS. DESCRIPTION OF WORK NEW �. ADD. ALTER REPAIR DEMOLISH k SQ.-'FT. ',NO. OF NO. OF SIZE. STORIES �. FAMILIES /C09 E'er APPROVALS - - SIGNA APPLICANT OF /� �Y[p L0iN�s" APPLICANT t _ � '� ' _ � � DATE - INSPE TOWS SIGNATURE ADDRESS ��. /Jq/.��5 /� �'//y za �. FOUNDATION: LOCATION, ! f ^(� FORMS, MATERIALS 61 1(�l`.`.+ 11-n. „A.A P.,C. $. FRAME: FIRE STOPS,- +p� /AQO FEE BRACING, BOLTS _L X11 FURNACE LOCATION. VALUATI N �_ - $ " GAS VENT, DUCTS _ . . FEE.. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- - LATH, INT. r1' _n�`rj,,', ,Aly PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - L./vv .v_,It- :•y . AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. - STATE LAWS REGULATING BUIL CONST UCTION. - - . SIGNATURE,OFHOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS ok haI "a J')Itt�' r. I FINAL JOHN A. LAMBIE, COUNTY T ENGINEER CLYDE N. DIRLAM,•PRINCIPAL SRU TURAL ENGINEER PLAN CHECK VALIDATION cK M.0. CASH PERMIT VALIDATION c! m.o: CASH 7 8 8s`5 MAY i Al 8 8 2 2 JO 4 3 2.0 �J`' 78A838A CE#803-7-56APPLECATION . FOR R BU9L®ING PERMIT BUILDINGAND SAFETY DIVISION BUILDING C ��C?� t ^ Department of County Engineer ADDRESS Count f los Angeles Y o 9 LOCALITY 1. JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP SEWER MAP . FOR APPLICANT TO FILL IN .� I TYPE I BK PG, CONST. ' BUILDING �.`d-,./ - ADDRESS '�1'V 1S e�p17pQLd. s��E IyI� ;. STATISTICAL CLASSIFICATION LOT NO. N'B�"6a� `�hCf�62Q7 BLOCK _ CLASS. NO. WELL. UNITS' I - MAP STATE YES- O � - NUMBER _ HWY' TRACT .' USE ZONE SPECIAL - - NO.,OF BLDGS. • CONDITIONS SIZE OF LOT NOW ON.LOT - USE OF EXISTING BLDG. le, - BUILDING EXIST. _ YARD HWY STREET NAME - n SETBACK � WIDTH OWNER e -2i A Q 'FRONT /► 1 �•t MAIL P. L. ADDRESS Iva® b A4 9" d;�6q_ y9 SIDE e' TELP. L. CITY d��r.Y1y� NOJ°!/_ O ARCHITECT OR _ EL. — INSPECTION RECORD ENGINEER -NO. - ADDRESS JL - L` TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK a: NEW -ADDLTER - REPAIR DEMOLISH SQ. FT. -'r NO. OF NO.OF _ SIZE .;.STORIES FAMILIES/ e USE OF STUCTUR APPROVALS GNAT.0 OF APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS g FOUNDATION: LOCATION . _ FORMS.-MATERIALS ' P. C. g _ FRAME: FIRE STOPS. - FEE BRACING. BOLTS '+VALUATIONS, FURNACE: LOCATION, FEE GAS VENT, DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS REGULATING BUILDING e NSTR CTION. " SIGNATURE OF 0 .HOUSE NUMBER COR- .PERMITTEE /.� RECT AND POSTED ADDRESS FINAL JOHN A.LAMBIE. COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STEV,01URAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH . LACo 8 8 2 3 JUN 4 1 2.0 0 in l 76A838A Cl#803.3-68APPLICATION FOR BUILMNG ERMT P6 - w COUNTY OF LOS ANGELES BUILDING. DEPARtMEDIT OF COUNTY ENGINEER ADDRESS © �- - G - BUILDIN ' AND SAFETY DIVISION LOCALITY : I -f JOHN A. LAMBI E, COUNTY ENGINEER COLEMAN W. JENKINS, SUPNEAREST.- OF BUILDING CROSS ST.- �j�Pr�/ FOR APPLICANT TO FILL IN DISTRICT. NO.. RO`l�J1P CONST,TYPE PROCESSED BY-i Print or type only) d � 4l BUILDING STATISTICAL CLASSIFICATION, - SEWER MAP.- [ ADDRESS 9406 E". Daines Dr. I T.C. CLASS NO, _OWELL,UNITS •J BK LOT NO. -� QiV .. j �Q�, ' - BLOCK UZQNE .MAP-- -NO. - ��i -.. TRACT � G CONDIIT ONS,GL SPECAL NO.OF BLDGS. SIZE.OF LOT��•����j NOW ON LOT / USE OF V 4� EXISTING BLDG, '�•-� / c�•P,vC Q BLDG.SETBACK FROM TEL_ FRONT PROP.LI-NE OF (STREET) OWNER i NO:uu 39611 TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS 9406 Dai•ne s Dr. HIGHWAY (oCJ W//IDTH FROM C.L. CITY Tem 1E C"1-E l�-C- BLDG.SETBACK FROM .ARCHITECT OR' TEL.' SIDE PROP.LINE OF (STREET) ENGINEER (,{ NO. - _ ,TYPE OF.EXISTING SETBACK. HIGHWAY- -} YARD. — TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. } — CONTRACTOR, NO. LIC. - CORNER CUTOFF .YES E:]' NO U ADDRESS• � NO. CITY CLASS SEE REVERSE SIDE OR SPECI PPRV� S Af DESCRIPTION OF WORKZ C y a rn z NEW A"DD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE T + r o BLock Wall 00 SIGNATURE OF . APPLICANT VALUATION $,! •=i— 6� APPROVALS DATE INS, IVCTOR'S SrAff RE P.C. PMT: + 00 FOUNDATION: LOCATION FEE $ FEE $ , FORMS, MATERIALS (o FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO-COMPLY FURNACE: LOCATION, - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE'LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH,'INT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT, - SIGNATURE OF HOUSE NUMBER COR- PERMITTEE ~ RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER ,PLAN-CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH APPLICATION FOR BUILDING PERMIT "FOR A??PLICANT TO FILL IN .(Prig or type only) BUILDING _ COUNTY OF LOS ANGELES ADDREss DEPARTMENT OF COUNTY ENGINEER CITY �-�Isl�� G'f ZIP BUILDING. AND SA Y DIVISION NO,OF BLOGS. BUILDING/'_lt SIZE OF LOT f NOW ON LOT ADDRESS' TRACT LOCK LOT NO. LOCALITY ��/� TEL. NEAREST' OWNE �/�� -x;e NO. � CROSS ST. _ ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT r��ON FIRE PROC SSED BY CITY- ZIP ZONE ARCHITECT OR TEL: - ENGINEER NO. STATISTICAL CLASSIFICATION W E R MAP ADDRESS 'CLASS NO. _DWELL,UNiTSBK/-) &G { ' TEL. US ZONE MAP CONTRACTOR AGl -NO, � .NO, _ LC ADDRESS 4SNO. / �J SPECIAL - y LIC. CONDITIONS :• ) CIT / , ! V CLASS ROA DEPARTMENT APPROVAL REQUIRED YIi NO ❑ CONSTRUCT( N LENDER NAME ANDrBRAN BL G.SETBACK FIR.OM a • - FR NT PROP.LI NE OF _ (STREET) ADDRESS CITY - TOTAL SETBACK FROM TYPE OF EXISTING Cz HIGH AY } YARD - SO. FT. -NO. OF NO, OF ,CHECK, FR T R P. LINE HIGHWAY WIDTH - C SIZE / STORIES FAMILIES ONE LL �i/Jj/ DESC RIPTION OF WORK0. O6'C-"�-� NEW lu C. ADD ❑` SSIDEGPROP. LINEOFSETBACKOM (STREET) l ALTER.❑ TOTAL SETBACK FROM TYP F EXISTING _ HIGHWAY } YARD HIGHW Y WIDTH REPAIR❑ SIDE PROP. LINE. USE OF .} EXISTING BLDGG. / /�� r�.� --C/�C� D`EMOL ❑ - AP PRIN APPLICANT /✓c..ec.�ic.['�CJ NOL y CORNER CUTOFF YES ❑ NO ❑ BY (SIGNATURE) _ IN OPEN SPACE YES ❑ NO ❑ Q IN COASTAL ZONE YES ❑ NO ❑- VALUATION$ �( CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ •THIS APPLICATION ENVIRONMENTAL,. -AND STATE THAT THE ABOVE IS C ORRECT.ANO.AGREE TO COMPLY IMPACT EXEMPTION DECLARA-TION SIGNED (DATE) WITH'ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY- I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE I LABOR CO F TH :6E OF CALIFORNIA IN RELATING TO q �q ppi'�pp�/ � / WORIKMEN'S C ON INSURANCE. 7-1 A , /Trbeo L_ AX_,o P /IV- Anna -i O SIGNAT E PERMIT EE ADDRESS r FINAL BY ,^�/` �) q�/ TEL. //. d6'J/V'Lf�h/ CITY - NO. DATE Q MAKE CHECKS PAYABLE 7-0: FEE ✓ ` FEE 1 HARVEY T. BRANDT. COUNTY ENGINEER -30 4 Q � 1 PLAN CHECK VALIDATIONCK. I M.O. CASH o PERMIT VALIDATION cK. M.O. CASH J 6 6 9 JUN'.. 21 2 3 76A 638A CEfi803 7/73 6 7 Ov".r JUN 21 1 u 3 5.2 5ms_: WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self .n�( � O O 0,�O 0 0 H� p E�n�0 insure, or a certificate of Workers' Compensation Insurance, L/ �1 LI CAU O O U V U or a certified copy thereof (Sec. 3800, Lab. C.) 4�,f��� �` COUNTY OF LOS ANGELES BUILDING AND'SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO.FILL"IN BURRING ADDRESS Certified copy is filed with the county building inspec- BUILDING, , /Q tion.d part ent. ADDRESS* T may' J�. : ��7. LOCALITY �LZ' NEAREST Date Applicant i2� / CITY TEh� ZIP -CROSS ST. CERTIFICATE OF.EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR . COMPENSATION INSURANCE 1_ SIZE OF LOT NOW ON LOT MAP BOOK ' PAGE PARCEL (This section need not be completed if the permit is for one raL USE ZONE [SPECIAL hundred dollars'($100)or less.) ti TRACT BLOCK LOT NO. TEL.I certify ihat'in the performance of'The work for which this OWNE •NO. ' NDITIONS perit is issued,:.l shall not employ any person,in any manner DISTRICT GROUP TYPE FIRE PROCESSED.BY m ADDRESS / Y CONST. ZO so as to become subject tc the Workers'Compensotion.Lows. /• r CITY ZIP i O Date ApplicantSTATISTICAL CLA SIFICATION' 6,PT. JCONDO.. V NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR ' TEL. Exemption, you.should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS Compensation.provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply,,with' such provisions or'tHis-permit.shall be deemed revoked. CONTRACTORi L 7e5 N(b,�g7 77'�� BK. PG. VALIDATION.' LICENSED CONTRACTORS DECLARATION /r I hereby affirm that I am licensed under provisions of Chapter9 ADDRESS 7/0G SU�'� /�IJO.✓��y��` VALUATIOW (commencing with Section 7000)of Division 3 of the Business and LIC. fir` Professions Code, and my license is in full force.and effect. CITY f'��/ CLASS $ �' _ SQ. FT. NO. OF NO.IOF CHECK ° License Numb e / Lic.Class �� / SIZE /.DC7 STORIES FAMILIE& ONE iiy�7G�G �G � NEW $ Contractor ! � Date DESCRIPTION OF ADD El I am exempt under Sec ALTER FINAL � i ' B,BP.C. for this reason REPAIREl DATE Date. USE OF 0 FINAL EXISTING BLDG. ���/ E`j�'� DEMOL B 'V APPLICANT� //� 1� L, TEL. Y Signature PRINT .cam,�J"'E7. //moi!/ _7 OWNER-BUILDER DECLARATION I hereby affirm that I.am exempt from the Contractor's License. ADDRESS��dl `�Gy'� �k✓'�'� z'o 7 6.'6 A Law for the following reason (Section 7031;5, Business and Professions Code).:. ' PRE EN ' , o 0 0 0 0 � " a. I,'as owner of the roperty, or my employees with BUILDING pADDRESS wages as their sole compensation,will do the work and iV1.o QQ 6,1 3 the structure is not intended or offered for sale(Section LOCALITY 7044,.Business and Professions Code). MOVING TEL. r o o U . I, as owner of the property, am exclusively contracting CONTRACTOR- NO. with licensed contractors to construct the project (Sec- O 7J 28-8 3 'tion 7044, Business and Professions Code). a ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY Y SET BACK YARD HWPROP.UNE WIDTH I hereby affirm that there is a construction lending'agency for FRONT the performance of the work for which'tFiispermit is issued PL:` (Sec. 3097, Civ. C.). SIDE, e Lender's Name Lender's Address P.C. Fee$ Permit Fee certify that I have read this application and state that the Issuance Fee a above information is correct. I agree to comply with.all County Investigation Fee $ ordinances and State laws relating to building construction, Total Fee and hereby authorize-representatives of this County to.enter ^� upon the above-me tioned property for,inspectjon urpos C X13 � �G� SEE REVERSE FOR EXPLANATORY LANGUAGE - Signature of Applicant or Agent Date , ®s WORKERS' COMPENSATION DECLARATION of consnt to insure'boraafcertif rate of Woke srtificate Co'rpensat on ensuran elf A P F U CL/70 C-�'�H. FOR o D R D O M S. p nmo Il. or a certified copy thereof (Sec. 3800,.16b. C.) COUNTY 0.LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnished FOR APPLICANT TO fILL jN. - Ao�REss ' Certifjed'copy;'is filed with the county building inspec- BUILDING ' tion department. ADDRESS 14- -"f� LOCALITY i �! NEAREST" Date Applicant CITY C/r ZIP CROSS ST. op, CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF:BLDGS. ASSESSOR COMPENSATION.INSURANCE 7. SIZE OF LOT NOW ON LOT MAP BOOK P PARCEL (This section need not-,becompleted if the permit is for one USE ZONE MAP ' red dollars ($100)or less.) TRACT BLOCK , LOT NO' hundredSPECIAL TEL Q, IAL I certify that in the performance of The.work for which his OWNER , �� {l NO.W n'� CONDITIONS permit is issued, I shall not employ any per o in any anner ^ DISTRICT GROUP TYPE FIRE PROCESSED BY ADDRESS & G`- PA ��'- CONST. ZONE U. so as to become subje,ct'to t e Workers' p�nsa ' a �P' .Date Applica CITY G� ZIP STATISTICAL C SSIFICATION APT:, ' CONDO V NOTICE TO 'APPLICANT: If, after making s Certificate.of ARCHITECT O TEL. Exemption,, you should become subje fo e' Workers ENGINEER NO: Z3�! CLASS NO: /+�� DWELL:UNITS— t, a Compensation provisions of the Labor de, you must forth- ADDRESS Ccf -;Q GUv//,/ SEWER MAP with" comply with .such provisions or this permit shall 'be deemed revoked. TEL' VALIDATION .'CONTRACTOR - NO. ' -"BK. ,' PG,' `- LICENSED CONTRACTORS DECLARATION LIC. Ihereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO: UATIO (commencing with Section 7000)of Division"3 of the Bu siness'and i "' LIC. �(( Professions Code;:and.my license is in full force and effect. CITY CLASS $ SQ, FT (�!/ NO.OF jJ NO. OF CHECK License Number Lic.Class SIZE STORIES (�^ FAMILIES ONE NEW j� Y z° 3:1 a ' DESCRIPTION OF WORK ❑ $ lF Contractor Date DD .. I am:exempt under.Sec. A ALTER ❑ FINAL' B.&P.C. for this reason - DATE REPAIR ,.❑ ted 2.o o 2 U,-Q Q Date. USE OF r— v ..:FINAL_, EXISTING BLDG.= P L, % DEMOL ❑ C--.f -s.. o.o o 2'4 0 Q Signature APPLICANT EL., r t By g' OWNER-BUILDER DECLARATION PRINT 5� . . Y NO:!/; �j��- I O,l 8-:8 2 I hereby ciffirmahat'I am exempt from the Contactors License Law for the Professions Code) in �reason Section 7031,5, Business and PRESENT 9 ( . BUILDING. !A I, as owner of,the property, or my employees with - = ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered',for sale(Section .- n LOCALITY 7044, Business and Professions Code) MOVING ;.TEL. - CONTRACTOR' NO. r .r� f;as-owner of the property, am exclusively-contracting .f�Y 3 o L with,licensed contractors to construct the'project (Sec- 9 '2,{� tion 7044,.Business and Professions Code):' ADDRESS ry REQUIRED TOTAL SETBACK FROM EXIST. �GI/� 'o o.o"0 0 1 CONSTRUCTION LENDING AGENCY SET BACK- YARD HWY PROP. UNE WIDTH I hereby affirm that there is a construction.lending.agency for -FRONT 2 0 [( the performance of the work for which this permit is issued PSL,` r .. .. 9.7,5 0 (Sec. 3097; Civ. C.). SIDE p�o �L 9:-7r 5 Q Q, Lender's'Name 1018--82. - - P.C. Fee$ ., Permit Fee O - Lender's Addresseel p " W 1 certifythat, 1 have eead'this a (cation and state that the PP Issuance Fee .� above information is correct.I agree to.-comply with.all County 99� nvestigation $ ordinancesand to laws-relating to building construction, U Total Fe and hereby ou ize representatives this County to enter - m upon the ab mentioned er y r insp ction purposes. (� -J a li A -J tl SEE REVERSE FOR EXPLANATORY LANGUAGE Sign tore o plicant or Agent Date - .• Os COUNTY%OF LQS ANGELES ,i r TEMPLE CITY # 0508. . BUILDING PERMIT DEPARTMENT OF PUBLIC _WORKS 9701 LAS TUNAS ALTERATION/REPAIR ,96ILDjNG AND SAFETY / LAND'DEVELOPMENT. . TEMPLE CITY CA 91780 . BL 0508 9907270056 PHONE: '(626) 285-0488 . EXT:. LEGAL ID: NO. OF, CONST BUILDING ADDRESS: ON "FILE I SQ. FT STORIES• TYPE 9406 DAINES DR STRUCTURE: 0 VN TEMP CA 917803112 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8588-029-022 THOMAS PAGE: 596 GRID:. J4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE-ZONE: R-1 ISSUED ON: PROCESSED BY:'-%.., EXPIRES ON: EXIST OCC GRP: 07/27/99 UT \ ;01/23/00...' OWNER: TEL. NO: BLDGS.:NOW ON LOT: . VALUATION: FINAL, DATE FINAL BY: DE: ADLEN IRVING G•QHOFFMAN SOPHIA ADLEN 1. 6 650 Q, Q 9406 DAINES"DR TEMP 917803112- FEES PAID DESCRIPTION OF WORK PARTIAL CHIMNEY REBULD FROM ROOFLINE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: MORTECH CONSTRUCTION (213).390-2041-. AA BLDG PERMIT ISSUANCE 27.75 18034 VENTURA BLVD. AC STRONG MOTION RESID 6650.00 VAL 0.67 SPECIAL CONDITIONS: ENCINO, CA 91316. D2 PERMIT W/O-EN=HC:6650.00 VAL' 166.20 �ELEETOT FEES 194.62 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE MORTECH CONSTRUCTION (213) 390-2041- 18034 VENTURA BLVD. #454 LIC. NO LOCATION AND SETBACKS ENCINO, CA 91316 - 698914 B SOILS ENGINEER APPROVAL ARCHITECT OR. ENGINEER: TEL. N0: FNfTREN FO MS LIC. N0� 1111111 A /UND R FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE.ZONE: �PJ:'�n (�,p� ��` WORKS UNDERFLOOR INSULATION.147H265 3ll� FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS' NO 21�i a 0 1i ROOF'SHEATHING SCHOOL WITHIN HAZARDOUS ®\ 7 0 SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0 0 1 NO NO NO � FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST G�� .0, FIRE SPRINKLER,HANGERS SET BACK YARD: HWY:. PROP LINE: WIDTH: V" FRONT PL- ServiC e.V�� INSULATION/WEATHER STRIP SIDE PL i INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. .". RATED WALL ASSEMBLIES �- RATED SHAFTS/0 ENINGS T-BAR CEILINGS LOT .DRAINAGE REPORT ID: DPR261. ROUTE JO: BS0508