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HomeMy Public PortalAbout9441 DAINES DR_Building__ 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 1103090025 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST 1 BUILDING ADDRESS: I ON FILE I SQ. FT STORIES TYPE 1 9441 DAINES DR I 1 (STRUCTURE: 2800 V—B I TEMP CA 917803113 I (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: OLIVE I 18588-027-014 I 1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 103/09/11 SR I I I I I 10WNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIN Y:. CODE: I IROGER (562) 755-3948— 1 7,800 icl - I 19441 DAINES DR I 1TEMP 917803113 1 FEES PAID ID SC� RIPTION OF WORK I (TEP—R OFF 2 LAYERS OF EXISTING ROOF, AND INSTALL NEW OSB PLYWI I _1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IWOOD THEN INSTALL A NEW 30 YR OWENS CORNING COMPOSITION SHINI (APPLICANT: TEL. NO: I IGLES WITH ALL NEW METAL AND FLASHINGS I 1RUSSELL, ERIC — IAA BLDG PERMIT ISSUANCE 27.80 1 I 15025 CERVETTI AVE. IAB STATE GREEN BLDG FEE 7800.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IRANCHO CUCAMONGA 1AC STRONG MOTION RESID 7800.00 VAL 0.80 I I 1 ID2 PERMIT W/O EN—HC 7800.00 VAL 183.40 1 I I I TOTAL FEES 213.00 I ICONTRACTOR: TEL. NO: 'I 1APPROVALS DATE INSPECTOR SIGNATURE 1 13RD GENERATION ROOFING (909) 946-0901— 1 1 1 15025 CERVETTI AVE. LIC. NO 1 1LOCATION AND SETBACKS I I• IRANCHO CUCAMONGA, CA 91739 768618—C39 I I I I I ISOILS ENGINEER APPROVAL I' I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I - I I_ I I LIC. NO: I 1SLAB/UNDER FLOOR I I I I I I I I IRAISED FLOOR FRAMING 1 I. 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:.1 1UNDERFLOOR INSULATION, 1147H265 3 001 1 I I I I I.FLOOR SHEATHING I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I 1 NO 21 1 IROOF SHEATHING I I ­f��' 148 I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I 1AIR QUALITY: 1000 FEET MATERIALS I I I 1 NO NO NO 1FRAME INSPECTION I I I 1FIRE SPRINKLER HANGERS 1 I I I I I I I I I 11NSULATION/WEATHER STRIPI I I I I I I I I I (INTERIOR LATH/DRYWALL I I 1 I 1EXTERIOR LATH I I I i IRATED FLOOR/CELL ASSEM. 1 I I I I I I I I I IRATED WALL ASSEMBLIES I I I I IRATED SHAFTS/OPENINGS I I I I T—BAR CEILINGS I I I ILOT DRAINAGE I I I 1 IREPORT ID: DPR261 ROUTE TO: BS0508 I I >'5= 76A638A`CE#80811-57 APPLICATION FOR BUILDING PERMIT. . - COUNTY OF:LOS ANGELES BUILDING n DEPARTMENT OF COUNTY ENGINEER ADDRESS . 7 .BUILDING AND SAFETY DIVISION- LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.' - °" DISTRICT NO. GROUPEWER MAP FOR APPLICANT TO FILL°IN .. L-- _i I TYPE ;`BK PG' CONST. BUILDING AT STISTICAL ASSIFiCATION ADDRESS CLASS:NO. DWELL.UNITS - LOT NO:' G a-U / 'v �1 BLOCK MAP STATE. YES I�O NUMBER HWY. TRACT `f" USEZONE SPECIAL y NO.OF BLDGs. ,7F1/,�J{�% CONDITIONS SIZE OF LOT- V L/ w NOW ON LOT y USE OF ., EXISTING BLD = BUI.LDI�,NG YARD HWY STREET NAME EXIST. SETBACK - WIDTH OWNER FRONT .MAIL //._: .. P. L. �O ° ADDRESS �7/[�-` _-� - SIDE /- ..aU TEL. P.L. clry "o' INSPECTION RECORD ARCHITECT OR - TEL. - ' ENGINEER NO. ,�� 9 d� . ADDRESS `"/ 4- n 7✓ . FEL. f i L^,� ' CONTRA O 'C NO.� ' ADD41RESS r � Qsj. 2-Z DESC PTION OF WO. NEW. "ADDALTER REPAIR DEMOLISH SOT. .F �� NO.OF NO..OF* SIZE - STORIES FAMILIES ,�• _ - US TRUCTURE SIGNATURE OF -r,,*p CrAPPROVALS A APPLICA NT DATE INSPECTOR'S SIGNATURE ADDRESSGr' C� D\. FOUNDATION: LOCATION ,FORMS,MATERIALS P.C. $a FRAME: FIRE STOPS; (S(� FEE (BRACING,BOLTS VALUATION $ FURNACE: LOCATION, FEE o IGAS VENT,DUCTS 'I HEREBY ACKNO D THAT 1 HAV EAD THIS AP- LATH,INT. - PLICATIONAND,ST THE ABOVE S CIS - .. - .. AGREE TO COMP LL COUNTY IN N S AND STATE LAWS RE _ G BUIL"N O CTION. LATH,EXT. - SIGNATURE OFHOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRES FINAL CLYDE N.DIRLAM, PRI NCI VAL s7r Rult. M> PLAN CHECK VALIDATION CK. M.O., CASH "PERMIT VALIDATION CK: OF - __ . _ -- — C� •.:.; WO„XERS' COMPENSATION DECLARATION y �! r.l hereby affirm that I have a certificate of consent!o self r C5( O N F0 1' p U����.M� PERU insure, or a certificate of.Workers'Compenstion Insurance, or /111 L1 LI L/�1 U U�1 a certified copy thereof (Sec. 3800, Lab..C. COUNTY OF LOS ANGELES' BUILDING AND SAFETY i Policy No. Company _ Certified co is hereby furnished. -BUILDING Q pv, v FOR APPLICANT TO FILL IN ADDRESS 7/ Certified copy is filed with the county building inspec BUILDING4. - tion departriment.. ADDRESS lei ) LOCALITY NEAREST Date Date Applicant CITY ZIP �p® CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. �+ ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT C MAP BOOK PAGE PARCEL USE ZONE - MAP (This section need not be completed if the permit is for one - TRACT BLOCK LOT NO. NO. p� ® 0 hundred dollars ($100)or less.) _ pq/ TEL. /� ,(�j K '� / SPECIAL OWNER Q b/.< NO. /""V / ,` CONDITIONS O I.certify.that in the performance of the work-for which this DISTRICT GROUP TYPE FIRE PROC SED BY U permit is issued, I'shall not employ any person in any manner t so as to.become subject to the Workers'Compensation Laws. ADDRESS 9—1 CONST. ZONE CITY 1, Ci� ZIP / (/ Date Applicant STATISTICAL CLASSIFICATION APT.]CONDO. UJ NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT O TEL. 'Exemption, you should become subject to the Workers' ENGINEER - NO. CLASS NO. �. DWELL. UNITS H Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP NO. with comply with such, provisions or this permit shall be deemed revoked. TEL. BK PG LI �7 VADATION CONTRACTOR LICENSED CONTRACTORS DECLARATION, LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with.Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect. CITY CLASS $ (�O Q - � � SQ. FT��-- NO. OF NO. OF CHECK - License Number _ Lic.Class - SIZE JJ STORIES I FAMILIES ONE - NEW Contractor Date_ DESCRIPTION OF WORK ADD am exempt from the licensing requirements as I am a G 0' licensed architect or.a registered professional engineer ALTER FINAL acting in my professional .capacity (Section 7051, REPAIR DATE Business and Professions Code). USE OF EXISTING BLDG. ` DEMOL '� FINAL r ` j Lic. or Reg. No'. _Date ;4 APPLICANT TEL. 13y OWNER-BUILDER DECLARATION (PRINT) p �/ NO. s ?, lS I hereby affirm that I am exempt from the Contractor's License ?W/ // ) t Law for.the following reason (Section 7031.5, Business and ADDRESS 7/ -D ! P R lP > C/ he Professions Code): PRESENT { BUILDING Il(I I, as owner of the property, or my employees with ADDRESS ; Y`� wages as their sole compensation,vvill do the work and 3 7 7,8 A 'the structure.is not intended or offered for sale(Section LOCALITY r 7044, Business and Professions Code). MOVING TEL. ElI, as owner of the property, am exclusively contracting CONTRACTOR NO. #•°'° ° ° 6-1 with licensed contractors to construct the project (Sec- ADDRESS " tion 7044;Business and Professions Code). 2`O 1 6 0.0 0 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 'PROP.'LINE _ WIDTHx I hereby affirm that'there is a construction lending agency for FRONT // °,° 1 '600 60,0 0 v the performance of the work for which this permit is issued PL (Sec. 3097, Civ. C.). SIDE ' .0 4,2 6-82 P.L. Lender's Name,- Lender's Address 4 `J P.C.Fee.S Permit Fee - , . � ' I certifythat,I have read this application and state that the pp Issuance Fee J Q r' above information is correct..)agree to comply with all County Investigation Fee ordinances and.State laws relating to building construction, Total Fee �j 6 V and hereby authorize representatives of this.County,to enter upon above-mentione property,for inspection purposes.' , SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of Applicant or Agent Dote ©s WORKERS'COMPENSATION DECLARATION T, �1 I hereby affirm that I have r certificate of consent to self /n1 P P��C A U P O N P O m p �L D Q M� RM insure, or a certificate of Workers' Compensation Insurance, (T�LI LJ L/Z1 jJ� U V LJ or a certified copy thereof (Sec. 3800, Lab. G.)' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company -. BUILDING \� ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS ,r• , P LOCALITY ,: NEAREST Date Applicant CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This.section need not be completed if the permit is for oneUSE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO.7 . v TEL. SPECIAL '- Icertify that in the performance of the work for which this OWNER / NO.O?g ��� CONDITIONS CL permit is issued, I shall not employ an person in an manner DISTRICT GROUP TYPE FIRE PROCESSED BY O p p y Y' y ADDRESS Per CONSL ZONE 99 so as To become subject to The Workers'Compensatio Laws, -99 / CITY ✓ ZIP Date/6 V Applicant STATISTICAL CLASSIFICATION 'APT. CONDO. V NOTICE TO APPLICANT: If, aft m ting t is Certificate of ARCHITECT OR TEL. Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS d Compensation provisions of-the Labor Code, you must forth- ADDRESS SEWER MAP 4n � with comply with such provisions or this permit shall be . TEL: /fL/ VALIDATION v deemed revoked. CONTRACTOR NO. _ BK. PG, LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under pro-visions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and 'effect. CITY CLASS $ / J SQ. FT.-I-) NO.OF NO. OF CHECK D. License Number Lic.Class SIZE '/ O' STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK Q�' NEW $ ADD ❑ ❑ I am exempt under Sec. ALTER ❑ FINAL • B.&P.C. for this.reason a REPAIR ❑ DATE -' USE OF Date: DEMOL. AL ❑ FBINv EXISTING BLDG. I Signature', APPLICANT TEL. ry OWNER-BUILDER DECLARATION PRINT ' NO 6 q�3 I hereby affirm that I am exempt from the Contractor's License N ADDRESS C', . D Law for the following reason (S,ection 7031.5, Business and Professions Code): PRESENT ❑ BUILDING 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 LOCALITY z&9 9,0 A c 7044, Business and Professions Code), MOVING TEL. ❑ . I, as owner of the.property; amexclusively contracting n CONTRACTOR NO. # o o�o 0 0 with licensed contractors to construct the project (Sec-. ADDRESS *tion 7044, Business and Professions Code). Jr 2.0,0: ' REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH hereby affirm.that there is a construction lending agency for FRONTD ° o 52 0 0 V the performance of the work for which this'permit is issued P.L. ' , (Sec. 3097,,Civ. C.). SIDE 0 �'9—8.2, P.L. Lender's Name Lender's Address P.C. Fee$ Permit Fee > I certify,that I have read this.application and state that the Issuance Fee X �U r . above information is correct. I agree to comply with.all County Investigation Fee r 1 S ordinances and State laws relating to building construction, Total Fee d and'hereby authorize representatives of this County to enter g upon th ve-mentioned ro ty for inspection purposes. < SEE'REVERSE FOR EXPLANATORY LANGUAGE azure 6 pplicant or Agent Date ®°