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HomeMy Public PortalAbout9467 DAINES DR_Building__ 78A888A CE#8022/80 APPLICATION FOR BUILDING PERMIT - 1 COUNTY OF LOS ANGELES BUILDING L — ° DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ` JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. - - DIST '-T NQ. I G<!.t •P TYPE SSED BY FOR APPLICANT TO FILL IN `�J [b� CONST.. BUILDING STATISTICAL CLASSIFICATION SE ER MAP . ADDRESS o 0 ��.Y d+,J K PG CLASS.NO. DWELL.UNITS LOT N ' 'n", BLOCK MAP STATE f� NUMBER HWY. YES NO • TRAIT/y//SS IO ff b`� C► (��' USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT 7O )4/a ® I NOW ON LOT USE OF \ `/+ @ }� BUILDING EXIST.EXISTING BLDG. - YARD HWY STREET NAME '� TEL. SETBACK WIDTH OWNER �` ,i�//s/7 �C.�y NO. �yr-g �r� FRONT ADDRESS /7C0/ a L) SIDE ARCHITECT OR TEL. P.L. ENGINEER NO. INSPECTION RECORD ADDRESS ~— TEL. a CONTRACTOR NO. O ADDRESS `.9 V DESCRIPTION OF WORK �- /7- -Q//r F " MiT 41? NEW ADD ALTER REPAIR DEMOLISH / -/ p 1 SO.FT.�— NO.OF NO.OF 1116PAI at SIZESTORIES FAMILIES y- / rn USE OF l 4 R/)�/RF/� ! /�/iS �E1 �J/T •• STRUCTURE UI- / SIGNATURE OF ✓I�i1�0 J/ry� APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. _` PMT. O FOUNDATION: LOCATION F $ I FEE $ `� FORMS,MATERIALS EE - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, BRACING, BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY 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 WORKMEN'S COMPENSATION LAWS QF_CALIFORNIA. LATH,EXT. SIGNATURE O ap HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL �2 -41 CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LAU;o U 1 J VIIIY 1 D- 5.00 ®P 78A898A D83.9 APPLICATION FOR BUILDING PERMIT 11.99 DIVISION OF BUILDING AND SAFETY AB u I LD I NGS — , Department of County Engineer DDRES County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP BK PG CONST. BUILDIN a ADDRESS NUMBER MAP HWY STATE YES NO LOT NO. BLOCK USEZ NE SPECIAL �f �r•.�—/`l CONDITIONS cf TRAC . / NO. OF BLDGS. BUILDING EXIST. SIZE OF LOT O f NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OF EXISTING BLDG. FRONT /}�/ 0 OWNER - e ,�. SIDE MAIL 5r P. L. ADDRES ^ ✓[/ f O TRACT DWELL. I UNIT 5 INDUSTRIAL TEL. I DWELL. I UNIT CIT N 6 PUBLIC BLDG. - ARCHITECT TEL. 2 DUPLEX 2 UNITS 7 ADDN.,ALT., ETC. ENGINEER V NO. 3 APT. _UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL TEL' INSPECTION RECORD CONTRACTOR �j(�piln,-,QJU NO. ADDRESS DESCRIPTION OF WORK .NE ADD ALTER REPAIR DEMOLISH 10'FT.. - /_IVO. OF NO. OF SIZE � Z /�[Il . -I STORIES FAMILIES . USE OF TRUC.pW•'sE`•J9/ SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE $ FOUNDATION: LOCATION P. C. S FORMS.MATERIALS FEE FRAME: FIRE STOPS, VALUATION S v BRACING, BOLTS FEE FURNACE:LOCATION, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - LATH, INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. 4 ' LATH. EXT. d�C Z SIGNATURE HOUSE NUMBER COR- PERMITTEE RECT AND POSTED /I ADDRESS L FINAL JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION CLYDE N. DIRLAM, CHIEF BLDG. FNSPECTOR CK MO iiC,c3 7 AUG 1 2 .0 0 t7 WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of cogsent to pelf insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof,(Sec. 3800, Lab. C.) COUNTY OF'LOS ANGELES C, BUILDING AND SAFETY Policy No. Company r ❑ CBUILDING ertified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 7 ! IZ— L Certified copy is filed with the county building inspec 'BUILDING —_ a tion department. ADDRESS (G77�/ A1Ai&s LOCALITY -Q , NEAREST Date Applicant �—CITY '-OGe C"-rte. zip IF/7'a� CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT�f S� NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONEMAP p hundred dollars ($100)or less.) TRACT BLOCK LOT N . NO. -rr� TEL SPECIAL I certify that in The performance of the work for which this OWNER t SA-al,( 7�0 NO>2 5'Y44 .- CONDITIONS permit is issued, I shall not employ any p son in an anner DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers' ompe io Laws. ADDRESS �/�f G (� 2 CONST. �, ZONE d CITY e� - Zip L/ 70 �J 4r 0 Date f� Applicant ARCHITECT OR TEL. STATISTICAL CLASSSSIFIC/4TION APT. CONDO. NOTICE TO APPLICANT: If, after king this Certificate of ENGINEER NO. CLASS NO.d_DWELL. UNITS Exemption, you should become subject to the Workers'' Compensation provisions of.the Labor Code, you must forth- ADDRESS SEWER MAP with .comply with such provisions, or this permit shall be deemed revoked. J��/' TEL' VALIDATION CONTRACTOR v NO. BK. PG, 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. LIC. �2 Professions Code, and my license is in full force,and effect. ITY CLASS $ (�o - SQ. FT. NO. OFNO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK V (^C, NEW C] ADD ❑ I am exempt under Sec. ALTER ❑ FINAL /J•�, B.&P.C. for this reason I REPAIR ❑ DATE l/ . Date: USE OF )) ,�•�� ' FIN EXISTING BLDG. v iC �L DEMOL ❑ B Signature APPLICANT L. Y PRINT NO. OWNER-BU ILDER.DECLARATION I hereby affirm that I am exempt from the Contractor's License ADDRESS , C' A Law for the following reason (Section 7031.5, Bus iness.and Professions Code): PRESENT ;` o'c a o 0 1 ❑ „ . BUILDING I, as owner of the property, or my. employees with ADDRESSt wages as their sole compensation,will do the work and 2'c'- 4 0-5 0 the structure is not intended or offered for sale(Section LOCALITY J 7044, Business and Professions Code). MOVING TEL. ° o o 4�,,=%0,c I, as owner of the property, am exclusively contracting CONTRACTOR NO. r with licensed contractors to construct the project (Sec- 'tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH , I hereby affirm that there is a construction lending agency for . FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE m P.L. v Lender's Name $ Lender's Address P.C..Fee$ Permit Fee t� I certify that I have rend this ap ''cation and state that the Issuance Fee above information is correct. I ree to comply with.all County Investigation Fee g ordinances and State laws lating to building construction, Total Fee >vi and hereby aiy# Drize re ese tatives of this County to enter pan the obv�lGGe-m nti ed roperty for inspection purposes. SEE REVERSE FOR R EXPLANATORY LANGUAGE n [ _ a re ppli-pcwt or Agent Date ®s WORKERS'COMPENSATION DECLARATION. , I hereby affirm that I have a certificate of consent lc self insure, or a certificate of Workers' Compensation Insurance, - PI P P L I ATI N FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING'AND SAFETY Policy No. - Company BUILDING -� t Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING / G� tion department. ADDRESS ((! /� LOCALITY NEARE Date Applicant CITY G` ZIP / "t U Q CROSS ST. CERTIFICATE Of EXEMPTION FROM WORKERS' NO. OF BLDGS. . ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 5 X Q NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if The permit is for one USE ZONE FAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. pp O. v TEL. l ECIALI certify that in the performance of the work for which this OWNER S �QT� !/O NO 'd - f ONDITIONS d permit is issued, I shall not employ aypeon in anymanner JIB,. �� DISTRICT .GROUP TYPE FIRE PROCESSED BY ne so as to become subject To the Workmp s on Law . ADDRESS /T c� CONST. ZONE v Date Applicant CITY ZIP STATISTICAL CLASSIFICATION A T. CONDO. NOTIC TO APPLICANT: If, after king this Certificate of -,—HITECT OR �__ TEL. Exemption, you should become subject to the Workers' ENGINEER a NO. CLASS NO.,L_DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions .or this permit shall be TEL. !�/ I - deemed revoked.. CONTRACTOR NO. BK. PG, VALIDATION 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 $ ,A-0SVO SQ. FT. / Cyyd� O. OF NO. OF CHECK poll. z 3 3 1,6 A License Number Lic.Class SIZE ! �7'(�STORIES FAMILIES ONE $ #f'000 ° 2.3 Contractor Date DESCRIPTION OF WORK Z-071i !fes T NEW • I • • �J�O �it' / ADD 2 -3 92.0 7 1 am exempt under Sec. �'�J ALTER FINAL o a 39 2,0 7 B.BP.C. for this reason ~�+��� - /GTI REPAIR [0] DATE O 7 O - E OF �7 0 83 Date: EXISTING BLDG. 1/ liLL1N DEMOL FIN Signature APPLICANT �,�` EL. Y OWNER-BUILDER DECLARATION PRINT er7%c-t.c+5 S hf7G ' lP �® I hereby affirm that I am exempt from the Contractor's License ADDRESS A� %175"6: ► Law for the following reason (Section 7031.5, Business and Pro essions Code): . PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work andG 502,5 A the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). . MOVING TEL. #'a a o a o I, as owner of the property, am exclusively contracting CONTRACTOR NO. . , , • with licensed contractors to construct the project (Sec- FA 2'0 47 8.5 0 'tion 7044, Business and Professions Code). TOTAL SETBACK FROM EXIST. ° ° 4'7 8.5 0 P' CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH + I hereby affirm that there is a construction lending agency for / `� 0 9,07—.83 the performance of the work for which.this permit is issued �20- O e (w (Sec. 3097, Civ: C.). o Lender's.Name Lender's Address ;,.� ti (� Permit Fee I certif that I have read this a lication and state that the Y pp� Issuance Feeabove information is correct. I agree to comply with all County Fee g ordinances and State laws relating to building construction, Total Fee u and hereby a thorize representatives f this County to enter upon thea ve- nt' ed pro rt r inspection purposes. a � SEE REVERSE FOR EXPLANATORY,LANGUAGE n ognature of Applicant or Agent Date ®s 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 0201220019 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9467'DAINES'DR " STRUCTURE: VN TEMP CA_917803_113 ASSESSOR INFORMATION UMBER: NEARtST CROSS STREET CLOVERLY- "` 8588-027-006 THOMAS-PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG S RESID USE E--—R-- ISSUE ON: PROCESSED B EXPIRES ON: EXIST OCC GRP: 04/04102 JK 10/01/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F BY: CODE: SACCHETTO CARLOS;MARIA TRS (626) 285-9629- 1 4,500 9467 DAINES DR L7 TEMP 917803113 FEES PAID DESCRIPTION OF WORK CHANGE PITCH OF R VER PORCH AREA, RESTUCCO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: r SAWSUST CONSTRUCTION (310) 480-3350- D1 PLANCHECK W/O EN-HC 4500.00 VAL 112.71 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION_-REST-D 4500:00 VAL 0.50 D1 PLANCHECK�Q%O-EN BCH LE-S45U0 00`VAL 112.71 D2 PERMIT W/O-EN HGV 4500�00,VAL 132.60 CONTRACTOR: 7ni-i. TEL. N0: ®� TOTAL FEES'1Y 386.27 APPROVALS DATE INSPECTOR SIGNATURE SAWDUST CONSTRUCTION (310) 480-3350- d 4122 KIMA CT. LIC. NO LOCATIt]N AND SETBACKS LAKEWOOD, CA 90712 774931-B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: T L. NO: FOUNDATION/TRENCH FORS - i LIC. NO: 1111111 SLAB/UNDER FLOOR .�12,✓(Z RAISED'FLOOR FRAMING _-- MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP; ��n �'� 0�� UNDERFLOOR INSULATION 147H265 3 01 ��j/; l� FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: NO 21O ROOF SHEATHING � �'� gj�nLa SCHOOL WITHIN HAZARDOUS If~'> t SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS �" ❑ rig ��_- _ NO NO NO FRAME ISP! �TION y °o REQUIRED TOTAL SETBACK: FROM EXISTQO Q F RE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL " °��'PQfp�(;I��tcPJ INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RAS4AFTS/OPENINGS -, T-BAR CEILINGS OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 0205150043 \ PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9467 DAINES DR STRUCTURE: VN TEMP CA 917803113 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8588-027-006 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE-ZONE----R--T- ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/15/02 JK 11/11/02 OWNER: TEL. NO: SLDGS. NOW ON LOT: VALUATION: FINAL DATE FlNAL BY: CODE: SACCHETTO CARLOS;MARIA TRS 7,500 o 2- 9467 DAINES DR !lIJJJ TEMP 917803113 FEES PAID DESCRIPTION OF WORK REMOVE 1 LAYER OF STING; INSTALL PLYWOOD & TILE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: TEMPLE CITY ROOF (909) 608-0622- AA BLDG PERMIT ISSUANCE 27.75 1216 BEGONIA CT AC STRONG MOTION RESID 7500.00 VAL 0.75 SPECIAL CONDITIONS: UPLAND 91784 D2 PERMIT W/O EN-HC 7500.00 VAL 183.00 TOTAL FEES 211.50 CONTkACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE TEMPLE CITY ROOFING CO. (909) 608-0622- 1216 BEGONIA COURT LIC. NO LOCATION AND SETBACKS UPLAND, CA 91784 HIC 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/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST I FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- ! INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL rJi'J l,.r%w.^-r4` Fj ,�" i'-:r-%fit%' ✓= I EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508