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