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Home My Public Portal About9838 DAINES DR_Building__ •- r 78A838ACE#803•f0-38APPLICATI-®IV F0-R �EUIL®INC PERMIT �. BUILDING AND SAFETY DIVISION BUILDING ' ADDRESS Department of County-Engineer County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DECO MaMNAMEMDISTRICT NO. GROUP. .TYPE :I SEWER MAP FOR APPLICANT TO FILL IN Y• wBK' c CONST BUILDING ;I - ADDRESS ✓�/, a. STATISTICAL CLA SIFICATION - LOT NO. /`y CLASS NO DWELL. UNITS BLOCK 'A' STATE YES e077'NUMBER . - HWY TRACT �O,r USE ZONE SPECIAL _ NO OF BLDGS. � CONDITIONS , SIZE OF LOT Q "� NOW ON LOT USE OF ��JJ ff _ EXISTING BLDG.- /f&S'/Ao0 1ja& 4:Y v�t2/� BUILDING YARD HWY STREET NAME EXIST. ��f J SETBACK WIDTH OWNER W/n�/jC1A/YI (/�C� � :7 FRONTMAIL ADDRESS qd 3d -� !/LL/n ES SIDE, { .� 1TEL P L. - - CI '`� N ' `'� NO. INSPECTION RECORD ARCHITECT OR TEL. - ENGINEER NO. ' ADDRESS ' - - TEL. --JJ CONTRACTOR P)" �D NO. LSD - ADDRESS DESCRIPTION OF WORK NEW ADD /,-, ,ALTER REPAIR DEMOLISH SQ. FT. NO. OF # NO.OF SIZE - STORIES FAMILIES U OF STRUCTURE 11 - �E/C7_eAoCc 4 2T - - olo APPROVALS -' SIGNATURE OF APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS. MATERIALS $• �� p, C, g FRAME FIRE STOPS. - BRACING. BOLTS - 11 FEE � VALUATION $ -D� FURNACE. LOCATION, rd FEE .� -GAS VENT. DUCTS _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - AGREE TO COMPLY WITH ALL COUNTY OR INANCES AND LATH. EXT. STATE LAWS REG T G UILDING NSTRUCTION. SIGNATURE OF HOUSE NUMBER COR-- - - PERMITTEE RECT AND POSTED ADDRESS 0 FINAL - �'� ��✓ JOHN A.LAMBIE. COUNTY ENG EER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL-ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH 2�s.'2 �� S923 . 1 4..00- 2 APPLICATION FOR. BUILDING PERMIT f' COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION' FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm,that I have a certificate of consent-to self Insure, BUILDING ADDRESS 9838 DAINES DR. or a certificate,of Workers' Compensation Insurance,or a certified CITY( 9838- DA1 NES DR. ZIP* P r TEMPLE CITY, CALIF. 91780 ' copy thereof(Sec 3800,Lab,C) - - TEMPLE CITY, CAL IF91780 LOCALITY Policy No Company SIZE OF LCT NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished 59 X 130 NEAREST CROSS ST ❑ Certified copy Is filed with the county budding Inspection, 'TRACT BLOCK LOT No 7GOLDEN WEST/ BALDW I N.AVE. department 13805 USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL , 8588 017 016 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO ' COMPENSATION INSURANCE IDAVID S HARRIS 1(818)285-0121 WITHIN 1000 FT OF SCHOOLS YES No ADDRESS (This section need not be completed If the permit Is for ohe hundred 9838 DAINES DR. DISTRICT GROUP TYP CONST FIRE ZONE PROCE dollars ($100)or less) ^ CITY ZIP 08 I certify.that In the performance of the work for which this permit • �. o � ��O � Is Issued, I shall not employ TEMPLE CITY CALIF. 91780 p y any perso In any manners as to ARCHITECT OR ENGINEER TEL NO bedome subject to the Workers'Com nation w OWNER STATISTICAL CLASSIFICATION APT CO Date XX, 9'27-9pphCant ADDRESS 'CLASS NO � DWELL UNITS NOTICE TO APPLICANT If,' after making this rtificate Of-• REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should' become subject` to the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH ' Compensation provisions of the Labor-Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked` ADDRESS -LIC NO ;P L LICENSED CONTRACTORS DECLARATION _ SIDE CITY LIC"CLASS P L >_I hereby affirm that I am licensed underprovisrons of:Chapter:;9 SEWER MAP a (commencing with,Sectlon 7000)of Division 3 of the Business and SQ-FT SIZE NO OF STORIES NO OF FAMILIES NEW BK PG O 1 1 Professions Code,and-my license Is in full force and effect � 310 fJ Llcense,Number LIC CIBSS DESCRIPTION OF WORK ADD E]- VALUATION , Contractor' Date CONSTRUCT A MASONERY & WOOD PATIO $ ALTER 1:10 ❑ I am exempt under Sec GAZEBO REPAIR ❑ $ U BBPC for this reason DEMOL ❑ W LDMA P/C# C Date - USE OF O �, Z EXISTING BLDG - URM ❑ Cl) eAPPLICANT(PRINT) TEL NO - LDMA Perm# t�'C5 '�°8 1&,, asowner of'•ttie property, or my-employees wDAVID.S. HARRIS 818285-0121 Z tf with wages as- ( ) their sole compensation, will do the work and the structure Is ADDRESS Q 1 L�I�i € €n r e not fritended or offered for'sale (Section 7044,'Business and 9838 DA I NES DR. TEMPLE CITY CALIF. 91780 FINAL DATE H tte� Pro essions'Code) O 1 ITEMS? WILL THE APPLICANT OR FUTURE BUILDING-OCCUPANT HANDLE A HAZARDOUS MATERIAL p J ❑ I, S OWner of the propert OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE .FINAL B +� TOTAL I J,.vv m 65 y, am exclusively contracting Wlth AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES Q ensed contractors to construct the project (Section 7044, YES❑ NOS Business and Professions Code) J CHECK 12.6 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING -AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING'CHECKUST FOR J '/ t, A r,�� u 111 i GUIDELINES l q J I hereby affirm that there Is a construction lending agency for YES❑ No ER '` �SO a the performance of the work for which this permit is Issued(Sec l _ _ W I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING (' y 3097,Civ C) "� ng—i i Ill•€ N CHECKLIST I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE �;�__ i_1 o Lender's Name TITLE CHA R 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS, Lender's Address MATERIALS RG A PERMI ARyrDH SCA ORRIS _ 19_L f AM te L2nz'44 0 , O..ER&TaNT o I certify that I have read this application and state under penalty O of perjury that the above Information IS correct I agree to comply PC FEE PERMIT FEE .� cm with all county ordinances and State laws relating to building 0 conStrUC and hereb a raze representatives of this County ISSUANCE FEE _/O Qto enter p n the v e t Heil property for Inspection purposes (f m YA 9-2� INVESTIGATION FEE TOTAL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECORATION I herebyaffirm that I havea cerfrficate;of consent'to self' , insure, rt certificate of Workers' Compensation Insurance, ; APPLICATION. F O R�S UI L D I N G. .P E RM I T orr� certifieG,copy thereof (Sec 3800, Lab C )_, COUNTY OF LOS-ANGELES BUILDING AND SAFETY 0licy No IiV3Aampony BUILDING rni % C ❑, Certified copy'is hereby fushed - - FOR APPLICANT IN ADDRESS - -e o Certified copy is filed with the county builing inspec- BUILDING tion department, / ADDRESS CITY _ ZIP '•Date Applican LOCALITYef- NO OF BLDGS NEAREST yCERTIFICATEAF EXEMPTIO FROM ORKER' _ SIZE"OF LOT NOW ON LOT CROSS ST COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permwis for one TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL l hundred'dollars ($100) or less.) ` TEL ZONE OWNER G NO AP ,1 certify that in the performance of the work for which this NO C SPECIAL a permit-is issued,'I shall not'employ any person in any manner ADDRESS "' �G y CONDITIONS so as to become sulilect to the'Workers°Compensation Laws „ . O Y• CITYZIP' 0 U Date Applicant - ARCHITECT OR TEL 0 NOTICE•TO'APPLICANT If, after'makin this Certificate of - ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY Q • g - CONST ZONE U - Exemption, you ,'should-become-sublect,to.. the Workers" Compensation provisions of the-Labor Code, you must forth- ADDRESS _. _ }. .Q� `3 - �. a ,with comply with such ,provisions,or this permit shall be 6 /J TEL STAT IS7ICAL-CLASS IFICATION APT CONDO Z deemed revoked CONTRACT — LICENSED�CONTRACTORS DECLARATION , r/' LICCLASS NO DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter9 ADORES O NOS7a/ SEWER MAP .(commencing with Section 7000)of Division-3 of the Business LIC and Professions Code,and my license is in full force and effect. CITY ��/� CLA55 G_3� BK VALIDATION I 7 i SO FT,- NO OF. NO OF CHECK License Numb 7,-;,, S L.c' Classes SIZE STORIES NO ONE VALUATION' * /C/ �'/ NEW /Te'f Date DESCRIPTION OF WORK - Gd�— $ q, Contractor -❑ ! ❑I am exempt-under Sec W� S �~ DD ❑ / LTER B&P C for this reason' $ REPAIR D Date USE'OF _ EXISTING BLDICANT / / q/ DEMOL ❑ r Signature APP`PRINT) r'\ // /T -`f NO /Cp FINAL OWNER-BUILDER DECLARATION I DATE 1 hereby affirm that I am exempt from the Contractor's License - Law for the following reason (Section 7031 5, Business and ADDRESS Q,C FINAL Professions Code) PRESENT- BUILDING RESENT B BUILDING Y ` ❑• 1, 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 [ADDR LITY , `'- _301 7044,_Business-and Professions Code ) NG TEL LL ❑ 1, as owner of the property, am exclusively contracting RACTOR NO With licensed contractors to construct the project (Sec- 'y ESS - )I-i i •y qt's tion 7044, Business and Professions Code ) r' REQUIRED- TOTAL-SETBACK FROM EXIST K- CONSTRUCTION.LENDING AGENCY BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for NT the performance'of the work for which this"permit is issued r, (Sec 3097, Civ, C') 'Lender's Name rl l j_i-i t>IE![ HI_ �!7LDMA Ref #ee$ Permit Fee o 57=Lender's Address -I certify tliat I have read this application and state that the Issuance Fee LDMA P/C# above information is correct I agree to comply,with all County gat bn Fee a o ordinances and State laws relating to building construction, Total Fee V / cam• LDMA Perm # a and hereby authorize re r entatives of this County to enter a upon th above-mentio ed roperty for inspection purposes a '00001f M SEE REVERSE FOR EXPLANATORY LANGUAGE Sig turkoi6licant or Agent Date ' r� a _ 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 BI: 0508 0807300033 PHONE- (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 13805 LT 79 SQ FT STORIES TYPE 9838 DAINES DR I (STRUCTURE V-B I TEMP CA 917802636 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 18588-017-016 THOMAS PAGE 597 GRID: A3 LOCALITY TEMPLE CITY, Cl (TENANT- IEXIST BLDG USE- RESID USE ZONE R-1 JISSUED ON PROCESSED BY' EXPIRES ON I IEXIST OCC GRP (07/30/08 SR 01/26/09 OWNER TEL NO IBLDGS NOW ON LOT VALUATION: FINAL' DATE FINA BY: CODE HARRIS, ANN MARIE - 25,000 19838 DAINES DRIVE 1 TEMPLE CITY CA 91780 I FEES PAID IDESC IPTI OF WORK KITCHEN AND BATHROOM REMODE IFEE DESCRIPTION- QUANTITY UOM AMOUNT I APPLICANT TEL NO I IO'LEARY (626) 287-0927- IAA BLDG PERMIT ISSUANCE 27 75 1 15823 AGNES AVENUE IAC STRONG MOTION RESID 25000 00 VAL 2 50 ISPECIAL CONDITIONS TEMPLE CITY CA 91780 JB2 PERMIT W/ENERGY 25000 00 VAL 515 46 1 1 TOTAL FEES 545.71 CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE ITOM O'LEARY CONSTRUCTION (626) 287-0927- I I 1 15823 AGNES AVENUE LIC NO I (LOCATION AND SETBACKS ITEMPLE CITY, CA 91780 489354 B-1 I I (SOILS ENGINEER APPROVAL I 1ARCHITECT OR ENGINEER: TEL NO , IFOUNDATION/TRENCH FORMS I LIC NO ISLAB/UNDER FLOOR I I RAISED FLOOR FRAMING IMAP NO- SEWER MAP BOOK PAGE- FIRE ZONE CMP JUNDERFLOOR INSULATION I I 1 I147H269 3 011 I I I I IFLOOR SHEATHING INO. OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS. I 11 I NO 21 I (ROOF SHEATHING I I I I I I I I SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I I (AIR QUALITY. 1000 FEET MATERIALS 1 I I I I I NO NO NO I (FRAME INSPECTION I 1 I I I I I I I (REQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS I I I ISET BACK YARD HWY PROP LINE: WIDTH. I I I I I (FRONT PL- I (INSULATION/WEATHER STRIP( I I I SIDE PL- I 1 1-1 I I I (INTERIOR LATH/DRYWALL I I I I I I I I I I I (EXTERIOR LATH I 1 I I 1 (RATED FLOOR/CEIL ASSEM I I I I I I I I (RATED WALL ASSEMBLIES I I 1 I I I I I I I (RATED SHAFTS/OPENINGS I I I I 1T-13AR CEILINGS 1 I I I I ILOT DRAINAGE I I 1 I (REPORT ID DPR261 ROUTE TO BSO508 I I 1 1