HomeMy Public PortalAbout9850 DAINES DR_Building__ (�)s 76A638,4-t
Cf303(REV 11/78) �
APPLICATION-FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO,FILL IN. BUILDING �Q
ADDRESS
BUILDING (/
ADDRESS d l5 �Cvy✓f!F _ LOCALITY `
//
NEAREST
CITY �rn �Z'rL'i ZIP CROSS ST
N OF BLDGS ASSESSOR
SIZE OF LOT 0 a NOW ON LOT MAP BOOK PAGE I PARCEL
`� �y� / DISTRICT GROUP TYPE FIRE PROCESSED BY
TRACT / d J` BLOCK LOT NO �v / CONST_ ZONE
TEL �/ -il���
OWNER NO STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS C' CLASS NO / 'DWELL UNITS BK a PG
CITY ZIP d
ARCHITECT OR TEL, VALUATION �
ENGINEER NO
ADDRESS BLDG SETBACK FROM
e' f TEL G ` FRONT PROP LINE OF (STREET)
CONTRACTOR - v/ NO TOTAL SETBACK FROM TYPE OF EXISTING
_ LIC HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
ADDRESS S t s t' `i NO i /'
LIC + �Q = QV
CITY p =L?(j (Lf CLASS
CONSTRUCTION LENDER BLDG SETBACK FROM
NAME AND BRANCH SIDE PROP LINE OF 6 (STREET)
9'
_ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING O
ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH
V
SQ FT NO OF NO OF CHECK + _ p�
SIZE STORIES I FAMILIES ONE b
US ONE MAP
DESCRIPTION OF WORK NEW• ❑ �, NO
s SPECIAL
l� ADD ❑ �R 00 CONDITIONS
ALTERBY r
FINAL �.
REPAIR ❑ DATE �'�
USE OF DEMOL
EXISTING BLDG G 2
APP( TEL
RA T) NO
BY(SIGNATURE) - �d-.�G�y a
IHEREBY A OWLEDGE THAT I H READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT ANDA REE TO COMPLY WITH ALL ORDINANCES - W
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE _
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V g 7�r7'/ 9, 2 A
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM _ Z
PENSATION INSURANCE
0 0•O 0 0 1
SIGNATURE OF 2,- - 49.00
-
PERMITTEE _---
ADDRESS
-
ADDRESS Z to o o'4 9, 0 0 5
TEL C I 1, 1 5-79
CITY NO G
PC Fee$ Permit Fee G O >
Issuance Fee
-
' A d
Total Fee V
DEP RTMENT OF BUILDING AND SAFETY f APPLICATION FOR PERMIT
F COUNTY OF LOS ANGELES ® ® 1
n WM. J. FOX, CHIEF ENGINEER 'r
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRINa.11a. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS [(J
LOCALITY L _ REC ED BY D TE AP L. DATE I RUED
NEAREST
CROSB ST.
BUILDING s
ADDRESS
OWNER 17 4EJ- i/iyvl�i
MAIL LOCALITY
ADDRESS
NEAREST
TEL CROSS ST.
CITY NO.
FIRE NO.OF Typir GROU
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO.
BLDG. ) ORD.NO.
2V
ADDRESS SETBACK LINE �r1
APPROVED
TEL. , BY DATE
CONTRACTOR
USE APPROVED �
ADDRESS��� J ZONE BY
,
LEGAL - CORRECTIONS
,DESCRIPTION LOT NO. rJ I BLOCK
TRACT /��`'�) - - �!.( i �-! F ✓ ..G I �0 4./
SIZED LOT/,0 X /� I NOW ON LOT
B�
USE OF NO.OFNO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION I -
O
A
REPAIR MOVING DEMOLISH �
BIS.FT. to : NO.OF 4 / Z
SIZE ( ROOMB 9TO,RI�E.9�//'.// >
WALL Roar
—COVERINGI/rir�
NEW
BUILDING
BUILDIDINO
v
1 HEREBY ACKNOWLEDGE THAT I HAVE -READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION 1G
FORMS, MATERIALS YV4AS
AND STATE LAWS RECiU TING BUILDING CONSTRUCTION.
FRAME: FIRE BTOPS,
SIGNATURE OF BRACING, BOLTS f 1 / 9 `-�!/n
PERMITTEE. J// LATH,INT.: ! �� �'C ' y
AUTHORIZED AOT " ! LATH,EXT.: I /
DBS-3 5OM SETS 7-47 $ P.C fPLASTER,INT.
FEE _
OPLASTER,EXT.
VALUATION FEE �V� FINAL 1/ qhs y-/5, 4;,-)
s 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 0202040018
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING
TR: 13805 LT: 81 SQ. FT STORIES TYPE OCCUP GROUP 9850 DAINES DR ADDRESS:
STRUCTURE: 500 1 VN R3 TEMP CA 917802636
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: BALDWIN AVE
8588-017-018 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG .
EXIST OCC GRP: 08/21/02 JK 02/17/03
OWNER: TEL. 0: BLDGS. NOW ON VALUATION: FINAL DATE FINAL CODE:
DAO;JENNIFER (626) 375-3313- 37,500
9850 DAI NES DR 11�Z-v 3
TEMP 917802636 0 OF WORK
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW BD, BATH AND WALKIN CLOSETS (TTL WHEN DONE:3BR/2BA)
'
APPLICANT: TEL.
0-
WAI TAK CONSTRUCTION (626) 285-7931- B1 PLANCHECK W/ENERGY 37500.00 VAL 599.41
611 E MISSION RD AA BLDG PERMIT ISSUANCE 27.75 SPECIAL ONS:
SAN GABRIEL AC STRONG MOTION=RESID-_=-37.500.00 VAL 3.75
B2 PERMIT�W/ENERGYq-., X37500.00 VAL 705.21oma`TOTAL`FEES. 1,336.12
CONTRACTOR: EL. NO: c� - ����d \ APPROVALS DATE INSPECTOR SIGNATURE
WAI TAK CONSTRUCTION (626) 285 7931 ��ly\�
611 E. MISSION RD. LIC. NO CIO
SAN GABRIEL, CA 91776 586138 B / \�\
SOILS ENGINEER APPROVAL
ARCHITECT- R GI E �� 1/ r� FOUNDATION/TRENCH FOR !� p
LIC. NOe I �z- �=1= ' SLAB/UNDER FLOOR
RAISED FLOOR FRAMI A �--�
MAP N0: SEWER MAPBOOK: PAGE: FIRE ZONE: CMP: UNDEMOCIR INSULATION1ST LEVEL R
SHEATH
DWELLINGNO. OF FAMILIES:
TS: APT/COND: STAT L --- — ---- — - ---- -
NO 21�� - --- — --- -—-- — ��; ND LEVEL FLOOR SHEATH
/1 '•. � ROOF
SCHOOL WITHIN HAZARDOUS ii -, T'�°_q 1> NG
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AIR QUALITY: 1000 FEET MATERIALS � � � �, _ , ,_ __ �
NO NO NO FIRE DEPT. FR M
REQUIRED TOTAL SETBACKEXISTGD
SET BACK YARD: HWY: PROP LINE: WIDTH: \�%� ���� �j
FRONT PL-
SHEAR
SHEAR PAN
SIDE PL-
INTERIORLA H/DRYWALLEXTERIOR LATH
Oro)—
LOT
)-LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT P R V L
REPORT ID: DPR261 ROUTE TO: BS0508