HomeMy Public PortalAbout9902 DAINES DR_Building__ i •.M� -� Of BUILDING AND SWY APPLICATION FOR PERMIT
*'' COUNTY OF LOS ANGELES q®�QBpy
I WM. J. FOX, CHIEF ENGINEER ®I "
FOR APPLIC NT TO FELL IN IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO'. PERMIT NO.
[NEAREST.
UILDING
DDRESS
OCALITY RE IVIED BY Q TE OF APPL. _ D TE ISSUED
"V,ROSS ST. 'tir BUILDING
ADDRESS
OWNER
MAIL
.- LOCALITY L -
ADDRESS NEAREST �! ,
TEL. CROSS ST.
CITY NO. ZFIRE ONE I,NO O I TYPE I UP
ARCHITECT'OR' TEL. '
ENGINEER NO. ,BLDG.' - -P']�
SETBACK LINE
ADDRESS APPROVED -
TEL. BY DATE
CONTRACTOR ,"� NO. D- ��0 I USE ® APPROVED .
.a �° BY DATE 1
ADDRESS d/ HODS 'NUMBERING
LEGAL
—DESCRIPTION I LOT NO. J� I BLOCK MAP NUMBE 'Lso IELD CHEC BY
TRACT /3' 80� NO. ASSIGNED'BY ATFL `
ZO /� I NO. OF BLDGS. CORRECTIONS .
SIZE OF LOT • NOW ON LOT '
USE OF I NO OF 11 1
EXISTING BLDG. FAMILIES .. y V
DESCRIPTION OF WORK G�d�
NEW ALTERATION I I ADDITION
n
REPAIR I I DEMOLITION I I I '/N� »- / _��� -• - -
A
SQ. FT. NO. OF /
SIZE / � ROOM
' S STORIES Z
D
EXT WALL r ROOF nn -- _ r'
COVERING7A. V44AA I COVERING CQ-,dC..��L�•
USE OF STRUCTURE ,
,
APPROV S
INSPECT 'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT 1' HAVE READ THIS AP- FOUNDATION. LOCATION '
PLICATION AND STATE THAT THE INFORMATION ,GIVEN IS FORMS, MATERIALS
CORRECT. '` '
I AGREE TO COMP/_Y WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
D
HEREON ANWIT L COCOUNTY, ORDINANCES,AND STATE BRACING, BOLTS
LAWS REGULATIN UILDING CO STRUCTION.
FURNACE- LOCATION, ZZ/ 2 j
SIGNATURE OF GAS VENT, DUCTS 7 Q
PERMITTE _ •�
LATH, INT.
ADDRESS .> P,
' LATH, EXT. Al _
AUTHORIZED AGT.
PLASTER, INT. "
76A638A• 6B83 10.80 .� 0 I P C. $
® -/��4GGVVV Q� `' y FEE /[-�nf+_�� PLASTER, EXT.
VALUATION - v FEE $ 3 7 A ' FINAL
76At38 q,C.E #803 1/71 �y i ••( �7'-�
A.-PPLI"CrATION FOR BUIZING PERMIT
COUNTY OF LOS ANGELES , ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS D Z �S ��_,
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY ``/h�LM 4�
FOR APPLICANT TO FILL IN" "' NEAREST
Print or type only) CROSS ST
BUILDING - 'DIST T NO GROUP TYPE PRO SSED-BY
ADDRESS D "y .�(/`L� `/mac d f� CONST 0/
' STATISTICAL C'L'ASSIFICATION SEWER MAP
LOT NO ���" BLOCK CLASS'NO. DWELL,UNITS ^— BK PG
TRACT [�J'- 'US ZONE
NO.OF BLDGS NO
SIZE OF LOT ,,S)L !.)�O NOW'ON LOT ��— /i SPECIAL -
USE OF CONDITIONS
EXISTING BLDG e/�� .;e
TEL
OWNER �, (/f�/� � N0,;-Q 71
BLDG SETBACK FROM �A/��r
ADDRESS Q•YZ�tJ� FRONT PROP.LINE OF - (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY�-�JyjL' -HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL. UG 11 O }
ENGINEER 4 NO BLDG SETSACKFROM -
ADDRESS - SIDE PROP LINE OF -- - ---- (STREET)
TEL - TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL 0-
CONTRACTOR
CONTRACTOR NO., HIGHWAY WIDTH FROM C L' U
LIC '
ADDRESS NO t = 01-
LIC LIC - - -- - U
CITY CLASS CORNER CUTOFF YES ❑ tJ0 ❑ ly
CONSTRUCTION LEND �—
NAME AND BRANCH , SEE REVERSE SIDE,,FPR SPECIAL AP OV S z
ADDRESS I
SO FT NO OF NO. OF NEW ❑
SIZE STORIES FAMILIES ,
USE OF ADD
STRUCTURE
ALTER
f-44+
� 1 ❑ '
T REPAIR
SIGNATURE OF ❑ ,
APPLICANT DEMOL ❑
VALUATION S APPROVALS DA TE INJECTOR'5Ic ATURE
.FEE S FEES p( �?J rOFORMS,I MATERIAALS
FRAME:'FIRE STOPS, �L
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TI ON.
I CERTIFY THAT IN DOING THE WORK AUTHORIZED -
HEREY'I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. `
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPON SURA NCE LATH, EXT '
SIGNATURE OF HOUSE'NUMBER COR-
PERMITTEE RE.RT AND POSTED
ADDRESS yAAoEr
FIN L
J HN F LEWIS PRI CIPAL S L ENGINEER
PLAN CHECK VALIDATION CK M o CASH _ ERMIT VALIDATIO CK M CASH
I` a _
COUNT' 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 0105140004
PHONE: (626) 285-0488 EXT:
BUILDINGLEGAL ID: NO. OF- CONST ADDRESS:
TR: 13805 LT: 82 SQ. FT STORIES TYPE 9902 DAINES DR
STRUCTURE: 2400 VN TEMP CA 917802638
ASSESSOR INFORMATION NEAREST CROSS STREET: BALDWIN
8588-017-019 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: IST BLD SFR E: XX ISSUED ON: PROCESSED BY: EXPIRES .
EXIST OCC GRP: 05/14/01 UT 11/10/01
0 L. NO: BLDGS. NW—ON LOT: VALUATION: FINAL DAIE FI Y: CODE:
CRUMP HARRY W JR CO TR CRUMP TRUST (626) 287-1244- 5,000 -�'
9902 DAINES DR
TEMP 917802638 FEES PAI DESCRIPT
REMOVE 2 LAYER OF WOOD ROOF INSTALL 1/2 PLYWOOD 8 25YR. COMP
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
EL. NO:
NEWMAN (626) 285-2602- AA BLDG PERMIT ISSUANCE 27.75
9144 SOUTHVIEW AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL ONDITIONS:
SAN GABRIEL D2 PERMIT W/0 EN-HC�5000.00 VAL 132.60
QELESTOT�yA®FEES 160.85
CONTRACTOR: TEL. NO: ®� o� �blvAPPROVALS DAT INSPECTOR SIGNATURE
NEWMAN, ROBERT (626) 285-2602-
9914 SOUTHVIEW LIC. NO LOCATION AND SETBACKS
SAN GABRIEL CA 91775 432157 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: FOUNDATIONPRENCH
LIC. NO:�� _-- I i � 1 LAB UNDER FLOOR
RAIS1111111
I
Imo—- -----J-- ED FL00 MAP NO: S WE MAP BOOK: PAGE: FIRE ZONE: CMP:' �l( G (�CD UNDERFLOOR SULATION
XX 3o \JDL�lJ � ��0 Il 11 K
� FLOOR SHEATHING
DWELLING UNITS: ACLASF-=-----
NO 21
-- --
ROOF SHEATHING
SCHOOL WITHIN HAZARDOUSSHEAR /
AIR QUALITY: 1000 FEET MATERIALS \ /� ❑ ! / i �" I`n
NO NO NO FRAME INSPECTION / (�
Ll U_
REQUIRED
TOTAL SETBACK FROM EXIST d@� FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: < -PROP LINE: WIDTH:
FRONT PL- Sarvice'Th� INSULATION/W T R STRIP
SIDE PL-
OR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RA SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508