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HomeMy Public PortalAbout9903 DAINES DR_Building__ UILDING BUILDING U ' L ® I NG - ADDRESS y fo APPLICATION LOCALITY DIVISION OFBUILDING. AND SAFETY NEAREST I O CROSS ST. j Depa�rtzient of County Eng'lneer `DISTRICT NO. RECEIPT NO. PPERMIT'NO. County of Los Angeles' `j-- V G' i v WM. J. FOX, COUNTY ENGINEER GROUP DATE ECE ED DATE ISSUED CASSATT'D. GRIFFIN, SUPIT OF BUILDING z �' - 3/-s,�- FOR APPLICANT TO FIL_L IN pt CONST. ECEIV n e J IBBUED BY oWNE'R ,Mr. 3, A Woodruff' � � • MAP MAIL9903 Daines Drive NUMBER �CD©� STATICYEB NO ADDRESS HWY UB[ZONE SPECIAL C UTY Temple City - TEL'. R-f CONDITION /�// �f ARCHITECOR TEL0. ell (,Tr / 71-1 ENGINEER'T h N _ BUILDING YARD HWY BTR[ET NAM[ EXIST. ADDRESS SETBACK WIDTH LF-R`T= QP Ir C_ �� -gam •>-� -.� d. d CONTRACTOR PaddOCk� F0018u •TNEo. $0 32313 P SIDE, ADDRESS 8400 Santa Monica Blvd BUILDING DATE CORRECTIONS INSPECTOR ADDRESS 9903 Daines 1h,IVA 5 �,17';/, ; , /� j •�7 / LOT NO. � BLOCK• / 13 TRACT N0.-`OF ' SIZE OF LOT - �• I NOW DNBLDGH. ;LOT USE OF EXISTING BLDG.- garage residence & f _� �-•e,.�/ /�jf�f / - DESCRIPTION OF WORK �' ` ° V r GL p_ NEW I -ADD ALTER - REPAIR DEMOLISH - •- Z BO. FT. NO. OF NO.'OF r SIZE ..- -629 STORIES FAMILIES USE OF§7ffCM ff E POO Std. Plan Nb-i"7;-8217 Std. Plan- Check No:72024 EMPLOYEES , I HEREBY ACKNOWLEDGE THAT•'I HAVE READ.THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS I APPROVALS INSPECTORIBSIGNA:tE DATE CORRECT. y�h / 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES a FOUNDATION: LOCATION / '� ` �/ ��v AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS iJ.,S� ^�"»7I Y '/,/<'] . _. 'I,,. - .• - - FRAME: FIRE'STOPS, SIGNATURE OFPaddOCk- POO1s• .BRACING,BOLTS O w PERMITTEE' urn(' ."� FURNACE: LOCATION. 8400 Santa -Monica Blvd. LAA aaa VENT,DUCTS ADDRESS8400 - -' CC Trau>xt LATH, INT. AUTHORIZED AGT. - ^• - S� f LATH, EXT. $300oOO P.C. �; HRECT AND POSTED / CDR- FEE VALUATION 014 FEE D ,i FINAL 76A636A D883 4-34 t 4 EPARTMENT OF BUILDING AND SAFETY ? APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOXY CHIEF ENGINEER F` 4 ,,,�, r,OR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS s LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED - NEAREST - 1 CROSS ST. PLDOWNER A MAIL 9 - LOCALITY G ADDRE99 NEAREST TEL. CROSS ST. .y CITY i NO. FIRE NO.OF TY ORO ARCHITECT OR f' NQ ZONE `�� PLANS ENGINEER i BLDG. ADDRESS SETBACK LINE < I. APPROVED - EL CONTRACTOR — NO. ,• �.r BY USE APPROVED DATE ADDRESS 'ZONE BY DATE LEGAL , ( ; CORRisTIONS DESCRIPTION 1 LOT NO. BLOCK TRACT NO.OF BLDOS./��� SIZE OF LOT d �(��'d 001, I NOW ON LOT J/ '6VtL _ USE OF NO.OF �-{I NO.OF EXIHTINO BLDG. .f��S I FAMILIES I ROOM$r� DESCRIPTION OF WORK NEW ALTERATION I ADDITION O • A REPAIR MOVING DEMOLISH �'„� J ji, ''.`oy.., q Sq.FT. NO.OF Z SIZE ROOMS BTORIEB 1 rte" •- - rr WALL I ROOF COVERING COVERING _ USE OF NEW e f 1• � V'�' _:3'=•;,s�° _ BUILDING �Ne - I HEREBY ACKNOWLEDGE THAT 1 ,HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING UILDING CONSTRUCTION. FRAME: FIRE BTOP9, , SIGNATURE OF BRACING,BOLTS PERMITTEE LATH, INT.: AUTHORIZED ADT LATH,EXT.: �� ! DBS-3 sora SETS 7-47 $ P.C.>$ l DO PLASTER, INT. j� © s �f Z"J O FEE PLASTER,EXT. L CA J 00 VALUATION FEE FINAL l WORKERSS'iCOMPENSATION DECLARATION 1 �y -Iffert that I havecertificate of'consent ' self APPLICATION FOR BUILDING P E RM I T inure` c , or a certificate of Workers' Compensation-Insurr ance, or c certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES.. BUILDING AND SAFETY Policy No Company BUILDING ` Certified copy is hereby furnished FOR APPLICANT TO FILL IN - ADDRESS- F] Certified,copy is filed with the county building mspec- BUILDING tion department J ADDRESS ;F$70_3 Ae4 % LOCALITY i Date Applic CITY 79,#76M C.,7 ZIP /7 O CROSSSST GDdL�'�1 CERTIFICATE OF EXEMPTION F WORKERS' e i NO OF BLDGS ASSESSOR COMPENSATION IN ANCE SIZE OF LOT O {SCI NOW ON LOT MAP BOOK- PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP QJ hundred dollars ($100)or less ) t TRACT BLOCK LOT NO NO I TEL` - // SPECIAL I certify that in the performance of the work for which This OWNER NCONDITIONS C permit is issued, I shall not employ any person in any manner C?� brSTRICT GROUP TYPE CONFIRE PROCESSED ZONE V BY O ///►►► 5T so as to become ADDRESS subject-to the Workers'Compensation Laws � IL �j U 7��— CITY (� 4 ZIP c Date• Appl is ! 7 O STATISTICAL CLASSIFICATION APT CONDO O ARCHITECT OR'., �^� TEL NOTICE TO APPLICANT If, after ma g this Certificate of,. ENGINEER COLI/ NO CLASS NO DWELL UNITS LU Exemption, you should'become subject to the,Workers' CL Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP- with comply with such provisions or this permit shall be TEL Z deemed revoked CONTRACTOR L49 NO BK • PG,, VALIDATION LICENSED CONTRACTORS-DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION aQj (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 $ , SQ FT NO OF NO OF CHECK License Number Lic Class SIZE STORIES FAMILIES ONE $ Contractor Date DESCRIPTION OF WORK &0,ofly NEW t ❑ 1 am exempt under Sec 440 01-7 SQa -f ADD APER FINAL t 2 513,7 1 t/ o o;o 0 0 / B&P C for this reason 0.7 T,, V REPAIR -DATE L, Date* USEOIF BLDG DEMOL FINAL 2,a ° 2 a 5 0 r EXISignature APPLICANT , TEL BY * ° ° ° 28505 OWNER-BUILDER DECLARATION PRINT (r S NO 7 Z�' I hereby affirm that I am exempt from the Contractor's License t �'7 6-84 Law for the following reason (Section 7031 5, Business and ADDRESS O C.. Professions Code): PRE5ENT I, as owner of the property, or my employees with BUILDINGADDRESS wages as their sole intended or oh,will f o the work and - N /� the structure is not intended or offered for sale(Section LOCALITY G/ 7044, Business and Professions Code) MOVING TEL 1, as owner of•The property; am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions-Code). REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH '2535A 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" ,. `� $ 0 0 0 0 0 (Sec 3097, Civ C ) SIDE f 2 < Lender's Name P L - e,�at� I P $ Lender's Address P C Fee Permit Fee 1 certify that I have read this application and state that the Issuance Fee. above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee ✓ and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection/purposes. SEE REVERSE FOR EXPLANATORY_LANGUAGE Siq&fure of Applicant or Agent Date ®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 0208220013 PHONE: (626) 285-0488 EXT: DUPLICATE LEGAL N . OF CONSTE U LADDRESS: TR: 13805 LT: 58 SQ. FT STORIES TYPE OCCUP GROUP 9903 DAINES DR STRUCTURE: 100 1 VNR3 TEMP CA 917802639 ASSESSORINFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: BALDWIN 8588-016-033 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE 0 : D 0 : PROCESSED . EXIST OCC GRP: 08/22/02 JK 02/18/03 NER: TEL. NO: BL GS. NOW ON LOT: VALUATION: FINAL DATE FINALBY: CODE: MEI SUNG (626) 285-3256- 7,500 5835 PRIMROSE AVENUE TEMPLE CITY 91780 FEES PAID DESCRIPTIONWORK ADD BATHROOM, REROOF ENTIRE HOUSE W/30YR COMP FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: L. . SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 7500.00 VAL 0.75 SPECIAL CONDITIONS: B2 PERMIT W/ENERGY— —--7,500.00 VAL 201.30 L'E—,j 0TAL:—F\\ 229.80 CONTRACTOR: EL. NO: �� � APPROVAL DATE INSPECTOR SIGNATURE SAME AOWNER LIC. NO ` LOCATION AND SETBACKS i �\ SOILS ENGINEER APPROVAL ARCHITECT OR NG TEL. N : N NATIO RENC FORMS LIC. NOt' 1 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP N0: SEWER MAP K: PAGE: FIRE ZONE: CMP:1�� r �� r/� �i j� UNDERFLOOR INSULATION 3 ry01 ill Ij ��i'L-�J'��L�" V 'J�.1i�� LEVEL FLO-0—R —S—HEA-7— NO. 0 G UNITS: : STAT A :- NO 21 \\\ -- 1— -- — — ND LEVEL FLOOR SHEATH SCHOOLN HAZARDOUS �G� ��� �i �r� SHEATHING AIR QUALITY: 1000 FEET MATERIALS / /7 NO NO NO I FIRE DEPT. FRAME INSPECT SET BACK YARD: HWY:REQUIREDTO TAL PROP LINE: WIDTH:SETBACK FROM EXIST � ��� FRAME I P C FRONT PL \��� ' �@a'� /� HEAR PANELS \ ������ SIDE PL ��--- - NSUL W R STRIP ,vL ! NTE IOR LATH/DRYWALL EXTERIOk LATH LOT DRAINAGE SMOKEETDEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 O