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HomeMy Public PortalAbout9909 DAINES DR_Building__ 76A638A CE ft803 4/72 .. '4- APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT,OF COUNTY ENGINEER _ MAP eooK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING } MAKE CHECKS PAYABLE TO: ADDRESS , HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ! FOR APPLICANT TO FILL IN NEAREST Print or t onl CROSS ST BUILDING ��-- DISTRICT NO GR UP TYPE ADDRESS GLP 80/w�S 41/ /�q��LCi // � b -11 CONST." STATISTICAL CLASSIFICATION SEWER MAP LOT NO477 BLOCK CLASS NO._s;zkDWELL,UNITS BK PG TRACT J (l?0 USE ZONE NO.OF SLOGS NO. (/ C✓ SIZE OF LOT SST Z NOW ON.LOT SPECIAL USE OF CONDITIONS EXISTING B�LpDG..� ct.r�,� ryn OWNER6 )9 /\9-/A #j, —IO! NOLa70 BLDG.SETBACK FROM ADDRESS �g-/A�+�.j �(�-.: FRONTPROP LINEOF (STREET) TYPE OF EXISTING SETBACK. HIGHWAY + YARD = "TOTAL CITY Fy'pJ7 HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + _ ENGINEER NO. BLDG.SETBACK OM_ o� ADDRESS SIDE PROP. LINE O (STREET) C�� TEL. TYPE OF EXISTING SETBACK Y + YARD = TOTAL CONTRACTOR NO. HIGHWAY WIDTH FROM C.L 1-- LIC ADDRESS NO + = W LIC N CITY CLASS CORNER-CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER SEE REVERSE-SIDE OR SPECIA PRO ALS NAME AND BRANCH ADDRESS 1 SQ. FT. NO OF NO. OF �-- SIZE �o STORIES FAMILIESUSE NEW STRUOCTURE 60/x({ �/� ADD ALTER ❑ REPAIR❑ SIGNATURE C d APPLICANT DEMOL ❑ ALAN APPROVALS OATY NSP/.R'. cN't TU RE FOUNDATION: LOCATION FEE $ FEE $ FORMS,'MATERIALS tO / FRAME: FISTOPS, [/ I-HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACIRE NG BOLTS- I� - 'z..• �-- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS ST RUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE- LATH, INT. LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. G / / SIGNATURE OF HOUSE NUMBER COR- PERMITTEE A RECT AND POSTED / ADDRESS ` - FINAL /7T —r PLAN CHECK VALIDATION CK MO CASH _ PERMIT VALIDATIONC M o CASH Lj" 0-4.sN�s� 12 1 D 2 1 .75~ ,WORKERS' COMPENSATION DECLARATION•it 1 hereby off err that I have a certificate of coInsur to self APPLICATION FOR BUILDING PERMIT ,insure, or a certificate of Workers'Compenstion Insurance, or , a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND-SAFETY Policy No CompanyDUILDING 9/J ❑ Certified copy is hereby-furnished FOR APPLICANT TO FILL IN, ` ADDRESS ❑ Certified copy is filed with the county building inspec BUILDING tion department ADDRESS LOCALITY ` NEAREST Date' Applicant y s CITY "' ,iS� [ f/ • ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BL GS �h— ASSESSOR '' COMPENSATION INSURANCE SIZE OF LOT X /> (% NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP �p� ` TRACT BLOC LOT NO, NO OC(./`G� hundred dollars ($100)or less ) - >' TEL SPECIAL - OWNER r�/� ✓ �9�T NO �� �� CONDITIONS 0 I certify that in The performance of the work for which this DISTRICT GROUP TYPE FIRE ESSED BY permit is issued, shall not employ any erson in any m ner Cl- `O so'as to become sublect to the War k s'Comp/ensat/ion ws ADDRESS U rCi3/s-%�1/�'S �s CONST Z E / •��:5 �/ f / ta CITY" i !�✓S i,' �✓ ZIP ( _ Date Applicant W r STATISTICAL CLASS KATION P CONDO U NOTICE TO APPLICANT"If, after making this Certifito of ARCHITECT OR TEL LA � Wf� CLASS NO DWELL UNITS Exemption, you should become subject to the Workers' ENGINEER NO V1 Compensation provisions of the Labor Code, you,must forth- ADDRESS SEWER MAPa with comply` with such provisions or this permit shall beITE�y deemed revoked CONTRACT y�Ijv e) 7 NO �� - J BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION j LIC y I hereby affirm that I am licensed under proJisions of Chapter 9 ADDRESS eJ /_.V/� NO-83-,• J VALUATION (commenting with Section 7000)of Division 3 of the Business andLIC Professions Code, and m license is in full force and effect CITY � �• fl CLASS ^ / $ SQFT„. NO OF NO OF CHECK License � ' � 'C Lic Class SIZE s Numb 1 • STORIES FAMILIES / ONE 7 DESCRIPTION OF WORK - NEW ❑ \•`l�> Contractor - Date -� ADD ❑ I am exempt from the. ensing'requirements as I am a licensed architect or a registered professional engineer ALTER ❑ FINAL acting in my professional capacity (Section 7051, ❑ DATE Business and Professions Code) E OF REPAIR' \ ., EXISTING BLDG jJ -�/l'/ DEMOL ❑ FINAL !��,` — Lic or Reg No _Date APPLICANT „TEL -y r`I) OWNER-BUILDER DECLARATION PRINT �''�' NO \ . I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business,and ADDRESS Professions Code) PRESENT �. BUILDING 1, I, as owner of-the property, or my employees with ADDRESS wages as"their sole compensation,will do the work and -,-9 4,7 2.8 A the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL # o o e a o f ' I, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed-contractors to construct the project (Sec- ADDRESS 2 -,1 8.7,0 0 tion 7044, Business and Professions Code) 8 �, 0 O REQUIRED TOTAL SETBACK FROM EXIST o'o CONSTRUCTION LENDING AGENCY YARD HWY � SETBACK PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT O �{ '3—8 the-performance of the work for which this permit is issued- P L (Sec 3097, Civ C ) SIDE ' PL Lender's Name Lender's Address P C Fee$ Permit Fee Jw I 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 ti ordmanc rand State' laws relate to building construction, Total Fe,/6r—,/;7 and h eby authorize repres�at es of this County to enter < upon e above-mentioned pro erty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature'of Applicant orj gent Dote - ©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 0308280052 PHONE: (626) 285-0488 EXT: LEGAL . OF CONST L AD . TR: 13805 LT: 57 SQ. FT STORIES TYPE 9909 DAINES DR . STRUCTURE: VN TEMP CA 917802639 ASSESSOR INT—O—NUMBER: NEAREST CROSS STREET: BALDWIN 8588-016-032 -THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: USE: RESID U - SSED BY: -EXPIRES ONF EXIST OCC GRP: 08/28/03 JK 08/22/04 OWNER: TEL. NO:— BLDGS. NOW ON LOT: VALUATION: FINAL DATE F NAL B Y CODE: REINHARDT JEAN (626) 287-1044- 2,800 9909 DAINES DR -1 "q-o� TEMP 917802639 FEES PA DESCRIPTION OF WORK REROOF HOUSE ONLY; INSTALL CLASS A 3DIMENSIONAL ELK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FIBERGLASS SHINGLES OVER EXISTING SHEATING APPLICANT: L. HAUKOM ROOFING INC (626) 233-0771-CELL AA BLDG PERMIT ISSUANCE 27.75 6122 IVAR AVE AC STRONG MOTION RESID 2800.00 VAL 0.50 SPECIAL CONDITIONS: TEMPLE CITY 91780 D2 PERMIT W/O EN-HC 2800.00 VAL 99.00 TOTAL FEES 127.25 CONTRACTOR: TEL. APPROVALS DATE INSPECTOR SIGNATURE HAUKOM ROOFING (626) 285-9011- 6122 N. IVAR LIC. NO LOCATIO AND SETBACKS TEMPLE CITY, CA 438338 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: D TRFORMS- LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR IN U TA TION 3 01 FLOORSHEATHTNT— NO. OF FAMILIES: DWELLING UNITS: L SS: NO 21 ROOF SHEATHING SC HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIREDTOTAL SETBACKE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- ' INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/ SS RAT WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I