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HomeMy Public PortalAbout9915 DAINES DR_Building__ 76A638A SCE #803 071 - _ y r �1•C3L�� p APPLICATION FOR BUILDING PERMIT COUNTY OF 'LOS ANGELES' ASSESSOR , DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL ?' BUILDING .AND SAFETY' DIVISION AD DRESS LD I Ns COLEMAN'W: JENKINS,,S5UP T OF BUILDING LOCALITY FOR-APPLICANT.TO FILL'IN NEAREST• y Print or type only)-' CROSS ST _ -BUILDING DISTRICT NO. GROUP• T.YPE�- SED BY ' ADDRESS' 9915•-Daines'Dr,., _ �� d• ;, 3 ' CONST,1 _ _ STATISTICAL CLASSIFICATION" y WER MAP LOT NO 'BLOCK ' _ ` CLASS NO.�="DWELL UNITS -E BK PG •'TRACT 0•_e✓ -- USE ZONE MAP NO.OF SLOGS_. NO SIZE OF LOT• - NOW ON,LOT" -`° / SPECIAL USE OF _ ° CONDITIONS EXISTING BLDG, owNER ..James,Turk_ 'NO.' "286-437 BLDG.SETBACK FROM ADDRESS 9915 Daines'Dr.'t: •FRONT PROP.LINE OF ISTREE • . rT� TYPE OF EXISTING SETBACK HIGHWAY +• YARD' = TOTAL CITY 1 eIYl le Cit - HIGHWAY WIDTH FROM C L _ • "�' �5 T ARCHITECT OR �• - _ � TEL'. '. -; } ENGINEER, NO. ' "BLDG.SETBACKFROM ' r ADDRESS, _ x i SIDE PROP.LINE OF STREET) �• TEL TYPE OF EXISTING SETBACK- H'IGHWAY-• + YARD = TOTAL, �-- CONTRACTOR United RoofingCoNo• i'23-408 HIGHWAY WIDTH FROM C.L. V ADDRESS lqZ _" Da.ly,, St:- X�I:.'rLio-137650 ' _ - A'+ _ o CITY Los,An CLASS - CORNER CUTOFF YES ❑ NO ❑ ,� NAME AND BCONSTRUCTIRANCHON NDER SEE REVERSE,SIDE FOR SPECIAL APPROVALS z ADDRESS ' SO FT'' NO„OF 1 'NO. OF NEW ''❑ - r SIZE ' ' STORIES FAMILIES . ❑ - USE OF _ - ADD -- - STRUCTURE ' r - A LTER ❑ ' ' - r REPAIR® - SIGNATUREtOF ': APPLICANT - .DEMOL~❑ 3715-7 U VALUATION $. .. ' ' 'APPROV,A LS•, . 1DATE INSPECTOR'S SIGNATURE,' P C f - w PMT, .�'•7 r7i-_= FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, 'I HEREBY�ACKNOWL'EDGE THAT, I'HAVE READ THIS APPLICATION BRACING'BOLTS AND STATE THAT THE.ABOVE"IS CORRECT"ANO AGREE TO COMPLY FURNACE' LOCATION, , WITH ALL'ORDINANCES AND 'LAWS eREGULATING'.r BU1LDING CON- GAS VENT, DUCTS ' STRUCTION 'I CERTIFY THAT IN DOING THE WORN AUTHORIZED , HEREBY'I WI'LL,NOT ,EMPLOY ANY PERSON IN.VIOLATION.OF THE < LATH, INT. ` LABOR 'CODE OF TH 'STATE OF' CALIFO NIA IN RELATING TO WORKMEN'S COMP A ION IN E LATH, EXT: ' %SIGNATURE,'O y FS../ -HOUSE NUMBER COR- - PERMITTEE - RECT'AND POSTED - ' ,4DDRESS/ - - jF'INAL ,I 717 JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLANCHECK VALIDATION,, CK 11'O CASH PERMIT VA-LIDATIQN:ti CK WO CASH"' `7 I CA O' CDy _ CH , 76A63BA CE#803 9-67 I I APPLICATION FOR ,,BUILDITTG PERMIT lu1 COUNTY„OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 7 BUILDING AND SAFETY DIVISION LOCALITY C- J,OHN,-A. LAMBIE, COUNTY ENGINEER COLEMAN.W. JENKINS• , SUP T OF BUILDING NEAREST CROSS ST f•� DISTRICT NO GROUP TYPE PROCESSED BY FOR APPLICANT. TO FILL IN r CONSTYortpe only) Print S © A BUILDING C _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS - J f'�^' ; CLASS NO_k_�OWELL,UNITS- BK� PG LOT NO. BLOCK USE ZONEMAP - 2 p c� �.- �NO d U TRACT /39p 0' SPECICONDAL ONS - NO OF BLDGS -� _ SIZE OF LOT_ NOW.ON LOT USE OF EXISTING BLDG. ft G. �' BLDG SETBACK FROM �f` /� OWNER /�C• NOL 2 V-�� FRONT PROP.LINE OF "`�{ 6S .40 -(STREET) TYPE OF EXISTING SETBACK HIGHWAY, + YARD - TOTAL ADDRESS HIGHWAY WID�T/H FROM C L BLDG SETBACK-FROM - ARCHITECT OR - TEL - SIDEPROP LINEOF (STREET) ENGINEER - NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS, - HIGHWAY WIDTH' FROM G.L. ' EL 7r,p` + - a CONTRACTOR v( 'YjO Z-Z3�L7! Q ADDRESS Z�p �tCIN�I �Q �. NO C'f g3(08 CORNER CUTOFF YES ❑ NO V CITY L 6f' Azc_,gL,o-_s CLASS - SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a- -- a NEW ADD ALTER REPAIR NEW -CADDEMOLISH - SQ FT. NO OFNO. OF -1 SIZE STORIES FAMILIES ! - USE OF STRUCTURE SIGNATURE OFA APPLICANT VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P.0 PMT.' .FOUNDATION; LOCATION FEE $ FEE $ - FORMS, MATERIALS FRAME. FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION, ' WITH ALL COUNTY OROiNANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. - TION OF THE�LABOR.CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT ING TO WORKMEN S COMPENSATION INSURANCE LATH, EXT SIGNATURE OF 'HOUSE NUMBER COR- - PERMITTEERECT AND POSTED ADDRESS 247 �`��✓��/� 1 > ��• flo es— FINAL - - /V�jC 5� Q(jZTj JOHN? LEWIS PRINCIPAL TR RAL ENGINEER PLAN CHECK VALIDATION CK M D CASH _ . PERMIT VALIDATIOSCK7 M O CASH ;_ Leo9 o JUN 28 '! D q 76A63bA GE#803 9-67 1 APPLICATION F R ,BUIL ING PERMIT COUNTY•OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY �p �• JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUP T OF BUILDING NEAREST CROSS ST i J FOR APPLICANT TO FILL'IN DISTRICT Np,, - GR`, TYPE P E D BY `�1 j �e CONS • .(Print or type only), v 11411 - BUILDING STATISTICAL C SSI FICA TI ON SEWERMAP// _ADDRESS D7Z CLASS NO. DWELL-UNITS LOT.•NO. s`p L BLOCK �ONE P NO TRACT 3�p� �✓ SPECIAL J NO OF BLDGS CONDITIONS SIZE OF LOT NOW ON LOT Z USE OF EXISTING BLDG. NltSlll �h SLS' BLDG SETBACK FROM (STREET) l TEL FRONT PROP LINE OF �Y�-�=-•�/ OWNER A• Tlu V-0 _ TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRE•-SSS S ,p/ IM& Q/L HIGHWAY WIDTH FROM C L CITY /C^�iIIpL�- ABLDG SETBACK FROM RCHITECT'OR TEL. (STREET) SIDE PROP.LINE OF ENGINEER- NO. TYPE OF 1EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAYI WIDTH FROM C.L N CTEL �i t = CONTRACTORi ��J/L NO �Z-7�/� p A D ES 01V IV1';?0 04 /V NO ',�4p$ CORNER CUTOFF YES E] NO U CITY /I//. CLASS / 'SEE REVERSE SIDE_•FOR SPECIAL APPROVALS - o DESCRIPTION OF WORK ' a r� NEW ADD'i-�ALTER REPAIR DEMOLISH "f.a•i SQ FT NO'OF NO. OF - SIZE STORIES FAMILIES USEOF STRUCTURE / L A.4 SIGNATURE OF _ APPLICANT - VALUATION $�, APPROVAL INSPECTOR'S IGNA TU RE P.0 PMT FOUNDATION: LOCATION Yfo FEE $ FEE $ FORMS, MATERIALS y FRAME:'FISTOPS,_ �,,`r 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRENG BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL COUNTY ORD' NANCES AND STATE LAWS REGULATING GAS VENT, DUCTS •• ° ' BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,.INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN S COMPENSATION INSURANCE LATH, EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTEDIvv Cc _ ADDRESS �' FINAL JOHNIF LEWIS PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION 'CK M o cnsH -I' . ' _ PERMIT •VALIDATIO CK , M O CASH 2 7.7 L&O 4'v'a7 6::D-. J M y Z� r 7T4 APPLICATION FOR' 'BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILD G ADDRESS BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, 9915 Daines DY. or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP copy thereof(Sec 3800 ,Lab C) Temple Cit 91780 LocALITY Policy NO 1330196 CompanyState Fund Ins. SIZE OF LOT NO OF BLDGS NOW ON LOT ® Certified copy Is hereby furnished NEAREST CROSS ST ,❑ Certified copy is filed'with the coup bud g Inspection TRACT, BLOCK LOT NO department USE ZONE MAP NO Date 9/9193 A licant ASSESSOR MAP BOOK PAGE PARCEL PP SPECIAL CONDITIONS CERTIFICATE OF EX MPTION F OM WORKERS' Mr.. & Mrs. Turk 818 OWNER TEL N 286-4379 YES NO COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? ADDRESS •- (This section need not be completed If the permit is for one hundred 9915 Da ine s Dr. DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100)or less.) CITY 7-71, I certify that In the performance of the work for which this permit Temple City 91780 Is issued, I shall not employ any person in any manner.so as to ARCHITECT OR ENGINEER. TEL NO become subject to the Workers'Compensation LawsNone. STATISTICAL CLASSIFICATION APT CONDO 'Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of CONTRACTOR TEL NO REQUIRED TOTAL SETBACK FROM EXIST' Exemption, you should become subject to the Workers' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith United Roofing Co. Inc. 213 223-4081 FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS - _ LIC NO PL 1-821 Daly St 137650 SIDE a LICENSED CONTRACTORS DECLARATION CITY LIC CLASS P L o I hereby affirm that I am licensed under pLos Angeles,of Chapter 9 ' CA C-39 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORES I NO OF FAMILIES O Professions Code,and my license Is In full force and effect 26 1 1 NEW El BK PG 1 65poll- C-39 DESCRIPTION OF WORK ADD ❑ v LlcenseNum r LI Clews Remove' existingroof. Install VALUATION ti Contractor Date 9/9/93 ALTER ❑ $4,489.00 z i 3-tab composition shingles. REPAIR El am exempt under Sec $ B&PC for this reason required. DEMOL ❑ LDMA P/C# Date USE OF EXISTING BLDG URM ❑ House Signature APPLICANT(PRINT) TEL NO LDMA Perm N ❑ I, as owner of the property, or my employees with wages as United Roofing Co. Inc. 213 223-4081 _ ° O their sole compensation,well do the work and the structure Is ADDRESS - - not Intended or offered for sale (Section 7044, Business and 1821 Dall St. LA CA 90031 FINAL DATE C �L€I_ Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLEAHAZARDOUS MATERIAL IO _J El I, as owner of the property, am exclusivel contractin with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL'TO OR GREATER THAN - Y g THE AMOUNTS SP CIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY x, licensed contractors to construct the project (Section 7044, rC ITAL, 149 - 85 VES❑ NOS - _- Buslness and Professions Code) WILL THE INTEND D USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING f, �_ -OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH [�j��j CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST (% �{ I j 3 FOR GUIDELINE _CHANGE °I rI 1 I hereby affirm that there is a construction lending agency for YES El No the performance of the work for which this permit Is Issued(Sec. I HAVE READ TH HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO 3097,Civ C.) PERMITTING CHECKLIST I UN ERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES _ - `J Lr ( •j-y r! {t1�-' CO E2 Lenders Name OCTIONS220100 THROUGH220140 CONCERNING S MAT ALS RTI D FOR OBTAIN PERMIT FROM THE SCAQMD ±_ Lenders Address AMWoR ua� � I HI's.i'c'''-CL 9 0 1 certify that I have read this application and state that the above Information Is correct I. agree to comply with all county PC FEE PERMIT FEE- 2 ordinances and State laws relating to building construction,and / ✓ • hereby authorize rep esentatives of this County to enter upon ISSUANCE FEE the above-m ntion ro for Inspection purposes a 9/9/93 INVESTIGATION FEE TOTAL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE ;