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Home My Public Portal About9927 DAINES DR_Building__ -^nEPARTMENT OF BUILDING AND SAFETY�� ) APPLICATION FOR PERMIT COUNTY OF LOS ANGELES / B U 1 L ® I N G ` d WM. J. FOX, CHIEF ENGINEER ' ` FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO., BUILDING / /%�/•} ,ADDRESS r� LOCALITY ,( RECEIVED BY DATE OF APP-L' DATE IS UED NEAREST /2� At� ING CROSS ST. ✓� /\) C ADDRESS �� d //i t�C S , OWNER � n _ _ MAIL - //_/ _ LOCALITY , _ ADDRESS NEAREST TEL CROSS T. .,J z--i-w J / Al CITY NO. FIRE PLANS O TYPE GROUP ARCHITECT OR / NZONE PLANE - ENGINEER x BLDG. L ORD.NO. ADDRESS SETBACK LINE APPROVED L' S BY,, DATE CONTRACTOR NO. USE APPROVED ADDRESS V V ZONE / BY DATE LEGAL - c } CORRECTIONS DESCRIPTION LOT NO. v / I BLOCK �' ' j ./ TRACT 1J Ir - S- 'x Ste-r a' I NO.OF SLOGS. SIZE OF LOT 4,./ � I NOW ON LOT USE OF, NO.OFNO.OF _ EXISTING BLDG. i FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH � Sq.FT. NO.OF Z SIZE I ROOMS STORIES D WALLI ROOF r COVERING COVERING USE OF NEW BUILDING 2- a� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND BTATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE I, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS cL� °�L-f;FP AND STATE LAWS REO TIN BUILDING CONSTRUCTION FRAME: FIRE STOPS, SIGNATURE OF - BRACING,BOLTS PERMITTEE C Un LATH, INT.: AUTHORIZED AOT LATH,EXT.: OBS-3 SOM SETS 7-47 $ P o. �� PLASTER, INT. _m a � -FEE PLASTER,EXT. - �,([� !B VALUATION C� FEE FINAL r � _ 1 r , �NORKERS'COMPENSATION'DECLARATION,, r y _ e L aff irrn that I have,aertite cficaof consent to self ensure,, a„a certificate of Workers' Compensation Insurance, APPLICATION :FOR B�U I L D I N GPERMIT ora c6tified copy thereof (Sec 3800;'Lati COUNTY OF'LOS ANGELES BUILDING AND SAFETY- �� n Policy No Company _ f _ _ �' Certified,co is hereby,furnished BUILDING_Y '211 jj ee 11��77 S PY Y' FOR APPLICANT TO FILL IN ADDRESS 2 l Iv•r'' ' i Certified 'copy is filed with the county`buildirig)nspec- BUILDING 1^, � rr• a tion department - ADDRESS /� f/ 1/- I �P ( 7-If Date• Applicant "•' ,r. CITY �C `� ZIP ( ' ,-l � ' l+ LOCALITY CERTIFICATE OF EXEMPTION F ORKERS' ' -' IS'�NO OF BLDGS = -- NEAREST. ' t 'COMPEI S TI URANCE: 1' SIZE OF LOT S NOW ON LOT CROSS ST ru_ (Th.`s section,need:not,b ompleted•if the. rinit,is-for'one ' a_ - " - _- - • ' ASSESSOR;,. hund1.red dollars($1 or less ) +. TRACT B LOT NO. MAP BOOK PAGE i PARCEL (_ n TE1S 1,i OWNER ("'�'eS QC%�C ^NO T USE ONE MAP r - cerhfy 'that in the p rf'o ma' -'_,,a t " or fc Fiich'this w NO } permit is issued,'I sFiall not em �� on d manner - (rQS _ SPECIAL - - • u- ; so'as't0 became`sublect to'th'e ys - ADDRESS A` n + CONDITIONS V ' �w � �.. .,, CITY. _� .. {��^ C. .ZIP- -- ", -;y• Date z„APplica t K "~ NOTICE'TO APPLICANT 'If;"af er m' king this'Certrficate of ARCHITECT OR TEL - t t _ O DISTRICT GROUP, TYPE FIRE PROCESSED BY r Exemption?'-you' should bec e'sublecta to the' Workers' ENGINEER NO S CONST ' s' ZONE J W Compensation provisions of the Labor COde,.you must forth- ADDRESS - with comply.with' such provisions on.this,permit shall be deemed revoked +,' c �';. r,: TEL STATISTICAL CLASSIFICATION APT CO DO' Z, CONTRACTOR NO E.__• LICENSED CONTRACTORS DECLARATION, ,• - -�_� LIC CLASS NO DWELL UNITS— LICENSED I herebyaffirm that I am licensed,under provisions of Chapter 9 ADDRESS •` NO ; (commencing with Section 7000)of Division 3 of the Business and .-LIC -•--__• SEWER MAP Professions.Cod'e, and my license is in,full force and'effect CITY �— CLASS '- -' VALIDATION S + SQ FT LiNO OF y� NO OF _ _CHECK BK '~ .�. . an: License Number" Lic'Class t' ' SIZE STORIES FAMILIES ONE L r ( +- •� , t VALUATION _. r DE ION OF ORK -' -- NEW,- aa Contractot r Date j' QV' - ADD I am exempt under Sec ALTER El B&P C for this reason REPAIR•- _ __ USE OF T _ 'Date EXISTING BLDG DEMOL Si nature APPLICANT TE g - PRINT pS OFfrN NL - t FINAL �. �. OWNER-BUILDER DECLARATION _ _ 1 -DATE =! t .-•I-hereby affirm•that-I am exempt.from the Contractor.s,License C� S,' ; ,c 3 3�;9 A. Law for the following reason (Section 7031 5, Business and ADDRESS ` S FINAL`'' '` °r Professions Code) _.,_ PRESENT - - -BY - ' - BUILDING I as owner of the property, or my employees with ADDRESS_ �� wages as(heir sole comperisation,will do the work and -' y" - _ - o c-2 a cj Q the structure is not intended or offered for•sale(Section LOCALITY 1 v r, - 7044, Business and Professions Code) - - MOVING TEL - - - - - o-'o--o 2"8,-5 Q= ElI, as owner of the property, am exclusively contracting CON7RACTOR� NO I •; !' '-with licensed-contractors to-construct the project-(Sec- _ ADDRESS - L ^^ '-1-1-0 1 -8-5• tion 7044, Business and Professions Code) REQUIRED .TOTAL SETBACKFROM ! _ _ • CONSTRUCTION'LENDING AGENCY SET BACK YARD 'HWY PROP LINE WIDTH I hereby affirm that there is a constructien i agencyYfor FRONT the performance of•the work for which this per it-is-issued - P•L - (Sec 3097, Civ C�, /�/ Q �( + SIDE Lender's Name P L - LDMA'Ref # r } _.` a P C Fee$_—. _. . Permit Fee-• - �" Lender's Address f•'+ .. 1 } L.certify_that-1-have read this_application and state that.the' .. _.. . Issuance Fee t(5 LDMA P/6# - -- = �- •- - --• above information is correct I agree to comply with all Count)" Investigation Fee $ Q,edi-n_`arices and State laws-re titling-to building construction, Total-Fee" LDMA-Perm-# u and hereby authorize represe totives of this County to'enter ,u b, the above men ned pr erty for.inspech urp ,.. - V- - - SEE REVERSE FOR EXPLANATORY LANGUAGE ••-Signature of scant or Agent-- • ''Date COUNTY OF LOS ANGELES TEMPLE CITY # 0501= BUILDING PERMIT DEPARTMENT 6F PUBLIC WORKS 9701 LAS TUNAS ALTERATION/R PAIR ` BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 /IBL 0508 0009190002 PHONE: (626) 285-0488 EXT: LE 0. OF CONST BUILDINGADDRESS: TR: 13805 LT: 54 SQ. FT STORIES TYPE 9927 DAINES DR STRUCTURE: 0 VN TEMP CA 917802639 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8588-016-029 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: E IS LDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED Y: EXPIRES ON: EXIST OCC GRP: 09/19/00 UT 03/19/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F I NptA BY: CODE: ROACHE THERESA (626) 285-4917- 1 4,430 9927 DAINES DR. TEMP i 91780 FEES PAID DESCRIPTION OF WORK TEAR OFF EXISTING ROOF-R ROOF WITHr30 YR. TIMBERLINE COMP. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLE APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4430.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN=HC-----------4430.00 VAL 132.60 �0' ELESO��®��S 160.85 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE 5 A� SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS LIC. N0: / 1111111 SLAB/UNDER FLOOR L RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: UNDERFLOOR INSULATION CMP:�� 147H269 3 01 L E. FLOOR SHEATHING 0. OF FAMILIES: DWELLING N OND: STAT CLASS: NO 21 ROOF SHEATHING El SCHOOL WITHIN HAZARDOUS 0 SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ❑ NO NO NO El ®� FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST _q1O SET FRONT PL- Service Tha FIRE SPRINKLERHANGERS BACK YARD: HWY: PROP LINE: WIDTH: ��L+ � INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DR L EXTERIOR LATH (� RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS / T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LANp DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0010200077 PHONE: (626) 285-0488 EXT: LEGAL NO. OF CONST BUILDING-ADDRESS: TR: 13805 LT: 54 SQ. FT STORIES TYPE 9927 DAINES DR STRUCTURE: VN TEMP CA 917802639 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8588-016-029 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDGS : RISSUED ON: PROCESS Y: 5XPIRES EXIST OCC GRP: 10/27/00 UT 04/26/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F BY: CODE: ROACHE THERESA (626) 285-4917- 2,200 1107 BALDWIN AV ARCD 910077509 FEES PAID DESCRIPT15N OF WORK REPLACE SLIDER DOOR IN EN, INSTALL NEW WINDOW 31X6' IN BED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ROOM AND PATCH EXISTING WINDOW AND AIR CONDITIONER APPLICANT: TE : SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID2200.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O,-EN�HC 2200.00 VAL 99.00 TOTAL--FEES 127.25 CONTRACTOR: TEL. NO: J �,r/A� APPROVALS DATE INSPECTOR SIGNATURE SAMELIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: p FOUNDATION/TRENCH FORMS LIC. NOTA 1111111 SLAB/UNDER FLOOR R I 'gff FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: �P�-�(� Fl D L � /1 (]O��nlJ � UNDERFLOOR INSULATION 147H269 3 01= U \1vl/\1VI/ ILJ�,L�I ILJ�v FLOOR SHEATHING NO. OF FAMILIES: C ND: STAT CLASS:— NO 21K�'� �j ROOF SHEATHING SCHOOL WITHIN0 0 S \� .t PANELS AIR QUALITY: 1000 FEET MATERIALS ❑ 40.1 NO NO NO ® ®y FRAME INSPECTION REQUIRED TOTAL SETBACK FROMEXIST �I ^, <� SPRINKLER RS SET BACK YARD : HWY: PROP LINE: WIDTH: ZC PL- `��'d VI�C@��5 O INSULATION/ EA HER STRIP FROSIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLO AS EM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508