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HomeMy Public PortalAbout9945 DAINES DR_Building__ DEPARTMENT_ OF s BUILDING AND, SAFETY APPLICATION FOR PERMIT . COUNTY OF LOS ANGELES WM. J. FOX. CHIEF GINEE 1 FOR APPLICANT TO.FILL IN FOR OFFICE USE ONLY tS /' DISTRICT NO. PLAN CK.NO. - PERMIT-NO. BUILDI ADDREBB � 'b" LOCALITY 'd Vp,R_ �1 a�Lly �wJ T L� RE IVED 6Y ! DATE OF APPL. DATE 198UED NEAREBT CRO BIT, T ',�r l VVI �'. ADD EI OWNER SB - t MAILf D \ LOCALITY (j ADDRESS "y 1 1 4'�Y, `1 a _ t NEAREST. kNo. CITY '.' r a+ HO..CLI a� 6� CROSS ST. FIPLANS RE r9 TYPE�`j'� �QGUP ARCHITECT OR^ TEL. ZONE PLANS /�•— ENGINEER h 4 �s1 NO. � q— t� ' •' �. f BLDG. ' !�_ _ � L 4c ORD.NO. ADDREsaB � � a w ���t ��`1 i�t�� y�j �'0Y' SETBACK LINE APPROVED CONTRACTOR """" Np,. BY DATE USE APPROVED ADDRESS s� ZONEt4 BY DATE LEGAL CORRECTIONS DESCRIPTION I LOT NO�W� BLOCK TRACT NO.OF SLOGS., SIZE OF LOT �� ''A' I NOW ON LOT .OJ0/ USE OF NO.OFNO.OF / A EXISTING BLDG FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR O FT. / / MOVING DEMOLISH d - Q. E / / ROOMS STORIES / �; {� D r WALLROOF COVERING 1a---0 COtyVERING 474? 4p �( , I HEREBY ACKNOWLEDGE THAT I HAVE READ ++HIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CO WELT/ FOUNDATION-: LOCATION -INSPECTOR DATE AND AGREE TO COMPLY H ALL COUNTY ORDI FORMS,MATERIALS U T NO BUILDING CO 6 ION. AND STATE LAWS oo FRAME: FIRE STOPS, SIGNATURE OFBRACING,BOLTS PERMITTEE 77 LATH, INT. AUTHORIZZE15"� T LATH, EXT. 76Ae3eA-3 7 s $ P.C,3 • 3S PLASTER, INT. O FEE /1/ '°°�'a' PLASTER,EXT. ps� / ���sss VALUATION //f f ��� FINAL F FEE J 'DEPARTMENT OF LA�GAND SAF PLICATION FOR PERMIT COUNTY OF LOS ANGELES 21195IBUILDING ' ,-IWM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY i� DISTRICT NO. ,;PLAN CK. NO. PERMIT•NO. BUILDADDRESNG &ItmS a p ' s - 3 z y y o .416-e'(=a . LOCALITY' RECEI.V.ED BY, DATE OF APPL. DA E ISSUED NEAREST ?�� a� 'L.- Z P �• CROSS ST. BUILDING - ADDRESS OWNHR 0 MAIL *4LOCALITY c— ' ADDRESS a NEAREST / TEL CROSS ST. _�j�v LV y.,/t/✓ ' CITY NO. NO OF TYPEROUP' ARCHITECT O TEL. ZONE PLANS Z I MO ' ENGINEER ("(, _ NO. BLDG. ORD. NO. SETBACK LINE L/ 5 y ADDRESS ��Q APPROVED TEL. BY DATE CONTRALTO t O. USE APPROVED ' - ZONE,4v BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I(L%O�TJ NO. BLOCK MAP NUMBER'?�:2,e5) FIELD CHECK BY TRACT - a V� NO. ASSIGNED BY "- DATE / �/ I NO. OF BLDGS. 'CORRECTIONS; SIZE OF LOT !DI1 NOW ON LOT - E F I NO OF US EXISTOIN BLDG. FAMILIES DESCRIPTION OF WORK NEW , I ALTERATION I' I ADDITION I / (22 $ ��.�✓.Til �fJJ 11?eiL7'�• O REPAIR I- I DEMOLITION I I I - SQ FT. �//��� NO. OF SIZE O�V ROOMS STORIES J Z D EXT. WALL ROOFr b COVERING I COVERING ¢a cD ��._/`,�eqG S t?✓�' USE OF STRUCTURE G �3 _ .Q G df cJ.✓ 7Z'� !C�DE-Lr APP,RGVALS�= INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION r PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS .�' - ��" �i A-0 CORRECT., -1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS;" HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BU LDIN ONSTRUCTION. FURNACE- LOCATION,' SIGNATURE OF GAS VENT, DUCTS 'J - PERMI E • LATH, INT. ADD�prrggSAleLATH, EXT. AUTHORIZED AGT. v .. PLASTER, INT. 76A6s8A• DDS3 1060 P. C. $ FEE 141 PLASTER, EXT. ' VALUATION FEE "y FINAL •- G,' ? 7 6 C1,kORKERS' COMPENSATION DECLARATION �j' �y •' 1, insure er�bora certif cane•of Workers' Compensation Insuran ent to lf A■., :F L1 CATt0!4, O BUILDING, PERMIT or a certified copy thereof (Sec 3800, Lab. C ) - , r COUNTY'-OF,LOS LE ANGES ":F ':." BUILDING- ' BUILDING AND SAFETY' ' oli y fYo26�sr3��ompany 5-`A7-0 !"V�WL� i � ,Certified copy`is hereby furni ed FOR APPLICANT'TQ FILL IN', ADDRESNS ❑' Certified copy is fileZo nn uildmg ipec- BUILDINGtion•depariment ADDRESS 7 / /7�� r] ( ��fL� (� /TZCITY Ll: (..�rT (�1 . ZIP %�78� CDate Appli ` LOCALIT " r • CERTIFICATE.& EXEMPTION-FROM WORKERS' SIZE,OFAOT(oO�C /3Z' NOW ON LOT Z,NO OF BLDGS NEAREST - L COMPENSATION INSURANCE CROSS ST ��iQ�E}L�JGU/�� (This section need not be completed if the'permif is for one TRACT �' O BLOCK Z LOT NO �� MAP BOOK JL1g; _, PAGE /0 PARCEL f hundred dollars ($100) or less ) 4 - TEL USE-ZONE• MAP ` OWNERTr-.V £Q i L k-,ti{ 19 P NOA/B-��J 7 I certify that in the performance of the work-'fo'r which this /J/� SPECIAL a permit is issued, I shall not employ any person m any manner ADDRESS ✓� •--/ CONDITIONS so as to become subject to the Workers' Compensation Laws O IU CITY . I eA*1,0L /�G(j 1Ty 0,4 ZIP 9/7®p 6, Date Applicant ARCHITECT OR TEL DISTRICT GROUP TYPE �- FIRE PR SSED BY O-, NOTICE TO APPLICANT. If, after making.,this Certificate of ENGINEER ti/'T9ACT0� NO CONS i Z Exemption_you should _become subject to the Workers' �� :�:,,� _``// U Compensation provisions of the Labor Code,+you must-forth- ADDRESS -- _ 1hti Y a with comply with such provisions or ;this-permit shall be t l 1L TEL Y STATISTICAL CLASSIFICATION APT' '' CO DO Z deeme l'revoked CONTRACTO 11urJFe'Tq$ lYJr — LICENSED•CONTRACTORS,DECLARATION ,� LIC CLASS NOpWELL UNITS — I hereby affirm that I am Icensed under provisions of Chapter ADDRESS•6°// Z EJ OJL 0Ify &I ab NO 6 _.� (commencing with Section 7000)of,Division 3 of the Business �� LIC SEWER MAP and Professions Code,'and my license is in full force and effect CITY, - l �Avrpl�Ci/T�� CLASS BK C PG VALIDATION SQ FT / NO OF NO OF CHECK " License Nummber 3 24.GO- Lc Class-r. SIZE�D'!�4q STORIECS`' FAMILIES ONE VALUATION Contractors +�/N� �s 'r3 ate 9 9�9�- DESCRIPTION OF WORK ' W'r��At t iS`t"i�1� NEW ❑ �QQ- ❑ U Ird!Jw: 4' A A f+ �1�'T l-1 ADD'. . S ► I am exempt under Sec B&P C for this reason REPAIR ❑- ; + Date' USE OF EXISTING BLDG Awlt-v f-'we"^ DEMOL ❑ Signature APPLICANT TEL ; 9 (PRINT) til. fJ�1�NO :'FINAL OWNER-BUILDER DECLARATION ?' PRINT i�I� ,.DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS � / I EM'�PL��i7�J pL M,a. /•C'• �r� 3' r Law for the following reason (Section 7031 5, Business and FINAL• - 2` - Professions Code) PRESENT . , G:r BY +F- y, .. --�- - AAJC!�l'`•T` BUILDING J a tr ACC-TA, iT a „ ❑ I, as owner of The property,'or my employees with ADDRESS °•- ` 1•t ' wages as their sole compensation,will do the work and LOCALITY �- v. Y' _, ��,. `� t: l ? the structure,is not intended or offeredforsale(Section -1 MOVING TEL 7044, Business and Professions.Code --` ' CONTRACTOR NO ❑ I,_as owner of the property, am exclusively contracting , :r • " with licensed contractors to construct-the project (Sec- ADDRESS �'S`j°*' V "' tion 7044, Business and Professions Code' S z REQUIRED TOTAL SETBACK FROM " ' EXIST _ , 24 CONSTRUCTION LENDING-AGENCY SET BACK YARD HWY PROP LINE i WIDTH I hereby affirm that there is a construction lending agency for +FRONT t ? I the performance of the work for which tfiis'permtt is'issued ;P L T�{`y�'•/� - (Sec 3097, Civ C )' " SIDE f - ~F> _ Y'" 1111rR 403tm�y�}oo PLllyyll 'tVJ°77 Lender's Name " _ �4h e$' LDMA Ref^# \ Lender's Add ss P C FeO• Permit Fee -+ 4f7T4I9t7L r ` y rpllll� , : - o 4abo"e have rea s-applcation and,state that the Issuance Fee LDMA P%C# tion i orrect I a see o com I with allCount Invesh orlon Fee �ry�y�L�ryry�d ST to laws relatin o build n construction, g tAJVV-WV1 .9J 9�9�g g Total Fee LDMA-Perm #ut nze representotty s`of this County to enter � Q�]rye- endo ed r ty for mspectibn purposes - - 5394`; 'i v +..SEE REVERSi, OR EXPLANATORY LANGUAGE a of Applicant or Agent " Date COUN1-f 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 0611020031 PHONE (626) 285-0488 EXT LEGAL ID NO. OF CONST BUILDING ADDRESS: TR 13805 LT: 51 SQ. FT STORIES TYPE 9945 DAINES DR STRUCTURE: VN TEMP CA 917802639 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8588-016-026 THOMAS PAGE 597 GRID• A3 LOCALITY TEMPLE CITY, C TENANT: EXIST BLDG USE RESID USE ZONE: R-1 ISSUED ON PROCESSED BY: EXPIRES ON EXIST OCC GRP: 11/02/06 JK 10/28/07 _ OWNER: TEL NO BLDGS NOW ON LOT VALUATION: FINAL DA BY: CODE BELKNAP JAMES G,ELIZABETH L (626) 287-3671- 3,000 9945 DAINES DR TEMP 917802639 FEES PAID DESCR PTION OF WORK NEW LOCATION OF EXIS ING GARAGE ICH IS BEING MOVED VIA FEE DESCRIPTION: QUANTITY: UOM AMOUNT ROLLERS TO NEW LOCATION PROVIDE 1HR FIRE WALL APPLICANT. TEL NO JORDAN (626) 285-7609-, AA BLDG PERMIT ISSUANCE 27.75 9944 DAINES DR AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 D2 PERMIT W/O EN-HC 3000.00 VAL 99 00 TOTAL FEES 127 25 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE JORDAN, PAUL (626) 285-7609- 9945 DAINES DRIVE LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 NONE SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: - TEL NO: - FOUNDATION TRENCH FORMS --'` LIC. NO fl - SLAB/UNDER FLOOR L( RAISED FLOOR FRAMING 0 MAP NO: SEWER MAP BOOK- PAGE FIRE ZONE: CMP* UNDERFLOOR INSULATION XX 3 01 - 1 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS- APT/GOND STAT CLASS X(� NO 21 r ROOF SHEATHING SCHOOL WITHIN HAZARDOUS - SHEAR PANELS �! AIR QUALITY: 1000 FEET MATERIALS ------}- � NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE z"RINKLER HANGERS SET BACK YARD- HWY PROP LINE• WIDTH: FRONT PL- INSULATION WEATHER STRIP SIDE PL- INTERIOR LATH RYWAL EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE R T ID DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY '� # 0508 BUILDING PERMIT 'DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0609070035 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST- NEW BUILDING ADDRESS TR 13805 LT 51 SQ. FT STORIES TYPE OCCUP GROUP 9945 DAINES DR STRUCTURE 628 1 VN R3 TEMP CA 917802639 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET: BALDWIN 8588-016-026 OTHER: - THOMAS PAGE 597 GRID. A3 LOCALITY TEMPLE CITY, C TENANT- EXIST BLDG USE: USE ZONE- ISSUED ON: PROCESSED BY EXPIRES ON EXIST OCC GRP 11/02/06 JK 10/28/07 OWNER TEL NO BLDGS. NOW ON LOT VALUATION FINAL ATE BY. CODE BELKNAP JAMES G,ELIZABETH L (626) 287-3671- 62,000 9945 DAINES DR b-41M ,. PIRM TEMP 917802639 FEES PAID D SCRI TION OF WORK EXTEND BEDROOM, DEN, DINING ROOM, ADD LAUNDRY ROOM, KITCHEN FEE DESCRIPTION: QUANTITY: UOM AMOUNT- REMODEL 628 S.F. AND REROOF ENTIRE HOUSE APPLICANT TEL NO. JORDAN (626) 285-7609- B1 PLANCHECK W/ENERGY 62000.00 VAL 859.87 9944 DAINES DR AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 AC STRONG MOTION RESID 62000 00 VAL 6 20 B2 PERMIT W/ENERGY 62000 00 VAL 1,011 62 TOTAL FEES 1,905 44 CONTRACTOR: TEL NO APPROVALS DATE INSPECTOR SIGNATURE JORDAN, PAUL (626) 285-7609- 9945 DAINES DRIVE LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 NONE SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO- - FOUNDATION/TRENCH FORMS 11 Uj'- LIC NO SLAB/UNDER FLOOR ' RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK: PAGE: FIRE ZONE CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES- DWELLING UNITS: APT/COND STAT CLASS. NO 21 - 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY 1000 FEET MATERIALS NO NO NO FIRE DEPT FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST - BLDG .DEPT. FRAME INSPECT SET BACK YARD. HWY: PROP LINE WIDTH FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL - EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID DPR261 ROUTE TO. BS0508