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
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LOCALITY 'd Vp,R_ �1 a�Lly �wJ T L� RE IVED 6Y ! DATE OF APPL. DATE 198UED
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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