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HomeMy Public PortalAbout9968 DAINES DR_Building__ 7eaaeaeADe^,JF9 APPLICATION. FOR -BUIL®IISIG PERMIT DIVISION.OF BUILDING AND SAFETY -BUILDING �/� 6 gO ' ADDRESS Deportment,of County Engineer . County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT`D. GRIFFIN, SUPT OF BUILDING CROSS•ST •DISTRI�. GRQUP TYPE SEWBER MAP FOR APPLICANT TO FILL P IN . J CONST BUILDING _ MAP TE , ADDRESS NUMBER HWY YES NO'. LOT NO. - _ BLOCK USEZONE SPECIAL ' CONDITIONS ,TRACT SO NO OF BI DGS. SIZE OF LOT �Q X NOW ON LOT BUILDING YARD HWY 'STREET'NAME EXIST. USE OF 'SETBACK WIDTH EXISTING BLDG. ' FRONT P`L. AleT OWNER SIDE' {O MAIL i ADDRESS - O TRACT DWELL. 1 UNIT 5 IN TEL i DWELL. 1 UNIT CITY NO. 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 -DUPLEX" 2 UNITS .7 ADDN.,ALT., ETC. ENGINEER NO. 3 `APT. ' UNITS 8 MISCEL. ADDRESS 4 IA COMMERCIAL CONTRACTOR- ' TNo' INSPECTION RECORD ADDRESS dy _ C r DESCRIPTION OF WORK NEW 'ADD ALTER REPAIR DEMOLISH - ' 'SO. F_T. 'NO OF NO OF SIZE 40RIES FAMILIES' _ 4 OF ST UCTU E SIGNATURE OF APPLICANT - APPROVALS ADDRESS' ATE .INSPECTOR.S.VgNATURE FOUNDATION; LOCATION � V V P. C. $ FORMS. MATERIALS /JJ FEE FRAME. FIRE STOPS. b VALUATION $, CJ _ 'BRACING.,BOLTS ' FEE FURNACE: LOCATION, - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. - d;,, � -T ' AND.STATE LAWS REGULATING 'BUILDING CONSTRUC- • , - TION. - - LATH. EXT. - SIGNATURE.OP HOUSE NUMBER COR= PERMITTEE RECT AND POSTED ADDRESS - - y .FINAL JOHN A.'LAMBIE, COUNTY ENGINEER VALIDA CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR CK, MO 76A636A CE�803 2-63.AP.PLI-CATION F'OR B.U:I LD I NG PERMIT.-'-) .� COUNTY OF LOS ANGE'LES' BUILDING DEPARTMENT. OF COUNTY ENGINEER ADDRESS 'BUILDING AND SAFETY DIVISION 'LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST. WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTR TNO. -T GROUP STYPE'' ESSED BY FOR APPLICANT.TO FILL. IN coNsr. BUILDING STATISTICAL CLASSIFICATION. S WERMAP ADDRESS' K- - PG _ CLASS NO DWELL. ITS _� ] .LOT NO. c e BLOCK .WATE-R , - CERTIFICATE:,, NOT REQUIRED RECEIVED TRACT ,,� MAP (( HIGHWAY '-STATE-MAJORSECOND, OCAL NO. OF BLDGS..' NO. , .F' (uRCLe>= SIZE'OF LOT. NOW ON LOT - USE.ZONE. SPECIAL - .- USE OFCONDITIONS EXISTING BLDG. - �a TEL. OWNE /y/ 'NO. BUIL ING " EXIST. - YARD HWY. STREET NAME SETBACK WIDTH ADDRESS .!,C (� FRONT V ARCHITECT OR TEL. -P. L. ENGINEER NO. - SIDE _ ) P. L. 1' 3 �• :�r ADDRESS - CONT.R (fi'' NEL O - U ADDRESS J}`'/ , O DESCRIPTION 1OFWORK u W (L NEW ADD `• ALTER- REPAIR DEMOLISH N SQ.,FT. - _ NO. OF _-, NO. OF ? SIZE - STORIES FAMILIES ' , USE OF. 'STRU !l�l.T"� �• • - - .. , SIGNATURE OF ' APPLICANT VALUATION $ - APPROVALS DATE INSPECTORS SIGNATURE P.C. .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 ORDINANCES AND STATE LAWS,-REGULATING GAS VENT, DUCTS II ' BUILDING'CONSTRUCTION. I CERT I.FY THAT IN DOING THE WORK - AUTHORIZED HEREBY I WIL NOT EMPLOY ANI PERSON IN VIOLA- LATH, INT. - TION OF,THE LABOR'CODC F THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMP 5 _,,4%ANCE., LATH, EXT. SIGNATURE OF I ,�� HOUSE,NU.MBER COR PE RM ITTEE�•- RECT.AN.D POSTED }- 7 A Ai ADDRESS 3 ' FINAL JOHN F. LEWIS, PRINCIPAL STRU TURAL.ENGIIJEER. PLAN CHECK VALIDATION cK. .. M.D. CASH. f PERMIT VALIDATION CK, M.O. CASH [� n o .3 DEC 2 1 D 6.0-0 s ,. ORKERS"COMI ENSATION'DECLARATION 1'if .", f s� ';• .;t •� .,tFereby�affirmrthat I,have aFcerTificate of consent to self AhPLI ATI`. t _ insure, or a certificate of Worke s' Compensation Insurance, I LtD'I I� PER ' MIT or a"'ce'r`tified copy tFiereof (Sec-;38001 Ldb--C-�)"' - ^ COUNTY.OF L ND, - + k I' ���.�•,. - .,�sF,4'�, •� , �•:x; .O LOS' BUILDING-A_ND,SAFETY. P. hcy,No ', :r, . :� Company,. ' El:A Certified,copy,is,hereby furnished•,. ,'- -, , FOR APPLICANT,TO FILL-IN, f l'' y� BUILDING 1 �y/ F� N � ; 5 t `Y• _ � -• ADDRESS ` a `Certtfiedfcopy`is filed wiTfi'the'cdurity'buildirig'mspec- BUILDING it �D' r `� Ghon departinent� h1 �, ADDRESS ;x >w� f�'t C r� t I 7­5A:V }c'1:.J��-L.)h�,`i , r •i♦'At dR n3, a• _ _. _ _. ,�pp,,//'� •+per _�•"._ ._ -s-.. : Y� ti..x.F - :. _r•,. _ _- _ .. .�..- .., Date, �f•�•�M' a+: `x'.Applicarit:_ T: k»� C,TY C:F ZIP:•' ' t LOCALITY-' - ' CERTIFICATE,OF EXEMPTION'f ROM WORKERS"„" " -c - NO OF BLDGS- - NEAREST }'-`•�COMPENSATIONtINSURANCEs' ^tir''0n` , SIZE OF LOT i' NOW ON LOT CROSS 5T' (This sectio 'n-, eednot"be:completed;-,rf,thespermitiis for%ne.. TR f = .•, i ASSESSOR;; ] 1 hundred dollars ($100)or less )•, ;,} ACT," BLOCK LOT NO MAPiBOOK t �:t > PAGE PARCEL ��"•� r, �a r.., r. TEL MAP ti ,. 't r , h. •� d.: t '. OWNER. 1 NO-, - - USE ZONE 'I,.certify,that tin th`e,perfo kmance of the woik f 5F,-wh ich�this• DO/=0 ',�- ,-permit is issued;6shall not employ any pe�son'in any manner - ` r^•SPECIAL-Y �r --- � a• - - • - a t d '. •y. y fr t+ ADDRESS jH l ,t ..'s , CONDITIONS. a ,,n• a., -,, d O so as to 6econie s'uble'c'tsto'the Workers'Compensation'L'aws . Y.2:..L� .vy, ..a�:�.•uh.t,tiv a,' C s' -� 1. ' i''• "[�'11��6' •; 4` 0."r'- itW. -Vv:: CITY' Applicant, ARCHITECT OR- :r 7'TEL c ^t NOTICPTOA'APPLICANT`'If; aftec making'this,C rtificate'of t i', ,:DISTRICT GROUP, TYPE:,t J FIRE PROCESSED•BY? r to ENGINEER NO « a _ CONST a ZONE V -Ezemition, xyou••ahould become'subject tto,'the Workers Compencation_provisioris ofttheAcibor='Code;,you must forth- 4 ? �J( �. �Lre�p-'•' 3 T _ i•' d - ' si ADDRESS - ­4­', ✓ ", with_,comply swath 'such•,provisions,orathis"permit_shall,be - _ - , -- _ , _• + _ T TEL �r• o �'� >t STATISTICACCLASSIFI TION -.?_ APT ONDO_ 'i'�,a 4-Z r deemed evoked s ;X.r 4. .�• r�a :..�,^ :a_�• r i, t CONTRACTOR O p Q' NO yP "�oOf1. , 'LICENSED CONTRACTORS DECLARATION,-a+• + -• •- -. ;LIC^' CLASS NO �DWELL�UNI7S A I hereby affitmtTliat I am Imensed under provisions of Chapter,9 ADDRESSS G �E rN0' SEWER MAP r „•,s n�i , -(commencrng'witFi'SecTwn 7000)of Drvtsto'n'3 of the 8ys+ness and „ _ _ ;:LIC- f } Rrofessions}Co'de, an_My,,­license is m full'force ail effect -CITY tsL /1�6 £ CLA55 °�s'3�~y "� - -VALIDATION- +y^+Tl "+».�•i. .'�'• :z•;•w, sN., ,_i, tip..... 't,,. .i3O :;,r..•r- - BK PG e r^ SQ FT. _ NO OF NO OF _ _CHECK _ LicenseNumbe�'��7ea u `( Lic�Class' SIZE STORIES` FAMILIES /' -v.i s jf: 'c.. Oxy:w.w9, r'•»•- i•t..:'e, •t_ ''„ g ,,VALUATION «�_ Cfontract,r s,v�qq-'. 1} ti - h - DESCRIPTION,OF WORK -v .r'; S fig NEW =O $ o ;>��J N �' Date —/O 8S , 'a �QQ ) w . ❑ .,a , o ^• su ° ADD' ' ! r .1'am•exempt'under Sec ,,,:•_ H j — - f -1 8 2 3-Av. ^. ALTER.-' O F #,e • • ••e"J, 1 B&P.C.-Jcr,th,§reason �tc7 -, -REPAIR--Q s. + - - ..:`r',.....,D-}e',... .' USE OF _ - ' O ., r `'.. I • • [�9.0.8 a �. EXISTING BLDG DEMOL r� pV,p Signature =�;. ` =�. +' APPLICANT TEL t i• • •-° 4 9>8 8 cSi _ �•9 FINAL OWNER-BUILDER D CL RATION a PRINT NO' { _ _ r DAT •1 >> - •-hFiereby,affirm'that.lam•exempt.fromrtheContractor.'s.License -_ _ bra 1a0.-,8 rJ Law'fdr the fohowmg;rbdson f(Sectton 7031'5,,Ejusiriess,and ADDRESS (, FjN` '�"" ' c; M _•}, ProfesstorSs`.Code) ��,-, �:� ` PRESENT -1BY �. BUILDING xt - was•owner_of The°property„or,my employees with �' ADDRESS _ / /� Awages,as their sole compensation,will do the'work dnd '' -+ /Y/,2v ' r the structure is not intended'or offered for sale(Section LOCALITY' 1 1 --7044;-Business-and-Professions Code) t •., W _ t t CONTRACTOR r NO •- - I,as.owner of the property am exclusively contracting j '-with''licensed contractors to,"construct-the'prolect (Sec- "'_ - ' "",``_'(`? ' tion 7044, Bust'ness'and Professions Code) ADDRESS~_ < f: ''� r ” REQUIRED TOTAL SETBACK FROM". CONSTRUCTION"LENDING AGENCY. SET BACK YARD . HWY PROP LINE WIDTH, r..• �'1= I hereby;afftrrn that there is'a cdnstr,uction lending agency for'.'• FRONT s• j +t i:,;.:• ,`.. z t -the performance of.`the work for which-this permit-is-issued s= tv -P,L _(Sec+•3097, Civ C).N: SIDE Lender's Nome $' ` r "> �r L - ,r - - i -` LDMA Ref '# -Cerider Y P C- Fee$`._ ,_ -�. Permrt-Fee - . s Address" T ._ . i -1 certrf that.l.have-reod:this,a lication.andrstate.that.,the - '_ Qa.��'_. .F _ _ YY PP �- Issuance Fee LDMA P/C#4' . f a above information-is correct;I agree to'comply with all County, Invest, atton Fee 4 g, _ordinances and:State,;,laws relating to,building construction, _ _ _ �: Total Fee t - - ° :, !_ �_ d;, and hereby authorize representatives of this County toSenter ` `fl'' t� CDMA Perm #- m upon the above-merit, ne�l property for mspection'purp'oses SEE REVERSE FOR EXPLANATORY,LANGUAGE, ' 'Signature of ApplicantA ent ° ­--Date r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0204120029 PHONE: (626) 285-0488 EXT: 0. OF CONST NEW BUILDING . TR: 13805 - LT: 93 SQ. FT STORIES TYPE OCCUP GROUP 9968 DAINES DR STRUCTURE: 85 1 VN R3 TEMP CA 917802638 ASSESSOR INFORMATION GARAGE: NEAREST CROSS STREET: BALDWIN 8588-018-025 OTHER: THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY TENANT: DG ZONE: ISSUED ON: P . EXIST OCC GRP: 04/15/02 JK 10/12/02 OWNER- T L. BLD S, NOW ON OT: VALUATION: FINAL DATE FINAL BY: CODE: CHANG - 8,500 9968 DAINES DR TEMP 917802638 FEES PAIDDESCRIPTION OF ADD BATHROOM APPLICANT: NO: - FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: L. NICK CHIANG KUIK (310) 390-5572- AA BLDG PERMIT ISSUANCE 27.75 11232 HAYTER AVENUE AC STRONG MOTION RESID 8500.00 VAL 0.85 SIAL DITIONS: CULVER CITY AX BUILDING REVIEW-FEE 54.70 B2 PERMIT W/ENERGAF �EES�VAL 3219.78 03.08 CONTRACTOR: TEL. NO: �O�j �� APPROVALS DATE INSPECTOR SIGNATURE METROLAND CONSTRUCTION AND DEV (310) 210-5572- 11232 HAYTER AVENUE LIC. NO LOCATION AND SETBACKS CULVER CITY, CA 90230 696048 8 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCH FORMS LIC. NO: lllllll SLAB/UNDER FLOG RASED FLOOR FRAMING MAP NO: EWER MAP BOOK: PAGE: FIRE ZONE: C P: � D n� UIDERrL INSUL ION 3 01I [PU'D V V 0ILFO-11aK� 1ST LrVELFLOOR NO. OF FAMI Du S: NO 21 NDMVEL FLOOR SHE--H SCHOOL WITHIN El Q Q f SHEATHING AIR QUALITY: 1000 FEET MATERIALS ' NO NO NO 0 ® ®� FIRE DEPT. FRAME INSPEC REQUIRED F !�� _ �� BLDG-DEPT. FRAME INSPECTSET FRONTTAPL-CK YARD: HWY: PROP LINE: WIDTH: ��L+ ��pVIC��ha� SPANEL-T-- SIDE PL- INSULATION/WEATHER STR .: INTERIOR LA /D WA L EXTERIOR H LOT DRAINAGE '910 E' I O D FIRE DEPARTMENT APP VAL REPORT ID: DPR261 ROUTE TO: BS0508.