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.