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Home My Public Portal About10775 DAINESWOOD DR_Building__ 76A638A CE .803 1/71 FOR BUILDING ERMIT' �. COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING /Q ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print oI 1 e ODI CROSS ST. - BUILDING DISTRICT NO. GR�LP TYPE _- PR BY ADDRESS107'7S NES ('T/(7 PK. k I coNsr. STATISTICAL,CLASSIFICA T ION SEWER MAP LOT NO, BLOCK CLA55 NO DWELL,UNITS PG TRACT ± /3 USE ZONE MAP KO J NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT f SPECIAL EXESOT NG BLDG/.- ��/p /pp CONDITIONS ' C 6 O NOL./_!!/`0U / .OWNER BLDG.SETBACK FROM ADDRESS QI]7,5- VAN,45"SWoop ff, FRONTPROP.LINEOF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY 4 - HIGHWAY WIDTH ,FROM C.L. ARCHITECT OR TEL } _ ENGINEER NO. BLOG.SETBACK.F - ADDRESS - - - � SIDE PROP.I NE OF (STREET) f //y AT�EL. TYPE OF EXISTING SETBACK HIG } Vq RD = TOTAL 1 CONTRACTOR ` �s✓ m/ldvo VO. HIGHWAY WIDTH FROM C.L. C:G LIC ADDRESS 77.1a NO - 6 63 } - O CITY ia Q' /y(, CLAss C 3 CORNER CUTOFF VES ❑ NO ❑ CONSTRUCTION LENDER H NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ? ADDRESS I SO. FT. NO. OF NO. OF / NEN, ❑ SIZEOF -J STORIES FAMILIES ` El STRUCTURE 4 ALTER ADD DD . Cl F oor , t/ REPAIR SIGNATURE ' APPLICANT '4COVL DEMOL ❑ VALUATION S Q!m APPROVALS DATE INSPECTOR'S SIGNATURE P,C. PMT. �Jr FOUNDATION: LOCATION FEE S FEES /A /A,J _ FORMS. MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING,.BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON { lIOLA TI ON OF THE LATH, INT. LABOR CODE OF THE STATE OF CALIF RNI IN RELATING TO WDRKMEN'S COMPENSATION JNSUGIANCE. LATH, EXT. SIGNATURE OF vcz4tlHOUSE NUMBER COR- PERMITTEE - RECT AND POSTED ADDRESS 'FINAL 10XO 7( JOHN F. LEWIS. PRINCIPAL ST UCTURAL ENGINEER PLAN CHECK VALIDATION CN. No DASH . _ PERMIT VALIDATION GK, MD As„ LAC0 2 7 9 9 4t 1 12 i• D . 2. 1.7 5� A RO .D DFF T. f - JM T IS P,ECU[REEb 1 FOR ANY AI'.E"I S`"RACE Ox WORK., _ ti DONE IN THE ROAD RIGHT -OF WAY. '- ,,.,,a,=E;Pa :•�a9 APPLICATION FOR BUILDING PERMIT YY COUNTY OF LOS-ANGELES nBuaoDDREswsc �J- DEPARTMENT OF COUNTY ENGINEER . BUILDING AND,SAFETY DIVISION CDCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFI N,•SuaT of BUILDING ` CROSS ST. - - DISTRI O. GROUP TypB B PROCESSED BY rFOR APPLICANT-TO'FILL IN Z" 'I coNsr BUILDING - STATISTICAL CL55BtFICATION SEWER MASI ADDRESS e C(f� BK PG ILA SS.NO._DWELL UNITS '. LOT IJO. - �jy -BLOCK MAP NUMBER TRACT USE ZONE SPECIAL -- - - 9P NO.OF BLDGS. CONDITIONS " SIZE,OF LOT71241 D. I NOW ON LOT - - USE OFd�a _ EXISTING BLDG. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER l ' - FMAIL RONT Tji ADDRESS Q r SIDE ' TEL. CITYP �T No. /3/'/1 ,-.INSPECTION-RECORD -�-- - -- ----- ARCHITECT O TEL. ENGINEER NO. ./� l 'y��M�-� �•, NPU ADDRESSTE . / L. � r6'7^'._�_ CONTRACTOR \ -L NO. ADDRESS � •' �0i/ DESCRIPTION OF WO LK ORR NEW ADD ALTER REPAIR DEMOLISH /• 1 , /�! J'.�✓f& - fsN•r��vZiSYa �,t�ff J/ -JIL✓! SO. FT. NO. OF NO. OF - Y T ifL. SIZE STORIES FAMILIES USE OF - - - ✓ ,Ei'/� CA STRUCTURE SIGNATURE OF APPLICANT ``-� APPROVALS. DATE INSPECTOR'S SIGNATURE ADDRES 'J h{'�, �� FOUNDATION: LOCATION FORMS, MATERIALS R. VALUATIO �/T�'� I FRAME: FRET"'. ,J BRACING;BOLTS' P FEE $ FEE FURNACE_LOCATION, P.C. - PMT. $/ice f q ®�I GAS VENT.DUCTS - I HEREBY ACKNOWLEDGETHAT 1 HAVE READ THIS AP- LATH. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND- AGREE TO COMPLY WITH ALL COON O INANCES AND STATE LAWS ULA (G UIL G N RUCTION. LATH, EXT. 3�FiO -JYIYYUA.PBP�O SIGNATURE //1y HOUSE NUMBER COR- _ PERMITTE 'a RECT AND POSTED ADDRES c wps FINAL /. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL01N.E PLAN.CHECK VALIDATION " GK. m.o. —1.1 / PERMIT,VALIDATION, =K. '&74692 MR 9 1 A 12.00am"_ ®. WORKERS' COMPENSATION DECLARATION _ "/� II��I�-LE- /� /� �F�,Ip� FOR {I��Kp �FI��I��1/l��-r I��y��Lgg/LL� .� I hereby affirm that have n certificate so, consent to self ,. /p� IJIJII �L(. /p��011 V 11110 {IJ��D�D V V PERNT .insure, or a certificate of Warkers'.Compenstion Insurance, or /r�111 II LLSS V((11 . a certified' the eof,(Sec.Company 3800, lob. C.) i COUNTY OF LOS ANGELES BUILDING.AND SAFETY r ��p. 144 State Fund _ Policy No.- _ a Certified copy is hereby furnished. FOR APPLICANT TO:FILL IN BUILDING. ` ADDRESS S�. 'rl Ceitifiedcopy is filed with the county building inspec- _ BUILDING ' LX tion department. ADDRESS 10775 DaneSWood LOCALITY 7/14/88' Monarch Roof in NEAREST Date Applicant' g CITY Temple , City. ZIP, - CROSS ST. .CERTIFICATE OF'EXEMPTION FROM WORKERS' - - - -NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT- . NOW ON LOT MAP BOOK PAGE I PARCEL (This section need not be completed if the permit is for one USE NE MAP hundred dollars ($100)•or less.) TRACT BLOCK LOT.NO. NO. Y Art Shewmake ` TEL: ",I SPECIAL y I'certify that in the performance of the work for-which this OWNER. NO. CONDITIONS O permit is Issued, I shall not employ any person in any manner DISTRICT G UP TYPE FIRE PROC ED BY U ADDRESS --_� CONST. so as to become'su bject to the Workers'Compensation Laws. L. � / � OC v V O Date Applicant CITY ZIP STATISTICAL CLASSIFICATION APT. CO a V ARCHITECT OR TEL. - ' NOTICE TO APPLICANT: If, after making this Certificate of � ENGINEER NO. - W Exemption, you should become subject to the Workers" CLASS NO. DWELL UNITS N Compensation provisions a6the-Labor Code, you must forth ADDRESS SEWER MAP - Z with comply with such provisions or this permit shall be. deemed revoked. - • Monarch Roofin 7966191 - CONTRACTOR BK. PG, VALIDATION he CONTRACTORS DECLARATION. »_ - --.LIG. I hereby affirm that I am licensed under provisions of.Chapter9 ADDRESS 2422 E'• 'Walnut 'No39Y983- ` VALUATION (commencing with Section 7000)of Division 3 of the Business and UC Professions'Code, and my license is in full force and effect. CITY Pa Sadena - CLASS.C-39 $ 2 r 500• 00 - 391983 C39 So. FT. 24 zsOF No of CHECK License Number Lic.Class SIZE ORIES FAMILIES ONE Recover over NEW $ ControctorMnna rr-h Rnnfi n�te `'7_ l�fb DESCRIPTION OF WORK am exempt from the licensing requirements as am a - Elk- res 1CiUe ADD �+ licensed architect or a registered professional engineer- - 19 ALTER FINAL - acting in my professional capacity (Section 7051, DATE `Q" Z —i ' -Business and Professions Code). - Class A Shinale,f REPAIR `(. F<�r"O VIb DEMOL ' FIN ) E6T / Lic. or Reg. No. - Date APPLICANT TEL. -- . ' OWNER-BUILDER DECLARATION -(PRINT) .Monarch ROO fl r)KRD, z' I.hereby affirm that I am exemptfrom the Contractor's License - - Low for the following reason (Section 7031.5, Business and ADDRESS �/- Professions Cade): PRE ENT i - - _ BUILDING 11 as owner of the property, or my employees with ADDRESS _ wages as their sole compensation,will do the work and , - - v ;20 211.4 A - -- the structure is not intended or offered for sale (Section LOCALITY - — - - 1 7044, Business and Professions Code).` MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR - NO. ;(. • ! 55 9.25 with licensed contractors to construct the project (Sec- ` ADDRESS . . It 7044,Business and Professions Code). - - - . e e•� 5 9.2-5 v REQUIRED TOTAL SETBACK LIK�FROM EXIST. - ' CONSTRUCTION LENDING AGENCY - SET BACK 'YARD HWY PROP. UNE WIDTH ' hereby affirm that there is a construction lending agency for FRONT - 07. � 8',88 the performance ofThe work for which this permit is issued' PL. .(Sec. 3097, Civ. C. ' SIDE P.I. Lender's Name _...• P.C. Fees Permi%fee« ' Ilk I certify that I have read this application and state that the Issuance Fee - - aabove information is correct. I agree to comply with.all,County Investigation Pee ' ordinances and State laws relating to building construction, - Tora1 Fee - - and hereby authorize representatives of this County to enter_ - a n e ab ve-me oned property fof inspection purposes. a - 7/14/88 - TEE REVERSE'FOR EXPLANATORY LANGUAGE , o Signature Applimnt orAnt Dote.