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Home My Public Portal About10784 DAINESWOOD DR_Building__ APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING-APR SAFETY DIVISI BUILDING D FOR APPLICANT TO FILL IN BUILDING - / � - - - ' ADDRESS rFJ (. lNV LOCALITY _ - NEAREST CITY IP GROSSST. �)- �NO. F SLOGS. ASSESSOR SIZE OF LOTT 6d X V NOW ON LOT MAP BOOK PAGE' PARCEL TRACT/36/3 BLOCK. I LOT N6/60 DISTRICT GYPS T. FIRE EBBED BY t (LoC7gl�(_S. TE NO �.. OWNER STATISTICAL CLASSIFICATION SEWER AP ' ADDRESS :O N' 'e CLASS NOs/—DWELL.UNITS BK PIS + ONE MAP CITY 4e IP i� N0. ARCHITECT OR TEL SPECIAL ENGINEER NO. CONDITIONS -� ADDRESS ROAD DEPARTMENT APPROVAL REOUIREO YES ❑ NO ❑ TEL CONTRACTOR �B� BLT.SETBACK FROM L NO ✓✓ �^ � FRT.PROP.LINE OF (STREET) ADDRESS (ice / HIS WAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING FRONT PROP. LINE HIGH WAV WIDTH CITY �._� CONSTRUCTION LENDER NAME AND BRANCH d BLDG.SETBA oo ADDRESS CITY SIDE PROP.LINEOF (STREET( `j SO. FT• NO. OF NO. OF CHECK . HIGHWAY } YARD o TOTAL SETBAC OM TYPEOF EXISTING SIZE 2 'STORIES FAMILIES ONE - _ SIDE PROP. LINE HIGHWAY WIDTH O DESCRIP OF WORK NEW } a N ADD . ❑ CORNER CUTOFF YES ❑ NO. [3 Z / ALTER ❑ IN OPEN SPACE YES 11N0 E]REPAIR❑ USES TING BLDG. tf/ - DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ AA LAPP LI CANT TEL (PRlrvrl NO. BY (SIGNATURE; v I HEREBY ACKNOWLEDGETHATI HAVE READ THIS APPLICATION AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- Cr, `-T t`C ., v STRUCTION. I. CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY IyWI4E NOT EMPLOY ANY PERSON IN VIOLATION OF THE w A LABOR CODE SOF. THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMP HSATION INSUR NC SIGNATURE OF I FINAL � --77 BY PERMITTEE DATE / -ADDRESS- TEL. P.C. Fee$ Permit Fee tg .� 'v CITY NO. Issuance Fee VALUATION - - Total Fee PLAN CHECK VALIDATION, c M SH PERMIT 'VALIDATIO CH. M.D. CASH a 0 15,6 is 2 1 `�D ` !— .0 L) .,� :.I 10466 D < �qv 76AG30A CE#0038 12/74 - - + - • ,� D� . .f - Y_ " APPLICATION FOR' BUILDING PERMIT FOR APPLICANT TO FILL IN (Prinl Gr )YPt ORl i BUILDING p COUNTY OF LOS ANGELES! ADDRESS DEPARTMENT OF COUNTY ENGINEER I �O '<+ CITYzz ZIP BUILDING AND SA Y DIVISION 0,OF SLOGS. BUILDING SIZE OF LO O O NOW ON LOT �J ADDRESS 1, TRACT BLOCK LOT NO. �O / LOCALITY N Ps/ TEL. NEAREST OWNE / NO. CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE RCEL DISTRICT GROUP TYPE FIRE PRO SSED Y CITYa ZIP O CONST. Z l ARCHITEC OR TEL. **,4 ENGINEER Q! NO. STATISTICAL CLASSIFICATION LASS��I FICA TION \ 5 WER MAP ADDRESS J CLASS NO.S�DWELL_UNITS K �PG CONTRACTOR NOL SE ZONE MAP LIC. NO. G ADDRESS -- L/ SPECIAL CITYtl LIC. CONDITIONS CLASS O D DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUC ON LENDER } NAME AND BRANCH KFROM RONTP 1 RONT PROP. LINE OF (STREET) CZ L' ADDRESS CIiY. IGHWAY } YARD -_ TOTAL SETS ACK FROM TYPE OF EXISTING C SO. FL NO. OF NO. OF CHECK FRONT PROP, LINE HIGHWAY WIDTH O SIZE O STORIES / FAMILIES / ONE C4' DE NEW IPTION OF WORK ❑ U. BLDG,SE Z ADD SIDE PROP, LINE OF ISTFEET) ALTER 1:1 SIDE } YARD = TOTAL SETBACK FROM TYPE NlEXISTING REPAIR❑ SIDE PROP. LIt AN WIDTH USE EXISOT NG BLDG. L/�h7tj DEqMOL E] + APPLICAN j TEL F CORNER CUTOFF YES ❑ NO Li (P RIT T) 9 �� 9 ND. IN OPEN SPACE - YES ❑ NO BY (SIGNATURE) ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ OO r CATEGORICAL E%EMPTIDN YES❑ NO ❑ I HEREBY ACKNO LEDGE THAT I RAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED GATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO •• {r fJ WORKME N'5 COMPENSATION INSURANCE. /N�-/J SIGNATURE A PERMITTEE ADDRESS _ , ISL . FINAL BY TEL. CITY NO. DATE MAKE CIIEC " PAYABLE I P.C, $ PMT.$ HARVEY . BRANDT. COUNTY ENGINEER FEE FEE S LAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION M.O. CASH 835iMAY 6 1 D 4 8r7rje3 76A538A CE#903 ]/]3 ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA " "'^ BL 0508 9709220060 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 13613 LT: 109 SQ. FT STORIES TYPE 10784 DANESWOOD DR STRUCTURE: 0 VN TEMP CA 917802922 - ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SANTA ANITA 8573-008-008 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG US R I USE ZONE: R-1 ISSUED,ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/22/97 UT 09/22/98 OWNER: TEL. NO: iBLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL 8 CODE: FROEHLE PATRICK C;CONNIE S - I 1 3,000 10784 DAINESWOOD DR TEMP 917802922 FEES PAID DESCRIPTION F W R I INSTALL ZERO CLEARANCE FIREBOX IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: N ADRIAN CONSTRUCTION (626) 799-0089- AABLDG PERMIT ISSUANCE 27.75 ACC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS: !D2 PERMIT W/O UHC L� fAL FEES 99.15 �•\y — TOTAL FEES 127.40 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNA URE ADRIAN CONSTRUCTION (626) 799-0089- 807 FAIRVIEWAVE. LIC. NO ®/�� LOCATION AND SETBACKS SO. PASADENA, , LA 91030 659356 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: �� FOUNDATION/TRENCH FORMS LIC. NO: (,I II 1 j --� q SLAB/UNDER FLOOR „ (_ __ �11 ._ RAISED FLOOR FRAMING MA150H277 P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:. �X}�� j UNDERFLOOR INSULATION 3 01 J;'sJl�.� T.' V ®N K5 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/CONDI S A C ASS: NO 21 0 f(}7i911 ROOF SHEATHING Q 17 SCHOOL WITHIN HAZARDOUS ..r r SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO I Q �� FRAME INSPECTION 0 REQUIRED TOTAL SETBACK FROM EXIST �1 _ FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- �rvice INTERIOR A /DRYWALL 2 EXTERIOR LATH .FL /CEIL ASSLM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR LING—CE S LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 76A663-C E806 II/ZO AlylyLI ATI Tly'OC y�1 FIERBy I COUNTY OF LOS ANGELES YY Y� 1111r le YY 11lYb Y�YVE Y LJ DEPARTMENT OF COUNTY ENGINEER BUIL Ess �" BUILDING AND SAFETY DIVISION COLEMAN W. JENKINS, SUPERINTENDENT OF BUILOING LOCALITY \' N� FOR APPLICANT TO FILL IN CROSSS w CROSS ST. ! _ OUTLETS NO. EACH FEE OWNER ��' r 5 IS REG EP T._� MAIL LIGTOTAL FIRST 20 25, A D D R E S711,9 HT - / _ CIT SWITCH_ OVER 20 AD PLAN CHE GHTING TOTAL LFIRST 20 '25 APPLICANT FIXTURES .10 I - --!)'! • OVER 20 ADDRESS � APPLIANCES CITY TEL.,NO. PERMIT RANGEpRYEft_WTR. HTR._ APPLICANT - STA. COOK_DISP. F.A.U._ g00RE55 SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. OISHWASH._ LICENSE NO. CLASS. FAN_OTHER 1.00HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY- MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. ,. SIZE 8 TYPE OVER TO IHEREBY CERTIFY THAT'I AM PROPERLY REGISTERED AHD/OR O - 1 100 LICE NSEO AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 300 RESIDE IN, THE ABOVE -DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE O 10 - 50 5.OD OF PERMITTEE I, OC 50 - 100 1000 O DISTRICTNO. [LASS ZONE PROCESSED BY 100 - 500 1500 0 a SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR MARQUEE . ADDITIONAL CIRCUITS 100 SERVI CE NOT OVER 600 VOLTS OR 200 AM P 3.00 o"IF'G APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE i TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 ' pp JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECT CA\L ENGIPEEP. PLAN CHECK VALIDATION CK. M.O. - CASH PERMIT VALIDATION cK. 'y7oE CASH uo 2 6 3 5 6 u; 5 2 D 6,0.0- SEE .0 0.,SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76AG63:- CE60fiB t2/75 Y PPL • ION FOR ELSE 7YRY/ICAL� PERM 1 1. 13UIL�ANDFET Y/�C�>D!\/R/ISION IUI FOR APPLICANT TO FILL IN JOB �7 p . New Residential Bldgs.&Pools EACH NOFEE ADDRESS ' 1 &2 Finaily Sq. Ft. $ — $ LO CALITV z Multi-family Sq. Ft. — NEAREST C Residential Swimming Pools CROSS ST.OWNER OR FIRM NAME 34 Outlets: Light, Switch & Receptacle MAIL DD First 20 L ADDRESS p Additional CITYaj(__TRIL No a� PLAr,rCHECY Lighting Fixtures APPLICANT First 20 2— ADDRESS Additional ' CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. ADDRESS Oven.. Dryer W.M. - Top FAU W.H. CITY Tel. No. Hood .Fan LICENSE OR a REG. NUMBER Class. Disp. A.C. ""Ell.'C'""LIDGE THAT I "III RAID THIS APPLICAT o IU Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANBEE AND STATE LAWS REGULATING Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. w Up to 1 Incl, I HEREBY CERTIFY THAT I A. 1R.I.RLY REGISTERED A olOR y Over 1 to 10 Incl. LICENSED AS REQUIRE. BY LOS ANGELES COUNTY AND STATE OF — Z Over 10 to 501net. DESCRIBED R PROPERTY.CALIFORNIA OR THAT I AM THEoAL ow F THE ABOVE RE SID 50 to 100 Incl. PERMITEE Over 100 SIGNATUR �• /y✓ Services - DISTRICT O O SSEDBV ° 0-260 Amp. Under 600 V 13 ` 201 -1000 Amp. Under 600 V APPROVALS DATE INSPECTOR' Over 1000 Amp. or Over 600 V SIGNATURE TEMP. POWER POLE Temp. Power Pole& Appurtenances UNDERSLAB WORK 4� Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING Ij V i Li FIXTURES POWER AUTHORIZED PERMIT FEE (SubTot; UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH 2 4 9rMAR '21 22nD . . ti 0.6O ens (7vr