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Home My Public Portal About10787 DAINESWOOD DR_Building__ 7618- ACE#808-7.58 APPLICATION FOR BUILDING PERMIT BUILDING AND SAFETY DIVISION BUILDING 7 qq Department of County Engineer ADOREss�[! / /L County of Los Angeles LOCALITY ,. JOHN A. LAMB]E, COUNTY ENGINEER NEAREST �r CASSATT D. GRIFFIN, SUPT OF-BUILDING CROSS ST. / DISTRICT✓ GROUP TYPE SEWER MAP . FOR APr---- . PG ICONST. ' BUILDING ADDRESSM STATISTICAL ASSIFICATION CLASS. NO. DWELL. UNITSLOT NO. pSBLOCK MAPSTATENUMBER HWY TRACT /361- USEZONE SPECIAL OT ni CONDITIONSSIZE OF LOT � OT n�USE OF- B DING EXIST. SETBACK YARD HWY STREET NAME WIDTH Ll OWNERr (/ FRONT MAILADDRESS /e 7�T 7 DCV"eS��'�x P. E SIDE P. L. clTv /e L C'.7` NO I y INSPECTION RECORD ' ARCHITECT OR TEL. ENGINEER NO. LS'l l 1 JS O _ ADDRESS // /ly` TEL � d CONTRACTOR / NO. ADDRESS - � DESCRIPTION OF WORKtti= NEW ADD ALTER REPAIR DEMOLISH Sq. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE APPROVALS SIGNATLfE OF /IJV APPLICANT - ' — l DATE INSPECTOR'SSIGNATURE ADDRESS O/ FOUNDATION: LOCATION FORMS. MATERIALS 1 S P. C. B - , FRAME: FIRE STOPS. !fS/� /i{ J , w FEE BRACING, BOLTS n'/ / N Sao FURNACE: LOCATION. VALVATION GAS VENT, DUCTS FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS REGU TI G BUILDI G. C RSTRUCTION. . i YfJ6. SIGNATURE.OF J HOUSE NUMBER COR- PERMITTEE� H✓I - Q/H RECT AND POSTED ADDRESS FINAL JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION GK. M.O. CASH �J,.JP�ER,bUTT VALIDATION c, m.o: cASH APPLICATION FOR BUILDING PERMIT �. COUNTY OF LOS ANGELES BUILDING/ 20 DEPARTI�=T OF COUNTY ENGINEER A°DREss V�-7 BUILDING AND SAFETY DMSION coca Llrre% JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BULLOI.G CROSS ST. DISO. GROUP TYPE PR CF E,Y FAPPLICANT TO FMIN TRICT OR I coNsr. BUILDING/D SEWER MAP ADDRESS STATISTICAL SSIFICATION I CLASS.NO. WLL. U DENITS VS— LOT NO.. BLOCK MAP STATE J NUMBER Call HWY. YES NO TRACT 3 NOOF SLUGS USE ZQNE NOCI TIAL �A . . I 4 SIZE OF LOT /Uy I DNS NOW ON LOT USE OF EXISTIN LDG. - BURDINGYARD HWY STREET NAME - SETBACK WIDTH OWNER FRONT MAIL 0 P. L �2U ADDRESS SIDE P.L. clry I Zt NE LT 3 INSPECTION RECORD ARCHITECT016 TEL - ENGINEER NO. ADDRESS 0 TEL. CONTR NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH A S@.FT. NO.OF NO.OF I/ SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OuAPPROVALS -44 APPLICANT - . DATE INSPECTOR'S SIGNATURE ADDRESSU FOUNDATION: LOCATION r _ (FORMS,MATERIALS L��J ® -v (CIIIYI+s'I FRAME: FIRE STOPS. .JY� FEE [� BRACING. SOLTSAl/� O2/ VALUATION / `' I FEE $d o-� FURNACE: LOCAT19N. GAS VENT,DUCTS I.HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINA ES AND LATH,EXT. ' STATE LAWS RE TIN BUILDING ON UCTION. SIGNATUREOF HOUSE NUMBER GOR- - PERMITTE 'RECT AND POSTED ' ADORE SSFINAL ' - - -- CLYDE N. DIRLANf. PRINCIPAL STRUCTURAL ENG - 'PLAN CHECK:VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. cASH 0-8 `� -OCTO A S.00 I ^ . o g ®. COMPENSATION DECLARATION APPLICATION L ry�gg�� a ® G� Ii®spy BUILDING meq. LB{ - g Bgga ®p PERMIT�q y at have kcert ificate of consent to self /(gPFyaLI /Z]L •NIO � -F-®R 1= UILDI�ry��a" 6f t�R IT ate of Workers' Compensa Pion Insurance, _ _ P-"0 R � B @7Pv ll 11`! 8CB or a n;. ._--Gpy thereof (Sec. 3800, Lab. C.) _ ' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING / Certified copy is hereby furnished. PBUILDING APPLICANT TO FILL IN - ADDRESS ( Certified copy is filed with the county building inspec- tion department. � rs l 7 d Date Applicant �' ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST rCOMPENSATION INSURANCE 61 `iNOW ON LOT 'CROSS ST. ;1 'ASSESSOR (This section need not be completed if the permit is for one BLOCK - LOT NO. MAP BOOK PAGE PARCEL - hundred dollars ($100).or less.) TEL USE ZONE MAP I certify that in the performance of the work for which this OWNER eJ NO. – NO, ?; SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS `4 - CONDITIONS so as to become sub jeU to the Workers: p pensotion L ws. - U Datt��L — CIT' 6 ZIP ( 7� � Applicant ARCHITECTO TEL. NOTICE TO APPLICANT: If, after making this Certificate of DISTRICT GROUP TYPE FIRE PR fE55ED BY O g ENGINEER NO. 1// CONST. / ZONE Exemption, you should become subject to the Workers' X n ; / Compensation provisions of the Labor Code, you must forth- ADDRESS U �'� V 4-I with comply with such provisions or this permit shall be C deemed revoked. _ TEL. STATISTICAL CLASSIFICATION APT. -ONDO. U) CONTRACTOR �� NO. CLAS$NO. DWELL UNITS_ G LICENSED CONTRACTORS DECLARATION LIC. _ _ _ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION SO. FT. NO. OF NO. OF CHECK _ License Number Lic.Class ' SIZE IS t FAMILIES ,f//C ONE ' JJ VALUATION /,O L - DESCRIPTION OF WORK O'r,t z- NEW ❑' ^, Y�jj� Contractor Date ADD $ J (' / I am.exempt under Sec. ��"s i •'� ALTER l V B.BP.C. for this reason Zoo,, REPAIR C] S �7 1 5:1 �A Date: USE OF DEMOL ❑;. (:{.,•,• EXISTING BLDG. Signature APPLICANT TEL- FINAL �/ OWNER-BUILDER DECLARATION PRINTI N�^ i DATE / �G-4 1 - 273,75 27U' 7C 1 hereby affirmthat I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ' ADORES rtfrEJ'✓osd /f C FIN /' J . .2 73. '%5 . Prof sions Code): PR NI - B BUILDING - .1, as owner of the property, or my employees with ADDRESS o2 -87 wages as their sole compensation,will do the work and p� the structure is not intended or offered for sale(Section LOCALITY FY�j 7044, Business and Professions Code). - MOVING TEL. 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec-. ADDRESS tion 7044, Business and Professions Code). - - CONSTRUCTION LENDING AGENCY SET BACK' YARD HWY TOTALROP.SETBL NECK FR M yyIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P{. (Sec. 3097, Civ. C.). SIDE j P.I. Lender's Nome LDMA Ref. R a P.C. Fee$ Permit fee Lender's Address . c g _ I certify that I have read this application and state that the Issuance Fee ,/jC i �' LDMqA P/C8 above information is correct. I agree to comply with all County ' Investigation Fea 7 - q ordinances and State lows relating to hudding construction, / .t . 177 Me b authorize representatives of this County to enter total tae , `/_- I LDMA Perm. R � ova- aoned pr arty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date 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 9808040020 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 13613 LT: 128 SQ. FT STORIES TYPE 10787 DANESWOOD ST STRUCTURE: 0 VN TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: MCCULLOCH 8573-011-004 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/04/98 UT 08/04/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: BERAN;ROBERT A. (626) 442-2162- 1 4,500 10787 DAMESWOOD q'13-W / x'*�"- TEMPLE CITY, CA FEES PAID DESCRIP ION OF WORK TEAR OFF EXISTING ROOF, PARTIAL SHEATHING, RECOVER WITH FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 30 YEAR TIMBERLINE APPLICANT: TEL. N0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID -- 4500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O•EN-HC_-- '74500.00 VAL 132.60 `TOTAL-FEES 160.85 CONTRACTOR: TEL. NO: y \ � � nJ�r APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO �/�-� y�' �� LOCATION AND SETBACKS SO1L5 ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: ^iTr , \, FOUNDATION/TRENCH FORMS LIC. NO/ _ _ II 1111+ 7 +( SLAB/UNDER FLOOR - - - - - RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP F t J. "� t 1 1A ' C�,. ` UNDERFLOOR INSULATION 150H277 3 X01 �_., t. �/ ,�,.A�L�J FLOOR SHEATHING NO. OF F MILIES: DWELLING NITS: AP /COND: STAT CLASS: NO 21 J t ; ROOF SHEATHING SCHOOL WITHIN HAZARDOUS :�\ �� 1 ,f:� *�•. SHEAR PANELS UU GG AIR QUALITY: 1000 FEET MATERIALS ��• NO NO NO i'� �/ • 1' FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST �6� �/ Oyt FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- y�"ge Pt/j CC' ).� �% INSULATION/WEATHER STRI SIDE PL- -- --' INTERIOR LATH/DRYWALL EXTERIOR LATH RATED LOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS-- T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508