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HomeMy Public PortalAbout4917 ENCINITA AVE_Building__ r _ TEMPLE CITY sueeeACit#eos 1-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ' DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUPT OF BUILDING CROSS ST DISTRICT GROUP TYPE ESSED BY FOR APPLICANT TO FILL IN �U I =CONST BUILDING STATISTICAL CLASSIFICATION WER MAP ADDRESS 4&G �/ K 6 Pte. CLASS N011 � 3 �DWELL UNITS LOT NO BLOCK WATER NOT REQUIRED fu RECEIVED CERTIFICATE _ TRACT — MAP HIGHWAY STATE MAJOR SECOND OCAL NO OF BLDGS NO (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL EXIST .16r'5 BLDG .16r'5 /n LENGE Al CONDITIONS TEL OWNER NO BUILDINGYARD HWY STREET NAME 49 EXIST SETBACK WIDTH ADDRESS FRONT J I' ARCHITECT OR TEL P L �J ENGINEER NO SIDE P L ADDRESS TEL INSPECTION RECORD 0 CONTRACTOR NO U ADDRESS O DESCRIPTION OF WORK W d NEW ADD ALTER REPAIR EMOLIS SQ FT NO OF IZE STORIES FAMILIES USE OF STRUCTURE ` SIGNATURE OF APPLICANT VALUATION$ APPROVALS DATE INSPECTOR S SIGNATURE PC PMT FOUNDATION LOCATION FEE $ FEE $ FORMS MATERIALS FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 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 BUILDING CONSTRUCTION i CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN 5 COMPENSATION INSURANCE LATH,EXT a OUSE NUMBER SIGNATURE E F re HRECT AND POS EDR I 1 ,�1HI�DA ADDRESS D C' FINAL PLAN CHECK VALIDATION cK. M o c"m CLYDE P REMIT VALIDATION TR cK64�TURMAo EG r TEMPLE Clat 4`' TeAeeeAee#eoe 1-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ` DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ^' JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM-A JENSEN, SUPT OP BUILDING CROSS ST DISTRICT NO GROUP ITYPE SSED BY• , FOR APPLICANT TO FILL IN CE CONST BUILDING �9 r MAI ISTICAL CLASSIFICATION SEWER MAP ADDRESS 4� / G 1�c /11 )�GI JJ B � LOT NO SS � ,�O ��� BLOCK WATERCLASS NO---/—DWELL UNITS _ _ � I CERTIFICATE NOT REQUIRED RECEIVED TRACT MAP HIGHWAY NO OF BLDGS NO [CIRC LEI STATE MAJOR SE CON LOCAL SIZE OF LOT S51 NOW ON LOT �Vtr USc ONE SPECIAL USE OF I A/ CONDITIONS EXISTING BLDG TEL//;;��,J �y OWNER 4 NO �4�'r6 BUILDING EXIST r a 11 SETBACK YARD HWY STREET NAME WIDTH ADDRESS O OS ,Q I` FRONT a/�I ARCHITECT O T L pt ENGINEER NO 1Sa SIDE ADDRESS 3 �S W P L CL .` f TEL I INSPECTION RECORD p CONTRACTOR e')W'12k,Q � NO f V J � ADDRESS DESCRIPTION OF WORK w ,IW CL NEW ADD ALTER REPAIR DEMOLISH Z SQ FT NO OF NO OF — IZE STORIES FAMILIES USE OF Lo `4-`\ , STRUCTURE SIGNATURE OF - APPLICANT VALUATION$ 11-16,00 APPROVALS DATE INSPECTOR S,SIGNATURE PC PMT CTO FOUNDATION LOCATION �J/ 44V 3//n/l FEE $ FEE $� `� FORMS MATERIALS ) j-t� / !�JI/�/(�(J�Y FRAME FIR BOLTS , I I�, J_� / /I A�1�' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS 11 V /I/,A./ I/O'� ,{ND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK C AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT / rL TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE / �7 LATH,EXT I SIGNATURE OF J HOUSE NUMBER COR- /y PERMITTEF RECT AND POSTED ADDRESS -S 3Z' FINAL v w 1 PLAN CHECK VALIDATION, cK m o cwsH CLYDE p REMIT VALIDATIONM, PRINCIPALTRUCKTURM o EN N R jjlf,o 7 1 5 3 :0 JAI 17 2 3 0 19. .5 0 -� 7 3 5 9 1 JAN 2 3 1 D 3 9.0 0 DSS-3 25M SETS 8-43 D } 1a�ENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT E�A13AUNTY OF LOS ANGELES ® I 7 WM. J. FOX, CHIEF ENGINEER BUILNG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY J/o'l_ J __ DISTRICT NO. PLAN CK. NO. PERMIT NO.. BUILDING ADDRESS �j (/ �/ / 7�J LOCALITY RECEIVED B DATE OF APPL DATE ISSUED NEAREST �� - CROSS ST. n 1 n h , BUILDING ADDRESS J OWNERI P1.e1,e6:P _ MAIL ��V ` ya _ /J - LOCALITY ADDRESSAe_ NEARE4T �',,.r�iAc�K•.+i 1�- 1 +N O �f/o�^r..-_�..,me. C R O85 T..�� CITY .J.�iR�f ' ��L/.�.�yo�.�� • FIRE �� I NO iNF �` I TYPES �I GROUP ARCHITECT OR ^ TEL ZONE PLANS G51fR,7 2 ENGINEER / ` NO BLDG ORD. NO ADDRESS A SETBACK LINE APPROVED TEL BY DATE CONTRACTOR NO USE APPROVED ADDRESS ZONE /4-/ BY DATE LEGAL DESCRIPTION I LOTCORRECTIONS° NO ' � I BLOCK n TRACTIh C) �J L �'-� 4/ l/"'/Vv O::: l/tWV SIZE OF LOT ' J k )/,,oI NOW ON LOTNO OF BL GS/ USE OF NO OF NO OF EXISTING BLDG. I FAMILIES ' I ROOMS cP� n„.�. • / may' DESCRIPTION OF WORK NEW �� ALTERATION PD- IONS -,E'S-�r'£� . . r' .�' /c') �A REPAIR MOVING LISH K O SO FT NO OF .`y Z SIZE ✓ ROOMS !! STORIES �GG� r WALLCOVERING jf0 ,.? �'c. I COVERING ,� ,f•p. USE OF NEW —BUILDING APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE STOPS, fylll BRACING, BOLTSi .Fi~ SIGNATURE OF S �� OWNER �i/'7 LATH, INT' AUTHORIZED AGT" ? LATH, EXT: $ - P C. !$ PLASTER, INT. FEE PLASTER, EXT. VALUATION FEE ((/ ��� FINAL I i l DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' ® � WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLAN CK NO PERMIT /NO. BUILDEI NG ADDSS /y LOCALITY ��((BB� � � �/ �,,� f RECEIVED BY DATE OF APP/PL(� DATEISSUED NEAREST -2- CROSS ST I,�,��p BUILDING / Q _ C'._Nc�AJ�rIA OWNER � /��i�fi3.�6�1b'll� ADDRESS T �o MAIL ��,2 ��� LOCALITY ADDRESS X 7f/GC/Q/o NEAREST t TEL CROSS ST CITY NO FIRE NO OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO BLDG -^ 0 n/� ORD NO ADDRESS SETBACK LINE 2"0 1 /' 7 1 APPROVED TEL CONTRACTOR NO USE APPRO�V DATE USE ADDRESS ZONE BY, DATE LEGAL CORRECTIONS DESCRIPTION LOT�NaO BLOCK TRACT .G... ) A, I NO OF SIZE OF LOT 4�4) I NOW ON LOTS / USE OF NO OF NO OF i EXISTING BLDG W, FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH O Sq FT. NO OF Z gIZE ROOMS STORIES D WALL ROOF t- COVERING / I COVERING USE OF NEW B BUILDING sm' 14 r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE FORMS, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FLOCATION FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE STOPS, SIGNATURE OF ,yg/,�Jp//^ K BRACING,BOLTS j I %I �i/ PERMITTEE_,, � P'�� LATH, INT AUTHORIZED AOT LATH, EXT. 76A63BA 9-48 PLASTER,INT. DSS-3 SOM SETS $ � V P.�+' FEE .4 PLASTER,EXT. /F VALUATION FEE FINAL 76A638A CE4803 8-64 APPLICATIO10L FOR BU ILDI NG P RMIT COUNTY OF LOS ANGELES t BUILDING DEPARTMENT OF COUNTY ENGINEtR ADDRESS- BUILDING AND SAFETY DIVISION L O C A L I T Y� ' JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP T OF BUILDING CROSS ST - DIST CT GROUP TYPE PR CE S �Y FOR APPLICANT TO FILL IN � � NST BUILDINGr STATISTICAL C,(s ASSI FICATION SEWER MAP s LC'f � ADDR€SS , 1r� r CLASS NO DWELL UNITS BFC A, P - LOT N01:5r USE ZONE MAP NO TRACT SPECCONDIIALONS ° r �/ / 0 L - , SIZE OF LOT /\ (7 (/ NOwNOOF ONBLOT d USE OF 0 BLDGa BLDG SETBACK FRO t TEL ✓ FRONT PROP LINE O=F---- 1+(�}F (STREET) OWNER "O TYPE OF EXISTING I SETBACK I HIGHWAY + YARD, TOTAL ADDRESS3i . r05 y io IHIGHWAY r 'F OM C L CITY LGfi�rrP ' / CTYCT OR TEL BLDG SETBACK FROM , ENGINEERARCHITETEL ff SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK -HIGHWAY + YARD = TOTAL } ADDRESS HIGHWAY WIDTH FROM C L CL TEL + _ 0 CONTRACTOR �- NO 1 LIC CORNER CUTOFF YES NO ADDRESS NO O H CIT LICCLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK _ _ � Z EW ADD ALTER REPAIR DEMOLISH _ SQ.FT NO OF NO OF SIZE _ STORIES FAMILIES USE OF STRUCTURE SIGNATURE'®F G �, APPLICANT VALUATION$� �� APPROVALS D AT E_le�I NSP ECTORj%SI G NATURE P C PMT �'Z'J FOUNDATION, LOCATION FEE FEE'$ '3 � FORMS, MATERIALS _ FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT ' AND STATE 7HAT'THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION g , WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILOING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK - M1 AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT Na TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN 5 COMPE SATION INSURANCE LATH EXT ` �- SIGNATURE OF d HOUSE NUMBER COR- PERMITTEE RE AND POSTE tel/' ADDRESS` 7 a / FI NAL 611" r ~ , JOHN F LEWIS PRINCIPAL STRUCTURAL EN y PLAN CHECK VALIDATION CK M O CASH _ I PERMIT VALIDATION CK M O CASH Lk02920 A20 3.00 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT t 4 COUNTY OF LOS ANGELES ® ® I WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDINGDISTRICT NO PLAN CK NO. PERMIT NO ADDRE69 � ,R � LOCALITY / t RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST C R OSS ST. BUILDING OWNER /fC�/�e� //)11��i ADDRESS / / / �i •`GiyJ,..(�t/jiG �f/bW� MAIL JAI / �I _ _ LOCALITY ADDRESS t . NEAREST TEL CROSS BT CITY NO. FIRE NO OF TYPE 0ROU2 ARCHITECT OR TEL ZONE PLANS ENGINEER NO. BLDG v v /�- ORD.NO .. ADDRESS SETBACK LINE ,APPROVED ? {p� TEL SY DATE CONTRACTOR / V NO. _ USEAPPROVED ADDRESS ZONE �'' BY DATE LEGAL \v�� CORRECTIONS DESCRIPTION 1 I LO1T�N1CO/. / / BLOCK TRACT / ! U - 44k NO OF BLOT SIZE OF LOT NOW ON LOT /¢,6 USE OF /� NO OF NO OF �f EXISTING BLDG Ohl Q-07-, FAMILI[■ 11 ROOMS G.- DESCRIPTION OF WORK NEW ALTERATION ADDITION ./� �� O y REPAIR (� MOVING DEMOLISH jw yy/C*Q 0 Bq FT. NO OF Z SIZE ROOMS STORIES �/n �) � ,� D WALL ROOF t' COVERING_,d,,4,;4le4j COVEERII�N�G ,// r /�/,pj Q .a ¢a -� [, .✓T/yJ r7— USE OF NEW l..YAf�p ./�.�! /��(.�l .G! �X, /S G�/7 .l� .t.417,1T BUILDING t 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE STOPS, SIGNATURE OFw�� , BRACING,BOLTS PERMITTED �f�J .'�w�'i _ LATH,INT.: j J� AUTHORIZED AOT d{ LATH,EXT.: ^ `� DSS-3 SOM SETS Yae $ P C.IB PLASTER,INT. FEE PLASTER,EXT. VALUATION FEE d2 G 6(bFINAL 1 WORKERS'COMP9NSATIOq DECLARATION ��`mire%�a ertifcateofWorkes' CompensatonInsurane, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec 3800, Lab C ) _ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company DU­1 N11 Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- [SIZE T_ __ tion department itNG/ - i� LOCALITY NEAREST Date Applicant 6 ZIP CROSS ST 14 CERTIFICATE OF EXEMPTION FROM WORKERS' N OF BL GS ASSESSOR COMPENSATION INSURANCE OF LOT , /� 1 Q NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO TEL / SPECIAL I certifythat in the performance of the work for which this OWNER NC��4710 CONDITIONS d p 1 •' ISTRICT GROUP TYPE FIRE PR ESSED BY O permit is issued, I shall not employ any person in any m ner sa W � CONST ZONE U so as to become subject to th orkers'Compen o i ws ADDRESS Date Applcan CITY �� ZIP 7 9 O ARCHITECT I �SgEL ,p'j STATISTICAL CLASSIFICATI N APT , JCrD0 V NOTICE TO APPLICANT If, a er m king thi r cote of ENGINEER Q -�S �TNO S 07hJ�� Exemption, you should be ome bject to t Workers' //'' CLASS NO DWELL UNITS d Compensation provisions of t L or Code, you must forth- ADDRESS 6 e SEWER MAP rn with comply with such provisions or this permit shall be } p TEL deemed revoked CONTRACTOR) s4A e q r NO BK PG, VALIDATION - LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALLIAT�N (commencing with Section 7000)of Division 3 of the Business and LIC 3 (//l Professions Code, and my license is in full force and effect CITY CLASS $ , SQ FT NO OF NO OF CHECK license Number Lic Class SIZE ��Q STORIES FAMILIES © ONE 4 y DESCRIPTION OF WORK _ NEW Contractor Date ADD I am exempt under Sec # 2 9 G 0 o 0 0 _ ALTER � FINAL B&P C for this reason REPAIR 0 DATE - 307. 92 'y Date USE OF BLDG / L L s" DEMOL ,❑ FIN N o 0 307.925 EXIg APPLICANT ',! TEL / Y Si nature OWNER-BUILDER DECLARATION PRINT 11 {+y NOI� lp 09.20-85 I hereby affirm that I am exempt from the Contractor's License ADDRESS �l1C (,1�Q l4 d Law for the following reason (Section 7031 5, Business and 'Professions Code) 3 1 9.9 A BUILDING # o o e o e j, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY y 1 e 3 7 275 7044, Business and Professions Code) MOVING TEL j, as owner of the property, am exclusively contracting CONTRACTOR NO - ft� e e 3 7 2 7 5 0 with licensed contractors to construct the project (Sec- ADDRESS —~ V �; -1 a 1 7—. 85 tion 7044, Business and Professions Code) • REQUIRED TOTAL SETBACK-FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP-LINE WIDTH , I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L , (Sec 3097, Civ C ) SIDE m PL_ - Lender's Name 8 '' ` Lender's Address P C"Fae b �� Permit Fee /N , I certify that I have read this application and state that the Issuance Fee [0 , 5 above information is correct I agree to comply with all County Investigation Fee _ ` ordinances and State laws relating to building construction, c� r, Total Fee 3 I` \ d hereby authorize repres fives of this County to enter 1 ` u n the above one oper�forjcoon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o A h t r Agent Date