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HomeMy Public PortalAbout4937 ENCINITA AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Pnnt or type only) momm�BUILDING COUNTY OF LOS ANGELES ADDRESS 1 DEPARTMENT OF COUNTY ENGINEER CITY �7'/ IY ZIP if1 ) d BUILDING AND SAFETY DIVISION 0.- NO OF BLDGS BUILDING SIZE OF LOT .f NOW ON LOT ADDRESS TRACT BLOCK LOT NO LOCALITY TEL 'k NEAREST OWNER - NO In d CROSS ST All ASSES 'ADDRESS MAP BOOK PAGE CEL DISTRICT I GRO:t;O PE FIRE PROC SED BY CITY zl ZIP O NST ZONE ARCHITECt OR T L �� ENGINEER NO STATISTICAL CLASSIFICATION SEWER MA ADDRESS CLASS N0 -DWELL UNITS BK PG CONTRACTOR ( fj"�'}� NOL - USE ZONE NOP LIC ADDRESS �. _ NO SPECIAL LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BL SETBACK FROM FR NT PROP LINE OF 1 (STREET) d ADDRESS CITY HI HWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING O SQ FT NO OF - NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH CJ SIZE Q STORIES FAMILIES ONE -� t = CD DESCRIPT ON OF WORK NEW C~.D / ADD ❑ BLDG BACK FR a L SIDEPROR F (STREET) Z ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TY OF EXISTING _ REPAIR❑ SIDE PROP LINE HIGHW WIDTH USE OF �Q DEMOL t = EXISTING BLDG u ❑ APPLICANT _fZTEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO rp�6 BY (SIGNATURE) T1/ IN OPEN SPACE_ YES ❑ NO ❑ Q �ff1WYYY IN COASTAL ZONE YES ❑ NO ❑ VALUATIONY C6 CATEGORICAL EXEMPTION YES❑ NO ❑ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) 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 WORKMEN'S COMPENSATION INSURAN E SJGNATURE OF PERMITTEE ADDRESS FINAL - BY TEL CITY NODATE 4 2, 7-73 ]P C PMT 11 if F_ ( fIL( hS P 1)A/3LL 10 FEE � FEE $ ` HARVEY T BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CH-' M O CASH 2 5 0 1 5.00e . 76A638A CE H803 12/72 ;- APPLICATION FOR BUILDING PERMIT FOk.ftPP '-3 4NT TO FILL IN (Print or type Only) ' BUILDING COUNTY OF LOS ANGELES ADDRESS _ - _ DEPARTMENT OF COUNTY ENGINEER clrY ZIP BUILDING AND SAFETY DIVISION -- OF BLDG[ BUILDING SIZE OF LOT 'jr / -NOW ON LOTS ADDRESS y J TRACT LO LOT NO LOCALITY - TEL--�7NEAREST hOWNE7101Z/ N / Ci�0, CROSS ST ASSESSOR ADDRESS _� ,,,V ,t` MAP BOOK PAGEPARCE DISTRICT I GROUPTYPE FIR PRO SED BY CITY ZIP �� CONS ZO ARC ITECT T L ,-�ryK/- ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ` T CLASS NO�[�DWELL UNITS BK PG i TELA �1 - ' / CONTRACTOR NO USE ZONE MANO P 0,p -/ LIC' + ADDRESS NO SPECIAL - " LIC CONDITIONS CITY CLASS - ROAD DEPARTMENT APPROVAL REQUIRED YES EJ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH a BLDG SETBACK FROM FRONT PROP LINE OF (STREET) 0 ADDRESS CITY HIGHWAY t YARD TOTAL SETBACK FROM TYPE OF EXISTING V SO FT NO OF NO OF CHECK - FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE O / r t = \ I- DESCERI TION OF WORK NEW LLI Z4 a- ❑ BLDG SETBACK FROM ADD SIDEPROP LINEOF (STREET) Z C - LTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY t YARD = HIGHWAY WIDTH REPAIR❑ SIDE PROP LINE USE OF t = EXISTING BLDG DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO (PR NT) NO BY (SIGNATURE) IN OPEN SPACE YES ❑ NO IN COASTAL ZONE YES ❑ NO VALUATION Q Y �r� �O ' CATEGORICAL EXEMPTION YE NO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED - (DATE) h`- WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING YHE_WORK AUTHORIZED IMPACT REPORT PRO SSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE q-'1 i LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO ,r /A, WORKMEN'S COMPENSATION INSURANCE /J R:•l'//1 •�,(�(e SIGNATURE OFt a d .j O/� PERMITTEE ADDRESS O /�/ ) efy FINAL BY TEL CITY NO DATE 1I I RL ( HL( 1`S P 1)A BLL 10 PC FEE $ PMT /� FEE HARVEY T BRANDT, COUNTY ENGINEER _ 7S PLAN CHECK VALIDATION CK M o CASH PERMITVALIDATION _CK -o J CASH 3 4 ;%3 --SP1- 8 2, 3 DCIZ , � 1 � D 159.000 76A638A CE#803 12/72 ' ��le- C/rt CE #803 3-69 APPLICATION FOR BUILDING PERMIT COUNTY OF- LOS ANGELES BUILDING r r DEPARTMENT OF COUNTY ENGINEER ADDRESS 7 r� BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER / NEAREST - - - -- - ^ COLEMAN W JENKINS, SUPT OF BUILDING CROSS ST DISTRICT NO GROUP TYPE CONST PR CESSED BY FADDRESS R APPLICANT TO FILL 1N S-1 �}Q / n Gp (PRINT OR TYPE ONLY) 3 -14/1 �,fJ��,,� �J,' STATISTICAL CLASSIF N "`+ SEWER MAP `3 N r//j'(%v �-` �fy ( CLASS NO WELL UNITS BK]/�� PG-2 � a BLOCK USE ZONE MAP NO TRACT SPECIAL NO OF BLDGS COND TIONS SIZE OF LOT / e NOW ON LOT y. USE OF EXISTING BLDG !�1 �"r'7fq(iGfd" - + BLDG SETBACK FROM __ ' ONT OP OWNER ,�� NOL -i iG0 TRYPE OF REXIISTINGE SOETBACK-JHIGHWAY + YARD -IST TOTAL AL) ADDRESS HIGHWAY WIDTH FROM C L CITY /OC't/ ARCHITECT TEL BLDG SETBACK FROM STREET) ENGINEERNO/ ir. SIDE PROP LINE OF f LHIIH EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 7 YLLjO/� WIDTH FROM C L "� TEL + _ } CONTRACTOR G�iYr - NOLIC a ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ V CITY CLASS REVERSE SIDE FOR SPECIAL APPROVALS 0 CONSTRUCTION LENDER ""�� ~ NAME AND BRANCH ,'/(i(/ 'V w a_ ADDRESS �S - z SQ FT NO OF NO OF SIZE jj d_y STORIES FAMILIES NEW ❑ USE OF ADD STRUCTURE6P� 1 � ❑ ALTER REPAIR SIGNATURE OF DEMOL ❑ APPLICANT O VALUATION $ .CL ��'�- APPROVALS YATE INSP .R'S SIGNATURE P C PMT FOUNDATION LOCATION 6 FEE $ FEE $ n ^�- FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, BRACING, RACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I _ WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE LATH, EXT SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE _ AND POSTED % ADDRES ' FINAL JOHN F LEWIS, PRI CIP kL ST E URAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH - PERMIT VALIDATION CK M 0 CASH 4 iD_ x.314 1 D 9.0 ON f �r - 76A63aA CE 9803 3-69 APPLICATION FOR BUILD NG PERM rT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 1 BUILDING AND SAFETY DIVISION S LOCALITY C�C I JOHN AN LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING NEAREST CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GRO P TYPE CO T PR C S BY 0 L.Lf, z z (PRINT OR TYPE ONLY) V r a/ , BUILDING v 3.7 _� r' STATISTICAL CLASSIFICATION SE ER MAP _ tj ADDRESS CLASS NO DWELL UNITS BK 3 PG Q LOT NO BLOCK U ZONE MAP - Q NO w J TRACT SPECIAL 0 NO SIZE OF LOT d NOW OF BLOTS L CONDITIONS f�- USE OF Q EXISTING BLDGw // BLDG SETBACK FROM OWNER NOLA ��djCI FRONT PROP LINE OF (STREET) i TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL Q ADDRESS c HIGHWAY WIDTH FROM C L N. 1 - 0 + ��� CITY cl ARCHITECT R TEL y L BLDG TRACK FROM ial ENGINEER NO If./,-�f SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS` B HIGHWAY WIDTH FROM C L TEL + _ CONTRACTOR NO } LIC CORNER CUTOFF YES`,❑ NO --- CL ADDRESS NO - C LIC k o .°t, L CITY CLASS SEE REVERSE SIDE FOR_ SP IAL AP,P OVALS CONSTRUCTION LENDER 0 c NAME AND BRANCH 6 ADDRESS Q , LL V SQ F NO OF NO OF Z SIZ STORIES FAMILIES NEW ��Z u7— T �illr. USE OF `" ADD - STRUCTURE a ALTER REPAIR SIGNATURE OF DEMOL G`r APPLICANTt�W VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT _ FOUNDATION LOCATION FEE $ FEE $ ��7,5 FORMS, ORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GA VENT DUCTS TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE LATH, EXT SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRES FINAL JOHN F LEWIS, PRINCIPAL STRU TURAL ENGINEER PLAN CHECK VALIDATION CK M o cAsH — PERMIT VALIDATION CK M o CASH 3 3 1 9c JAN 1 3 2 3 D 1 6.6 51 - � j',,3 4 27 -:' J 22 1 D 2 7.75~ A ROAD' DEPT PEr, ;T FOR Aha I' AAATEZIAL <��_ DONE IN THE ROAD; , `1JR . s r (�ICHi OF WAY. br 70AGSOA CEI 838-6D APPLICATION FOR bULL®ING PERMIT � 1` r COUNTY OF LOS ANGELES ABUILDING DDRESS L_ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY . JOHN A LAMBIE, COUNTY ENGINEER NEAREST ' CASSATT D GRIFFIN SUPT OF BUILDING CROSS ST DISTRICT NO GRLWP -HYPE PR CESSED BY FOR APPLICANT TO FILL INCONST BUILDING STATISTICAL CLAS 1FICATION SEWER MAP �/ nBK PG ADDRESS LOT NO CLASS NO—._DWELL UNITS��df 13Z.J MAP STATE t BLOCK NUMBER HWY YES NO TRACT If USE ZONE SPE IAL q NO OF BLDGS - / CONDITIONS SIZE OF LOT /� I NOW ON LOT ( _ USE OF ` EXISTING BLDG BUILDING EXIST SETBACK YARD HWY �r' STREET NAME - W DTH OWNER • FPOL TMAIL 3O (ll ADDRESS L SIDE _ - TEL 11L CITY NO INSPECTION RECORD ARCHITECT OR/' TEL ENGINEER NO k ADDRESS I �, ✓ t O `,,, �._] lw „�T,,,�_ CONTRACTOR �� ✓,o is��f'. D .4.. � ADDRESS15-e/ DESCRIPTION OF_WO -fll 'P'„� 2. �`” _� �� bo NEW ADD ALTER REPAIR DEMOLISH - - FT NOOF No- d o NA / ev , SIZE DV STORIES FAlvI FES - USE OF �� /Ircta STRUCTU _ SIGNATURE OF - - b' m APPLICANT APPROVALS ,DATE INSPECJ.QR S SIGNATURE n L ADDRESS FOUNDATION LOCATION FORMS MATERIALS VALUATION $ — I - FRAME FIRE STOPS, J� - BRACING BOLTS PMT 0 Q FURNACE LOCATION, PC _ FEE Sro FEE $ +� GAS VENT DUCTS - �f 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INTO L/-T/060 J--,2-6,9 A7, .i, PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY, ITH/ALL COUNTY ORDINANCES AND TATE LAWS REGU ATINGJf/BUILDING CONSTRUCTION LATH EXT SIGNATURE OF�j� HOUSE NUMBER COR- ' PERMITTEE / !!! RECT AND POSTED //��_� ADDRESS 1/ FINAL &0, _ CLYDE N DIRLAM, PRINCIPAL S-IR/CT SAL ENGINEER PLAN CHECK VALIDATION cK mo CASH ' PERNIIT�, VALIDATION Um O CASHi o ?� 109702 � APRJ ) 22-- r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADDITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0201140026 PHONE: (626) 285-0488 EXT: C : ON FILE SQ. FT STORIES TYPE OCCUP GROUP 4937 ENCINITA AV STRUCTURE: 696 1 VN B TEMP CA 917803706 ASSESSOR OR N NEAREST CROSS STREET: SERENO DRIVE 5388-013-003 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY G E - SS B EXPIRES . EXIST OCC GRP: B 02/27/02 JK 08/26/02 OW TEL. NO: BL S. NOW 0 L T: AL ION: F AL DATE F CO E: AIHAMA KAZUTOSHI;MUTSUKO - 10,000 4937 ENCINITA -f/`�'{� TEMPLE CITY 91780 FEES PAID N_S_C_R_T_PMN NEW STORAGE ADDITIO BETWEEN OFFICE & STORAGE ROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: MENDOZA (626) 287-6062- D1 PLANCHECK W/O EN-HC 10000.00 VAL 184.11 4937 ENCINITA AA BLDG PERMIT ISSUANCE--—_ 27.75 SPECIAL CONDITIONS: TEMPLE CITY AC STRONG MOTION®RESID 10000c00 VAL 1.00 D2 PERMIT W/OIEN=Hw'E LE C,10000 0b"'VAL 216.60 pa TOTAL'LEES 429.46 CONTRACTONSTRUCTION, INC. (626) 287-6062 ®� v��� APPROVALS DATE fNSPECTOR SIGNATURE AIHAM 4937 ENCINITA AVE LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 590060 B SOILS ENGINEER APPROVALARCHITECT OR ENGINEER* ,Y WESLEY S. OHYE (213) 483-2235- FOUNDC F Z v 1665 W THIRD STREET LIC. NO 1111111 SLAB/UNDER FLOOR LOS ANGELES, CA 90017 C41007 - RAISED FLOOR FRAMING AP NO: SEWER MAP BOOK: PGE. FIRE ZONE: C 09 Ll Ul n�J NDERFLOO I SULATION 144-265 3 09 p v v FLOOR SREATHINd 0. OF FAMILIES: DWELLING UNITS: D: STAT CL �J NO 22 �� p � �^ ROOF SHEATHING SCHOOL WITHIN Z DO S 0 I�*L. SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS __ El _ a NO NO NO Q r �g FRAME INSPECTION G8 E OQ 1 C °�2'ByeC��h � INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FL R/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS -BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO BS0508