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