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Home My Public Portal About5016, 5010 ENCINITA AVE_Building__ DAION on BummnTG AND SAFETY .I L D I " " Deportment of County Engineer U County of Los Angeles ` WM.'J. FOX, I COUNTY .ENGINEER APPLICATION - BUILDING FOR APPLICANT•TO FILL IN ' ADDRESS BUILDING ,I� _ - - , 'ADDRESS QJ SOI•(p, - �C I,V ST• _. LOCALITY - NEAREST LOCALITY _.CROSS ST. CJ ` NEAREST _ ^ DISTRICT-NO. PLANCK. OR-REC. NO.— PERMITNO. CROSS ST., � fi Il W - A Z U S 4 R'a - - 1�� - OWNER •1RECEIVED BY DATE OF APPL. - DAT ISSUE MAIL ; .ADDRESS, (26 l0 Db U , �� /j USE ZONE NO.•OF TYPE GROUP { F E,ZONE �A44/i'145 _ ,�//QQ66 ' PLANS .. CITY _ NO./�TT7,la I ARCHITECTOR - - TEL. ,, ZONING_ _, -DATED ENGINEER y W A)/e../� _ NO. APPROVED BY-- c� 0__J �_ , 2 BUILDING '' UILDING ', v ORD.No. ADDRESS - SETBACK LINE: TEL. APPROVED t DATE. CONTRACTOR O(,U A)A;4 NO. BY: cy-a, P H V E NUMBERING �^ ADDRESS LEALt MAPNUMBERw NO:'ASSIGNED BY Com,b� DESCRIPTION LOT NO. Vim' BLOCK DATE s CORR 'MTIONS I INSPECTOR TRACT' NO. OF /l��• / - ' '_ _ V 1 SIZE OF LOT A /D� i NOW ON LOTSUSE F EX STOING BLDG.'-'c_m-y mA$�o6�94r4v2!� NO OF Ci FAMILIES'— //7fr iG Q DESCRIPTION OF WORE -viTf�/ i�! - E NEW ALTERATION ADDITIONirfi[,/,(��1�/ t�, _/ a DEMOLITIONIr f' REPAIR SQ. FT- r7 - - NO. OF nn q , , SIZE ,i'• ...4 2 O• ' ROOMS' Z STORIES OVERING LU D O P 5 1-+IFS .COVERING C'O/►'1 P /TB"�� `��,r4)✓ d�''� USE OF STRUCTURE n J toil - F/ C APPROVALS _ ( INSPECTOR'S SIGNATURE DATE " - - - FOUNDATION!,LOCAPON ��N`'Z r ! "nI - . _ FORMS, MATE n r!� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STS, CORRECT. ' BRACING, BOLTS _/ ✓..a. 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATIQk_-,' / ,#• / AND STATE LAWSnREGULATING /�BUILDING CONSTRUCTION. GAS VENT; DUCTS SIGNATURE OF i 91 LATH, INT. PERMITTEE /j T ADDRESS /fss 3 t4 v,- , A,-'—' LATH, EXT. PLASTER, INT. f AUTHORIZED AGT. 0 - _ PLASTER, EXT. ® FEE ffi HOUSE NUMBER COR- RECT AND POSTED VALUATION .FEE �b �� _FINAL - 78A898A D053 -2-89 - + IDIM�N OF BUILDING -AND:SAFF �:. = .pepartihent of County Engineer I : ,. County of Los Amgeles WM. J. FOX, COUNTY ENGINEER APPLICATION j FOR APPLICANT TO FILL:, N = ✓: FOR OFFICE USE ONLY _ DISTRICT N0. PLAN CK. OR'REC.No. - PERMIT NO. BUILDING - � - ' O ADDRESS '��61 S /d+�l.�x AJJ / TI-: - i'S� .+'' J c, _A C/- ` RECEIVED BY, DATE OFAPPL DAT[ISSUED LOCALITY, a /--/,' Q ,ARKSTf �'} 11,4 S .. r,J ROB8,_ST. �lO�•��/(D �',/,� (/ S �' ' BUILDING -_ADDRESS OWNER ♦ `� Gh /� /F_ f / _ / MAIL /� ADDRESS -j 'v �1�Q() �//�- V NIEARE13T ,� / //�� CROSS'ST. /� ,--��JX GC"•/� CITY AX JJ / Qm Z,,a ND. T� 7�I•, i�vE 4 I rPLANS Z TYPE OROU � \ ,ARCHITECT OR TEL f ENGINEER NO, BLDG. ORD. NO. SETBACK LINE ADDRESS / TBL —USEAPPROVED ZONE/V-/ BYDATE CONTRACTOR - NO. - HOUSE NUMBERING- - ADDRESS - MAP NUMBER r-g��l IVO. ASSIGNED BY LEGAL DESCRIPTION LOT NO. �_ BLOCK- _ CORR'ECTIONS TRACT NO. OF BLDMIL SIZE OF LOT Y1 a"'a I, NDWONLOT �` J-�� /��rmb A�I"•��.• ,- USE OF N0. OF ` U 7 _ •�/jP EXISTING BLDG. - FAMILIES • "- - s` DESCRIPTION OF WORK D NEW !/ 'ALTERATION" i4DDITION Z " REPAIR DEMOLITION / - F MIT 01 NO.QR M - - / ,/� Q O a ROOMS STORIES-.. /' •� _ - EXT.WALL - COVERING OO1/ERiNO USE OF STRUCTURE INSPECTION FOR APPROVALIS OCCUPANCY AS 'INSPECTOR'SSIGNATURE DATE % FOUNDATION: LOCATION` Uy' A 17 ftMMB, MATERIALS F 1 HEREBY ACKNgWT_ 1 HAVE READ THIS 18 FRAME: FIRE STOPB, /j��• _,� PLICATION AND STATEE THAT THAT THEHE INFORMATION GIVEN IS CORRECT. .:BRACING, BOLTS f • -' I ABREE TO COMPLY WITH-ALL COUNTY ORDINANCES' FiJRNACE:;LOCATION,, - AND STATE LAWS REGULATING BUILDING CONSTRUCTION. b BAH VENT,DUCTS SIGNATURE,OF_ LATH, INT. PERMI_TTE / al - tgj �. �"J", / - - _ Ali. . LATH, EXT. ADDRE9 fP5 6rr^�fXal•�V�o� .Yl� PLASTER, INT. AUTHORIZED AOT PLASTER, EXT. FEE g.� �� HOUSE NUMBER COR- ` RECT AND POSTED - - VALUATIONm Ian ® / FEE �� FINAL /�,/ /ANG 41,27 �S 76AG38A OBS 3 1-52 920243 .-U 41 - WORKERS' COMPENSATION DECLARATION hereby affirm that I havecertificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.W271 0599 Company CAT, Camp- BUILDING El Certified Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS (v Certified copy is filed with the county building inspec- FADDREss NG tion department. 5016 Encinitas Ave. Date 7-1-93 Applicant Virgin Roof CO. Tem le Cit OF BLDGS.ZIP LOCALITY NO NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. OWNER Fadco Metal Products NO. USE ZONE OP c- 1 certify that in the performance of the work for which this SPECIAL 'c�s1 } permit is issued, I shall not employ any person in any manner ADDRESS5016 Encinitas Ave. J/ CONDITIONS a. so as to become subject to the Workers' Compensation Laws. 0 CITY Tem le City ZIP r Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY Q' NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE 0 Exemption, you should become subject to the Workers' nny �i w Compensation provisions of the Labor Code, you must forth- ADDRESS v 1 y L� 3 14C�.f h with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR Virgin Roof Co. No.287-0507 _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. Box 5010 NO 160650 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. l CLASS C39 i b G Y San are and Professions Code,and my license is in full force and effect. CITBK. PG. VALIDATION So. FT. I NO. OF NO. OF CHECK License Number 160650 Lic. Class M SIZE 27 STORIES 1 FAMILIES ONE ❑ VALUATION ContractorVlrgin Roof CO. Date 6-30-93 DESCRIPTION OF WORK Tear of f then NEW ADD ❑ $6000 00 ► ❑1 am exempt under Sec. a 1 #28 #11 and ca sheet ALTER ❑ B.&P.C. for this reason 27 S S. REPAIR ❑ $ Date: USE OF ❑ EXISTING BLDG. Commercial DEMOL Signature APP(PRINT) NO. — FINAL OWNER-BUILDER DECLARATION ( ) V�r lri Roof DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS P.O. BOX 5010 San Gabriel. C FINAL �J Law for the following reason (Section 7031.5, Business and &A " Professions Code): PRESENT BY ❑ BUILDING 1, 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 7044, Business and Professions Code.) MOVING TEL. CONTRACTOR NO. ❑ I, as owner of the property, am exclusively contracting _ with licensed contractors to construct the ( Pect j roSec- ADDRESS tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. ?7VCONSTRUCTION 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.I. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # P.C. Fee $ Permit Fee Lender's Address poli. 1 certify that I have read this application and state that the Issuance Fee 24 LDMA P/C# 0 8 above information is correct. I agree to comply with all County Investigation Fee d ordinances and State laws relating to building construction, Total Fee 22 LDMA Perm. # and hereby authorize representatives of this County to enter uP the abovi4;mentioned property for inspection purposes. 10-23-92 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date