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HomeMy Public PortalAbout5306 ENCINITA AVE_Building__ TEMPLE CIS', 1 < 76A638A CE t#8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING r DEPARTMENT OF COUNTY ENGINEER ADDRESS ' . BUILDING AND SAFETY DIVISION LOCALITY It. JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT of BUILDING CROSS ST. _ DISTg ICT NO. GROUP TYPE PFS�SSED FOR APPLICANT TO FILL IN _J�/IJ �— 'Pup coNs I/ BUILDING r ' STATISTICAL CLASSIFICATION SE ER MAP ADORESS,,JJ� ��e/ BK CLASS. NO, DWELL. UNITS 7ZI LOT A,0 BLOCK jq WATER NOT REQUIRED ® RECEIVED CERTIFICATE: _ T GT MAP HIGHWAY NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND, L CAL I EO O NOW ON LOT USE ZONE SPECIAL USE OF. -� CONDITIONS EXISTING BLDG. TEL. OWNER E NO. BUILDING YARD HWY TREET•NAM EXIST. / SETBACK - WIDTH ADDRESS 1 i /.� • FRONT Jj� ARCHITECT OR TEL. P. L. /u ENGINEER ` NO. SIDE a P. L. ADDRESS TEL. I 0 CONTRACTOR NO. i ADDRESS : 0 •DESCRIPTION OF WORK nW NEW ADD ALTER k REPAIR DEMOLISH ! SQ. FT. N . NO. OF SIZE STORIES FAMILIES ' USE OF _ STRUCTURE SIGNATURE OF APPLICANT VALUATIONS APPROVALS DATE, INS_PEC R'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION ` FEE S �— FEE $ _ FORMS. MATERIALS n✓ ? °' � °✓ ' Ff2Addl-< STGPS, /\ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION $AwG444"G'BOLTS AND STATE THAT THE ABOVE 15 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' VNSALATH, EXT. PERMITTEE SIGNATURE O HOUSE NUMBER COR- RECT AND POSTED q ADDRESS nllt ( 1 !/I�� •,pp JOHN F. LE ,�.IS. PRINCIPAL STRUCTURAL EN AtQE R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH ui1� 5 2 8 4 2 FEB 5 1 D 4.00- 76A638A CE 1803 2-63APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS S3 c BUILDING AND SAFETY .DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. DISTRICT N I GROUP TYPE B FOR APPLICANT TO FILL IN -� CONST. BUILDING 0 STATISTICAL CLA IFICATION E ER MAP ADDRESS �!"� B P CLASS. NO. DWELL. UNITS —A lzl LOT NO. r BLOCK WATER CERTIFICATE: NOT REQUIRED RECEI ED TRACT �i+ ' MAP HIGHWAY STATE MAJOR SECOND OCAL NO. OF BLDGS. NO. (CI CLE) SIZE OF LOT NOW ON LOT USE ZONE SPECI USE OF p CONDI EXISTING BLDG !' y6, 11(T1J ' l TEL. OWNER NO. BUILDING YARD HWY STREETNAMEEXIST. r - SETBACK WIDTH ADDRESS FRONT' I - ARCHITECT OR TEL. P. L. ENGINEER' NO. SIDE P.DL. ADDRESS A O TEL. Q.>�e ! �d! r is y�`JL ,�! LPG • fA''T 'n 1 V CONTRACTOR NO. A _ {?�yi,�"• ��-/°'Ja ADDRESS 1 ''� J?�1l {.yts '11 �f 'a• .�/ `J.s�-+= - F j O DESCRIPTION OF' WORK �� OV a NEW ADD ALTER REPAIR DEMOLISH ! _ Y,/ �,� SO. FT. NO. OF NO. OF frd�Y• �:.C' �\`�T/ .�ha,::� SIZE a STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF A� APPLICANT- VALUATION-i" PPLICANT VALUATION-'S ��' `3•�� APPROVALS, Q ATyE INSPECTOR SIGNyrURE FE FEE S FOUNDATION: LOCATION /!* .�� 'FORMS,-MATERIALS FRAME: FIRE.STOPS, r 1 HEREBY ACKNOWLEDGETHAT I HAVE READ THIS APPLICATION BRACING..BOLTS Y✓ ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS f' BUILDING CONSTRUCTION. 1 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'S EN ION INS RANq+ yt LATH, EXT. SIGNATURE O CE - HOUSE NUMBER COR- 6 - PERMITTEE RECT AND POSTED �. g--' ADDRESS FINAL' 1, J �6- JOHN F. LEWIS,'PRINCIPAL STRUCTURAL E PLAN CHECK VALIDATION ' CK. M.o. CASH _ PERMIT VALIDATION CK. M. CASH F110 6 5 7 3 ''i. 3 6,0 U"' 76A638A CE..46032.63 APPLICATION FOR BUIL®I C 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 OF BUILDING CROSS ST. DISTRICTN GRO P TYPE RO D FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CL IFICATION - SE ER MAP ADDRESS:J K P CLASS. NO. DWELL. UNITS LOT NO. / 0/ c' LOCK WATER CERTIFICATE: NOT REQUIRED IIXI REC LVED ❑ TRACT MAP HIGHWAY S- N ,TATE MAJOR SECOOCAL NO. OF BLDGS. NO. Q (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF 14 CONDITIONS - EXISTING BLDG. eC; TEL. OWNER N 7, BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS FRONT ARCHITECT OR TEL. P. L. �J ENGINEER - NO. SIDE r �i P. L. O ADDRESS V TEL. CONTRACTOR y/ NO. i O ADDRESS V DESCRIPTION OF WORK a / Z NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE IN I SIGNATURE OF APPLICANT VALUATION $ - - APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ - FEE $ ��---� FORMS. MATERIALS FRAME: FIRE.STOPS. I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL 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 CO OF T E STATE OF CALIFORNIA ,RELA�- ING TO WORKMEN'5 C P SAT N INSURA E. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED t � - ADDRESS FINAL ��/ '• JOHN F. LEWIS. PR NCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT ALID ION CK. M.G. CASH L;i10 t7 0 9:p FEB 1 D ,Q } ? COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1307110048 PHONE: (626) 285-0488 EXT: !LEGAL ID: NO. OF CONST BUILDING ADDRESS: !TR: 11492 LT: 18 SQ. FT STORIES TYPE 1 5306 ENCINITA AV 1 I (STRUCTURE: 40 V-B TEMP CA 917803137 ! (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ! 18590-001-031 ! THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CAI !TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: ! (EXIST OCC GRP: 107/11/13 SR !OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: ! 7;�L D TE. FIN BY: CODE: 1 !PAULSON RENAE A (626) 893-2073- 1 10,000 !15306 ENCINITA AV � 1 ITEMP 917803114 FEES PAID !DASCRIPTION OF WORK I I !MAIN HOUSE RE-DECK, NEW SHINGLES, GARAGE OVER LAYER SHINGLES! I _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: !EXISTING ONE LAYER OF SHINGLES, REPLACE R-30 GELLING INSULATI (APPLICANT: TEL. NO: I IION, REPLACE ROUTIN WOOD AROUND FACIA AND TRIM, PAINT FACIA 1 IGHITA, DAVID (877) 559-5005- !AA BLDG PERMIT ISSUANCE 27.80 I I 14810 EXCELENTE DRIVE jAB STATE GREEN BLDG FEE 10000.00 VAL 1.00 !SPEC.T.AL CONDITIONS: I !WOODLAND HILLS 91364 !AC STRONG MOTION RESID 10000.00 VAL 1.00 ! ID2 PERMIT W/O EN-HC 10000.00 VAL 216.60 ! TOTAL FEES 246.40 ! I !CONTRACTOR: TEL. NO: ! !APPROVALS DATE INSPECTOR SIGNATURE ! !PRESTIGE CONSTRUCTION AND DESIGN (877) 559-5005- ! 1 14810 EXCELENTE DRIVE LIC. NO !LOCATION AND SETBACKS !WOODLAND HILLS, CA 91364 858940 ! ! ! ISOILS ENGINEER APPROVAL ! ! ! I I I I !ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS ! ! I 1 LIC. NO: ! !SLAP/UNDER FLOOR ! ! ! ! !RAISED FLOOR FRAMING ! ! ! IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ! jUNDE FLOOR INSULATION ! ! ! 3 001 I ! ! i I !FLO03. SHEATHING ! ! I !NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: ! I I ! ! NO 21 ! !ROOF SHEATHING ! SCHOOL WITHIN HAZARDOUS ! ISHEAR PANELS ! I !AIR QUALITY: 1000 FEET MATERIALS ! ! ,_ NO NO NO ! IFRAM2 INSPECTION ! ! I I !FIRE SPRINKLER HANGERS ! ! I I I I I I IINSU?.ATION/WEATHER STRIP! ! I ! !INTERIOR LATH/DRYWALL ! ! I I !EXTERIOR LATH ! ! !RATED FLOOR/CEIL ASSEM. ! IRATED WALL ASSEMBLIES ! ! !RATED SHAFTS/OPENINGS ! ! !T-BAR CEILINGS ! ! 1 !* ADDITIONAL DATA ON FILE I ILOT DRAINAGE ! ! IREPORT ID: DPR261 ROUTE TO: BS0508 ! ! I I ! I I I WORKERS' COMPENSATION DECLARATION hereby affirm that I have W Workers' om e-of consent to Self APPLICATION F Q R BUILDING PERMIT insure, or a certifycate of Workers' Compensation Insurance, �- or a cerfified copy thereof (Sec. 3800, Lab. C.) COUN'LY OF L6S ANGUE S s BU16D A1VD SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING a. !/� `t tion department. ADDRESS �O�p Ivr a"&_to MIN CITY •e.I`{ c(t ZIP 9 �� O LOCALITY Date - Applicant pp NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT p��- NOW ON LOT CROSS S7. C- COMPENSATION INSURANCE ASSESSOR Q (� (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK O S of C) PAGE �Q PARCEL y- hundred dollars ($100) or less.) c -` TEL © USE ZONE MAP OWNER JZEN(�1~ �ul--J0N NO. tS NO.A 1 certify that in the performance of the work for which this SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS 5 3 0� k3p. �f lG!"A�'4 CONDITIONS a so as to become subject to the Workers' Compensation Laws. CI1Y�eh( . O PIP- �1 ZIP 61 l� O� V Date Applicant ARCHITECT OR TEL. DISTRICT. GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER �W�..ep-- NO. O� CONST. ZONE 0 Exemption, you should become subject to the Workers' y U Compensation provisions of the Labor Code, you must forth- ADDRESS ��O Y -� 0- with with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATIO��� �. CONDO. Z deemed revoked. CONTRACTOR �ilCJ NO. � � LICENSED CONTRACTORS DECLARATION UC; CLASS NO. cam' _DWELL. UNIT ADDRESS NO. I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the'Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT NO. OF N_00 F CHECK License Number Lic. Class SIZE SOW STORIES IFAMILIES ' ONE VALUATION DESCRIPTION OF WORK •®etAo �'.(?_ (ZT NEW S 1 0YO Contractor Date }} U i Q e U.D C apA ADD ❑ , ❑I am exempt under Sec. - , ALTER B.BP.C. for this reason �+ [L EXIs t'. (1J1N�OhisS $ REPAIR ❑ Date: USE OF EXISTING BLDG. Q DEMOL ❑ Signature APPLICANTTEL. Z FINAL OWNER-BUILDER DECLARATION (PRINT)RI=_1�(°1E IRUI,SOTEL $7 OSZ DATE _ I hereby affirm that I am exempt from the Contractor's License ADDRESS 5 3 p E�'C' l tv ( R FINAL o- Law for the following reason (Section 7031.5, Business and rofessions Code): PRESENT By.,. '� a BUILDING' I, as owner of the property,. or my employees with ADDRESS u '� wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. Z ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. a til.•(•I °T with licensed contractors to construct the project (Sec- ADDRESS ; ���tR •,� Tion 7044, Business and Professions Code.) Q���,; ,;,1}; REQUIRED TOTAL SETBACK FROM EXIST. t _ CONSTRUCTION LENDING AGENCY SET BACK YARD Hwy PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT I I EMS the performance of the work for which this permit.is issued P.L. IFOT L •+�s9� - 43 (Sec. 3097,Civ. C.). SIDE Lender's Name P.L. :_'HE�.K "v 43 P.C. Fee$ of Ll'I LDMA Ref. # t.l�il;;lNG' Permit Fee 3 Lender's Address ! oI certify that I have read this application and state that the Issuance Fee 7d LDMA P/C# 8 above information is correct. I agree to comply with all County Investigation Fee �l�' (f 1000-0001 11/20/5", R ordinances and State laws relating to building construction, Total Fee11 'J Q LDMA Perm. # _ nr ° a and eby authori resentatives of this County to enter ;720 1 AM11°4.= up a above- e ' ed perty for inspection purposes. Q r mil Zo -`3 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS -,'3,(, � �'r 1..4 e1�1�A I hereby affirm that I have a certificate of consent to self insure, ,3 O or a certificate of Workers' Compensation Insurance,or a certified copy thereof (Sec. 3800,Lab.C.) CITY ZIP �� C 1 LOCALITY T, Policy No. Company SIZE O LOTNO.OF BLDGS.NOW ON LOT r-/ ❑ Certified copy is hereby furnished. 19 24-;,(' 1 z___.. NEAREST CROSS ST. eS L ` ElCertified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO./ / department. !p Date Applicant ASSESSOR MAP BOOK PAGE PARCEL X/7 9-590 (D �� �-/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWJW[e�R TEL NO. Q' COMPENSATION INSURANCE ,\ a� Vtj Z -©�+z11 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS r �'.�� - � � C ING�{��•�� DISTRICT GROUP TYPE CON T. FIRE ZONE PROCESSED BY dollars ($100)or less.) ` ZIP I certify that in the performance of the work for which this permit ►Q ` ] q $ �0�' yd. 3 3 �,.r�oL� is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL O. /lam become subject to the Workers'Compensation Laws. D to Z 7..��2�p STATISTICAL CLASSIFICATION / APT CONDO Date Applicant ADDRESS r CLASS NO. � DWELL UNITS (��lJ NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. r NEW BK PG , d License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION fJ'p Q Contractor Date ALTER ❑ $ 7&b It �01 AV—C W T 5rolza m5- ❑ I am exempt under Sec. REPAIR ❑ $ B.&P.C.for this reason DEMOL ❑ 0 LDMA P/C# Date: USE OF EXISTING BLDG. C7�Gft�, n 6E URM 11 a J CO Signature APPLICANT(PRINT) c TEL NO. LDMA Perm# Z per+{ I, as owner of the property, or my employees with wages as ,46 f�+vL.S-d�3 ?$"t "6641 Z their sole compensation, will do the work and the structure is ADDRESS �y O ACCT v 7C� T E!w-1�I �` H a not intended or offered for sale (Section 7044, Business and FINAL DATE �_ QQ 307 6� 4 -* c �>I Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J El owner of the property, am exclusively contracting 4, AMOUNTS SPECIFI DON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 70444, 1 ITEMS l _. Business and Professions Code.) ves❑ No TOTAL 66 - 45 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING - - •- OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR HECK -66.45 GUIDELINES. --- _ I hereby affirm that there is a construction lending agency for YES ElNOU�]/�� CHANGE .011 a the performance of the work for which this permit is issued(Sec. � I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING • 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N TITLE 2,C=011TING NS 2.20.1 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIAOR OBT N A P H FROM THE SCAQMD. iC 1 i r� 1 0 U1;1.1 �l' _�/ 3 o Lender's Address .0372% 1 Ate 1Cl tltl 11 OWNER OR AGENT o I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE with all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County ISSUANCE FEEco i to r upon the abov�lentioged property for inspection purposes. �o a / //✓C/ye t2Z.^Z -Y-3 INVESTIGATION FEE TOTAL FEE Sq—bre of Apl-nl or Agent Dat. (� SEE REVERSE FOR EXPLANATORY LANGUAGE