HomeMy Public PortalAbout5323 ENCINITA AVE_Building__ CE N803(REV.6%781 .
APPLICATION FORr BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
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0 EL V'�d/`J�J NO.�_ or' VALUATION $
ADDRESS/040- S�, tp vs C/SD V(M BLDG.SETBACK FROM
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CITY CLAS 7 BLDG.SETBACK FROM
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ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH 0
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DESCRIPTION OF WORK ! NEW y V Sl7
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❑ Issuance Fee 7 1�
ALTER ❑ Total Fee �oS T�6
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IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATETHAT RDINANCES �j� tj
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AND LAWS THE AREGULATING BUILDING CONSTRUCVE IS CORRECT AND AGREE OION.. nI CERTIFY PLY T�HATINALL O DOING THE � . I���/ S
WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMZ ')c (`
PENSATION INSURANC
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SPECIAL
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BY W
FINAL
DATE
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 0705310025
PHONE: (626) 285-0488 EXT
ILEGAL ID: 1 NO. OF CONST 1 BUILDING ADDRESS 1
IBK- 43 PG 93 PC 2 I SQ FT STORIES TYPE 1 5323 ENCINITA AV 1
I ISTRUCTURE: 2500 VN I TEMP CA 917803115 1
(ASSESSOR INFORMATION NUMBER. I I NEAREST CROSS STREET: 1
15388-008-030 I _ 1 THOMAS PAGE. 596 GRID: J4 LOCALITY TEMPLE CITY, Cl
(TENANT. 1EXIST BLDG USE RESID USE ZONE: R-1 (ISSUED ON PROCESSED BY EXPIRES ON I
EXIST OCC GRP- - ' 105/31/07 SR 05/25/08 1
(OWNER - TEL. NO IBLDGS NOW ON LOT y - VALUATION: IF AL-DATE FI l� CODE I
ISWANSON RICHARD M;SUSAN J (626) 309-0460- 1 10,000 1 &--T,' L 1
15323 ENCINITA AV 1 �J /� '-
ITEMP 917803115 1 FEES PAID - I DESCRIt!PTIO14 OF WORK yI
I IT/O EXISTING SHAKE ROOF INSTALL 1/2" OBS - INSTALL I
IFEE DESCRIPTION QUANTITY UOM: AMOUNT ICORTAINTOOD 40 YR SHINGLES I
1APPLICANT TEL NO I I I
IKIZZIAR DALE (951) 634-8949- IAA BLDG PERMIT ISSUANCE 27 75 1 -
128900 VALLEJO AVE IAC STRONG MOTION RESID 10000 00 VAL 1 00 ISPECIAL CONDITIONS -
ITEMECULA, CA 92592 ID2 PERMIT W/O EN-HC 10000 00 VAL 216 60 I
TOTAL FEES --- 245.35 1 I
ICONTRACTOR TEL NO: I IAPPROVALS DATE INSPECTOR SIGNATURE I
ICITIWIDE ROOFING (951) 634-8949- 1 1 I
128900 VALLEJO AVE LIC. NO ILOCATION AND SETBACKS I I I
ITEMECULA, CA 92592 749906 C39 I I I
I I' ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER TEL. NO. 1 - IFOUNDATION/TRENCH FORMS I I I
LIC NO 1 (SLAB/UNDER FLOOR I I I
I IRAISED FLOOR FRAMING I I I
y
IMAP NO: SEWER MAP BOOK. PAGE FIRE ZONE CMP: ( IUNDE,RFLOOR INSULATION I I I
1147H265 3 011 I 1 11 I `
I 11 IFLOOR SHEATHING I I I
INO. OF FAMILIES DWELLING UNITS APT/COND• STAT CLASS- 1 I I I I I
NO 21 I IROOF SHEATHING I
I SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS I I I
LAIR QUALITY: _1000 FEET MATERIALS I 1 I I I
1 NO NO NO IFRAME INSPECTION I I I
IREQUIRED TOTAL SETBACK FROM EXIST 11 IFIRE SPRINKLER HANGERS
ISET BACK YARD: HWY: PROP LINE. WIDTH: II I I I
IFRONT PL- I, IINSULATION/WEATHER STRIPI I
I SIDE PL- 11 I -1-1 I
1 I, 11NTERIOR LATH/DRYWALL I I I
I 7
II _ IEXTERIOR LATH I I I
_ I IRATED FLOOR/CEIL ASSEM. I I
I II
IRATE D WALL ASSEMBLIES I I I
I� IRATED;SHAFTS/OPENINGS I I I
{
IT-BAR CEILINGS I I I
I I LOT'DRAINAGE I 1 I
I (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I
I I' I I I I
1
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 0801080002
PHONE (626) 285-0488 EXT
(LEGAL ID NO OF CONST I BUILDING ADDRESS 1
IBK: 43 PG 93 PC- 2 SQ FT STORIES TYPE 1 5323 ENC-INITji AV
I ISTRUCTURE 96 VN TEMP CA 917803115 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET 1
--15388-008-030 ', -'THOMAS PAGE 596 GRID J4 L_OCALITY TEMPLE CITY, Cl
I I I I
ITENANT IEXIST BLDG USE: RESID USE ZONE R-1 (ISSUED ON PROCESSED BY EXPIRES ON. 1
1 (EXIST OCC GRP 101/08/08 SR 07/06/08 1
I f i I
(OWNER TEL NO IBLDGS NOW ON LOT: VALUATION IFINAL DATE FINAL BY CODE 1
1,SWANSON RICHARD M,SUSAN J (626) 202-6127- 1 7,500 1 -
15323 ENCINITA AV I
ITEMP 917803115 1 FEES PAID 1D SCRIPTION OF WORK
I I IREMODEL OF A-BATHROOM
I IFEE DESCRIPTION: QUANTITY UOM- AMOUNT I.
1APPLICANT - TEL NO
ISAME AS OWNER ( - IAA BLDG PERMIT ISSUANCE 27 75
1 1AC STRONG MOTION RESID 7500 00 VAL 0 75 ISPECIAL CONDITIONS 1
I IB2 PERMIT W/ENERGY 7500 00 VAL 201 30
TOTAL FEES 229 80
ICONTRACTOR TEL NO I - (APPROVALS DATE INSPECTOR SIGNATURE 1
ISA4E AS OWNER - 1 _ - I I
I LIC NO I 11,6CATION AND SETBACKS 1 _ -
I I I I I I
I ISOILS ENGINEER APPROVAL I
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(ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I I • I
I LIC NO I ISLAB/UNDER FLOOR I I I
I I I I I
I I IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK, PAGE FIRE ZONE CMP 1 - _ 1UNDERFLOOR INSULATION I - I
1147H265 3 011 I - -1-1 I
I IFLOOR SHEATHING I
1NO. OF FAMILIES DWELLING UNITS APT/CONDI, STAT CLASS- I
1 NO 21 IROOF SHEATHING I I
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I
1AIR QUALITY 1000 FEET MATERIALS _ 1 1 I -
1 NO NO NO 1 IFRAME INSPECTION HIS
"-_//�L►►1 1
IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS
ISET BACK YARD HWY PROP LINE WIDTH I - �• - - - I - - - I I I
IFRONT PL- I IINSULATION/WEATHER STRIPI I I
I SIDE PL- I
1 1 INTERIOR"LATH/DRYWALL ��(/� ^/(I O 1
I I I• „� I 1 I
(EXTERIOR LATH
I I I I
IRATED FLOOR/CEIL ASSEMI I I
IRATED'WALL ASSEMBLIES I
IRATED SHAFTS/OPENINGS
k -1-1 I
I IT-BAR CEILINGS 1 1
1 _ ILOT DRAINAGE I
1 IREPORT ID DPR261 ROUTE TO BS0508 1 I
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