HomeMy Public PortalAbout5334 ENCINITA AVE_Building__ 7GA638A CE#809-G-87 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING --
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LnCALITY
JOHN A LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN,SUP T OF BUILDING CROSS ST
DISTRICT GROUP TYPE -SIEWER MAP
FOR APPLICANT TO FILL IN BK PG
CONSTBUILNG
ADDRDEISS C., IeAj V/Jr,4 4STATISTICAL SSIFICATION
LOT NO BLOCK CLASS NO DWELL UNITS
MAPSTATE
TRACT Nl1MBER HWY YES NO
USE ZONE SPECIAL
NO OF BLDGS / CONDITIONS
SIZE OF LOT lJ NOW ON LOT �-`
USE OF YN
EXISTING BLDG �f�
SET ACK YARD HWY STREET NAME WID H
OWNER FRONT
MAIL P L
ADDRESS N v SIDE `
^ {�� P L
CITY A!!/ `J� NE I INSPECTION RECORD
ARCHITECTOR / TEL _
ENGINEER /V 6- NO
ADDRESS
TEL :Doo
ve—
CONTRACTOR L.d W Cr i= NO _
c. 45
ADDRESS -1
DESCRIPTION OF WORK
NEW 1'- ADD SALTER REPAIR DEMOLISH
SQ FT NO OF NO OF
SIZE STORIES FAMILIES v
USE OF STRU TURE a � Q�
SIGNATURE O r APPROVALS
APPLICANTef
DATE INSPECTOR S SIGNATURE
ADDRESS FOUNDATION LOCATION ,
F-ORMS MATERIALS /I
P C $ FRAME FIRE STOPS
O� FEE BRACING BOLTS
VALUATION $ FURNACE LOCATION
FEE GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
(CATION AND STATE THAT THE ABOVE IS CORR T AND
REE TO COMP Y WITH ALL OU TY RDI NA AND
TE LAWS GULATI I I CONST STAND
LATH EXT
NATURE OF HOUSE NUMBER COR-
ERMITTE / RECT AND POSTED
v �
DRESS V FINAL
V A L-AMBIE COUNTY ENGINEER ' CLYDE N DIRLAM, PRINCIPAL STRUCTURAL ENGINEER ,
PLAN CHECK VALIDATION CK m o cwsH PERMIT VALIDATION CK m o CASH
! o fol 910APR-22 1 A 4,:0 0� -19
®P
TEMPLE CITY
76AeseAcrthos ,-a, APPLICATION FOR BUILDING PERMIT lJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST C
WILLIAM A JENSEN SUPT OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT N GROUP TYPE PR SED BY
�O �' CONST AKZ
BUILDING 2 c STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS .7 C'
nn ^ CLASS NO DWELL UNITS
LOT NO a+ r� BLOCK WATER
n CERTIFICATE NOT REQUIRED RECEIVED
TRACT A. MAP HIGHWAY
NO OF / STATE MAJOR SECOND
OBLDGS NO (CIRCLE)
LOCA
SIZE OF LOT 2 NOW N LOT USc NE SPECIAL
USE OFCONDITIONS
EXISTING BLDG OVA.
TEL
OWNER SID O BUILDING EXIST
SETBACK YARD HWV TREET N ME WIDTH
ADDRESS 3if:;o1 FRONT f
ARCHITECTOR TEL P L
ENGINEER NO SIDE
P L
ADDRESS TEL INSPECTION RECORD O
CONTRACTOR O K/ NO U
ADDRESS O
DESCRIPTION OF WORK
W
�/ Iz
NEW ADD ALTER REPAIR DEMOLISH N
Z
SO FT NO OF NO OF —
IZE S . STORIES FAMILIES
USE OF p
STRUCTURE DIS O
SIGNATURE OF
APPLICANT
VALUATION$ y ,
APPROVALS q�11 DATE{ INSPECTOR SSIS�GNATURE
PC PMT
FOUNDATION
MATERIALS LOCATION (Ej�s'
FEE $ FEE $ _
FRAME FIRE STOPS, � - I"" /a
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS p j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, p N
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 4
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PE ON IN VIOLA LATH INT
TION OF THE LABOR CODE OF HE STATE OF CA PEP
RNIA R AT
IN
G TO WORKMEN S COMPEN A ION INS A C
LATH,EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE ( RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATION CK es O CASH CLYDE N DIRLAM, PRINCIPAL STRUCTURAL ENGI
PERMIT VALIDATION GK. mo
1 11",,7 7 3 0 "' p 3 .00 M
F
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
' COUNTY OF LOS ANGELES rl
� ®I 1
WM J FOX, CHIEF ENGINEER
NG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DIST C-LNO PLAN CK NO ",PERMIT NO
ADDRESS N .Ewol r. '--- _ &Z/-70-3
LOCALITY T^4401--e �0 V-P RECEIVEdD BY DATE OF APPL 1 DATE ISSUED
NEAREST D.c �� �l�O /�^�i� ! -7 _ l
CROSS ST BUILDING�� l C/ �-
. `
ADDRESS
All
�.,
OWNER /as ow CZ'.v/jIor/t-/w G
MAIL LOCALITY i c I �ADDRESS 54 A4 e NEAREST
TE
.p� y (''�j� CROSS ST
CITY NO / ,, f�d 6d FIREI -" _NO OF I TYPE I GROU
ARCHITECT OR TEL ZONE PLANS,
ENGINEER NO BLDGO /
SETBACK LINE I .47 L I
ADDRESS f �� APPROVED
�!T L }BY DATE
CONTRACTOR r '!_ O' USE .y� APPROVED
♦ ZONE ,[/�J BY DATE
ADDRESS - fx HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO 2 2 BLOCK MAP NUMBER FIELD CHECK BY
TRACT NO ASSIGNED'BY ❑AT
/ NO OF BLDGS CORRECTIONS
SIZE OF LOT o"() 7f A 13 p I NOW ON LOTUSEOF NO /
EXISTING BLDG e� I FAMILIES '
DESCRIPTION OF WORK _
NEW I I ALTERATION I I ADDITION
REPAIR I I DEMOLITION
SQ FT NO OF
SIZE ROOMS STORIESEXT WALL
COVERING 5 / 1/c Q I COVOERING SHI)V 6 4(g
USE OF STRUCTURE
g,.6
APPROVALS
INSPECTOR_',S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS ✓' ,� �,�+Y�,�yn,y, 1�'af� �f
CORRECT i
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REG ULATI G BUILDING CONSTRUCTIONI FURNACE LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERM I�T/fTEEEE/ �[[�p' {,�.q, q cp�j
ADDRESS �_ -R '"�'� � r`'v L-r���/f�/y LATH, INT
LATH, EXT
AUTHORIZED AGT
PLASTER, INT
76A838A DB39 10-60 $ �J7
® � PLASTER, EXT
VALUATION 111
FINAL
,oma ' TEMPLE CHT
'1eAa>eAcc$eoa �; ; APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ABUILDING
DDRESS
DEPARTMENT OF COUNTY ENGINEER 60
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE, COUNTY ENGINErER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISjBICT O UP ypE PRO SS Y
FOR APPLICANT TO FILL.IN CONST
BUILDINGL� STATISTICAL CLAS IFICATION SEWER
R MAP
ADDRESS AC—AJA. / CLASS NO DWELL UNITS K
LOT NO o�-� BLOCK WATER NOT REQUIRED RECEIVED`
CERTIFICATE
TRACT MAP HIGHWAY S ATE MAJOR SECON LOCAL
SIZE OF LOT
6 O X I NOW ON LOTS / US ZON_E SPECIAL LE)
USE OFI CONDITIONS
EXISTING BLDG
TEL /
OWNER /t/ NO h B ILDING YARD HWY STREET NAME EXIST
N U, n SETBACK WIDTH
ADDRESS FRONT
ARCHITECTOR TEL P L
ENGINEER NO SIDE
ADDRESS P L
CONTRACTOR TELNO j �SPECTI,CIN RECORD
6
ADDRESS'
DESCRIPTION OF WORE
NEW ADD ALTER REPAIR DEMOLISH i Z
SQ FT NO OF NO OF r
IZE ,Z .Q STORIES FAMILIES
,USE,OF t-
STRUCTURE— TD -p ,
SIGNATURE OF _
APPLICANT
n
VALUATION$ ovJ
� APPROVALS /DATEI INSPECTOR 5 SIGNATURE
FEE $ FEE $�//V FOUNDATION LOCATION
FORMSMATERIALS
FRAME FIRESTOPS, ' ,I/•`J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK /
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON N VIOLA LATH, INT
TION OF THE LABOR CODE OF THE STATE OF CALIFOR I RELAT,
ING TO WORKMEN S COM PENS TION INSURANCE
LATH EXT
SIGNATURE OFj HOUSE NUMBER COR- / I
PERMITTE RECT AND POSTED
ADDRESS a_gd.l 7. i FINAL
CLYDE
PLAN CHECK VALIDATION cK. mo cAsH p REMIT STRUCTURAL mo
EN N R
LA ,0? 6 8 8 ,FEB 1 D Jr.0 0
WORKERS' COMPENSATION DECLARATION f�
hereby affirm that I hovecertificate of consent to self APPLICATION FOR BUILDING PERMIT �ILJII
insure or a certificate of Worr kers' Compensation Insurance,
or a certified copy thereof (Sec 3800, Lab C )
Q COUNTY,OF LOS ANGELES BUILDING AND SAFETY
PoIicy No��10 I Company
❑ BUILDING
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS
® Certified copy is filed with the county b g inspec- BUILDING' .33t
tion department ADDRESS
Date I I-6 Applicant CITY ZIP LOCALITY
CERTIFICATE OF EXEMPT[ FRO WORKERS' NO OF BLDGS NEAREST
I COMPENSATIO INSURANCE SIZE OF LOT NOW ON LOT CROSS ST
(This section need not be completed if the permit is for one ASSESSOR '
hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL
TEL USE Z E MAP '
' I certify that in the performance of the work for which this i OWNER NO NO
permit is issued, I shall not employ any person in any mannerPe SPECIALi
so as to become subject To the Workers'Compensation Laws ADDRESS vQ®�� CONDITIONS 0
IU{ Date Applicant CITY ZIP D.'
ARCHITECT OR TEL DISTRICT
NOTICE TO APPLICANT If, after making this Certificate of ARCGG��JJ
Exemption, you should become subject To the Workers' ENGINEER NO UP TYPE FIRE PROCESSED BY O^, !.1 �2 CONST ZONE U
Compensation provisions of the Labor Code, you must forth- ADDRESS
with comply with such provisions or this permit shall be CL
deemed revoked J' ^ O �c STATISTICAL CLASSIFI TION APT ONDO fn
CONTRACTOR Z
LICENSED CONTRACTORS DECLARATION UC CLASS NO DWELL UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS JZ NO
(commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP
Professions Code, and my license is in full force and effect CITY CLASSBK VALIDATION
f SQ FT NO OF NO OF CHECK
PG
License Number 4:kI 7.7 Lic Class e '37 SIZE STORIES FAMILIES ONE
El J
ContractDate 6 DESCRIPTION OF WORK NEW
A DD ❑ $
❑ 1 am exempt under Sec R (03
B 8P C for this reason REPAIR $
Date USE OF
EXISTING BLDG DEMO! 171
Signotur APPLICANT TEL FINAL
OWNER- ILDER DECLARATION, PRINT NO DATE `
I hereby a r that I a exempt from the Contractor's License ;29726A
Low fort following reason (Section 7031 5, Business and ADDRESS FI
Profession Code) PRISENT #'a 0 0 o e
❑ BUILDING
I, as owner of the property, or my employees with ADDRESS L
wages as their sole compensation,will do the work and LOCALITY ® ( ° o 9 u 7 5
the structure is not intended or offered for sale(Section
7044, Business and Professions Code)- MOVING - TEL o o e 9 6 7 5,6)i
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the prolecv(Sec- ADDRESS
tion 7044, Business and Professions Code) Q S 3,1 —+8 S
REQUIREDTOTAL SETBACK
CONSTRUCTION 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 L
(Sec 3097, Civ C ) SIDE
PL
Lender's Name
m
�M° Ref #
- P C Fee S Permit Fee t S
Lender's Address
I certify that I have read this application and state that the Issuance Fee I)v S V kLD P/C#
g above information is correct I agree to comply with all County Investigation Fee
8 ordinances and State laws relating to building construction,
$ and reby outhoriz resentatives of this County to enter Total Fee LDMA Perm^#'.-
up the above-me bone property for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
?e Signat a of Applicant or Agent Date
I
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATIONIDECLARATIONFOR APPLICANT TO FILL IN BUIL.QIN.0 ADDRESS a v
I hereby affirm that I have a certificate of consent to self Insure -�-7 gQD �l C�
or a Certificate of Workers Compensation Insurance,or a certified J`C/G ESS �/
Copy thereof ��ff 800,Lab C) I — CITY—, I ZIP LOCALITY
Policy NO " ! COmpan SIZE OF LOT NO OF BLDG NOW ON LVOT
-4a<rtlfled copy Is hereby furnished NEAREST CROSS
❑ Certified copy Is filed with the county building Insp tion TRACT BLOCK LOT NO
department USE ZONE MAP NO
DatUG.12_ Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTIO ROM WORKERS' o ER TEL YES No
����
COMPENSATION INSURANCE r — WITHIN 1000 FT OF SCHOOLS
^ ADD ESS _
(This section need not be completed 1f the permit Is for one hundred []�> DISTRICT GROUP TY CONST FIRE ZONE PROCESSED BY
dollars ($100)or less) I7Q
�� ^
I certify that+In the performance of the work for which this permit CITY ZIP
Is Issued, I shall not employ any person In any al(`'nner so as to - s
become subject to the Workers Compensation Laws ARCHITECT OR ENG
mINEER TEL NO
(STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO DWELL UNITS
NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption you Should become Subject' t0 the Workers C TRA TO `^ ��7// TEL NO �,//' SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code you must forthwith �04C� ztG'fi FRONT
comply with suchprovisions or this permit shall be deemed revoked qD ESS LIC NO 7 p L
LICENSED CONTRACTORS DECLARATION L� 1-7J SIDE
CI LIC CLAS$n P L
I hereby affirm that I am licensed underprovisions of Chapter 9 v
SQ FT SEWER MAP }'
(commencing with Section 7000)of DIVISIOn 3 Of the Business and NO OF STORIES NO OF FAMILIES a
Professions Code,and m license Is In full force and effect�j NEW El BK PG 0
License Number, LIC ClassIS 3/_ RIPTION OF WORK ADD ❑ VALUAnO , V
Contractor L/�f� ,�/�y�/r2�e dar CB t�G/c ALTER El $ /� • O cc
O I am exempt under Sec 16Ovfl- REPAIR
$
B&PC for this reason �cr a DEMOL ❑ W
LDMA P/C# CL
Date USE OF EXISTING BLDG URM ❑ i N
Signature Z
APPLICANT(PRINT) TEL NO LDMA Perm#
T 8
❑ I as owner of the r or my employees with wages as Z A{IC I �v
their sole com ns on, will do the work and the structure Is ADDRESS
0 .not Intended or ffered for sale (Section 7044, Business and FINAL DATE Q c.'°�°--
Professions Code) AZ_ �_�, t ;T EM:
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
❑ 1, as Owner of the y, y g OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
property,co am exclusive) contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY f 11
licensed contractors to construct the project (Section 7044, � ';UAL �9 ® 23
Business and Professions Code) YES❑ NO❑
-� 61?.
� +tc
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING HES. c +„F °i_
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR { { ?
GUIDELINES '—
I hereby affirm that there Is a construction lending agency for YES❑ NO❑
a the performance of the work for which this permit Is issued(Sec
G) , (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 r�
a TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Vl� l.1�'�If-11 1: i{ '
Lenders Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD
aLenders Address -'' � �'-1
OMER OR AGENT
o I certify that I have read this application and state under penalty
of perjury that the above Information IS correct I agree to comply PC FEE PERMIT FEE /�,
with all county ordinances and State laws relating to building r/�!'
cons on, and here authorize representatives of this County ISSUANCE FEE ,r / .
o e to pon the abov entioned prop y for Inspection purposes p((p J
a
(0 INVESTIGATION FEE TOTAL FEE
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 z BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9908200026
PHONE: (626) 285-0488 EXT:
LEGAL I . OF CONST NEW U LD ADDRESS:
TR: 11492 LT: 22 BL: A SQ. FT STORIES i TYPE OCCUP GROUP 5334 ENCINITA AV
STRUCTURE: 961 1 'VN R3 TEMP CA 917803114
ASSESSOR INFORMATION NUMBER• GARAGE: NEAREST CROSS STREET- BLACKLEY
8590-001-026 OTHER THOMAS PAGE 596 GRID: J4 LOCALITY: TEMPLE CITY
TENANT E IS G USE: USE E SS 0 : PROCESSED BEXPIRES ON
EXIST OCC GRP 10/06/99 UT 04/03/00
OWNER- TEL NO: BLDGS. NOW ON LOT- VALUATION: FINA DAT FINAL BY, CODE:
SALDIVAR, DANIEL (626) 614-1044- 70,000
5334 ENCINITA AV 09 0 01
TEMP 917803114 FEES PAID IPTION OF WORK
ADD FAMILY ROOM, DININ , DROOM AND BATH
FEE DESCRIPTION• QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. O:
SAME AS OWNER - B1 PLANCHECK W/ENERGY 70000 00 VAL 933.92
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION;RESID--70000.00 VAL 7.00
B2 PERMIT W/ENERGY'—�70000a00 VAL 1,098 74
����1"�ST0fAIA, ES 2,067.41
CONTRACTOR: TEL. NO. � APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - d® T�.
LIC. NO —LO CATWN SETBA S
ARCHITECT OR EN �/ 0 A ION ENC
LIC N0: / 1111111 SL B/U D R R
�- n n /� /] K
� FRAMING
MAP N0: SEWER A BOOK: PAGE: F E ZON3. 01 U \��/\\�/O 3 D RF 00 NSUL1ST LEVEL FLOOR STION
EATNO. OF I : D L G UNI S: APT/COND: ST CLAS :– �l v 11ll
NO 21 � O 0 ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS 0 AROOF SHEATHING /
AIR QUALITY 1000 FEET MATERIALS Q ❑ !"/�
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIS 4� t� DEPT. RA CT
SET BACK YARD. HWY: PROP LINE. WIDTH: 8�'pVICtB l� q�0
PL- SHEAR PANELS
SIDE PL-
INSULATION/WEATHER IP
INTERIOR LATH/DRYWALL
/ Jut, EXTER 0 Atq,�yU.Q� LOT DRAINAGE
�WIMT y
SMOKE DETECTIONCES
FIRE DEPARTMENT APPROVAL
REPORT ID DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY ,- # OSSA - BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 �� '. BL 0508 9911050026
PHONE (626) 285-0488 EXT
LEGAL ID. NO OF CONST NEW ' BUILDING ADDRESS
TR 11492 LT 22 BL: A SQ FT STOPIES TYPE OCCUP GROUP 5334 ENCINITA AV
STRUCTURE. 0 1 VN R3 IEMP CA 917803114
ASSESSUR INFORMATION NUMBER GARAGE NEAREST CROSS STREET BLACKLEY
8590-001-026 OTHER 30 1 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE USE ZONE ISSUED ON PROCESSED BY EXPIRES ON:
EXIST OCC GRP 11/10/99 UT 05/08/00
OWNER _ IEL NO BLDGS NOW ON LOT VALUATION FINAL TEFINAL BY CODE
SALDIVAR, DANIEL (626) 614-1044- 5,000 D C�
L
f
5334 ENCINITA AV
TEMP 917803114 _ FEES PAID DESCRIPTION IOF WORK
/ ADDITION OF NEW FRONT AN ROOF E) G PORTION OF
_ FEE DESCRIPTION QUANTITY UOM AMOUNT RES DENCE (TEAR OFF, NEW SHEATHING AND
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 5000.00 VAL 0 50 SPECIAL CONDITIONS.
D2 PERMIT W/O�EN.HCf=--------5000.00 VAL 132 60
- ELEST(T®FEES 160 85
CONTRACTOR. TEL NO ®� �/�� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC NO LOCATION AND SETBACKS
ASOILS ENGINEER APPROVAL
ARCHITEC OR ENGINEER. TEL. NO �/ FOUNDATION/TRENCH ORMS
LIC. NO /` 1111111 SLAB/L;iDER FLOOR
RAISED FLOOR FRAMING
I
UNDERFLOOR INSULATION3MAP NO SEWER MAP BOOK: PAGE. FIRE 20N : CMP01_lJ C nOIRv 1ST LEVEL FLOOR SHEAT
NO. OF FAMILIES- DWELLING UNITS APT/COND: STAT CLASS:—
NO
21V` I. ND LEVEL FLOOR SHEATH
SCHOOL HIN HAZARD 0 \ 0 I�EL ROOF SHEATHING
AIR QUALITY 1000 FEET MATERIALS N 9 Q -�
NO NO NO FIRE DEPT D AlFRA E SPECT
REQUIRED TOTAL SETBACK 0 ST 1
vCA D DE INS]
SET BACK YARD- HWY. PROP LINE WIDTH ThB SHEAR PANELSFROerv1Ce
_
SIDE PL-
INSULATION/WEATHER
L-
INSULATI /WEATH R STRIP
INTERIOR LA RYWALL
EXTERI05�� i
i
LOT DRAINAGE
SMOKE DE C N D VICES
FIRE DEPARTMENT APPROVAL
REPORT ID DPR261 ROUTE TO BS0508
I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0106060040
PHONE. (626) 285-0488 EXT:
LEGAL ID: 0 OF CONST NEW BUILDING-ADDRESS:
TR: 11492 LT: 22 BL: A SQ. FT STORIES TYPE OCCUP GROUP 5334 ENCINITA AV
STRUCTURE: 0 1 VN R3 TEMP CA 917803114
ASSESSORF GARAGE: NEAREST CROSS STREET: BLACKLEY
8590-001-026 OTHER: 432 1 VN U1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
TENANT L USE: USE ZONE: ISSUED ON. PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/06/01 JK 12/03/01
OWNER- TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
SALDIVAR, DANIEL (626) 614-1044- 6,350
5334 ENCINITA AV � `v
TEMP 917803114 F DESCRIPTION OFW
WOOD PATIO ATTACHED TO REAR OF DWELLING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL .
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 6350.00 VAL 0.64 SPECIAL CONDITIONS:
AX BUILDING REVIEW FEE 54.70
D2 PERMIT W/0�ENt L E
635
0EES VAL 166.20
CONTRACTOR: TEL NO: ®� ��i APPROVALS DATE INSPECTOR S GNAT R
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
I
SOILS ENGINEER APPROVAL N/a
ARCHITECTTEL 0 �// FOUY A ON NCH FORMS , O�
LIC NO J `_ lilllll SLAB UNDER FL00
1 - RAISED rLOOR FRAMING
MAP N0: SEWER MAP BOOK FIRE ZONE- CMPI
—C� ---- -
UNDERFLOOR OOR
3of� "ll 11
L J�] �� INSULATION 1ST LEVEL
HEATH
NO OF FAMILIES: DWEL I G D: A -
NO
21``� - 7-_
____ ND LEVEL FLOOR SHEATH
SCHOOL WITHINHAZARDOUS
AIR QUALITY 1000 FEET MATERIALS Q ` ,' _` ROOF 5 EAT I G
NO NO NO �' LJ ;t� � FIRE DEPT. FRAME INSPECT -
REQUIRED TA Sp ❑ Q� LD SET FRONT YARD: HWY: PROP LINE WIDTH: ®s�+ ��� ���� SHEAR PANEL
SIDE PL- vice��
LA
INTERIOR LATH/DRYWALL
EXTERIOR
LOT DRAINAGE
SMOKEDEVICES
IRE DEPARTMENT OVAL
REPORT ID DPR261 ROUTE TO: BS0508
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0106060063
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST SS:
TR: 11492 LT: 22 BL: A SQ FT STORIES TYPE OCCUP GROUP 5334 ENCINITA AV
STRUCTURE- 0 1 VN R3 TEMP CA 917803114
ASSESSOR INFORMATION N B R: GARAGE NEAREST CROSS STREET: BLACKLEY
8590-001-026 OTHER THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
TENANT X S DG SS D PROCESSED—B XP .
EXIST OCC GRP. 06/06/01 JK 12/03/01
OWNER: TEL NO BLDGS. NOW ON LOT: VALUATION. FINAL DATE FINAL BY. CODE
SALDIVAR, DANIEL (626) 614-1044- 5,000
5334 ENCINITA AV
TEMP 917803114 FEES PAID DE$C—R-MIUN OF WURK
ADD 1/2 BATH WITHIN EXISTING HOBBY/STORAGE ROOM
FEE DESCRIPTION QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO-
SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING REWIEW FEE �� 54.70
D2 PERMIT W/O-EN-HC— --5000:00 VAL 132 60
sTOTAL�FEES 215.55
CONTRACTOR: TEL NO ®�i APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL NO
/ FOUNDATION/TRENCH FORMS
LIC. N0: J ` SLAB UNDER FLOOR
r � 1111111 l
RAISED FLOOR
MAP N0: SEWER MAP BOOK: AGE- FIRE ZONE: CMP• n \ R 1 DERFLOOR INSULATION
3 I10�1 3cD
1ST LEVEL L T
0. OF FAMILIES DWELLING UNITS: A T CO D: STAT CLASS:--------
NO
LASS:------NO 21\� - --' �J �, ,,-- ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS \ n - tzROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS 0
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK R X S ?�� l�I �a®Q� BLDG R C 2� t
ocl
SET BACK YARD: HWY: PROP LINE: WIDTH. Bs l-' �y
FRONT PL- �°���� SHEAR PANELS
SIDE PL-
� INSULATION/WEATHER S
INTERIOR LATH/DRYWALL
EXTERIORLATH
OT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID. DPR261 ROUTE TO- BS0508
COUNTY OF LOS ANGLES 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 0701080013
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
TR 11492 LT 22 BL A - SQ FT STORIES TYPE 5334 ENCINITA AV
_ STRUCTURE 162 VN TEMP CA 917803114
ASSESSOR INFORMATION NUMBER _ NEAREST CROSS STREET
8590-001-026 f THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, C
TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 01/08/07 JK 01/03/08
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL_PA F N L BY CODE
SALDIVAR, DANIEL (626) 234-1608- 1,3'00 ^ /r /
5334 ENCINITA AV
TEMP 917803114 FEES PAID D SCRIPTION OF WORK
PATIO TRELLIS OVER BBQ AAA 65 S F
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 1300 00 VAL 0 50 SPECIAL CONDITIONS
AX BUILDING REVIEW FEE 54 70
D2 PERMIT W/O EN-HC 1300 00 VAL 82 20
TOTAL FEES 165 15
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
LIC NO SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
XX 3 01 _
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLA-' ,
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SYR'.R PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK PROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
1