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Home My Public Portal About5413 ENCINITA AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS I - ` Ga / DEPARTMENT OF COUNTY ENGINEER �,-? - J Ld,.; BUILDING AND SAFETY DIVISION CITY IP • J NO F BLDGS -� BUILDING � SIZE OF LOT%/ ,.� NOW ON LOT _ ADDRESS �� CL) TRACT BLOCK LOT NO LOCALITY 1 TEL�j / ` EAREST OWNER �, �/ ( NO;y '6 ROSS ST ASSESSOR ADDRESS n `j,,J / ,� MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P ESSED BY CITY �>� /jOL'� / CONST ZONE ARCHITECT OR � I TEL �, p ENGINEER NO - _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS I�G CLASS NO _DWELL UNITS JD!K/ TEL ZONE MAP CONTRACTOR NO OL LIC NO ADDRESS - NO �/ SPECIAL LIC CONDITIONS CITY CLASS ROP DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH B DG SETBACK FROM (STREET) >- F ONT PROP LI NE OF a _ ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING U SO FT NO OF NO OF CHECK H HWAY + YARD - FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE - O DESCRIPTION OF WORK r/�y /�/' (r NEW ❑ + W LCJ2e ADD ❑ B DEPROP LINEOF SET M (STREET) Z ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK F YPE OF EXISTING PAIR❑ SIDE PROP LINE I H AY WIDTH USE OF + DEMOL EXISTING BLDG ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) J NO IN OPEN SPACE YES ❑ NO ❑ BY (SIGNATURE) Q, IN COASTAL ZONE YES E] NO ❑ VALUATIONY CATEGORICAL EXEMPTION YES❑ 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) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION1 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 COMP ATION INSURANCE ::2 7 SIGNATURE O PERMITTE E - - ADDRESS FINAL /� BY CITY NO TEL DATE i X � 7 t�/ Q GGGGVJJJJ 1l 1M- ( 11L( 1,S 11 1 1131-L- 10 FEE $ FEE HARVEY T BRANDT, COUNTY ENGINEER 3 60 PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION OK M O CASH 76A638A CE P803 12/72 _ 2 V D , °s. APPLICATION FOR BUILDING PERMIT FOIRAPPLICANT TO FILL IN (Print or type only) aBUILDING COUNTY OF LOS ANGELES °ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY e-avie OiAr zla -C�17e_?o BUILDING AND SAFETY DIVISION �') _ O OF BLDGS BUILDING /^ SIZE OF LOT5;e 5 NOW ON LOT ADDRESS TRACT BLOCK LOT NO LOCALITY TEL NEAREST OWNER a NO CROSS ST - _ ASSESSOR ADDRESSS GQ, MAP BOOK PAGE PARCEL DISTRICT IGROURITYPE FIRE RO ESSED BY CITY ZIP ?Z 72� �� CONST Z06 ARCHITECT J TEL �„J ENGINEER NO _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO�JLDWELL UNITS Bq=> pies CONTRACTOR TEL USE ZONE MAP r LIC / NO / ADDRESS NO ! SPECIAL LIC CONDITIONS CITY CONSTRUCTION LENDER CLASS - ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) >_ ADDRESS CITY dHIGHWAY } YARD TOTAL SETBACK FROM TYPE'OF EXISTING CD SO FT- ST OF NO OF f CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ` ONE CD DESCRIPTION OF WORK NEWLLI ❑ V ADD BLDG SETBACK FROM (STREET) N SIDEPROP LINEOF Z .f TER ❑ = TOTAL SETBACK FROM TYPE OF EXISTING PAIR I`. HIGHWAY } YARD SIDE PROP LINE HIGHWAY WIDTH ❑ USE OF t = EXISTING BLDG _ DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO (PRINT) _ NO BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ,® Q IN COASTAL ZONE YES ❑ NO VALUATION ��'� - CATEGORICAL EXEMPTION YES❑ NO-M I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS-CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DEC LA RATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- _ STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT PORT PROCESSED (DATE) HEREBY IWILL NOT EMPLOY ANY PERSON IN'VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMP ATION INSURANCE -� SIGNATURE OF PERMITTEE ADDRESS � 1 FINAL BY CIT NO DATE �r�/� 11 1 F ( 11L C KS P } 1131-L- 1 0 P c $ PMT FEE FEE HARVEY T BRANDT COUNTY ENGINEER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK MIOCASH/ o 5 7 OCT 1 q � 1 D 1 J. r a 76A638A CE 9803 12/72 a -� WORKERS'COMPENSATION DECLARATION' 12 APPLICATION N FOR BUILDING PERMIT I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Ins ur nce, �/ _ • or a certified copy thereof (Sec 3800, Lab C ) `' 3-A ! 1 ! - - COUNTY OF LOS ANGELES i BUILDING AND SAFETY Policy panyBUILDING ❑' Certified copy is hereby furnisheg 1 69 FOR APPLICANT TO FILL IN ADDRESS f� Certified copy is filed wrthlthe county`'building inspec- BUILDING L� tion department' ADDRESS j - - - - /- - Date +' tpplicant CITY ZIP LOCALITY ` CERTIFICATE O EXEMPTION FROM ORKERS' ' - NO OF BLDGS 4, "COMPENSATION INSURANCE SIZE OF LOT o NOW ON LOT CROSS ST •A � (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 OWNER I C' N L G USE ZONE MAP D I certify that in the performance of the work for which this • NO } permit is issued, I shall not employ any person in any manner CL r �,� ` SPECIAL - t so as'to become sublect'to the Workers"Compensation Laws ADDRESS G:vliLkt: CONDITIONS - j V CITY_ _- ` _ ZIP Date' -Applicant—' " ARCHITECT OR TEL _ O NOTICE TO APPLICANT If, after makingthis Certificate of DISTRICT _ GROUP TYPE _ FIRE PROCESSED'BY ` Exemption, you should become subject'to the Workers' ENGINEER NO CONST ZONE U Compensation provisions-of the Labor'Code, you must forth- ADDRESS with comply with such provisions or this permit shall be - - w ' � . H deemed revoked _ TEL yp STATISTICAL CLASSIFICATION Y �CONDOZ CONTRACTOR NO / - LICENSED CONTRACTORS DECLARATION - LC CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS _ C-0NO O� I (commencing with Section7000)of Division 3 of the Business and _ _ _ - LIC _ SEWER MAP Professions Code, and my license is inj ull force'and effect CITY CLASS BK c VALIDATION Q'/l� Co, j� SI FT ST OF FA OF CHECK //`��jj / fJ p .. , LicenseNumbe Lic Class` SIZE STORIES /� FAMILIES - ONE ,! r VALUATION �i:^Cid/% DESCRIPTION OF WORK - NEW a O nr✓+) r-' Contractor �_{�c( ateADD $ I am exempt under Sec /•~' ALTER ❑ , y B 8P C for thisrreason - REPAIR ❑ $ USE OF ❑ ` Date EXISTING BLDG DEMOL _ - APPELLICANT(PRINT) l� ,5 NT ✓ dp . - - NO�' t-s� FINAL OWNER-BUILDER DECLARATION /� - I hereby affirm that I am exempt from the Contractor's License .3 7J , Law for the following reason (Section 7031 5, Business and ADDRESS FINi4 Professions Code) r ' PRESENT By BUILDING I, as owner of the property, or my employees with ADDRESS ; wagas es their sole compensatiori,will do the work and the structure is not intended or offered for sale(Section LOCALITY , r 7044, Business-and Professions Code) MOVING - - - -TEL - " { r- '` til 48 Q A- 1, as owner of the property, am exclusively contracting - CONTRACTOR NO - - y _ 2 0 49-8 8" 0 with-licensed contractors to construct the project-(Sec- tion 7044, Business avid Professions Code) _ _ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY TOTAp OTPBACNE WIDTH M EXIST '" t } - - o oro (( q 8 8 L I hereby affirm that there is a construction lending agency for FRONT 0 5,2 4-84 -the performance of-the work for which-this permit is issued - P L (Sec 3097, Civ C ) SIDE i °p PL - - - Lender's Name - I LDMA Ref # " - - • PC Fee$ Permit Fee - 'Lender's Address t I certify that I have read this application and state that-the _ Issuance Fee -� LDMA P/C# -- Poo., a above information is correct I agree to comply with all County Investigation Fee a ordinances and State laws relating to building construction, r - . Total Fee - ! - LDMA Perm # `-^ -^ '. U and hereby'authorize representatives of this County to enter uponthe above-mentioned property for inspection purposes - SEE REVERSE FOR EXPLANATORY LANGUAGE - - l r _ Signature o Applicant or•Agent Date -- -- - -` '' - i "OP t COUNTY OF LOS ANGEL&v�•- y TEMPLE CITY #.0508 BUILDING PERMIT DEPARTMENT OF PUBmIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9802090012 PHONE (818) 285-0488 EXT, DUPLICATE LEGAL ID NO OF CONST BUILDING ADDRESS: TR: 7796 LT: 22 SQ. FT STORIES TYPE 5413 ENCINITA AV STRUCTURE- 0 VN TEMP CA 917803117 ASSESSOR NFORMATION NUMBER NEAREST CROSS STREET: 5388-001-022 THOMAS PAGE: 596 GRID: J4 LOCALITY• TEMPLE CITY TENANT. XI T BLDG USE RESID USE ZONE R SSPROCESSED BY. E PIRES ON EXIST OCC GRP 02/09/98 UT 2/09/99 OWNER. TEL. NO BLDGS NOW ON LOT: VALUATION FINAL DATE FINAL BY CODE: CURLEY JIMMY V,JUNE TRUSTEES;CURLEY (818) 286-6137- 2 6,000 Z_7q� 5413 ENCINITA AV "( TEMP 917803117 FEES CR J'Wui< REMOVE/RECOVER WITH 1/2 OSB, C L EX CLASS A 25 YR.COMP. FEE DESCRIPTION: QUANTITY- UOM• AMOUNT: SHINGLE APPLICA0- WEATHERITE ROOFING (626) 287-0669- AA BLDG PERMIT ISSUANCE 27 75 4016 TEMPLE CITY BL AC STRONG MOTION RESID®6000.00 VAL 0 60 SPECIAL CONDITIONS ROSEMEAD, CA D2 PERMIT W/O EN=HC—6000'00 VAL 150 00 CT-EL ETOTAL�ES 178.35 CONTRACTOR TEL NO ® �'y�* APPROVALS DATE INSPECTOR SIGNATURE WEATHERITE ROOFING (626) 287-0669- 4016 TEMPLE CITY BLVD LIC. NO LOCATION AND SETBACKS ROSEMEAD CA 91770 423177C39 \ OILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL. NOO�ATIO LIC NO: `1� ( �'� 111111 — SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAPBOOK: PAGE: FIRE ZONE CMP: �'' ' �� X11"�� UNDERFLOOR INSULATION 147H265 3 01. I - �' �� L�;�� TOW SHEATH I NG N . OF F ELLIN UWITS APT/COND S NO 21 ROOF SHEATHING 2-10-46 SCHO L � �� ' �� ;`��'� %' SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS ��',� �' L _ _ ,f NO NO NO `'� % V '�� FRAME INSPECTION REQUIRED SETBA K �\��''�•� � __ �c��.Ji�� SET BACK YARD: HWY: PROP LINE WIDTH mss,�,% FRONT PL- z; INSULATION/WEATHER STRIP SIDE PL- �� '_ _ -_ INTERIOR LATH/DRYWALL EXTERIOR LATH RATEDIL ASSEM. RATED WALL ASSEMBLIES RATEDSHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508