HomeMy Public PortalAbout5439 ENCINITA AVE_Building__ APPLICATION FOR. ;
BUILDING PERMIT
BUILDING �1
FOR APPLICANT TO FILL IN ADDRESS : ` 3�
BUILDING r
ADDRESS Enclnita LOCALITY
NEAREST
CITY .Temple . City t ZIP CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PR CESSED BY
TRACT BLOCK LOT NO. ✓ CONST._4, ZO
TEL. ��� n � ✓ J
OWNER Raul Licano NO.286 r Z
STATI'STICAL CLASSIFICATION SEWER MAP
ADDRESS 5439 Encin.ita CLASS NO. DWELL.UNITS P BK PG
CITY, Temple City ZIP USE ZONE MAP .y
ARCHITECT OR TEL ) NO.
ENGINEER NO. l SPECIAL
CONDITIONS
ADDRESS nR �] r7 ROAD DEPARTMENT APPROVAL REQUIRED YES E] NO
CONTRACTOMcntebello Rfg® N0.722^6975 BLDG.SETBACK FROM
p p LIC. p p FRONT PROP.LINE OF (STREET)
868
ADDRESS TrUCkwa N0.2HH52 HIGHWAY +. YARD = TOTAL SETBACK FROM TYPEOF EXISTING
LIC. FRONT PROP.LINE JHIGHWAYi WIDTH
CITY Montebello CLAssC-39
CONSTRUCTION LENDER + _ }
CL
NAME AND BRANCH BLDG,SETBACK FROM OU
ADDRESS CITY SIDE PROP.LINE OF (STREET) O
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD =
TOTAL SETBACK FROM TYPE OF EXISTING
SIZE STORIES 1 FAMILIES ONE SIDE PROP,LINE HIGHWAY WIDTH - N
DESCRIPTION OF WORK Reroof existin Ew El + = z
bldg. w/. 3-1 asphalt shin DD ❑ CORNER CUTOFF YES ,❑ NO ❑
ALTER ❑ IN OPEN SPACE. YES ❑ NO ❑
REPAIR
USE OFIN COASTAL PERMIT ZONE YES ❑ NO E]EXISTING BLDG. dwellingDEMOL ❑
APPLICANT TEL
(PRINT) NO. �• IL4 qA� (f�
BY(SIGNATURE) 77 h
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIOLE - G.,. �•
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL -AND LAWS REGULATING BUILDING CONSTRUCTION. CERTIFY THATWORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSONIN - ' 'THE LABORCODE OF THE STATE OF CALIFORNIA IN RELATING TO WOPENSATION INSURANCE. !SIGNATUREOF F AL /� // �� BPERMITTEE ATE /ADDRESS gbd Truckway
TEL. .C. Fee I$ Permit Fee $27®00
CITY NO. 7
-00
Q1230-00
Issuance Fee
VALUATION$ 1230•00
of Fee �34 0 00
PLAN"CIiC �ALID �� ��I� tASH PERMIT VALI,DATI= CK. M.O. CASH
POLICY HOLDER°
r�. ' CH
T' LjtyBffijqAt77.
'�N� '
76A638A CEaYS -64 APPLICATION FOR BU LDI NG PERMIT y
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER A D D R
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST.
DISTR T N GR ', TYPE. P SSED BY
FOR APPLICANT TO FILL IN (t CONST.
BUILDING n STATISTICAL CLASSIFICATION _ SE ER MAP _
ADDRESS 5439 Encinita Temple Vit CLASS NO. DWELL UNITS . ` BK GIA
LOT NO. BLOCK USE ZONE MAP ty
NO.
TRACT ri 1� SPECIAL
NO. OF SLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXIST"
S G BLDG.
ry BLDG. SETBACK FROM
OWNERR• A. Nelson NO TYPE!Ol FRONT PROP. LINE OF
TYPE OF EXISTING SETBACKHIGHWAY + YARD = TOTAL
ADDRESS5439 Encinita HIGHWAY IDT 'F OM C.L.
CITY Temple City Calif. +
LDG. Sa BACK FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL �
ADDRESS HIGHWAY WIDTH FROM
CONTRACTORirgin Roof C�&. ' 287-0507 + v0
AD6@0 So. San GabrieclY. 160-650, CORNER CUTOFF YES 0 NO ❑ 0
CIT az Gabriel, LIC
L 39 SEE REVERSE SIDE FOR SPECIAL APPROVALS w
DESCRIPTION OF-WORK n
Z_
NEW ADD ALTER RPAI DEMOLISH
SQ,FT. NO. O NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
with M#* & 90# in hot asphalt
SIGNATURE OF
APPLICANT
VALUATION$ 01
I IAPPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ FORMS,.MATERIALS
FRAME, FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THI APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
SUILDI NO CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HERES I-WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABO CODE OF THE STATE OF CALIFORNIA REL T.
ING TO WORKMEN'S PENSATION INSU ANCE, LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR
PERMITTEEREC AND POSTED ';
ADDRESS rcia IVa en Fc- yLVLL FINAL 1-J114>1345-1
JOHN F. LEWIS, PRINCIPAL STRJ_ce'�RAL ENGINEER
PLAN CHECK VALIDATION CK. M.G. CASH _ PERMIT VALIDATIO M.D. CASH
z' F 2 sip 3 1 � 4.00-
M,IUo