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Home My Public Portal About5443 ENCINITA AVE_Building__ s. 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 0109040033 PHONE: .(626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDINGADDRESS: TR: 7796 LT: 14 SQ. FT STORIES TYPE 5443 ENCINITA AV STRUCTURE: 4000 VN TEMP CA 917803117 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5388-001-014 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: XX ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/04/01 UT 03/03/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: EASTVEDT RICHARD E;MAUREEN L (626) 287-3018- 5,000 5443 ENCINITA AV TEMP 917803117 FEES PAID DESCRIPTION OF WORK TEAROFF REROOF, APPLY CELOTREX ON PITCH AREA ON FLAT AREA FEE DESCRIPTION: QUANT.ITY.: UOM: AMOUNT: APPLY CENSTAR APPLICANT: EL. NO: DOUG DEARDEN (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75, 4251 BADLWIN AVENUE AC STRONG MOTION RESID, 5000.00 VAL'' 0.50 SPECIAL CONDITIONS: EL MONTE CA D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE WEATHERITE ROOFING (626) 287-0669- 4251 BALDWIN AVE LIC. NO LOCATION AND SETBACKS ELMONTE CA 91731 HIC 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 CLASS: NO 21 _ ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQ IRED TOTAL SETBACK FROM 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/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS r T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPT-RTMENf OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0109040033 PHONE: (626) 285-0488 EXT: DUPLICATE LEGAL ID: NO. OF CONST BU TR: 7796 LT: 14 SQ. FT STORIES TYPE 5443 E STRUCTURE: 4000 VN TEMP CA 917803117 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5388-001-014 THOMAS PAGE: '596 GRID: A LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ONE: XX ISSUED ON: PROCESSED BY' EXPIRES ON: EXIST OCC GRP: 09/06/01 UT 03/05/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F BY: CODE: EASTVEDT RICHARD E;MAUREEN L (626) 287-3018- 5,000 i 5443 ENCINITA AV i V ` TEMP 917803117 FEES PAID DESCRFPTION OFWQRK TEAROFF REROOF, APPLY CELOTR N PITCH AREA ON FLAT AREA FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLY CENSTAR TO HOUSE AND GUEST HOUSE APPLICANT: TEL. NO: DOUG DEARDEN (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75 4251 BADLWIN AVENUE AC STRONG MOTION RESID - 5000.00 VAL 0.50 SPECIAL CONDITIONS: EL MONTE CA D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE WEATHERITE ROOFING (626) 287-0669- 4251 BALDWIN AVE LIC. NO LOCATION AND SETBACKS ELMONTE CA 91731 HIC - SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0: - - SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING N0. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROOF SHEATHING ` i SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM 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 Q T-BAR CEILINGS * ADDITIONAL DATA ON FILE ' LOT DRAINAGE REPORT ID: DPR261 ROUTE TO:'BS0508' ' WORKERS' COMPENSATION DECLARATION G , I hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING P E RM I T lnsurefir a certificate of Workers' Compensation Insurance, i a certifyed copy thereof ec. 3800, ab. C.) ��1 q ��f 10 70 "1 is �J r�_ 1 COUNTY OF LOS ANGELES BUILDING AND SAFETY c cy o. Company / k q r BUILDING y ._] ertified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is?PN my ildin ' spec- BUILDINGLI �tiio�n/depparrtmentADDRESS l7 Date_L iC�!J_ ACITY ,� -ems �� ZIP LOCALITY N OF BLDGS. NEAREST i CERTIFICATE OFM WORKERS' SIZE OF LOT w ON LOT CROSS ST. COMPEANCE ASSESSOR (This section need not the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) TEL.OWNER NO.r�p p 1 X30/ USE ZONE MAP ✓ a I certify that in the performance of the work for which this D NO. permit is issued, I shall not employ any person in any manner ADDRESS / — / SPECIAL a}. CONDITIONS so as to become subject to the Workers' Compensation Laws, O CITY ZIP U Date Applicant ARCHITECT OR TEL. DISTRICT GR UP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. / ZONE Exemption, you should become subject to the Workers' LU Compensation provisions of the Labor Code, you must forth- ADDRESS J / with comply with such provisions or this permit shall be //')� � �/- TEL. -)/y STATISTICAL CLASSIFICATION APT. CON Z deemed revoked. CONTRACTOR f"Y�/'" 1� NO. O/0 0? �J Z LICENSED CONTRACTORS DECLARATION �,,LIC. CLASS NO.0_DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS a 0 F�K�� NO. y 7 3 0 yMill - (commencing with Section 7000)of Division 3 of the BusinessCITY vq CLASS LIC. SEWER MAP �� -{ 13 and Professions Code,and my license is in full force and effect. BK. PG. VALIDATION ,/ ll SQ. FT. N 4/7-340 O. F NO. OF CHECK License Number /73 40 Lic. Class�l� SIZE STO IES FAMILIES ONE VALUATION Contractor VV1& Date e7�I ' YI DESCRIPTION OF WORK L'� NEW ❑ ❑1 am exempt under Sec. 4F '2 - �� V�- J ADD ❑ % ► ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. 4fe K DEMOL F-1 Signature APPLICANT TEL. 7 FINAL OWNER-BUILDER DECLARATION (PRINT) ,� ,, NO. O Cj —� DATE I hereby affirm that I am exempt from the Contractor's License — V/I Law for the following reason (Section 7031.5, Business and ADDRESS c.Y �t.o FIN Professions Code): PRESENT By BUILDING I, as owner of the property, or my employees with ADDRESS 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. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. 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.I. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name $ C r LDMA Ref. # P.C. Fee$ �. Permit Fee / .3 Lender's Address 0 1 certify that I have read this application and state that the Issuance Fee / 6 , LDMA P/C# 8 above information is correct. I agree to comply with all County Investigation Fee d ordinances and State laws relating to building construction, Total Fee ,-71? CJ LDMA Perm. # a d hereb authorize representatives of this County to enter n the bo - ntion roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date