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Home My Public Portal About5449 ENCINITA AVE_Building__ 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 0411120001 PHONE: (626) 285-0488 EXT: GA G ADDRESS TR: 7796 LT- 12 SQ. FT STORIES TYPE 5449 ENCINITA AV STRUCTURE: 1800 VN TEMP CA 917803117 ASSESSOR NEAREST CROSS STREET: 5388-001-012 THOMAS PAGE: 596 GRID: J4 LOCALITY. TEMPLE CITY, C TENANT: - EXIST BLDG S SE 209F-IF-3 IS PROCESSED BY. EXPIRES ON. EXIST OCC GRP: 11/12/04 JK 11/07/05 0 TEL. 0: B DGS. NOW ON LOT VALUATION: FINAL DATE FI L BY CODE CHAN, MELODY (818) 287-1356- 3,500 5449 ENCINITA AV -z j6 TEMP 917803117 FEES PAID ESC OF WORK REMOVE SHINGLES & INSTALL 30 YEARS SHINGLES HOUSE AND GARAGE APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: YANG (714) 321-8335- AA BLDG PERMIT ISSUANCE 27.75 501 MIGUEL PLACE AC STRONG MOTION RESID 3500.00 VAL 0.50 SPECIAL CONDITIONS: FULLERTON D2 PERMIT W/O EN-HC 3500.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TEL. NOAPPROVALS DATE INSPECTOR SIGNATURE BEST ROOFING (714) 321-0335- 501 MIGUEL PLACE LIC. NO LOCATION AND SETBACKS FULLERTON CA 92835 552156 C39 SOILS ENGINEER APPROVAL ARCHITECT0 0: FOUNDATION/TRENCH LIC. NO: SLAB/UNDER FLOOR RAISED-FLOORG P 0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP UNDERFLOOR INSULATION 147H265 3 01 FLOOR A I G 0 OF S: AP C : STAT . NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS S y AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED --MR-79ETRACK FROM EXIST FIRE SPRINKLER HANGM- SET BACK YARD: HWY PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH7Uff7WA1L- EXTERIOR LAT RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED OP GS T-BAR CEILINGS LOT DRAINAG REPORT ID: DPR261 ROUTE TO: BS0508 r \ WORKERS' COMPENSATION D 850440 SB ~ a I,hereb affirm that I have a certificate of consent to self insure, of a certificate of Workers' Compensation Insurance, FOR .BUILDING, PERMIT c ora certified copy thereof (Sec 3800; Lab' C ) ` "_ - APPLICATION Policy Nol V'85-22515&mpgnf remont Indemnity - COUNTY OF LOS ANGELES BUILDING AND,S'AFETY ❑ Certified copy is hereby furnished,� 1, FOR APPLICANT TO FILL IN i BUILDING ADDRESS ® ` Certified copy is filed with the county-building inspec- BUILDING 1 Stion'depa�tment' ADDRESS 5449 N. Encinitas Date, 9/.bt/85Applicant VIr'g i n Roof Co. R CITY Temp e C i ty ZIP i LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS NEAREST COMPENSATION INSURANCE' r 1• SIZE OF LOT NOW ON LOT CROSS ST (This 'section need not be'completed if the permit is for'one TRACT BLOCK LOT NO ASSESSOR -'- r " `hundred dollars ($100)or less ) „ ~` MAP BOOK t PAGE PARCEL ry` ' - OWNER - Mr. & Mrs• Mc Manus` TEL ; USE Z E MAP � 7 I certify that in`the performance of'the work for which this NO MA permit is issued, I shall not employ any person in any manner _ SPECIAL so as to become'subjecT to the Workers'Compensation Laws ADDRESS as above CONDITIONS V Date- `~ Applicant, ^i- ^r CITY o __ _ _ ZIP 0 ARCHITECT OR TEL DISTRICT_ GROUP FIRE PR SSED BYNOTICE"TO APPLICANT"If; after _making this Certificate of �Exemption, 'you?should become subject' to-the Workers' ENGINEER NO CONT'/ ZONE Compensation provisions of theLabor'Code, you must forth- ADDRESS (J� [TYPES ✓- �� d with comply with such-provisions or,this permit shall be r ^ - - - - , H deemed revoked a° , TEL STATISTICAL CLASSIFICATION APT ;TNDO Z CONTRACTOR Viir i n Roof Co NO 28 -0 0 ' LICENSED CONTRACTORS DECLARATION, .r - - - - - LIC �� CLASS NO �DWELL i UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P•0 BOX J NO 6 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and , _ LIC-- Professions Code, and my license is,in full`force and effect CITY San Gabriel CLASS C - -'"VALIDATION ' I , S _F QT NO OF NO OF _ CHECK BK PG License Number �1 60650 Lic Class C39 SIZE STORIES FAMILIES w ONE z9 2 9 21 A I s• - . VALUATION 1 ` ' DESCRIPTION OF WORK - NEW 1 0 o,• a 0 Contractor ii 1 ral'li' ROaf CO�ateq/1�/gS ADD Q $ *014,261 1453.00 # I am exempt under Sec garage_wi th Class A f i.berglas , ~ - ALTER ❑ t I • o i B 8P C for this reason t comp. - 21 squares _ _ REPAIR ❑ $ - - _ _- 4 9'8' USE OF t = - Date EXISTING BLDG DEMOL ❑ _ r s'o 0 4 9,8 8' Signature APPLICANT TEL FINAL L OWNER-BUILDER DECLARATION .� _ (PRINT V 1 r 1 n ROOF CO.�: NO 28]-050] DATE 9; 6785 I hereby affirm that,I am exempt from the Contractor's License ox J San Gab r i e 1 CA 91] Law for the following•reclson (Section 7031 5, Business and ADDRESS P.O.• • r Y FINA 'Professions Code)" "%``' 7 BY EJ -1, ' I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' LOCALITY the structure isnot intended or offered for sale(Section 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 - CONSTRUCTION-LENDING AGENCY " SET BACK YARD HWY PROP LINE WIDTH _t 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 Lender's Name~ . P L LDMA Ref # 6 Lender's Address - P C Fee$ - - Permit Fee 8 r i I certify that I_have read this application and state that-the - -- Issuance Fee - 10-50 - kLD P/C# ...-- a above information is correct I agree to comply with all County Investigation Fee ordinances and State-laws relating to building construction, _ _ Total Fee 49.88 LDMA7Perm R v and her by authorize representatives of this County to enter upon h above-mentioned perty f r inspection purposes a s r • SEE REVERSE FOR EXPLANATORY LANGUAGE t ign a of Applicant or Agent - - Date