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Home My Public Portal About5453 ENCINITA AVE_Building__ 7GA638A CE 8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESSG BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. _ DISTR.ICT O GR UP TYPE SESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING IN STATISTICAL CLASSIFICATION S WERMAP ADDRESS 5453 Encinitas T.C. _ �` 'BK PG CLASS. NO. DWELL. UNITS LOT NO. r BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT L C MAP HIGHWAY STATE MAJOR SECOND. LOCA4- NO, OF BLDGS. NO. � (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. Residence A. TEL. Al.' OWNER E. • Schirch NO. BUILDING EXIST. SETBACK YARD HWY 'STREET�IAM E� WIDTH ADDRESS 5453 Encinitas T.C. FRONT '�P �Jf �.� ARCHITECT OR TEL, P. L. / L'y'+� .cyG/e ENGINEER NO. SIDE P. L. ADDRESS ,, - O CONTRACTOR Vir- in Roof C o�EoLAT705 7 .. ADDRESS 600 S. San Gabriel Blvd. JL- o DESCRIPTION OF WORKSan Gab. w a. ' N NEW . ADD ALTER EPAIR DEMOLISH Z SQ. FT. NO. OF °--- - SIZE STORIES FAMILIES ' USE OF STRUCTURE Re-roo se. Gar. Com o SIGNATUREF APPLICAN ' VALUATION 5 176. APPROVALS DATE INSPECTOR,;S�SIGNATURE FOUNDATION: LOCATION FIE s vm� FEE $ 6.00 FORMS, MATERIALS t FRAME: FIRE STOPS, A° T I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION BRACING, BOLTS f AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS ,I BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HE EBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. f TION OF THE LA OR ODE OF T TATE OF CALIFORNIA RELAT- ING TO WORKMEN' MPE4NISA INNCE. LATH. EXT. SIGNATURE O HOUSE NUMBER COR- r `� PERMITTEE Gw'[ JtmRECT AND POSTED A ADDRESS 6 an Gabri e d FINAL /t" N F. LEWIS. PRINCIPAL' RU , RAL ENGINEER San Gabriel JOH PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO� CKf M.G. CASH M 850437 s6 1 WORKERS'COMPENSATION DECLARATION t r hereby affirm.that I have a certificate of consent to self A P P L I CAT I ON FOR B U I L D I N G -PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800; Lab.•C.) - - ti COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Nol V85-2251 S&' mpany Fremont Indemnity 1:1Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 0ESS aCertified copy is filed with the county building inspec- BUILDING ` tiori'department. ADDRESS5453 Encinitas , Date 9/11/85,.—Applicant V i rq i n Roof• Co. CITY Temple- City ZIP LOCALITY -CERTIFICATE OF EXEMPTION FROM WORKERS' - ' - NO. OF BLDGS. NEAREST COMPENSATION 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 A PARCEL TEL. USE ZONE MAP ` OWNER Mr SCh I rck--. .No:- _ _ I certify that in the performance of the work for which this f NO. y 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 CITY - ZIP. 09 Date, ' Applicant ARCHITECT OR TEL. NOTICE TO'APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT_, GROUP TYPE FIRE PROC SED BY .Exemption, you should become subject oto the Workers' /� J, CONST. ZONE U Compensation provisions of the Labor Code, you must forth- ADDRESS 5�/ ✓ - ✓ � With comply with-.such provisions or this:permit shall be - -• - TEL STATISTICAL CLASSIFICATION APT. 7DO. deemed revoked. CONTRACTOR V 1 r 1 n ROOF CO. Z28 —050 `—� LICENSED CONTRACTORS DECLARATION -- LIC. CLASS NO. Z DWELL. UNITS I hereby affirm that I am licensed.under provisions of Chapter 9 ADDRESS P.O. BOX J NO. 160650 (commencing with Seciion 7000)of•Division 3 of the Business and SEWER MAP LIC.- San Gabriel C Professions Code, and my license is in full force and effect. CITY CLASS 39 BK. PG. VALIDATION SQ. FT. NO.OF __ NO. OF CHECK License Number 160650 Lie".Class C39 SIZE ISTORIES FAMILIES ONE VALUATION Virgin ROOF CO 91/11/85 DESCRIPTION OF WORK Re-roof -house & NEW - � Contractor Dote ADD p s 1449.00 El I am exempt under Sec. - a ra a with- Class A- fiber las-s ALTER B.BP.C. for this reason . shingles• 21 squares res REPAIR._❑ $ USE OF Date: EXISTING BLDG. dwelling DEMOL Q ;22922A Sign APPLICANT TEL 287-0507 FINAL ; g Vir in Roof Co. PRINT) g NO. OWNER-BUILDER DECLARATION DAT # 0 0 0 0 0 I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS P•0• BOX J San Ga b r 1 e 1 91]]8 FIN Professions Code): PRESENT By I ° ° 49.88 BUILDING I, as owner of the property, or my employees with ADDRESS oo 4 9.8$v; wages as their sole compensation,will do the work and o the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING' TEL. ' -0,9. 1 a 9, 1 6-85 I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct'the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED. YARD HWY TOTAL.SETBACK FROM CONSTRUCTION LENDING AGENCY"' SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance-of the work for-which this permit is issued P.L. ` (Sec. 3097, Civ. C.). SIDE P.L. - Lender's Name P.C. Fee$• Permit Fee $39-38,. CDMA Ref. # - Lender's Address 50 I certify that I have.read this application and state that the -. Issuance Fee- -1 p.° -CDMA P/C# --- -• - - above information is correct. I agree to comply with all County Investigation Fee m ordinances and State laws relating to building.construction, Total-Fee 49.88 CDMA Perm. # - d and hereby authorize representatives of this County to enter upon the a ove-mentioned pro rty fo inspection purposes. Y ; d - a SEE REVERSE FOR EXPLANATORY LANGUAGE Signa. of Applicant or Agent Date :Oo