HomeMy Public PortalAbout5465 ENCINITA AVE_Building__ f 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 0910190040
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 7796 LT 10 SQ FT STORIES TYPE 5465 ENCINITA AV
I ISTRUCTURE V-B TEMP CA 917803117
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
15388-001-029 ( THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
TENANT JEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY 1
IEXIST OCC GRP 10/19/09 SR
OWNER TEL NO BLDGS NOW ON LOT VALUATION IFI AL DIA FIN Y CODE 1
JUDITH BRADY - 5,200 1
11035 BUBBLING WELL R
IWCOV 917905003 I FEES PAID I ftb-11RIPTI& OF WORK VI
I 1 IRETRO FIT (14) WINDOWS AND (1) ONE SLIDING DOOR WITH VINYL 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT ILOW E 366 AND ARGEN FIAS WHITE VINYL I
(APPLICANT TEL NO I I
IRS PRODUCTION SERVICES INC (909) 592-5575- IAA BLDG PERMIT ISSUANCE 27 75 I
1640 ARROW HWY IAB STATE GREEN BLDG FEE 5200 00 VAL 1 00 ISPECIAL CONDITIONS
ILA VERNE, CA 91750 IAC STRONG MOTION RESID 5200 00 VAL 0 52 1
I ID2 PERMIT W/O EN-HC 5200 00 VAL 149 40 1
( I TOTAL FEES 178 67
CONTRACTOR I
TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
IRS PRODUCTION SERVICES INC (909) 592-5575- 1-_- I
1640 ARROW HWY LIC NO 1 ILOCATION AND SETBACKS I
ILA VERNE, CA 91750 899241 B I I I
I I ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS I I I
1 LIC NO I ISLAB/UNDER FLOOR I I I
IRAISED FLOOR FRAMING I I
I I I I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDERFLOOR INSULATION I I I
1147H265 3 001 1 1 1-1 I
I _I IFLOOR SHEATHING I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I I
I NO 21 1 IROOF SHEATHING I I
I I I I I I
1 SCHOOL WITHIN HAZARDOUS I ISHEA.R PANELS I
1AIR QUALITY 1000 FEET MATERIALS I I I
NO NO NO I IFRAME INSPECTION I I
I I I I I I
(REQUIRED TOTAL SETBACK FROM EXIST 1 IFIRL SPRINKLER HANGERS I I
ISET BACK YARD HWY PROP LINE WIDTH I 1 I 1
IFRONT PL- I (INSULATION/WEATHER STRIPI I1
I SIDE PL- I I I I I
I I (INTERIOR LATH/DRYWALL 1 I
I I I I I I
1EXTERIOR LATH 1 I
I IRATED FLOOR/CEIL ASSEM I 1
I I I I I I
IRATED WALL ASSEMBLIES I 1
I I I I I I
1 I IRATFD SHAFTS/OPENINGS I I I
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I 1 IT-BAR CEILINGS I
ILOT DRAINAGE
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REPORT ID DPR261 ROUTE TO BS0508
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76A638A CE#803162 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING y�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST ^
WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST
DISTRICT NO I GROUP I TYPE P�SE
FOR APPLICANT TO FILL IN CONST
BUILDING �-� STATISTICAL CLASSIFICATION S WER MAP
ADDRES BK P
CLASS NO DWELL UNITS
LOT NO BLOCK WATER
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ARCHITECT O �/� TEL P L
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FRAME FIRESTOPS /
I HEREBY AC KNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS i i' fT `7 .Po✓�ty
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION ,/ f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK 60 / ^/ 1f
AUTHORIZED HEREBY I LL NOT EMP Y ANY PERSON IN VIOLA LATH INT yy�((^^}
TION OF THE LABOR D OF THE A E OF CALIFORNIA RELAT /����! ����
ING TO WORKMEN P NSATION NS RANCE LATH EXT '
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PERMITTEE RECT AND POSTED
ADDRES ' FINAL
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__DEPARTMz� F BUI SING AND SAFETY APPLICATION,,FOR �•ERMIT
COUNTY OF LOS ANGELES B U I L D ' N o
WM. J. FOX, CHIEF ENGINEER t iV
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PLAN CK NO PERMIT NO.
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DESCRIPTION I LOT NO Q I BLOCK
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use or
X STING SLDO CSILgG'71�sZi IC NO.OF I I NO OF /
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DESCRIPTION OF WOR --
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APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION* LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME: FIRE STOPS,
SIGNATURE OF BRACING, BOLTS
OWNER LATH, INT: vg17�
AUTHORIZED AOT .- t!2!9
LATH, EXT:
$ P. C ® PLASTER, INT
FEE PLASTER, EXT
VALUATION FEE 2 FINAL
�-- - ---/--- APPLICATION- FOR "BUILDING PERMIT
------
FOR 1 _PPIJICANT TO FILL IN (Print or type only)
B+RLDING �..� ��� - COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT-OF COUNTY ENGINEER
CITY I ZIP / B BUILDING AND SAFETY DIVISION
NO OF BLDGS BUILDING
SIZE OF LOT NOW ON LOT ADDRESS 6 (2 IAII
TRACT / BLOCK LOT NO��jj�O LOCALITY L %
NEAREST
OWNER NOLp(SQ ��� CROSS ST vv
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROCESSED BY
CITY Q w ZIP (�Q CONST
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TE
ARCHITECT
STATISTICAL CLASSIFICATION SEWER MAP
ADDRES 4w L� �/ CLASS NO _DWELL UNITS 1 BK PG
C0NTRAC y NEO JX'�% USE ZONEFSPECIAL
P
LIC /
ADDRESS r-1 ��� U NO `�
CITY /J�,}, LIC NDITIONS
•iCLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG SETBACK FROM a
FRONT PROP LINE OF (STREET) O
ADDRESS l CITY �/�
HIGHWAY } YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING 9W
C
SO FT NO OF NO OF CH CK FRONT PROP LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE Cr
} - IV
DESCRIPTION OF WORK NEW ❑ CA
` ❑
ADD BLDG SETBACK FROM Z
SIDE PROP LINE OF (STREET)
ALTER HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING
=
REPAIR❑ SIDE PROP LINE
HIGHWAY WIDTH
USE OF } _
EXISTING BLDG �o / DEMOL ❑
APPLICAN pn EL /- CORNER CUTOFF YES ❑ NO ❑
(PRI NT) 11" ( V&/ NO ^
BY (SIGNATURIN OPEN SPACE YES ❑ NO ElE
/ IN COASTAL ZONE YES ❑ NO
VALUATI�tv�610 ❑
CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT 1 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-
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN V10-H-
LA BOR
IOAONLABOR CODE OF E OF CALIFORNIA IZJ R ATI NG TO
NSAT NIf
WORKMEN'S CO NSAN NSURANCEl(Y/J'7 r OSI
SIGNATU E �y /I)
PERMIT
A D R E ////����''''���� D O < /
�y ���� TEL rFINAL BY
CIT �.(v/! NO O�-LY(�V7� DATE
MAKE CHECKS PAYABLE TO FEE FEE
HARVEY T BRANDT, COUNTY ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M O CASH
6 3 S�,3Aid �y 1 0 1 5.0 0
6 638A CE#803 7/73 -
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Prmt or type only)
BUILID ING5465 N. Encinita Avenue COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY Temple Cit Ca. ZIP 91780 BUILDING-AND-SAFETY DIVISION
NO OF BLDGS BUILDING /� �_ L'Ch
SIZE OF LOT $y, NOW ON LOT ADDRESS �/
TRACT 7796 BLOCK LOT NO 10 LOCALITY (i -
NEAREST
OWNER Richard Janda NO185-1043 CROSS ST
5465 N. Encinita Avenue ASSESSOR
ADDRESS MAP BOOK - PAGE PARCEL
CITY Tem le Cit Ca.ZIP 91780 DISTRICT GROUP TYPE FIRE PROCESSED BY
r. .L..i_ CONST ,
ARCHITECT OR TEL
ENGINEER NO
- STATISTICAL CLASSIFICATION SEWER MAP
A DRESS CLASS NO_.aL_DWELL UNITS BK IU
G
CONTRACTOR •O O c TOL 287-974 ,USE ZONE MAPLIc
^ /
ADDRESS 131 E.Las Tunas NO 17273 M SPECIALLIC Cj(
CONDITIONS
CITY San Gabriel Ca. CLASS B-1
ROAD DEPARTMENT APPROVAL REQUIRED YES� NO
CONSTRUCTION LENDER
NAME AND BRANCH Cash BLDG SETBACK FROM
FRONTPROP LINEOF clZC.en:-fi:' (STREET)
ADDRESS CITYCD
HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING U
SQ FT NO OF NO OF CHECK - !
SIZE STORIES FAMILIES ONE FRONT PROP LINE HIGHWAY WIDTH
DESCRIPTION OF WORK
NEW E] } Q (1 �^ U f W
❑ BLDG SETBACK FROM - -
0a
Enclose E lstin Patio. ADD SIDEPROP LINEOF I (STREET) Z
ALTER ® HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING
` REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH
USE
EXISOT NG BLDG Residential DEMOL ❑ } _
APPLICANT TEL CORNER CUTOFF -'YES ❑ _ NO 0
(PRINT) - NO
BY (SIGNATURE) IN OPEN SPACE _ YES ❑- NO ❑
IN COASTAL ZONE YES ❑ NO E]
VALUATION$ 23680.00
CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION I 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 COMPENSATION INS U RAU9E
SIGNATURE OF
PERMITTEE
ADDRESS
FINAL BY
TEL DATE
CITY NO
11 ihL (-LLL-( k P 1}-113LL 10 FEE $ FEE
I HARVEY T BRANDT, COUNTY ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIO �. . °CASH
2�64-12FEB, 7 1 D 2 8.5 U e ;
'6A638A CE#803 t2/72 _ - — -
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76A638A CE*803 B-63 APPLICATION FOR BUILDING PERMIT
4
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO G TYPE D
FOR APPLICANT TO FILL IN �, 0 CONS
BUILDING STATISTICAL CLASSIFICATION S WER MAP
ADDRES BK
CLASS NO DWELL UNITS
LOT NO BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED ❑
TRACT MAPHIGHWAY STATE MAJOR SECOND LOCAL
NO OF BLDGS NO D (CIRCLE)
SIZE OF LOT _ NOW ON LOT we USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
TEL
OWNER NO a1790 BU LD NG YARD HWY STREET NAME EXIST
SETBACK WIDTH
ADDRESS �' FRONT
ARCHITECT OR TEL P L
ENGINEER NO SPIDE, A ^
ADDRESS TEL r �L ,1�'�'+L. i►• �h M"' Q
CONTRACTOR NO '� ... v
ADDRESS , G t a
O I F O
DESCRIPTION OF WORK G
W
CL
NEW ADD ALTER REPAIR DEMOLISH ,� Z
SO !b NO OF NO OF z
SIZE / STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $ '
r—AME
VALS DATE INSPECTOR SSIGN AT(IRE
PC PMT N LOCATION //�/
FEE $ FEE $ e ATERIALS (f'
E STOPS0 �/jI
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ®J (44
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION V V
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE
LATH EXT ,V
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE r RECT AND POSTED R
ADDRESS_ / ALJ FYI// F� iYlAh& FINAL "'fl ihPg
JOHN F LEWIS PRINCIPAL STRUCTURAL"EN E
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK MO CASH
L&,00 01-6 JUN 30 1 D 6.00-