HomeMy Public PortalAbout5623 ENCINITA AVE_Building__ ,..°:°. .�.a,•B.BD APPLICATION FOR BUILDING PERMIT IJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS C
BUILDING AND SAFETY DIVISION LOCALITY /
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BVILOINO CROSS ST. J
DISTRICT NO. Gag1 UR TYPE -P SED BIIV oo
FOR APPLICANT TO FILL IN coN Gh�iG.
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STATISTICAL.CLASS FICATION 4 ER MAP
ADDRR ES$ 9,'.�J A, �%YL/(�J� ��. / -(i � r I K PGy
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UILDINGL T 'j�UA BLOCK NUMAPMBER (�J/ g STATE YES O
r HWY.
TRACT JVAIYV
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SIZE OF LOT p /I ��Or NOW ON LOTIN 4,l///Q. CONDITIONS
USE OF JnJ
EX IST,NG BLDG YieSJJ /✓ Pi BUILDING YARD HWY STREET NAME EXIST.
WIDTH
TEL. SETBACK
OWNER / 'L NO /' J FP�L.T �JC.•/�L�/L �Cl/I
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ENGINEER NO. INSPECTION RECORD t
ADDRESS - O
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CONTRACTOR `Y.1 NO.
a
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR .DEMOLISH
Sp.FT. A�(.�/ n -NO.OF NO.OF
SIZE AJ (�j/ STORIES FAMI LIEN
USE OF
STRUCTURE C N N T - I I
SIGNATURE OF ll,� hlli l/d�'" //,;,/d.� _ �
APPLICANT �'T�/j;•
VALUATION$ Jam/' G�
^ APPROVALSVALS- DATE INSPECTOR'S SIGNATURE
FO
P.C. PMT. f.�L� FORMS!MALOCATION
MATERIALS
FEE S FEE S
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLT$
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED I SHALL NOT LATH, INT.
EMPLOY ANY PERS IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKME 5 COMPEN5AT1 LAWS OF CALIFORNIA. LATH, EXT.
SIGNATURE HOUSE NUMBER COR.
PERMITTE RECT AND POSTED {/ 1••I��J��,�J
ADDRESS / - FINAL /�J��' •"`^""""" '
CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENG ER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. GSH
L ! ,34693U 0AR31 2 D 18 .00
veszBA CE 4803a2s3APPLICATIOI NG.P •RMIT
COUNTY OF LOS •ANGELES. BUILDING_'
DEPARTMENT OF COUNTY ENGINEER noDREss .
BUILDING AND SAFETY DIVISION i OCALITY
JOHN AF CAMBIE. COUNTY,ENGINEER NEAREST -
WILLIAM..A. JENSEN, SUP T.OF BUILDING - CROSS ST!
DISTRIC NO GROUP TYPE P ESSED 5
FOR APPLICANT TO FELL IN
7CONST
YPE
BUILDING CCnn¢¢ STATISTICAL CLASSIFICATION SE ER MAP" '
ADDRESS '5VGVN Encinita•-.. .G. CLASS. NO. "^]{ OW ELL. UNITS -~ BK .I 'y�.
_. �//
LOT NO. COCK WATER NOT REQUIRED RECEIVEDJ.
CERTIFICATE: , - A,
TRACT . .' i MAP., ' HtcHWAY'" T - -
NO:OF BLDGS. NO. p�-[I-, ICIRCLEI .•SATE MAJOR SECOND. CAL -
SIZE OF LOT NOW ON LOT USE ZONE' SPECIALUSE OF _ .- ,!1 .`CONDITIONS e1
EXISTING BLDG. Res♦ /l✓ -
OWNER Jim Hornbuckle NO BUILDING - EXIST.
/�qqETBACK YARD HW.Y TREETNAME - WIDTH
ADDRESS5623 N.EnCinita• T.C.° TCFRONT,
ARCHITECT OR TEL - P. L.
ENGINEER 1 NO. - SIDE. -
P.'L. d
,.ADDRESS. P Ln..rtV1 G O
'CONTRACTOR Virgin' Roof �ONOti"050
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ADDRESS 6 15. an .Gabriel Bl-. S.G. - •, .., - - „0'
DESCRIPTION OF'WORK
NEW ADD °ALTER REPAI DEMOLISH +
SQ.FT, NO. NO. OF"
SIZE STORIES FAMILIES
USE OF -
STRUCTURE
Re-roof House ;& 'Garage:
J ,
SIGNATURE OF ' s
APPLICANT -
VALUATIONS 1567..OG'
APPROVALS 4 _ DATE INSPECTOR'S SIGNATURE -
FOUNDATION: LOCATION -
FEE 5 FEE S 11L 5O FORMS..MATERIALS-
FRAME:_FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING::BOLTS
AND STATE-THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY FURNACE:-LOCATION. , - •'
WITH ALL COUNTY ORDINANCES,AND.STATE LAWS REGULATING GAS,VENT,.DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOINGTHE WORK
AUTHORIZED HEREBY I WILL-NOT EMPLOY ANY PERSON IN v DLA- ''LATH* INT.
TION OF THE LABOR CODC- OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN' C MPENSATIO NS RA . . - ; L•TH.!EXT.
SIGNATURE OF OUSE NUMBER COR
'.PERMITTEE CT AND POSTED' '
ADD RESAOO Sj§an a riel' Blv INP:L ; I� xi4vvjt� `
" - an Gabriel " JOHN F. LEWIS, PRINCIPAL STR URAL.ENGINEER''
PLAN CHECK VALIDATION OK. M,O. CASH '.PERMIT VALIDATION GK. R.6_ CASH
033°0Q SEP 1.8 1 0,
FOAG58A CE tSO5.10-56APPLICATION FOR BUILDING PERMIT �
BUILDING AND SAFETY DIVISION BUI elsN �+?
Department of County Engineer
County of Los Angeles LOCALITY '
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST. (/
DISTRICT NO. GROUP TYPE SEW Kl MAP
PG
FOR PPLICANT- TO FILL IN !��coNsr.
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BUILDING 6 Z ci r- /C
ADDRESS S:ATISTICALC SSIFICATION
�'C LL- CLASS. NO. DWELL. UNITS
LOT NO 2/ e :�l' a 'BL CK MAP w STATE
HWY YES
_l'f NUMBER _
TRACT m•8 .• 1 '3 — SSG- USE ENE SPECIAL
SIZE OF LOT JIB�C) I NO. OF BLDGS. •� CONDITIONS
NOW ON LOT
USE OF e _ �� ,{
EXISTING BLDG. ffJ '` n BUILDING _ EXIST.'
SETBACK WIDTH
OWNER • ,Lf NORN6r�G'KL� YARD HWY STREET NAME
FRO - �-
MAIL
ADDRESS /YO- SIDE P. .
LNO,
T`
CITY INSPECTION-RECORD
ARCHITECT OR '/ j� TEL.
ENGINEER /y )� O LC 4-1 'J NO. _
s 1� b'
ADDRESS /51
r CONTRACTOR nRL/S7A � QUC.dO. 7(e'/✓
ADDRESS �.
DESCRIPTION OF WORK — n /AJqP
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<' A'- .vc_2 /J/rt
NEW ')- ADD - ALTER REPAIR DEMOLISH
' SO. FT. NO. OF NO.OF ii
f SIZE STORIES FAMILIES - r
USE OF STRUCTURE �A pC p
Lc:/!>HL�� U o L✓/ '
/ APPROVALS
SIGNATURE OF S)
APPLICANT •DATE INSPECTOR'S SIGNATURE
h ADORERS FOUNDATION: LOCATION ' /f
FORMS. MATERIALS -rGEMI 1;-7 1Glt'r��•
$
FRAME: FIRE STOPS, 1 P. C. S q J��
FEE ERACING. BOLTS
//�� Y
VALUATION Z �J1.! S - D 1 FGAS V NT. DUCTS
N
FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND -
AGREE TO COMPLY WITH ALL COU TY ORDI C S AD LATH. EXT.
STATE LAWS REGULATING B
SIGNATURE OF / HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS / FINAL
JOHN A. LAMBIE. Co&6Y ENGINEER, CLYDE N. DIRLAM. ID INCIP L STRUCTURAL-E_N EER
PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION M.O. CASH
(,0 3 8 E 1E JUL 19 1 6 2.7 5 •1' ®.
L;,l 0 0 3 8 a ti JUL 1 8 1 ,n n "
• COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1106290061
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO, OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 5623 ENCINITA AV
(STRUCTURE: 2700 V-B TEMP CA 917802416
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15387-019-006 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
(TENANT: iEXIST BLDG USE: RESID USE ZONE: A-1 (ISSUED ON: PROCESSED BY: 1
EXIST OCC GRP: 106/29/11, SR
TOWNER: TEL. NO: 1HLDGS. NOW ON LOT: VALUATION: (FINAL✓✓✓���GATE FINAL BY: CODE: I
WARNER, CHRISTINE (626) 622-9078- 5,500 I �,{•p `/
5623 ENCINITA AV 3 //�
ITEMP 917802416 1 FEES PAID IDESCRIPTrON OF WORK 1
IREMOVE COMP 5 INSTALL GAF COOL SERIES TITLE 24
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (
(APPLICANT: TEL. NO: I I
IJIM ROBERTSON (951) 313-4105- lAA BLDG PERMIT ISSUANCE 27.80 1 1 11
1504 S. SHELLMAN AVE JAR STATE GREEN RLDG FEE _ 5500.00 VAL 1.00 ISPECIAL CONDITIONS:
ISAN DIMAS CA 91773 IAC STRONG MOTION RESID 5500.00 VAL 0.60
D2 PERMIT W/O RN-HC 5500.00 VAL 149.70
TOTAL FEES 179.10
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IPREFERRED ROOFING (909) 305-9314-
1504 SPELLMAN AVE LIC NO 1 11 LOCATION ANT) SETBACKS 1
SAN DIMAS CA 91773 777824 C39
1SOILS ENGINEER APPROVAL 1
I
ARCHITECT OR ENGINEER: TEL. NO: IFOU6'DATION/TRENCH FORMS 1 I
I
I LIC. NO: (SLAB/UNDER FLOOR
I _ I_ 1
I (RAISED FLOOR FRAMING
MAP NO: SEWER MAP HOOK: PAGE: FIRE ZONE: CMP:I IUNDERFLOOR INSULATION
1147H265 3 00I 1 1
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1
0 NO 21 1ROOF SHEATHING 1
SCHOOL WITHIN HAZARDOUS 1 SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO IFR . INSPECTION
IFIRE SPRINKLER HANGERS
I
INSULATION/WEATHER STRIPI I 1
(INTERIOR LATH/DRYWALL I I
I
1 11 1
(EXTERIOR LATH
I I I
IRATED FLOOR/CEIL ASSEM.
I I (RATED WALL ASSEMBLIES 1 I I
1 1 1RATED SHAFTS/OPENINGS 1 I 1
I 1 1T-BAR CEILINGS I 1 1
I I
I I (LOT DRAINAGE
I I I
IREPORT TD: DPR261 ROUTE TO: SS0508
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