HomeMy Public PortalAbout5635 ENCINITA AVE_Building__ ''APPLICATION FOR:BUILDING PERMIT
FOR APPLICANT TO'FILL IN-tP, ,, e:r oe D l
BUILDING 5� 5J COUNTY.,OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER-
CITY A E c _ ZIP–`" -BUILDING AND SAFETY DIVISION
_ v NO.OF. BLOGS. BUILDING - -
SIZE OF LOT 7COAo.20. ODR
NOW ON.LOT L >ff �A ESS
bl
LGICK �"- TLOT NO Vc�� LOCALITY _
TEL. NEAREST
OW NE /L. -NO. CROSS ST.
A. ASSESSOR' _
ADDRESS - MAP BOOK _ PAGE - - PARCEL +
- DISTRICTGROUP TYPE - FIRE ESSEO BY
CONST. - ZONE" _
CITY ZIP {J,
ARCHITECT OR - ' TEL Ue'✓ -
ENGINEER - NO. - - -
STATISTICAL CLASSIFICATION _ SEWERMAP'
ADDRESS .CLASS NOr6L_OWELL.UNITS•' .. BK PG .
CONTRACTO NEL.. ,0 ?3 USE ZONE MAP O�
LICNO. '
AOORESS Q _ NO .. - ;'S!( ]. J/ SPECIAL
LIC CONDITIONS
CITY CLASS -_
- - - RO A'D DEPARTMENT APP.ROVAL REq UIREO YES❑. NO ❑
CON5TAUCTION LENDER -
NAME AND BRANCH -
- - BLDG, CK FROM
FONT PROP.
LINE OF - - ISTR EETI 0
ADDRESS - CITY HIGHAY VARA TOTAL SETBACK FROM TYPE OF EXISTING U
SO. T. N06OF NO, OF. CHECK 4- FRONT-PROP. LINE —HIGHWAY 'WIDTH LC
SIZEFSTO W
RIES. FAMILIES• ONE - O
OESCRIP ION OF 7RK NEW ❑ - a
_A00 ❑ BLDG.SETBACK FROM
SIOEPROP.LINEOF = (STREET) Z
ALTER ❑ HIGHWAY +7 YARD
_
:TOTAL S'ETBACK.FROM TYPE OF EXISTING
-
,..RE PAIR SIDE PROP.. LINE HIGHWAY1 WIDTH
USE OF +
DEMOL
EXISTING-BLDG.- - - --- ❑
APPLICANT - TEL CORNER.CUTOFF. , YES ❑ NO ❑.
(PRINT) _ _ NO.
-BY (SIGNATURE IN OPENSPACE. - YES,-El _NO-❑ y
QQ / J, IN COASTAL ZONE YES-C] NO ❑ -
VALUATION Y �(f l(,' O� - - - CATEGORICAL EXEMPTION YES❑ NO ❑
I. HEREBY ACKNOWLEDGE THAT 1-HAVE,READ THIS.APPLICATION ENVIRONMENTAL ,
ANDSTATETHAT THE ABOVE 15 CORRECT AND-AGREE,TO COMPLY ..IMPACT [EXEMPTION-DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND .LAWS REGULATING' BUILDING CON-
IMPACT REPORT PROCESSED (DATE)
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSONIN'-VIOLATION OI -
LABOR CODE OI STATE OF.CALIFORNIA IN RELATINO,TO a ,
WORKMEN'S COMP SAT N INSURANCE._ '
SIGNATURE OF
PERMITTEE -
ADDRESS
— TEL- AL - BY
CITY NO. C%-U� DATE '���7•�
.,11r1KE
CHECKS PAYABLE 7'0: - P.C.
E $ �-_ - _ FEE $
HARVEY T. BRANOT, COUNTY ENGIN EER Y - _ �'7
06
;PLAN CHECR;-VALIDATION ' CH. MID,' 'CASH PERMIT VALIDATION N .
MIP: C;SH
- — - _ 6�FEB' 19 1: 1 X2.0 O.Ayc
76A538A CE>803 12/72,.,
DMSION OF BUII DING AND S"-'
AFE'xaCT 1 i t U
gDep County of LeeCo;xnlyAn Engineer ii ►► NG
. FOfy o! Lou Angelen N - _ 'WM.. J. 'FOX, COUNTY ENGINEER' T APPLICATION
:FOR.APPUCANT TO FILL IN AD REISS 3635 G 7XA:� V-17 1119, ti
BUILDING 5/ ? l� tt'— .1/JIT LOCALITY Com-
BUILD'ADDRESS GG JJ, 6 � �✓ - "
NEAREST + O .1
LOCALITY �'(�, CR058 9T.. L• �G -/�/ .#
DISTRICT NO.. . PUN-CE..DR'REC.-No. PERMIT NO:'
OWNER"' t,•C - RM —OF+ :OATE•OF AP1PLI '.;;7p;
..DATE ISSUED -1
AD REBS ,� C � L..�, fj30/J� /O7✓� -
//'' - y'
USIfle
' : O. OF' TYPE -,GROUP FIRE ZONE
..CITY. ` NCO ! / .PLAN-I�I "" �•.Ir
L ARCHITECT OR - ' TEL > -ry—,r_^ ZONING• /)S.p —/—'_7�V•1►(yDATED Z
ENGINEER'.'. - "NO- -C `�-D APPROVEn.Bv- � /J`
ADDRESS - - _ BUILD'NGL
SET BACK LINE:
t
TEL APPROVEn �/q/ DDiATE{
• CONTRACTORS `NO. BY: �
'ADDRESS rlv .j.,. - DU9E NUMBERING // /•4
LEGAL - .MAP NUMBER ��� --NO.'A99IGNED.BY
DESCRIPTION,. / LOT NO. BLOCK +J''
JU/V/�Y IG -DATE I i r I CORRECTIONS" I INSPECTOR `!
TRACT ^-ff 1 I •�
` SIZEOF LOTOX./. ZGQ ' -NOW ON LOTS`
USE OF NFOMIOh' - .G
EXISTING BLDG. IT 15,7_
S.
`+-•Q�� .
DESCRIPTION OF WORN
ALTERATION- ._ ADDITION ,a I .� Z
REPAIR' DEMOLITION
SO Ij PT: / / _ NO:OF STORIES
SIZE (9 /,/�(/R�O.-MS ': /' ,(,� /�
IXT. WALL STC/( !/I"COYOERINGQJ�I/ /J�� -
COVERING ( _
USE OF UCTU' E
APPROR9IS'
' GNATURE ATE`
_ -FOUNDATION:LOCATION
I FORMS: MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ•THIS AP
FRAMEr.FIRE STOPS,
`P"CATION AND STATE,THAT THE INFORMATION GIVENIS
.IRR ECT: - BRACING.[BOLTS
'I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES . FURNACE:.LOCATION,
AND STATE LAWS REGULATING B UILDING,CONSTRUCTION: ,'GAS.VENT. DUCTS,
'SIGNATURE OF LATH; INT
PERMITTEE �� ,z'L.�/f-t I,rrfs�. 1
5�i:3 LATH: _EXT '
,.ADD REBS
.
'PLASTER, INT.
AUTHORIZEDAGT.
/ PLASTER, IXT.
Q
EE om'- ' HOUSE NUMBER
FEE //� RECT ANO POB ..
.VAL( TION FEE- FINAL'
>BA898A. OB99 2 -r .. ,
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 0111290018 .
-
PHONE: (626) 285-0488 EXT:
LEGAL N0. BUILDING ADDRESS:
ON FILE. SQ. FT STORIES TYPE ' 5635 ENCINITA AV ,
STRUCTURE: 2100 VN - - J,TEMP CA 917802416
ON NUMBER: NEAREST CROSS STREET: LIVED OAK
5387-019-004 iTHOMAS,PAGE: 596 - GRID: A LOCALITY: TEMPLE CITY, C
N TNT. EXIST BLDG USE: RESID USE ONE: K-1 Bbutv,ON: PROCESSED BY:_. EXPIRES ON:
EXIST OCC GRP: 11/29/01 VG 05/28/02
OWNER: TEL. NO: BLDGS. NOW,ON LOT: VALUATION: FINAL..DA E, F L BY: CODE:
REPKE FAITH A. - .4,000 ° O
5635 ENCINITA-AV
TEMP 917802416 FEES PAIDDESCRIPTION OF WOR
T/O EXIST ROOFSOW HOUSE & GARAGE AND INSTALL CLASS A
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 25-YR FIBERGLASS SHINGLES- DIMENSIONAL
APPLICANT: TEL. NO: - -
LEACH ROOFING CO. (626) 851-1427- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 4000.00 VAL 0.50. SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC4000.00.VAL 115.80
Pn1GELE$TO`ALL-F,EES 144.05
o
-CONTRACTOR: TEL. NO: �pS l^ APPROVAL DATE INSPECTOR SIGNATUR
LEACH ROOFING, 6268511427 (626) 851-1427-
3928 DOWNING AVE STE "E" LIC. NO LOCATION AND SETBACKS
BALDWIN PARK CA 91706 691152
SOILS ENGINEER APPROVAL
ARCHITECTKRCHITECT OR ENGINEER: TEL. 0: / FOUNDAT[ON/7 RENCH FORMS
LIC. NO• // '. 1 7111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE 20N E:• C P,: UNDERFLOOR INSULATION
XX 3 1 �II 11 L C W 0,R KS' LOOR,SH ATHING -
90. OF FAMILIES: DWELLING P /COND: STAT CLASS:- ��44" .
NO 21 ROOF,SHEATHING _
.SCHOOL WITHIN HAZARDOUS . \ i �-_,, SHEAR PANEL-
AIR
A ELSAIR QUALITY: 1000 FEET MATERIALS Q Q
NO NO _ _ NO. A' '- ® FRAME:INSPECTION
REQUIRED OTA—SETBACK FROM X TV6 '• ��
FRONT PFIR :SPRI HANGERS
SET K YARD: HWY: PROP'LINE: WIDTH: /YC SerVICB Th t
8 INSULATION/WEATHER STRIP
SIDE PL- _
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED C SS
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
i. "_7 T-BAR CEILINGS
LOT, DRAINAUS.
REPORT 'ID: DPR261 ROUTE T0: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY 4"0.508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS '� 'e ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0206130042
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING—ADDRESS.
ON FILE SQ. FT STORIES TYPE 5635 ENCINITA AV
STRUCTURE: 2100 VN _ TEMP CA 917802416
ASSESSOR R: - NEAREST CROSS STREET: LIVED OAK --
5387-019-004 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C
T G SID USE ZO - ISSUED PROCESSED EXPIRES 0 :
EXIST OCC GRP: 06/13/02 JK 12/10/02
OWNER: TEL. 0: SLOGS. NOW ON LOT: VALUATION: AL D TEEXP { CODE:
REPKE FgITH A - 5,000
5635 ENCINITA AY
TEMP 917802416 FEES PAID DESCRIPTION OF WURK
OVER EXISTING 1LAYER INSTALL NEW CLASS A TIMBERLINE SHINGLE
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: ROOF
AP CAN EL. 0:
LEACH ROOFING CO. (626) 851-1427- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS:
02 PERMIT W/O EN-HC��5000.00 VAL 132.60
P�IGELESrCO FEES 160.85
CONTRACTOR: TEL. No: C� �//� AP ROVA S DATE INSPECTOR SIGNATURE
LEACH ROOFING, 6268511427 (626) 851-1427-
3928 DOWNING AVE STE "E" LIC. NO LOCATION� y AND SETBACKS
BALDWIN PARK CA 91706 691152
/ SOILS ENGINEER APPROVAL
ARCHITECTENGINEER: TEL. O:-11/ FOUNDATION/TRENCH
LIC. N,0'J:I/ 11111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
. - .. .'... CMP:. �
UNDERFLOOR INSULATION
XX 3 01FLOOR
SHEATHING
N0. OF FAMILIES: DWELLING UNITS:APT/C : STAT CLASS:-
NO
L S :_NO 21 O �p - ROOF SHEATFING
UJ' .'111
SCHOOLWT O C SHEAR PANELS -
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO �,I'�ji� FRAME INSPECTION
A _ - ❑ �.NJ�
REQUIRED TOTALTR XIS G -_Ott Ci FIRE SPRINKLER
LIN
SET BACK YARD: HWY: PROP LINE: WIDTH: - C- ❑
FRONT PL- � S2PVIC8 T�af INSULATION/WE R STRIP
SIDE PL-
INTERIORA H/D ALL
y
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RAT-ED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508