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Home My Public Portal About5643 ENCINITA AVE_Building__ DMSION OF BUILDING AND SAFETY . Depan But of County Engineer" - i. 8UjL �,N County of Los Angeles WM. J. FOX, COUNTY ENGINEER - •APPLICATIOyN - _ FORABUILDING /PPLICANT TOfF�ILL IN woo sss 'J`�O /0 '/IG/'7� T /I/lI LOCALITY.'T ADDRESS ( /Y/ L✓!�!� I jam. 1 NEAREST �J �. •. LOCALITY CROBB BTNEAREST . IIyy DISTRICT NO. . PUN CK,OR REO, NO, PERMIT NO.*.' ' CROSS ST. -.f11'0 � ' -�. 1/I._D /i'tiI '� . 1 �S �•/ ' OWNER- ��j•f QiJ7•� 1 //R//ECEIVED BY i DATE OF/APPL\� DATE IBBUE/D_' MAIL' �r ADDRE88 D T"1!/'" ' '^ e ,{J /yam 1 —USE NE NO. OF TYP .GROUP FIRE ZONE CITY EARCHITERT 1_) +AI ? A/!il - -NOOR . O' A�PRoveB BY I• I I Deice ENG O. ADDRESS BUILDING.- f • . I , .ORD.NO.4P ,li _ SETBACK LINE: - -,TEL. APPROVED •I DATEi 1 CONTRACTOR NO. BY: 1 _ HOUSE NUMBERING 1 .: ADDRESS - LEGALrt//s MAP NUMBER �Qy`+ '-�-NO:'ASBIGNED BY �� { DESCRIPTION LOT No /�"I S BLOCK I - 1 GATE 1 i •CORRECTIONS IN, TRACT ll / -P" f � `` NO. OFBLDGS. ` SIZE OF LOT'# In _ Q Iy NOW ON LOT - USE OFNO. OF l --II EXISTING BLDG. FAMILI'E3/ �� •p NT's ' DESCRIPTION OF WORKn' Tt r�.a �ocs "si.Ji L` ✓fi'.£�n / z NEW ALTERATION ADDITION REPAIR I DEMOLITION_, f SO. FT. ,iNO. OF SIZE ROOMS ,STORIES EXT. WALL ROOF - - - �COVERING COVERING V APPROVALS INSPECTOR'S SIGNATURn OAZ -' 's FOUNDATION:LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, - . PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS - - 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS RE ULATI NG'BUILDING CONSTRUCTION. GAS VENT, DUCTS I SIGNATURE OP ) A� A /��, -L-ATH. INT.. n - PERMITTE ADDRESS '� 3 LATH, EXT. PLASTER, INT. AUTHORIZED AGT. �• - _-_ - PLASTER, EXT. ' D6 1 , . ' I 6 HOUSE NUMBER COR- FEE / RECT AND POSTED VALUATION FEE S� 2Z FINAL 11y 76AS38A DB83 Y-W D,EPARTMENT OF BUILDING AND S}S ZM qlIPo APPLICATION FOR PERNIIT /�' COUNTY OF LOS ANGELES F V u e WM. J. FOX, CHIEF ENGINEER _ B U.l L.®.0 NG'. .FOR APPLICANT TO FILL IN - . ,FOR OFFICE USE 'ONLY- -: DISTRICT NO.• pP/LAN C/K.'NO. PERRRMIT NO. BUILDI59 3 '7'1•('1 '� 70 / �/.. : i LOCALITY ,RR//ECEIVED BY DDJATE O/F AP-PaL. - DATE ISSUED j NEAREST1•NQ��P��; !�O/•.ate-�'. '�.�''^i'—S' 3 CROSSST. i BUILDING-1 o�G ADDRESS 561+3. /f'' � .r,.•>.�-�� OWNERMAIL LOCALITY 'ADDRESS• �� .�/�f� NEAREST / /�`� ••' TEL f1 CROSS ST. `-/y� �g GROUP CITY / �: .NO h0-77/4 ZL FIRE �' ANO. OF TYPE .-mss ARCHITECT OR TEL. ZONE I PLANS I I. ENGINEER 'NO...( BLDG. ' nn /,/J ORD..NO.. SETBACK LINE ADDRESS. "APPROVED .+' c �•' TEL. BYjya,P•i(�J) +M ' DATE 4/X '• CONTRALTO - u NO. Q / - USE APPROVED' ZONE BY ,y//.rbtL_.CJ' DATE'J�� ADDRESS �C (TL - �C r J' - !77�HOUSE '' :NUMBERING'; LEGAL" �• .K^/D DESCRIPTION LOT NO/. /� BLOCK 'MAP NUMBER JJam�-- FIELD CH ECK BY TRACT V/LCiV✓ 'NO:.ASSIGNED iBY 'Z'S� DATE / ,.� rvo. oFBLOG9.. I- CORRECTIONS.. SIZE OF LOT L JJ I NOW ON LOT g� / I USE OF I NO. OF /wiG-. Lf' J1• Q1 - EXISTING BLDG. FAMILIES �l r y -7 7Z " DESCRIPTION OF WORK - ' NEW ALTERATION I I ADDITION I - / REPAIRI /�I DEMOLITION 3 ), ✓.Q.Y " '/OTE /.F_ Cb N A� A&tW ---C) NO. OF SIZE - �`� ROOMS STORIES ' 's EXT: WALL I'COOV ERING -�. /A EJ COVERINGL/ USEOFS U URE - _ - APPROVALS - • INSPECTO ISSIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FOUNDATION: LOCATION p PLICATION AND .STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS' _ /Y/'i�•_..-u_��/-Sg CORRECT. - 1 AGREE TO COMPLY) WITH THE CORRECTIONS LISTED FRA M E: F I R E STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BGILDING CONSTRUCTION. FURNACEJLOCATION,. -gyp✓ /D '- SIGNATURE OF C GAS VENT, DUCTS L i PERMITTELt, [7 LATH, INT. ADDRESS LATH, EXT. � C„” 0 AUTHORIZED AGT. - - '- PLASTER, INT. /• a�^ 76A899A DB59 10'80 s. r P..C. $ Q 9O� (J Q FEE I 'PLASTER, EXT. VALUATION L/ l FEE �Z111 � FINAL j . COUNTY OF LOS ANGELES`' TEMPLE ClTi #`0508 c.U:LG 111E PERI-0IT ' DEPARTMENT OFPUBLICWORKS 19701, LAS TUNAS { 1 - '' - 'T_R.ITTON/REPAIR` - . - - BUILDING AND SAFETY / LAND DEVELOPMENT:: TEMPLE-CITY CA 91780 -` BL -0508^0407280034 PHONE: (626)285-0488 EXT: - - LEGAL ID:- •- = Y- - NO. OF CONST UIL ING ADDRESS: - _ ON FILE - - - �SD. 3FT.'.�..STORIES TYPE - ,._ '4 5643 ENCINITA AV - STRUCTURE:,- 100 V - TEMP CA:917802416 SO - - ASSESR I FORMATION NUMBER -- _ NEAREST CROSS STREET: LAS TUNAS 5587_019-020 - THOMAS PACE 596-- GRID: J3 .,. LOCALid} TEhiPLE•CLTY,, C EEXIST BLDGRtS!D ZOPROC �S D BY: 1EX I ES LN;—' : - EXIST OCC,GRP, . 07/28/04 JK - , .07/23/D5 4 URNER:. - - TEL.. NO: ELDGS. .NOW ON LOT: - .VALUATION: - , FINAL DATE FINAL BY: RAMOS FERNANDO E;EVA.A (626) 286-0484= - 1,OCU . '7 5643 ENCINITA:AVE , _ - 7,;' TEMP19 17802416 ' ; '- - - - FEES .PAID DESCRIPTION OF WORK - • REPLACE APPRO 4 2X4, STUCCO;-DRYWALL &.PAINT. FEE DESCRIPTION: 'OUANTI,TY: DOM: AMOUNT: - - APPLICANT: TEL NO: ,I ,. .. FOURNI ER -• (818) 442-0272- IAA BLDG PERMIT ISSIiANCF_ . 27.71 7705, DENSMORE AVE _ AC STRONG-MOTION RESiU - 1000.00VAL 0.50 SPECIAL .CO DITII,N�:'._ VAN NUYS - 'I•` S2'PERM IT•W/,ENERGY" 1000. . VAC. TOTAL FEES iOol 19 - .. ' CONTRACTOR: < _ - TELNO: - T APPROVALS DATE IN_SPECO SIGNATURE JASON CONSTRUCTION - -(816-442'-0272- r _ . ' 7705DENSMORE AVENUE - - LIC NO - .. LRCATION.AND SEIBACKS ' VAN NUYS, CA 91406 3950669 i - w I , - SOILS ENGINEER APPROVAL IUPC.',TELT OR ENGINEER: _ TEL. 'N0: .I FOUNDATION/TRENCH FORMS ' � L1^.,.h;1: I '. ' , - (SLAB/UNDER FLOOR RAISEDFLOOR FRAMING — - . l . I MAPNG. SEWER MAP, BOOK:' PAGE: FIRE-ZONE" CMN:' . ' UNDERFLOOR iNSULAT:ON - 3 03 xx - FLOOR SHEATH!1. w. - . i.i.. OF fAMI LI ES: DWELLING'UNITS: APT/COND STAT_CLASS: T - NO '21 ROOF SHEATHING;.- •p-- i... J. - SCHOOL WITHIN HAZARDOUS •' SHEAR P N LS AIR QUALITY; ' 'IUUU'.EEET .MATERIALS yI ^ ^NO „HO. . •-.NO .<' FRAME INSPECTION., :. .. _• . REQUIRED .TOTAL SETBACK FROM. EXIST '- - - " ' ' -" FIRE SPRINKLER,HANGERS _ SETBACK YARD: ,HWY: -PROP LINE: 'WIDTH-.- FRONT WIDTH:FRONT PL- .�` - -'• INSULATION/WEATHER STRIP 1='. SIDE. PL- .+ INTERIORLATH/DRYWALL ,s EXTERIOR LATH - -' ' .. • •. RATED FLOOR/CELL ASSE - � . - - - : RATED WALL:ASSEMBLIES -- - . . RATED SHAFTS/OPENINGS , T_BAR CEILINGS,' _ . . ._ s .. LOT.-DRTFNgGE _ . .-- REPORT ID: DPR261. ROUTE TO: BS0508 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have'a certificate of consent to self ,r O O IIIA �(/�1 AM I��I�� FOR I��(� ILII ILLI M�(�p� PERKY O �ff��g/L7� GI's insure, ora certificate of Workers' Compensation Insurance, Ala PP L ��j!!'ll� O U �1 �.O IIU IJV LSD 11 V\/ �Il V ll� 11 or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY -Policy VoAt5 7-�/�/C°rAAy �/Q7L�/�//L� e ❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING /_ ` PY Y ADDRESS • .S `�.I - . Certified copy is filed wit .oeunty buil in inspec- BUILDING / /T� tion ep rtment. - ; ADDRESS Date / / Appica t Cl (� ZIP LOCALITY _ .NO. OF BLDGS. NEAREST ERT ICATE OF EXEMPTION RO WO ER ' SIZE OF LOT NOW ON LOT CROs Si. COMPENSATION I URANCE - ASSESSOR (This section need not be compl ed if the rmit is for one TRACT BLOCK LOT NO. MAP BOOK JW 7 PAGE 1:9/5? PARCEL eae hundred dollars ($100)or less.). TEL, OWNER - /� NO, USE ZONE MAP I certify that in the performance of the work for which this' ` NO. 7 a 6 permit is issued, I shall not employ any person in any.manner ADDRESS 17 ` / CONDITIONS a so as to become subject to the Workers' Compensation Laws. -1 LLU CITY ZIP ' ,Date 'Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER NO. . . - 'DISTRICT GROUP' TYPE FIRE PROC D BY CONS . ZONE Exemption, you should become subject to the Workers' Q D Compensation provisions of the Labor Code, you must forth- ADDRESS - S,�g. - (� !Q a with,comply with such provisions or this permit shall be a � r �px(�ry/ STATISTICAL CLASSIFICATION APT. CO r Z deemed revoked. CONTRACTOR N 7— �/'1 ' , LICENSED CONTRACTORS DECLARATION _ LIC CLASS NO.�DWELL. UNITS_ - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /n�iS0L1c� N0. (commencing with Section 7000)of Division 3 of the Business LIC. �p SEWER MAP and Professions Code,and my license is in full force and effect. - CITY. �'L/✓(� CLASS p BK PG; VALIDATION SO. Elf NO. OF NO. OF ECK CH License Number�� -Lic. Classy_• SIZE STORIES 11 FAMILIES / ONE t VALUATION Cont ` Date / I. IGS DESCRIPTION OF WORK NEW ❑ S _ 'ADD D ❑I am exempt under Sec. LyCy�y �,(� � ALTER B.BP.C. for this reason dG0 Gf�d/P _ .G•r�U o2�1 REPAIR ❑ $ Date: USE OF GG .• EXISTING BLDG. .vG`� DIE ❑_ Signature APPUCA TEL /,r. O FINAL - OWNER-BUILDER DECLARATION (PRI N'T �J{�/� NO .EJ DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5,.E inesi and ADDRESS jAWA6Q5ZTe Ci4' fill FINAL Professions Code): - PRESENT By ?' . ElBUILDING L I, as owner of the property, or my employees with ADDRESS HI.C.T.i wages as their sole compensation,will do the work and '- - the structure is not intended or offered for sale(Section LOCALITY D 3307 4`v. t 7044, Business and Professions Code.) I MOVING TEL. - ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. I with licensed contractors to construct the project (Sec- •- - - ADDRESS ALL IT.+ T tion 7044, Business and Professions Code.). REQUIRED TOTAL SETBACK FROM EXIST. - - .I/ r ' CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTHi 3'3,017 147.61e 1 hereby affirm that there is a construction lending agency for FRONT ITEM. ` the performance of the work for whichthispermit is issued P.L. - (Sec. 3097, Civ. C.).- SIDE _ - TOTAL 192 a 383 . Lender's Name. ../ _ 'CHECKi9,222---,P.C. Fee$ Permit Fee ! LDMA Ref. q - _ Lender's Address D CHIME. o I certify that I have read this application and state that the -. - Issuance Fee LDMA P/C B 8 above information is correct. Iagree to comply with all County Investigation Fee' - OUCkI'OC101 11/lify:: R ordinances and State law relating to building construction, Total Fee LOMA Perm. # a ere author' a re sentatives of this Count to enter _ Pon the b - ntion property for inspection pur ose . b4�.] I AM S:,Zfc a / D! � SEE REVERSE FOR EXPLANATORY LANGUAGE ignat a of Ap cant or Agent Date I _ COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION - FOR APPLICANTTOFILL IN BUILD)}� DIy�ES BU DING ADDRE54� hereby affirm that I have a certificate n consent to Self insure, -3' �/✓L� %/ Y � ' or a certificate 6f Workers'Compensation Insur ce, or a certified q �� copy there o (Sec.3800 b.C.) ; C MC L• � ZIP / fD LOCAU Y Policy No.��s°Z e C pa'n - SIZE OF LOT .OF B S.NOI LOT ❑��Certified copy is hereby furnished. J— / ` - jA 4 -; c ,¢-�'�/, NEAREST CR085�T. �1, IpTCertifie copy is filed with the county building cliOn TRACT BLOCK- LOT NO R. depart ej{L � pp � ' USE ZONE AP NO. -.(� ! c�(.Z SESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS Date J 7`hApplicant t��' C RTIFICATE OF EXEMPTION FROM WORKERS' oW E N COMPENSATION INSURANCE R• ��. X4.1N.c�. /J 000 FT OF SCHOOL? YES NO ADDR ss (This section need not be completed if the permit is for one hundred ` C DISTRICT FGROUPTVPCONST. FIRE ZONE PROCESSED BYdollars ($100)'or less.)certify that in the performance of the work for which this permitZIP5.U p/, 3 is issued, I shall riot employ any person in any manner so as to ARCHITECT D ENGINEE - TEL NO. / �\ become subject t0 the Workers Compensation Laws. IV /�' STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of n� REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become. subject f0 the Workers' CON R OT TECL �? SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith C09 /✓ fp��/63�`s;13 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS J UQ. P L !� 1-U/w,a S- 7- • V�� LU SIDE LICENSED CONTRACTORS DECLARATION clr r LIC.cLAss P L I hereby affirm that I am licensed'underprovision a of Chapter 9 - LBC1t�O � 11160 - SEWER MAP (commencing with Section 7000)Of Division 3 Of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES } Professions Code,and my license is in full force effect. / NEW ❑ BK PG d U DES TION OF WORK VALUATION O Licensee Nu{pb Lic. Classy ADD ❑ Cont a to I^Cw Date / %.5 U 'E /d'%i/ll 0;*.Y'LE�S ALTER ❑ $ 42500? U Elle ' L W � "-CDT! wr}a EPAIR O ❑ 1 am exempt under Sec. $ B.SP.C. for this reason /✓,�/�Z[� /��l'✓(.DN) �Sr/iA'y��,�) DEMOL ❑ _ LDMA P/C x Date: USE OFf0X15TINGPtDG. �r 7Ah URM ❑ Signature WAA ( I TEL NO. LDMA Perm Z ❑ I, as owner of the property, or my employees with wages as -0N - _O�y 2 their sole compensation, will do the work and the structure is ADDRESS //� (' //;, •F not intended or offered for sale (Section 7044, Business and �� " "0L(i/.1/S GJT 'I J' �! FINAL DATE Q Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE ARDOUS MATERIAL 2 J El 1, as Owner of the ro ert am exclusive) contracting with OR A MIXTURE CONTAINI A HAZARDOUS MATERIAL EQUAL TO OR GREATER R4W THE p p y y 9 AMOUNTS SPECIFIED THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 'L licensed contractors to construct the project (Section 7044, YES No Business and Professions Code.) _ WILL THE INTENDED USE OF THE BUGLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PE T FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ��.Lj Lib v'J:f CONSTRUCTION LENDING AGENCY COAST AIR MAUTY MA EMENT DISTRICT JSCAOMD)SEE PERMUTING CHECKLIST FOR i� GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ No TOTAL 11 _ the performance Of the work for which this permit IS issued(Sec. IHAVE READ THE HAZARDOUS MATERIALS INP T INGUIDE AN THE AOMQ PERMITTING (_I I L --i+ s L—` 3097,Civ.C.) CHECKLI UNDE tANO MY REOUIREME a ND THE L ANG S coLADY coDE. - TITLEZ.0 DSECTION5210.m T Y.PD.t CO NING FOCUS - r EIC-14 Gr Lender's Name MATERIALS RE G AN4 TAI Al IT M Mo. t+�— .IW Lender's AddressCHANGE o w,m`F OR-!!NT o I certify that I have read this application and state under penalty 9 of perjury that the above information is correct. I agree to comply P;C.FEE PERMIT FEE with all count ordinance and State a relating to building v 9 a str ction, and hereby U orize re ese ativ f th' County ISSUANCE FEE L `�� to upon the above- i�nedp en r' sp do urpo es,� �qA ,�-�`L�I=} 1 Fir y705 �J 8 9up INVESTIGATION FEE TOTAL FE91 symn n Mouom a Aim SEE REVERSE FOR EXPLANATORY LANGUAGE