HomeMy Public PortalAbout5703 ENCINITA AVE_Building__ 51 76A638A .�
CE#803(REV.11/78)
APPLICATION ;,OR BUIL G. PERM IT -
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUDDING
ADDRESS
BUILDING 1})� AA
ADDRESS U L • /J S LOCALITY i
G NEAREST �cK
CIiV ZIP - CROSS NEAREST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT I MAPBOOK PAGE PARCEL
DI TRIG GROUP TYPE FIRE PROCESSED BY
TRACT BLOCK LOT NO. j.� CONST, ZONE
TEL. - -
OWNERL NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS 110_1)—LLDWELL.UNITS BK PG
CITY ZIP
ARCHITECT OR TEL. VALUATION $ � V
ENGINEER NO.
ADDRESS _ BLDG.SETBACK FROM
^n TEL FRONT PROP.LINE OF ISTREETI
CONTRACTOR i L 014 NO. ' �� HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING .
ADDRESS LaiDa"N0. ZY76 FRONT PROP.IINE� HIGHWAY WIDTH
LIC. + _
CITY CLASS
CONSTRUCTION LENDER . BLDG.SETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF ISTREETI Y
_ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING G
ADDRESS CITY - SIDE PROP.LINE HIGHWAY WIDTH V.
SO.Fi. NO.OF NO.OF CHECK + _NN
SIZE STORIES FAMILIES -ONE USEZ NE_ NMA OPLn C C
DESCRIPTION OF ORK E NEW ❑ (R/ O
L ADD ❑ I ` CONDITIONS - ��SPEOAL � E -
ALTER ❑ FINAL BY VN
REPAIR ❑ DATE - P�
USE OF �2 DEMOL Lir
E%ISTING BLDG. 1 O �1• (` ` �S '-
APPLICANT - TEL v�X/ C�� Ir
I PRINTF jEr" D� �0 ti,
BY ISIGNATUREI� . � ®� J \�
G
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND RATE UU" 2 9 8 4.2 A _
AND THE ABOVE IS CORRECT AND AGREE i0 COM CER WITH ALL N DOING
THE _. W ..
AND LAWS REGULATING BUILDING CONSTRUCTION. CERTIFY THAN IN VIOLATION
THE Ail
AUTHORIZEDCODEOF HEREBY WF LIFEMPLOY ANVPERSON INRKMN IONOFTHE LABOR CONE OF THE STARE OF CALIFORNIA IN RELATING iO WORKMEN'S COM PENSATION INSURANCE.' _ _ 2e13a00 .
SIGNATURE OF ` o,a 13.3.006,z 3.O Q U
PERMITTEE ,
CIO 9
ADDRESS O A 1 l _8 o
� / r O
CITY W�� VNO
I P.C. Fee$ Perm,t Fee. v� >
Issuance Fee W
By s
Total Fee
CITY OF TEMPLE CITY
M I opu; .
...... =S71.=+I=-=. APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDINc5-
DEPARTMENT OF COUNTY ENGINEER ADDRESS J
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST J _
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DIST R�NOIR GROUP TYPE PhD=ESSE Y
FOR APPLICANT TO FILL IN , d S L CONST.
'BUILDING STATISTICALC SIFICATION SEWER MAP
Ihcinita
ADDRESS Approximately I x BKJ P
�/ _ //'' �^ �Q CLASS.NO. ODWELL.UNITS 4
LOT NO. XI rd'O{- S-/ ��(j�By.9C{r _ :MAP 'STATE 'AYES O'
NUMBER HWY.
TRACT Sunny View Tract - USEZONE GONSPDECIAL /' /J
ITI ONSti/p�J/LI/{LLsp C-�•N�e.J
SIZE OF LOT74.5 X 215 NO.OF.BLDGS
NOW ON LOT none
USE OF(
EXISTING BLDG. .none - BUILDING YARD -� - STREETNAME EXIST.
�i SETBACK WIDTMAILH _
OWNER Charles V: Sacheli FRONT n, 1 e,
ADDRESS 5019 Farago GI 49924
Temple Cit TEL.-
clTv P __ 3' NO. i INSPECTION RECORD,4
ARCHITECT OR TEL.
ENGINEER n NO. - '..�.y�,
ADDRESS
CONTRACTOR Santa Anita Const�.,ToAT. 797$
ADDRESS 8717 Las Tunas., San Gabriel
DESCRIPTION OF WORK A n°
NEW� ADD +-ALTER/M:b' REPAIR DEMOLISH ' -
SO.F�llg .CFNO.OF NO.OF
SIZE STORIES FAMILIES - -
USE OF e0 /Ce/ L,err.F1 /�-/bT !7Y
STRUCTURE- ed Gara —'—
�
SIGNATURE OF�� / /p.
APPLICANT y�A'i�h`T/<1-J(.t SM/e` —
`y -f - /J �/ APPROVALS ATE INSPEQOR'S SIGNATURE
ADDRESS G //7 h.lJ f-T+�.,.�A.�l.1C�(!�'b�.. FOUNDATION: LOCATION
���� FORMS,MATERIALS '✓�2,0 6/.
VALUATION 5 ' FRAME: FIRE STOPS.
- Q ¢-� BRACING,BOLTS
P.C. S/ / SOI FEE �/� I FURNACE:
VENT,DUCTS N.
EDGE
FEE .. n
HEREBY
VE READ THIS AP-
PLICATION AND STATELTHAT THE ABOVE S CORRECT AND LATH. INT. J 3/61 \l(C/�✓//.:._
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATI G BUILDING CONSTRUCTION. LATH,EXT. N I'
SIGNATU . HOUSE NUMBER COR-
,,o /f
PERMITTE9G L' RECT AND POSTED
ADDRESS a7 .FINAL
''CLYDE N. DIRLAM. PRINCIPAL STWMTURAL ENGINEER
PLAN-CHECK VALIDATION ASH PERMITVALIDATIONCK. M.O. CASH
D- Ce1975 F.a 323D 15.50
c�.
1Io2134 � FFa 7 1 D 3 9.0 0
� a
74.......A..-S.BO APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES AOIILDINDRES70✓? j
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY'? , eL4
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. ROUP TYPE PRO SED BY
FOR APPLICANT TO FILL.IN ✓ CONST. ti
BUILDING STAT TICAL CLASSIFICATION SEB CR MAP
ADORE S -S O CLASS. NO. DWELL. UNITS
LOT NO.S- ZL I D BLOCK MAPSTATE YES O
NHWY,
TRACT- UMBER USEZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT �/ X NOW ON LOT
USEOF olf
EXISTING BLDG. BUILDING EXIST.
_ YARD HWY ST EET NAME
TEL ! //JJ SETBACK WIDTH
OWNER In .NO r/71 FRONT Q �
P.
L
ADDRESS SIDE
ARCHITECT OR TEL. P.L.
ENGINEER NO. INSPECTION RECORD
ADDRESS
��.�.GZ- (<'+W"'FNO. (/y'9a✓ _ u
CONTRACTOR
ADDRESS / C Li/A-�.1�•GJDr SA., F- 0
O
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH N
Z
SFT. OF
SIZE
STORIES STORI FAMILIES
FAMILIES
USE OF
STRUCTURE
SIGNATURE OF,
APPLICANT '
VALUATION S
APPROVAL DATE INSPECTORS SIGNATURE
FOU N DAT ION: LOC ION n
FEE S �� I FEE S FORMS, MATERIALS
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS•APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCESAND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT.
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA.
EATH,EXT.
SIGNATURE OF
HOUSE NUMBER COR-
PERMITTEF RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION cm M.O. GSH PERMIT VALIDATION CK
UI5 6 8 9 A;R 1 9 1 D 3 .0 0 M;
V/0RKERS' COMPENSATION DECLARATION r_- A - - ... - --- -�_�• •�- s • r' -
er f�IR that I have a certificate of consent to self ._ �.. �. �D'
�NOV-PER %
jiio� , r b cemitct of Workers' Compensation Insurance, ! .PPLOCAT50 pORB ._
t
nr
• ' of a<eii"diedmp'y (hereof (Sec 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING-AND SAFETY '
Policy No. • Companyi .BUILDING
Certified copy is hereby furnished. .. FOR APPLICANT TO FILL IN
• - _ 1 ADDRESS 6j 7P lG/%N/T
'Ce copy is filed with the county building inapec- - BUILDING e, Q G
tion deportment.s 's u _ ADDRESS•/ J _ .
Date' ^ ' Applicant' '•n� ' t CITY E/// l 21p �� UD f LOCALITY E G/2Z.
•�,1 NO.-OF - NEAREST C,---
CERTIFICATE OF EXEMPTION FROM WORKERS': SIZE OF LOT / 7 NOW ON LOT / CROSS 5T._. J i
'1 COMPENSATION INSURANCE '^
(This"section'need�-not be completed-if the pel'mit is for one - '- - - - -- - -- - •--- -- MAP BOO -
hundred dollors.($100)or less.) TRACT BLOCK LOT NO. MAP BOOK ' PAGE'. PARCEL
EL
..•. ..u __ . . OWNER " -.. .. L E•NO C USE ZONE MAP `+
certify that in the performance of the work for which.this - NO.
permit,is issued, I shall not employ any person in any manner _ TT n� -. -- • _ _ '_ SPECIAL - - -- -- - 0
so ds Io'beco me"subject'to the Workers' amp sation`Lovlts. ADDRESS. -G CJ/Y'IT �j I CONDITIONS
CITY - C - - ZIP -7' -
Dote V-/ Applicant •' s o
ARCHITECT OR _ TEL. 4.DISTRICT- GROUP TYPE_. FIRE. PROCESSED.BV _ V
NOTICE n, APPLICANT: If, 'after making th is•CertiWore of ENGINEER . - _ NO. _ - t CONST. f ZONE
Exemption,- you should 'become' subject to the Workers'
Compensation provisions of the Labor Code, you must forth- ADDRESS
with comply with .such provisions or this.permit shall be --. a
deemed revoked. , ,. TEL STATISTICAL CLASSIFICATION APT. cc
OJ
CONTRACTOR NO. �f�
LICENSED CONTRACTORS DECLARATION • - - - -�- - - - -LIC, CLASS NO. `( - DWELL. UNITS_
thereby affirm that 1.am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and _ _ _ _._ _ ._ LIC: .
Professions Code, and my license is in full force and•effect. CITY CLASS -'gK --PG VALIDATION
SO.-FT., NO. OF__ _ NO.AF .___ -_ CHECK _
License Number 5 Lia.Class SIZE STORIES _ FAMILIES ONE .•f n�
❑
DESCRIPTION OF WORK'_..._ _._.__,._ .J-.:. ._ . .NEW- Ov 1
ContractorDate $
f ADD
/❑ I am exempt under Sec.
AL
--TE ❑ - D ,
�. R
1B.8P.C. for this reason .. _ __ -. - --. -- - - --- -- - REPAIR-
USE OF
�. EXISTING:BLDG. DEMOL
Signature s - - - - - t APPLICANT TEL. FINAL 5'L `J
OWNER-BUILDER DECLARATION _ PRINT _ ,.- -.. -- _ -_No. - - ,DATE--• - - - -
-•I hereby affirm that I am exempt from the Contractois License - o• v i ~� ^' A.__V,
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL /1
Professions Code):- - - - PRESENT By 'L. 1! -• '17�gyp$(��5(�T(
... BUILDING _ _ _ i ' e ° • / Q.V V U
1, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and D Q 8 1 4-86 T
-the structure is not intended or offered for sale(Section LOCALITY
'❑ 7044, Business and Professions Code). MOVING - - -~" TEL
1, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to constructthe'project (Sec- ADDRESS (/
tion 7044, Business and Professions Code). '
REOUIRED- TOTAL SETBACK FROMtX
- CONSTRUCTION LENDING AGENCY SET BACK YARD -HWY _. PROP..UNE WIDTH.
I hereby affirm that there is a construction lending agency for FRONT
the performance of,the work for which this permit is-issued - -- PAI -' -' ' '- - - -' - '- '- '-'- '- _ - - •-- ^ - -
(Sec. 3097, Civ. C.). SIDE
P.L. . ... .. - -
Lender's Name -
j\ LDMA Rei. M '
S � _ _ P.C. Fae.S .. Permu .F¢e_._ .
Lendei s Address /
w tcenify.fhaf I have read this application and state that the �. - . - - — Issuance Fee i-• -(a TDMA P/CM - --
a above information is correct. I agree to comply with all County - t
Investigation Fee
-_ordinances and StaieS_1Qwz_EeJzUing to budding construction,
a and her�yethtnze representatives_o"kis County to enter " Total Fee •' Q'-- LDMA perm. p -- -
a up n-the ab�Apphconl
or ins ection purposes. t
m
/�i SEE REVERSE FOR EXPLANATORY LANGUAGE t
l "- "' Signatu ?Agent Date - - --' -' - _ - ' ' ^'- "- '"'- L
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
I hereby affirm that I have a certificate of consent to self insure, BUILDI�,If,ADDR V 177` Ak"
or a certificate of Workers'Compensation Insurance,or a certified 7, hl
0
copy thereof(Sec.3800,Lab.C.) . M�/� ^ i ZIPq/7(d� LOCA
Policy No. Company SIZE OF LOT L V NO.'JF BLDGS.NOW ON LOT
❑ Certified copy is hereby furnished. NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection TRACT- BLOCK LOT NO.
department. USE ZONE MPP NO.
Date Applicant ASSESSOR MAP BOO 39 P71 ot PARCEL 2 1 SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' O/NfN R OL TEL NO.
COMPENSATION INSURANCE 4 WITHIN 1000 FT OF SCHOOL? VES NO
(This section need not be completed it the permit is for one hundred ADDR�i
3/0 E All
DISTRICT GROUP TYPE CON FIRE ZONE PROCESSED BY
dollars ($100) or less.) / � q p�
1 certify that in the performance of the work for which this permit 4G 4 ZIPq / 7O
is issued, I shall not employ any person in any manner so as to, ARCHITECT OR ENGINEER TEL NO.
become subject to the Workers'Compensation.Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS - CLASS NO. I DWELL UNITS
NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should- become Subject to the WorkersCONTRACTOR ` TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith � L FRONT
comply with such provisions or this permit shall be deemed revoked.. ADD ESS LIC.NO. P L
LICENSED CONTRACTORS DECLARATION - SIDE
CITY LIC.CLASS FIL
I hereby affirm that I am licensed underprovisions of.Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 Of the Business and SO.FT SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full farce and effect. NEW BK PG D d
License Number Lic. Class DE PTI N WORK ADD ❑ VALUATION Q
om .r-
•Contractor Date ALTER ❑ $/'--' A 0 a U
REPAIR ❑ 0
❑ 1 am exempt under Sec. $ V
B.&P.C.for this reason DEMOL ❑ LDMA PIC x W
Date: USE OF EXISTING " ' URM ❑ W
Signature pPPUCANT(PRINT) TEL NO. 1 LDMA Perm r. 1 a - Z
XI, as owner of the property: or my employees with wages as T
their sole compensation, will do the work and the structure is ADDRESS �(
�� 7 j�i"LI +
not intended or Offered for sale (Section 7044, Business and FINAL DATES — G
Professions Code.) _ WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ��(��� {T - � j !TCM'-.
❑ 1, as owner Of th¢ ert r0 exclusivelycontractingWith OR.A MIXTURE CONTAINING A HAZARDOUS MATERIAL ECUAL TO OR GREATER THAN THE
P P Y. am AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 7 TOTAL. 103 C
licensed contractors to construct the project (Section 7044, YES m —P
Business and Professions Code.) WILL
❑ No❑ /y `' ��// {__
WILL THE INTENDED USE OF THE BUIDUNGCONSTRUCTION
BY THE MODIFICATION
OR FUTURE ROMT BUILDING I_IIEt�T\ 1U='�IJS
OCCUPANTOASTIR REQUIRE A PERMIT FOR DISTRICT
(SCA
N OR EE PERMITTING
FPOM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST INE OUAUTY MANAGEMENT DISTRICT(sCAOMD)BEE PERMITTING CHECKLIST FOR CH �vF
GUIDELINES FIH
I hereby affirm that there is a construction lending agency for YEs❑ NO❑
ly
the performance Of tf1¢Work f0(which this permit IS leall¢d(Sec. HAVE READ THE HAZARDOUS MATERIALS INFORMATIONGUIDE AND THE SLAOMD PERMITTING
3097,CIV.C.) CHECKUST.I UNDERSTAND MY REQUIREMENTS UNDER THE Los ANGELES COUNTY GINE.
N TITLE 2,CHAPTER 2 20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS 1
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SOAOMD. _
14✓°i 1 AM -5
Lender's Address
0
o rm CF1 NT
o certify that 1 have read ' and state under penalty
Of p¢fjUfy t a Ove In(Ofm lion i5 carr I agree 10 comply P.C.FEE PERMIT FEE
with county ordinance State laws re ting to builtling '
nstruction. antl here a representative of this County ISSUANCE FEE L
��•
Forth ab olio proper f r ins ec ton puio _ _ ,• ' v-
Y,
INVESTIGATION FEE TOTAL FEE D
a ,erre a rod.m,re enI m. '
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY q 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPATR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 BE 0508 0909240038
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING AODRESB:
ON FILE SQ. FT STORIES TYPE 5703 ENCINITA AV
STRUCTURE: V-H TEMP CA 917802418
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15387-019-023 THOMAS PAGE: 596 GRID: S3 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEX IST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY:
I£XIST OCC GRP: 109/24/09 SR 1
TOWNER: TEL. NO: BLDG5. NOW ON LOT: VALUATION: FINAL FIN BY CODE:
MEI, ROI LIAN (626) 289-2091- 1 5,500
15903 ENCINITA AV
ITEMP 917802418 FEES PAID D SCP.IPTION OF WORK
17 VINYL WINDOWS & 1 PATIO D OR ALL REPLACEMENT
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1
(APPLICANT: TEL. NO:
INN (949) 701-8714- IAA BLDG PERMIT ISSUANCE 29.95 1
1451 W. LAMBERT RD. IAB STATE GREEN BLDG FEE 5500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IBREA, CA 92821 IAC STRONG MOTION RESID 5500.00 VAL 0.55
ID2 PERMIT W/O EN-HC 5500.00 VAL 149.40
TOTAL FEES 178.70 ,
CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE
IBRYAN, Wu (949) 701-8714- 1 _
1451 W. LAMBERT ROAD 4208 LIC. NO 1LOCATION AND SETBACKS
IBREA, CA 92821 899265 B
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. N0: I (FOUNDATION/TRENCH FOAMS I I I
LIC. N0: (SLAB;UNDER FLOOR
RAISED FLOOR FRP.MING
111 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION
1147H265 3 001 I 11 1
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS I SHEAR PANELS
HAIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
1REQUIRED TOTAL SETBACK FROM EXIST 1 1FIREISPRINKLER HANGERS I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: _
IFRONT PL- I �11NSULATION/WEATHER STRIPI I I
SIDE PL- 1 1
INTERIOR LATH/DRYWALL
9
IEXTERIOR EACH
I I (RATED FLOOR/CELL ASSEM. I I I
(RATED WALL ASSEMBLIES
(RATED SHAFTS/OPENINGS
. T-BAR CEILINGS
I
(LOT DRAINAGE
IRE PORT ID: OPR261 ROUTE T0: 850508 I I I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 BE 0508 1112280008
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 5703 ENCINITA AV 1
ISTRUCTURE: 1200 V-B TEMP CA 919802416 1
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15387-019-023 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI
I
TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 112/28/11 SR
OWNER: TEL. N0: HLDGS. NOW ON LOT: VALUATION: FIpgAI[.�DATiE�f FIN/Ay BY: CODE:
RUI WAN MEI (626) 287-2071- 1 2,600 1 /�( /� /�
15703 ENCINITA AV `I b L/
ITEMP 917802418 FEES PAID ITESCRIPTION OF WORK
IRE ROOF WITH 25 YEAR SHINGLE
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (
APPLICANT: TEL. NO:
SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I_
IAB STATE GREEN BLDG FEE 2600.00 VAL 1.00 ISPECIAL CONDITIONS:
IAC STRONG MOTION RESID 2600.00 VAL 0.50
111 IDS PERMIT W/O EN-BC 2600.00 VAL 99.10
TOTAL FEES 128.40
CONTRACTOR: TEL. NO: (APPROVALS ' DATE INSPECTOR SIGNATURE
SAME AS OWNER - I_
LIC. NO (LOCATION AND SETBACKS
ISOILS ENGINEER APPROVAL
I I I I
111 ARCHITECT,OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I
LIC. NO: (SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
(MAP NO: SEWER MAP BOOK: PAGE: FIR£ ZONE: CMP: 1 1UNDERFLOOR INSULATION
1147H265 3 001 1
I I IFLOOR SHEATHING
INO, OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1
0 NO 21 1 IROOF SHEATHING I
I I I
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS `
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
FIRE SPRINKLER HANGERS
(INSULATION/WEATHER STRIPI
TINTER TOR LATH/DRYWALL
I
EXTERIOALATH
RATED FLOOR/CEIL ASSEM.
IRP.TED WALL ASSEMBLIES
(RATED SHAFTS/OPENINGS
T-BAR CEILINGS
ILOT DRAINAGE
(REPORT ID: DPR261 ROUTE TO: BS0508
I