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Home My Public Portal About5715 ENCINITA AVE_Building__ CITY OF TEMPLE CITY I R a.,(1 . veAeseA caAecsfu-0a APPLICATION FOR BUILDING PERMIT COUNTY OF LOSANGELES BUILDING — DEPARTMENT OF COUNTY ENGINEER AD°RESS BUILDING AND SAFETY DIVISION cocau ry>✓�— t1 I JOHN A.,LAM BIE, COUNTY ENGINEER NEAREST - J CASSATT O. GRIFFIN, SUPT 01 6mim RG CROSS ST. G( - ✓ DISTftI NO. GROUP, TypE' P OCES 0- -32' Y FOR APPLICANT TO FILL.IN b I CONST. BUILDING C1711 a STATISTICAL CLASSIFICATION SEWERMAP .ADDRESS - - ' I BK%' P CLASS.NO. /W�EL//L.UNITS LOT NO. � �[�� S��Yy BLOCK MAPNUMBER C/ b STATE YES fiO TRACT gunny View- NOW ON LOTflew-Tract US'cZONE SPECIAL / /'/ SIZE OF LOT 74.5 _A 215 NO.OF.BLDGS_One 1� CONDITIOt /J,of-PA C�R� ;/Y -/ -/O"�? USED F - __LJ— _ EXISTING BLDG. none. 'BUILDING YARD $. STREET NAME EXIST. SETBACK WIDTH. OWNER Charles J. Sachell "ONT MAIL _ �. x f) f ADDRESS 5019 Fara SIDE' (•� CITY Temple City nlo'I 49-924 ;�P.L INSPECTION RECORD ARCHITECT OR none -TEL. ENGINEER NO. I -i. .ADDRESS - �.iM CONTRACTOR Santa Anita ConsteoLAT 79744 •3 � / ADDRESS 8717 Las Tunas San Gabriel DESCRIPTION OF WORK ' NEWXX AnD A R REPAIR' DEMOLISH SSO ZE -�o - STORIES FAMILIES USEOFuRE' Dwelling & /Attached Garage =" M SIGNATURE APPLICANT APPROVALS DATE - - INSPECTOR'S SIGNATURE ADDRESS 0 7/�J f"'L 3[L..�/1sW FOUNDATION:LOCATION �- FORMS.MATERIALS N /`JU7 YG//AN YV VALUATION $ - FRAME:.FIRE STOPS. CCC7JJ {I BRACING,BOLTS - 7- P.C. FEE $�/ I FURNACE: GAS VENT,DUCTS f - -- FEE S 4 I HEREBY ACKNOWLEDGE HAT 1 HAVE READ THIS AP- LATH. INTI• / PLICATION AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO COMPLY WITH ALL-COUNTY ORDINANCES AND STATE LAWS. REGULATING BUILDING CONSTRUCTION. LATH,EXT. SIGNATURE-6� //J HOUSE NUMBER COR- PERMITTEE y�'�" ( �-/ �y/ r� - RECT AND POSTED T ADDRESS 7/ 7 � Owe Xi/ f�� FINAL -/ ZI l9/ I CLYDE N. DIRLAM, P INCIPAL STRU AL ENGINEER MI - PLAN CHECK VALIDATION aK. Wo. CASH 4 PERT VALIDATION/ case I a 1 9 7-8 � FEB 3 2. 3 D 1 9.5 G a L; �7 } �. i.Pr.02 1 5 5-,-a FEB ` / 1 D. 3 f 0 fJ _- 76A638A CEN803 3-66 - t APPLICATION FOR BUILDING PERmrr COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER " COLEMAN W. JENKINS, SUPT OF BUILDING 'NEAREST- CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. O R CONST.. ES ED (Print or type only) V BUILDING STATISTICAL CL FICATION SEWER MAP, ADDRESS l Enoinita Tem le Cit CLASS NO. DWELL,UNITS BK PG LOT NO, BLOCK USE ZONE MAP NO. TRACT N �• SPECIAL O.OF SLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT t USE OF EXISTING BLDG. Dwelling BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF - - -ISTREET). OWNER Carl HU hes NO. ypE OF EXISTING SETBACK HIGHWAY +. YARD' _ TOTAL ADDRESS5715Enoimta H AV WIDTH FROM 0.L. CITU -Temple it .. BLDG.SETBACK FReM, - - ARCHITECT OR TEL. SIDE PROP. LINEOF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGH W } - YARD = TOTAL ADDRESS Roof p L+ HIGHWAY WIDTH FROM C.L. CONTRACTOR Virg in ♦WOl NO, 287[-0707 +LIC. y ADDRESS 00 anG b el NO. 1606 O CORNER CUTOFF YES ❑ NO ❑ _ _ LIC. CITY San GabrIiel CLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS U DESCRIPTION OF WORK H Z NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE , STORIES FAMILIES STRUUSEOCT URE- House & f Houe Att. Garage with 235# Comp.. Shingles. SIGNATURE OF APPLICANT - VALUATIONS 7.00 93.00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. MT. =FOUNDATION: LOCATION P FEES FEE $' 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 ORDINANCES ANO 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- TION OF THE LABOR" CODE OF THE STATE OF CALIFORNIA RELAT� LATH, INT. ING TO WOR}PEN'S OM P,F,NSAT�ON INS�''`G,,ANCE I y1Y'E j'[OOZ C0.7T n ' LATH, EXT. SIGNATURE O /'/1U•LE'fLJ(. e'Y/.I/W/E1 HOUSE NUMBER COR- PERMITTEE' ^� �- �p• RECT AND POSTED ADDRESS 600 S.San Gabriel- San Gabriel 'FINAL // kk .f JOHN F. LEWIS. PRINCIPAL STTU RAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. N.C. CASH '_ Uto 6 1 7 1 AUs 2 9 9.0 0— APPLoCAMON FOR BULLING PERNT . COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN B As I hereby affirm that I have a certificate of consent to self insure, BUNG ADDRElSS G _i r DDRE or a certificate of Workers' Compensation Insurance,or a certified copy Deep �(,.,3800.Lab.C.) fir/ ,/ G� 7J LOCALITY Policy N `�` Company `e=Lj SIZE OF LOT NO.OF YLDGS.NOff ON LOT ertified copy is hereby furnished. NEAREST CROSS ST. r TRACT BLOCK LOT NO ❑ Certified Copy is filed with the cou y buil g spection USE ZONE MAP NO.. dep/ar nl� Date•Ir ppliCant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS C RTIFICATE OF EXEMP I FROM WORKERS' R TELll -WO. . COMPENSATIO NSURANCE " WITHIN 1000 FT.OF SCHOOL? Yes No (This section need not he completed if the permit is for one hundred A9- 91,5- � //r' �� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED By dollars($100)or'less.) �b J r� ZI certify that in the performance of the work for which this permit .� is issued, I Shall not employ any person in any manner SO aS l0 A HITE TOR ENGINEER TEL NO. O /L become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO." DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REOUIRED TOTAL SETBACK FROM EXIST- Exemption, you Should become subject t0 the Workers' CONTRACTOR TEL NO y SET BACK ygg0 HW V PROP USE WIDTH Compensation provisions of the Labor Code, you must forthwith /e vT FRONT comply with such provisions or this permit shall be deemed revoked. ADD SS LIC.NO. P L LICENSED CONTRACTORS DECLARATION ' / SIDE LIG P L I hereby affirm that I am licensed underprowsions of Chapter 9 �� SEWER MAP (commencing with Section 70001 of Division 3 of the Business and so.FT NO.OF STORIES NO OF FAMILIES Professions Code,and my license is in full to and effe . NEW ❑ BK PG D License Number 1 C3Lic.Class PTION OF WORK ADD VALUATION O Contractor�� F i Date — ALTER ❑ $ O - Elam exempt untler Sea -O REPAI $ 1 0 B.&P.C.for this r On45& O„��/lU� MOL ❑ LOMA PIC z AGGT.i W Date F EXISTING BLD N/ RM ❑ d 3303 125.55 % Signature NT(PRINT)^ T LDMA Perm# _ Z 1 ITEMS Z ❑ I, as owner of the fly, or my employees with wages as ,d their sole comp on, will do the work and the structure is D E S ^//�1 �/A TOTAL 125 . -r--&5 not intended o I. fOf salt (Section 7044, Business and -`� -get/` FINAL DATE Q ' 55 A� c CHECK 15,. ., Professions Code.) WILL THE URE CONT OR FUTURE HAZARDOUS OCCUPANT HANDLE A RAGREATE S MATERIAL ❑ I, as owner of the property, am exclusively contracting With ORA MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE v YV Q a00 AMOUNTS SPECIFIED ON THE HAZARD'JUS MATERIALS INFORMATION GUIOE4 FINAL BY > CHANGE licensed contractors to construct the protect (Section 7044, YES 1:1 NO ClBusiness and Professions Code) WILL THE INTENDED USE OF THE BUIDUNG 6Y THE APPLICANT OR FUTURE BUILDING e OCCUPANTASTIR REWIRE A PERMIT FOR CONSTRUCTION SCION OR EE PERMITTING FROM THE SOUTH FOR (IITFIfI-(1(10'1 11/27/95 • CONSTRUCTION LENDING AGENCY COAST AIR QuwTY MANAGEMENT DismkT 1scAOMo)SEE PERMITnrvc cHEcxusT FOR IJUVV–VV GUiDEUNEs. hereby affirm that there is a construction lending agency for YES El no El 3429 1 AM10:55 ry the performance of the work for Which this permit Is Issued(.Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMIT TING m 3897,QV.C.) CHECKLIST:I UNDERSTAND MY REQUIREMENTS UNDER THE Los ANGELES COUNTY CODE, TITLE 2.CHAPTER 2.20 SECTIONS 210.100 THROUGH 2 20.140 CONCERNING HAZARDOUS 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMID o Lender's Address awER OR MExT 0 oI certify That I have above this information is and state agree to penalty 0 of penury that the above information is correct.I agree t0 comply PC FEE PERMIT FEE $ with all county ordinances and State laws relating to building m conshl Ion, and her a thorize represen fives of this County ISSUANCE FEE fO to ent upo the aboiorred proper r inspeg� ,07 lio66pur^poses. � i a � / �� INVESTIGATION TOTAL FEE / e sv,,.w,.w Mtrmm w SEE REVERSE FOR EXPLANATORY LANGUAGE