HomeMy Public PortalAbout5724 ENCINITA AVE_Building__ APPLICATION FORrBUILDING PERMIT
FOR APPLKANT TO FILL IN (Print or type only)
BUILDINGCOUNTY OF LOS ANGELES `
ADDRESS 5- ENG/A// 7-/4 DEPARTMENT OF COUNTYENGINEER
CTvTF L E C/T zIP - BUILDING AND SAFETY DIVISION..
'- - / 1 NO,OF BLD 5, .BUILDING /
SIZE OF LOT O " NOW ON LOT ADDRESS
TRACT BLOCK LOT NO.-790 LOCALITY
-TEL. NEAREST -
OWNER J NO. CROSS ST.
_
ADDRESS _T7,241 MAPBOOK PAGE PARCEL
_DISTRICT GROUP TYPE j FIRE' ESSED BY
-CITY ZIP 9/ 780 Q�(!� -{j y^' CONST.- JZ E.E.
ARCHITECT OR TEL` \,.J [j (/ _(
ENGINEER-- NO. - STATISTICAL CLASSIFICATION SEWER AP
ADDRESS CLASS NO.�/ DWELL,UNITS BK PG
TEL.
CONTRACTOR No ZONE ZONE NOP20
C. /^/
ADDRESS NO. ' .y.../ SPECIAL -
-• - LICCONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIREDYES NO
CONSTRUCTION L NDER
NAME AND BRANCH BLDG.SETQACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS' - ' CITY i _ TOTAL SETBACK FROM TYPE OF,.EXISTING
HIGHW Y' + ,YARD
SIZ FT. NO.OF IN IF CHECK FRONT PROP.LINE HIGH WAV WIDTH
SIZE TORIES � - FAMILIES � ONE y
_ 6
DESCRIPTION OF WORK D NEW ❑ + p
ADD BLDG.SETBACK FR rx
L SIDE PROP.LINE OF (STREET) O
ALTER ❑ HIGHWAY + .YARD = TOTAL SETBACK TYPE OF EXISTING
❑ SIDE PROP.TINE IGH WAY WIDTH
REPAIR
USE OF .S/A/Gt: -' '" - Z_
EXISTING BLDG Ly
Dkj,5jL/NG DEMOL ❑ +
APPLICANT •TEL CORNERCUTOFF VES NO
(PRI NTT O. 6- _
- INOPENSPACE ` YES NO
BY(SIGNATURE( - -
-- INC OASTAL PERMIT ZONE YES � NO
VALUATION
I HEREBY ACKNOWLF E THAT I HAVE-,pEAD THIS APPLICATION AND STATE �•:,I
L _�� r
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES q _
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN MING THE j( ` (�
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELADbq TO WORKMEN'S COM_
SENSATIONINSURAN / /
SIGNATURE //.L/�
PERMITTEE
'ADDRESS ' C1
FIN BY v
CITYTEMP4.57 'C /TY N8294;_
OG' Q DATE _
R
MAKE CHECKS PAYABLE TO: F E U.,$ l % FEET $l
HARVEY T.BRANDT,COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH MIT VALIDATIO cH. ', M o.. CASH
4 3 9J--DEC , 1 -i U 1 0 23' 5
®3 76A638A CE#803 3 75"
`TE714"t PL
vss�e<Ge seD3 z-s� APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELESBUILDING T A
DEPARTMENT OF COUNTY ENGINEER ADDRESS — 7.2 4 so - NC i M'i T
BUILDING AND SAFETY DIVISION LOCALITY "�— { Lc CIT
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST.
DISTRICT NO. I GROUP TYPE P�EOCE SSED §Y
FOR APPLICANT TO FILL IN /t �ZLLp L
BUILDING a. STATISTICAL CL SIFICATI ON —i`— ll5 ER MAP Vl
ADDRESS[[ 5724 N. no n prra • CLA55. NO. _DWELL. UNITS BK�
PG
LOT.NO.J 'S4�& 2•f 7dQBLOCK WATER NOT REQUIRED- -RECEIVED
CERTIFICATE: -
TRACT 6 MAP HIGHWAY STATE MAJOR SECOND LOCAL
NO.OF SLOGS, NO. QQ (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF ' CONDITIONS
EXISTING BLDG. Residence -
TEL .
OWNER Geo. HOrS of NO. BUILDING YARD HWY STREET NAME EXIST,
SETBACK - WIDTH
ADDRESS 5724 N. Encinita T.c FRONT 3NCl/VITq &0
S
ARCHITECT OR EL. I L.
ENGINEER NO. SIDE
P. L.
ADDRESS d
CONTRACTORVirgin Roof CO. TtT 70507 0
ADDRESS 600 S. San Gabriel Blvd. 0
DESCRIPTION OF-WORK San Gab
w
a
NEW ADD ALTER REPAIR DEMOLISH W
Z
SFT. NO. OF
SIZE
STORIES STORIES FAMILIES
USE OF
STRUCTURE
Re-roof
us Is I gA-
SIGNATURE OF
APPLICANT_,
VALUATION S 49 4.00
,APPROVALS DATE INSPECTOR'S'$IGNATURE
FEE S FEE 6.00 FOUNDATION: LOCATION /
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 I / '
AUTHORIZED HERESY I I'LL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LAP R CO C OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S M ENSATIO. RANCE. / J I
LATH. EXT. ` 1
SIGNATURE OFHOUSE NUMBER COR- - �.
PERMITTEE 64ARECT AND POSTED __ _
ADDRESS 6Q S n abrie1 Blvd. FINAL
an a r e OHN F. LEWIS. PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK, M D. DASH _ PERMIT VALIDATIONCK. M.G. DASH
LiLo 4 1 7 8 SEP 2 5 1 0 6.0 0~ v
APPLICATION FO Il "
:b-.Efb [LDING PERMIT
FOR APPLICANT TO FILL IN BuaowG ADDRESS // -
eBUILDING ' �/.( � ?
L(� '7/ /�/y?�f"C"�✓LG.C.�W
ADDRESS E'wGI N.1 LOCALITY
CITY rnPL&-G1ZIP CROuST.
r NO.OF SLOGS: ASSESSOR
SIZE OF LOT SQ J NOW ON LOT MAP BOOK PAGE I PARCEL
TRACT epa BLOCK ''. LOT NO.
DISTRICT GROUP CONST. ,/ 15
TYPE OCE D BY
OWNER
A-
1 9 TEL a
N0 Q VJ Q . V
'1 1 G' �AX y� TA
ISTI CAL CLASSI FICAT ION SEW/EER�MAPP
ADDRESS /q CLASS NO. -11,4 .DWELL.UNITS
CITY 7Yl PL ZIPIf 7910 USEZONE NO Q
ARCHITECT OR TEL. SPECIAL
ENGINEER - NO, / CONDITIONS
,ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
TEL
CONTRACTOR .� NO. BLDG.SETBACK FROM
LIC. FRONT PROP.LINE OF (STREET)
ADDRESS NO. 1 TOTAL SETBACK'FROM TYPE OF EXISTING
LIC HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
CITY CLA55 -
CONSTRUCTION LENDER
NAME AND BRANCHO
BLDG.SETBACK FROM - V
ADDRESS CITY SIDE PROP.LINE OF /�� ISTREETI O
50.FT. NO.OF NO.OF . CHECK HIGHWAY + YARD __ TOTAL SETBACK FROM TYPE OF EXISTING w
SIZE STORIES / FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH
11 + . Z
DESCRIPTION OF WORK Wbimjqoom NEW
ADD CORNERCUTOFF YES- ❑ NO ❑
_ em� ALTER. 1:1 IN OPEN SPACE YES ❑ NO ❑
USE OF.V1YsBp(„EF"Mp REPAIR 1:1ZONE
IN COASTAL R ,. . VES ❑ NO ❑
EXISTING BLDG. ILY DtJBLLJJVG DEMOL ❑ P
APPLICA TEL
IPRINTI �; TEL -
BY ISIGNATUREI ,
HEREBY ACKN WLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABORCODEOF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'SCOM ' - " -
PENSATIONINSURANCE. L^
SIGNATURE OF A FINAL �j/ BYY L�
PERMITTEE DATE Q/
ADDRESSry r' p. �7
CIT NO. 8'6 P.C.P.C.Fee$ Permit Fee /
Issuance Fee
VALUATION$ G1 0
tal Fee
'PLAN CHECK VALIDATION c : M.6. CASH PERMIT V c :LIDA ION m.o. CASH
o. 76A6360 CE 18036 8/77 3 3 6 npjq-. , $ 1 D 3 4.0 Q c5�
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self QPP U CLIA p ON F R C�M p UMNIG.IG. f�
P 6� H
insure, or a certificate of Workers' Compensation Insurance,
or a certifie co thereof Sec. 3800,-Lab. t
�7p'�y ( Q.-��) COUNTY OF LOS ANGELES � BUILDING AND SAFETY
P�olic�r-No20"i Company v 1A rC •1 U 0 _ _
IQ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS o7q4/ 5
❑ Certified copy is filed with the county building spec- BUILDING' - - - -
/''t7ionnordepartment. ADDRESS
Date"/ O—�3A licont '/f/j{I ]/ CITY ZIP LOCALITY -
PP (/��f' NO, OF BLD 5. NEAREST ..
CERTIFICATE OF EXEMPTION FRO ORKERS' SIZE OF LOT NOW ON LOT - CROSS ST.
COMPENSATION INSURA CE ASSESSOR
(This section need not be completed if the permit is for one TRACT - BLOCK LOT NO. MAP BOOK " PAGE PARCEL
hundred dollars ($100) or less.) r TEL' / USE ZONE . -
OWNER �•/✓ - NOAH 6 339 E MAPE NO.
I certifysthat in the performance of the work for which this - _ Ls^�' •- SPECIAL - -
permit is issued, I shall not employ any person in any manner ADDRESS -/V C/I/C/' // d NV� CONDITIONS O-
so as to become subject to the Workers'Compensation Laws. 0
an -PL ZIP U
Date Applicant ARCHITECT OR TEL. DISTRICT GROUPI TYPE - FIRE PRO SED BY
NOTICE TO APPLICANT: If, after making this Certificate of - ENGINEER - NO. COyL�ST. ZONE O
Exemption, -you should become subject to the Workers' S, 0� /�� h� 0, // w
Compensation provisions of the Labor Code, you must forth- ADDRESS - Il
with comply with such provisions, or this .permit shall be - TELSTATISTICAL CLASSIFICATION APT. O? DO. Z
deemed revoked., ; CONTRACTOR N i
LICENSED CONTRACTORS DECLARATION LIC CLASS NO. DWELL.LNIiS
I hereby affirm that I am licensed under provisions of ChNO. a 7/ 77apter9 ADDRESS � �CITY SEWER MAP '
(commencing with Section 7000)of Division-3 of the Business CLASS LIC.
G3
and Professions Code,and my license is in full force and effect. BK. PG. VALIDATION-
e p q SQ:FT./ NO. OF NO. OF - CHECK - -
License Number �F 7 Lic Class `�_ SIZE 7 STORIES FAMILIES ONE
- u n�-- G - - - - - VALUATION
Contractor L/J/_f�f /fff/CT //7�Date ��T/ � DESCRIPTION OF WORK /��� //'�I' O NEV`� ❑ $ // 7ks . ..
G III H- ./ ADD ❑ D
❑'I am exempt under Sec. _ ALTER ❑
B.BP.C. for this reason / .REPAIR $ - -
Date: US OF - _.
EXISTING BLDG. DE
MOL El
Signature-2, APPIPR NT - TEL. _ -06/9 FINAL*
OWNE ILDER DECLARATION ( / �� O DATE
I hereby affirm that I t exempt from the Contractor's License ADDRESS
7��6 C. �'v FINAL
Law for the following reason-(Section 7031.5, Business and
Professions Code): PRESENT - - BY - a '
❑ BUILDING - ANT. _
I, as owner of the property, or my employees with ADDRESS I/ ^ r 5
wages os their sole compensation,will do the work and - � '`� 7- "r 11 t-.''-I'i
the structure is not intended or,offered for sale(Section LOCALITY - _ __ r,
7044, Business and Professions Code.) - MOVING - - - TEL. . . 1 LEiti
❑ CONTRACTOR NO.
I, as owner d the property, am construct
exclusively conproject
cting(Sec-
TOTAL,• 10 ®0d3
with licensed contractors to construct iheprojeci (Sec- gODRE55 �1`t
tion 7044, Business and Professions Code.). (;HUX 103.
_ REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY - ' SET BACK YARD '.HWV � pROP.'LINE WIDTH w t til
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.I. - L_Hf�htllC ,i,ll
(Sec 3097, Civ. C.). . SIDE
Lender's Name CDMA Ref. # IIT I Il
P.C. Fee$ Permit Fae
Lender's Address i D, j /�� '1, _
I certify that I have read this application and state that the - Issuance Fee LDMA P/C# 10cl.-t47
a above information is correct. agree to comply with all County Investigation Fee' - _ / -
Rordinances and State laws relating to building construction, Total Fee ` S CDMA Perm. q
anby authorize re esantatives of this County to enter _
upon above;menti property f r inspection purposes.
r-_r'0 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signor Applicant or Agent Date
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 0509130056
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 6561 IT: 78 HL: .001 UN: .002 SQ. FT STORIES TYPE 5724 ENCINITA AV
STRUCTURE: VN TEMP CA 917802417
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-003-016 THOMAS PAGE: 596 GRID: S3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 IBSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/13/05 SK 09/08/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
ROY, AMY (626) 399-2199- 81000 'z c
5724 ENCINITA AV /� `-y 6.-A
TEMP 917802417 FEES PAID DESCRIPTION OF WORK
TO CONVERT DINING ROOM TO NEW 3RD BEDROOM, SHOWER STALL INTO
_ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LAUNDRY CLOSET, REMODEL KITCHEN, CLOSING NORTH ENTRACE NEW
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 8000.00 VAL 0.80 SPECIAL CONDITIONS:
AX BUILDING REVIEW FEE 54.70
B2 PERMIT W/ENERGY 8000.00 VAL 201.30
TOTAL FEES 284.55
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHVIR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRA IS INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET HACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSDLATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY k 0506 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 BL 0508 0601190003
PHONE: )626) 285-0488 EXT:
LEGAL ID: NO, OF CONST BUILDING ADDRESS:
IS: 6561 LT: 78 BL: .001 ON: .002 SQ. FT STORIES TYPE 5724 ENCINITA AV
STRUCTURE: VN TEMP CA 917802419
ASSESSOR IN PORMATIDN NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-003-016 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
E%IST OCC GRP: 01/19/06 JK 01/14/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
NOY, ANY M (714) 803-9580- 5,000 / Z
21520-G YORBA LINDA
YORBA LINDA CA 92887 FEES PAID DESCRIPTION OF WORK
TO CLOSE OFF 2 WINDOWS ON NORTH SIDE AND (1) SMALL ON SOUTH
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: REPLACE 1 WINDOW AND RELOCATE THE ENTRY DOOR IN THE GARAGE +
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING REVIEW FEE 54.70
D2 PERMIT W/O EN-HC 5000.00 VAL 132.60
PR INV WORK W/O PERMIT 257.00 DOL 257.00
CONTRACTOR: TEL. NO: TOTAL FEES 472.55 APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAP/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 O1
FLOO'.1 SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOF.SREATHING
SCHOOL WITHIN HAZARDOUS SHEA"? PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAM3 INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
' INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATTED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
• ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY H 0508 BUILDING PERMIT
'DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 0808140049
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS:
ITR: 6561 LT: 78 BE: .001 ON: .002 SQ. FT STORIES TYPE OCCUP GROUPI 5924 ENCINITA AV
(STRUCTURE: 748 1 V-B R3 I TEMP CA 917802417
(ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET:
18587-003-016 OTHER: 310 1 V-B R3 THOMAS PAGE: 596 GRID: S3 LOCALITY: TEMPLE CITY, Cl
I TENANT: (EXIST BLDG USE: USE ZONE: IISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 106/23/09 SR
I I I I
OWNED TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FIN DATE FIN CODE
I :
TANG, DENNIS (626) 576-7255- 120,530 A/("��
15724 ENCINITA AV Il I �
TEMP 917802417 FEES PAIDETCR PTION F WORK
ADD MASTER BR, HATH, FAMILY RM, LAUNDRY AREA (E) SEDRM TO
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IDINING RM, MODIFY (E) KITCHEN W/NEW COUNTER WRELOCATE RANGEI
APPLICANT: TEL. NO: I I I
TANG (626) 576-7255- 101 PLANCHECK W/ENERGY 120530.00 VAL 1,334.62 1 1
15724 ENICNITA AVE. - AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 1AS STATE GREEN BLDG FEE 120530.00 VAL 5.00 1
1AC STRONG MOTION REBID 120530.00 VAL 12.05
1B2 PERMIT W/ENERGY 120530.00 VAL 1,570.14
CONTRACTOR: TEL. NO: TOTAL FEES 2,949.56 (APPROVALS DATE INSPECTOR SIGNATURE
ICHEUNG MING CONSTRUCTION INC. (626) 378-7279- 1l1 I ` I\ 1
1306 FLORENCE AVE. LIC. NO LOCATION AND SETBACKS
IMONTEREY PARK, CA 91755 ]55037 B 700 ,�kt`.m \ V V / B7
I 7_C (SOILS ENGINEER APPROVAL 1 1 1
IOR ENGINEER: TEL. N0: FOUND IT ION/TRENCH FORMS
LO, GILBE IT
L0, GILB ERT (626) 255-8115-
19631 ALPACA ST LIC. NO: SLAB/UNDER FLOOR
IS. ED MONTE, CA 91733 C30630
RAISED FLOOR FRAMING
NAP N0: SEWER MAP HOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION
3 OOI I
I (1ST LEVEL FLOOR SHEATH
INO, OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
I NO 21 12ND. LEVEL FLOOR SHEATH
I SCHOOL WITHIN HAZARDOUS 1 1IROOF SHEATHING1 ! / 11
1AIR QUALITY: 1000 FEET MATERIALS • I
I NO NO NO (FIRE DEPT. FRAME INSPECT( II
I I I
REQUIRED TOTAL SETBACK FROM EXIST (BLDG DEPT. FRAME INSPECT
ISET BACK YARD: HWY: PROP LINE: WIDTH:
IFRONT PL- I ISHEAR PANELS
I SIDE PL- I
(INSULATION/WEATHER STRI
1NTER.IOR LATH/DRYWALL �
I
EXTERAR LATH I1
ILOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL(
I I I I I I
I I
111 IREPORT ID: DPR261 ROUTE TO: BS0508 11 111
I
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 91980 BL 0508 0909090042
PHONE: (526) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: 1
ITR: 6561 LT: 78 BL: .001 ON: .002 SQ. FT STORIES TYPE 5724 ENCINITA AV
I ISTRUCTURE: 766 V-B TEMP CA 917802417
(ASSESSOR INFORMATION NUNBER: NEAREST CROSS STREET:
18587-003-016 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 109/09/09 SR I
1 1 I
TOWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F;1,pAT� FINALiBY: CODE:
TANG, DENNIS (626) 576-7255- 2,500 k//'JIIJ//,I' �yY]
15724 ENCINITA AV
ITEMP 917802417 1 FEES PAID ID RI TION OF WORK i1
I TEAR OFF AND REROOF NEW PLYWOOD AND APPLY COMPOSITION
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ISHINGLES TO MATCH NEW ADDITION
(APPLICANT: TEL. NO: 1 1 '
ICHEUNG MING CONSTRUCTION INC. (626) 378-7279- 1AA BLDG PERMIT ISSUANCE - 27.75 1 1
1306 FLORENCE AVE. IAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IMONTEREY PARK 91755 IAC STRONG MOTION RESID 2500.00 VAL 0.50 1
I ID2 PERMIT W/O EN-HC 2500.00 VAL 99.00
I I TOTAL FEES 128.25 I
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ICHEUNG MING CONSTRUCTION INC. (626) 378-7279- 1_
1306 FLORENCE AVE. LIC. NO 1 (LOCATION AND SETBACKS 1
IMONTEREY PARK, CA 91755 755037 B I I I
(SOILS ENGINEER APPROVAL I
I
(ARCHITECT OR ENGINEER: TEL. NO: I [FOUNDATION/TRENCH FORMS I I I
I
1 LIC. NO: 1 [SLAB/UNDER FLOOR I I I
I I (RAISED FLOOR FRAMING I I I
I I I
[MAP N0: SEWER MAP BOOK: PAGE: FIR£ ZONE: CMP:[ [UNDERFLOOR INSOLATION
I147H265 3 001 1 1 1
I I FLOOR SHEATHING SII
1N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1
NO 21 i iROOF SHEATHING
r Ir
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS I
NO NO NO [FRAME INSPECTION I I 1
(REQUIRED TOTAL SETBACK FROM EXIST I [FIRE SPRINKLER HANGERS
ISET BACK YARD: HWY- PROP LINE: WIDTH:
[FRONT PL- [INSULATION/WEATHER STRIPI I I
I SIDE PL-
I (INTERIOR LATH/DRYWALL
I I
I I (EXTERIOR LATH I I I
I I (RATED FLOOR/CEIL ABSEM. I I I
I
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