HomeMy Public PortalAbout5724 ENCINITA AVE_Miscellaneous__ COUNTY OF LOS ANGELES TEMPLE CITY C 0508 MISCELLANEOUS PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS MP 0508 0809110001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ITR: 6561 LT: 78 BL: .001 UN: .002 SQ. FT STORIES TYPE OCCUR GROUPI 5724 ENCINITA AV
(STRUCTURE: 1 V-B U I TEMP CA 91]80241]
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18587-003-016 (EXIST BLDG USE: THOMAS PAGE: 596 GRID: J3 'LOCALITY: TEMPLE CITY, Cl
I (EXIST OCC GRP: USE ZONE: I I
(TENANT: I (ISSUED ON: PROCESSED BY: EXPIRES ON: I
IBLDGS. NOW ON LOT: VALUATION: 109/11/08 SR 03/10/09 1
B 1 1
(OWNER: TEL. NO: FINAlj, GAT FIN CODE:
(KONG, BONNIE (626) 203-8436- ILIST ITEMS: I 6
15724 ENCINITA AV 11-0
ITEMP 917802417 I IDESCRIPTION OF WORK
1 IRECONVERT GARAGE AND STORAGE TO ITS INTEDED USE REMOVE ALL
1GCCUP (AAD EXIST: PLUMBING
1APPLICANT: TEL. NO: IOCCUP LOAD NEW: I I
SAME AS OWNER - I I I
PARKING SPACES REQUIRED: SPECIAL CONDITIONS: 1
(PARKING SPACES PROVIDED:
IEXIT HARDWARE:
(CONTRACTOR: TEL. NO: I I LIMITED TIME USE 1
(SAME AS OWNER - INBR OF EXITS: FROM TO
LIC. NO
FEES PAID
1APPROVALS DATE INSPECTOR SIGNATURE
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I "-.
(ARCHITECT OR ENGINEER: TEL. NO: I TRAILER USE
10A PERMIT ISSUANCE 27.75 -1-1
LIC. NO: 101 R/M OCC/USE INSPECT 145.95 SAFETY PERMIT
TOTAL FEES 173.70 1
(TEMP. STRUCT. APPROVED
I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (TEMP'. STRUCT. REMOVED
N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO qL
SCHOOL WITHIN HAZARDOUS (J U (} 1
1AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
1REQUIRED TOTAL SETBACK FROM E%IST 1 1 1 1 1
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 1 1 1 1
IFRONT PL- 1 1 1 1 1
I SIDE PL-
REPORT ID: DPR267 ROUTE T0: HSO508 1 1 1 1
I i I I I I
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9g `1 COUNTY OF LOS ANGELES
P Oaks DEPARTMENT OF PUBLIC WORKS
�C BUILDING AND SAFETY DIVISION
�SBNICY Shb��
OWNER-BUILDER VERIFICATION
Attention Property Owner:
An 'Owner Builder" building permit has been appliggd for in your name and bearing your signature
at (r./'t'W Please complete
and return this information in the envelope provided at your ea liest opp rtunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit *ll be issued until this
verification is received.
1. I personally plan to pr de tha major labor and materials for construction of the proposed
property improvement ror no ) !/-P,4
2. 1 ( av /have not) A4.4_�I?. signed an application for a building permit for proposed work.
3. 1 have contracted with the following person(firm) to provide the proposed construction:
Name
Address City
Phone Contractors License No.
4. 1 plan to provide portions of the work but I have hired the following person to coordinate,
supervise, and provide the major work:
Name
Address city
Phona Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the
work Indicated:
Name Address Phone . Type of Work .
Signed: Return Form to Address Below
Property Owner
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Date
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