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HomeMy Public PortalAbout5730 ENCINITA AVE_Building__ Ci ��c OF �CEI�YLE C�c � 76A538A CER3038-64 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 6 130 0; twll A DEPARTMENT OF COUNTY ENGINEER ADDRESB F/ BUILDING AND SAFETY DIVISION LOCALITY '_ JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST rrte�- '^ COLEMAN W. JENKINS,SUP•T.OF BUILDING CROSS ST. \p I>.Fq `\ Y-�iy'FT CDA.Y_ DIS RICT NO. G UP TYPE, PROCESSED BY FOR APPLICANT TO FILL IN �� CONST. RSmU_ BUILDING STATISTICA CLASSIFICATION SEWER MAP ADDRESS 5730 NO Enc)JTi�nita CLASS NO. DWELI UNITS •pG S LOT NO.N, , (� pL/ BLOCK USE ZONE NOP `.2 TRACT ICS 61 - I/�/ SPECIAL NO. 01 BLDOS. / 1 CONDITIONS SIZE OF LOT NOw ON LOT USE OF IS BLDG. SETBACK FROM 1^ �G` T� M. ➢4ann TEL AT6-3433 PRO NT PROP. LINE OF G (STREET) OWNER TYPE OF f%(STING SE T_BACK HIGHWAY } YARD = TOTAL ADDRESS 5730 No. Encinita HIGHWAY ID 'F MC.L. CITY Temple City Loc 601 + 7_p = 5'0 BLDG. SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LIKE OF ISTRE ETI ENGINEER NO. TYPE OF" EXI TH 'ROMSETBACK HIGHWAY } YARD - TOTAL ADDRESS HIGHWAY WIDTN FROM C.L. 1 S'ss TEL. + = O CONTRA //��CTOOF lr V ADD154 B SO. Sal Gabri$�`- 160650 CORNER CUTOFF YES NO ❑ Q CITY San Gabriel SIC C39 'SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK 9/^ 3 � � � i NEW ADD ALTER REPAI DEMOLISH ' �� vW d�J Y. . � , e' —7 A*.zp SQ.FT. NO. OF NO. OF � �•- �f�(� +VN J SIZE STO FAMILIES (/ Y( USE STRUCTURE Reroof house only over 2 wood with hvy. shake . SIGNATURE OF . APPLICANT � VALUATIONS 600.00 APPROVALS DATES/j INSPECTOR'SSIONATURE P.C. PMT. FOUNDATION, LOCATION I . FEE 5 FEE 5 FORMS, MATERIALS FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION ' f WITH ALL COUNTYORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS I 9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK 1 AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LAB CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN' C MPENEATION (NSU ANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- I PERMITTEE -�-L RECT AND POSTED c �vi�a e�5e ADDRESS I�3"�/.6 .Q.�,o. l F I N A L • JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. - M.D. DASH PERMIT VALIDATION cK. M.G. CASH LFtGc 5 0 c4 z2 auc 2 7 1 D 6.00- d WORKERS`COMPENSATION DECLARATION - /-860515: LAA�a"� FOR f���( I�1��Ip�(/�� I��} ���Lgp/LT� - , I. hereby affirm that, have a certificate of consent la self /py -% II 011 V Il O_ 11� L=/���©�11 V`/ �LS�OC/Il�� insure, or a certificate of Workers' Compensation Insurance, lTsl LLa VU`l\ 1001 aria certified copy thereof (Sec. 3800, Lab. C.) ' ' - •- -- - - t . - -COUNTY OF LOS ANGELES BUILDING AND SAFETY P❑ollcy Na.Jil 14p_ComPanY�ACe.- - _ . _ _ -`;J Certified copy ishereby.furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS J 93 Certified copy'is filed with the county bbilding inspec- BUILDING ] i tion department: ADDRESS 5730 N. Encinitas Date, 9-93-96 Applicant V I r J 1'n 'ROOF-Cn_ CITY Temple City. ZIP 9178o LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' - - - - - NO. OF BLDGS.- - - - NEAREST -. COMPENSATION NSU RANCE' T SIZE OF LOT NOW ON LOT CROSS ST. (This section neednot be`completed if the permit is for one - - .- ASSESSOR ' hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE - MAP .^ OWNER. NO' - - NO t I ,<erhfy (fiat in the performance of the work for which this } permit is issued, I'shall not employ any person in any manner _ �' CONDITISPECIALONS - �, - - - -- - d so'bi7o$ecome subject to the'Workeri Compensation Laws. - ADDRESS- - - �l� CONDITIONS , u CITY ZIP 780 Date Applicant "' - F NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT 1. DI CT GROUP TYPE FIRE_. CESSED,BVExemptF ENGINEER NO: D CONST ZONE V NOTICEi T APPLICANT: you' should become subjects to- the Workers' T Ly Compensation provisions of.the Labor Code,.you must forth- ADDRESS with comply ,with such provisions or this Tpermit shall be _ —. - ----- TEL STATISTICAL CLASSIFICATION - APT. CONDO._ Z deemed revoked: t + CONTRACTOR NO. - - - LICENSED CONTRACTORS DECLARATION _ LIC _ -'CLASS NO. DWELL. UNITS_ hereby aff'lrm that I am licensed under provisions of Chapter 9 ADDRESS 2 0. Box NO. 16 � (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CtA55 _ BKPG. - - VALIDATION 150650 C39 SO. FT. STORAGES FAMOES_ . O-CHNE K License Number Lic.Class ^r. - . - VALUATION DESCRIPTION OF WORK NEW.- Contractor i• ate O 9�2 -aA(.^' . . .❑❑ $ '580.00 Class iMLL _fiber lass.- ADD am exempt under Sec. apply- - _ . . I ALTER B.BP.C. for this reason shingles 6 sq. REPAIR USE OF "Date:• USE EXISTING BLDG. � - - - - -- -- -3 'Signature APPLICANTICANT) NO. FINAL 1 OWNER-BUILDER DECLARATION _ _ _ - . - � _ - DATE z - r - _I hereby.offirni.thot I am.exemptfrom the.Contractor's.License ADDRESS .P 0 BOX .1 Sa Gab 1 C 1 FIN 'o Law for the following--reason!(Section 7031.5, Business and Professions'Code): •_ -.._-__ _. PRESENT __ - :. :gY - .. ., _ ,_ - 17 `_.•_zz _r- L - . OBUILDING I, as owner of the property, or my employees with ADDRESS - wages as their sole compensation,will do the work and the structure is not intended or offered for sale(SectionLOCALITY7.` - 7044, Business and Professions Code): - -. MOVING'- - "' tEC --• - •qc' ;2 5 5 0 7 A OCONTRACTOR - NO. - _ s• • - - - - - I, as owner of the property, am exclusively contracting — with licensed contractors to construct the project (Sec- ADDRESS e t #'s s 0 9 ;1" '^ tion 7044, Business and Professions Code). _-- -_ REQUIRED YARD:. 'HWV TOTAL SETBACK FR . ' .- , - .-_ - I •-•-33'00 _- CONSTRUCTION LENDING AGENCY - -- SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT - - "-3 a-the performance of the wici which this permit-is issued - P.L. -- - - - -- •- -' - - -- •-° • .3 QQ l (Sec. 3097, Civ. C.). SIDE ' P.1. - - 0 9.25:-:8 6 Lender's Name -- - - B • - - CDMA Ref. # Fee- Lender's Address - - - P.C. Fee$- - - - Permir Fee- - D I certify-that I have readthis application and state.lhat.the - Issuance Fee - -LDMA P/C IT - above information is correct. I agree to comply with all Count 9 PY Y Investigation Fee - - - ordinances and State laws relating to building construction, _ 33.00_ I and representatives hereby authorize of this County to enter - Toto Fee-- - -CDMA Perm. # - - -- - - - - -� upon the above-mentioned property for inspection purposes. � !�`_-• 'SEE REVERSE FOR EXPLANATORY LANGUAGE t I I Signature of Applicant or Agent Date COWNTY OF-LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9912070078 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 78 BL: .001 SQ. FT STORIES TYPE 5730 ENCINITA AV STRUCTURE: 0 VN TEMP CA 917802417 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8587-003-013 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RE ID USE ZONE: R- ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/07/99 UT 06/04/00 I OWNER: TEL. NO: BLDG$. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: DE: GUAN;BOWEI (626) 285-3371- 1 2,000 5730 ENCINITA AV TEMP 917802417 FEES PAID DESCRIPTION OF WORK TEAR OFF, INSTALL NEW PLYWOOD AN 3 TAB COMP. SHINGLES -20YR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPL CANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: 02 PERMIT W/0 EN=HC� 2000.00 VAL 82.20 P�GELESTO�T,ALL-FEES 110.45 CONTRACTOR: TEL. NO: SOS APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO L0�!ON AND SETBACKS I / SOILSI ENGINEER APPROVAL 1 ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH ORMS LIC. NO/j/ 1111171 SLAB/UNDER FLOOR -L RAIS D FLOOR FRAMI G MAP NO: SEWER MAPBOOK: PAGE: FIRE ZONE: CMP,:• �/� UNDERFLOOR INSULATION 147H265 3 'OT�II II p U _ WORKS FLOOR'SHEATHING N0. F FAMILIES: DWELLING UNITS: APT/COND: STA CLASS:- ``-/J Lill`vJ I NO 21 h O O p �' ROOF SHEATHING SCHOOL WITHIN HAZARDOUS \\\ rp SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS \ Q ❑ ( NO NO NO A ❑ ® i' - � FRAME INSPECTION REQUIRED SET BACK YARD: HWY: TOTAPROOPTLINE .FROM WIDTH:EIST `6,7C SelViace That��t� INSULATIHANGERS SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED'FLOOR/CEIL ASS EM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR, CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508