HomeMy Public PortalAbout5761 ENCINITA AVE_Building__ APDLICATION FOR
BUILDING PERMIT
.FOR APPLICANT TO FILL IN 'ADDRESS ' 7 / AoF
BUILDING - r '
ADDRESS F LOCALITY _ _ C
rn _ ry
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CITY 'Y ZIP a CROSS ST.
.NO.OF BLDGS //�� ASSESSOR - _
'SIZE OF LOTS 3D NOW ON LOT p5 MAPBOOK PAGE PARCEL
DISTRICT TYPE + FIRE - SED B
TRACT BL//OCK `` '' LOT NO. J - Q ONST..
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OWNER . V �IV IN
STATISTICAL CLASSI FI ION SEWER M
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ADDRESS olo CLASS NQ LJ��—DWELL..UNITS 4�_.BK PG
CITY ` ZIP U ,E MAP
ARCHITECT OR L. NO. '
ENGINEER NO. L) SPECI
• CONDITIONS
ADDRESS' � ) qp ROAD DEPARTMENT APPROVAL REQUIRED VES ❑ •NO ❑
CONTRACTOR FVA ry NO. 0" pf Tj BLDG. TRACK FROM '
Q� FRON PROP.LINE OF - ISTREETI '•
`ADDRESS' 1 NO'/✓� HIG AY + YARD = TOTAL SETBACK FROM TYPE OF I EXISTING
CERqugsLIC FRONT:PROP.LINE.- HIGHWAY .WIDTH
CITY CLASS -- - _ - _
CONSTRUCTION LENDER - + a
NAME AND BRANCH - BL .SETBACK FROM
SID PROP.LINE OF ISTREETI
ADDRESS CITY - - - O
50.FT. NO.OF NO.OF CHECK, HIGH AY + YARD = TOTAL SETBACK FROM TYPE Of EXISTING w
SIZE STORIES FAMILIES ONE _ SIDE
PROP.LINE HIGHWAY WIDTH
I� _ m
DESCRIPTION OF WORK NEW J�
ADD ❑ - CORNER CUTOFF YES ❑ NO
ALTER ❑
' � 1 ^• IN OPEN SPACE - • YES ❑ NO ❑ .'
REPAIR ❑
USE OF ,DEMO) ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BL G
APPLICANT / TELNO.� Q� 7;!57�
(PRINT)
BY(SIGNATUREI
PHEREBY AC OWL DGE 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 I WILL-NOT EMPLOY ANY PERSON IN VIOLATION'OF-
THE LABOR CODE Of TH'STANb "CALIFORNIA IN RELATING TO WORKMEN'S COM_ -
S)G ATIU INSURANCEf'
SIGNATURE OF , ) _ FINAL i7, BY
PERMITTEE / DATE
ADDRESS ^ C
TEL. _ P,C.Fee$ Permit Fee J
CITY NO.
gam, Issuance Fee
VALUATION L, CTU �1
J �A. � ; - TrH,I Fee
PLAN CHECK VALIDATION CK. Wo. •CASH PERMIT VALIDATION CK. . M.O. CASH
8. 8 4 fi JUS 28 1, D 2 a.rJ
(t)3`76A6386 CE BB03S 6/76 -- - r
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e
COUNTY OF LOS ANGELES TEMPLLI1
CITY # 0508 - BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0011010037
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 12977 LT: 15 SQ- FT STORIES TYPE 5761 ENCINITA AV
STRUCTURE: 1 VN TEMP CA 917802419
ASSESSOR NFORMATIO NUMBER: NEAREST CROSS STREET: LAS TUNAS
5387-017-022 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 11/01/00 UT 05/01/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
WONG CINDY S (818) 240-6239- 1 2,000 NN
656 GLENDALE TERRACE V- 2- 5
GLENDALE 91206 ES PAID SCRIPTION OF WORK
REROOF HOUSE AND GARAGE OVER EXISTING 20YR GENSTAR FIBERGLAS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEE NO:
HAUKOM ROOFING, INC (626) 285-9011 AA BLDG PERMIT ISSUANCE 27.75
6122 IVAR AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS:
TEMPLE CITY 91780 D2 PERMIT W/0 EN-HC X2000.00 VAL 82.20
PNGELESTOTAL FEES 110.45
CONTRACTOR: TEL. NO: SOS U/�/�,y APPROVALS DATE INSPECTOR SIGNATURE
HAUKOM ROOFING (626) 285-9011-
6122 N. IVAR LIC. NO LOCATION AND SETBACKS
TEMPLE CITY, CA 438388 C39
/ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: L. NO: / FOUNDATION/TRENC FORMS
LIC. NO:I/ 111111 SLAB/UNDER FLOOR
1
1 RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,:' UNDERFLOOR INSULATION
150H265 3 'OU II p L II _ W O f' FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: A T/COND: STAT CLASS:- ``-'J �`-rJ
NO 21 h 6f g i� ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS T O 0 S EAR PANELS
AIR QUALITY: 1000 FEET MATERIALS o 0
NO NO NO A Q ® +' ®y FRAME INSPECTION
REQUIRED
FIRE SPINKLER
ES
SETFROBACK YARD: HWY: TOTALSETBACK
LINE: ROM WIDTHXI 5': 46�7C T PL- Se�V08Tha��°� [NSULATRON/WEATHERGSTRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED LOOR CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAF S/OP INGS
T-BAR CEILINGS
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508