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Home My Public Portal About5805 1/2 ENCINITA AVE_Building__ " COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1102080018 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 46828 LT: 1 ON: 5 SQ. FT STORIES TYPE 5805 1/2 ENCINITA AV I (STRUCTURE: V-B TEMP CA 91]80245] 1 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 15387-019-056 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIET BLDG USE: RESID USE ZONE: R-2 II ISSUED ON: PROCESSED BY: 1 EXIST OCC GRP: 102/08/11 SR I I I TOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL TE FINAL Y: CODE: SAWADA, ATSUKO (626) 292-]11]- 21000 1 /1 15805 1/2 ENCINITA AV v TEMP 91]80245] I FEES PAID IDESCRIPTION OF WORK I IREPAIR CELLING DRYWALL AND TOUCH UP IEEE DESCRIPTION: QUANTITY: QOM: AMOUNT: (APPLICANT: TEL. NO: IYUKI YOSHI (010) 989-1903- AA BLDG PERMIT ISSUANCE 27.00 13418 VISTA HAVEN RD JAR STATE GREEN BLDG FEE 2000.00 VAL 1.00 SPECIAL CONDITIONS: SHERMAN OAKS 91403 1AC STRONG MOTION RESID 2000.00 VAL 0.50 1 1B2 PERMIT W/ENERGY 2000.00 VAL 90.50 1 ' 1 IFR INV WORK W/O PERMIT 257.00 DOL 257.00 (CONTRACTOR: TEL. NO: 1 TOTAL FEES 376.80 APPROVALS DATE INSPECTOR SIGNATURE 1 IME CONTRACTORS INC. (818) 789-1903- 1 13418 VISTA HAVEN RD. LIC. NO JLocATION AND SETBACKS 1 1 1 SHERMAN OAKS, CA 91403 701656/B ISOILS ENGINEER APPROVAL 1 I I I (ARCHITECT OR ENGINEER: TEL. NO: I 1FOUNDATION/TRENCH FORMS I I I I LIC. NO: SLAB/UNDER FLOOR 1 1 1 RAISED FLOOR FRAMING (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:l JUNDERFLOOR INSULATION 1150H265 3 001 1_ 1 FLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I NO 21 1 IROOF SHEATHING I SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS I I I 1AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION IFIRE SPRINKLER HANGERS INSULATION/WEATHER STRIPI I I I_ 1 ANTERIOR LAT DRYWAL IEXTERIOR LATH I RATED FLOOR/CEIL ASSEM. (RATED WALL ASSEMBLIES I RATED SHAFTS/OPENINGS 1I 1 1T-BAR CEILINGS I I I LOT DRAINAGE 1 1REPDRT ID: DPR261 ROUTE TO: BS0508 I I I I I I . " COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ,DLRE`g5 ref BUjLDING DDRESS Ck;J i 4 LGGtJ I hereby affirm that I have acertificate.of consent to self insure, 58D5 Encinita Avenue . . or a certificate of WorkersCompensa�°n JnSuranc or 3 certified ' 'copy thereof(Sec.3800,Lab.C.) "Ola en gle CITY - ZIP Insurance Co. Temple�City 91780 LOCALITY Policy No. Company SIZE OF LOT - NO.OF BLDGS.NOW ON LOT Certified Copy i5 hereby fUrniShe NEAREST OROS T. Certified copy is filed with the o ry'b ilding' Section TRACT B LOT NO. '?/ e rime t. 53 7-��KI-039 USE ZONE MAP No. Date f 93 Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WO ERS' OWNER W ERChow8 8 TEL COMPENSATION INSURANCE Hung 574-0050 WITHIN loon FT.of sciRooL? YES No (This section need not be completed if the permit is for one hundred ADD3E$ e [jf44 Larkfield DISTRICT GROUP TYPE CONST, FIRE ZONE ZPROC.IESSED BY dollars ($100) or less.)I certii that in the performance of the work for which this. ermit CITY ZIPd� - Aam' v p Arcadia 9. i5 issued shall not employ any person at any manner so as t0 ARCHITECT OR ENGINEER TEL NO. baCOmB subject t0 the Workers Compensation Laws.. � STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS GLASS NO. DWELL UNITS NOTICE TO APPLICANT- It. after making this Certificate of REOUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must'forth with with Awning & Shade CO 818-284-2074 FRONT comply with such provisions or this permit shall be deemed revoked. AD SS - LIC NO P L 205 So. Mission-Drive c 495869 SIDE LICENSED CONTRACTORS DECLARATION Cl Gabriel LIG CLAS=61 P L I hereby affirm that Pam licensed underprovisions.of Chapter 9 � l• SEWER MAP - (Commencing with Section 7000)Of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES - Professions Code,a4J ry sea in full force and effeGl „ NEW ❑ ,BK PG D 4. 2{�Ja07 - CA.61 DE CREIRON OF WORK - ADD ❑ VALUATION _ Q License Number Uc.class anvas Awning V Holland Awning S 11 93 $ ,Z (UO Contractor ate ALTER ❑ e o. O ❑ I am exempt under Sec." - REPAIR ❑ $ 0 B&P.C.for this reason. EIS C, p DEMOL"❑ LDMA P/C# W Date: us OF eslXG TenLa URM ❑ ..... _ {{ .. Signature - APPLICANT(PRINT) TEL NO. LDMA Perm# t z ❑ I, as owner of the property, or m employees with wages as Holland Awning - --z �. Y Y -O their sole compensation,-will do the work and the structure is ADDRESS - - DATE ~ .'.1117 not intended or offered for sale (Section 7044, Business and ^ FINAL 0 _ PlO1e5510OS Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL '7-4-1 J ''1 ITEMS 1l�t ❑ I, as Owner Of theproperty, am exclusive contracting with OR A MIXTURE COMAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE .Q 1 11 L ' Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERALS INFORMATION GUIDE? FINAL BY--_ --> 5- i�I�tiL T �.LO 70 'licensed contractors to construct the'project (Section 7044, YES No EX t1o I lJ Business and Professions Code.) I -. -.__ '" WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING (- I_r' a�+.70 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH '��{L'TC CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR - - (-'tN11�UL .I�I GUIDELINES CHANGE I hereby affirm that there is a construction lending agency for YES❑ NO ] the performance Of the Work for which this permit IS Issued(Sec. HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SOAOMD PERMITTING Q' 3097,CIV.C.) CHECKUST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. [I5/13/?7 7 w TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS 1 tli lfl 0�I�(i 1 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMO _-_I__... EL o Lender's Address TANNER Co AGENT _ 96961 fill 3- :1"7 0 o I certify that I have read this application and State under penalty 0 of perjury that the above information is correct.I agree to comply PG.FEE PERMIT FEE �/Q� w with al c unity ordinances and State laws relating to building m const cti n, and he eby au 'ze representatives of this County ISSUANCE FEE m to er on ih ed property f nspection po s. S�� / AE INVESTIGATION FEE TOTAL FEE 70. a o1 nodl+em a Ae�i Darrell L. Howard,) 5/11/93 SEE REVERSE FOR EXPLANATORY LANGUAGE t • WORKERS' COMPENSATION DECLARATION `I here, or certificate filet I haver certificate of consent to self AN, P P U CQ1M V FOR B U O L D�II V G P IS ILII C T insure, or a certificate of.Workers' Compensation Insurance, � ' or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.� Company BUILDING ILDING �' �` .•�-1 ❑ Certified copy is hereby Furnished. - FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING / tion depa —rtment: ADDRESS c�Il ,.G Y✓j (^/ LFWDate - Applicant CITY fff /ZIP LOCALITY q �. NO. OF BLDG.. NEAREST 'CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT I ��b S, NOW ON LOT CROSS ST. a n ' COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT - BLOCK I LOT NO, MAP BOOK I PAGE I PARCEL hundred dollars.($100)or less.) - TELUSE ZONE MAP OWNER V NO. /t-b NO. I certify that in the performance of.the work for which this l 1Q_ SPECIAL d permit is issued, I shall not employ any peison.in any manner ADDRESS- Z'rJ CY[✓ ( 1 CONDITIONS so as to become subject to the Workers'Compensation Laws. x �r� ,,�( 0 • • •. ' . CITY JrTV ` L(Ll ( ZIP Date Applicant ARCHITECT OR TEL. 'f- DISTRICT GROUP TYPE FIRE PROCESSED BY W NOTICE TO APPLICANT: If, after makingthis.Certificate of ENGINEER y( G - NO. — T-�� CO N.T. ZONE V Exemption, you should become subject to the Workers' J (/ -� P Y 3' ADDRESS Z a✓�� I V 1)J �3 Compensation provisions of the Labor Code, you must forth- (,{fid � N' with comply with such provisions or this permit shall be - TEL STATISTICAL CLASSIFICATION APT, CONDO. Z deemed revoked. , CONTRACTOR NO. �i/� LICENSED,CONTRACTORS DECLARATION -- / l U CLASS NO.�DwELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ILL ADDRESS Gc_� (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect N CITY CLASS BK. PG. VALIDATION SQ. FT. NO. OF i7 NO. OF CHECK License Number, -Lic. Class M SIZE STORIES LiI FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK; .. , v� NEW $, O 2 3 ZS ❑1 am exempt under Sec. S(n App El . 7 L. D _ --rr ALTER ❑ B.BP.C. for this reason r(GYO /L-el KREPAIR ❑ S Date: USE OF .. - EXISTING BLDG. DEMOL ❑ Signature APPLICANT / TEL - q OWNER-BUILDER DECLARATION (PRINT) AI G D NO. FINAL - - DATE hereby a 'im that I am exempt from the Contractor's License P �� 'Law Fo a following reason (Section 7031.5, Business and ADDRESS FINAL P ions Code):. PRESENT - - -By - (°:`C:�az BUILDING I, as owner of the property, or my employees with ADDRESSq? `,){7 ,` wages as theirsole compensation,will do the work and Off JJ - v ( LOCALITY D `� _ the structure is not intended or offered for sale Section /- Il t _ 7044,.Business a nd'Professions COde.) MOVING - - TEL. CONTRACTOR NO. 1Y at I, as owner of the property, am exclusively contracting �S �,1 -kLk((-II_ with licensed contractors to construct the project (Sec- ADDRESS v tion 7044, Business and Professions Code.) INE IIt('iGt�':`�. 13�'s=1= REQUIREDTOTAL SETBACK FROM 'EXIST. CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP. LINE WIDTH. C r .(: tq=t` ,tilt SN I hereby affirm that there is a construction lending agency for FRONT _ 1 :� '.:i I't ' the performance of the work for which this permit is issued P.L. � UG (Sec. 3097, Civ. C.). SIDE 1 t - L7 P.L: Lender's NameQ4 eJ { lc y .I q H/.Ih�✓t ln��on Dr, Y[adly P.'C. Fee$ D�C' DMA R.I. N 1 it l 1 ji:i yelf Permit Fee Lender's Address \ q a I certify that I have read this application and state that the `f 00 Issuance Fee - /� LDMA P/C N D 9 O above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction', Total Fee LDMA Perm. R and hereby outhorL a representatives of this County to enter Uggnahe above-rQettionecl pro erty for inspection pur o_ses. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ure c Ap li a or Aaent Date _ WORKERS' COMPENSATION DECLARATION - I hereby affirm'that I have a certificate of consent to self. - Q.pp�p�Q�pOO N FOR o URDI G PERNT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof Sec 3800, Lab. C.) r • ,_ � �/• 11 COUNTY OF LOS ANGELES- � - � -. BUILDING AND SAFETY Policy'No. ',76'CompcmllAlL�CiJ FtALLC - ❑y' Certifiedcopy is hereby furnished. FOR APPLICANT TO FILE IN ADDRESS ,JCI•J I."Certified'copy is filed wit41hecou buildi spe BUILDING Sq /. J `tition department. ADDRESSUU C f 1 1 t �2j L t1.PtDoteApplicant LIU ZPLOCALITY N . OF BLDGS. NEAREST CERTIFICATE OF-EXEMPTORK SIZEOF LOT - - N w ONtOT CROSSST.COMPENSATIONE ASSESSOR (This section need not be comppermit i for o e - TRACT BLOCK I LOT NO. MAP BOOK PAGE I PARCEL - hundred dollars ($100)or less.) TEL, • OWNER CRD,3 NO: USE ZONE MAP I certify that in the performance of:the work for which this NO. • permit is issued, I shall not employ any person in any manner ADDRESS ^ - CONDITIONS 0- .so as to become subject to the Workers' Compensation Laws. _ - O . CITY ZIP - U Date Applicant - ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER NO.. .. _ 'DISTRICT GROUP TYPE FIRE'_. PROCESSED BY ' _ �/ CONST. ZOONE O Exemption, you should become subject to the Workers' ADDRESS ��r/ 'g - f� ✓ U. Compensation provisions of the Labor Code, you must forth- 'GLZa l a with comply with such provisions or this permitshall be TEL STATISTICAL CLASPS ICATION APT. CONDO. - .Z deemed revoked. CONTRACTOR i0£Zs� 1 O NO. LICENSED CONTRACTORS•DECLARATION �^ uc. �/i� c CLASS No. Dw . UNITS- I hereby affirm that I am licensed under provisions of Chopier 9 ADDRESS /U -� t NO. pr, /y/C (commencing with Section 7000)of Division 3 of the Business LIC. - SEWER MAP and Professions Code,and my license is in full force and effect. CITY 2C/'Yrs+ CLASS C'1(o BK PG. VALIDATION SQ. FT. - NO. OF NO. OF 'CHECK License Number _7 �//3 uic Clgss SIZE STORIES FAMILIES ONE P /J - ..❑ VALUATION Contractor DateDESCRIPTION OF WORK NEW / ADD ❑ $ D .. ❑ c am exempt under Se - C`. ,f�2 r V K u _ ALTER •❑� -- - B.BP,.C. for this reason - 60•-P — L REPAIR,❑ $ te:� _ USE OF EXISTING BLDG. �DEMOI"❑ 1 Signature APPLICANT TEL. 1, A g OW BUILD EC RATION (PRINT) 4�,Z.4oJe NO. i6/Yl FINAL Q ACt.T.. 1 hereby affirm that I am exem t fro the Contractor's License n DATE - [ "a7 _J5, 7Q Law for the following reason. Secti n 7031.5,'Business and ADDRESS 3 . .T AT' USO+, FINAL Professions Code : .. ' I S �� PRESENT BY _ 7-:1 1 ITEMS BUILDING ❑ 1, as owner o4 the property, or my employees with ADDRESS t 8 wagesas their sole compensation,willdotheworkond- - - - - -- --• - TO AL 3 1 the structure is not intended or offered for sale(Section LOCALITY _ D ' CHECK -9.33 7044, Business and Professions Code.) MOVING TEL. .. - ' ❑ 1, as owner of.thero ert am exclusively contracting CONTRACTOR NO. (I(3 P P Y.. 9 CHANGE licensed Contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) , CONSTRUCTION LENDING AGENCY SETT BACK TOTALPROPL LINE WIDTH' lF,J Yy, ED YARD HWY Clppp-nnui iu. °/5 1 hereby affirm that there is a construction lending agency for . FRONT the performance of the work for which this permit is issued P.L. - 6717 1 AM 91.3 (Sec. 3097, Civ. C.). SIDE P.I.Lender's Name �J� ' P.C. Fee 5 _AQWJPermit Fee ' SMA Ref. N Lender's Address - D _ I certify shot I have read this application and state that the ' Issuance Fee LDMA PTC# ' 8 above information is rrect. I agree to comply with all Countynvestig_mic Fee - ordinances d Stot I ws relating to building construction, Total Fee LDMAPerm. N a and hereb uihoriz r presentatives of this County to enter up o t obov -men i ned.property for inspection purposes. ' - o ' %Q r Z. - SEE REVERSE FOR EXPLANATORY LANGUAGE nature ofApj n r Agent Date '