HomeMy Public PortalAbout5812 ENCINITA AVE_Building__ DBS-3 RSM SETS 6-46
DEPARTMENT OF BUILDING AND SAFETY 1 APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES �] ' fill
WML � H. J. FOX. CHIEF ENGINEER I� t`ds _
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. - PLAN CK. NO. PERMIT NO.
6UILDINO
ADDRESS /OT�- fNC N/T/t s7 y/( S" 93'3
LOCALITY r2 M p. e I ��� l..LJL ! RECEIVED BY DATE OF APPL DATE ISSUED
NEAREST L /( (� T �/ �l /� p �
CROSS -ST. O -i1�1 / U /W AS UA .
O„ n e r/ A1,61 7 ,7-,#e BUILDING AA
OWNER MAILr }� ^,1 �j (' ADDRESS �U �. �� �-�-2/.+/zrw•
`• AO REBS /U j t/ 4 /P A_!/I, !I O(1 ce- EAREST
NE
LOCALITY
i T TEL CROSS ST. ',/�
C ITY TQ /y1 DA. 'Q, C°I/ �� NO. � :1-rf D
►IRE NO:OF TYPE DRpUP
ENG.NEERT ORS ,HEEL. ZONE t'. PLANS"' l _ I
'\ BLDG. ORD. NO.
ADDRESS SETBACK LINE
APPROVED -
TEL BY DATE,
CONTRACTOR NO.
USE �J/APPROVED
ADDRESS - ZONE / BY DATE
LEGAL f ✓ p B
CORRECTIONS ..
DESCRIPTION LOT NO.�J / 0 LOCK
TRACT
NO: OFBLDGS.
SIZE OF LOT gp ^- NOW ON LOT
USE OF NO.OF —I NO. OF -
EXISTING BLDG. FAMUItl_ ROOMS
��
DESCRIPTION OF WORK
DITi
`. NEW' �� ALTERATION I DEMGLIIBH
REPAIRMOVING
59: FT. NO.OF Z
SIZE X wzl•a ROOMS / STORIES / Y
F.
WALLS_ I ROOF �J `` -
CAVERINGCLeL`�-�-L1 COVERING
USE or NEW
BUILDING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE I, CORRECT FOUNDATION: LOCATION, JINBPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME• FIRE STOPS. �l��A��1��1�����1/��,...///�����I��I���///���'��Jvvv�•VYYYppp'''' �-J1
SIGNATURE OF // BRACING. BOLTS l I,$ T'+
OWNER .L/'/Y//////� q q LATH, INT.: J -
AUTHORIZED AGT:4 1� 'L:J
� LATH, EXT.:
C) P. 0. S PLASTER, INT.
• . FEE PLASTER,' EXT.
J-VALIJAII.N � FINAL Q6
wen 3 25M BETB 10-46 1
DEPARTMENT OF BUILDING AND SAFETY f APPLICATION FOR PERMIT [�
GO,UNTY OF LOS ANGELES fol p ll ® �fl ��JJ
-WM. J. FOX, CHIEF ENGINEER l Y�
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
(/ l / DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADD EIS9 /ONxt TA?. '! r 7a � O .
_
LOCALITY /Yf /-LE G / / RE/CEIDATE OF APPL. DATEISSUED
7,t
NAREPBT. AF Al 7
BUILDING
OWNER GO L {�Q N O/ /N-/A)`T HB IA/J -ADDRESS 40 1v 7-A
MAIL 8'ADDRESS All, /V 7-9 LOCALITY 7-,6/W/10 s GI T
p NEAREST yam' /
CITY
'B/n.o.Ls G/ ry NOL;dr, 4-8563 CROSSBT. � I-A-S / U/V9^S
FIRE NO.NF TVPE GROUP
ARCHITECT OR TEL. ZONE 4 PLANS +I�
ENGINEER ND.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
APPROVED
CONTRACTOR NO. BY DATE
USE APPROVED
ADDRESS ZONED- BYE
LE
D ESCRGIPTION . I LOT NO. -77 'f tlydIc—.. ' �. CORRECTIONS
tW _
TRACT 6 ,r&rX/ V Ir
SIZE OF LOT 2.i 4 o NOW ON LOT fi I
I 3 7A
USE OF }1 NO.OF NO.OF
EXISTING BLDG.P485d/.Y4 Sh'C NFAMIuca - ROOMS /
DESCRIPTION OF WORK
NEW ALTERATION ADDITION �I
O
A ,
REPAIR MOVING DEMOLISH 0
SU T..2Rrt y RODM9 STORIES D
r
WALL ROOF .e
COVERING S / QIN/r COVERING GO /w? r _
USE OF NEW ( .A
BUILDING
A a b/ /7b PN LOS S //VO- Ago ao27 E7w AtA6.6
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE I9 CORRECT FOUNDATION: LOCATION /I�N^SnP,E�A1C1/TOR DATE
AND AGREETO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS WVVVV" ' p 4
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
OWNER /�1 LATH, INT.:
AUTHORIZED AUT � LATH,EXT.:
P.C.S PLASTER. INT.
V'67 FEE PLASTER, EXT.
VALUATION T O D D O O /
FEE FINAL ��•y / /
I I
WORKERS' COMPENSATION DECLARATION - _77 LLLSSS
hereby affirm that I have a certificate of consent to self aPPLOC� MOo N FOR ROULD� O NG PERMOT -
jpsure, ar o certificate of Workers'Compenstion Insurance, or
a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company _
Certified copy is hereby furnished. - - z I
FOR APPLICANT TO FILL IN ADDRESS �.J - /
Certified copy is filed with the county building inspec- BUILDING (� �'� z}, - /
tion department. ADDRESS v] A LOCALITY
y - NEAREST
Date Applicant CITU /: _"C��� 'ZIP CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' N BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
`r(This section need not be completed if the permit is for ane + USE ZONE MAP nn
hundred dollars ($100) or less.) . TRACT BLOCK LOT NO. NO. d�0 O r
l r JEL, CC'' '� SPECIAL _ S.
OWNE / NO.C17 S n / CONDITIONS O
I certify that in the performance of the work for which this (' r ,DISTRICT GROUP TYPE FIRE ,PRO ESSEP BY
permit is issued, I shall not employ any person in any manner ADDRESS U •/1 \/,K(. CONST. ZONE U
so as to become subject to the Workers'Compensation Laws.
-5 I t` C Zbi1 f), f\�' CITY S .��.l iryt 'IP S,a - o
Date Applicant `S+O,L\ STATISTICAL CLASSIFICATION - APT. CONDO. V
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR �1l TEL. W
ENGINEER / NO. CLASS NO. �� DWELL. UNITS_ d
Exemption, you should become subject to the Workers' �— N
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP - Z
with comply with such provisions or this permit shall be ELr
deemed revoked. t - CONTRACTO r '
C BK. LPG, J VALIDATION
LICENSED CONTRACTORS DECLARATION � IC '
I hereby affirm that I am licensed under provisions,of.Chapter 9 ADDRESS U) FL d O. VALUATION
(commencing with Section 7000)of Division 3 of the Business and ' T 'L //''�� ' ! LIC. '
Professions Code, and my license is in full force and effect CITY C..i ) Y _ CLASS ` $ 0 L/
SO, FT. NO.OF - NO.OF CHECK
License Numbery r f Lic.Class_ SIZE STORIES FAMILIES ONE
�ol'or –7�7 '( \p\ NEW S
Contract -' n nw ) �ATLDate� DESCRIPTION OF WORK
am exempt from the lIcensing requiremer is as I am a r G A ADD
licensed architect or a registered professional engineer II / / _ ALTER FINAL'
acting in my Professional capacity (Section 7051, REPAIR DATE
Business and Professions Code). , USE OF FINAL
EXISTING BLDG. DEMOL By .RJ P^'�•�"
Lic;or Reg.No. Dote APPLICANT TEL.
OWNER-BUILDER DECLARATION - - - (PRINT) NO.
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS
Professions Code):• PRESENT
BUMING
F] I, as owner of the property, or my employees with ADDRESS
wages as their sale compensation,will do the work and B 1 J 2. 1 A
the structure is not intended ar offered for sale(Section • LOCALITY
7044, Business and Professions Code). MOVING TEL.
- CONTRACTORA.e,e o e e 1
I, as owner of the property, am exclusively contracting NO.
with licensed contractors to construct the project (Sec- r \
tion 7044, Business and Professions Code). ADDRESS - 12`e e 4300
REQUIRED TOTAL SETBACK FROM EXIST. 4 3, O O U ,
' CONSTRUCTION LENDING AGENCY SET BACK YARD HWV PROP. UNE WIDTH � 'e a • _
hereby affirm that there is a construction lending agency for FRONT '
the performance of the work for which this permit is issued P.1. 0 9.2,4-8 1
(Sec. 3097, Civ. C.). SIDE
P.I.
Lender's Name --
Lender's Address P.C. Fee S Permit Fee �!
> I certify that I have read this application and state that the Issuance Fee -21
above information is correct. I agree to comply with all County• Investigation Fee
$
m ordinances and State laws relatingto buildingconstruction, Total Fee
/ -
and hereby authorize representatives of this County to enter
m � upon the above-mentioned property or inspection purposes, c
a `7 / / G�jlr. �/I •„1 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Dote �s
(• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0607120053
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ITS: 6561 LT: 5 HL: .001 1 SQ. FT STORIES TYPE OCCUP GROUPI 5812 ENCINITA AV
I (STRUCTURE: 1349 2 VN R3 TEMP CA 917802420
(ASSESSOR INFORMATION NUMBER: I GARAGE: 486 1 VN U1 NEAREST CROSS STREET: WORKMAN
18587-002-025 OTHER: 30 1 VN U1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
(TENANT: USE ZONE: R-2 TISSUED ON: PROCESSED BY: EXPIRES ON:
I 107/01/08 SR 12/20/08 1
I
OWNER: TEL. N0: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINA/S' BY: CODE:
ILEE, HELEN (626) 747-9407- 129,170 /^
19725 LONGDEN AVE. I 1� '_ v
ITEMP 917802420 1 FEES PAIDCRI PTI N OF WORK
I INEW 2-STORY 3BR/2.5BA SFR W/ATTACHED 2 CAR GARAGE AND PORCH
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: (
(APPLICANT: TEL. N0: I I
FUNG (626) 579-3866- IB1 PLANCHECK W/ENERGY 129170.00 VAL 1,390.16 1 1
19550 FLAIR DR. #515 ID9 PC EXTENSION FEE 347.54 DOL 347.54 SPECIAL CONDITIONS:
1EL MONTE, CA 91731 AA BLDG PERMIT ISSUANCE 27.75
IAC STRONG MOTION REBID 129170.00 VAL 12.92
IB2 PERMIT W/ENERGY 129170.00 VAL 1,635.48 1
(CONTRACTOR: TEL. NO: I TOTAL FEES 3,413.85 (APPROVALS DATE INSPECTOR SIGNATURE
IGILBERT BUILDER, INC. (626) 617-2426- 1 1
12200 S. FREMONT AVE #200 LIC. NO I ILOCA-TION AND SETBACKS
-IALHAMERA, CA 91803 502585 B I I q 1
I I (SOILS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER: TEL. NO: I FOUNDATION/TRENCH FORMS r
gl
I LIC. NO: (SLAB/UNDER FIA OR fl f(-�/. / _rJV 21
I (RAISED FLOOR FRAMING A4/6`�-�!^`-�=7�1
I I
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSOLATION _
1150H265 L 9 3 O11 I I
I I 1IST LEVEL FLOOR SHEATH I
IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
NO O1 1 12ND LEVEL FLOOR SHEATH ^ //7 I
I SCHOOL WITHIN HAZARDOUS IROOF SHEATHING I. I
(AIR QUALITY: 1000 FEET MATERIALS r I
I NO NO NO IFIRE DEPT. FRAME INSPECTI I I
IREQUIRED TOTAL SETBACK FROM EXIST I IHLDG DEPT. FRAME INSPECT(
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I
(FRONT PL- I ISHEAR PANELS
SIDE PL-
I (INSULATION/WEATHER STRIP( I
I I 1NTERIOR LATH/DRYWALL L , LL�I
(EXTERIOR LATH I�1
ILOT DRAINAGE
I ISMOKE DETECTION DEVICES 1
I I
IFIRE DEPARTMENT APPROVAL(
I I I I I I
I I I I I I
I
I IRE PORT ID: DPR261 ROUTE T0: B50508 I I I 1
I
Ea.o„a",. APPLICATION FOR BUILDING PERMIT . �.
COUNTY OF LOS ANGELES BUILDING ' . L �.
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISIONLOCALITY 'c'
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUIT on SUaoING CROSS ST:
DISTRICT O. LE TYPE P SED BY t C
FOORQAPnPLICANTtTO FILL IN p I CONST.
ADDRESS BUILDING �7 7 �` I v�l� / / STATISTICAL CLASSIFICATION S�ErgfEcft MAP
P
`! L' � A/ CLASS.NO. DWELL. UNITS '� I L
LOT NO. r7 BLOCK MAP STATE'
// NUMBER HWY. YES O.
TRACT K' �(� USEZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT I NOW ON LOT C
USE OF
EXISTING BLDG..- p - BUILDING EXIST.
OWNER lj D[3• �y/-/ W ('7I SETBACK ,ARD HWY STREET NAME WIDTH
FRONT
MAIL P. L. /�•'Y`�-fsL /Li
ADDRESS SIDE - -
TEL. P.L.
CITY NO. INSPECTION RECORD
ARCH ITECT OR TEL.
ENGINEER NO.
ADDRESS
CONTRACTOR JOh•"" 15N18Fff8wo. lF4e s'1
+_
ADDRESS /J2$ .K-rlT. P0ARFF, _
DESCRIPTION .OF WORK
NEW ADD ALTERX REPAIR DEMOLISH
SO. FT. NO.OFNO.OF
SIZE STORIES I FAMILIES
USEOFSTRUCTURE O� G
SIGNATURE OF pc! � APPROVALS
APPLICANT -
ADDRESS J DATE INSPECTOR'S'SIGNATURE
FOUNDATION: LOCATION
r— FORMS.MATERIALS
P.C. $ FRAME: FIRE STOPS.
FEE BRACING, BOLTS
VALUATION � FURNACE: LOCATION.
FEE GAS VENT, DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. '
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND -
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWSRE L IN G yUi 1 CONSTRUCTION. LATH. EXT.
SIGNATU HEOF Cj/+ HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
AooRFss FINAL - O ' /;� (h'fiI2Lr1�0�/r
CLYDE N. DIRLAM. PRINCIPAL STRWZTUPAL ENGINEER+
PLAN CHECK VALIDATION CK. M.O. CASH PEEMIT VALIDATION CK. M.O. CASH
09666�- JUL17 1 A 3 .00 r '
®.