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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 ' ®.