HomeMy Public PortalAbout5824 ENCINITA AVE_Building__ BUILOINo
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APPLICATION LOCALITY
NEAR
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DIVISION OF BUILDING AND SAFETY ORDee er.
Department of County Englneer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles .i ,7 -2
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATEISSUED
CASSATT D. GRIFFIN, BUWT OF BUILDI.0
FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY
_ o• � l ISSUED BY
OWNER P 1, `
YE
MASTATE YES N
O
MAIL NUMBER MWY
ADDRESS 5 1
USEZONE SPECIAL
TEL ///JJJ ��_ CONDITIONS
1. NO.
ARCHITECT OR TEL.
ENGINEER NO.
SG YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS
�/� ) J� P.L.
TEL. FRONT
CONTRACTOR yV /� NO. --
'-I� SIDE
P. L •�
ADOPESS
BUILD
IND ♦//� DATE CORRECTIONS INSPECTOR
ADDREB9 /Y l./
LOT NO. 477�4BLOCK
TRACTNo. Or
SJ�cc
SIZE OF LOT J (./ /` S`b I NOW ON LOTS
USE OF
FXIRTING BLDG. OYSS 1< BE
DESCRIPTION OF WORK a
NEW ADDALTER REPAIR DEMOLISH G
60.FT. // - NO. OF NO.OF / Z
SIZE �✓ '
D $.r. OTORIE9 / FAMILIES F
USEOFSTRUCTURE I
NO. OF
EMPLOYEES
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWSB8 LATINO BUIL IND CONSTRUCTION. FORMS,MATERIALS Y,G�—.�y,^
FRAME: FIRE STOPS,
SIGNATURE OF BRACING, BOLTSI a S
PERMITTE FU R NACE: LOCATION, •_—
h I/ GAS VENT:DUCTS Ij FZ
ADORES
LATH. INT.
AUTHORIZED AST.
LATH, EXT.
$ P. C. S HOUSE NUMBER CDR-
FEE RECT AND POSTED
VALUATION S D $ O O 1
FEE FINAL
76A638A DES 3 fHb 5.54
76AG38A CE48038.63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING ^/ /'�
DEPARTMENT OF COUNTY ENGINEER ADDRESS ICIN/FA
BUILDING AND SAFETY DIVISION LOCALITY �E — C/%
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /� C
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. _ iy�AJ
DIS $ICT NO. GROUP TYPE �� PROCESSED BY
FOR APPLICANT TO FILL IN j Q Y CONST. /
BUILDING STATISTICAL CLASSIFICATION S ER MAP
ADDRESS /�{}} BK PG
5824 n �� a VCCYSS. NO. DW ELL. UNITS
LOT NO. 50 C. Lo-r'7 BLOCK, WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT MAPHIGHWAY
NO.OF SLOGS. NO. IC IRCLEI STATE MAJOR SECON . LOCAL
SIZE OF LOT S(j NOW ON LOT USE ZONE SPECIAL
USE OFCONDITIONS
EXISTING
UBLDG. v DINGesidence '
OWNER Marian K. Eckersall Noir 7-173hUI
BLEXIST.
ETBACK YARD HWY STREET NAME WIDTH
ADDRESS 82 N. Encinita Ave, .Tem le Lo
ARCHITECT OR TEL.
P.
ENGINEER NO. SIDE
P. L.
ADDRESS r
6
CONTRACTOR John W. L le CorE: SY 2- 1 pUGN GRADING APPROVEDII
ADDRESS 2383 E. Walnut St., Pasadena FINAL GRADING APPROdEDi
DESCRIPTION OF WORK
d
NEW ADD ALTER 'REPAIR DEMOLISH Z
SO. FT. NO. NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $ 6111.00. - ^I
APPROVALS DATE INSPECTOR'SjSIGNATURE
FEE $ FEE $ S.00 FOUNDATION: LOCATION
FORMS. MATERIALS
FRAME: FIRE STOPS. I '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
ANO STATE THAT'THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK 1 /
AUTHORIZED HEREBY I WILL NOT PL ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR`CO OF E STAT OF FORNIA RELAL
ING TO WORKMEN'S COMP ON IN LATH. EXT. J \
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE Joh W T��F.�_Lytl_n_!`orp. RECT AND POSTED
ADDRESS-2383 En
.e WAln + St j Pasadena FINAL 111tA6
JOHN F. LEWIS, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION cK. M.D. GAB. PERMIT VALIDATION DK. M.D. CASH
{
�. LLu 4 4 9 7:' OCT 2 1 D 8.010- a
DONG
DIVISION OF BUILDING AND SAFETY JfStSA
•
Dep ant of County Engineer t�
County of Los Angelm
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FIIJ IN
BUILDING
D RESS
BUILDING �� LOCALITY / G
ADDRESS
NEAREST
LOCALITY I CROSS ST.
NEAREST
r DISTRIC(„J
T NO. PUN CK.OR Rae.No. PERMIT NO
Y /'y/ /%..•
CROSS BT.
OWNER I /� Vf/ /✓���-i -�v E EIVED Jay DATE OF APL. - DATE'IBA V9D
MAIL
ADDRESS
USE ZONE' NO. OF TYPE GROUP FIREZONE
CITY ' ✓I - i'In.[._ To' 6-573 I ®�2 PLANSARCHITECT
ENGINEER , TEL. - ZONING
AA.4MdbNO. APPROVED BY- GCL/X/�I
. 7 BUILDING
ADDRESS l�Y dre�J�U�L� SETBACK LINE: /
CONTRACTOR I NO. fl BYPROV ED fi(f,/HOUSE NUMBERING
ADDRESS 1p
LEGAL O I MAP NUMBER ICJ--/ ; -NO. ASSIGNED BY
DESCRIPTION LOT NO. OCK
V
1377
S / OZ DATE II I CORRECTIONS I INSPECTOR
TRACT WLT
NO. OF BLDGS4�
•A/�c
SIZE OF LOTS All NOW ON LOT
USE
E%STRING BLDG. G.`vGtil .3t..y' t-i n/ArJ [ OFAMILFEB I O
DESCRIPTION OF WORK o
z
NEW ALTERATION ADDITION
REPAIR DEMOLITION
8 ZE� T ROOMS. STORIES I
EXT. WAL ROOF
COVERIN COVERING I
USE OF ST. UCTURE
IMA
APPROVALS
INS P ECTOR'S.SIGNATURE DATE
FOUNDATION: LOCATION /O
FORMS. MATERIALS / d��//����
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, .�
PLICATION AND STATE THAT THE INFORMATION GIVEN IB BRACING, .BOLTS
CORRECT.
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAW/vS�/.REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF / / LATH, INT
PERMITTEF x'1177.. ///VVV/ -
ADDRESS S.� 2." �� LATH, EXT,
AUTHORIZED AGT. PLASTER, INT.
$ 00 PLASTER, EXT:
P. C.S HOUSE NUMBER COR-
0 -
FEE RECT AND POSTED /
VALUATION FEES `� FINAL Sy/
1
96A888A OBS 8 E-59 -
DIVISION OF BUILDING AND SAFETY - Ie
Department of County Engineer
r .
`r'7 "M U L D L N
COZY
of Li*s AngeleAPPLICATIONWMJ. FO , -COUNTY ENGINEER
�
_
BUILDING
i
FOR APPLICANT, >FI/L'L�IN ��J ADDRESS
1 BUILDING SO �U ��VG.�/IIT// 1
ADDRESS LOCALITY
. LOCALITY 77c:'_`/CAMEO / CROSS 9T.
NEAREST G tl�S T w/Q�` DISTRICT NO. PUN CK,oR Rec. No. PERMIT NO.
CROSS ST. r/ /v�`�,/
OWNER�� RECEIVED BY DATE OF APPL. DAT ISSUED
MAIL r (//
ADD RE9S L/H + USE ZONE NO. OF TYPE GROUP FIRE ZONE '
TEL. O `,j�I /� PLANS Igl
CITY /. NO J✓ ',Y\ G �J
ARC ITECT OR TEL. ZONING /I •� %�
ENGINEER �iJ�l- NO. APPROVED BY•ljf/
BUILDING l C D-•N
ADDRESS SETBACK LINE:
wTEL. APPRDYED wTe
CONTRACTOR NO. BY, J`
• •' HOU NUMBERING
ADDRESS Z G a y�
LEGAL 3 - MAP NUMBER NO: ASSIGNED BY
DESCRIPTION LOT NO. 7 7 Y BLOCK
�� / : DATE I CORRECTIONS I INSPECTOR
TRACT .[
SIZE OF LOT SO/�/� 2 / NOW ON LOTS
UBEOF ,6/�S' yLG9/'J I FAMILIES
EXISTING BLDG. r� /G -
DESCRIPTION OF WORE — z
NEW ALTERATION ADDITION i rP G�OG G (� >
TI /
/a'{�
REPAIR j� DEMOLITION �l
NO OF
6 ZEA J' 9� ROOMS '3 STORIES
,)/
EXT. WALL 5Yj//lO ROOFCOVERING C�L �/�
COVERING . / (/VCi
USE OF STRUCTURE
- I I
APPROV
INSPECTOR'S PiGNATURE DATE,
FOUNDATION:
TEFOUNDATION: LOCATION //�I v.
FORMS, MATERIALS f'�.CL A.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT.THE INFORMATION GIVEN IS FRAME: FIRE STOPS,
CORRECT. BRACING, BOLTS
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIPGNATURE ERMITTEE //O /�✓ �J-` -� s_ LATH, INT.
f, w,wrn LATH, EXT.
ADDRESS
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, IXT.
s � . ))/�O FEE S HOUSE NUMBER COR- A
RECT AND POSTED
VALUATION FEE ®/ FINAL
78A999A DBS 3 2-"
i
0 DIVISION OF BUILDING AND SAFETY }j p
DepaN entmy o3 Lo An Eag[neeT f �{
'La ' J.
FO of Loa Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN BUILDING
BUILDI 9
r BUILDING s�z 4z LOCALITY /.C
ADDRESS .C�(J
NEAREST
LOCALITY CROSS ST.
t
NEAREST DISTRICT NO. PUN CK.OR RCC, No. PERMIT NO.
CROB9 BT. J
OWNER �� RECE�IVEED BY DATE OF APPL PDAY
MISS ED•�
MAIL a �L+✓/f CJ �L �j
ADDRESS 0 USE ZONE,'NO. OF I TYPE GROUP IRE ZONE
TEL ri0/� p—/ PLANS
CITY NO. J ✓
ARCHITECTOR U TEL /�
G Sam ZONING
��
ENGINEER 1 � NO. APpnoveo By- C
vc BUILDING
ADDRESS i SETBACK LINE: OAP
CONTRACTOR IOL D BYPROYED
• / C, �HOUBE NUMBERING �7
ADDRESSI;i JG
DESLEGAL I
CRIPTION LOT NO.pTD Q I L CK 7f' MAP NUMBER L�� NO. ASSIGNED BY /
/ DATE I CORRECTIONS I INSPECT R
TRACT 2
SIZE OF LOTSD NOW ON LOTS 030 /e ' C' vdv' O
USEOF NO OF
EXISTING BLDG. FAMILIES / -/7.. 11100,+ 7b Vf. I O '•
DESCRIPTION OF WORK _p
V-w
NEW ALTERATION ADDITION1`
V
REPAIR DEMOI j A107-,/07T 400 /R u t a../ZZ� Z?.g'
SQ. FT. NO. OF
SIZE D ROOM
size STORIES u
EXT. WALL C ROOF
COVERING COVERING - (../T/,Jy LaFT CgplJ ar, Ale Tia>� AH�SA�
U E O STRUCTURE
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, J
PLICATION AND STATE THAT THE INFORMATION GIVEN I8
CORRECT. BRACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE:
GAS VE
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF LATH, INT. / 3
PERMITTE
vnl
ADORES - LATH,
PLASTER, INT.
AUTHORIZED AGT.
$ .� �OD ��� P, C.8 .• _ PLASTER. EXT.
v FEE HOVBENUMBERCOR-
RECT AND POSTED
VALUATION B ' ✓
_ _ FEE ��� FINAL �• �jjy...--�a� Z 7
-=.A
76AB30A CEtt003 B-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTT-JyT O GRS]UP D
FR APPLICANT TO FILL IN (/ CONST..
BUILDING STATISTICAL LA FICATION SEWER MAP
DRE
ADSS BK / PG
CLASS. NO. DWELL UNITS /y
LOT NO, BLOCK WATER NOT REQUIRED ElRECEIVED ElCERTIFICATE:
TRACT - MAP HIGHWAY
NO. OF BLOCS, NO. "ROLE)
MAJOR SECOND. LOCAL
SIZE OF LOT NOW ON LOT USE ZONE 9PECIAL
USE OF CONDITIONS
EXISTTEL
ING BLDG.
OWNER 1 NO . 863✓'S0 BUILDING EXIST.
([7� ,yJ /. ?' SETBACK YARD HWY STREET NAME WIDTH
ADDRESS,]pa-q (/ yam FRONT
ARCHITECT OR TEL.
ENGINEER NO. SIDE
ADDRESS O
TEL.
CONTRACTOR I[,Q(+ I' NO.r� O-3R.aG ._ _ V
ID
Im
ADDRESS ,p ID LI,.QjL _ O
DESCRIPTION OF WORK
a
NEW ADD ALTE REPAIR DEMOLISH - -1
SO. FT. NO. OF NO. OF
SIZE STORIES FAMILIES _
USE OF
STRUCTURE
SIGNATURE O
APPLICANT
VALUATION $
ll//06ci
APPROVALS DATE INSPECTORS SIGNATURE
o FOUNDATION: LOCATION
FEE $ FEE .S / �! FORMS.MATERIALS
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH. EXT.
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL 9
JOHN F. LEWIS. PR NCIPAL STR TURAL ENGINEER
PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALIDATION cK. M.G. DASH.
I &�.
0 6 4 9 D 9 .00-
1'6A$3BA^CE08035-65 APPLICATION FOR BUILDING PERMIT Qee
COUNTY OF LOS ANGELES BUILDIN G5c�jT
DEPARTMENT OF COUNTY ENGINEER AD DREsr O.li
BUILDING AND SAFETY DIVISION LOCAL' Y
.JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSBUP'T OF BUILDING CROSS ST.
• DISTRI T NO. CROU TYPE P'h S 11
FOR APPLICANT TO FILL IN Q g coNsT.
BUILDING Y rr STATISTICAL SEWER MAP
ADDRESS G '}J /
•I CLASS NO. DWELL UNITS ✓ DKL-/ PG
LOT NO. -774 A BLOCK USE ZONE MAP -) �TQ
_ L� NO. IAL
TRACT SPECIAL .�. q
(', n N0. OF SLOGS. CONDIT] L.C.
SIZE OF LOT Z d y NOw ON LOT
USE OFArr
"'STING BLDG. He,,^�l/. G BLOG. SETBACK
OWNER • �cIL G(LS AL•L- NO, FRONT PROP. LINE OF /�� �A�'1'I-G.L/b1A.//J (STREET)
y1 / _ TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS's'.?
AY.� Z4 IN) r LN�1�� I - HIGHWAY WIDTH FROM C.L.
+
qq "BLDG. SETBACK FROM
SK,i:LRT O �y(�.I CIL NOELC D•f"�' SIOE PROP. LINE OF (STREET)
1 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
rADDRES�s
•O . gko jLV LV HIGHWAY W10TH IROMC.L.
TRp n.ICKTEL ^ - �'L'JI + —REAN .LI O / CORNER CUTOFF YES NO Ov (LicL, �'LA SEE REVERM IPRT. F?E,q{A( •A� VALS O
€IABe�.:SCRIPTION OF WORK
a
h
NEW ADO ALTER REPAIR DEMOLISH NOJa: POTmltS {Or cDTt, 'i';'cWaY Spp,.aC6 isz
SQ.FT, NO. OF NO. OF pp II '
SIZE TSTORIES FAMILIES3 -' ` 'A'�•' C '-•i .. -b. '?:�;,.i gap l., Alf na
CASE of / p_ E _ Office, or T. C. Co. f n'•.��••' - _
STRUCTURE Ar ri {d �- _ e englny daeJt $urv, ,` t:',.,;iJq �•• .. _. _ id
'Y ::cG frJa; limo and is not'sfa ed
City Hall. parcvay rcO Permit of T. C.
SiG NATURE OF
.AIPP LICANT
V ALUATION� /.l__ '
APPROVALS DATE 'NSP EC_TOR'S SIGNATURE
P.C. (fB PMT. 1 J FOUNDATION, LOCATION
FEE J FEE rd / FORMS. MATERIALS /' - 1-d ' • Iry
FRAME, FIRE STOPS,
HEREBY ACNNOW LEDGE THAT HAVE READ THIS APPLICATION BRACING BOLT
ANU STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT. DUCTS
5UILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR COOT TME $TATE OF CALIFORNIA RELAT-
INGTOWORKMEN' PEI IONJLSURANCE, LATH. EXT,
SIGNATURE OF / HOUSE NUMBER COR-
PERMITTEE ,2 RECT AND POSTED i
ADDRESS_ 8 �•• •y FINAL
JOHN F. LEWIS, PRINCIPALS C RAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M'O ,CASH
- LA0o,524-60. OCT 1323D 46.00AQ
L& 5 4 5 1—� OCT 25 1 .D 9210 O
COUNTY 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 0211050009
PHONE: (626) 285-0488 EXT:
LEGAL _ Nu. OF CONSTNG
TR: 6561 LT: 774 I SQ. FT STORIES TYPE 5824 ENCINITA AV
STRUCTURE: VN TEMP CA 917802422
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-002-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: EXT-STL G USE: RESID USE ZON - ISSUED 0 : PROCESSED BY: EXPIRES O :
EXIST OCC GRP: 11/05/02 JK 05/04/03
OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
KAMP HARRY G;ELPIDA H;KAMP TINA F (626) 793-1600- 1,600 /1 .�/f/y7 _ �\
218 LOTUS AV I'-'/ (/�� -
PASO 911074509 F ID 66Sf:R1 IO 0 WORK
REPAIR SHOWER WALL FRAMING 8 DRYWALL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. N
RYAN (626) 358-2156- AA BLDG PERMIT ISSUANCE 27.75
1028 ORANGE AVE AC STRONG MOTION RESID_ 1600.00 VAL 0-50 SPECIAL CONDITIONS:
MONROVIA 91016 D2 PERMIT W/O.EN°HC- _ -"1600.00 VAL 82.20
�-_ TOTAL-FEES 110.45
CONTRACTOR: TEL- NO: APPROVALS DATE INSPECTOR SIGNATURE
TIM RYAN GENERAL CONTRACTOR (626) 358-2156- LOCATION SETBACKS
1028 ORANGE AVENUE LIC. NO
MONROVIA, CA 91016 782337-9 t \`�
SOILS ENGINEER APPROVAL
i
ARCHITECT ORENGINEER: TEL. N0: ��� FOUNDATION/TRENCH FORMS
LIC. NOr�I SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP `i. - l' i'ir.` '; `i)(��j, UNDERFLOOR INSULATION
150x265 3 ` 01iri �
FLOOR SHEATHING
0. OF FAMILIES: DWELLING UN S: A ! 0 D: STAT CLASS: ' - ___-- - -
NO 21 �� ! %�� , i ROOF-SHEATHING
SCHOOL W HAZARDOUS / r SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS I �I
NO NO NoFRAME INSPECTION
REQUIRED 0T L S ROM EXIST V� - ��Ir 11p�-' / R SPR N L GE
SET BACK YARD: HWY: PROP LINE: WIDTH: \\/iC '� _ q�R"�
FRONT PL- <i�,�V1Ce "('�lo-� �JINSULATION/WEATHER STRIP
SIDE PL- ���. - 'f
.�-- - INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL-ASSEMBLIES
RATED SHAFTS/UPENINGS
T-BAR CEILINGS
LOT DRAINAGE
I
REPORT ID: OPR261 ROUTE TO: BSO508
ell
WORKERS'COMPENSATION DECLARATION I /� ^p n n
hereby affirm that have a crrtifiame of consent to self FPL �C n �IION FOR OD n O DONG IrER'n T
insure, or a certificate of WorR"es`:�bmpensation Insurance, (T=J LJL (7=J IJ If�f LJ L-rL Il V�J u 0�1uvLl Il
or a certified copy thereof (£ec. 3800, Lab. C. -
I COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
BUILDING �" 7
Certified copy is.hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS At t LOCALITY
/ I NEAREST '
Date Applicant CITY IP CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' : C F BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT V K ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. a�
' TEL. - 3 SPECIAL Y
I certify that in the performance of the work for which this OWNER Q ' NO. ..i CONDITIONS 1
ISTRICT GROUP TYPE FIRE PRO ED BY, O
permit is issued, I shall not employ any person in any manner r7.4 - - U
CC
so as to become sub'ect to the Wo :ars' ansotion S. ADDRESSCONST. ZONE
Date
/(4011-17•" App itan - CITY :4�i ZIP $TATISTICAI CLA$$IFICATION AF . CONDO. - v
ARCHITECT OR TEL. _
NOTI E TO APPLICANT: If, after making this Certificate of ENGINEER NO. �� CLASS NO.1C;P_1L DWELL. UNITS_ W
Exemption, you should become subject to the Workers' I N
Compensation provisions of the Labor Code, you must forth- ADDRESS - SEWER MAP Z
with comply with such provisions or this permit shall be TEL • L
deemed revoked. CONTRACTOR NO. BK. PG, VALIDATION ..
LICENSED CONTRACTORS DECLARATION LIC, ��r7
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS i ,y. NO.Z"cn L VALUATION
(commencing with Section 7000)of Division 3 of the Business andr LIC.
Professions Code, and my license is in full force and effect. CITY 0.r CLASS
(CLr
SO. FT. ( NO.OF NO. OF CHECK
cense Number - Lic Class SIZE STORIES FAMILIES ONE $ontractor J
F((� Date L O DESCRIPTION OF WORK NEW
❑
I am exempt under Sec. ? ALTER FINAL /� ^�
❑ DATE I—Z�2J?4 :^71 71 A,
B.BP.C. for this reason REPAIR
USE OF ❑ FINAL #+ • 1 -
Date: DEMOL B o g e e
EXISTING BLDG. � - If
DECLARATION APPLICANT PRINT '
Signature APPLICANT _ NO.TEL, [� _ z o o ,�a 0-0
U Q- N1 S L/z L
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS 1✓ c'
Professions Code): PRESENT v 1 1.29-83
QBUILDING
I, as owner of the property, or my employees with - ADDRESS
wages as their sole compensation;will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively contracting CONTRACTOR - NO. '
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). -
REQUIREDTOTAL SETBACK FROM EXIST.
S
CONSTRUCTION LENDING AGENCY SETTBACKBACK YARD HWV PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT - • D _ C
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.I, .
Lender's Name _
Lender's Address P.C. Fee$ Perron Fee d
I certify that I have read this application and state that the Issuance Fee
above information is correct. I agree to comply with,all County Investigation Fee
g ordinances and State laws relating to building construction, Total Fee 0 0
d and hereby authorize representatives of this County to enter
Upon t bove-mentioned pr arty for inspection purposes.
n / ;7 -q3 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applic t or Agent Date '®s
WO`RKERS' COMPENSATION DECLARATION
sure, or
that haver certificate of consent to =elf - - Qpp�p�Q�pO I� FOR �3NJpdDp�1C� P[ �I�p�'
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
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS .�
❑ Certified copy is filed with the county building inspec- BUILDING O q - .
tion department _ ADDRESS /rapt/. /
Date Applicant CITY- 6mftc ZIP17 80 iOCnDTV
NO. OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the.permit is for one TRACT BLOCK LOT NO:- MAP BOOK PAGE PARCEL
hundred dollars ($100) or less.) p _ V/ TEL
OWNER I-' NO. - USE ZONE NWP
I certify that in the performance ofthe work for which this IN
permit,is issued, I shall not employ any person in any manner ADDRESS )I YL _ SPECIAL
so as to become subject to the Workers CONDITIONS Compensation Laws. � Q
// � .� ��,,rrCITYAS ZIP 1/07 -
V
Date—1L. _1 :ff Applicant ARCHITECT OR TEL. W
DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If,; after making th' Certificate ENGINEER !Q NO.7 3 / CONST. 7 ZONE �
Exemption, yoshould become subject the Workers' - Pte/ V Va
Compensation provisions of the Labor.Code, you must forth- ADDRESS /� w
with comply with such provisions or this permit shall beTEL. STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked. CONTRACTOR-V") {fti NO. rx7 /
Z
LICENSED CONTRACTORS DECLARATION C. CLASS NO..�? W_, UNITS_
I hereby affirm that I am licensed under provisions of Chapter 9ADDRESS 5 V O. / IS D
SEWER MAP
,(commencing with Section 7000)of.Division 3 of the Business LIC. /7 p
and Professions Code, and my license is in full force and effect. CITY- R' CLASS "/ (>OZ BK. PG. VALIDATION
SQ.CIT F NO. OF CHECK
License Number Lic. Class SIZE STORIES IFAMILIES ONE
pO VALUATION
Contractor - Date DESCRIPTION OF WORK D y?�LO EW ❑ -
❑I am exempt under Sec. 7�
D ❑ $ D
U4
rr ALTER ❑
B.BP.C. for this reason N l^'rc 1 N ' p $
R PAIR
Date: USE O -
- EXISTING BLDG. DEMOI
Signature APPLICANT TEL. _ -FINAL
OWNER-BUILDER DECLARATION (PRINT) NO. DATE
I hereby affirm that I am exempt from the Contractor's License _ -
Low for the following reason (Section 7031.5, Business'and ADDRESSL'FINAL
_ Professions Code): PRESENT -. -BIF 1 y
BUILDING /
❑ I, as owner of the property; or my employees with ADDRESS J �CTA
wages as structure
sole comped or on,will do the work and '� ,
the structure is not intended or offered for sale(Section LOCALITY D 3307 : 2° e.0
MOVING- TEL. �'��
7044, Business and Professions Code.) Cyt
I, as owner of the property, am exclusively contracting CONTRACTOR. NO. 1 ITEMS
with licensed contractors to construct the project (Sec- ADDRESS TOTAL 2�a �
tion 7044, Business and Professions Code.)
REQUIRED TOTAL SETBACK FROM EXIST. �V.CrI
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH A
hereby affirm that there is a construction lending agency for FRONT
the performance,of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name /���� E's�L L/2v89
$ P.C. Fee$ Permil Fee O LDMA Ref. N LWUU—OU4S V
Lender's Address' 1 1 AM 9s 10
I certify that I have read this application and state that the Issuance Fee . .� v LDMA P/C q D
8 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. #
and hereby authorize representatives of this County to enter
upon the above-_mneAntioned proper! or Inspection purposes. - - -
y CYYrVIJ` _SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of A Aicont or Agent Ste
COUNTY OF LOS ANGELES N— BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AooRS�s u�LGtN
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS 1 t �r L
or a certificate of Workers' Compensation Insurance,or a certified / P
copy thereof�Seec..3{80,,L'abb. C.) M GItY f� c ZIP
PDlicy NO.pwis -C- C Company ~ r e �L 0/0 LOCALITY
_ SIZE OF LOT O.OF BMW,NOW ON LOT
❑ Certified copy is hereby furnished. ` NEAREST CROSS ST.
.Certified copy is filed with the county.building in spe 'D TRACT BLOCK LOT NO.
de��ent. USE ZONE MAP NO.
ASSESSOR MAP BOOK PAGE PARCELateApplicant
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNERTEL N /�
COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES No
(This section need not be completed if the permit is for one hundred ADDRESS -
dollars ($100)Or less.) DISTRICT GROUP TVPELONST. FIRE ZONE PROCESSED BY
CITY- ZIP
I certify that in.the performance of the work for which this permit {{i
is issued, I shall not employ any person in any manner so. to 's C �Q
became subject to the Workers COmpensdtion Laws. ARC ITEGT OR ENGINEER TEL NO.
. STATISTICAL CLAS ISIFI QATION APT CONDO
Date Applicant ADDRESS - CLASS N, DWELL UNI
NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should ' become Subject.. to the Workers CONTR9gOOR��� DD � TEL NO.—�Sb SET BACK YARD HW V PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith �� ✓ 1 FRONT
comply with Such provisions or this permit shall be deemed revoked. ADORES$, L D LIC NO PL
LICENSED CONTRACTORS DECLARATION G/f7 `3S SIDE
CIT 61 LIC f/,-/\SSS, ELL
I hereby affirm that I am licensed underprovisions of Chapter 9 SEINER MAP
(commencing with Section 7000)of Division 3 of the Business and 50. E NO OF STORIES NO,OF FAMILIES
Professions Code,and my license is in full force and yyg{{{feg} - NEW BK PG D }
License Nu r ic.Class DESCRI TION WOR - ADD EJVALUATION
O
Contracto �/ y'S Q 6� 11L ALTER ❑ $ G V
REPAIR ❑ $ O0
❑ 1 am exempt under Sec.
BBP.C.for this reason I,
DEMOL ❑ LEW P/C> W
Date: USE OF E%IS NG BLDG. URM 1:1 { LL
Signature APPLICANT(PRINT) TEL NO. - LDMA Perm x 1 �y
El 1, as owner of the property, or my employees with wages as 2 H':�'(=T
their sole compeni will do the work and.the structure is ADDRESS J)�� _27.0r
not intended or offered for sale (Section 7044, Business and FINAL DATE Q
Professions Code.) WALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ] }.
C1 I. as owner of theproperty, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
• y 9 AMOUNTS SPECIFlED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY
licensed contractors to construct the project (Section 7044, YES❑ No❑
Business and Professions Code.) VILL THE INTENDED USE OF THE BUIDLJNG BY THE APPLICANT OR FUTURE BUILDING
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _
CONSTRUCTION LENDING AGENCY COAST AIS UAUTY MANAGEMENT DISTRICT(SCACMD)SEE PERMITTING CHECKUST FOR ± y(`'i
I hereby affirm that there is a construction lending agency for YES El NO El TOT ® �Fi)
the performance Of the WOfk for which this permit IS Issued(Sec. I HAVE READTHE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
m 3097,Civ.C.) CHECKUST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. ('1�LjI' ')
TRLE2.CHAPTER2205EGTIONS220.100THROIIGH220.14000NCERNWGHAZARDOUS LIIL'+1\ iQ al_
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCACMD.
MANGE ,Lin
Lender's Address
bNNEN CN I9ENT
O
oI certify that I have read this application and state under penalty
of penury that the above information is correct.I agree to comply PC.FEE PERMIT FEE
o with all county ordinances and State laws relating to building 'JI�)�I_'QI]7]1 1l' 4/?'4
m construction, and hereby authorize.representatives of this County /T J• D ISSUANCE FEE
/
m to enter upon the above-mentioned property for inspection purposes. O2 /
nINVESTIGATION FEE TOTAL FEE j
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY 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 0003130033
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST RU ILDING ADDRESS:
TR: 6561 LT: 774 SQ. FT STORIES TYPE 5824 ENCINITA AV
STRUCTURE: 150 VN TEMP CA 917802422
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-002-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: PATIO USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES,ON:
EXIST OCC GRP: 03/13/00 VG 09/097
9/09 00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEFINAL BY: ODE:
KAMP HARRY G;ELPIDA H;KAMP TINA F (626) 793-2597- 500 2
218 LOTUS AV l
PASO 911074509 FEES PAID DESCRIPTION 0 ORK
REROOF OVER 1 LAYER OR CAP SHEET AND INSTALL CAP SHEET
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. 0:
EAGLE ROOFING (626) 291-5700- AA BLDG PERMIT ISSUANCE 27.75 OO
AC STRONG MOTION RESID 500.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 EN-HC�'--�500.00 VAL 43.65
P�►GELESTOTTACFEES 71.90
CONTRACTOR: TEL. NO: �O�j �//�ry APPROVALS DATE INSPECTOR SIGNATURE
EAGLE ROOFING (818) 291-5700-
6327 W LIVIA AVE LIC. NO LOCATION AND SETBACKS
TEMPLE CITY CA 91780 698529 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: R
OUNDATION/TR NCH FORMS
LIC. NSLAB/UNDER FLOOR
' RAISED FLOOR FRAMING
1150-265 SEWER MAP BOOK: PAGE: FIRE ZONE: 0'!�(1 ❑��� /� n Jnl p0�F70 ((� UNDERFLOOR INSULATION
U IIV= \\UII\\VII IlI1oUGU�LI((�1 N\�J FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:-
NO 211 ( 8 if ROOF SHEATHING
SCHOOL WITHINHAZARDOUS eg 0V� r. SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIA
LS \ O Q � '( .
NO NO NO A 0 ® _ ®y FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: 6/j 0
FRONT PL- C Service Thai INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSERT
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508