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Home My Public Portal About5825 1/2 - 5829 ENCINITA AVE_Building__ DEPARTMENT UI COUNTY Q. LS DD IJ V `rJ DIVISION OF BUILDING ANDD SAFETY ETY COUNTY OF LOS AWEEL'S WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUP-T OF BUILDING FOR APP dT TO FILL IN FOR OFFICE USE ONLY fi BUILDING r L /i: l DISTRICT NO. P�CK.ORROEc.No. / PERMIT MIT NO. DIRE LOCALITYREC IYED BY DATE OF APP DATE[SSU ED NEAREST J �� CROSSST BUILDING �y/j OWNER + ADDRESS iY / MAIL .�� LOCALITY - ADDRESS NEAREST TEL. CROSS ST. CITY O ARCHITECTOR TEL. y- FIRE NO. OF��- I I TYPE `.I I GROU�� ZONE PLANS ENGINEER NO. V BLDG. ADDRESS SETBACK LINE -Y CONTRACTO TEO - USE _ APPROVED ZONE BY HOUSE NUMBERING ADDRESS O LEGAL - MAP NUMBER �D NO. ASSIGNED BY DESCRIPTION I LOT NOT a BLOCK r CORRECTIONS TRANO OF BLDGS. S SIZE OF LOT J I NOW ON LOT ( otzzb USE OF NO. OF 1 ,LL EXESTING BLDG. FAM' LIE I D,E/SCRIPTION OF WORK �„_�� s- Q - N YN ALTERATION ADDITION GAS n �_ Z REPAIR 1 I DEMOLITION r 6Q. FT. NO. OF SIZE ROOMS STORIES EXT. WALL I ROOF COVERING COVERING USE OF STRUCTURE Q — APPROVALS INH PECTOR'S 91GNATUR DATE FOUNDATION: LOCATIONAm� JI FORMS, MATERIALS ;U_V I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRESTOPS, S PLICATION AND STATE THAT THE INFORMATION GIVEN I6 BRACING, BOLTS CORRECT. FURNACE: LOCATION. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ANO STATE LA RHGU IN UILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF LATH, INT. Al PERMITrE12L ,ray •'� LATH. EXT. ADDRESS PLASTER. INT. AUTHORIZED AGT. - p O G PLASTER, EXT. tt HOUSENUMBERCOR- a D •'� SJ Vl-J {0 .( c. RECT AND POSTED //J /I ✓ VALUATION _ FEE B(�Z a'� FINAL 7 GA6 " DBaa a-aa ,aAe,aACEs,O,lo APPLICATION FOR BUILDING PERMIT �. COUNTY OF LOS ANGELESeu0_DING q— � ) � DEPARTMENT OF COUNTY ENGINEER ADDRESS O— L' BUILDING AND SAFETY DIVISION- LOCALITY .JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SupT op BUILDING CROSS ST. DISTRICTNO. GRO_yP�. TYPE PROCESSED Y FOR APPLICANT TO FILL IN I CONST. BUILDING Q 2 STATISTICAL CLASSIFICATION - _ SEWER fA ADDRESS O CLASS.NO. _ DWELL. BK PG UNITS�I LOT NO. /BLOCK NUMA ER ls��.0 SI.{Ty TY" YES NO TRACT USEZONE SPECIAL TTEL. .?4 CONDITIONS SIZE,OF LOT USE OF EXISTING BLDG. BUILDING YARD HWY STREETNAME EXIST. SETBACK WIDTH OWNER FRONT MAIL - ADDRESS SIDE tE P.L. CITY INSPECTION RECORD . ARCHITECT OR ENGINEER . - ADDRESS TEL 7 CONTRACTOR ADDRESS DESCRIPTION OF WORK A NEW ADD ALTER REPAIR DEMOLIS SO.FT. NO.OF SIZE STORIES FAMILIES I - USE OF STRUCTURE SIGNATURE OF APPLICANT �/ APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS O C/ ( FOUNDATION: LOCATION FORMS.MATERIALS ' VALUATION$ .6 O 0 Q' FRAME: FIRE STOPS. _ BRACING.BOLTS FURNACE:LOCATION. _FEE S I FEE S 21- I� 'O� GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BU ILDI G CONSTRUCTION. LATH.EXT. SIGNATURE OF )/1 HOUSE NUMBER COR- PERMITTEE �-( RECT AND POSTED _ ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E R PLAN CHECK VALIDATION CK. M.O. 'CASH PERMIT VALIDATION CK. M.O. CASH LACD 9 9 0JUL 2 3 1 'H 2.0 0 A. #.. APPLICATION FOR 6UILDING PERMIT �. COUNTY OF LOS ANGELES BUILDINGZrTV< ! DEPARTMENT OF COUNTY ENGINEER ADDRESS / c BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE•COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN.SUPT GF BUILDING CROSS ST. DISTRICT NO qF UP I TypE R b SED BY FOR APPLICANT TO FILL IN A �',_ CONST. BUILDING �+� - SE ER MAP ADDRESS Encinita Ave. STATISTICAL�C7LASSIFICATION SK G $ I CLASS.NO.--2 _DWELL. UNITS- P LOT NO. , CK MAP q STATE YES NO NUMBER (r HWY. TRACT .59 LJSEZONE SPECIAL / NO.OF SLOGS. -' CONDITIONS SIZE OF LOT 60fx1$5-* I NOW ON LOT 1 USE OF -Residence EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.. OWNER Y.- Helm SFRONTK WIDTH T� MAIL P.L. d� l ADDRESS SIDE TEL. P.L. CITY NO. INSPECTION RECORD ARCH ITECT OR TEL. ENGINEER NO. - ADDRESS II�A (� , CONTRACTOR Schulz Bross NOpt.8-09 I ADDRESS 9203 DeAdalena St.. Rsmd, DESCRIPTION OF WORK NEWx ADD L, ALTER REPAIR DEMOLISH SO.FT.Both-1584 STORIES 1 SIZE FAMILIES 1 ,USE OF STRUCTURE Duplex for rental. with arae betty en. 12'x22? SIGNATUREOF APPROVALS APPLICANT DATE . INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION' $ FORMS,MATERIALS . P.C. S S FRAME: FIRE STOPS, ,,�B Oy.v FEE BRACING. BOLTSJ� VALUATION SC $ O_' FURNACE:GAS VENT.DUCTS LOCATION!<< FEE _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH, INT.. PLICATION AND STATE THAT THE ABOVE IS CORRECTAND d AGREE TO COMPLY ITH ALL C NT ORDINANCES AND J STATE LAWS REG L T B DI I CONST CTION. LATH. EXT. SI GFERMITTEF HOUSE NUMBER CDR RECT AND POSTED ADDRESS FINAL v - 1 1 �I I��p lf1tL, e09 jT CLYDE N..DIRLAM. PRINCIPAL STR RAL ENGINEER - PLAN CHECK VALIDATION K. M.O. CASH PERMIT VALIDATION cK. M.O. cnaR 1 Dl,.Co 3 7 6 7 2 JUL 1 g 2 3 D 2- 5.5 0 a Y, Lj.C3990JUL ?f 1 D 51 .00 �' WORKERS' COMPENSATION DECLARATION /� p G 'I�� F��} Ips - �pf - �F1��IFL� PER �/p��///L�� "Che reby affirm That I have r certificate of consent to self /(3� nPLOC /C1\ 11 OOR V U- OILS BUOLSDO11 VO PIS�I�l11 97 in�ure,_aro certificate of Workers' Compensation Insurance, Ira�" U"'ll R00 or a certified copy thereof (Sec. 3800, Lab. C.) > <ta.f� F6rn 1 COUNTY OF-LOS ANGELES BUILDING AND SAFETY Policy No inncopy is h Company. r./ - — �II Certified copy is hereby famished. FOR APPLICANT TO FILL IN BUILDING r IUI ADDRESS Certified copy is filed with the county building inspec- BUILDING t tion department. ADDRESS I Mao Date Applicant I. CITY ZIP LOCALITY IT r CERT KATE OF EXEMPTION FROM WORKERS' r NO. OF BLDGS.. NEAREST COMPENSATION INSURANCE` SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for oneASSESSOR hundred dollars(5100)or less.) - TRACT BLOCK LOT NO. _ MAP BOOK PAGE PARCEL r TEL U5E NE MAP I certify that in the performance of the work for which this OWNER. NO. permit is issued,-I shall not employ any person in any manner i v SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS — CONDITIONS CITY ZIP. Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO,. DISTRICT GROUP TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' t� //11 CONST,; ZONE C Compensation provisions of the Labor Code, you must forth- ADDRESS �` V/ with comply with such provisions or this permit shall be TEL STATISTICAL CIASsIf CATION APT. CONDO. deemed revoked. CONTRACTOR O — ! LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS- 1-I hereby affirm that 1 am licensed under provisions of Chapter 9 ADDRESS N (commencing with Section 7000)of Division 3 of the Business and - LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK L PG. VALIDATION .'T /�(� /'` '� SO. FT. NO.OF NO. OF - C CKd. License Number��2i�n'/ / Lia Class�L SIZE STORIES FAMILIES. ONE C(,J / VALUATION , L�.� DESCRIPTION OF WORK NEW :❑ • ❑ Contractor DateADD ❑ $ D c IU I am exempt under Se ALTER E] U' B.BP.C. for this reason REPAIR $ N Date: USE EXISTING BLDG. DEMOL Z 'Signature APPLICANT TEL. _ L FINAL C� Z OWNER-BUILDERDECLARATIONPRINT N DATE _ # 1? 44..� I herebyaffirm that 1 am exempt from the Contractor's License /�q / / e a 1 Low for the following reason (Section 7031.5, Business and ADDRESS/ / L n /� r -S FIN '. Professions Code): FADDRESS B i� ( ,e e 60.50 I, as owner of the property, or my employees with // e e s 6 0.5,0 5 wages as their sole compensation,will do the work and the structure is not intended or offered for sole Section l 11,09= 88 7044, Business and Professions Code). TEL. I, as owner of the property, am exclusively contracting OR NO. with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). - CONSTRUCTION LENDING AGENCY REQUIRE SETBACK YARD HWY TOTAL ROPSETBLINE WIDTH .1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued PA. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name - - //S m P.C. Fee E PermitFee LDMA Ref. N (/ Lender's Address - 1 certify that I have read this application and state that the Issuance Fee LDMA P/C R 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. p and hereby authorize representatives of this County to enter up,�Qfn the above-mentioneeeLd��sproperty for inspection purposes. .tom if�✓L.( ry , � / SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agem Clae —