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Home My Public Portal About5835 ENCINITA AVE_Building__ DEPARTMENT OF COUNTY ENGINEER _ DIVISION O� BUILDING AND SAFETYLOH COUNTf OF LOS.ANGELES4luo I WILLIAM J. FOX, COUNTY ENGINEER APPLICATION - • CASSATT D. GRIFFIN. SUPT OF BUILDING FOR APPI.ICZWT TO FIU IN FOR OFFICE USE ONLY DISTRICT NO. PUN CK.OR REC.No. PERMIT NO. SU' LDING8 'l / ADDRE8 - �O RECEIVED BY DATEOFAPPL. DATEISSUED LOCALITY NEAREST CRCBS ST, SUILDH�G' �+ OWNERALI .. ADDRESS J 49 -a MAIL LOCALITY ADDRESS NEAREST TEL. �� CROSS ST. A:_ / 7N.j• CITY O ARCHITECT OR .TEL. FIRE NO. OF ZONE I tPLANB -Z I TYPE.�. GROUP P ENGINEER NO. ADDRESS n SETBACK LINE U' f yiS {a ORD.,NO. TEL. USE APPROVED CONTRACTOR NO, ZONE BY DATE - D HOUSE NUMBERING ADDRESS LEGAL I I MAP NUMBER ? � NO. ASSIGNED BY DESCRI ION LOT NO. BL CK CORRECTIONS TRACT {� SIZE OF LOT \ o. I NOW ON LOTS Q. ' USE OF I NO. OF - EXISTING BLDG. FAMILIES ��p,Q�.7 R A Asr. -pin 1T� GAQ_O DESCAIPTION OF WORK A NEW ALTERATION ADDITION DEMOLITION Q REPAIR r SQ. FT. O NO. OF / iO'nU S Lm- ��•�'� c-,zgL2� /N L SIZE ROOMS STORIES EXT. WALLI ROOF COVERING COVERING USEOFSTRUCTUR �o APPROVAL!f INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRESTOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING. BOLTS COI AGREETO CO PLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, ANO STATE LAWS GULATI B 4DING CONSTRUCTION. GAS VENT. DUCTS _fp SIGNATURE OFLATH. INT. PERM[ EE /1 LATH. EXT. /Sy(GV`�JJ � I •, ADDRESS PLASTER, INT. �r AUTHORIZED AGT. / - PLASTER. EXT. 5 (O (:2, d Cz) FEE �� HOUSENUMBERCOR- RECT AND POSTED VALUATION /C5 FEE $vim ®�I FINAL E 76AS38A 01353 9-33 1 U WORKERS' COMPENSATION DECLARATION • - I hereby affirm that have a certificate of consent to self : Qpp�p�Q�pO.NT06°3.--[ Mp'dDp. 1C� P�QG�IpT 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. CompanyUA dj VjhFUE co - ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 3 ❑ Certified copy is filed with the county building inspec- BUILD IG - -- - -- - - tion department. ADDRESS &+ "C( TTP., Date 7 -i { Applicant 5"lj "_ CITY it Lb rZ zip 41 VQ LOCALITY , .t t ,.�iTb NO. OF BLDGS. NEAREST �7 � CER IFICATE OF EXEMPTION FROM WORKERS k'Tc SIZE OF LO7ItiSS NOW ON LOT CRO55 ST. o•GC.��rt-,N+� COMPENSATION INSURANCE ASSESSOR �p (This section need not be completed'if the permit is for one TRACT J ] BLOCK Dl LOT NO. MAP BOOK I PAGE PARCEL hundred dollars ($100) or less.) TEL' N I USE ZONE MAP OWNER f,lQ 6 NO. 1- Ill NO. �i�•' - I certify that in the performance of the work for which this `/ - - - - permit is issued, Ishall not employ any person in any manner ADDRESS 44kt" S aAF Ie - ' CONDITIONS O' so as to become subject to the Workers' Compensation Laws. CITY 'SWTA AcrOICA ZIP - O - ,\ Date - Applicant - ARCHITECT OR TEL \ LK V NOTICE TO APPLICANT: If, offer makingthis Certificate of ENGINEER _ - DISTRICT GROUP TYPE -FIRE PR CESSED BY . 6%,f NO. -Yl CONST. ZONE O � Exemption, you should became subject to the Workers _ IYr�I w I Compensation provisions of the Labor Code, you must forth-. ADDRESS. o a ))r.f('�' 809MI O with comply with, such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT.. CONDO. Z ` deemed revoked. , CONTRACTOR NO. ��J y/ LICENSED CONTRACTORS DECLARATION LIC. CLASS11 NO.S.L_DWELL UNI75 ' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. _ \n LIC. SEWER MAP �Y (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license,is in full force and effect SQ. CLASS BK Y __ VALIDATION • SQ. FT. (�� NO. OF NO. OF ` CHECK /----Rr' �•1 License Number 5?�Al� {LiC..Class 7/pQ SIZE{ STORIES X FAMILIES 1 ONE VALUATION _ `i/� Contractor awl( �i•,JDate em (f 1 DESCRIPTION OF WORK - I NEW $ ' , ♦�C T.T ' ❑ am exempt under Sec Dc iV�gdoD C�n1VO ADD ❑ D 3,;07 431.05 ALTER ❑ 1 ITEMS 8.8P.C. for this reason REPAIR ❑. $ ._ M1 Al �C q - Date:' EXISTUSE OING BLDG. DEMO[ ❑ TOTAL 43'43 1 n O9 Signature 'APPLICANT. TEL. FINAL CNECK 431.09 OWNER-BUILDER DECLARATION (PRINT) {t{aI(70 JA No. - f DATE CK �0(I I hereby affirm that I'am exempt from the Contractor's License ADDRESS O® '� S ifi� Law for the following reason (Section 7031•.5, Business and FINAL Professions Code): .-., PRESENT - - ' By - - ❑ I, as owner of the property, or m employees with BUILDING - - 0000-0001 8/31/89 P P Y, YADDRESS _ - wages as their sole compensation,-will f o the ale(Se and • t - '5431 1 AM11:41 ' the structure isnot intended or offered for sale(Section LOCALITY D . 7044, Business and Professions Code.) MOVING- TEL ❑ . I, as owner of the property, am exclusively contracting CONTRACTOR NO. - 1 with licensed contractors to construct the project (Sec- - ADDRESS CT L - F�+�Trs .4 • tion 7044, Business and Professions Code.) �' 7 } ��,1_ REQUIRED TOTAL SETBACK FROM EXIST - ti 1. CONSTRUCTION LENDING AGENCY SET BACK YARD _HWV PROP. LINE WIDTH ` �. I hereby affirm that there is a construction lending agency for FRONT1 .ITEMS the performance of the work for which this permit is issued P.I. (Sec. 3097, Civ. C:): SIDE . ' ' 'TOTAL 735.00 P.l. - - - _ a 1 i $ Lender's Name. LDMA Ref. k - ) T• 1 (EEK MOO '\ �.; {, P.C. Fee Permit Fee - - CHANE .00 Lender's Address 4FV91t76 UV I certify that I have read this application and state that the // Issuance Fee U' LDMA P/C N D O above information is correct. I agree to comply with all County Investigation Fee a ,�•� ` ordinances and State laws relatin to building construction, Total Fee V' 0000 OM 9 9 3✓, 6 LDMA Perm. q+ OpOD-0001 a and hereby authorize representatives of this County to enter _ - 08/31/89 3 upon the above menti property for inspection purposes. 5432 1 AM11:41 a C1I1I1,LL-- - �ij�� ahs 'SEE REVERSE FOR EXPLANATORY LANGUAGE iLre SignBof P4plicont or Agent Date ' WORKERS'COMPENSATION DECLARATION ' hereby affirm that I haver certificate of consent ranee, AFFI OC /n� 1TOON FOR FC�I� (��II ®OI�.I� /�^ PERM neo T 7jLJll insure, or a certificate of Workers' Compensation Insurance, LL �ll� u u`� UD �J LsL u V�5 u�u u 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 - ' lion department. ADDRESS Date .Applicant 1 CITY _ ZIP 6 L/ LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' - - I - O. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOTy.p "�s OW ON LOT CROSS ST.. ' 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.) TEL. USE Z MAP \ -*' " I certify that in the performance of the work for which this OWNER N .� permit is issued, I shall not employ any person in any manner ADDRESS (i CAI P S-- SPECIAL 0 ' ' so as to become subject to the Workers'Compensation LOWS U, Date Applicant - - CITYW_ CONDITIONS a .C ZIP' 0 I - NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT O TEI/' DISTRICT UP TYPE'. FIRE - PROCESSED BY 0 Exemption, you should become subject to the Workers'' ENGINEERypn NQL Z CONS1T./ ZONAE U - Compensation provisions of the Labor Coda, you must forth- ADDRESS OD I - � V J W with comply with such, provisions or this permit shall be 0,. EL STATIST AL CLASSIFICATIONAPT. ONDO. -N deemed revoked. CONTRACTOR NO. � \ z LICENSED CONTRACTORS DECLARATION UC. DWELL UNITS 3 O 7'A I hereby affirm that 1 am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and - LIC SEWER MAP # e;• o e2 3 Professions Code, and my license is in full force and effect. CITY - CLASS BK L YN A"8 SO. FT. INO.STORIES IE NO. OF \ CHECK License Number Lia Gass SIZE O STORIES' t� FAMILIES \ ONE, - VAL I -}- 406986 NEW Contractor •� Date DESC LFT Of R �� T $ D E p A4D 1 am exempt under Sec. ❑ ALTER B.BP.C. for this reason REPAIR Q $. - Dater USE OF \ DEMOL EXISTING BLDG. 0 Signature APPLICANT •q{-,cam\ TEL. - INAL OWNER-BUILDER DECLARATION (PRINT) �I hereby affirm.that I am exempt from the Contractor's Licensewsfor / DATE Lathe following reason (Section 7031.5, Business and ADDRESS I FIN - Professions Code): PRE IN R ❑ BUILDING I, as owner of the property; or my employees with ADDRESS wages as their sole compensation,will do the work and thIS structure isnotintended or offered for sale(Section LOCALITY, .. 7044, Business and Professions Code). - MOVING - TEL. - I,.os owner of the property, am exclusively contracting CONTRACTIR NO, with licensed contractors to construct the project (Sec- tion Seo- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBA K' CONSTRUCTION LENDING AGENCY - SET BACK YARD Y PROP. LINE WIDTH - I hereby affirm that there is a construction lending agency for FRONT } the performance of the work for which this permit is.issued P.1. (Sec. 3097, Civ. C.). SIDE \ P.I. Lender's Name A P.C. Fee$ LDMA Ref. B m - Permit Fae D Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C N 9 above information is correct. I agree to comply with all County Investigation Fee 99 ordinances and State laws relating to building construction, Total Fee LDMA Perm. M R and hereby authorize representatives of this County to enter g upon the:obove-mentioned property for inspection purposes. m SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date A WORKERS' COMPENSATION DECLARATION 'I hereby affirm that haver certificate of consent to self U61a Q�p�� FOR C�MpdDp�IC� PERM 1p4 Vhre su , or^o certificate of Workers' Compensation Insurance, or o certified copy thereof (Sec.-3800, Lab. ��rU n 1 COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company. d Certified copy is hereby Tarnished. FOR APPLICANT TO FILL IN BUILDING ❑ ADDRESS Certified copy is filed with the county building inzpec- BUILDING L tion department. ADDRESS 7 t Date V Applicant CITY - e. 1 ZIP. LOCALITY C� fy CERTIFICATE OF EXEMPTION FROM WORKERS' O. OF BLDGS.' NEAREST .. COMPENSATION INSURANCE SIZE OF LOT .NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one - ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK - LOT NO. MAP BOOK.. PAGE I PARCEL TEL' USE NE - MAP I certify that in the performance of the work for which this OWNER N /nT NO permit is issued, I shall not employ any person in any manner ?C SPECIAL ' s0 as to become subject to the Workers'Compensation Laws. ADDRESS U " CONDITIONS • Dote Applicant CITY ZIP , NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY - Exemption, you should become subject to the Workers' ENGINEER NO. {ONST. Compensation.provisions of the Labor Code, you must forth- ADDRESS L K with comply with such provisions or this.permit shall be TELSTATISTICAL CLASSIFICATION // APT. deemed revoked. CONTRACTOR NO �— � LICENSED CONTRACTORS DECLARATION LIC. CU1SS NO. DWELL, UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing wlth,Section 7000)of Division 3 of the Business and CLIC, Professions Code, and my license is in full force and effect. CITY CLASS Ci BK LPG VALIDATION a, �l r} / (��I SQ. FT. NO.OF NO. OF CHECK V. License Number�l.L :7l 0 / 1 Lic.Class�il— SIZE STORIES FAMILIES ONE VALUATION Q DESCRIPTION OF WORK NEW C❑ontracto ale 1[ YL - ADD 0 $ �0�... I am exempt under Sec. " IUB ALTER LI B.BP.C. for this reason REPAIR $ N Date: USE OF DEMOL Z EXISTING BLDG. - APPLICANT TEL. _ Signature FlNAL v�� OWNER-BUILDER DECLARATION PRINT NO. DATE. I hereby affirm that I am exempt from the Contractor's License / w�v t r - ' �'1 '1 Q.3 A Law for the following reason (Section 7031.5, Business and ADDRESS L L �l I F � Professions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS ° 6 Q 5 0 wages as their.sole compensation,wil I do the work and s .•the structure is not intended or offered for sale (Section LOCALITY' , � ° 6 0.5 0 v 7044, Business and Professions Code). MOVING TEL. D L". r 0 1, as owner of the property, am exclusively contracting CONTRACTOR NO. r I .1. 0 9;—8 8 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY CK SETTUIRED BACK YARD HWY TOTAPROP.ALINE WIDTH I hereby affirm that there is a construction lending agency for FRONT Therperformance of the Work for which this permit is issued 'TP.L. (Sec. 3097, Civ. C.). SIDE P.L, Lender's Name q' LDMA Ref. q - Lenders Address P.C. Fee f Permit fee V ' g I certifythat'I have read this application and stole that the 0,•� LDMA P/C N pp Issuance Fee _ above information is correct. I agree to comply with all County Investigmion Fee ordinances and Stole laws relating to building construction, Total Fee O °J LDMA Perm. R and hereby authorize representatives of this County to enter up?n the above-mennti/olned property for inspection purposes. Lk SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicc6nt or Agent bater