HomeMy Public PortalAbout5922 ENCINITA AVE_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL-PERMIT )
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL-0508-9810220041
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (818) 285-0488 EXT:
LEGAL i FEES PAID a RDI G-A R SS:-
TR: 6561 LT: 379 BL: .001 55922-ENCINITA-AV -
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801931
ASSESSOR INFORMATION NUMB R: NEAREST CROSS STREET: HERMOSA
8587-001-016 Al PERMIT ISSUANCE FEE 27:75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
LN OTHER PNL 0-399 AMPS 2.00 PAN 77.70
TENANT: TOTAL FEES 105.45 ISSUED ON: PROCESSED BY: PLAN 8 EXPIRES ON:
10/22/98 UT 10/22/99
i
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
GORISEK WILLIAM W (818) 286-8353- '���7
5922 ENCINITA AV
TEMP 917801931 DESCRIPTION
-0 - R ---- _
NEW-125-AMP-ELECTRICAL-PANEL-UPGRADE-AND 50 AMP SUB PANEL
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
GELES Co
CONTRACTOR: TEL. N0: �5 A APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
UNDERGROUND COND IT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. N0: — - 711117 ROUGH CONDUIT
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ROUGH W G
1 �n �� I r� ��1 rr 77I � MAIN WATER LINE
4 v ID �I wJ PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTMI FD 7�e
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REPORT ID: DPR265 ROUTE TO: SS0508
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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELESfel [] L � H(� (�
'WM. J. FOX. CHIEF ENGINEER l� mss+ err
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING .� •}ISI
DIST RI T' NO. PLAN CK. NO. 'PERMIT NO.
ADDRESS �� VYI�^J� M A .� I,1 3�
LOCALITY LL / RECE ED BY DATE OF A'PP/L. ,DLATE7IBBU[D,
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OWNER A ADDRESS
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ADDRESS (/��n. /I
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FIRE NO.OF TYPE GROUP
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ENGINEER -- NO. _
BLDG. ORD. NO.
ADDRESS SETBACK LINE
APPROVED
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CONTRACTOR . jjAhni!(�J NO.
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ADDRESS ZONE
/�� BY DATE
LEGALI 3��r/ CORRECTIONS
DESCRIPTION LOT
� BLOCK
TRACTNO
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ON
SIZE OF lOT NO
USE Of �A IMNO.O►
EXISTING BLDG. FAROOMS
DESCRIPTION OF WORK
NEW Ix ALTERATION ADDITION p
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REPAIR (�j. Q`] MOVINp DEMOLISH �
_5 ZNO.Or
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WALL I RCOF /� /(�
COVERING `` COVERINQG'/�,/AT/S's'jV/yy,
B UELDING / ,Qt7 j?
NEW (41
APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATEn
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
BRACING. BOLTS
SIGNATURE OF ''J
AUTCHORIZED AST V V — LATH, INT.:
- t LATH, EXT.:
P. C. 9 PLASTER, INT.
' FEE PLASTER, EXT.
VALUATION �V O FEE / FINAL /• /.7 F` Xz/.!N
DEPARTMENT Op/BUILDING AND SAFETY P-VkLlI;nilUX4 rvn r.anm►L
COUNTY OF LOS ANGELESfl BUD
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WM. J. FOX, CHIEF ENGINEER fit+ �a
FOR APPLICANT TO FILL IN FOR OFFICE-USE ONLY
BUILDING
'AlSTRICT NO. PLAN CK.NO. PERMIT NO.
ADDRESS I I (iln� .l..
A .lC.
LOCALITY 55/ ,APA Af FAA RECEIVED BY DATE OF APPL. DATE IBSUEO
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E NO.OF I TYPE
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ADDRESS SETBACK LINE 7lJ
TEL1 APPROVED
CONTRACTOR �.� NO. I BY /1 DATE
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ADDRESS - ZDNE/� �Z' BY / .('N"'^ DATE v -/1!"1
LEGAL I Bn y ( I CORRECTIONS
DESCRIPTION .{�- LOT NO. BLOCK_.
TRACT pal ,1N.. I " ✓ //J O �', J /7 .
6QE OF LOT �]� R J • 9 7CJI ND.OF SLOGS.
l NOW ON LOT
USE OF NO.OF NO.OF '
EXISTING BLDG. INV QAC FAMILIES ROOMS
DESCRIP*ON OF WORK
I
NEW ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH p
SO.FT. NC. OF - Z
SIZE I �L A> ROOMS A STORIES r
WALT: ''- ROOF //�
COVERING COVERING
USE OF NEW
BUILDING f
` /`'ia s
I HEREBY ACKNOWLEDGE THAT i JAHCINSIS APPROVALS/
APPLICATION AND STATE THAT THE AT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUORDINANCES FORMS. MATERIALS /A' I(L}f
AND STATE LAWS REGULATING BUILDINN. FRAME: FIRE STOPS,61GNATUREOF BRACING,BOLTS
OWNER LATH, INT.:
AUTHORIZED ADT.I - • LATH,EXT.:
QSS-S 2SM SETS1-47 $ P.C.® PLASTER. INT.
C c FEE 1 I PLASTER, EXT.
A�G y
VALUATION FEE � �- FINAL � ,