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Home My Public Portal About5926 ENCINITA AVE_Building__ i DMSION OF B=MG AND SAFETY U T A D O}��j�G DepaTmleat of County Engineer B Q� � Coontp of LOB Angeles WM. J. FOX. COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN wuo E" S Z �/✓C/�//T/9 BUILDRDINGE86 LOCALITY T. G/ AD t NEAREST iC G� LOCALITY 7 CROSS ST. C� NEARESTDISTRICT NO. PIAN CK. OR RBC. No. P RMIT NO. CROSS ST. ' , 1j r?j O OWNER RECEIVED BY DATE OF'APPL. DATE ISSUI90 MAIL P' /D//6/,Sgj _ ADDRESS U� �E I PLANS TYPE I. .G I FIRE ZONE TEL. CITY 1' � NO. ARCHITECTOR U TEL. ZONING / -Li�/ ENGINEER NO. APPROVED By•/// BUILDING / gRO• c ADDRESS 'P� SETBACK LINE: ¢ _ ZEL. . &µ�T� APPRoveo // AT��3 CONTRACTOR O. ' I Bv, x, HOUSE NUMBERING ADDRESS '] , /f LEGAL MAP NUMBER_ 0 � NO. A9910NED BY DESCRIPTION LOT NO. BLOCK DATE i � CORRECTIONS i. IN9PECTCIVR� TRACT '^ SIZE OF LOT J t/�� I NOW ON LOT 9 E% USE TT NG BLDG. /\ CS. • I FAMIOLI•E9/ I I O DESCRIPTION OF WOR N -p z NEW ALTERATION ADDITION > r REPAIR 4DEMOLITION SO. FT. NO. OF SIZE ROOMS STORIES COVERING /I ROOF V COVERING USE OF STRUCTURE, D„YO 1 f/Vy�w.r Y APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN 16 CORRECT. BRACING, BOLTS'; I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAW EGULAT TBUILD�TRUCT ION. AS VENT. DUCTS SIGNATURE OF ` ATH, INT. PERMITTEE_ _/- ADDRESS J 2 GTd vi` TH. EXT. arere _ PLASTER. INT. AUTHORIZED AGT. PLASTER. EXT. FEE HOUSE NUMBER COR-,,/ FEE RECT AND POSTED / 9r VALUATION FEE � t� FINAL 7CA638A bee 3 2-83 `A APPUCAMON FOR COUNTY OF LOS ANGEIES :. . e , ` BUILDING AND<SAFETY FOR APPLICANT TO FILL IN ..� SUILUING ADDRESS WORKER'S COMPENSATION DECLARATION � hereby affirm that have a certificate BUILDING ADDRESS of consent to self insure, ' NCA NI AUj >• or a certificate Workers' Compensation Insurance, or a certified copy thereof(Sec.3800, Lab.C.) CITY ZIP TF—MI GiT B i7O 'LOCALITY . Policy No. Company - SIZE OF LOT NO.OF BLOCS.NOW ON LOT wql ❑ Certified Copy is hereby furnishetl: NEAREST CROSS ST. ///� ElCertifiedZONE MPP NO,Certified copy is filed with the county building inspection TRACT BLOCK - LOT N0. , S TV IV S d department. Data Applicant - ASSESSOR MAP BOOK��^ PAGE QO/ �PARCELO/� !/S: i SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER,. '�1- TEL NO. - COMPENSATION INSURANCE l7 NA T�AINJ 319)236.7630 WITHIN 1000 Hr.OF SCROLL? YES NO (This section need not be completed if the permit is for one.hundred ADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100) or less.) 51 iO c _ANf „J E � . ' GITV ZIP (} ''l certify that in the performance of the work for which this permit TtM Lt 1 CA —1 78� is issued, I Shall not employ any.person in any manner so as to ARCHITECT OR ENGINEER TEL'NO, become subject to the Workers' Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NOI DWELL UNITS NOTICE TO APPLICANT, If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWV PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS - LIC.NO. - PL ' LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions Of Chapter 9 SEWER MAP (Commen0ing with Section 7000)Of Division 3 of the Business and SQ FT.SIZE NO.OF STORIES NOr OF FAMILIES Professions Code,and my license is in full force.and effect /� NEW ❑ BK PG D d License Number Li¢ Class DESCRIPTION OF WORK ADD VALUATION Q 960/0 Contractor Date A"L0 1 Tio N ALTER ❑ $ 45 LlI am exempt under Sec. y� k'f' REPAIR 1:1 $ BAP.C. for this reason. ' /y DEMOL ❑ LDMA P/C IW Date: - USE OF EXISTING BLDG. URM ❑ EL t -i Signature APPLICANT(PRINT) TEL O LDMA Perm< r -' - •� ';y t:+ ` Z Dl OQAn/ gl� -236 -7 L _ J• z d �I, as owner Of the.property, or my employees with wages as O ' �\ �!_iYas their sole compensation, will do the work and the structure is ADDRESS not intended or offered for Sale (Section 7044, Business and 42-11 F�, AT _ CA FINAL DATE J_ . .0 37I�ti� - _r_Ie•!�I Professions (`.OdC.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL To OR GREATER THAN THE AMOUNTS SPECIFIED ON HE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 'N 7 \� licensed contractors to construct the project (Section 7044, Business and Professions Code.) ves El NO } u a +It WILL THE INTENDED USE OF THE BUDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �•�•!� �/1 _�Y CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAOMDI SEE PERMITTING CHECKLIST FOR _ _' cUIDEUNES. 2 —R^- I hereby affirm that there is aConstruction lending agency for YES El NO 1 e: '-e mthe performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIAOS INFORMATION GUIDE AND THE BEACON PERMITTING TOT I I AL 84 1 - 39 3097,CIV.C.) CHECKLIST.'I UNDERSTAND.MY REOUIREMENTS UNDER THE LOS ANGELES COUNTY CODE t' - _ _ TITLE 2,CHAPTER 2.20 SECTIONS 220.100 THROUGH 2.20.130 CONCERNING HAZARDOUS CHECK _t41,: y 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. CHArf+ t 11 D_ 7iAIVA _52AnJ Lender's Address ! g NEP OR AGENT o I certify that I have read this application and state under penalty, - o P.C.FEE PERMIT FEE / of perjury that the above information is correct. agree to Comply D (� with all county ordinances and State laws relating to building LIJ�_—�Ijlj' a construction;and hereby authorize representatives of this County ISSUANCE FEE 57 �� f i ;f ! ;�� % c�.r to S , f. aM to enter upon the above-mentioned property for inspection purpos s. 1112.1 ;='„it r IN. Z INVESTIGATION FEE TOTAL FEE SEE REVERSE FOR,EXPLANATORY.LANGUAGE COUNTY OF.LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS . I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS 6-/✓61/1,1/' /9✓ or a certificate of Workers' Compensation Insurance,or a certified - r/A/%T copy thereof(Sec.3800,Lab.C.) CITY ZIP 173rs0 LOCALITY�M ' i7 7'H LE TTL Policy No.d Company eA 512E OF LOT NO.OF BLDGS.NOW ON LOT El Certified copy is hereby furnished. NEAREST GROSS t0 5T. El Certified copy is filed with the county building inspection - TRACT BLOCK LOT NO. /-/+5 NAS department, USE ZONE MAP NO. , Date Applicant ASSESSOR MAP Book7 PAGE r / PARCEL D/oll SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL No. - COMPENSATION INSURANCE S$' 70.3 WITHIN 1000 FT OF SCHOOL? YES NO' (This section need not be completed if the permit is for one hundredADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars (5700)or less.) ' I certify that in the performance of the work for which this permit CTv M - IT C/4 z1PQ J!� is issued, I Shall not employ any person in any manner so as to ARCHITECT OR ENGINEER /TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date - Applicant ADDRESS CLASS NO. d7/ DWELL UNITS . N07ICE TO APPLICANT, It, after making this Certificate Of .REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' CONTRACTOR ,( TEL NO. SET BACK YARD HWY PROP UNE .,WIDTH Compensation provisions of the Labor Code, you must forthwith op��ll�� ' FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.No. PL LICENSED CONTRACTORS DECLARATION SIDE CITY IJGCLAS$ PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)Of Division 3 of the Business and SO.FT.SIZE NO,OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG D _ d License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION O Contractor Date ,r� l ALTER $ ❑ I am exempt under Sec. Z4e_it ��-�1 REPAIR ❑ $ 0 8.8 P.C. for this reason FAV DEMOL ❑ LOMA P/C# LU Date: USE OF EXISTING BLDG. - URM ❑ a $gnature APPLICANT(PRINT) TEL NO. LOMA Perm# z Was owner of theJ• property, Or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS not intended or offered for Sale (Section 7044, Business and FINAL DATE G - -y ��{{ Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �Z,�Z I �q/y O y I I EM'J ❑'1, as owner Of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE P P Y• Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to Construct the project (Section 7044, YES 1:1 NO❑ _ Business and Professions Code,) �r_ k - ' .U_ THE INTENDED USE OF THE BUIDLING BY THE APPUCANT OR FUTURE BUILDING CHEN� 'J'J.40 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAOMD)SEE PERMITTING CHECKLIST FOR C�'�Af`h]F of�i I GUIDEUNES I hereby affirm that there is a construction lending agency for YES El NO the performance Of the Work for Which this permit Is Issued(.Sec. )HANE BEAD THE HAZARDOUSMATERIPLS INFORMATION GUIDE AND THE$CAOMD PERMITTING 3097, CIV.C.) CHECKUST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE .- TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. All ' ;i o Lender's Address WrtIEP OH/LEm o i certify that I have read this application and state under penalty' o P C.FEE PERMIT FEE of perjury that the above information is correct. agree to comply 512 with all county ordinances and Slate laws relating to building 7 m COnStruCtion, and hereby authorize representatives Of this County ISSUANCE FEE to enter upon the above-mentioned property for inspection purposes. Q Q�ch..n u INVESTIGATION FEE TOTAL FEE 6U . 7D scti�+,a m nool.�,m a�ne+1 SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ` RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 1111210032 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS: ITR: 6561 LT: 379 BE: .001 ON: .002 SQ. FT STORIES TYPE OCCUR GROUPI 5926 ENCINITA AV I ISTRUCTURE: 0 1 V-B R-3 I TEMP CA 917801931 (ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET- 18587-001-018 OTHER: THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl (TENANT: 1EXIST BLDG USE: USE 20NE: (ISSUED ON: PROCESSED 0Y: J 1 IEXIST OCC GRP: 111/21/11 SR (OWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATION: (FINAL GATE FIN/p�LBY: CODE: J IZHANG, XUAN (626) 757-6685- 1 50,000 1� 19168 LAS TUNAS DRIVE I 1 � IV\ TEMP 917801931 FEES PAID JDESCRIPPION OF WORK J INTERIOR REMODEL CONVERT LAUNDRY INTO NEW BATHROOM, RELOCATEI IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I KITCHEN & (E) BATHROOM TOTAL WHEN DONE 4 BEDROOMA AND 2.5 1 (APPLICANT: TEL. NO: I IBATHROOMS I IPUN, PETER (626) 572-9181- IAA BLDG PERMIT ISSUANCE 27.80 1- ' 1 12714 STINGLE AVE JAB STATE GREEN BLDG FEE 50000.00 VAL; 2.00 (SPECIAL CONDITIONS: J IROSEMRAD CA 91770 JAC STRONG MOTION REBID 50000.00 VAL 5.00 1 1 I IB2 PERMIT W/ENERGY 50000.00 VAL 875.60 J TOTAL FEES' 910.40 CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE J IJ P CONSTRUCTION (626) 572-9181- I 1 12714 STINGLE AVENUE LIC. NO LOCATION AND SETBACKS ROSEMEAD, CA 91770 642751 0 I- ISOILS ENGINEER APPROVAL I I 1ARCHITECT OR ENGINEER: TEL. N0: 1 (FOUNDATION/TRENCH FORMS 1 I I __ 1 I LIC. NO: I 1SLA3/UNDER FLOOR I I 1' I I 1 IRAISGD FLOOR FRAMING 1 I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J "��-. - / (UNDERFLOOR INSULATION J 1 1 3 001 1 1-1- I I JIST LEVEL FLOOR SHEATH 1 1 1 IND, OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH 1 I_ SCHOOL WITHIN HAZARDOUS IROOF SHEATHING J 1AIR QUALITY: 1000 FEET MATERIALS J NO NO NO I IFIRE DEPT. FRAME INSPECTI I I I 1 1 I I IBLDG DEPT. FRAME INSPECTI J I JSHEAR PANELS I f J I (INSULATION/WEATHER STRIP( I I (INTERIOR LATH/DRYWALL (EXTERIOR LATH I I (IAT DRAINAGE 1 1 I I I I I JSMGKE DEFECTION DEVICES I I I I 1_ I 1FIRE DEPARTMENT APPROVAL( J I I I I I I -� � I JREPORT ID: DPR261 ROUTE TO: BSO508 I I IVuI ' COUNTY OF LOS.ANGELES TEMPLE CITY N 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 HL 0506 1112210011 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 6561 LT: 379 BL: .001 UN: .002 SQ. FT STORIES TYPE 5926 ENCINITA AV I ISTRUCTURE: V-B I TEMP CA 917801931 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18587-001-018 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl -I I_ TTENANT: SEX IST BLDG USE: RESID USE ZONE: R-3 IISSU±:D ON: PROCESSED BY' I IEXIST OCC GRP: 112/21./11 SR TOWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAI�BY: CODE: ZHANG, XUAN (626) 757-6685- 3,300 _ I/ 19168 LAS TUNAS DRIVE ITEMP 917801931 I FEES PAID IDESCRIPTION OF WORK IRELOCATE LAUNDRY ROOM TO KITCHEN, CLOSE AND ENLARGE WINDOW .(FEE DESCRIPTION: QUANTITY: UOM: MOUNT 19 BEDROOM #3 AND NEW WINDOW IN EXISTING BATHROOM AND REPLACE( (APPLICANT: TEL. NO: 1 112 WINDOWS (PUN, PETER (626) 572-9181- AA BLDG PERMIT ISSUANCE 27.80 1 12714 STINGLE AVE IAB STATE GREEN BLDG FEE 3300.00 VAL 1.00 SPECIAL CONDITIONS: ROSEMEAD CA 91770 IAC STRONG MOTION RESID 3300.00 VAL 0.50 TAX BUILDING REVIEW FEE 54.70 1 _ID2 PERMIT W/O EN-HC 3300.00 VAL 116.00 1_ CONTRACTOR: TEL. NO: IFR INV WORK W/O PERMIT 257.00 DOL 257.00 (APPROVALS DATE INSPECTOR SIGNATURE IJ P CONSTRUCTION (626) 572-9181- I TOTAL FEES 457.00 1 12714 STINGLE AVENUE LIC NO T 1LOCATION AND SETBACKS 1 ROSEMEAD, CA 91770 642751 B ISOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNCATION/TRENCH FORMS 1 LIC. NO: (SLAB/UNDER FLOOR 1 I (RAISED FLOOR FRAMING (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMF: ( IUNDERFIAOR INSULATION II 1150H265 3 001 I I I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: I --1-1 1 0 NO 21 T 1ROOF SHEATHING I SCHOOL WITHIN HAZARDOUS SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS 1 1 I I NO NO NO (FRAME INSPECTION I _I I IFIRE SPRINKLER HANGERS (INSULATION/WEATHER STRIPI (INTERIOR LATH/DRYWALL I_ I I IE%TERIOR LATH I I I IRATED FLOOR/CEIL ASSEM. (RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS I T 1T-9AR CEILINGS I I I (IAT DRAINAGE T IRE PORT ID: UPR261 ROUTE TO: 850508 _ I