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Home My Public Portal About6005 ENCINITA AVE_Building__ Q _`APDL• I C LAT I O N FOR COUNTY OF LOS ANGELESOF COUNTY BUILDING PERMIT DBUILDING AND SAFETY DEVSIONR FOR APPLICANT TO FILL IN ADDRESS 14 L01 BUILDING - ' ' - - ADDRESS _)O� (EKU�_ 1 F�3 I -fA LOCALITY' _ NEAREST ! . . CITY PL Ci. ZIP CROSS ST. NO.OF BLOCS. _ ASSESSOR _ SIZE OF LOT' �5 NOWONLOT MAP.BOOK PAGE PARCEL DISTRICT UP I T)PE FIRE FROG SSED Y -TRACT - BLOCK LOT NO. - (� OWNER IRU - e NO.Z STATISTICAL CLASSIFICATION SEWER. P ADDRESS AJ k�r_ J—TCI^"L 1^ CLASS NO-__2�13WELL.UNITS BK PG CITY `Ter+w PC? ZIF , E NOP __ ARCHITECT OR ' TEL. `� PEML ENGINEER I—• Pn�(� �' NO. $5 yW CONDITIONS ADDRESS L SS l.^�� -f_-mp" (_'j ROAD DEPARTMENT APPROVAL REQUIRED - - YES ❑- NO EL CONTRACTOR ULA 1'Tr'W�+' F'�JS NO. IL'iV} BLDG.SETBACK FROM t SAT LIC. �4 FRONT PROP.LINE OF " ' ISTREETI - 'ADDRESS ( -SAO g[jVACE);*UNO. ?- HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING LIC. -- - FRONT PROP,LINE HIGHWAY WIDTH CITY C)✓1(�� CLASS - _ .CONSTRUCTION LENDER +" O NAME AND.BRANCH BLDG.SETBACK FROM V ADDRESS CITY SIDE PROP.LINE OF ISTREETI O SQ1 FT. NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING w SIZE 'o STORIES FAMILIES. ONE SIDE PROP.LINE HIGHWAY WIDTH + DESCRIPTION OF WORK NEW P SPR ADD ❑ CORNER CUTOFF YES ❑ NO �7,o— de ALTER ❑ IN'OPEN SPACE YES ❑ NO REPAIR ❑ . USE Of :IN COASTAL PERMIT ZONE YES ❑ NO EXISTING BLDG. DEMOL APPLICANT TEL IPR NTI NO •� f-{' "aS- 7c I I 8J. BY(SIGNATUREI I HEREBY ACKNOWLEDGETHAT I HAVE REA IS APPLICATION.AND STATE �. THAI THE ABOVE REGULATING BUIL AND AGREE i0 C E WITH ALL ORDINANCES AND LAWS HORRID HER BUILDING CONSTRUCTION. CERTIFY THAT VIOLATION DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANT PERSON IN RKMEN OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM - PENSATION INSURAN . PERMITTEE DATE SIGNATURE OF L L� L1 ( BY . YY�� C. ADDRESS ^� _ �--�1} TEL. P.C.Fee$ �'-�J Permit Fee �� 'U CITY `Y� NO. Issuance Fee VALUATION$ 0 - Total Fee - PLAN CHECK VALIDATION K. M.O. CASH PERMIT VALIDATION M.o. CASH 7 8 2�`EB 22 2.1 D 1 6.6.5A - - - 783 22 .u1 D . 55.50 °" ®5 16AG36A CE M803A 6/76 - Y LbtlllVliY ®�+a'O��Ltl� UI _ ,.A<„A.& ..9A. APPLICATION FOR BUILDING PERMIT �. COUNTY OF LOS ANGELES BUILDING s (t.vv Sit/C%� Lf DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION :. LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ' �,/� WILLIAM A. JENSEN SUP'T OF BUILDING - CROSS ST. /Y d DISTRLCT NO. -GROUP TYPE 11 , - P SSED BY FOR APPLICANT^T/O FILL IN(J j I CONST. BUILDING / m 5 �/Y L/ T/ ' STATISTICAL CLA55 FICATION SEWER MAP ADDRESS O " BK PG U CLASS.NOQQ. DWELL..UNITS �� - LOT NO, c��/ BLOCK MAPNUMBER 1i - - STATE YES HWY. TRACT -J USEZONF� SPECIAL e NO.OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. /' TEL SETBACK WIDTH OWNER J O NO. FRONT- + ADDRESS G G O S� &Z A/,' f/V /T A SIDE ARCHITECT OR TEL. _ P.L ENGINEER NO. INSPECTION RECORD ADDRESS L' CONTRACTOR 0 /Y I' ; O ADDRESS /�Y d v r' t�/r`1.{l U DESCRIPTION OF WORK 1,34 CIA O F NEW ADD ALTER REPAIR DEMOLISH ' W SO.FT. NO.OF NO.OF SIZE �l.G y 12 STORIES FAMIL ES V] USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ Q I o _ - APPROVALS DATE INSPECTOR'S SIGNATURE PC PMT. /J-C FCUNDATION: LOCATION FEE $ - FEE $ FORMS,MATERIALS _—• FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- ,3RACING, BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND _GAS VENT DUCTS STATE LAWS. REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN. DOING THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY ANY PERS- 9 IN VIOLATION OF THE WORKMEN'S COMP SATION / S CA RNIA. LATH,EXT. SIGNATURE OF H USE NUMBER COR- PERMITTE Dyl �ie`�� W� ECT AND POSTED ADDRESS FINAL — / -loll - - CLYDE N. DIRLAM, PRINCIPAL STCT AL ENGINEER PLAN CHECK-VALIDATION cK. M.o. GASR PERMIT VALIDATION cK. `M.O. cAsx iArO l 014zi J;4113 1 0 0.00. • � Lr AL :6A63BA-:;E 9R03-3.q. APPLICATION FOR BUILD, G PERK " COUNTY OF LOS ANGELES BUILDING O(�' 7. DEPARTMENT•OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST - CROSS ST. DISTRICT NO. GR TYPEE C�IN&T:- PRO 8Y FOR APPLICANT TO FILL IN r O(J' (PRINT OR TYPE ONLY) � BUILDING /,� STATISTICAL C SSIFICATION SEWER MAP C ADDRESS G00 L� CLASS NO. DWELL.UNITS BK � PG LOT NO. , ?CJ BLOCK USE ZONE MAP 0J"I - N TRACT Q SPECIAL NO. OF BLDGS. _ CONDITIONS0. (/ SIZE OF LOT [� X NOW ON LOT USE OF E%,STING BLDG. 4161,We, —& —atOdZrA V BLDG. SETBACK F OM TEL. p!_ � FRONT PROP. LIIOF (STREET), OWNER CyCIIj(,�P ND. O:J -,/C��F+7 TYPE OF E%,STING SETBACK HIGHWAY + YARD = TOTAL ADDRESSd-00 / / - G w c� HIGHWAY WIDTH' FROM 0.L. �n CITY -� 61 .+ 20 = 0 ARCHITECT Oft TEI. BLDG.SETBACK FROM ll (STREET) ENGINEERQCT t!p' Np' & SU�?S SIDE PROP. LINE OF • TYPE OF E%ISTWG SETBACK HIGHWAY + - YARD = TOTAL ADDRESS J� _ C/JSJX' Qae HIGHWAv WIDTH FROM C.L. TEL. CONTRACTOR N0. ADDRESS LIC CORNER CUTOFF YES. ❑ NO ❑ 0 CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS CONSTRUCTION LENDER ` U NAME AND BRANCH S� OOl1Ll! ZJ O »v.. w O_ SZADDRESS `n O L+� Z S0. FT. N0.ROF� �2 FAM IOLIES NEW ❑ s' O -' r SIZE STO STRUCTURE Y!i/Y� Ch1 USE OF ADO ❑ / Jam' n ALTER ❑ �/L /�>— p// �O _ Ay,��/ �� SL Rh1 REPAIR C] /./ AA' .<i�l'LGtK.,-JiG ,Gl.f ) ✓J/: SIGNATURE DEMOL ❑ - APPLICANT ,�..nn VALUATION OVY '1 APPROVALS �D�A{TEE SP Iry .R's Ic ATURe P.0 PMTFEE $ N: LOCATIO O FEE $rl S O FO FOR", OR MSO MA ERIIALSN /'GJ •L� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, U WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUE- TION C- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBYEREBYI �J WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. -.AF� T/ OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION OM- PENSATION INSURANCE. �X LATH, EXT. SIGNATURE OF�IX/ HOUSE NUMBER CORRECT PERMITTEE�/r' AND POSTED ADDRESS FINAL - JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENG, PLAN CHECK VALIDATION cx. M.o. cASN PERMIT VALIDATION c". "^.o. cASR I r,�� 4443�— APR.1323 D 26.1.01 `4 596— APR21 1 0 43.50': a • WORKERS' COMPENSATION DECLARATION thereby.Ya cpr that I hover certificate of consent to self APPA OCATOON FOR [BUOL.D9 IG, 'PERMOlT iAwje,,r a cgrtificate of Workers' Compensation Insurance, LL u u`� �`� PERMOT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND'SAFETY Policy No��$� CompanySTATE rU Hd Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS _ ADDRESS Certified-copy is filed'with the county building inspec- BUILDING �' I �` l/i o'n��dep rtment. : ADDRESS ilIV •Dote /�j -.. Applicant IN xlgl CITU C ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WOR ERS' NO..OF BLDGS. NEAREST14Z,-PaG COMPENSATION INSURANCE . 1 SIZE OF LOT NOW ON LOT CROSS ST. t- (This section need not be completed'if the permit is for one TRACT LOCK LOT NO. ASSESSOR hundred dollars'($100)or less.) MAP BOOK PAGE PARCEL TEL. USE NE MAP certify that in the performance of the work for which this OWNER NO. - NO. _ permit is issued, I shall not employ any person in any manner ADDRESS ) J - / SPECIAL , so as to become subject to the Workers' Compensation Laws. CONDITIONS ' Q CITY ZIP - V Date Applicant - - W ARCHITECT OR TEL, DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, cher`'mubject to the of ENGINEER —INC. rX� �n - Exemption, you should become' subject to. the Workers' ��U n ' CONST. �. ZONE V Compensation provisions of the Labor Code, you must forth- ADDRESS UX Fly 'CL with comply with such provisions or this permit shall be N ..�pL TEL L I A JJ ff , STATISTICAL CLAS$FICATION - APT. C DO. deemed revoked CONTRACTOR {t1/ Na -tier —7 LICENSED CONTRACTORS DECLARATION _ LIC. (L¢� CLASS NO.= UNITS_ Z I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS G NO. 3 a 4 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and p .LIC. - Profemions Code, and my license is in full force and effect. CITY (� �.• CLASS G' 3 BK / VALIDATION CC'�//,� ` Sp. F NO.OF n NO. OF CHECK License NvmbbLerr,G;0a?g9�' LIc:ClassC's / SIZE STORIES L.--- FAMILIES ONE - VALUATIONPEPW7 Confract0l�7� 5g 1kl1^..��(Jfl`/Is�� Date DESCRIPTION OF.WOR,lKs �/ NEW D O $ I am exempt under Sea ` r D L ALTER y B.BP.C. for this reason 6 ,T , REPAIR $- ;li 9 5 4 3 A ( Date: USE OF DEMOL s e • e • .I EXISTING BLDG. C Signature AN APPLICT TEL FINAL / _ _ `.I -'-'49.8 8 OWNER-BUILDER DECLARATION PRINT NO. DATE 6 I hereby affirm that I am exempt from the Contractor'sLicense Low for the following reason (Section.7031.5, Business and ADDRESS FIN - •e_e,e 4 988 c=i Professions Code): PR NG' . BY i ' 5. 6-8 8 ❑ BUILDIN _ O O 1, as owner of the property, or my employees with ADDRESS 'wages as their sole compensation,will do the work and D the structure is not' ntended 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 Cade). CONSTRUCTION LENDING AGENCY SETT BACKK YARD HWY TOTAL PROP, LINE WIDTFROM I H I -' I 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 ' 3 ` 3 DMA R. R m Lender's Address P.C. Fee E Permit Fee. D I certify that I have read this application and state that the Issuance Fee J L� LDMA P/C N above information is correct. I agree to comply with all County lovev gallon Fee - i ordinances and State lows relating to building construction, - Total Fea LDMA Perm. H and hereby authorize representatives of this County to enter `m upo t eNabe- noon pro rf ovy for inspection urpos SEE REVERSE FOR EXPLANATORY LANGUAGE SignaWra of Applicant,9 Agent - Dote