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Home My Public Portal About6031 & 6035 ENCINITA AVE_Building__ 76A630A CE9803 9-68 CSU( APPLICATION FOR.BUILDIN PERM( 'LII COUNTY OF LOS ANGELES BUILDING �D2� DEPARTMENT OF COUNTY ENGINEER ADDRESS J BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT GF BuaoiNG CROSS ST. FOR APPLICANT TO FILL IN DISTRICT dO. Ro P TYPE P CESSED BY s. �. CONST. 0 (Print or type only) I BUILDING STATISTICAL CLASSIFICATION SEWER MAP J ADDRESS to CLASS NO. S/2DWELL.UNITS_ BK L PG/6 LOT E OI NO TRACTO. S9a BLOCK U$ ,`. .^N:�YE SPECIAL Cc / NO.OF BLDGS. 7MAP (� CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. Residence BLDG.SET CK FROM TEL. FRONT PRO INE OF (STREET) OWNERTropE, Cathy NO. TYPE OF EXISTING TBACK HIGHWAY + YARD = TOTAL ADDRESS 5621 N. Noel HIGHWAY WIDTH FR .L. CITY Temple City I I + BLDG.SETBACK FROM ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK I HIGH Y + YARD = TOTAL ADDRESS TE HIGHWAY WIDTH FROM L. [L CONTRACTOR R' C O. C C ADDRESS 337S. Woods No159496 CORNER CUTOFF YES ❑ NO ❑ C CITY L.A. 22CLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS ri CONSTRUCTION LENDER 4 NAME AND BRANCH Z_ ADDRESS SO. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD Li Reroof patio - ALTER ❑ SIGNATURE OF 1L REPAIRO APPLICANT „ EMOL �/ ❑ VALUATION S 15.00 • APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEES 6.00 FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT FRAME: FIRE STOPS, HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STIR UC TION. I CERTIFY THAT IN DOING THE W ORK`AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT., LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION fr.13 l�lCoE.SITany. LATH, EXT. ` /��i-in- SIGNATURE OF�) /,vv, dd.^. _ p HOUSE NUMBER COR- PERMITTEE �/ F-� RMC-R-^C� RECT AND POSTED ADDRESS 333.7 S Woods T_A_ 22 FINAL �/� � JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK. V.O. CASH _ PERMIT VALIDATION cH. M.o. CASH 1 F, 4 3 3 4C2 )TPP, 2 1 0 6.00- 0. .,-WORKERS'•COMPENSATION DECLARATION _ �• - -_� S, t _ - _ _... _ . . . E hereby affirm that I have a certificate o} conseni to self //p�� O O '/(� //(]�� ff�@�� FOR R O D + � insure, or a certificate of Workers'Compensation Insurance, (ill F) Loc-!/11�no ll OL1�1 L-=/URD��1C� p[�aMOT or a certified copy thereof (Sec. 3800,'Lob:'C.) - ,,. - COUNTY.OF LOS ANGELES BUILDING,AND SAFETY Policy No. - - - Company " - a Certified copy is hereby furnished. - FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building nspec- BUILDING 'lion department.' t ADDRESS 6035 ENC IN ITA AYE Date^ `' •" Applicant - -O _ v ry TE_MP CITY ZIP 91180 LOC CERTIFICATE OF EXEMPTION FROM WORKERS:,, --- NO. OF BLDGS. - - : NEAREST _ - ._ •. COMPENSATION INSURANCE SIZE OF LOT COO x I S3 NOW ON LOT 2 CROSS ST. (This'section need not be completed if the permit is for`one TRACT BLOCK- - - ASSESSOR - - hundred dollars ($100)or less ) LOT NO. MAP ISOPAGE PARCEL OWNER -'L ARRC NAYNE�S- TEL. 81-9305 USE ON MAP, - - I certify that,m the performance of the work for which this c A _ NO. > permit is issued, I shall not employ a person In any nner ADDRESS-•'0035 -ENGIN ITA AI/E - :- �' SPECIAL-4- so as to become subject to th Workers Compe sati�aws. CONDITIONS V Date. 1 13 Applicant __. CITY. - TraMPL-E C.1T'f' ZIP 91'180 _ - - c NOTICE TO APPLICANT:'If,after in this rtlf ate of ARCHITECT OR iEl DISTRICT- GROUP 'TYPE ! FIRE PR SED BY F _ ENGINEER NO. /1 Y V Exemption, you should eco - ubject to 'the ' orkers' - � vY /L'�• CONSL, '/ ; ZONE W Compensation provisions of th bor Code, you ustforth- ADDRESS y with comply with such provisions or this permit shall be - -- - TEL. - - STATISTICAL ClASSrf IC TION APT. NDO.. 1A deemed revoked. - _ �• CONTRACTOR JasE:Pl� Au6Us TIEIL 5-5Ti1 i LICENSED CONTRACTORS DECLARATION - �-I - LIG 3 p CLASS NO. 5WE.. UNITS— I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 5 ,4 114N1 cit' L A NO. 35�J Q5 . , (commencing with•Section 7000)of Division 3 of the Business and _ _ _ __LIC. SEWER MAP , Professions Code, and my license is I it0ull force and effect. CITy SAN'GAMIC-L- CLASS B I BK. "' �:' - VALIDATION ' Q SO. FT, NO. OF _ NO.OF CHECK__ ... , , License Number SO `-'5 L:c Class" g SIZE ' 1�0'� STORIES 1 FAMILIES � ONE '. VALUATION_ •_ ` s,� JosEPN A AUSU ST DESCRIPTION OF WORK -' NEW $ 1A 100 Contractor r Date 'L 13. gam' - _-❑❑ Q T - ►"I am exempt under Sec - REMODEL. APA, 127031 AND u --6RAD ALTER ❑ D B.BP.C. for this reason 4011REMPLOV599 I;LECTQIG AUD PLUIVII8196 REPAIR - _ -Date: It USE OF EXISTING BLDG. RESIDEENGir DEMOL ❑ ' Signature - - - - - --' APPLICANT- - - - - TEL FINAL 2 3 81L 8 A PRINT JOSEN A Au6U5'r No. 285-5111 �� _ OWNER-BUILDER:DECLARATION DATE �- - - .l.hereby affirm that I am exempt from the Contractor's License �-L # • • • • •1.J Low for the fo l lowing`reason:(Section 7031.5, Business and ADDRESS y 1 N,�15TA SAN 6ABRIeI. FIN L/ -Professions Code):' -'- • -" "" 1 - - PR SEN - - - 6y /r L - ,1 • 1 4 3 53- BUILDING I, g. owner the property, or my employees with ADDRESS 'wages as their solecompeniafion,will do the work and 1 4 3 6 3 v the structure is not intended or offered for sale(Section LOCALITY D- -7044, Business and Professions Code). - - - MOVING - "' TEL.- -' " ' ' ' � 0A 1 5_8 6 I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors-to constructtheproject (Sec- ADDRESS tion 7044, Business and Professions Code). +� N _ _ RLOUIRED TOTAL SETBACK FR - CONSTRUCTIONLENDINGAGENCY -'- SET BACK YARD HWY PROP. LINE WIDTH. 1 hereby affirm that there is a construction lending agency for FRONT ' the performance of the work for which this permit is-issued - P.Ir. -- (Sec. 3097, Civ. C.). - SIDE " ' P.I. Q Lender's Name - - LDMA Ref. # P.C. Fee.b. - __. Permit Fee Lender's Address - -1 certify.that I have read this.application and state that-the _ Issuance Fee- - ID. LDMA P/O#- - a above information is correct. I agree to comply with all County Investigation Fee / - $ ordinances and State laws relating to building construction, _ _ 8 -. — Tmol Fee - 3 I tl'�- 1 -LDMAPerm:#--- -- •- -- -- - - u and hereby authorize repres tanves of this County to enter t the above-me - pection purposes. - - . _ ^ - Orp SEE REVERSE FOR EXPLANATORY LANGUAGE -- Sign re olA icanro Agent - - - Date 2RS• COMPENSATION 'DECLARATION -I Tt-✓"•- ~- - _ f - Y~• "�V _ t 1 hereby affirm, Ili I have a certificate of consent to self - p� L��y 1rL' 08\7 r/� //(�� rl��Ip� FOR D �F��Ip�`/��-r D �p}1��7�/p��//A7� insure, or a certificate of Workers' Compensation Insurance, //"pP _L��y 1111�0®I1 V ,Il ®IIO , ��.��D�U V V P `L.r- 001/77 U�� or ci certified copy thereof (Sec. 3800, Lab. C. " -` - - . I -' P • y COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No .. . _. .. . . Company ..- - . . _ Ceriified,copy is.hereby furnished.? FOR APPLICANT TO FIL IN s BUILDING ' I ADDRESS / ❑.',, Certified copy is filed with thecounty bwlding'inspec- - BUILDING / /J� L'f;iG/�/ I tion'deparime nt L " ° "' "' ` P3 " ' ADDRESS {®a? , Dete ,•Applicont U, CITY �� (..-/ ZIP - LOCALITY - e a A4 - .' _ ._._. _ - . ;- - NO. OF BLDGS:---'--- - '+ NEAREST. t CERTIFICATE COMPENSATION INS R INSURANCE -1 'ti' •"I - ' ;,. • COMPENSATION INSURANCE- ,`y < SIZE OF LOT D(/T LTJ NOW ON LOT t CROSS ST /r J' ,,GYeY.(f (This section need not be completed'-if'the'permit'is for'one -- -- - - ' - -' - ASSESSOR •-+ I ' hundred'dollars ($100)or.less.) ., r TRACT .. BLOC LOT NQ MAP BOOK PAGEI PARCEL //''--�� _ TEL' /J ( USE ZONE MAP A•ti� r OWNER ed e,' .! NO. �,••, .1_ rerhfy that it the performance of the work for which this NO. } . , c, . ' permit is issued, I shall not employ any person i xany manner - - ADDRESS ' _ _ _ "' '�- SPECIAL - - - -^• - AL • so;as tobec m 'subject to the Workers' o nsation Laws. . � � CONDITIONS 10 Date-• A. i t CITY -. .G' �r (, - - .-ZIP.-.___ _ __ _ _ I .IM PP I ARCHITECT OR TEL. _ DISTRICT., G OUP' TYPE_ - -FIRE ,PR C ED BY. 10 NOTICE O APPLICANT'•If, a tei`m ing this CerfifiEote'of ENGINEER NO., CONST ZONE--Exemption,`•you •should become subject •to the Workers' '- ' /4 �� '/ W 'Compensation provisions of the Labor Code, you-must forth ADDRESS - G (J - -- -V♦- -3- Y - d with,comply with such provavons_or this permit shall be - -- - - - - TEL. STATISTICAL CLASSIFICATION APT CO O - - deemed revoked •, :=', •. �. . , - � _ t CONTRACTOR NO. -_ ` LICENSED CONTRACTORS DECLARATION - -- - - - - - - •' UC"- 'CLASS NO. DWELL. UNITS _ I hereby affirm that.I'am'licensed under provisions of Chapter 9 "ADDRESS NO. _ SEWER MAP s (commencing with Section 7000)of Division'3 of the Businessand . . _.. -- _ '.. . . .. ..LIC-= - _ _ _ _ _ _ _ _ ProPessions'Coda, and Amy license is in full force and effect., CITY CLASS BK, �! t 'VALIDATION SO. FT. ��(( NO. OF _ _ NO.OF__ .CHECK - SIZE .ao 15 TORIES FAMILIES ONE License Numbei Lc.-Class ' • -_VALUATION. 3 'S DESCRIPTION OF WORKNEW.- '❑ _ �t ' CCoontractor* . SDate _. - - .__ Y ADD _ ❑ $ /��GV I am exempt under Sec. " ALTER H B.BP.C. for this reason j - ._ . 40 - - REPAIR". S " ' - �-- - '� -" --• '-- - - _ .. Date:.' . . USE Of - DEMOL _ EXISTING BLDG. ❑ - - - - - -+- '-'Stgnature ' - -- - - - APPLICANT TELPRINT NO , FINAL - ''J��jj , OWNER-BUILDER DECLARATION - - _ - •.` NO. - _. DATE -f-�J- - - - - -- -- •--••-- - •-I hereby affirm that lam,exempt from the Contractors License ADDRESS J FI Low for the following reasont(Section 7031.5, Business and ,. Professions'Ccde) -"- - ' '•" - PRESENT J i - t 7A BUILDING 4 I, as:owner of the prpperty, 2 or my employees with ADDRESS _ _ • zages their solem copensation,well do'the work and # ! "�•�.._ , � the structure is not intended or offered for sale(Section LOCALITY - •r9 was 7044, Business"ond"Professions Code). "- - MOVING' "' ""' - 'TEL. - '' CONTRACTOR NO... - I ' I; os ownei of the property, am exclusively contracting - "�.,• ) •11 7 1,7 JC- with'licensed'contractors to construct the project'(Sec- '- - " `-- "- • '_." , ' � -• . " tion 7044, Business and Professions Code), ' ADDRESS t' tv ." \ `� ;` L 1 n x ..REQUIRED '._TOTAL SETBACK F ..- '"� .� ,7 1.7 5 0, -' - - `- -- CONSTRUCTION LENDING AGENCY` --•- -- SET BACK -YARD 'HWY- PROP LINE WIDTH �� 4 1 _•` I hereby affirm that there is a construction lending agency for FRONT ~- .� the performance-of-the work for which this permit^is-issued - P.Lr" 7.'8.6 - (Sec. 3097, Civ. C.). SIDE •- I - _ I -'' ,. Lender's Name - - m - LOMA Ref. N P.C: Fee'$' Permirfee. .. 41, i. T I Lender's'Address ,I certify that I have.read.th is application-and state that.the - Issuance Fee [L— P/GN - - D - - --• .+ < above information is correct. I agree to comply with all County Investigation Fee - g ordinances and.State laws relating to building construction, _ _ .__- _ _ _ Total Fee - -- - ^-��- CDMA Perrin.-Ji- t; and hereby authorizv ---' - - -1- ' 'epresentatives of this County to enter. - - m upon the abo tioned property for inspection Pur s . < / SEE REVERSE FOR EXPLANATORY LANGUAGE ""' 5-1 of Applrcam or Agent Date-