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Home My Public Portal About6045 ENCINITA AVE_Building__ 76A638A CE #803 1/71 APPLICATION FOR BUILDING PERMIT -COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUIpRLDING D ` AD E55 COLEMAN W. JENKINS, SUPT DF BUILDING ` LOCALITY FOR APPLICANT TO FILL IN NEARESTT Print ort a on CROSS ST. BUILDING _ " � e�/J DISTRICT N GROU TYPE PR C O B ADDRESS 60 /VO. e VC:-i/V;rq c'S. 0 coNsr. LOT NO. 3 BLOCK STATISTICAL CLASSIFICATION S IER MAP _ CLASS NO-_H-p_t LL,UNITS B PG TRACT USE ZONE MAP J NO.OF BLDGS. NO. u SIZE OF LOT NOW ON LOT SPCIAL USE OF CONDITIONS EXISTING BLDG. o C �J OWNER rlE jII�T/E l /` PS NOL p•S O , BLDG.SETBACK FROM A DDR ESS (o o'S/S /(/O. 4—:7/VC//1i/TA FRONT PROP.LI NE OF (STREET) JcMd'tC �/ Y HE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL C17Y HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL.��_[ } - ENGINEER NO. Tj-Y- BLDG.SETBACKF ADDRESS SIDE PROP. LINEOF (STREET) r� r• TEL. TYPE OF EXISTING SETBACK HIG + YARD = TOTAL O CONTRACTOR Uc�2K C NO. HIGHWAY WIDTH FROM C.L. CD ADDRESS t/OF �'el4C NO, + dA'� ,(� O CITY C/r�j/ / CLASS CORNER CUTOFF YES LiNO ❑ w CONSTRUCTION LENDER aL h NAME AND BRANCH SE REVEA SIDE FOR SP L APP OVALS ? ADDRESS SO. FT. / rr A NO. OF NO. OF NEW '.SIZE X- STORIES FAMILIES USE STRUOCTURE /�J/UC.. L-O C/- ALL ALTER ❑ SIGNATURE O REPAIR❑ APPLICANTea�aC EMOL ❑ VALUATION 3 A APPROVALS DATE (NSP T.F.S slGNa ru qE FEE S FEE 5 ({--y FOUNDATION- MATERIALS , FRAME: FIRE STOPS, /• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS ANp STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITX ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT. DUCTS STNUC TIO N. I CERTIFY THAT IN DOING THE WORK AUTHORIZED' HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. La BOR CODE 0 THE STATE OF 'CALIFORNIA I gELATI NG TO W ORkMEN'S CO PE 1 TION IHBDRANC LATH, EXT. SHOUSE NUMBER COR- PERMITTEE L.W1� RECT AND POSTED ADDRESS FINAL A111,471 JOHN F. LEWIS. PRINCIPAL STRUCTU AL ENGINEER PLAN CHECK VALIDATION . DK. CASH _ PERMIT VALIDATION cN. M.D. CASH Gr 1 5 71— JUL 20 ]\A091A[E IJ001-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES no REISS (:q 1-1l 5 C DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPIT OF BUILDING CROSS ST.. - DISTRICT NQ GR P TYPE / P C D BY FOR APPLICANT TO FILL IN - CONE BUILDING y ST I ICAL CLASSIFICATION SEWER MAP ADDRESS BK- P CLASS.NO. DWELL.UNITS LOT NO. BLOCK WATER -NOT REQUIREDLiRECEIVED ( � CERTIFICATE Li TRACT Q MAP HIGHWAY -j-/} T O. OFBLOGS. NO. ¢IRaEI STATE MAJOR SECOND LOCA USE OF ZE OF LOT ZS JC7� �./v,✓r.I NOW ON LOT �� USE� N CONDTI S EXISTING BLDG. TEL. �6 . OWNER NO. :•Y�.. BUILDING EXIST. c. SETBACK YARD HWY STREET NAME WIDTH ADDRESS /ZL A/-, r'—✓'f• fii i �. T� FRONT _ Ol O ��G/��•� ARCHITECTOR TEL. P.L. h / ENGINEER NO. SIDE ADDRESS G TEL _INSPECTION,,RECORD ,/J, / O CONTRACTOR A -II' NO. L) . ADDRESS / Y7 Y/l✓� F/` �'O` DESCRIPTION OF WORK [/ v ELI NEW ADD ALTER REPAIR DEMOLISH TZ . f NO.OF NO.OF /V d'T /i�. Y - SIZE STORIES FAMILIES U �' �SE OF k� T' STRUCTU E c ai �/ ••.,A '/ n /� •A� ./ /`pA E/r/Liter SIGNATURE OF S) .2 r/ ' •/ (/ lS'-I �/[�/ .. '}'7�/r-h./fif.P (/ APPLI VALUATION$ 0 I r .APPROVALS DATE INSPECTOR'S SIGNATURE P.C. (yp PMT. FOUNDATION: LOCATION ,IC •g .Y"Jv},rp�� - FEE'$•� A®�f FEE $ '� FORMS,.MATERIALS •! ..//'' FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS _ /J A.. STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT DUCTS .�VAl BUILDING CONSTRUCT ION. 1 CERTIFY THAT IN GOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT. /I. 1n 1-d'A A //A TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ,y ING TO WORKMEN'S COMPENSATION INSURANCE. 1 /1yJ�� /f� I��✓N F/ SIGNATURE OF /�'/,/I LATH, EXT. [' P RMIITTEE�1 �l,/L� �(rJ . HOUSE NUMBER REST AND POSTED ADDRESS �i,�� / / FINAL �!�/' ✓ CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATIONCK. N.C. CASH i! 077.390- JUL'1923 D ; .c) G'A L,'uo3047� JUL 2rj 1 D 6 4.0 0 WORKERS' COMPENSATION DECLARATION - /� ,rye I-�II �i F� I/� I� I IL I�� I� r�F�y�yL y� I hereby affirm that I have a certificate of consent to self yU` Imo/17r II I fI A 75O N FOR I:(11 II�II D�II@II G I�E RIM�j O 11 insure, or a certificate of Workers' Compensation Insurance, 9/2% 9 ILSS �J U V Uhl IJ "VV�� IISS Il V Illi IISS Il�lll C7l1 fill or a certified copy thereof (Sec. 3800, Lab. C:) - COUNTY OF LOS ANGELES - - '- ' BUILD111'I D SAFETY- F Polic o�r-,a2�Company �• �"Nn BUILDING _ Certified copy is hereby furnished. . ildi g60111 _FOR APPLICANT TO FILL IN BDING ADDRESS 610 L/'S' ;A- UIL yr ElCertifiedcopy is filed with the county uinspec ADDRESS 6� - tion �department. - nn - ) DateJnq.y—LIL.APPimnt• CITY - tr t� ZIP LOCALITY _ NO. OF BLDG . - _ NEAREST CERTIFICATE OF EXEMPTION M WORKERS' SIZE OF LOT NOW ON LOT CROSS SL ' . .COMPENSATION INS RANCE - _ - SSOR ,(This section need not be completediif the permit is for one ' TRACT ""' " " BLOCK ' ' LOT NO. ASSEMAP.gOOK. - PAGE PARCEL hundred dollars ($100) or,..less.) _T flTEL.pp USE ZONE NWp ` `' OWNER "N6LL'S - I certify that in.the performance of. the work for which this - NO. permit is issued, I shall not employ any person in any manner ADDRESS Q _ - SPECIAL - a CONDITIONS -so,as to become subject to,the Workers' Compensation,Ldws. qq _ .. O ., CITY' O -.L' • QIP 71117 0 - V - Date _ Applicant ARCHITECT OR - TEL. DISTRICT GROUP 'TYPE FIRE ROC D BY NOTICE TO APPLICANT:. If, after making.this,Certificate of- .. - ENGINEER. NO. /•� n CONST. Z R Exemption, you should become subject to the, Workers' - - r$ / Y.� 1/ W, Compensation provisions of the.,Labor Code, you.must forth- ADDRESS ✓ lll��✓✓ •.Jr� =.d with comply with such-provisions or;this permit shall be TEL.nn !! STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. - CONTRACTOR }� �r� NO6v Z' LICENSED,CONTRACTORS DECLARATION• LIC CLASS NO. DWELL. UNITS Thereby affirm that I am licensed under provisions of Chapter 9 ADDRESS / 7V NO. 3{' `J ^ LIC. q SEWER MAP (commencing with Section 7000)of Division 3 of the Business• CITY ii 1l CLASS CIS and Professions Code,and my license is in full force and effect: _ _ __ 'BK. pG VALIDATION � - SO. R' 'NO.'OF NO. OF CHECK License Number W3/ 7 7 +Li c.,Class' f--342 SIZE STORIES FAMILIES ONE VALUATION I . ..t- .,. .. , 'Contractor �(/�T'�fl�1 r!C Date 7—�� y== DESCRIPTION OF WORK s ND A ❑❑ S _ ❑I am exempt under Sec. O _ ALTER ❑ ` ' D B.BP.C. for this reason I e REPAIR ❑ $ ' Date:. . EXISTING BLDG. DEMOL ❑ S t rc O leo IXC O MO `'APPLICANT - _ TEL -/ - OWNER DECLARATION (PRINT) NO. FTAL 2 �� 7"/a I hereby affirm that I a exempt from.the Contractor's License - - , ATE - - Law for the following.reason (Section 7031.5,'Busines3 and ADDRESS_ FINAL Professions Code) _,. T PRESENTBUILDING By j ._ r .. ❑ I, as owner of the property, or my.employees'with ADDRESS Ar•L.1 •s. • - - woges as their sole compensation;will do the work and - the structure is not intended or offered for sale(Section LOCALITY _ 7-30 7t -C . 7044, Business and Professions Cade.), - MOVING - TEL. D ❑ I, as owner of the property, am.exclusively contracting CONTRACTOR NO. 1 NEMS :. with licensed contractors to.construct the project (Sec- ADDRESS I CIIAL 163 - 63 tion 7044,.Business and Professions•Code.) 'REQUIRED --TOTAL SETBACK FROM - EXIST: - - 1 CONSTRUCTION LENDING AGENCY SET BACK YARD' Hwv PROP. LINE WIDTH HECY, I hereby affirm that there is a construction lending agency for FRC! - _ CHAPIE .ljl the performance:of the work for which this permit is.,issued 'P.L (Sec. 3097, Civ. C.). SIDE P.L. .. - Lender's Name 0�r0O 1 -00 t H _DMA Ref. f! UVJ O_,1 v�.yl��a• m - PC,Fee$ Permit Fee / ilt�1" .1 HM1UElJ5 Lender's Address I certify that I have read this application and state that the Issuance Fee 3 z O LD,VA P/C If D ' 8 above information is correct. I agree to comply with all County Investigation Fee ,q ordinances and State laws relating to building construction, Taal Fee LDMA Perm. q . a and reby authorize representatives of this County to enter + 'up he above- ntioned pn perty for inspection purposes. - Q SEE REVERSE FOR EXPLANATORY.LANGUAGE Sig re o Applicant or Agent Date