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Home My Public Portal About6046 ENCINITA AVE_Building__ f 7GA611-55 ADB6-9 APPLICATION FOR BUILDING PERMIT 5 DIVISION OF BUILDING AND SAFETY BUILDING Depmtmeut of County Engineer ADDRESS County of Los Angeles LOCALITY JOHN A. LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS SL (- // �•.'�� FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE EWER MAP y�� BK PG ..1� CONST. BUILD ADDRESS / MAP NUMBER D HWY YES t4 !r LOT NO BLOCK USEZONE SPECIAL TRACT _ . ; CONDITIONS � L% �j 010 NOW OF BLDGS. / SIZE OF LOT L NOW ON LOT BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH USEOF EXISTING BLDG. FRONT OWNER SIDE MAIL P. L. ADDRESS O TRACT DW L. I UNIT TEL. FET.. CITY NO. i DWELL. 1 UNIT . ARCHITECT OR TEL. 2 DUPLEX 2 UNITS ENGINEER NO. 3 APT. _UNITS ADDRESS 4 COMMERCIAL CONTRACTOR NO. INSPECTION RECORD I ADDRESS r r DESCRIPTION OF WORK I I NEW ADO ALTER REPAIR DEMOLISH SO. FT. NO. OFNO. OF SIZE STORIES FAMILIES USE OF STRUCTURE / i SIGNATURE OF APPLICANT APPROVALS 11 ADDRESS- DATE INSPECTORS SIGNATURE 5 �� O FOUNDATION:LOCATION Z P. C. S FORMS.MATERIALS FEE FRAME: FIRE STOPS. VALUATION S BRACING. BOLTS FEE FURNACE: LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS I.PPLICATION AND STATE THAT THE ABOVE IS CORRECT nNO AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. -.ND STATE LAWS REGULATING BUILDING CONSTRUC- -- 'ION. _ LATH. EXT. I SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN A.LAMBIE. COUNTY ENGINEER /VALIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR J CIS. MO CASH WORKERS'COMPENSATION DECLARATION � /�LA r� p FOR I hereby affirm that haver certificate of consent to self f& PPn C /OS��OII�VI �ODU D MOdD0�1C� p��l�nl�� insure, or a certificate of Workers'N DECLARATION pensation Insurance, /tel LTL LA U V or a certified copy thereof (Sec. 3800, lab. C.) /� •/ J Policy No. Argonaut TnF:. Co. APe � 8F 1:199 ANGSLES- BUILDING CGUNVIiBUILDING AND SAFETY �F , Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS JC/ �T.j'G �- ® Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS. 6046 -Encinita LOCALITY /�/✓ !� NEAREST Date 11-1-R3 Applicant R;;iudol Rnn Gln,. & Con CITY ToMpI Cit, ZIP80 CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' ,�j NO: OF BLDGS. ASSESSOR COMPENSATION INSURANCE CO. Inc. SIZE OF LOT L0C . NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if.the permit is for one .� 8'V' USE ZON MAP Q hundred dollars ($100)or less.) TRACT BLOCK L T NO. t��-� I NO. �' TEL. t ` 1 PECIAL I certify that in the performance of'the-work for which this OWNERTO]p2mapNO. 98,z cnoi7L 'CONDITIONS d P employ v P Y permit is issued, I sholl not em to an erson in an manner D TRICT . .GROUP TYPE FIRE PROCESSED BY 0 U so as to become subject to the Workers Compensation Laws. ADDRE CONST. ZONE 4? y rpLn / . Date�� Applicant RanAnl $nnf ino CORS CITY Temple:tC t ZIP 78 STATISTICAL CLASSIFICAJION APT. C DO. O NOT ICE7 O APPLICANT: If, after mak;ng this Ce!f;cate of ARCHITECT OR TEL I CO. ENGINEER CLASS NO. y DWELL. UNITS_ W Exemption, you should become subject to the Workers' . 6 Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP / N with comply with such provisions or this permit shall be TEL 1 6 deemed revoked. CONTRACTOR NO _ BK.'Fi. PG, / VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 529 E. Valle: Bl. No451937 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS _ $ 3959.00 451937 SQ. FT. NO. OF NO.OF CHECK D License Number Lic.Class C-39 SIZE STORIES FAMILIES ONE _ r Contractor Randol Roof inK &Dfnonst. Co. 3-6-84 DESCRIPTION OF WORK NEW E b ADD Cl I am exempt under Sec. — L ALTER FIN kL - B.BP.C.,for this reason I Prglnq ghingleg REPAIR Q DATE Date: USE OF FINAL EXISTING BLDG. DEMOL 0 By >� Signature - APPLICANT TEL. - OWNER-BUILDER DECLARATION PRINT R ndol Roo 'n & C 288-404' •--�" r 9 5 3 4 A I hereby affirm that I am exempt from the Contractor's License - D ) Law for the following reason (Section 7031.5, Business and ADDRESS # o a e e e Professions Cade): BUILSENTD NG - I 2 tele 6'a 6 3 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and oo . 6a6360 the structure is not intended or offered for sale(Section - LOCALITY 7044, Business and Professions Code). _ MOVING TEL. 0 3 0 8'-84 El1, as owner of the property, am exclusively contracting CONTRACTOR NO. wDDRESS ith licensed contractors to construct the project (Sec- A tion 7044, Business and Professions Code). A REQUIREDTOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY YARD Hwr SET BACK D I hereby affirm that there is o construction lending agency for FRONT PROP. LIN WIDTH ' the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name Lender's Address P.C. Fee$ Permit Fee 5$• 13 ' I certify that I have read this application and state that the Issuance Fee 10.50 - above information is correct. I'agree to comply with all County Investigation Fee - ordinances and Stale laws relating to building construction, Total Fee 68.63 - ✓•} and hereby authorize representatives of this County to enter - upon the obove-me n rcperty or in coon purposes. - - ✓ SEE REVERSE FOR EXPLANATORY LANGUAGE ignature 6f Aopficant or Agent' Date ®s COUNTY OF LOS ANGELES TEMPLE CIT'+. '-f 0508 BUTLOPlG PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA c1780 BL 0508 0407060052 PHONE: (626) 285-0488 EXT: L GAL ID: T-0. 0 F CONSS NEW DING ADDRESS: TR: 6561 LT: 8 SQ. FT STORIES TYPE OCCUP GROUP 6046 ENCINITA AV _ STRUCTURE: 294 1 VN R3 TEMP CA 917801934 ASSESSOR INFORMATION NUMBER: GARAGE: _ NEAREST CROSS STREET: GARIBALDI 5385-004-003 OTHER: THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUEDON: PROCESS. BY: EXPIRES ON: (EXIST OCC GRP: 07/14/04 JK 07/09/05 OWNER: TEL. N0: ]ff—LDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: TAM, QUACH (626) 298-2578- 1 24,280 6046 ENCINITA AVE TEMP 917801934 FEES PAID DESCR T N OF IWO K NEW ROOM ADDITION FOR EXISTING HOUSE C.U-.t �'�ti IEEE DESCRIPTION: QUANTITY: UOM: A.MOUNT:I APPLICANT: - TEL. N0: SAME AS OWNER - 61 BLDG W/ENFRGY 24280.00 VAL 438.74 AA BIDG PERMIT ISSUANCE 27.75 SPECIAL CONDIT IGN S: AC STRONG MOTION RESID 24280.00 VAL 2.43 B2 PERMIT W/ENERGY 24280.00 VAL 515.46 TOTAL FEES - 983.78 CONTRACTOR: TEL NC: APPROVALS DATE INSPECTOR SSGN.ATURE SAME AS OWNER - LIC. NO LOCAT O�TBACKS SOILS ENGINEER APPROVAL O.RCH� O NGI 'SER: TEL.HO: � TOUNCA IG�k/'°EFCHTO!tM5 LIC. NC: :LAB/UNDER FLOOR -�W2V RAISED FLGOR FRAMING - -- MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: Cid?: iUNDERFL00R INSUL AJION 3 03 � .ST L VELE L FLOGk StIEAT!! NO. OF FAMILIES: D FEEING UNITS: AP OND: 5 A1• L•LASS NO 21 i�ND ;.EVEL FLGOF SI F.ATH SCHOOL WITHIN HAZARDOUS (ROOF ATHIMI AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT "QUIRED 'TOTAL SETBACK FRSEXIST, BLDG DEEPT. FRAME INSPEC SET BACK YARD: HWY: PROP LINE: WIDTH: 7� (FRONT PL- SHEAR PANELS SIDE PL- _ INSULAT ON/WEATHER STRIP �g" 11TIRIOR LATH/DRYWALL J I _- EXTERIOR LOT DRAINAGE `Y SMOKE— DETECT.N C:VITES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508