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HomeMy Public PortalAbout6105 ENCINITA AVE_Building__ 7BA998A CE#0..-].68 APPLICATION FOR BUILDING PERMIT Z' BUILDING AND SAFETY DIVISION BUILDING © S Department of County Engineer ADDRESS County of Los Angeles LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE Y I SEWER BK 1MAPPG FOR APPLICANT TO FILL IN 7 I CONST. BUILDING / 0. /C!`Y/ �� ADDRESS (/�' /V MGa STATISTICAL CLASSIFICATION LOT NO.Eby�j�2[��J G F C(1 7- / 61_OCK CLASS. NO.-DWELL.�2UNITS TRACT - ,�/ 0 J NUMBER CR 0 Cy STATE YES •10 / U ZONE SPECCONDITIAL ONS ONS NO. OF BLDGS. RWY''� _ SIZE OF LOT I NOW ON LOT I Od USE OF (_J co U EXISTING BLDG. �T BUILDING EXIST. .•r j/ ) SETBACK YARD HWY STREET NAME WIDTH OWNER Try }'� �" n F K/ 40..1/7 FRONT �O MAIL �po'G y I /1 A P. L. ADDRESS¢ ../n r (/ �J�/ SIDE c i AI0•CIf �rj NO T�I d--i 6 P. L. CITY INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS CONTRACTOJR cv!L% r�� NO. TO TJ .8e,9 6} r J �. ADDRESS a3©1� �+ F DESCRIPTION OF WORK NEW ADD (--O�ALTER REPAIR DEMOLISH I'YA'A IJ,v - SO. Ff. � STORIES f FAMIO IE / SIZE y„ n� USE OF STRUCTURE CLo,br� �J G ? 7/ . f/7T.- APPROVALS G(IG( SIGNATURE OF APPLICANT r/ � DATE INSPECTOR'S SIGNATURE ADDRESS •1 �� f �1. - FOUNDATION: LOCATION FORMS, MATERIALS 44-7_/."X,7 $ OO ` FEE $ F BRMCINGR BOLTS p /A/f It 6190 FURNACE: LOCATION. VALUATION FEE GAS VENT. DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. A PLICATION AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMP WITH ALL CO NTY ORDINANCES AND LATH. EXT. STATE LAWS UTTINC BUI INC O T CTION. SIGNATURE OF HOUSE NUMBER COR- PERMITTE ,Jy RECT AND POSTED �lyL_�{,}//�' AooREss J- FINAL '1 sJ ,/ /I����r� JOHN A. LAMBIE. COUNTY ENGINEER CLYDE N. DIRLAM. PRINCIPA C U L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA IO CK. .O. CASH LAC07 4 4 0 u APR 23 1 6.0 U In Eu....... APPLICATION FOR BUILDING PERMIT =� COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT On BUILDING CROSS ST. DISTRICT NO. GROUP TYPEP CESSEDB FOR APPLICANT TO FILL IN e js I CONST.✓ loll BUILDING c, 1, /I STATISTICAL ASSIFICATION - SEWER A ADDRESS �O,5 C�/y�TA � ,I BK PG` 1. ny � ? CLASS.NO. DWELL. UNITS LOT NOlL-�/ 3 �.y�,LOCK MAPFI O � 3 HWYE YES 0 . NUMBER O TRACT U,$E ZQNE' SPECIAL NO.OF BLOCS. �E/v,/ CONDITIONS SIZE OF LOT NOW 01 USE OF t Oo ' EXISTING BLDG. -2 BUILDING BARD HWY STREET NAME EXIST. /-� - SETBACK / WIDTH OWNER /i '/.,= , / O /-�% FRONT MAILADDRESS (plrJ,,,jp G"Nci�rr1r� q / SIDE • CITY / L/.; • /T`� ' NO/'i C'r' 0 P.L. ARCHITECTOR TEL. INSPECTION RECORD . ENGINEER NO. ADDRESS TEL. - 7- CONTRACTOR NO. j AD KESS DESCR PTION'OF WORK 2v rL? //Zi //s Ali /i I—r& .- NEW ADD ALTER REPAIR DEMOLISH ' F� A��QQ Pf h6`/ I SIZ .2 C6,5q t>'�- STORIES FAMILIES NO-OF NO.OF SIZE O Y USEOF STRUCTURE I A / to 11'6 a //I'S AMP, SIGNATURE OF r % 1; APPROVALS APPLICAN a.nnR EcS /O.` -.�,,LL DATE.. INSPECTOR'S SIGNATURE_�V�- L.GG FOUNDATION: LOCATION $ FORMS.MATERIALS ' _ P. C. $ FRAME: FIRE STOPS, ..++.. �� FEE BRACING, BOLTS' VALUATION ✓ V FURNACE:LOCATION. FEE _ GAS VENT, DUCTS ,I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND , AGREE TO COMPLY WITH ALL-COUNTY ORDINANCES AND - STATE- LAWS RE f BUILDI ON UCTION. LATH, EXT. SIGNATURE OF G HOUSE NUMBER COR- PERMIT T RECT AND POSTED ADDRESS B-�� —LZ-' FINAL �I'J.7' fiX(//'/ �•. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN - R CASH ' PLAN CHECK VALIDATION CK. m.o. - PERMIT VALIDATION CK, M.O. 7CA.. 721E, r',W20 , 1 n 3.00 or APPLICATION FOR"BU.ILDING PERMIT ' FOR APPLICANT TO FILL IN, (P"i i.' Hoe,o IYl T BUILDING . �� 1� iCOUNTY,OF LOS ANGELES R ADDESS- _ DEPARTMENT OF COUNTY ENGINEER, urr , :,YI ,�� ��7y/(P BUILDING°AND SAFETY'DIVISION / NO OF BLOCS., BUILDING SRE OF LOT /-n'(! NOW ON-LOT. ADDRESS TRACT /7 '// B/LOJCK p LOT NOp'' LOCALITY ®�� .� iT'l.L�i :,�.�..4f GWNER'C-:,J YI /Y��Y JT1l/t•Lflrl,ITni- NOL_ l• l �I+J CROSS SIT ", F NEAREST ,.. .,. ,u � `�ASS SSOR H' ADDP.ESS !�i '? J, l'..y t. /RJ i f f! Y, MAPEBOOKE' '- PARCEL-DISTRICT GROUPTFIRFj" 'PROCESSED BY--CITYZONARCHITECT 0�. ' : • , �.>.NOL�4 , . . -.:s �...,-'t. -.,.•.. ENGINEER !.. - `STA TISTICAL.CLASSI FICA TION. JJ•• ��pp _ / SEWER'MAP ADDRE55, �/i•�1� :�n- f /f<EE Sn,..J #CG;Ch l,.N, CLASSNO .OW ELLUNITS BK ':;PG • //// --yyTEL /> USE ZONE MAP•. .. CONTRACTOR/?'A Jlyt /(. NO. G/ �/�n+ ..•� - f /J �./ -I.n•h.A.: LIC /y f,-)• � NO. AL t' �V '^] ADDRESS ���)_fr, (,•ffJ +( /', NO.1�r/J7'J J�/` I CON CII TION$ iJ LK.a CITY . %/i��J ti / r ''� - ! CIA SSr' ,:� % RO A D.OE P A R TM EN T APP ROV A-REQUIRED 'YES NO ❑ .O CONSTRUCTION LENDER ,u,'� I NAME.AND BRANCH ��' BLDG.SE TBAC K-FROM 1 v U FRONT PROP:LINEOF °'• ° ' (STREET) J ADDRESS /I,,T. '! I�+fJ! CITY TOTA L'•$ET6ACK_ FROM TYPE OF EXISTING L+- 'HIGHWAY.. $Q. FT. - NO. OF NO. OF C H E C Ki ,, FRONT PROP. LINE- HIGHWAY WIDTH SIZE lS TORIES' FA MILIES oNE ` DESCRIPTION OF WORK NEW % A p BLDG.SE TBASK,E(3QM '�' 4^.•,t(,C!!/!h_ =�•r/l n ADD. ❑ SIDE PROP LINE OF ` ISTREETI-� , � v ALTER'❑ HIGHWAY } 'YARo TOTAL SET BACK F M YPE OF XISTING .~ REPAIR❑ SIOE'P RO P. LINE.,. H h AY WIOTH ' .USE OFt } +' `. .• EXISTING 'BLDG., DEMOL ❑ - APPLICAN � P r' TEL CORNER CUTOFF'• i YES ❑ NO ❑ !(PPNT(. f. IN,,..`t 4 �+' . N i N O.•�•/vF '�r(3.. BY ISIGNA TUR EI; IN OPEN SPACE ~' R,ES ❑ .. NO.❑ e!1'l �/ / ,(-U/ tYrl..t�,:. �„d , Q //4� , IN COASTAL '❑.L ZONE '� �, .. YES ❑ . 1� NO .I ' :'ALUATIONY (/ Gy G! ` CATEGORICAL EXEMPTION, YES❑ NO'❑1 T 0. W HEREBY ACNOLEOGE THAT I.HAVE•READ THIS'APPLICATION' ENVIRONMENTAL - AND STATE THAT THE ABOVE IS CORRECT"AND,AGREE TO COMPLY ^q MPACT• � EXEMPTION DECLARATIONS IGNEO' "(DATE) I, WITH ALL ORDINANCES AND LAWS, REGULATING BUILDING CON ST9'JCTIO4, I CERTIFY TNAT IN DOING THE WORM AUTHORIZED 'IMPACT REPORT PROCESSED (DATE)" HEREBY I 'FILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LA BON CODE OF THE STATE OF, CALIFORNIA IN RELATING WORKMEN'S COMPENSATION 1_NSUPANCE, /J ` E OF ' /{•f pt;,it..c...,.��•^— PERMITTEE SIGNATUR ADDRESS J/.•/y%/ lr... F.".( '� - I ly FINAL BY,TE - CITY i/L A'E•:5`b\ - / NO� > 'y.,(l� DATE T I FE C 117Kf:'( fIECPA 1' KS PA 8l_-l. O: FEE k.. 1 IF EM E ET Y . . HARVEY T. BRANDT.-COUNTY ENGINEER /I -- �' AA.� f L cr PLAN CHECK VALIDATION M.o, CASH,, PERMIT VALIDATION ON. :} M,O. CASH e5,4dIua;' b , ..1. p . 3525 70A630A CEz0037/73.1- _ 'A• ! •- ' WORKERS' COMPENSATION DECLARATION • /� /moi / r�.L L,yr p n E� p/�� 1�E� r�F� I hereby affirm that I have a certificate of consent to self - PPLO(( [LLL II �ON FOR B f'��®IIIIUIIIf e. PERM OT insure, or a certificate of Workers' Compensation Insurance, !!"�l V'/!'V 1111 U V FOR.LL11 LLJJ V ll Illi VV `�/ Illi LS ULlll C7B _ or a certified copy thereof (Sec. 3800,' Lab.Ca..) COUNTY OF LOS ANGELES. -- . ..BUILDING'AND SAFETY Polity No '7EQ _ mpony.:S/c+/.f' rc' ElCertifiedcopy is hereby furnished. . ' FOR APPLICANT TO FILL IN ADDRESS - ❑ Certified copy is filed with the county building'nspec- BUILDING c-. tion.departmment. $/ ADDRESS .V., Date �ApPimnt ` l^•1 CITY' /E'ji/ /P /� ZIP ��v - LOCALITY �L-G NO.-OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FRO WORKERS' SIZE OF LOT '` - NOW ON LOT - - - CROSS ST. COMPENSATION-INSURANCE - ASSESSOR.' (This section need not be completed if the permit is for one - TRACT- BLOCK. LOT.NO: - MAP BOOK i PAGE'- PARCEL - hundred dollars ($)10) or less.) TEL. v OWNER 4C C/r,.ytstNO USE ZON MAPNO I certify that in the performance of the work'for which this ,,��.. • 1`" SPEC permit is issued, I shall.not employ.any,person in any manner ADDRESS- �Q EhG//r./_/S._ SPECIAL ... CONDITIONS so as to become subject to the Workers'Compensation Laws. /p�, /A +}` y/�eO - J • CITY-i C,//'f P. :C // ZIP / ' Date Applicant - ARCHITECT TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. �DISSTTRICT GROUP TYPECONS� FIRES YPROCESSED BY O Exemption, you should become, subject to the Workers' - - - ✓L _ S w Compensation provisions of the Labor Code, you.must forth- ADDRESS _ ✓✓ ✓ -,�J 1/�. a with'comply with such-provisions or, this permit shall be - /x TEL.iw.;, �G` STATISTICAL C SSIFICATION A . CONDO. ' Z deemed revoked. _ - CONTRACTOR Q�r SP/1 NO. - - I - - 7 7� LIC. [ CLASS NO. DWELL UNITS LICENSED CONTRACTORS DECLARATION of Chapter ADDRESS 3/� C'/17 T� NO.yS�f.y `/ I hereby affirm that 1 am licensed under provisions of;Chapter 9 _ -. - SEWER MAP (commencing with Section 7000)of Division 3 of,the.Business _ -LIC: / •� ) , CITY /•c�+-4��• CLASS `--')`/ and Professions Code,andj my license is in full force and effect. - BK. PG. VALIDATION cr�/4 /O �•_?.� SQ. FT. NO. OF NO. OF "'CHECK - , License Number / / LL /G L¢�Class SIZE STORIES FAMILIES ONE - ,(� VALUATION Contracto✓rc lr' Sa-ae-S-Date J - 3=v - - DESCRIPTION OF WORK ,<e1Y)'Q!//L 1f NEW ❑ o/ 1 i • .ADD• -❑ r D ❑1 am exempt under Sec. (�P - �'rn B /✓/ �- . , _ , _j7 -} _ALTER ❑ B.BP.C. for this reason 'L /' 'Ci�P.. ecu Cml� "pSy//oj�. REPAIR ❑ a Date: / EXISTING BLDG DEMOL❑ Signature- GfvM APPLICANT TEL FINAL ' .-_. (PRINT) _, - , - - .. . .' NO. AL OWNER-BUILDS DECLARATION - DATE I hereby affirm that I am,exempt from the Contractor's License - _ m N- Low for the following redson (Section 7031,5, Business and ADDRESS - - FINALLY y/A iwL•ljf 1� 1 Profesaons Code). " _ PRESENT _ . . _ - .. BY 41L/V(,I,(6 , Elas owner of the property, of employees with BUILDING P P Y m YADDRESS ' wages qs their sole compensation,will do the work and -- - - -- - 1(n /0 T" p -+n the structure is not intended or ( LOCALITY -- - . t'7.J?� "'111111 fIC�C T f a 3'x07 offered for sale Section TCM 7044, Business and Professions'Code ) -- - � MOVING, .. '.TEL. -- .- - - - ' - �'i• ITEMS IS - CONTRACTOR NO. ❑ I, as owner of the,property, am exclusively contracting - TOTAL. 3 with licensed contractors to conitruct the project (Sac- ADDRESS - - - �� '�'L-7 tion 7044, Business and Professions Code.) -- ,.. - ` .REQUIRED .TOTAL SETBACK FROM EXIST. ._ . . - GHEC-Y, E7.uV CONSTRUCTION LENDING AGENCY. - SET BACK ' YARD HWY -PROP. LINE WIDTH I hereby affirm that there Is a construction lending agency for FRONT -' CHANGE - ,0[I ,the performance of the work for which'this'permit is issued P.I. -` - - - - (Sec. 3097, Civ. C.). SIDE.. - - 0000-0001 9/26f�9 Lender's Name 590" '9/ 1 - .TDMA Ref. N 1 AM11i4< P.C..Fee 8 Permit Fee Lender's Address _ I certify that I have read this application and-state that the Issuance Fee LDMA P/C k D - Sabove information is correct. I agree to comply with all County Investigation Fee -t - ordinances and State laws relating.to building construction, Total Fee / LDMA Perm. N mand hereby authorize representatives of this County to enter upon the -mentioned p perry for inspection purposes. J ' SEE REVERSE FOR EXPLANATORY LANGUAGE ' gnatur Applicant or Agent Date .-