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HomeMy Public PortalAbout6118 ENCINITA AVE_Building__ 76AG38A DBS-3 9.88 _ APPLICATION FOR BUILDING PERMIT DIVISION OF BUILDING AND SAFETY BUILDING S /1/Gi i9J. ICj ADDRESS _ Department o1 County Engineer -T-- / County of-Los Angeles LOCALITY WM. J. FOX. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF.BUILOINO CR099 ST. DIST ICT NO. GROUP TYPE SEVVER BK MA PG CON9T/�^ FOR APPLICANT TO FILL IN �/�� 5z: L I BUILDING L ,/ ,�I - :)0� +� ADDRESS 6 /� ,V ,j� /"G�f IT-A All NUMBER //�S P.� HWY YE O LOT NO. SOT % BLOCK USE ZONE SPECIAL CONDITIONS TRACT 5A- ''IA 1{i!,rrA L-A�_/} _ e-0 - -70x�6Z NO. OF BLDGS. Z BUILDING EXIST. SIZE OF LOT NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE,X ST01 NG BLDG. J1 �` 4 GA?� FRONT OWNER F 'A/ T /YI -./N/1- BIDEMAIL - ADDRESS (9 Iy � �` G l l �� O TRACT DWELL. 1 UNIT wn `� �(T(/' TEL r77CIO 7 DWELL. 1UNIT 5 INDUSTRIAL CITY T / NO. N 8 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX I UNI ADDN., ALT.. ETC. ENGINEER I� NO. 3 APT. _UN 8 MISCEL. - - ADDRESS 4 COMMERCIAL - 'Il TEL. INSPECTION_RECORD. CONTRACTOR /V TEL .. ADDR E99 - DESCRIPTION. OF WOR% //-22-i r / to s�/tr R_ tnPrJr?t NEW FTALTER REPAIR DEMOLISH -AO A196? Sq. . Av F J�% NO. OF NO. OF - SIZE STORIES FAMILIES 1� _ST/�A�lr��7••� /,r. USE OF STRUCTURE ' !/ EGJ� SIGNATURE OF 7, 16LA-A" � /41 -,, APPLICANT/ cG APPROVALS //✓✓Z f� ADDRESS G o � /�'4 �G} DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION I $ {•� �Q FORMS, MATERIALS /O �� FEE FRAME. FIRE STOPS. VALUATION $ /y.0 (BRACING, BOLTS PSWv FEE FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS .GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- I TION. V'✓'l p, ))7e _ / � •IlJ �i (ATH. EXT. 81 GNATURE OF ✓I/ I "/1y'1 l HOUSE NUMBER COR- PERMITTEE iRECT AND POSTED ADDRESS 6 ��F_ /V' �'I"-`:.-"'.vfj. U-'_.-. FINAL /�!? WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR p 1:6 4� 'ftQV'21 1 .00 � t Ery �`c C�,cr✓� :-- 76A6=,.=Z#..'2ao APPLICATION FOR BUILDING PERMIT . , �. COUNTY OF LOS ANGELES BUILDING /o< < B DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DIVISION LOCALITY 1lLtAn JOHN A. LAMBIE. COUNTY ENGINEER NEAREST 1 WILLIAM A. JENBEN SUP•i of BOILDING CROSS ST. DISTRICT NO. �g OUP B TYPE � CESSEDY FOR APPLICANT TO FILL IN �J I�` coNs BUILDING j. - - STATISTICALCLASSIFICATION SEWER MAP ADDRESS l y' K C, I .CLASS:NO - DWELL.VNITS �— ' LOT Nfl _ '�Z% -/ _ / �' J �BLbCx U MAPSTATE YES NO NUMBER �, Oe 3 HWY. �� USEZONE TRACT ,,..// y1 i `NO. S "'"• CONDITIONS ONS . SIZE OF LOT /Diy (J'U AL I NOW ON LOT USE OF al EXISTING BLDG. BUILDINGYEXIST. ,, ARD HWY . STREET NAME OWNERr G �. T NO.Arligxx..TEL .SETBACK WIDTH - CIA- ' r( _� p FRONT ADDRESS wLG CVLC�Rr T•t'� � I L. / SIDE EOR - TEL. - •P.L. ENGINEER No. - INSPECTION-RECORD ' ADDRESS - I TEL a CONTRACTOR NO. �a. O r ADDRES9!gM- G-1 >• ( Ll-ul.Ll.� - V DESCRIPTION-OF WORK oc 2—/- //J_Xr, . _eAll= /4//TN - Hl ADD ALTER REPAIR DEMOLISH / C • - X O.FT. ` NO.OF NO.OF ,✓i✓EK QN /LF�°r �����f WWWWa ' SIZE STORIES FAMILIES y USE OF L/ MD 74 R STRUCTURE Z f ll'_l SIGNATUREOF APPLICANT - - - VALUATION$ ZOO ' l r�`'I _ APPROVALS 9JTNBL DATE INSPECTOR'S SIGNATURE FEE $ �J FOFORMS!MATERIALS ISI "G�ID� /id//YGGTC��D P.Q �J a UNDAT PMT. ON: LOCATIO FEE $.7'.'�� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FRAME: FIRE STOPS. BRACING, BOLTS' PLICATION AND STATE THAT THE ABOVE IS CORRECT ANDND 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 PERSON IN VIOLATION OF THE - WORKMEN'S COM ENSATION LAWS OF CALIFORNIA. LATH, EXT. SIGNATURE OF �� HOUSE NUMBER COR- - - PERMITTE��ii RECT AND POSTED ADDRESSX d E• `V FINAL 3Z/ CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION �.M:o. CA9H PERMITVALIDATION CK. M.O. CASH �Ido 1 7 3 3 ZZ JM 2 7 2 ;3 D 5 :7 5 M „ 1111CO 1 73 4 Jr.l1 ?7 1' p .15 .0 0 .:` ®. I; ' 1OA6..A CE Jt S03.I O56APPLICATION FOR BUILDING PERMIT BUILDING AND SAFETY DIVISION BUILDING Department of County Engineer ADDREss I County of Loa Angeles. LOCALITY 'JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN. SUPT of BOILOING CROSS ST. (/ DISTRICT TYPE SEWER MAP, FOR APPLICANT TO FILL IN NO.. GROUP CONSBK PG O T. BUILDING 6118 N. e ita.Av , STATISTICAL CLASSIFICATION ADDRESSA T LOT NO. Or O 4'lot BLOCK L CLASS. NO. DWELL. UNITS A,,, Co. MAP � STATE, .YES. N TRACT Anita Land CNUMBER 10e-3 HWY Z NE.. SPECIAL . 70 a 202 NO. OF SLOGS. CONDITIONS SIZE OF LOT I NOW ON LOT 3 USE OF residence EXISTING BLDG. BUILDING .EXIST. . OWNER Warren P. McMillen SETBACK YARD HWY STREET NAME_ WIDTH MAIL 6118 N. Eneinita Ave . P L ADDRESS SIDECITY ' Temple City No• AT7-7902 c P"' INSPECTION RECORD ARC - ECT OR TEL. ENGINEER OWneT NO. ADDRESS n T - b.- -S-7 XA'�v I�'Y - UHEEY CONTRACTOR C. Jacobs NO. .R AT66801 9322 E Pitkin Rosemead /?ne Nniun/� dGC ADDRESS �-: '4/ DESCRIPTION OF WORE f Uk/✓RLF_ l/6�Y B�(. NEW ADD ALTER REPAIR DEMOLISH _ SO. FT. NO. OF NO. OF SIZE -STORIES FAMILIES - USE OF STRUCTURE Stucco north .wall of- bld . next t0 prop. lin . APPROVALS SIGNATURE OF }}}I,{/l V APPLICANT "_oM t� DATE INSPECTOR'SSIGNATURE ADDRESS 6118 N. Encinita T.C. FOUNDATION: LOCATION. oG FORMS: MATERIALS $ 185.00 '. FEE S --� FBRAOI FIRBOLTS OS ,' 1 VALUATION S ¢p FURNACE: LOCATION. .. FEE GASNENT.//D�UCTS a I,, ., 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. ,(kAFT MOCK IL 7-Ir"I / 4LLl A,fil PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ^ J AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. ///•2 9P.f�6t0�� LEXT. STATE LAWS RE UAwTIINGGB'UILDIN'wG C STR TION. , SIGNATURE OF 'Iy HOUSE NUMBER COR- _ PERMITTEE yyG RECT AND POSTED - /''/y✓ /��/y�7�( ./J ADDRESS I r� wlrwl0 � �•` FINAL JOHN A. LAMBIE. COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL,STRUCTURAL ENGINEER ' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. x l : 3 6 5 9•� OCT 2 3 1'. 2.0 0' M DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION 4 FOR APPLICANT TO FILL IN FOR OFFICE-USEONLY ,I }�/� �/ 1 DISTRICT NO. PUN CK. OR REc.No. PERM I/T�:�N O. BUILDING f!�/ N' r c i /r I 45�-1-'9 ADDRESS t% c 1 -- T C� F i /T 1/ ECEIVED BY DATE OF APPL DATE ISSUED I - LOCALITY !i TY 1 l �a asT. �A J pR}1AI 6wJ� OWN[R W T R 11 4/✓ Q. •Y� MI F/, AODREBH MAIL E- �Er�lV FI KY D .�t7/✓C LOCALITY 1 I 1 ADDRESS .?- ) NEAREST CITYN1 cNTERW PA'-1?r NOL PA f 237 CR 069 BT. FIRE ! NO. OF I TYPE GROUP TT ARCHITECT OR TEL ZONE ! PLANS ENGINEER NO. -_ or&�C.JJL� ^ SETBACK LIKE Zp yL ADDRESS UBE� APPROVED I TEL, ZONE 'I`_ BY ATE I . 1 77 CONTRACTOR NO. f I HOU E NUMBE NO I 1 I L� ADDRESS ) MAP.NUMBER 7 Q �I NO. ASSIGNED BY c LEGAL DESCRIPTION LOT^N of I-cT# BLOCK /�� _ CORRECTIONS ' TRACT STA A,^l to kA,4,DNO. OF tea• { SIZE OF LOT 7G `G :)- I NOW ON LOT a I ,– -- USEOF OG!/ DL,NC�! NO.O► / Z 'z� -��. . .CON��1�irE/ EXISTINO BLDG. Il F J j�L2' �j�Niu[f I c3W/i/rK I)Al FPA/nft DESCRIPTION OF WORK °n NEW ALTERATION ADDITICN REPAIR /� DEMOLITION ,. Bq. FT. NO.OF Z , �r3X ) /97�. �N//L SIZE ROOMS STORIES n _ /%Mr An/ �/N/9 /3.r COVERING WC C D I COVERING SM/ 6I-& TlE! i.f 1A Al r A--T Yn 4//-//9-1, USE OF STRUCTURE ���F A,/O7, RrSiDENc5 jZFPlgi � ,Ei✓T/i?F!t/ ,PF>r[En1 LODRESS 4 f 6 F- Dry B pc riRgCTION FOR F / p F.✓c E APPROVALSPANCY AS INSPECTOR•B SIGNATURE DATE FOUNDATION: LOCATION FORME, MATERIALS ERESY ACKN OW LED OE THAT 1 HAVE READ THIS AP-TION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS,ECT. SRACINO. BOLTS GREE TO COMPLY WITH ALL COUNTY ORDINANCESFURNACE: LOCATION, TATE LAWS REGULATING BUILDINGCONSTRUCTION. nAS VENT, DUCTS TURE OFLATH, INT. ITTE / �y�,/f /M.,�� ,(L �/�r,H•y l 6 C - -7- Ti��'� F"�K V"1E'/. LATH. EXT. PLASTER, INT. ORIZED AGT. PLASTER. EXT. 3 P.O.9 ], Q e. V FEEnt/ ,ATION FEE / /I / u-"(I_ -� FINAL vfwfaaA RBS a 1-52 - ..� 76A 638A CE#803 5-65APPLICATION FOR B ILDIN PERMIT COUNTY. OF' LOS ANGELES BUILDING DEPARTMENT OF,COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. OIST$yCNO G T RO TYPE, PRO BY P `(/� S FOR APPLICANT TO FILL IN CONST. BUILDING e ^r �N �� L STATISTICAL SSIFICATION SEWER MAP ADDRESS 'G ifQ f ' 1// CLASS NO. DWELL UNITS © PG LOT NO. Lt - BLOCK i✓ USE ZONE MAP QO TRACT j{�N f-Id FT.MI SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT =� K �- Z NOW ON LOT USE OF EXISTING BLDG. l� ]- f r- vc- BLDG. SETBACK FROM �� ,,aa TEL. y y p FRONT PROP. LINE OF - - (STREET) OWNER - �J,II L'V FfI�N EL 1 7 fo 2- - / }. TYPE OF E%ISTING SETBACK }` YARD TOTAL ADDRESS f G�IG{� ��A HIGHWAY DTH FROM C.L. CITY 1��h C('a"y BLDG. SETBACK FROM ARCHITECT OR WNIi TEL. ENGINEER SIDE PROP. LINE OF (STREET) d NO. TYPE OFE%ISTING SETBACK HI AY } YARD - .TOTAL ADDRESS ��\\ ,P p HIGHWAY WIOTH FROM C.L. CONTRACTOR V W 'N „ NOEL. } O LIC CORNER CUTOFF YES [:] O V ADDRESS NO LC CITY CILASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK' w a NEW ADD ALTER z REPAIR DEMOLISH � SQ.FT: �' r NO. OF NO. OF i SIZE 1P STORIES FA MILIFS1 USE TRUCTU E SIGNATURE OF Y' �.AA D4 47 APPLICANT Y VALUATIONS �� APPROVALS DATE INSPECTOR'S IGNATURE FEE$ FEE Dy FOUNDATION, LOCATION FORMS, MATERIALS �r J FRAME„FIRE STOPS, / 144 O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION / WITHALL COUNTY ORDINANCES AND STATE. LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I .WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT - INGTOWORKMEN S COMPENSATION aINSURANCE.• /)A LATH. EXT. GN SIATURE OFCI HOUSE NUMBER COR- P GN ITTEE v _ RECT AND POSTED ADDRESS �O I i I FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL EN BER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O CASH Ltt;o 9 7 9 8' FEB 18 1 D 11.50- ADeg-9 11.53 APPLICATION FOR BUILDING PERMIT 11-a9 DIVISION OF BUILDING AND SAFETY ADOREISS I GIN ITA Department of County Engineer TC qtr c�rY County of Los Angeles LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTR cT No. GRguP TYPE {} SEWER MAP .—IYl• BK PG CONST ` BUILDING bit F&CIA ITA A ✓F— MAP D a STATE YES ADDRESS f✓n f- / NUMBER HWY LOT NO. " O r ^O� H BLOCK USE ZONE SPECIAL CONDITIONS TRACT5A' Th A� /)-A kA•vD cn i 7 Q X Z NO. OF SLDGS. Z BUILDING EXIST. SIZE OF LOT i NOW ON LOT YARD HWY STREET NAME R 'I SETBACK WIDTH USETI " � '91b0 wAl�Ara FRONT `� H . P1 L � EXISTING I NG BLDG. (J`J OWNER WAFT\ F/v 10 � lk/44 FAA SIDE MAIL P. L. _ ADDRESS � jj r' r~Gi vO—A, A ✓E y O TRACT DWELL. 1 UNIT CITY T EM PA F_ c /a r TFL_4 T 77903 I DWELL. 1 UNIT 5 INDUSTRIAL !'�� 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX/ ,� 2 UNITS ENGINEER NO. 3 APT. _—_ UNITS 7 ADDN,.ALT., ETC. 1 8 MISCEL. ADDRESS ��/.� 4 COMMERCIAL TEL - NO. INSPECTION RECORD CONTRACTOR ADDRESS ( •I�J DESCRIPTION OF WORK (LIEy(/ ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE �C STORIES FAMILIES USE OF STRUCTURE la- 1 SIGNATURE OF /i�Q/VIy.y1 APPLICANT- V— - APPROVALS Owvy`­Q-0. ADDRESS V ~G t i r T- C' DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION /� P. FORMS. MATERIALS / FEE yBI� FISRACINGR BOLTSSkME: FIE STP ' S" " -7 VALUATION FEE S V' O 6 v FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS . AS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH. EXT. SIGNATURE OF Lvr HOUSE NUMBER COR- PERMITTEE' RECT AND POSTED ADDRESS ti � N.trP ' FINAL -�D"S7 /lLrD� JOHN A. LAMBIE. COUNTY ENGINEER VALIDAT'I CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR CK MO (C'ALH 1 CO2 1 7 7 tg NOV 8 1 8.0 O in VV f 76A638A CE#8.36-57APPLICATION FOR BUILDING PERMIT .�.' COUNTY OF LOS ANGELES BUILDING �o l h' kyr FA✓ DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY T FM r rY JOHN A. LAMBIE,COUNTY ENGINEER NEAREST CASSATTD.GRIFFIN;SUPT OF BUILDING CROSS ST. D15TRiCT NO. GROUP SEWER MAP' FOR APPLICANT TO FILL INy I CBUILDONST BK PQ EI NG ADDSSj7w7 �I D /� ' C/YG(/i✓'ITA vl� STATISTICALCASSIFICATION LOT NO. I a tl r �O+ '� BLOCKY CLASS. NO. ®E`;UNITS HWYE )_J. MAP YES' O TRACT �� 4r iTA- / ND CQ ' NUMBER USEZONE SPECIAL _ 70•k, 201 NOWONLOTS. 3 J/- CONDITIONS SIZE OF LOT A NOW ON L`OT . _ USE OF /'/�' �� Yl-GTR/f 4G-r " �c3t°J EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. r SETBACK WIDTH OWNER�rrtfR A Fsi � 4/t?.�GG r'' FRONT MAIL J I �. PH`I A-lr4 /I U� P.L: •- 'L/ ADDRES�S-J� DI C ` SIDE CITY I t/VI / V` /TT Np/l //pI P.L ARCH ITECT OR TEL. INSPECTION RECORD ENGINEER oq fA4,LlNO. ADDRESS - - - 4 A/ / TEL. CONTRACTOR ^ (4{//" NO'. ADDRESS DESCRIPTION OF WORE NEW ADD ALTER REPAIR DEMOLISH SO.FT. - NO.OF NO.OF SIZE STORIES FAMILIES USE OF CT E l C 0 0v 7-c/ W I /GW SIGNATURE OF 'i �, APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION _ FORMS. MATERIALS c P.O. $ FRAME: FIRE STOPS. - (� J FEE BRACING. BOLTS VALUATION s FURNACE: TLOCADUCTI N FEE _ 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 REGULATINGILDING CO�NS�T�R�U �ION. LATH, EXT. SIGNATURE OF O'M'IT � //^'✓- HOUSE NUMBER COR- PERMITTEEF T RECT AND POSTED ADDRESS 6 1 t� ` C� FINAL JOHN A. LAMBIE, COUNTY ENGINEER. CLYDE N. DIRLAM,.PRINCIPAL STRUCTURAL ENGINEER PLAN CBECE VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CAH DEC 4 1 1 .0 ®. DS•.'. ::.4Z—M GETS APPLICATION FOR PERMIT `DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �UILlIN WIA. J. FOX, CHIEF ENGINEER NO.OF BLDG. ORD:NO. . DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LIN€ \ '� FIRE APPROVED \ T I ZONE \ BY DATE RECEIVED By BY DATE OF APPL. DATE ISSUED USE APPROVED \ DATE C� ` 1 V- 10-4 -144 ZONE BY APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY. I BUILDING SI nf, NC' N R- F E NAME .� \ ADDRESS E O p yUl 2 ADDRESS \ LOCALITY /T+ f_m P F-E C I T U w CITY \ �R�09589 LT A R fi R L I� < STATE TEL. b n ` / ^I r � / LICENSE NO. NO. 4. NAME I, R IV T C. IV I 6 LSO N Z MAIL ( L K NAME on ; ADDRESS S fI M F O G TEL. ADDRESS CITY NO. C Z CITY ,n 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS U APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. I NO. :T2, / AND STATE LAWS RE GU ING BUILDING CONSTRUCTION. Z LQT NO. /�. SIZE OF LOZO.6 SIGNATURE OPO OWNER1/NO. OF BL< 6L AVTHORIZED AG7 D - BLOCK NOW ON Lm TRACT TR R NITfi P N ( G-/3� CORRECTIONS NOW ON LOTV _ / . f?PrF /07.:$'.�ul '.east DESCRIPTION OF WORKUSE BUILDING P,9h /L l t)AM I;(Z,F_ I-rP PR RYlTI of 1 This construction may be in violation War Production Board orders. You are _. . O Production BcardOfficC beforA mmmenc- A Ula worK autriorzr_d in this permit. aZ T D NEW TYPE I GROUP y r NO.OF �f NO.OF / ALTERATION ROONB - p/FAMILIES ADDITION SIZE (� REPAIR STORIES I MOVING WALL COVERING J ID I NlT 1- CC DEMOLISH ROOF COVERING H-I W6- L GO $ Pees ,FfNAL APPROVAL' (•n�,i' y \ l 4 s.3-SO DA�" V\� \ I NAMECTOR'3 /'/7 VALUATION / {' Or 00 FEE V COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AODREss (, / hereby affirm that I have a certificate of consent to self insure, BIJII )DYy _�6 17�/�. or a certificate of Workers' Compensation Insurance,or a certified / O copy thereof.(Sec.3800,Lab.C.) GIT I /� L / zi •/�Y/� �/' i 6 LOCALITY Policy No. Company SIZE OF LOI I NO.OF SLOGS.NOW ON LOT ❑ Certified copy is hereby furnished NEAREST CROSS ST. El Certified copy is filed with the county building inspection TRACT BLOCK LCT N0. department. .USE ZONE MAP NO. Date - Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER- , TEL IND, ,757 ves No COMPENSATION INSURANCE �.-��- .4y 91na- � - WITHIN 1000 FT.of SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS / "" L dollars ($100)or.less.) � U 4/ G/1J�� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY certify that in the performance of the Work for which this permit GITV�G` /� �'_/ ZIP C is issued, I Shall not employ any person In any annex So as to `f" 21'7P-0_ �•/\ ..J 1 ARCHITECT R ENGINEER TEL NO. become Subject qto th9�/�Workers'Ccp ns IOr` WS _ � ,.�� STATISTICAL CLASSIFICATION APT Date i/— z /`JA PP-ant // ADDRESS CLASS NO. � DWELL UNITS �i NOTICE TO APPLICANT.' If, after making this Certificate 01 REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACT ),,, ,,_/ TEL�NO,� SET BACK yggD HWV PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ,� �G!///r/w .,S. d'V.0�— FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS, -/ LIC.No. RE LICENSED CONTRACTORS DECLARATION sIOE CITU �' �/A-L�7e LIC.CLASS - P L I hereby affirm that I am licensed underprovisions Of Chapter 9 �� V U , SEWER MAP Y (commencing with Section 7000)Of Division 3 Of the Business and SO.FT SIZE NC.OF STORIES NO.OF FAMILIES 1 Professions Code,andQmy licen /a is in full force and-effect. y NEW ❑ BK PG D O License Numnbb/e�r ✓�� / Liu Class DESCRIPTION OF woRl�"` App ❑ vALuanoN V Contractor 7NGzNr /l.�iA,w,t%t)n i��'Zg X73 _J rfr t- r� / ALTER ❑ $ - cr ❑ am exempt under Sec. e�Y REPAIR ❑ $ B.&P.C. for this reason I- q r 1'{ t I DEMOL ❑ W LDMA P/C x USE OF EXIB G BLDG. d Date: UURM ❑ N Signature APPLIG ( NT .TE LDMA Perm x ? ❑ I, as owner of the property, or m to - `e( i! r7 ez, ZHill s Y employees Yees with wages as ,r their sole compensation, will do the work and the Structure is ADDRESS ([//� rte/ not intended Or Offered for sate (Section 7044, Business and /7 UY/ FINAL DATE Q _�,,C 1j'Djp?5 Professions Code.) WLL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /G 13 1 - E11 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE + 1 I C"'- ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 1 licensed contractors to construct the YES Na q TOTAL 169 _ 65 protect (Section 7044, II I Business and Professions Code.) �J __ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BNLDING I�J 'I/ �LGeL�I OCCUPANT RED HE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SCtX ./p ,E •'HE-1A -' CONSTRUCTION LENDING AGENCY GUIDE AIR UNESOUAUiV MANAGEMENT DISTRICT ISCAOM01 SEE PERMITTING CHECKLIST FOR O/� J 9/�� CHH�`ll�.^ `i I:I I hereby affirm that there is a construction lending agency for YES❑ No El the performance Of the Work for Wf11CI1 this permit Ia ISSUed(.5'CC. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMDPERMITTINGr _ m 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. IDM' I1 •y (-, TITLE 2.CHAPTER 2.20 SECTIONS 2.20.IDD THROUGH 2.201000ONCERNING HAZARW S •l)11 ISI-I 1E 111 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMp Lender's Address 2743 1 AIM vrac- Q MNEn W�GENi o certify that I have read this application and state under penally -' 4 of perjury that the above information is correct I agree to comply P.C.FEE PERMIT FEE ' IN with all county or finances and Stale laws relating to building •2-� constructr)•n -A tab aShOrize representatives of this County ISSUANCE FEE q. I ro to en .iLpo Gov ��t[oned property for ins ction pos�'92 Z(O • 70 n /a/fXA Grp f''��5-/3 INVESTIGATION FEE TOTAL FEE 1. / SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP ` BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0308010042 PHONE: (626) 285-0488 EXT: L 0. CONST NEW ILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6118 ENCINITA AV STRUCTURE: 612 1 VN R3 TEMP CA 917801636 ASSESSOR INFORMATION HUMBER: GARAGE: NEAREST CROSS STREET: LONGDEN 5385-003-022 OTHER: 210 1 VN U1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: EX BLDG USE: USE ONE: ISSUED ON: PROCESSED BY: EXP ON: EXIST OCC GRP: 10/27/03 JK 10/21/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: JACKLYN C LEE (626) 292-5736- 46,000 -5 -' 6118 ENCINITA AV y TEMP 9'7807636 S PAID DESCRTPTIUN OF ORK CONVERT&ADD ONTO 2CAR GARAGE TO iBR/1BATH GUESTHSE W/COVERED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PATIO;IN MAIN HOUSE, CONVERT SMALL STORAGE AREA TO BATHROOM APPLICANT: L. N0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION REBID 46000.00 VAL 4.60 SPECIAL CONDITIONS: B1 PLANCHECK W/ENERGY 46000.00 VAL 697.03 82 PERMIT W/ENERGY 46000.00 VAL 820.05 TOTAL FEES 1,549.43 ,. CO TRA.MR: TEL. NO: APPROV S \ DATE INSPECTOR SIGNATURE SAME AS OWNER - I LIC. NO LULAtIBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINES . NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR_rRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL L00 HEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL-FLOOR SHEATH SCHOOL W H N HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TO L S TBAC ROM EX S BLDG UtP r.-FRAME INSP SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER L- INSULATION/W H R STRIP INTERIOR LATH/DRYWALL J� EXTERTO-RLATH !� LOT DRAINAGE SMOKE DETECTION DEVI 0 FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508