HomeMy Public PortalAbout6142 ENCINITA AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
"-!CWUNTY OF LOS ANGELES MAR 2 Q 1952q��ryAAa�`p11
WM. J. FOX, CHIEF ENGINEER I L® I � " G
FOR APPLICANT TO FILL IN FOR OFFICE USE_ ONLY
[A4DDRESS2
C / O- v6 DISTRIIrNO. PLAN CK. NO. PERMIT NO.
J \~ ^a �/
RE EI VED BY DATE OF APPL. DATE ISSUED
NEAREST
/ �" -
CROSSIC L../y -
BUILDING !/ �Z/ /I`J ^^ , C/� lrj,�
I ADDRESS 6 /I� E+ ,V ,'T
- - q
^ 1 LOCALITY
..w /iNEAREST`TEL ITY -. NO. FIRE NO. OF \ LTY I GR,(aLLP
ARCHITECTOR TEL. ZONE PLANS I_ f/ J
ENGINEER NO. BLDG.
SETBACK LINE
ADDRESS APPROVED
TEL BY DATE
CONTRACTOR NO. X y USE n APPROVED
ZONE�}�� BY DATE
ADDRESS -Mkem HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO. BLOCK MAP NUMBER ' ` IELD CHECK BY
TRACT 3 NO. ASSIGNED SY DATF
NO. OF BLDGS. CORRECTIONS---pG
SIZE OF LOT �' X I NOW ON LOT i!/C -
USEOF NO. OF
EXISTING BLDG, FAMIU35 // v
DESCRIPTION OF WORK r /
NEW I ALTERATION I I ADDITION
O
REPAIR I DEMOLITION I I
SO. FT. NO. OF ./ n
6126 3 , ROOMS STORIES ,3j5F/V 4fl,rEPoLnO • "TD GDIgL/)P >
EXT. WALL ROOF r
COVERING I COVERING L.. s 7O /HF/K W7// .t9H'P.A-Y' 01-,Q,,E
USE OF STRUCTURE
7/-l/tim?P/11,10 M. IAIJ ✓5 .dn VM
T � l � 1L-llrc�z.�.'�?1-n FYfl� T'o nKlJFK
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION, AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS Y1'I
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, �>
HEREON AND WITH ALL COUNTY ORDINANCES AND STATEBRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. � FURNACE: LOCATION /
SIGNATURE OF _ r v //`Q e46- GAS VENT, DUCTS
PERMITTEE r_
,(/,r IA �. at LATH, INT.
. ADDRESS /,•� �-�-///tISC/� /4�` !/l -
T LATH, EXT.
' AUTHORIZED AGT.
PLASTER, INT.
7aXOSSA- DBO 10-w P. C
Cb FEE /'7% ' I PLASTER. EXT.
VALUATION �Zbq 9` FEE 39� FINAL �
i
WORKERS' COMPENSATION DECLARATION - - P� p Lip �L !'1 q�
hereby affirm er that haver certificate of consent to see, PPn 0CL/M 0ON FOR 93 n ��lE G PERM
II
' 'insure, or a certificate of Workers' Compensation Insurance, �!='J LL-+ u uG .. �J �L Il V 11 IS 11.C7❑ Il
or o certified copy thereof (Sec. 3800,lab. C. ��//['J� - - COUNTY OF COS ANGELES BUILDING AND SAFETY
Policy N�b9�mPany IL-1[`
i Certified copy is hereby furnished. . FOR APPLICANT TO FILL.IN' ADDRESS
Certified copy. P=led with the county building inspec- BUILDING ,
ADDRESS
. Do Applicant T CITY ZIP .._ LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO, OF BIDGS. NEAREST
.COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(This section-need not be completed if the permit is for one - ASSESSOR.
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK. PAGE PARCEL
.: TEC. USE E MAP ..�
1•certify;that in the performance of the work for which.this OWNER N NO.
Permit Is Issued; I sholl not employ any person•in any manner SPECIAL -
so as to become subject to the Workers'Compensation Laws. . ADDRESS 5aiii CONDITIONS
so
CITY ZIP _ -
Date�!`�-- Applicant ARCHITECT - TEL
NOTICE,TO APPLICANT: If, after making this Certificate of - DISTRICT GROUP TYPE : FIRE OCESSED BY
ENGINEER
Exemption, you should become subject to the Workers' - NO. CONST. _ 7I�j�I
Compensation provisions of the Labor Code, you must.forth- ADDRESS a3 '� �/E
with'.comply with such provisions or thii permit shall beTEL STATISTICAL'CLASSI KATION APT. CONDO..
deemed revoked. CONTRACTOR IN
' LICENSED CONTRACTORS DECLARATION LIC,. CLASS NO. DWELL UNITS_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and ; LIC.
Professions Code, and,my license is in full force and effect. CITY I CLASS BK PG VALIDATION a,
e+-O- SQ. FT. •NO. OF NO. OF CHECK
License Number34�1/� Lic.Classn-� SIZE STORIES FAMILIES - ONE NEW VALUATION
l]�./ � 't DESCRIPTION OF WORK ❑ _
Contractor Dat ADD f 0
7,1 am exempt under Sec. - - La
. .. .. ALTER ❑ " ( W'
B:BP.C. for this reason REPAIR ❑ '.f .-. c•
Date: USE OF DEMOL ❑ z
EXISTING BLDG. ��ff
'Signature APPLPRNTT NL FINAL .l
OWNER-BUILDER DECLARATION DAT -�
The reby affirm thot'l am exempt from the Contractor's License ,ADDRESS Fl - (- a
'law for the following_reason (Section 7031.5, Business and �,`•' .Ir
'Professions Code): PRESENT
- - - -
BUILDING
I, as owner of the property, or myemployees with. ' 1 . jG{�
wages as their sole compensation, will do the work and -the structure is not intended or offered for sale(Section Q �[_ j,6 F-
7044, Business and Professions Code). , TEL ..r y]
DTOR
1, as owner of the property, am exclusively contracting rC_it r,r
with licensed contractors to construct the project (Sec- (
�.CIANGE _er
' tion 7044, Business and.Professions Code). � � � _ �
REQUIRED YARD HWV TOTAL SETBACK '
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH
.Thereby affirm that there is a construction lending agency for FRONT /
theperformance of the work for which this permit is issued P.I. '��!�✓_L—f I(!fJ} - �f.
(Sec. 3097, Civ. C.). SIDE _ ,ASO
5f'4
P.L. 2-:Lt 1 APi 4:_-i
- Lender's Name CDMA Ref. N
m Lender's Address " P.C. Fee E Permit Fee
I certify that I have read this application and state that the Issuance Fee .LDMA P/C,p
above information is correct. I agree to comply with all County Investigation Fee e; ,
ordinances and State.laws relating to building construction, -`P Total Fee 'CDMA Perm. IT
and hereby authorizerepresentatives of this County to enter -
upon the ave-mentioned properly for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature o PPI' r Agent ^Date - - . . .. . ..
COUNTY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 HL 0508 1205240010
PHONE: (626) 2B5-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITS: 13181 IT: 2 SQ. FT STORIES TYPE 6142 ENCINITA AV
I (STRUCTURE: 28 V-B TEMP CA 917601636
ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET:
15385-003-002 1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 105/24/12 SR
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI AL DAT(g FIONAL BY' CODE:
1MING - TEH (626) 309-9369- 1 8,900 �1
16161 42 ENCINITA AV I
TEMP 917801636 FEES PAID DESCP.IPTION OF WORK
1TEAR OFF EXISTING ROOFING MATERIAL ON HOUSE AND ATTACHED 1
(FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IGARAGE INSTALL MONIERLIFETILE LIGHT WEIGHT TILE 43934 SADDLE(
APPLICANT: TEL. NO: I I I
ITA, MANDY (909) 598-8988- AA BLDG PERMIT ISSUANCE 27.80 1 1
1516 N. DIAMOND BAR IAB STATE GREEN BLDG FEE 8900.00 VAL 1.00 ISPECIAL CONDITIONS:
DIAMOND BAR CA 91765 jAC STRONG MOTION RESID 8900.00 VAL 0.90
I ID2 PERMIT W/O EN-HC 8900.00 VAL 199.80
I I TOTAL FEES 229.50 1 1
CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
SUNSHINE ROOFING (909) 598-8988- 1
1516 N DIAMOND BAR BLVD 4183 LIC. NO ILOCA'PION AND SETBACKS
DIAMOND BAR CA 91765 755126 C39
1 ISOILS ENGINEER APPROVAL 1
I-
IARCHITECT OR ENGINEER: TEL. NO: I 1FOUNDATION/TRENCH FORMS I I I
LIC. NO: (SLAB/UNDER FLOOR
I I I
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: OMP:1 UNDFRFLOOR INSULATION
115OH265 3 001 1
I I FLOOR SHEATHING /-/ �
N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1
I -I I
0 NO 21 I 1ROOF' SHEATHING 1
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS I I
1 NO NO NO I FRAME INSPECTION
I I 1FIREI SPRINKLER HANGERS I I I
I I I I
(INSULATION/WEATHER STRIP
I I
INTERIOR LATH/DRYWALL
I I I
EXTERIOR LATH
I (RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
� I I I
IRATED SHAFTS/OPENINGS 1
IT-BAR CEILINGS I
ILOTI DRAINAGE I I
I
�.1REPORT ID: DPR261 ROUTE TO: BS0508
I I
{
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0006280007
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 13181 LT: 2 SQ. FT STORIES TYPE OCCUP GROUP 6142 ENCINITA AV
STRUCTURE: 0 1 VN R3 TEMP CA 917801636
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GARIBALDI
5385-003-002 OTHER: 217 1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/28/00 UT 12/25/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
WU MEI-PING (626) 309-4309- 1,325 —006142 ENCINITA AV
TEMP 917801636 FEES PAID DESCRIPTION OF WORK
ATTACHED PATIO WITH SOLID ROOF CO ING (217 SQ. FT.)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. N0:
FRAN COL[ CONST. CO (626) 859-0906- AA BLDG PERMIT ISSUANCE' 27.75
136 N. GRAND AVE. AC STRONG MOTION RESID 1325.00 VAL 0.50 SPECIAL CONDITIONS:
WEST COVINA, CA AX BUILDING REVIEW-FEE�1 54.70
D2 PERMITiW%01EN-HCLEX1325.00 VAL 82.20
cLES TOTALIF.EES 165.15
CONTRACTOR: TEL. NO: /Orj �v/� APPRCVALS DATE INSPECTOR SIGNATURE
FRANCOLI CONSTRUCTION (626) 859-0906-
136 N GRAND #201 LIC. NO LOCATION AND SETBACKS
COVINA, CA 91724 6084878 -
/ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: �— 111111] SLAB/UNDER ,FLOOR
J ' RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: 'CM01 0 17 (1 p��O ���I (�� UNDERFLOOR INSULATION
LU \J L ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:—— —
NO 21(�'� G h 2N LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ` 0a"UI ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS Yr T
NO NONO FIRE DEPT. FRAME INSPECT
A � �5
REQUIRED TOTAL SETBACK FROM EXIST (Z� Q�(` BLDG DEPT. FRAME INSPECT
SET BACK FRONT PL- YARD: NWY: PROP LINE: WIDTH: ,7C Servii eThat SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
uk
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ,. BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ' �•� -R661DENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 •;•'' BL 0508 0001280023
PHONE: (626) 285.0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 13181 LT: 2 SQ. FT STORIES TYPE OCCUP GROUP 6142 ENCINITA AV
STRUCTURE: 928 1 VN R3 TEMP CA 917801636
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GARIBALDI
5385-003-002 OTHER: THOMAS PAGE: 596 GRID; J2 LOCALITY; TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIR S ON:
EXIST OCC GRP: 03/09/00 UT 09/05/00
OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE:
WU MEI-PING (626) 309-4309- 1 68,700 )
6142 ENCINITA AV
TEMP 917801636 FEES PAID DESCRIPTIO W RK
ADDITION 0 MASTER BEDROOM, BE M, ONE BATH AND ENCLOSE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: BREEZEWAY FOR LAUNDRY ROOM
APPLICANT: TEL. NO:
FRANCOLI CONST. CO (626) 859-0906- Bi PLANCHECK W/ENERGY 68700.00 VAL 924.66
136 N. GRAND AVE. AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
WEST COVINA, CA AC STRONG MOT,ION_RE510687,00.00 VAL 6.87
62 PERMIT W/.ENERGY.�ELES��68700r00 VAL 1,087.85
JJJ P�yuTOTAL•�FEES 2,047.13
CONTRACTOR: TEL. N0: / Cj �U/VAPPROVALS DATE INSPECTOR SIGNATURE
FRANCOCONSTRUCTION (626) 859-0906-
GR / o
136 N GRAND #201 LIC. NO LOCATION AND SETBACKS
COVINA, CA 91724 608487B
ARCHITECT OR ENGINEER: TEL. N0: / , FOUNDATION/TRENCH FORMS
Ll C- NO-I/ 1111111 SLAB/UNDER FLOOR '
LlRAISED FLOOR FRAMING 2
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,:: O `tel-' LEV
UNDERFLOOR INSULATION
3 u1.
I �U I I C V\11/ O u"R ll �1\� ST EL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- L� 1l
NO 21`(V� S ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ``\\ J yil: ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS \ Q Q
NO NO NO A a �y FIRE DEPT. FRAME INSPECT
REQUIRED SET BACK YARD: HWY:-TOTAL
PROPTLINE:FROM WIDTH. `6�7C `SerVi�ce Th �O`� BLDG DEPT. FRAME INSPECT
3t SHEAR PANELS
SIDE PL- ry
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL --1 _
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: OPR261 ROUTE TO: OS0508 `�