Loading...
HomeMy Public PortalAbout6147 ENCINITA AVE_Building__ ..•......+...:,�, APPLICATIOFOR BUIL ING PERMIT u COUNTY OF LOS ANGELES BUILDING . �_/^ DEPARTMENT OF COUNTY ENGINEER ADDRESS /. L BUILDING AND SAFETY DIVISION LOCALITY T>rM C 'T JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GaOOUP TYPE � P ESSED BY - FOR APPLICANT TO FILL IN ,$;p s _ CONST.jz��1 BUILDING /�t�7 �./✓GI/✓J TA .Tr^'� STATISTICAL CLASSIFICATION 5 ER MAP ADDRESS 6 /��..� K `tY CLASB.NO...Q_DWELL. UNITS LOT NO. BLOCK WATER NOT REQUIREDRECEIVED CERTIFICATE: u Li TRACT MAP 3 HIGHWAY STATE MAJOR SECOND, LOCAL NO. OF BLDGS. NO ,CIRCLE) SIZE OF LOT. NOW ON LOT USE ZONE SPECIAL USEOF CONDITIONS EXISTING BLDG. � ' OWNER ILLI Mger.✓ TE . ` /I BUILDING YARD HWY STREET NAM EXIST. ADDRESS (..�G�nIJ /T SETBACK WIDTH FRONT ARCH ITECT OR TEL. P. L. _ ENGINEER NO. SIDE P. L. ADDRESS •. A (� D 8 / INSPECTION RECORD CL CONTRACTOR A P J�8yNO. O ADDRESS I A L/ K DESCRIPTION OF WORE u W NEW ADD REPAIR DEMOLISH y T FT. TER NO.OF NO.OF Z IZE STORIES FAMILIES USEOF CC STRUCTURE M S'ePi© SIGNATURE OF APPLIC VALUATION$ /SD APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE S ^_ FEE $' 1;31FORMS,MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL 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 R LAT. LNG TOWORNMEN' C ENSATION S RANGE. n LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED /� /- L //,_-• _ '-- ADDRESS FINAL �U��V / I,fi`�"'✓1✓✓_' CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E - PLAN CHECK VALIDATION CK. M.o. CABH PERMIT VALIDATION CN, M.O. CASH I ikU 4 5 2 9 G" 0CT 3 1 1 D11 01 G 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 91780 BL 0508 0204170038 PHONE: (626) 285-0488 EXT: -LEGALID: NO. OF CONST BUILDlWGADDRESS: - TR: 5904 LT: 288 UN: .002 SQ. FT STORIES TYPE 6147 ENCINITA AV STRUCTURE: VN TEMP CA 917801637 ASSESSOR IN RMA ON NEAREST CROSS STREET: GARIBALDI 5384-012-021 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED0PROCESSED EXPIRES - EXIST OCC GRP: 04/17/02 JK 10/14/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: Fl NL CATE FINAL BY: CODE: BITTEROLF STEVEN W;DEBORAH B - 11500 %fj J- �* 6147 ENCINITA AV TEMP 917801637 FEES PAID DESCRIPTION WORK REROOF HOUSE ONLY OVER EXISTING SHEATHING W/CLASS A 20YR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CERTAINTEED BUILT UP ROOF APPLICANT: TEL. 0: DOUG DEARDEN (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75 4251 BALDWIN AVE AC STRONG MOTION RESID 1500.00 VAL 0.50 SPECIAL CONDITIONS: EL MONTE 91731 D2 PERMIT W/O-EN-HC - 1500.00 VAL 82.20 -"'TOTAL FEES 110.45 CONTRACTOR: TEL. NO: i ��' � APPROVALS DATE INSPECTOR SIGNATURE WEATHERITE ROOFING (626) 287-0669- 4251 BALDWIN AVE LIC- NO '� \ LOCATION D SETBACKS EL MONTE, CA91731 HIC SOILS ENGINEER APPROVAL ARCHITECT OR ENG EL. NO: / I � � ` DATIO / RENCH LIC- N0: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: - UNDERFLOOR INSULATION 150H265 3 01 - '___ - FLOOR SHEATHING 0. OF FAMILIES: OWELLING UN TS: /GOND: - S A CL NO 21ROOF SHEATHING OZ L SCHOOL WITHIN A A ,� \ SHEAR PANTLS AIR QUALITY: 1000 FEET MATERIALS ,I NO NO NO 'V� ,�d FRAME INSPECTION REQUIRED AROM SPRINKL R G RS X SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- .Io -.y� INSULATION/WEATHER STRIP � '.ij�� "_ SIDE PL- - - - - - NT RIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. - - RATED WALL ASSEMBLIES RATED S A TS/OPENINGS _ T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 QU PUCAMN FOR BULhONG PERMT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION BUIL LNG Dre.A � � /�FOR APPLICANT TO FILL IN BUILDING ADDRESS _ QQ UG r T� I hereby affirm that I have a certificate of consent to self insure, OJITX or a certificate of Workers'Compensation Insurance,or a certified CI KA ZIP copy thereof(Sec.3800,Lab.C.) q 1749,in LOCALITY _ Policy No. Company L I 4 I,1� NO.OF BLDG .N ON T C/� � � (/ ❑ Certified copy is hereby furnished. FO f NEAREST CROSS ST. r ❑ Certified c0 Is filed With the court building Inspection TRACT BLOCK O NO. PY county 9 USE ZONE I MAP NO. department. YQ � !2Z—_5— Date MAPBOOK PAGE PARCEL I Date Applicantii �y / SPECIAL CONDITIONS ' CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. ! 2 kmles `� _ YES NO COMPENSATION INSURANCE ADDRE WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit Is for one hundred DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) OTY . ZIP 1 5p�0� r/ I certify that in the performance of the work for which this permit j�CJV is issued. I shall not employ any person in any.manner so as to �� TEL.NO. become subject t0 the Workers'Compensation Laws. STATISTICAL CLASSIFICATION CONDO Date-Applicant ADD CLASS NO. DWELL U T NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED // TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL.NO. SETBACK YARD 6 PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS N LIC.NO. P IL SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L 1 hereby affirm that I am licensed under provisions of Chapter 9SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT SIZE NO.OF STORES NO.OF FAMILIES O Professions Code,and my license is in full force and effect. NEW ❑ BK PG /7 r DESCRIPTION OF WORKADD ❑ VALUATION D w License Number Lic.Class $ y Contractor Date ALTER ❑ - — Z ❑ 1 am exempt under Sec. REPAIR ❑ $ _-- B.BP.C.for this reason - DEMOL LOMA P/C# Data: USE OF EXISTING BLDG. URM 13 Signature 1'f r_l S , . a I v Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# Z ti (l i C V.11Ll El 1, as owner of the property, or my employees with wages as Uf1O 'rF., their sole compensation, will d0 the work and the structure is ADDRESS FIN DA Q 1 IJ _ not intended or offered for sale (Section 7044, Business and ///� TOTAL q;, . Professions Code.) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLEAHAZARDOUS MATERIAL 717 ` r_I, �� OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EOUAL TO OR GREATER THAN Q i_ CLI'. 1, as owner of the property, am exclusively.contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY `� licensed contractors to Construct the project.(Section 7044, jo �//J�/r�.rV�� CHANGE YES❑ NO❑ (/�V'" I.•IlFtl•IVE e�I�! Business and Professions Code.) WILL THE INTENDED USE MI THE BUILDING BY THE OR MODIFICATION OR FUTURE BUILDING OCCUPANT DUALREQUIRE PERMIT DISTICT(SNORMODEE PE ION FROM THECOLITH -- ..... CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAQMO)SEE PERMITTING CHECKLIST FOR GUIDELINES. tII�OL—E,i�� 6 f,l'1 I hereby affirm that[here is a construction lending agency for YES❑ No❑ - � �'1 �i �y'e;��'-l' the performance Of the Work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD '30222 j �I r `1'v.i4 3097,Civ.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTYCODETITLEz CHAPTER Rte SECT10N52 DAWTHROUGH 221.140 CONCERNING Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. .. Lenders Adtlress .W c I Certify that I have read this application and state that the above information Is correct. I agree to Comply With all county P.C.FEE PERMIT FEE S ordinances and State laws relating to building construction,and hereby authorize representatives Of this County to enter upon ISSUANCE FEE / the abo e, tioA�e property for inspection purposes. C1 INVESTIGATION FEE TOTAL FEE spwi.a wa���ara.m SEE REVERSE FOR EXPLANATORY LANGUAGE, Ar APPUCATM FOR. BU9L.09MG PERMIT` COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN AD E G BUILD NG AD RE 5 I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers Compensation Insurance,or a certified Copy thereof(Sec.3800,Lab.C.) CITU z P 11700 LOCALITY Policy NO. Company ZE FL T , rF NO.;F41L NOW ON LOT ❑ Certified copy is hereby furnished. , 11,44 I NEAR i CR ❑ Certified copy is filed with the county building inspection TRACT BL K LOTNO. USE ZONE MAPN . department. ASSESSOR MAP BOOK PAGE PARCEL Data Applicant O o SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' owry TEL.IN YES NO COMPENSATION INSURANCE ADDRESS WITHIN 1000 FT.OF SCHOOL? (This Section need not be completed if the permit is for one hundred aeirm DISTRII TX g TY�NST.' FINE CE D BY dollars($100)or less.) I certify that in the performance of the work for which this permit Cl Z IP' 1700 is issued, I shall not employ any person in any manner so as to d Tom.NQ become Subject to the Workers'Compensation Laws. �/R1r' ATISTICAL SS KATION NOD Date Applicant ADDR S CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject t0 the Workers' CONTRACTOR TEL.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ADDRESS LIC.NO. FRONT comply with such provisions or this permit shell be deemed revoked. P L SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L U I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP 5 NO.OF STORES NO.OF FAMILIES C (commencing with Section 7000)of Division 3 Of the Business and c NEW ❑ BK PG CD Professions Code.and my license is in full force and effect. V DESCRI ION OF WORK ADD YALU mom �1` / W License Number a Class ! -7/y1 �1 y Contractor Date ALTER ❑ V (/ �� Of Z REPAIR ❑ ❑ I am exempt under Sec. B.&P.C.for this reason Date: EMOL ElLOMAP/C x USEOF ISTINGBLDG. URM ❑ . Signature APPLICANT(PRINT) TEL NO. LOMA Perm p = 1 ❑ I, as owner of the property, or my employees with wages as O their sole compensation, will do the work and the structure is ADDRESS f. FINAL DATE Q ' 7163.68 not intended or offered for sale (Section 7004, Business and /^ 9 � 331T Professions Code.) WILLTHE APPLICANT OR FUTURE BUILDINGOCCUPANTHANDLEA HAZARDOUS MATERIAL /Ly ✓/ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 1 ITEMS ❑ 1, as owner contractors the property, ru exclusively contracting 0with44, THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATMMIS INFORMATION GUIDE? FINAL.B licensed and Professions to construct the prolect.(Section 7004, YES❑ NO❑ -�. TOTAL 163 - 63 Business and Professions Code.) WILL THE INTENDED USE MI THE BUILDING BY THE APPLICANT OF IO FUTURE BUILDING HECK 163.6c OCCUPANT QUALITY UALREOUIY MANAGEMENT DITFOR STRICT(SNORMODIFI PIERMI FROMTING THECOLITH CHANGE CONSTRUCTION LENDING AGENCY FOR GUIDELINES ry MANAGEMENT DISTRICT ISGQMOI SEE PERMITTING CHECKLIST .. .. CHANGE I hereby affirm that there is a construction lending agency for YES❑ No❑ the performance Of the Work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO I 3097,Civ.C.). PERMITTING CHECKUST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES 7�1 ]9 COUNTY CODE TITLEZ CHAPTER Z20 SECTIONS 310.100 THROUGH 22).1'0 CONCERNING i_1000-00101 Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lenders Address owHmonADUT 1910 1 Hsi 7:s.1 o I certify that I have read this application and state that the above 5t information is correct. I agree t0 comply with all county PC.FEE PERMIT FEE xSi ordinances and State laws relating to building construction,and y hereby authorize representatives of this County to enter upon ISSUANCE FEE �6 the=mentioned property for inspection purpoSSp n1 /.0 ! INVESTIGATION FEE TOTAL FEE P316 Q syuwew LPowy+s w� '�d �. 1 SEE REVERSE FOR EXPLANATORY LANGUAGE