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HomeMy Public PortalAbout6229 ENCINITA AVE_Building__ 76AESBA DE#80311-6/ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ABUILDING DDRESS Y 2 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMSIE,COUNTY ENGINEER NEAREST / �✓L CASSATT D.GRIFFIN,SUIT OF BUILDING CROSS ST. A DISTRICT NO. GROUP TYPE SEWER MAP FOR APPLICANT TO FILL. T-- BK— PGS CONST. BUILDING - A ADDRESS oZ o2 �D. , ^/CJ r//T}1 eA✓E STATIST]CAL��/C(1�ASSIFI CAT ]ON LOT NO. Z BLOCK CLASS.NO. " DWELL.UNITS MAP 4 STATE / NUMBER 7 HWY. YES O TRACT �1D ` USE ZONE SPECIAL GO y / NO.OF BLDGS. CONDITIONS SIZE OF LOT 8 S r I NOW ON LOT -7 USE OF EXISTINGBLDG ES/O fi✓GF_ P GARAGE BUILDING EXIST. YARD HWY STREEY NAME //11 � SETBACK WIDTH , OWNER /DLA l7'.COF_$CH LFRONT MAIL _ �7 P.L: ADDRESS Z-z Na . cN In, T-4 A ✓.E SIDE /FHPLE CITY NO AT7-,??1.31 P L CITYINSPECTION RECORD ARCHITECT ORA/10 / TEL. ENGINEER ONF_ NO. ADDRESS TEL. CONTRACTOR NO. ''' ✓ ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH r n /�, Sq.FT. ( e NO.OF NO.OF '/INA QSA SIZE O�rO STORIES FAMILIES USE OF STRUCTURE SIGNATURE OFAPPROVALS APPLICANT ADDRESS GZa _�.. (irW w�li./ DATE INSPECTOR'S SIGNATURE FOUNDATION CATION FORMS.MATERIALS / S ao P.G S FRAME: FIRE STOPS. FEE BRACING. BOLTS VALUATION { pU FURNACE: LOCATION. ' FEE �f GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE HAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W ALLICOUNTY ORDINANCES AND STATE LAWS RE TING/BUILDING CONSTRUCTION. LATH,EXT. SIGNATURE OFA. 4 HOUSE NUMBER COR- ' PERMITTE RECT AND POSTED ADDRESS �a A FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION ac. M.o. WeH PE[OW VALIDATION c,, M.D. usR X04 5 3 7S SEP 5 1 A 2 .00 2 ®. , WORKERS' COMPENSATION'DECLARATION mtiat I have a certificate of consent to self sur racertifcateofWorkers' CompensationInsurance, FOR ,B,URDN'G PERM EQM 'or a certified copy thereof (Sec. 3800, Lab. C.) - - - - - - COUNTY OF LOS ANGELES -_ BUILDING.;AND SAFETY Policy No. Company ❑ -Certified copy is hereby furnished. - FOR APPLICANT TO FILL IN - BUILDING ;ZZy y. ADDRESS G ❑. Certified copy is filed with*the county r; buildig inspec- aion`departmencBUILDING _ �� TT - / TADDRESS4r, I Date- Applicant' - CITY - - -T ZIP /- V LOCALITY CERTIFICATE OF EXEMPTION FROM'WORKERS" ''s - "- '- -- - - NO. OF BUDGS-- ---� NEAREST _ _ 'COMPENSATION INSURANCE - - SIZE OF LOT T- NOW ON LOT CROSS ST. . ,�J(.�OGj/CV (This section need not be'completed if the permit is-for one - - p - -- - ASSESSOR - _ -'- ^ .hundred dollars ($100)or less.) s - TRACT 51 BLOCK LOT NO. pG MAP BOOK PAGE. PARCEL TEL. USEZONEMAP , OWNER^ - ' OTT/ ..-TEL. _ / 11 certify that in the performance of the work for which,this NO. O > permit is issued, I shall not employ any person in any manner i.s / q �C_ /^ 3 - SPECIAL+ '- --2003 . -� - --' `!d so as to become subject to the'Woikers'Corrmpen tion Laws. ADDRESS!{G%� /�1 'L f1 )qp "'_" CONDITIONS O .Dote .• ApplicantI ITY. ZIP_ -. .09 NOTICE TO APPLICANT' If, after making this Certificate of ARCHITECT OR T�1. DISTRICT .GROUP TYPE _ FIRE •_ PROCESSED BV _ Q ENGINEER /THIO. CONST! ZONE r Exemption, you 'should become subject tos the' Workers _ _ P t x W Compensation provisions•of.the'Labor Code,'you must.forth- ADDRESS - - - e,3 - - - -- -- 6 with.complywith such .provisions or. this permit shall be' - -- - ---- - ; - - Z TEL STATISTICAL CTAS KATION APT. CONDO. deemed revoked. ,.. „ - � ,; . CONTRACTOR NO. -____ _ . .. - LICENSED CONTRACTORS DECLARATION • .t: - - . • --.- .- -- LIC: "-'- --" CLASS NO. DWELL. UNITS hereby affirm that Lam licensed under provisions of Chapter 9 ADDRESS NO. - (commencing with Section 7000)of Division 3 of the Business and LIC, _ . SEWER MAP ; Professions Code, and my license is in full force a_nd effect. CITY ` CLASS '" 6K - r - ' VALIDATION f License Number Lic.Class DESCRIPTIONOFWORK'" NEW -'O IOC / ^ ..- - ADD VALUATION, SQ. FT. NO.OF _ _ NO. OF _ CHECK SIZE STORIES FAMILIES ONE Coniractol � Date $ ,LV• � ❑ 1 am,,,�exempt under Sec. - ___ �j /rJ,(J/f/Jyd C.r . .. ____ - .. ALTER LJ _ B.BP.C. for this reason _ REPAIR ❑ $ �- - - - - - --- -- - .- 'I USE OF i Date: r DEMOL ,. EXISTING BLDG. -'�S'g -t ' - APPLICANT TEL. FINAL OWNER-BUILDER DE RATION .PRINT. NO. _ ... - --, -„DAT - -=-z- -�--_ - - •- +I hereby affirm that I am exempt the Contractor.'s License ,_ , Law far the following reason (Section 7031.5, Business and 'ADDRESS i / I FIN 'T - •"•f' -Professions Code) PR ENT - BY ICZT BUILDING_ .. . . _ _ _. t _ _ _ _ - �48,9'.4A r 1Y7�1- I, as owner of the._property, or my employees with ADDRESS _ ' wages os their sole compensation,will do the work and ' LOCALITY '' D # ° • • •:•',, F the structure is not intended or offered for sole(Section I. -7044,-Business and Professions Code). - MOVING _ - _ _ -" "' "" TEL." "' -'- - - 'S.,- S-O7,: '• F-1 1, asowner of the property, am exclusively contracting CONTRACTOR..- NO. -with licensed'controctors to construct the project (Sec. ADDRESS t�. t;yF 1 1'5 5 0 1 "'•� tion 7044;Business and Professions Code). -� _ REQUIRED- TOTAL SETBACK FROM - -- �� _ -+ CONSTRUCTION LENDING AGENCY SET BACK -YARD HWY PROP. LINE WIDTH' s s„ �+ y # 6.2,68 6 I herebyaffirm that there is a construction lending agency for t 9 9 Y ,FRONT `n ,t,. -the performance of-the work for which this-permit is issued - - -P.L. •" - - -'- - -- -^'--'� '- -' " -` ; "T "- - (Sec. 3097, Civ. C.). SIDE , m P.L.� .-. Lender's Nome ... .. - - 8 _ - __. .OV - -' LDMA Ref. P.C. fee§•'^ Permit Fee 't' Lender's Address - t > certify that I have read-this application.and state that the _ IssuanceFee Or S� - LDMAP/G N=- - - -- _ . _. ._ __ m above information is correct. I agree to comply with all County Investigation Fee' g ordinances and State laws relating to building construction, -- _ ._. _.__. Total`Fee` - l tV 'LDMA Perm:'#- v and hereby authorize representatives of this County to enter ' upon the obove-me ned property for inspection purposes. t n a SEE REVERSE FOR EXPLANATORY LANGUAGE - Signature of'A mons or Agent- - --- 'Date ) C ' WORKERS',COMPENSATION DECLARATION; ,. ,. � �� LL. /� /� fir+ �F�ryL1L�� 1��} � I hereby affirm.that,l,have a certificate of consent to self /O\ I�P II �IL /!' 11 �O ll V FOR R [�M O d M IG PERI insure, or alertificote of Workers'Compenstion Insurance, or _ Ai 11 LS `V- (rel 1111 o Certified No.. copy thereof (Sec. 3800, Lob. C.) PCOUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ollcy Company Certified copy is hereby furnished. - FOR APPLICANT TO FILL IN - BUILDINGADDRESS ❑ Certified copy is"filed with the county building inspea`_� BUILDING / five IA(l tion.department. ADDRESS / LOCALITY' Flom ' INEAREST _ ,J , Date Applicant CITY l ZIP CROSS ST. CERTIFICATE'•0F EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR - COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL . (This section need not be completed if the permit is for one USE ZONEMAP hundred dollars ($100) or less.) TRACT BLOCK LOT NO. NO. TEL. SPECIAL d 1 certify that in the performance of the work for which this —� OWNER F O, 517 CONDITIONS O permit is issued, I shall not employ any per any manner / �L/ ��'',r DISTRICT GROUP TYPE FIRE PROC SED By LJ so as to b/co subject to the Worker ' a sail n L ADDRESS // N fL/ O �T CONST. / ZONE .. O xDate s Applicant CITY L T t ZIP 7� STATISTICAL CLASSIFICATION APT CONDO. V // ARCHITECT OR ��f ��� TEL b �•�7f, � NOTICE T APPLICANT: If,.after makin is Certifico of ENGINEER NO. U`ST/Q� '�fT qq W Exemption, you should become subject to the Workers' IL L[' CLASS NO.�Di UNITS_ N Compensation provisions of-the Labor Code; you must forth- ADDRESS SEWER MAP Z with comply with such provisions or this permit shall be deemed revoked. TEL BKPG, �7 CONTRACTOR Np. VALIDATION _ .LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under.provisions of Chapter 9 ADDRESS NO. 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 $ SQ. FT.sY( NO. OF NO. OF CHECK , License Number Lic.Class SIZE STORIES FAMILIES ONE $ Contractor - Date DESCRIPTION OF WQRK TI NEW -' Eom exempt from the licensing requirements as I am a ADD - ❑ licensed architect or a registered professional engineer t ALTER ❑ FINAL ^7 5 acting in my professional capacity (Section 7051, REPAIR ❑ DATE Business and Professions Code). USE OF FINAL EXISTING BLDG. DEMOL ❑ By Lic,or Reg.'No. Date APPLICANT - TEL. ,- - OWNER-BUILDER DECLARATION (PRINT) - NO. ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section,7031.5, Business and IADDRESS Professions Code): r. PRESENT OBUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale (Section - LOCALITY 7044, Business and Professions Code). MOVING TEL - 2061. 1 A ' ElI, as owner of the property, am exclusively contracting CONTRACTOR NO. with,licensed contractors to construct the project (Sec- #.e e.o•e s ADDRESS tion 7044, Business and Professions Code). ' REQUIREDSETBACK FROM EXIST Q s`e•5 '� 0 O. . .LINE WIDTH CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP I hereby affirm that there is a construction lending agency for FRONT 'i the performance of the work for which this permit is issued P.L. `O •t°j5 2.0 Q v (Sec. 3097, Civ,.C.).: SIDE P.L. 0.a 0 3'—8 1 Lender;s.Name Lender's Address P.C. Fee S Permit Fee w I certify that I have read this application and state that the Issuance Fee aabove information is correct. I agree to comply with all County Investigation Fee $ ordinances and State laws relating to building construction, and hereby out ri,e ntatives f this County to enter Total Fee r rese < upon IF •ab • me io ed op t or this purposes. - m /�` � � � a SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature ' PPllcont or Agent Dote L - WORKERS'COMPENSATION DECLARATION : DISI I hereby affirm that I have a certificate of conser t.yto self- - !ryPU `V- /r IM N* FOR BUMO G PERUVII� r insure, or o certificate of Workers' Compensation Insurance, or o ceiWied copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Folcy No. Company BUILDING Certified copy is hereby furnished. .FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING egg y� , �j,�s/�� tl r tion department ADDRESS' C. C. w N` �7 LOCALITY NEAREST Date Applicant r CITY ^ ! `- ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT. MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP Q hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. TEL SPECIAL y I certify that in the performance of the work for which this OWNER OT NO. /—,3 CONDITIONS 6 permitis issued, I shall not employ any person m any manner 'J DISTRICT .GROUP TYPE FIRE PROCESSED BY so as to become subject to the Workers'Compens fon Laws. ADDRESS i ,- 7 lbr`/ O . . CONST. ZONE N K 'Date CITY �M /.�� /,)ZIP �S©G���Applicant' / D STATISTICALC SSIFICATION PT. CONDO. V ARCHITECT OR TEL. .�"' NOTICE TO APPLICANT: If, after making this Certificate of ` t �/ ENGINEER J G NO. CLASS NO. DWELL. UNITS_'Exemption, 'you'you should become subject to the Workers' 1 Compensation provisions of the Labor Code, you must forth- -ADDRESS SEWER MAP N with comply with such provisions or this permit shall be Z deemed revoked. CONTRACTOR ✓• NO. BK. PG, - VALIDATION LICENSED CONTRACTORS DECLARATION LIC hereby affirm that I am licensed under provisions of Chapter'? ADDRESS NO. vUATION 0 ca - (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 C/V LJ D SO. OF NO. OF CHECK{ License Number' Lia.Class SIZE STORIES FAMILIES ONE E Contractor Date w DESCRIPTION OF WORK NEW ❑ ' 1 an, exempt under Sec. A 6 - m! A14 ick D ADD. ❑ - ALTER ❑ FINAL .B.BP.C. for this reason - REPAIR [_ DATE Date: USE OF DEMOL ❑ FINAL - EXISTING.BLDG. By Signature - APPLICANT p TEL. . OWNER-BUILDER.DECLARATION PRINT. - NO. I hereby affirm that I am exempt from the Contractor's License D Law for the following reason (Section 7031.5, Business and ADDRESS ' rofessions Code): - PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS '�7 1 .� 7 A ' wages as their sole compensation,will do the work and - the structure is not intended or offered for sale(Section LOCALITY r , 7044, Business and Professions Code). MOVING TEL # CONTRACTOR NO. I, as livens d the property, am exclustruct thelprojec (Sec- 2' with licensed contractors to construct the project (Sec- tion 7044;Business and Professions Code). ADDRESS LFRONT TOTAL SETBACK FROM EXIST. o o s 6 �•Q O m ' CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for - D - I ) the performance of the work for which this permit is issued - Q26-'82 (Sec. 3097, Civ. C.). m Lender's Name P.C. Fee$ Permit Fee �. Lender's Address - I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee g. ordinances and State laws relating to building construction, d and hereby authorize represent ives of this County to enter Total Fee upon the above- ntion d o erty for inspection purposes. a PC-T SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or A ent Date ®s WORKERS' COMPENSATION DECLARATION 7. II I hereby,iffirm that I have a certificate of consent to self k P P U C /2M O U VM FOR MOLDING P E ROO LL� 11 LLLSSS insure, ora certificate of Workers'Compenstion Insurance, or aysrriIied copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy I Company F7 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN nooaess a 1 Certified copy is filed with the county building inspec- BU LDING tion department. ADDRESS LOCALITY NEAREST Date Applicant CITY C4% L•(- .L' /r/ ZIP �\utC� CRoss ST. ✓ CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF SLOGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT (SCJ J( rj NOW ON LOT MAP BOOK PAGE PARCEL ' (This section need not be completed if the permit is for one p .� 2— USE ZONE MAP � OD 3 hundred dollars ($100) or less.) TRACT / d BLOCK LOT NO. J NO. - y - TEL. _� _ .,r SPECIAL 6 Lcertify that in the performance of the work for which this OWNER / ,j %�%� =�� NO..+C .::a CONDITIONS O permit is issued, shall not employ any person in any manner i7 4' - - _ DISTRICT GROUP TYPE FIRE PRO ESSED BY U aso as to become subject to the Workers'Com ion Laws. ADDRESS .,)(,.0 4Z' /Lt/��/%/� s�C U CONS[. / ZONE E % /, 01 FDate, CITY •-l.. - ZIP �7/� l� A // w../-•H� O S` y- b"I applicant STATISTICAL CLASSIFICATION APT. CONDO, V NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL _ w Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. l DWELL. UNITS_ N Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such, provisions or this permit shall be CONTRACTOR NO deemed revoked. TEL' gK. �PG. VALIDATION . LICENSED CONTRACTORS DECLARATION - LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. ^ / �—QO Professions Code, and my license is In full force and effect. CITY CLASS S c0 SO. FT., NO. OF NO.OF CHECK License Number Lic.Class SIZE wo STORIES IFAMILIES ONE Contractor Date DESCRIPTION OF WORK •-✓ NEW ❑ 4 lame xem 1 from the licensin re uirements as I am a ADD ❑ licensed architect or a registered professional engineer - ALTER ❑ FINAL acting in my professional capacity (Section 7051, REPAIR ❑ DATE (O - Business and Professions Code). - USE OF DEMOL FINAL EXISTING BLDG. ❑ By Lic.or Reg. No. _Dote APPLICANT r TEL. `'n OWNER-BUILDER DECLARATION PRINTI C.LJ ,G'sC NO.,Vr�/t I hereby affirm that I am exempt from the Contractor's License / s / r Low for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT I, as owner of the property, or my employees with BUILDINGADDRESS , wages as their sole compensation,will do the work and 9 5 07.4 A the structure is not intended or offered for sale(Section LOCALITY - 7044, Business and Professions Code), MOVING TEL. # a e,e e e I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to consirucl the project (Sec- ADDRESS t 12�e - 79.00 tion 7044, Business and Professions Code). - REQUIRED TOTAL SETBACK FROM EXIST. e • 0 7 9,0 Q_ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ' U I hereby affirm that there is a construction lending agency for FRONT - O 1110 4_81 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 1 certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ' ordinances and State laws relating to building construction, r " Total Fee and hereby authorize representatives of this County to enter U upon the above-menti ed prroper r for inspection purposes. ��f,Jwrc.t rr�1 �::7:z, y-G�-3'/ SEE REVERSE FOR EXPLANATORY LANGUAGE Slgnolure of Applicant or Age6t Dote WORKERS' COMPENSATION DECLARATION 76A663 I0/81 APPLICATION FOR ELECTRICALPERMIT I,Nereb_y�Aaffirm that I have a certificate of consent to self CE806G insvrg,-q coftiflcate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) r Policy No. Company FOR APPLICANT TO FILL IN TOB rr Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. $ — E LOCALITY T tion department. Multi-family Sq. Ft. — NEAREST , Residential Swimming Pools - CROSS ST. Date Applicant ,- OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light_Sw.� - .MAIL COMPENSATION INSURANCE ADDRESS o 2 r - This section need not be completed if the work involved b 'First 20 vcz 411-1,4 ( P T Total Na.� CITY Tel. No 4S the permit is for one hundred dollars ($100)or less.) Additional I certifythat in the performance of the work for which this PLAN CHECK P APPLICANT permit is issued, I shall notemploy any pets n in any manner so as to become subject to the Workers' ensation tows. Lighting Fixtures First 20 ADDRESS ' AJ Total No. Additional Date applicant CITY o. NOTICE TO APPLICANT: If, after mak' this Certifi to of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range_ Heater—D.W. APPLICANT Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W.M._ ADDRESS with .comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. CITYTel. No. LICENSED CONTRACTORS DECLARATION Hood — Fan _Other CENSE OR hereby affirmlhat am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. r. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCE D V a and Professions Code, and my license is in full force and effect. Power Apparatus 8 targe Appliances Co) SizeK 8 Type HP, W, KVA, or KVAR r. License Number Lic. Class Up to 1 Incl. FINAL X Over I to 10 Incl. DATE Contractor Date _ 6 VALID N OOver 10 to 50 Incl. FINA W I am exempt under Sec. Over 50 to 100 Inc. BY B.BP.C. for this reason Over 100 z Date: Services, Swbd., MCC 8 Ponelboords D 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V �5 2 0 9 A SINGLE FAMILY Tem Power Pole 8 A t HOME OWNER-BUILDER DECLARATION p' Appurtenances a e e o o e 2 Sign with One Branch Circuit I hereby affirm that g r exempt from the Contractor'sBusiness d Additional Sign Branch Circuits ( - - 2(100 Law for the following reason (Section 7031.5, Business and P�essions Code): e e•e 2 Q 0 0 v Misc. Conduits 8 Conductors as owner of the property, will do the work and the structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 0 8'0 8... $6 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ. C.). PLAN CHECKING FEE Lender's Nome PERMIT ISSUING,FEE , Lender's Address I certify that I have read this application and state that the TOTAL FEE O tOD above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby aut orize representatives of this County to enter upon the bov m boned pro erty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE OO gnat Per it ee Dote COUNTY OF LOS ANGELES TEMPLE CITY # 0508 t• BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS - 9071 LAS TUNAS _ - RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY, CA - ` RL 0508 9706230008 PHOI:E: ,(8%) 285-0488 EXT: - EG NO. OF CONST NEW BUILDING ADDRESS: - TR: 5904 LT: 282 SQ.- FT - STORIES TYPE OCCUP GROUP 6229 ENCINITA'AV STRUCTURE: 138 - 2 VN R3 TEMP CA 917801640 - ASSESSOR INFORMATION NUMBER: GARAGE: - NEAREST CROSS STREET:. - 5384-011-021 - OTHER: 96 2 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TEN T: EXIST BLDG USE: USE ZONE: ISSUED 0 ROC BY: EXPIRES EXIST OCC GRP: 06/23/97 TC 06/23/98 - OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAgTE FINAL BY: CODE: . HOTTINGER KENNETH R;KATHIE J . (818).285-4788- - 13-,000 D�ZA �� 6229 ENCINITA AV - B R1 TEMP 917801640 ES ID DESCRIPTION OFWORK ADDITION OF STUDY AND NEW FRONT POVH - FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: ' ADP CA : TELm NO: S 8 L CONSTRUCTION (818) 286-5096- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 13000.00 VAL 1.30 SPECIAL CONDITIONS: AX BUILDING REVI EW.FEE`. ,I1 54.70 _ B2 PERMIT W/ENERGY ��.13000P00 VAL 295.52 TOTAL F�EES379.27 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE S 8 L CONSTRUCTION (818) 286-5096- 5826 BURTON AVE. -LIC- NO OC ON D S SAN' SAN'GABRIEL, CA 91775 , 503799 -� SOILS ENGINEER APPROVAL L — ARCHITECT OR ENG)NEER; TEL. N : FOUNDAT IO / C ORMS _LIC. NO: . -- SLAB/UNDER.FLOOR RAISED R FRAMIWG MAP NO: SEWER MAP BOOK: PAGE: . FIRE ZONE: CMPO' Bpip_ W UNDERFLOOR INSULATION 1ST LEVELFLOOW STERTF 0. OF ILIES: T)WELLING S: A 0 D- ST CL - - k0 21 O0 „ p -AU - co ND LEVEL FLOOR SHEATH GJ SCHOOL HAZARDOUS - r Fl t� ROOF SH HI G AIR QUALITY: 1000 FEET MATERIALS NO NO NO ® FIRE DEPT. FRAME INSPECT , REQUIRED TOTAL SETBACMOM EXIS Ss FLOG DEP77 FRAMEINSPECT SET BACK YARD: .HWY: PROP LINE: - WIDTH: FRONT PL- _ e� SHEARPANELS. - SIDE PL- v�B/�� vTWs-9L—ATION/WLAlHtK STR P ,\ . - INTERIOR LATH/DRYWALL146 . EXTERIOR LATH -v - LOT DRAINAGE . - SMOKE DETECTION CES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508