HomeMy Public PortalAbout6237 ENCINITA AVE_Building__ TEMPLE CITY
>......CF d••• l-sI APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING J
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENEEN SUP•ToFBu1LDIND CROSS ST.
DISTRICT NO. GR P :Ty ^}`� P ESSED BY
FOR APPLICANT TO FILL IN S __T C NST
BUILDING STATISTICAL CLASSIFICATION 5 WER MAP
ADDRESS 6237 Encinitas T.C . CLASS.NO. DW ELL. UNITS �K PG
r
LOT NO. BLOCK WATER NOT REQUIREDRECEIVED
CERTIFICATE:
TRACT ' .L MAP HIGHWAY
NO.OF BLDGS. NO O (CIRCLE) STATE MAJOR SECOND LOCAL
SIZE OF LOT. NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS C
EXISTING BLDG.
OWNER Bob Bitten NO. I�
T.C . BUILDING YARD HWY TREETN ME EXIST.
ADDRESS 9655 Nadine CSETBACK WIDTH
FRONT
ARCHITECT OR TEL. P.L. _
ENGINEER NO. SIDE '
ADDRESS TEyriPJ n INSPECTION RECORD p
CONTRACTOR Vicrgi On Roof C O.NQL y 1050 1 �J
ADDRESS 600 S. Jan Gabriel Blvd.
DESCRIPTION OF WORK S.G. G
W
d
NEW ADO ALTER - DEMOLISH H
SQ. STORIES
FAMILIES OF ?
IZE STORIES FAMILIES ,
USE OF
STRUCTURE
Re-roof House & Garage.
SIGNATURE OF
APPLICANT
VALUATIONS 469.00
APPROVALS DATE INSPECTOR'S SIGNATURE
MT. FOUNDATION: LOCATION
—FEE $ �' FEE $ 6.00 FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
ANO STATE THAT THE ABOVE 15 CORRECTS ANO 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 LAB R CODE OF THE STATE OF CALIFOR IA RELAT-
ING TO WORKMEN COMPENBATI N INSURANCE. LATH,EXT.
SIGNATURE 0 HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS 600 S. San Gabriel Blvd. FINAL -34
San Gabriel CLYDE N. DIRLAM. RINCIPAL STR AL ENG NEER
PLAN CHECK VALIDATION CK. M.O. u H PERMIT VALIDATION oK. M.o. CASH
LICo 3 8 9 8 i2 DEC 2 7 1 D 6.0 0
TSAS]6A CE CBG] 3-63 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
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DIST Rj 'TNfI,/ GROUP T E PR ES BY
FOR APPLICANT TO FILL IN SS Ns
O
.BUILDING/ �J G/J STATISTICAL C FICATION EW R MAP
ADDRESS{O
CLASS. NO. DWELL, UNITS
LOT NO. B` BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: 14
TRACT 0 - MAP HIGHWAY
NO. OF BLOGS. ij NO. Q Iaec LEl STATE MAJOR SECON OCAL
SIZE OF LOT 40 Q NOW ONLOT !r USE ZONE SPEC
T .
USE OF - CONDITIONS
EXISTING BLDG.
TEL./�
OWNER / C IN BUILDING YARD HWY STREET NAME EXIST.
// / SETBACK .W TH
ADDRESS (O A ♦ [I FRONT ( • )•ARCHITECT OR TEL // P. L.
ENGINEER r NO. G!G> SIDE 1'
ADDRESS 0
TEL.
CONTRACTOR C NO. - 1 w
O
ADDRESS F"
DESCRIPTION OF WORK d
Z
NEW /�D �OA;ER STORIES
DEMOLISH
SQ. FT. ST I NO. OF
SIZE FAMILIES
USE OF ✓�
STRUCTURE14
SI GNATURE OF
APPLICANT
VALUATION S � APPROVALS DATE
INSPECTORSSISI�G�N�ATURE
FEE � - PMT. ✓ FO FORMSI. MATERIALS
ON ON
FEE $
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT 1 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 CE Y AT IN DOING TH WORK
AUTHOR12E0 HEREBY WILL T E OV NY FENS IOL 1
TION OF THE LABOR COO' F $T OF ALI LATH. INT.
ING TO WORKMEN'S Cpl/ AT E.
// LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE- _ RECT AND POSTED ) -'
ADDRESS_ �. C FINAL
JOHN F. LEWIS. PRINCI AL S URAL ENGINEER
PLAN CHECK VALIDATION CK, M.O. CASH _ PERMIT VALIDATION cK. M.O. CASH
L(;o 1 0 9 1 OCT 7 1 0 6.00-
• WORKERS' COMPENSATION DECLARATION fJ
...— , `7ILJII
I hereby affirm that I have o certificate of consent to self //p�� O D '(/� /(q� �1pp��� FOR
�r��L r1�•�1��1/`�� O 1�}SRO �/p��//AT� fes'.+
insure, ora certificate.of Workers' Compensation Insurance, APPLOC r'�1��'OU V Il OR UU�L®0U V V PISA MO 0
or o certified copy thereof (Sec. 3800, Lob. CC..) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy NoJJ 3 zzK Company .S LCL _
Certified copy is hereby furnished FOR APPLICANTJO FILL INi BUILDING `
ADDRESS
® Certified copy is filed with the county building inspec' r BUILDING /
tion department. ADDRESS to
Date "Z— I O'a• Applicant 4!�U ' lid CITY ZIP "// " 4 LOCALITY
'CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
h'1 COMPENSATION INSURANCE I SIZE OF LOT NOW ON LOT CROSS ST.
{ (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR
hundred dollars ($100)or less.) TEL MAP BOOK PAGE PARCEL
J, OWNER C 4 NO. ff, �Z U ZONE N
AP
1j�^L I certify that.in the performance of the work for which this NO.
permit is issued, 1 shall not employ any person in any manner SPECIALt
so as to become subject to the Workers'Compensation Laws. ADDRESB ' CONDITIONS 0
CITY ZIP U
Date Applicant aft f ARCHITECT OR TEL. 0
NOTICE TO APPLICANT: If, offer making this Certificate of ENGINEER NO. DISTRICT GRJJpt��UP TYPE FIRE PRO ESSED BV 0
Exemption, you should become subject to the Workers' - -ZIP
CON$J. ZONE U
Compensation provisions of the Labor Code, you must forth- ADDRESS s. '/T\ V J a
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. NDO. N
deemed revoked. CONTRACTOR NO 66 // (' Z
LICENSED CONTRACTORS DECLARATION LIC,. CLASS NO.�_DWELL UNITS- '
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS g ONg a � 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 [do c7 s3 CLASS BK PG VALIDATION
,n SO. FT. NO.OF NO.OF CHECK
/ License Number rO 60;L` Lic.Class 16^3 _/ SIZE STORIES FAMILIES ONE
Awl VALUATION
_��'� DESCRIPTION OF WORK -Q P ,. NEW
C❑ontrdctor Date y� C I ADD
I am exempt under Sec.
ALTER
B.BP.C. for this reason REPAIR o f
Date: USE OF
EXISTING BLDG. / DE OL
Signature APPLICANT r i EL FINA
OWNER-BUILDER DECLARATION PRINT W/ /J q#? / HV'GLorFJNO.e39G : DAT
I hereby affirm that I am exempt from the Contractor's License ADDRESS 3<!/ G. F /77 tL 1 A p ;989 8.0 A
Law for the following reason (Section 7031.5, Business and
Professions Code): PRESENT ele
El1,
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and - ( -,-.7 a 0 O
'the structure is not intended LOCALITY
rended or offered for sale(Section D _ x
7044, Business and Professions Code). MOVING � TEL. a `� �,0 Op
1, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- 2", 8'�8 8
tion 7044, Business and Professions Code). ADDRESS
.CONSTRUCTION LENDING AGENCY CK tx
SETREQUIRED
BACK YARD HWY TOTAL ROP.LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
S/s LDMA Ref. M
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 R
above information is correct. I agree to comply with all County Investigation Fee
q ordinances and State laws relating to building construction, Total Fee
and hereby authorize representatives of this County to enter IDMA Perm. R
upon the above-men/tL'�oned property for inspection purposes.
m C��t •�O'�*Z a ��O '�� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant ortokgsht Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 A.', BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS r ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ' BL 0508 0006150053
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 5904 LT: 281 SO. FT STORIES TYPE 6237 ENCINITA AV
STRUCTURE: 0 VN TEMP CA 917801640
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5384-011-020 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED PROCESS BY: EXPIRES ON:
EXIST OCC GRP: 06/15/00 UT 1"/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
DAVIS CAROL A (626) 207-4050- 1 1,500
6237 ENCINITA AV
TEMP 917800401 FEES PAID DESCRIPTION OF WORK
VOLUNTARY HOUSE BOLTING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
PP CAN : TEL. NO-
M A ROGERS INC. (626) 449-0805- AA BLDG PERMIT ISSUANCE 27.75
21 E. VILLA ST AC STRONG MOTION RESID1500.00 VAL 0.50 SPECIAL CONDITIONS:
E_
PASADENA, CA D2 PERMIT W/O.EN"HC- X1500.00 VAL 82.20
GELEs Tt0
D,TAL�FEES 110.45
CONTRACTOR: TEL. N0: SGS � APPROVgLS DATE INSPECTOR SIGNATURE
M A ROGERS, INC. (626) 449-0805-
21 E VILLA ST LIC. NO LO CATIOV--AND SETBACKS
PASADENA CA 91103 296418 B /
/ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - -1 \ FOUNDATION/TRENCH FORMS
LIC. N'OI:',' �1,11111. 1 SLAB/UNDER FLOOR
RA15 D DO— FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
153H265 3 � p* I. �Ji-����� ��i ''� � �
L` �•- �- FLOOR SHEATHING
O..OF FAMILIES: DWELLING UNITS: PT GOND: STAT CLASS--
NO
LA NO 21[10 —"-- (9 — ROOF SHEATHING
0\\ �li
SCHOOL WITHIN HAZARDOUS N SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NOFRAME INSPECTION
-DC7
,o D �','°I✓5
REQUIRED TOTAL SETBACK FROM EXIST !/b L \ n104� FIRE SPRINKLER HANGER'§--
SET
YARD: HWY: PROP LINE: WIDTH:
FRONT PL '/�• SQtr
SIDE PL-
TR
j� ,`VV`"�
Z+ INSULATION/WEATHER SIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/C L SSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
w.
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 8L 0508 0910130006
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO, OF CONST BUILDING ADDRESS:
ITR: 5904 LT: 281 SQ. FT STORIES TYPE 6237 ENCINITA AV
(STRUCTURE: 40 V-B TEMP CA 917801640
((ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15384-011-020 THOMAS PAGE: 596 GRID: OR LOCALITY: TEMPLE CITY, Cl
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED 8Y:
IEXIST OCC GRP: 110/13/09 SR
OWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATION: 1FSNAL DATE- FINAL BY. CODE: 1
IDAVIS CAROL A (626) 287-4000- 200 110 / �pp
16237 ENCINITA AVE. 1 tl
ITEMP 917800401 1 FEES PAID IDESCRIPTION OF WORK 1
I REPLACING 40 S.F. OF DRYWALL IN BEDROOM
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
1APPLICANT: TEL. NO: I
IBETTER CONSTRUCTION 6 DESIGN INC. (818) 399-1112- 1 A BLDG PERMIT ISSUANCE 27.75 1 1
117001 OAK VIEW DR. IAB STATE GREEN BLDG FEE 200.00 VAL 1.00 1SPECIAL CONDITIONS: 1
IENCINO, CA 91436 IAC STRONG MOTION RESID 200.00 VAL 0.50 1 1
IB2 PERMIT W/ENERGY 200.00 VAL 48.02 a
I TOTAL FEES 77.27 '
CONTRACTOR: TEL. NO: .1 IAPPRCVALS DATE INSPECTOR SIGNATURE
� ISETTER CONSTRUCTION AND DESIGN (816) 399-1112- 1
117001 OAK VIEW DR LIC. NO ILOCATION AND SETBACKS
1ENCINO, CA 91436 817160 1
ISOILS ENGINEER APPROVAL
I I I I
ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS
LIC. NO: 5LAH/UNDER FLOOR
(RAISED FLOOR FRAMING
MAP N0: SEWER NAP BOOK: PAGE: FIRE ZONE: CMP:J I UNDERFLOOR INSULATION
1153H265 3 001 � ttt��� I' 1
1`e � b��✓ bYekol 109 (FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1
NO 21 1 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
HAIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
1REQUIRED TOTAL SETBACK FROM EXIST 1 11 FIRE SPRINKLER HANGERS I I I
(SET BACK YARD: HWY: PROP LINE: WIDTH:
IFRONT PL- I INSULATION/WEATHER STRIPI I
I SIDE PL-
(INTERIOR LATH/DRYWALL
I I
EXTERIOR LATH
I I (RATED FLOOR/CEIL ASSEM. I I I
I I (RATED WALL ASSEMBLIES I I I
I I (RATED SHAFTS/OPENINGS 1 I I
I I IT-BAR CEILINGS I I I
I
I I (LOT DRAINAGE I I I
IRE PORT ID: DPR261 ROUTE T0: HS 0508
I I 11 I I I