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HomeMy Public PortalAbout6329 ENCINITA AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (PPFt o, rvPe OFIY) eu1Lo1NG Z 3 N T - COUNTY OF LOS ANGELES AooR Ess DEPARTMENT OF COUNTY ENGINEER CIT v ZIP C)nEpn BUILDING AND SAFETY DIVISION NO.OF BLOGS. BUILDING SIZE OFLOT NOW ON LOT ADDRESS bY TRACT t I7—t 1-5 BLOCK LOT NO.Ili LOCALITY' - TEL.IVI I Ke NEAREST OWNER Il��(E�J� NO. CROSS ST. ASSESSOR / - ADDRESS MAP BOOK /P GE PARCEL �+ �/� DISTRICT' .GROUP TYPE FIRE PROC E55E0 BY CITY 1 t ZIP Q.�J / CONST. ZON �/ ARCHITECT OR - TEL. �` U ENGINEER NO. STATISTICAL C�LjASSIFICATION SEWER MAP ADDRESS SS/..��.CLASS NO."?/ _DWWELL,UNITS �` B �G. CONTRACTOR' LOC /1/I E NAO�U U , O ADDRESS NO. n SPECIAL LIC. / CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK IFR OM - d FRONT PROP. LINE OF ISTREETI ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY } YARp _ C SO. FT. NO. OF NO. OF - CHECK FRONT PROP.. LINE HIGHW V WIDTH O 512E STORIES FAMILIES ONE + = D LL DESCRIPTION OF WORK I NEW ❑ ADD ❑ BLDG.SETBACK FROM Z S1DE PROP. LINE OF ISTR— / ALTER ❑ HIGHWAY } YARD = TOTAL.SETBACK FROM TYPE OF EX15TING /�� � REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF W�l/� ¢ D EXISTING BLDG. IDEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO T) )PRINN0. _ BY (PRINT) IN OPEN SPACE YES ❑ NO ❑ _ IN COASTAL ZONE YES ❑ NO ❑ VALUATIONS Vbe CATEGORICAL EXEMPTION YES E] NO E] I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE- IS CORRECT AND AGREE TO COMPLY IMPACT E%EM PTIO&OECLA RA TION SIGNED (DATE) WITH ALL ORDINANCES ANO LAWS REGULATING BUILDING CON- STRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHOR RED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE 5 DF CALIFORNIA IN ELPTING TO WORKME CD PENSATI N IN Ufl SIGN4TU E P ERMITT _ ///� ADDRESS / / FINAL / BY I _ - TEL DATE 5 / CITY 0` 0 NO. L' 71 MAKE CHECKS PAYABLE_ TU' FEE FEES21 HARVEY T. BRANDT. COUNTY ENGINEER '711—/ PLAN CHECK.VALIDATION - K o. - =ASH PERMIT VALIDATION CN. � M.O. CASH 2 B �dl ]6A 638A CE9903 7/73 3 .. 1 5 D 11Ay 24 1,. 0. 2 12 5 ,&`N I cl.a r �,�e� c c C 443-/579 *APPUICATIOIN FOR COUNTY OF LOS ANGELES BUILDING PERM IT DEPARTMENT OF COUNTY ENGINEER . BUILDING'AND SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS,ADDRES .BUIDING ADIDRE55 0 l -NGI •! LOCALITY NEAREST 60-CITY I L �. • - Zip - CROSS ST, 0-e NO.OF BLDGS. ASSESSOR SI ZE OF LOT NOW ON LOT MAP BOOK PAGE. PARCEL fr✓ DISTRICT GROUP TYPE FIRE ROCE!ED BY TRACT/ep- / /SJ BLOCK LO`NO. U 3 D 4 �7 CONST1 ZJE )CE OWNER Y 77h /� - NO.• a.- _ STATISTICAL CLASSIFICATION - SEWER MAP ADDRESS h'Ne�` i CLASS NO. DWELL.UNITS �' BK��+PG CITY' N �c ZIP , USE ZONE MAP ARCHITECT OR �TREnL NO. �Q Q ENGINEEP .� lL T/d,. ��� 7aA PECIAL pp NDITIONS ADDRESS !O y?i NC' ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL. CONTRACTOR - NO. BLDG.SETBACK FROM LIC FRONT PROP.LINE OF r` ISTREETI XISTIN ADDRESS IN HIGHWAY + YARD = TOTAL NT PROPKLINSETBACFROEM HIGHWAY I TYPE OF JEWID HG LIC. CITY CLASS CONSTRUCTION LENDER NAME AND BRANCH BLDG,SETBACK FROM 0 ADDRESS CITY SIDE PROP.LINE OF ISTREETI O • SO.FT- NO.Of NO.OF CHECK = TOTALS ETBACK FROM TV PE OF EXISTING SIZE HIGHWAY + YARD SIDE PROP.LINE HIGHWAY WIDTH w 8 STORIES FAMILIES ONE = DESCRIPTION OF WORK NEW ❑ - Z- h� ADD CORNER CUTOFF - YES ❑ NO ❑ ` ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USE REPAIR El OF BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE . VES ❑ NO ❑ APPLICANT - TEL /'J •.j•p� . pA �li� � 1„r IPRINTI NO. BY ISIGNATUREI ' HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND STATE ' THAT THE ABOVE IS CORRECT AND AGREE i0 COMPLY WITH All ORDINANCES AND LAWSUT REGULATING BUILDING CONSTRUCTION. CERTIFY THAT IN DOING THE WORK ORCODE EO HEREBY EOF LIF EMPLOY ANY PERSON IN VIOLATION OF "THE LABOR CODE A THE STATE OF CALIFORNIA IN RELATING i0 WORKMEN'S COM PENSATION INSURANCE.SIGNATUR PERMT TEES / FINAL ^��J � BY DATE L., rl �'f.-a-•••�. ADDRESS �. F CITY J, {•` NEl,O.`• •� ��� P.C. Fee$ , Permit Fee 21•S-D VALUATION :5-z O v O d. O Issuance Fee . v \ J CD e ro a �,.�•� • •' '• i0 a eye Total Fee PLAN CHECK VALIDATION cK.' .o. CASH PERMIT VALIDATION CK. M.o. cnsr vI ve O. 2 8 8 AUG 15 *�- U .2 Q c I DO Co. GI J (n Cne Do 3 _ ' Eb O Oe Ad CH v ®f ]6AG36ACEN803A6/)) /sa 00 - APPLICATION FOR BUILDING PERMIT .F APPLICANT TO FILL IN (Print or IYPB only) BUILDING COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY27Ee-lz,,zZIP BUILDING AND SAFETY DIVISION �'f TiA NO.OF SLOGS. BUILDINGC S1ZE OF LOT S� / S NOW ON LOT bb ADDRESS ^/ TRACT BL/O/C�K LOT NO. /T �O LOCALITY a. TEL NEAREST OWNER yjL NO ;�y���� CROSS ST. ASSSSOR ADDRESS (i y o / /"�C�/y�� MAPF BOOK PAGE PARCEL / sem- DISTRICT GROUP TYPE FIRE SS�ED BY CITY Of�L(%� / C ' ZIP /"tea CONST. ZSE ARCHITECT OR � TEL Y ENGINEER NO. STATISTICAL CLASSIFICATION� SEWER M P ADDRESS CLA55 NO.L // DWELL.UNITS BK PO TEL. CONTRACTOR NO USE ZONE NOP LIG. - 1 .o SPECIAL ADDRESS NO. .y6 CONDITIONS CITY LIC. CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTR LENDER NAME AND BRANCH BLDG,SETBACK FROM FRONT PROP.LINE OF 157REE1) DU ADDRESS CITY _ TOTAL SE T BACK FROM TYPE OF EXISTING CD SO. FT. NO. OF NO. OF CHECK HIGHWAY } YARD - HIGHWAYWIDTH SIZE )f0 STORIES FAMILIES ONE FRONT PROP. LINE CO DESCRIPTION OF WORK NEW } U S� Qrj� ADDETBA SETBACK K RR Al BLDGIN FROM SID G. ETBA (STREET) Z ALTER TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ Q K HIGHWAY } YARD - SIDE PROP. LINE HIGHWAY WIDTH EXE ING BLDG._ DEMOL El + APPLICANT T L CORNER CUTOFF YES ❑ NO ❑ BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ '1 IN COASTAL ZONE YES ❑ NO ❑ VALUATION bO1 UV CATEGORICAL EXEMPTION YES NO ❑ HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WIT HALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'5 COMPENSATION S RAN[ . SIGNATURE OF PERMITTEE ADDRESS FINAL TEL. DATE VIP/ 7 BY CITY NO. HAKE CIII.CKS P:4 AHLE 70r FEE $ FEE HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CI,. Mo. CASH fPERMIT VALIDATION ON. MQ. CASH s a�rlov � 1 1 5.0 0 09c 96A638A CER80312/72 - WO$KERS' COMPENSATION DECLARATION II I hereby affirm that I have a certificate of consent to self //O O O pp ((/tea //p�� M gyp} �r��Y(p M[/�� l��}RO LS insure, or a certificate of Workers'Compenstion Insurance, or !/'l\P.�LS�V(rYI��OUV FOR ✓���D�UV\l PERMT �l1/y711�� a certifiedcopy thereof (Sec. 3800, Lab. ) J COUNTYrOF LOS ANGELES BUILDING A SAFETY Policy No.]E_Z�_L:ampony "'' CCK ' Certified co is hereby furnished. BUILDING 7 Pv v FOR'APPLC T TO FLL�N ADDRESS i entified copy is filed with the county building inspec- BUILDING G fion department. ADDRESS -Q/" LOCALITY NEAREST Date' . 'Applicant CITY 1, 21P CROSS ST. CERTIFICATF-OF EXEMPTION FROM WORKERS' NO. OF BLDGS.. " ASSESSOR COMPENSATION INSURANCE SIZE OF LOT .NOW ON LOT, MAP.BOOK PAGE PARCEL (This section need not becompleted if the permit is for one - USE ZONE MAP �� ) _ / hundred dollars ($100)or less.) TRACT OCK LOT NO. NO. d / TEL. SPECIAL I certify that in the performance of the work for which this OWNER / NO. CONDITIONS PROCESSED BY O permit is issued, shall not employ any person in any manner DISTRICT GROUP TYPE FIRE V ADDRESS so as to become subject to the Workers'Compensation.Laws. L CONST. ZONE 0 �j• O It- DateApplicantCITY ZIP - - STATISTICAL CI SIFICATION APT.1EQNDOrIJ NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL.. ) W ENGINEER DWELL. UNITS_ .1 Exemption, you -should become subject to the Workers' NO. G-Oz N CLASS NO.__- y� Compensation provisions of the Labor Code, you must forth- ADDRESS 3 2 SEWER MAP - 'Z with comply with such provisions or this permit shall be TEL deemed revoked. CONTRACTO NO ,SZGL5 BK. / PG• Ze VALIDATION LICENSED CONTRACTORS DECLARATION , - UC I hereby affirm that I am licensed under provisions of Chapter 9 - ADD ESS O NO.ZVr�[/SrJ VALUATION ry (commencing will,Section 7000)of Division 3 of the Business and LIC. rr O Professions Code, and my license is-in full force and effect. CITY CLASS t`'y $ �C z'0 , 7.3 A - SO. T. NO. OF NO.OF CHECK License Numb 20 Py S—� Lic.Class C " �3 SIZE STORIES FAMILIES ONE DESCRI T N OF WORK NEW ' Contractor �� •�� -Uate ^'Z�- / ADD .z • -.5 3 44 lent am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer �.., ALTER Q FINAL .o e - 5344 acting in my professional capacity (Section 7051, r//C . / (`- y7 DATE Business and Professions Code). REPAIR USE OF � GlOs—$ 1 EXISTING BLDG. - DEMOI FINAL (` Lic.or Reg. No. Date- APPLICANT - - TEL BY w p�'4�/✓"�/ OWNER-BUILDER DECLARATION - - (PRINTI - - NO. 3yr_J7l I !/J��p I hereby affirm that I am exempt from the Contractor's License !� 4 Law for thefollowingreason (Section 7031.5, Business and ADDRESS - Professions Code): PRESENT ❑ BUILDING- I, as owner of the property, or my employees with ADDRESS 0 0 7.4 A wages as their sole compensation,will do the work and - - the structure.is not intended or offered for sale (Section LOCALITY # o • e e e 7044, Business and Professions Code). MOVING TEL. El1, as owner of the property, am exclusively contracting CONTRACTOR NO. - 2.e b 8 a 0 0 with licensed contractors to construct the project (Sec- . tion 7044, Business and Professions Code). ADDRESS to • • 8 a 0 0 5 . REQUIRED TOTAL SETBACK FROM EXIST, CONSTRUCTION LENDING AGENCY SET BACK YARD HWY• PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT C60'8-81 the performance of the work for which this permit is issued P1- _ (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name - - / m Lender's Address P.C. Fee 5 Permit Fee ' wI 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 0 ordinances and State lows relating to building construction, Toml Fee p d" andhe out ri rep esentatives of this County to enter m upo a a., m ntion d property far inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ^ Signri pplicent or Age" Dote @s i I 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 0111290024 PHONE: (626) 285-0488 EXT: . GAL CONST U TR: 12115 LT: 40 BL: .001 SQ. FT STORIES TYPE 6329 ENCINITA AV - STRUCTURE: VN TEMP CA 917801317 ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: LONGDEN 5382-023-032 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C ANBLDG : RES : R-1 ISSUED ON: PRO BY: EXPIRES ON: EXIST OCC GRP: 11/29/01. VG 05/28/02 OWNER: TEL. NO: 8 DGS. NOW ON LOT: VALUATION: FINAL DATE FIL BY: . CODE: DOAN, THUY 1 (626) 286-0299- 600 q- 6329 6329 ENCINITA AV ��•- TEMP 917801317 S P DESCRIPTION—OF WORK REPLACE 6 WINDOWS (SAME SIZE) FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: - APPLICANT: . NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27-75 AC STRONG MOTION RESID 600.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC—�----- +600.00 VAL 43.65 Py�GELESTO(AL-FEES 71.90 CONTRACTOR: TEL. NO: �O�j �/� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS / SOILS ENGINEER APPROVAL ARCHITECT OENGINEER: L. NO: FOUNDATION/TRENCH/ FORM LIC. NO:� 11„171 SLAB/UNDER FLOOR RAISED 0FRAMING RAP NO- SEWER MAP BOOK: PAGE: FIRE ZONE: C'0:!,U (1 O �� /� WV(3 �/J UNDER FFLOOR SOOATINS CATION a J U t\I J_ IU�I<]IL1R\U HING OF FAMILIES: DWELLING S: APT : S — NO 21El �„, ROOF SHEATHING Y 44"11 CHOOL ZA D O_ O . ttk>?f, AN }; AIR QUALITY: 1000 FEET MATERIALS 10 0 'i{+ NO NO NO Ii�p FRAME INSPECTION REQUIRED SET BACK YARD: HWY: 0 PROPT8ACK FROM EXIST LINE: WIDTH: `6'7 SQ�VOe"i•h I SP INKL G C 3t INSULATION/W ATHER STRIP SIDE PL- INTERIOR LAT AL - EXTERIOR LATH RATED FLOOR/CEIL ASSEW. RATED WALL ASS MBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS A NAG REPORT ID: DPR261 ROUTE TO: BS0508 i0