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Home My Public Portal About6361 ENCINITA AVE_Building__ APPLICATION FOR BUILDING PERMIT FFr R APPLICANT TO FILL IN (PfID10I ,YD< OTIV1 fl BUILDING 60;f'1 �// A/e CNC �N�q COUNTY OF LOS ANGELES ADDRESS 6 W /• i DEPARTMENT OF COUNTY ENGINEER CITY M3' � P/T ZIP �/ 7fR BUILDING AND SAFETY DIVISION NO.OF SLOGS. BUILDING SIZE OF LOT-5s 1 Ho NOW ON LOT �♦♦ ADDRESS 6/ TRACT /��/s BLOCK I LOT NO.y� LOCALIT TEL. VASSESSOR T OW N ER CGt�.s N/. 0 046 M NO, T. // ADDRESS"6� �� /1/C/Yy //N K PAGE PARCEL �� p mTCT GROUP TYPE FIRE ROC SED BY CITY/{RNl �PF ZIP //7av � CONST.12� ZONE ///JJJARCHITECT OR 9TEL. � � - ENGINEER DON /.6IP� M4 A/ NO- 0-_zzz'D STATISTICAL CLASSIFICATION '/ SEWER MAP ADDRESUOO SO2 ST11A'50nNCLASS NO.�OWELL.UNITS SK PG CONTRACTOR S /J/V #,4jfI/E NOL YY�-��7 USE ZONE MAP D LIC. NO. ADDRESS//5�.,4 �IOl�S% NO./ 0766 �V SPECIAL yy LIC CONDITIONS CITY��/IJ OA//p CLASS F/o ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH FRONT SETBACK K FROM FRONT PROP.LINE OF (STREET) O_ A DORESS CITY _ TO T AL SE TBACK FROM TYPE OF EXISTING U HIGHWAY } YARD SO.'FT.. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE YD STORIES FAMILIES ONE o DESCRIPTION OF WORK NEW ❑ U ADD ® BLDG.SETBACK FROM d T SIDE PROP, LINE OF (STREET) Z ALTER ❑ HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH EXISTING BLDG. / �S�jA/GE DEMOL ❑USE OF } APPLICAN,7 / ♦� Y// rh_ TEL , CORNER CUTOFF YES ❑ NO ❑ (PRINT) / t ,./�/! /' /�/)NF ND. BY I5IGNATUR ��// IN OPEN SPACE YES ❑. NO ❑ l/ IN COASTAL ZONE CATEGORICAL EXEMPTION❑ YES❑ NOS❑ QQ L— aA VALUATIONY ./ GOC I HEREBY ACNN LEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE'THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORN AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF TXE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO `' WORKME N'5 COMP E TION INS UPA NCE. `� -: F/ �• LI/1't�IQ�,��• �0 1^./I�I/J✓�A'• SIGNATOR PERMITTEE �/l ADDRESS /S -G/` Z./t FINAL CITY •/ � � L NTEO / DATE �6(/ BY 11:I hf.' CIIGC KS P:11':Ilil_I! "10: p E � A FEE PMT.$ �� 9• HARVEY T. BRANDT. COUNTY ENGINEER 6J7. 70 PLAN CHECK VALIDATION K. M.o. c.BH PERMIT VALIDATION «. M.o. CASH 7'"9 6ffEB 21.2 3 D 65.7 0 A98 2 5 5�eMAR 26 . ,1 U 1 0 95 0 A98 76A638A CEP80312/72 '• '�'��A/ WORKERS' COMPENSATION DECLARATION T� hereby affirm that I haver certificate of consent to self n PPI) 6C . l��0N ' FOR OD n I��II ONG PERMP7 DISI insure, ora <ertificate'of Workers' Compensation Insurance, - (Z=L� LL (�=T� u u V v ISL ��f PERM P7 o certified copy thereof (Sec. 3800, Lob. ..C.�.) Policy Na6ig3IfmZ Company,/ /F/ P- F ,1141 t COUNTY OF LOS ANGELES BUILDING AND SAFETY //II Certified copy is hereby furnished. FOR APPLICANT TO FILL IN 'ADDRIiNS - �T/sl•' Pi--certified copy is filed with the county building inspec- BUILDING �• '/ ,/ `--' tion department. ADDRESS p y ? LOCALITY �I fJ� NEAREST ' Date O Applicant -_! CITY. i ZIP CROSS ST. ERTI KATE OF EXEMPTION FRO ORKERS' ___/// - NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT I MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one c USE NE MAP hundred dollars ($100)of less.) TRACT G BLOCK LOT NO. /� NO. - nn TEL SPECIAL } I certify that in the performance of the work for which this OWNER VN NO. r�x CONDITIONS 6 permit is issued, I shall not employ any person in any manner 1 DISTRICT G UP TYPE FIRE PROCESSED BV O ADDRESS V (y /Rj�J' CONST L9 so as to become subject to the Workers'Compensation Laws. ✓ a. Date - Applicant CITY [ ZIP STATISTICAL.CLASSIFI/CATION APT. CO - �. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR- TEL. ENGINEER NO. CLASS NO. DWELL: UNITS_ W Exemption, you should become subject to the Workers' d Compensation provisions of the Labor Code, you must forth- SEWER MAP M with comply with such provisions or this permit shall be - Z TE deemed revoked. L' /�, BK. PG, VALIDATION CONTRACTOR T/Y T NOM'-I LICENSED CONTRACTORS DECLARATIONLIC 4 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS C� NO. •✓ 7 VALUATION (commencing with Section 7000)of Division 3 of the Business andLIC_ L, p Professions Code, and my license is in full force and effect. CITY •� CLASS J D �f SO. FT �I INC.OF - NO.OF- ._ CHECK License Number ll.?L /,/ 7 Lic.Class If39 SIZE � / STORIES FAMILIES - ONE � y�/-w �f p NEW S Contracfor�/f �/J�4/F�I Dote (L DESCRIPTION OF WORK ADD I am exempt under Sec. CL ALTER � _ FINAL B.BP.C. for this reason REPAIR DATE/ i Date: USE OF EXISTING BLDG.. .._ .DEMOL Q B N /// 21 O G 2 A Signature APPLICANT - TEL. OWNER-BUILDER DECLARATION PRINT NO. - D #•e e'ee a ,� I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS - 'z. - 1 Is e 7 8 O Q Professions Code): PRESENT BUILDING - e'`� &Q O U. 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 .- - - \ I (1 2 6-88 7044, Business and Professions Code). MOVING TEL. \\J` I, as owner of the property, am exclusively contracting CONTRACTOR NO. ' with licensed contractors to construct the project (Sec- ADDRESS ' tion 7044, Business and Professions Code). - REOUIREDTOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HW PROP. 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 Lender's Address P.C. Fee$ Permit Fee '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, Total Fee (% s7 and hereby authorize representatives of this County to enter up the obova-mentioned pr arty forinspection purposes. n l6 SEE REVERSE FOR EXPLANATORY LANGUAGE Si ure of Applicant or Agent Date es COUNTY OF LOS ANGELES TEMPLE CITY p 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL OS08 1111160012 PHONE: (626) 285-0488 EXT: I LEGAL ID: NO. OF CONST I BUILDING ADDRESS: ITR: 12115 LT: 21 SQ. FT STORIES TYPE I 6361 ENCINITA AV 1 I (STRUCTURE: 1700. V-B TEMP CA 917801318 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 15382-023-013 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY (TENANT: IE%IST BLDG USE: REBID USE ZONE: R=1 ' IISSOED ON: PROCESSED BY: 1 IEXIST OCC GRP: 111/16/11 SR (OWNER: TEL. 8 BLUGS. NOW ON LOT: VALUATION: 1FINAI, DATE FINAL BY: CODE: 1 QWEN CURTIS W;DONNA 5 TRUSTEES (818) 2877--8130- 4 - 16361 ENCINITA AV i ,100 i ' 3�zL TEMP 917801316 I FEES PAID ID S RIPTION' F WORK IT/O EXIST ROOF ON HOUSE AND IASTALL 30-YR CLASS A COMP I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ISHINGLES (APPLICANT: TEL. NO: I I IBATIN, DAMIAN (626) 287-8130- IAA BLDG PERMIT ISSUANCE 27.80 1 I IAB STATE GREEN BLDG FEE 4100.00 VAL 1.00 (SPECIAL CONDITIONS: I IAC STRONG MOTION RESID 4100.00 VAL 0.50 1 ID2 PERMIT W/O EN-HC 4100.00 VAL 132.80 .� 1 TOTAL FEES 162.10 J (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE WEATHERGUARD ROOFING (800) 828-4646- 1153 EXCELSIOR WAY LIC. NO (LOCATION AND SETBACKS (UPLAND, CA 91786 921929BC39 ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS LIC. NO: 1 SLAB/UNDER FLOOR I I I RAISED FLOOR FRAMING (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION 1153-265 3 001 I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 0 NO 21 IROOF SHEATHING 1 ' II SCHOOL WITHIN HAZARDOUS (SHEAR PANELS 11f��1`=}y--II(��ji AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAM, INSPECTION I f I IFIRE SPRINKLER HANGERS I I i (INSULATION/WEATHER STRIPI I I� INTERIOR LATH/DRYWALL I I I (EXTERIOR LATH RATED FLOOR/CEIL ASSEM. I RATED WALL ASSEMBLIES RATED.SHAFTS(OPENINGS 3 •- _ 4 T BAR CEILIA6B LOT DRAINAGE Y..I(�1N�•Y.�t?)�,..tH`�r a-��{a'm.;T.''t"rjRq, Ci. �rSZz-is„ .G`�}„d"lp.h'xt�r^_zY*dx�w�La�'vi,liii&w3T':"111I��ii4 �,P'$eri-?.tit'.fir9'tblr _ t= fZSPPURT I PR261 ' F _ - - . . .a-�.. r� �-��T^'-a-.'i ,e�tB.>- ,:;+c�a�.. a• ,. �»>r=--c-... n: ._ ,..r-..... .. r-z.,.. ...- �_ ..a-._ .,:� '-.3 • COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 1111160013 PHONE: (626) 285-0488 EXT- LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 12115 LT: 21 SQ. FT STORIES TYPE 6361 ENCINITA AV (STRUCTURE: 400 V-B I TEMP CA 917801318 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 15382-023-013 1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 1 TENANT: IEXIST BLDG USE: GARAGUSE ZONE: R-1 TISSUED ON: PROCESSED BY: EXIST OCC GRP: 111/16/11 SR TOWNER: TEL. N0: BLDGS. NOW ON IAT: _ VALUATION: TFINAL DATE FINAL Y: CODE: OWEN CURTIS W;DONNA S TRUSTEES (818( 287-8130- 1 1,000 , 1 16361 ENCZNZTA AV 1 `.l/�� 1 I TEMP 919001318 FEES PAID DESVRIPTION OF WORK 1 IT/O EXIST ROOF ON DET GARAGE AND INSTALL 30-YR CLASS A IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ICOMP SHINGLES APPLICANT: TEL. NO: II I IBATIN, DAMIAN (626( 287-8130- IAA BLDG PERMIT ISSUANCE 27.80 1 1 AB STATE GREEN BLDG FEE 1000.00 VAL 1.00 SPECIAL CONDITIONS: 1AC STRONG MOTION RESID 1000.00 VAL 0.50 102 PERMIT W/O EN-HC 1000.00 VAL 65.40 . I TOTAL FEES 94.70 CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE �WEATHERGUARD ROOFING (800) 828-4646- 1153 EXCELSIOR WAY LTC. NO LOCATION AND SETBACKS UPLAND, CA 91786 921929BC39 I (SOILS ENGINEER APPROVAL 1 1 1 I I (ARCHITECT OR ENGINEER: TEL. N0: I IFODNDATZON/TRENCH FORMS ( I I LIC. NO: (SLAB/ONDER FLOOR 1 1 1RAISED FLOOR FRAMING 1 I 1 I I 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: -- - . . . . , "' 1UNDERFLOOR INSULATION I I I 1153-265 3 001 1 I I (FLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 0 NO 21 1 (ROOF SHEATHINGf SCHOOL WITHIN HAZARDOUS SHEAR PANELS �! 1AIR QUALITY: 1000 FEET MATERIALS 1 1 1 1 NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS I ,_(INSOLATION/WEATHER STRZPI I I I 1 I JINTERIOR LATH/DRYWALL 1 1 1 (EXTERIOR LATH I I (RATED FLOOR/CEIL ASSEM. I n jy s RATED WALL ASSEMBLIES Y r RATED'.SHAFTS/OPENINGS - iT BAR,CETLZNGS ` / (LOT GRAIN GE s _V i ;J • +� C+ f lA•.+l .lef'�+1v. x itiu l+:, f .-:. �}n -.- —:) e...._ �n„yv,. - a` 1 5 - -� 39.'iYw-Yl{�i'�.h�S'�' i'k.r y,Q+9 'eN- R 'p}� ' [aE,eoRx In nPRaaz. RGuxg esh5aa {' & 1x,C.#�Fv!db iY '+�4Y�f✓ ;i"��y 1.7yr�6fci'•`''.�i8+'1�",� 'GJ,2..35''�� .�ib� Ya�c aE -.t'�"�d. ..{ L ^fes c -p., rc,�,•-- r .., n r�-r.�.-�-i-. ,rte u � �-..,,- � •,x� w .n,, � �a��'l�'�.'�ac� " 11��s�,L�4'�.'.%��' I�a ,-r.'?f'�' t... T!. '6- —�?.. fe -4: ,}^?e - ��,-,r. ,t'.__, _. �;�..;f�,_ ,. _ .'�• .. �`'; �..-._ ��. � :.,tvH- .. -. _ .,;.v.