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Home My Public Portal About6374 ENCINITA AVE_Building__ DEPARTMENTiOF BUILDING AND SiLFETY APPLICATION FOR PERMT COUNTY OF LGS ANGELESnnT S U � � ® � WM. J. FOX. CHIEF OINEER !I(. IJQr ^ - FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDIND � DISTRICT NO. PLAN CK.NO. PERMIT/NO. ADD REBS /1` �` '�Z0 9 "3 6 /� �� LOCALITY �/REE/CEIVED BY �DA�JTE�O.F9APPL. /DATEISSUEED�`/� NEAREST J%/IS $ 6 .J�?_t3 `'- CROSS ST. � � n '- BUILDING �1 �1/ OWNER q / I /�""�l�P V `�-��% ADDRESS / �a' ,MAIL T6�C-//E✓ / T// AGGRESS �Y !l/ d / � LOCALITY CITY f� �! No/y0- �/ 1.(, CROSS ST. �I nn FIRE NO.OF TYPE GROUP ARCHITECTOR // q // r�— TEL. I 20NE PLANE Z-- ENGINEER /V�C.d -NO. " BLDG. ORD.NO. / ADDRESS r� - SETBACKLINE �i/J / i.NL �, �,. e� APPROVED / CONTRACTOR 'r `�✓ �l..V!/ NO. -BY DATE USE ,{� APPROVED ADDREBB <I ZONE !Y1 BY DATE LEGAL DESCRIPTION PLOT Np. 'ter. LOOK �� Z -2; CORRECTIONS TRACT / ��//�j f SIZE OF LDT ��/V�J D I NOW ON LOTS (i F L O T / X L/ ! �Q ' r useor NO.OF Na pF C < n EXISTING BLDO. y FAHILIE. yl ROO M9 ✓ yir SI�f/n i7 �� /.g L�� DESCRIPTION OF WORK NEW ✓ ALTERATION ADDITION ly O F REPAIR MOVING DEMOLISH U eq.FT. NO.OF 2 SIZE �WALL �//w r�D//D ROOMS STORIES / /�� r COVERING M�I�L(�/ I C EVERING�if../J� I � 7 �I / (%[J�,�¢ ,S'7%JDS IFF USE OF NEW BUILDING �n/T/I?F 61�HLL COd�R�=D !.d%Y/1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIN APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION IN I�P C'TJOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORM:.MATERIALS AND STATE LAWS REGULATING 6111-111. CONSTRUCTION. FRAME: FIRE SIGNATURE OF BRACING,BOLT: LR7 i) PERMITTEE LATH. INT. AUTHORIZED AOT- LATN. EXT.—� VuwD 76....A-a .-SO $bA ��I PLASTER, INT. FEE B /l� PLASTER.EXT. U v S vwtuwTlDN PEE FINAL ��(�' o7 � /i -' WORKER$'-�OMPENSATIONDECLARATION hereby affirm that I have o certificate of consent to self /n� �� l�f �O�II �� MOLDING �0 rte. ll� ��(,)O� insure, or o certificate of Workers' Compensation Insurance, A u H u V L� u V u�u or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND'SAFETY Policy No. Company BUILDING 2 Certified copy is hereby furnished. . FOR APPLICANT TO FILL IN ADDRESS 3 ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Date Applicant CITY l- ZIP LOCALITY Tf r CERTIFICATE OF EXEMPTION FROM WORKERS' NO, OF BLDGS. NEAREST COMPENSATION INSURANCE _ 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 ($100)or less.) MAP BOOK PAGE PARCEL TEL' USE ZONE MAP I certify that'in the performance of the work for which this OWNER y NO. IcIZ$ NO. permit is issued, I shall not employ any person in any mannerSPECIAL so as to become subject to the Workers'Compensation L ADDRESS CONDITIONS Q p U Dote �'—Z'� s r. ApplicaCITYnt ZIP NOTICE TO APPLICANT: If; after making this Certificate of ARCHITECT OR TEL. DISTRICT. GROUP TYPE FIRE CESSED BY C) you should become subject t the Workers' ENGINEER NO. CONST. ZONE V Exemption, y I / Compensation provisions of the Labor Code, you must forth- ADDRESS < y W with comply with such provisions or this permit shall be _ /I / d CONTRACTOR I S h G N if WA LL NO. STATISTICAL CLASSIFIC ION APT. CONDO. N deemed revoked. yy S't-�-8p Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 7 69 9'645 (commencing with Section 7000)of Division 3 of the Business and - LIC. p SEWER MAP � Professions Code, and my license is in full force and effect. CITY C— CLASS 3/ BK PG VALIDATION SO. FT. NO. OF I NO.OF CHECK License Number, �S�D Solo� Lia Class `C —39 SIZE STORIES FAMILIES ONE alzd VALUATION Contractor - Date -7-y — 0 7 DESCRIPTION OF WORK NEW ❑ t"'Ns $ / �O �� ADD C3D Lam exempt and r Sec ❑ ALTER B.BP.C. for this reason ,-X7 3 0 f B REPAIR Q f• — $;]5 S 8 A Dater USEDEMOL EXISTING BLDG. ❑ #;e • • e Signature APPLICANT I f• TEL. FINAL _ OWNER-BUILDER DECLARATION' PRINT rl,o 5 u • ft S I.1CY NO.cs-�o''�e DATE 1 hereby affirm that I am exempt from the Contractor's License ,L `,� i).s•a Q q 8 8. Law for the following reason (Section 7031.5, Business and ADDRESS R�'�" _ FIN _ Professions Code): - - R BY • • • 49. 88 El 1, - , I, as owner of the property, or my employees with ADDRESS 07.29-87 wages their sole compensation,will o the work and D - the structure for is net intended or offered for sale(Section LOCALITY a 7044, Business and Professions Coda). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec ADDRESS `� G tion 7044, Business and Professions Code). REQUIREDTOTAL SETBACK CONSTRUCTION(ENDING AGENCY SET BACK YARD HWV 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 Nome- r 2 �. A Ref. M m Lender's Address P.C. Fee f Permit Fee 3 c DIVA I certify that I have read this application and state that theIssuance Fee LDMA P/C M above information is correct. I agree to comply with all County Investigation Fee a ordinances and State laws relating to building construction, - - 1 , $ and hereby authorize representatives of this County to enter Total Fee LDMA Perm. M upoh thea ve-mentioned property for inspection purposes. 7—Z 9— 7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of A O cant or Agent Date - - 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 0003020026 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 6374 ENCINITA AV STRUCTURE: 0 VN TEMP CA 917801316 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: LONGDEN 5382-017-028 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-I ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/02/00 UT 08/29/00 OWNER: TEL. NO:� BLDGS. NOW ON LOT: VALUATION: FINA DATE F NAL BY: - CODE: CASA ROBLES NAZARENE MISSIONARY (818) 286-9455- 4,000 I/, �.,,n 6355 OAK AV ��a lou F� TEMP 917801336 FEES PAID DESCRIPTION OF WORK TEAR OFF, NEW SHEATING, R COVER WITH TIMBERLIE 25 YR. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COMP. SHINGLE ROOFING MATERIAL APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O.EN=HC--'—�4000.00 VAL 115.80 /PNGELES ATO`FEES 144.05 CONTRACTOR: TEL. NO: / �O�j U/'/ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS{ENGINEER APPROVAL ARCHITECT OR ENGINES : TEL. NO: FOUNDATION/TR NCH FORMS LIC. NO:L 1111711 SLAB/UNDER FLOOR {1 RAISED FLOOR FRAMING MAP N SEWER MAP BOOK: PAGE: FIRE ZONE: tCMP:1 O D FI �� (\ /1 p �n/J UNDERFLOOR INSULATION 153H265 3 1 L01 U IS \1`"Ill llvll IIl^U< I❑KC�1 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- NO 21'(x( e S I'. ROOF SHEATHING SCHOOL WITHIN HAZARDOUS `\`� i��i LLll- SHEAR PANELS LT AIR QUALITY: 1000 FEET MATERIALS \ Q Q NO NO NO A O ® ' ®g FRAME INSPECTION REQUIREDF TOTAL SET BACK YARD: HWY: PROP LINE:FROM FIRE SPRINKLER HANGERS LINE: WIDTH: 46//C SefvOe Th ; t� a INSULATION/WEATHER STRIP SIDE PL- INTERIOR LAT /DRYWALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE ' REPORT ID: OPR261 ROUTE TO: BS0508