Loading...
HomeMy Public PortalAbout6418 ENCINITA AVE_Building__ I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING p &L® � IIAII N WM. U J. FOX, CHIEF ENGINEER - FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING , DISTRNO. PLANCK. NO, PERM BUILDING ILDIADDRESS +t.� LOCALITY ; R//ECJ�$I VE�JD-BIY ., yDAATE OF APPL. DATE 156U E0 NEAREST CROSS ST. (P 1 A)I•'t- BUILDING 6 / ly NO C u�1l�T/� ADDRESS O G OWNER '_.L ,G _ MAIL - LOCALITY .� ADDRESS NEAREST L, CROSS ST. CITY ,I (� ` c FIRE NO. OF G UP NE :. IN GARCIINEERT OR U OI�GS NO. G 6S BOLDG. 'LAN, ((��I([ �j (/ 1 RD. NO. SETBACK LINE ADDRESS b W b'A &7- U S APPROVE TEL. • BY DATE CONTRACTOR QNO. ^y�a USE Q APPROVED x ADDRE66. LL X j2A 1 N ZONE Tf� BY HOUSE NUMBERING LEGAL DATE DESCRIPTION I LOT1N0. ( I BLOCK MAP NUMBER _F'IELD CHECK/BY I• TRACT .u•rA 'j'0)404 /TNIL 00 NO. ASSIGNED.BY DATE •I -I�/'.1 1� t 3 /�I NO. o f BLDGS. �D�C. cS Atl�f1-S 3yZTCORRECT Nw�Sr.]- SIZE OF LOT NOW ON LOT (yaj�...• USE OF NO. OF EXISTING BLDG. FAMIuE DESCRIPTION OF WORE .✓ NEW I ( ALTERATION ( ADDITION I X_ 13-,S ? (\�T, J�JJ�CK O-/ - REPAIR I I DEMOLITION I I (J J J --- p SO. FT. NO. OF -)rrT SIZE ROOMS STORIES Z / FNO�)� N - ` (�D GQN L ra EXT. WAL - ROOF . COVERING .&D COVERINGw / e OC K D PL13� ,QF/A c✓ USEOFSTRUCTU E TR I�� rn1)1Y� NI / If --TQ Ff P =n(oil<, ✓t 1 nI\R FSS GI I�LJ?car 0 22 T CA APPROVALS APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN 15 FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRESTOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS �/'µ11 ( titq LAWB REGULATING B L 1 CO 6TRUCT ON. FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS ✓ PERMI EE LATH. INT. 0- /n ADDRESS - LATH, EXT. AUTHORIZED AGT. - PLASTER, INT. 7GA838A• 01583 10-60 PLASTER, EXT. VALUATIONL� $C _ � FEE {pd FINAL ���'L�f, ��'•S'c�'j� I f` s.esa. E eo„e APPLICATION FOR BUILDING .PERMIT COUNTY OF LOS ANGELESBUILDING �y] � yAICIN'I,TA AVE DEPARTMENT OF COUNTY ENGINEER ADDREss' BUILDING AND SAFETY DIVISION LOCALITY TE M Pi-t C 17-Y JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST. �- L'MD IV .. DISTRI�O. GR�O�uP TYPE B FOR APPLICANT TO FILL IN L I CONGII • BUILDING j7 STAT ISTICAL CL IFICATION SEWFEERMAPFJC� ADDRESS ]z$ FNGI1T ../ CLASS.NO. WELL.-UNITS I 'Y: e %.' LOT N%� I BLOCK / N UMBER' �©O HWYMAP . YES TRAC � L - USEZONE SPECIAL \ • - CONDITIONS- ) n NO�OF:BLDGSf SIZE OF LOT J J. IO= NOW ON LOT l USE OF EXISTING BLDG. - BUILDING YARD STREET NAME EXIST: �A pn SETBACK WIDTH OWNER M^ L-PWA P,L) - W r=DFRONT q- ✓1 / !� / MAILP.L. • G%/✓I7'R' �7Q ` ADDRESS 6 qI? .LNC/.N/Ti9 sloE .- - P.L. CITY T �PLE - LI TY No`AT-795`]i INSPECTION RECORD. - ARCHITECTOR ,TEL. ENGINEER NO. - ADDRESS TEL:AT CONTRACTOR . It U .. A I NE NO. a ADDRESS 40 i� KA D U 1=FMA E DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH 50:FT. n _ NO.OF NO.OF - SIZE .G. Z STORIES I FAMILIES ' USE OF STRUCTURE 1' �� SIGNATUREOFCe �, - - APPLICANT ����...•rr i +�'As - - - APPROVALS DATE ' INSPECTOR'S SIGNATURE ADDRESS /2U K -N//CIN Av-r_� • FpORMSTMATERIIALS VALUATIONS ION .. Q��•G n FRAME: FIRE STOPS: q t]7 /%/7�JS•/Y!.•G�N_ _ BRACIN G,BOLTS L p�• /I,I�}' �` PMT. - _ FURNACE:LOCATION. FEE $ I FEE $ .GAS VENT.DUCTS -I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. - 'LATH:INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND i STATE LAWS R G TING BUILDING CONS CTION. LATH.EXT. SIGNATURE OF I HOUSE NUMBER COR- - PERMITTE - �a-'"Y RECT AND POSTED / ./L//1n,...J�g�n ADDRESS 1 r FINAL. Z-23--bD �l JLGL4GG4-a, CHECK VALIDATION Ti CLYDE N. DT,I.RRL`A�M,.PRINCIPAL S URAL ENGINEER PLAN V`11YV11 YALWALION CK. M.O. CASH PERMIT ALIDATION fCK. M.O. -CASH JPn8224Wv27 1 A 12.0Q. '® �ti WORKERS' COMPENSATION DECLARATION r • — J`bfltcertificate that I have a consent to t ®R BOLMgJ PEONTinsureor acerificate of Workers'CompensHonsutdne, or �rIPPL1C 1rMN a certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Pol icy No._Ly&:97J S^TM�� FG/A.7iCJ Company BUILDINGr �. Certified copy isherebpturmshed. FOR APPLICANT TO.FILL IN ADDRESS g G / Certified copy is filed with the county building inspec- BUILDING /� yq 'I 1.�y� /j.��/ tied de art ent: ADDRESS & /' n 6VYA)//K nLV LOCALITY ,p NEAREST . - Date-- /t Applicant 1 CITY ! � GI ZIP - CROSS ST. CE IFI ATE OF EXEMPTION FROM-WORKERS''/Y 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 Zoo 3 ' TRACT BLOCK }OT NO. - NO. hundred dollars ($100)or less.) - - } TEL. �/ SPECIAL y I certify that in the performance of the work for which this OWNER NO. CONDITIONS O /n /� /, I _,r' � DISTRICT GROUP, TYPE FIRE PROC SED FLY U permit is issued, shall not employ any person in any manner ADDRESS J c G,V I rn A'�/ ` CONST. ZONE so as to bec (e sQ�je<t io the Wark s' Comped of ws. b p 1 `/ 'one— Applicant S • Applicant CITU 1� C/ ZIP STATISTICAL CLASSIFICATION Y APT. CONDO. V NOTICE A LICANT: If, after making this Cer icote of ARCHITECT OR -• TEL, , ' - W - Exemption, you should become�subject to the Workers ENGINEER NO, CLASS NO.�DWELL. 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 �f deemed revoked.,. TEL ^ BK.� VALIDATION - - ' CONTRACTOR E NO./�/ ''� O - LICENSED CONTRACTORS DECLARATION LIC a / I hereby affirm that I cm,licensed under provisions of Chapter 9 ADDRESS �/^ NO. 3 D-1 - VALUATION (commencing with Section 7000)of Divi s' o{t umness and // ,�,, LIC. y� .' Professions Code, and my'license �ull force a effecte `x . CITY V[JS CLASS 6 G^ $ ,37, - Q ( ? SQ. FT. NO. OF NO. OF CHECK _ License Nu tuber 'y `-'� _J mp.Classtea'/ SIZE STORIES FAMILIES. ONE n CL�F� T / NEW $ Contractor pt� pate r__-_� DESCRIPTION OF WORK ❑ am exempt from the licensing requirean is as am a �-- / y / "ADD licensed architect or a registered professional engineer _ ._ ALTER ❑ FINAL acting in my professional capacity (Section 7051, REPAIR ❑ DATE Business and Professions Code). USE OF - 1. EXISTING BLDG. �yl/:N�.G DEMOL ❑ FINAL Lic or Reg. No. - Date—. APPLICANT. TEL. By - ` OWNER-BUILDER DECLARATION (PRINT) - (j ,^�O NO. "O4O I hereby affirm that I am exempt from the Contractor's License, �� -s Law for the following reason (Section 7031.5; Business and ADDRESS' iG Professions Code): . PRESENT a ❑ . .. .. BUILDING I, as owner o4 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- - - -- r4 /( 1,9 A 7044, Business and Professions Code). - MOVING TEL ❑ I, as owner of the property, am exclusively contracting CONTRACTOR .NO. �� a a s . • 1 with licensed contractors to construct the project (Sec- gWDRESS - - - rich 7044, Business and Professions Code). - 2 °:° b 1.0 0 CONSTRUCTION LENDING AGENCY • REQUIREDYARD HWY. TOTAL SETBACK FROM- EXIST . n . hereby affirm that there'isSETBACK PROPLINE WIDTH construction lending agency for FRONr U the performance of the work for which this permit is issued P.L. V (Sec. 3097, civ. c.)' SIDE C 3. 1-,7-81 P.L. Lender's Nome - - 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 - - 0 ordinances and State laws relating to building construction,' r m and hereby authorize representatives of this County to enter . Total Fee Y mupon th bove-menti ne ro, rty for inspection pur ose - \.�. SEE REVERSE FOR EXPLANATORY LANGUAGE k /yV Signature of Appllmnt o enl Dat - ®6C c WORKERS' COMPENSATION DECLARATION �+ �rr,/�� / L,/� _ hereby affirm that. have a certificate of consen"y to self ' APP ICA70O ren FOR 13MM IG, PER "T insure, or acertificate of Workers'Compenstion Insur.nce, or fl LL u u� IIO U V u�u 'a certified copy thereof (Sec. 3800, Lab, C.) Policy No. 527708 Company State Comp COUNTY OF LOS ANGELES BUILDING SAFETY BUILDING 6418 Encinitacinita .Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 'Certified copy is filed with the county building inspec- BUILDING 6418 Encinita Ave - tion department: ADDRESS LOCALITY Temple City P Y r zip 91780 NEAREST ..Date 7/27/83 Applicant _ CITY Tem 1e. Cit CROSS ST, Congdon CERTIFICATE OF EXEMPTION FROM WORKERS' 125.x48 NO. OF BLDGS. 1 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 5382 ' USE ZONEMAP :20 O 3 '.hundred dollars ($100)or less.) TRACT BLOCK LOT NO.' ., / NO- TEL I /! SPECIAL a "I certify that in the performance of the work for which this OWNER Mr, and Mrs:Marien` 'N6447-28 1 19 CONDITIONS. - permit is issued, 1 shall not employ any person in any manner 6418 Encinita Ave s DISTRICT GROUP TYPE FIRE PRO SSE D Br 0 so as to become subject to the Workers'Compensation Lows.* ADDRESS CONST. ZONE OL Applicant -CITY CITY T.0 ZIP 91780 3 O Date- ' ant - - STATISTICAL CLASSIFICATION APT. CONDO. V ARCHITECT O TEL.9 Iy 'NOTICE TO APPLICANT: If, after*rndking this Certificate of ENGINEER pMa Sawaya NCr87-34'84 CLASS NO. a _DWELL UNITS a Exemption, you ,should.'become subject, to the Workers' y Compensation provisions+of the Labor Code, you must forth- ADDRESS 1153 MOntecito Dr, S. Gabriel SEWER MAP ? with comply with such provisionsor this.permit shall be TE r- ` p deemed revoked: J.J.. Kissak & CID `�f43-1502 eK. PC{ ( - c•, VALIDATION CONTRACTOR- N . .'LICENSED CONTRACTORS DECLARATION4509 Temple City B1Vdllc' 271147 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 4509 (commencing with Section 7NO. VALUATION Division Business an .000)of Divisi3 of the Busid LIC. ` 6000 , Professions'Code, and my license is in full force and effect. CITY T,C CLASS B ' $ A SO FT NO. OF NO. OF. CHECK License Number 271147 ' Lic.Class o B �v� SIZE 6frL STORIES IFAMILIES ONE 7/27/83 DESCRIPTION OF WORK NEW 5 Contractor Date - ADD . © t ex t rc the licensing requirements as I am a Addition to existing Clouse I tens ar 4 tet or a registered profession6l engineer _ ALTER FINAL- 9y�o �p� z 4 0 7,6 A a rox. 200 5 .ft. F-11 DATE 7 a . in my professional capacity (Section 7051, PP Q REPAIRs Business and Professions Code).. USE OF fam. home - FINAL / �' ° ° ° ° ° EXISTING BLDG. L, •�- DEMOL PVP C Lic.or Reg. No. - Date - APPLICANT TEL J �/ (PRINT) Marten Nor'447-2819 By 2r• • 87,,38 OWNER-BUILDER DECLARATION G 7 /_ f _ I hereby affirm that I am exempt from the Contractor's License gDDRESS 6418 ERC inita, T.0 - Y� °:° ° 3'7• J 8 _Law for the follow ing,reason (Section 7031:5, Business and' Professions Code): - • -. , PRESENT •9'7••2 9.,—8,3 I', o5owner of the property, or my employees with BUILD NG 64k8 EncinitaADDRESS - wagesastheirsolecompensation, will'do the work and LOCALITY Temple City, Ca the.structure is not intended or offered for sole (Section . 7044, Business and Professions Code). MOVING TEL ' 1, 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). - 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 38 48' the performance of the work for which this permit,is issued P.L. (Sec..3097, Civ. C. - + SIDE 5 A -I P,I. - Lender's Name A m P.C. Fee S _ Lender's Address• - � Permit Fee _ w I certify•ihat I have read this application and state that the Issuance Fee Q• above rrnation is correU. agree to comply with all County I Investigmion Fee ordin ce an State laws relating to but ding co nstrucha n, ��� m and ere a brize r p sentatives of is County to enter . Total Fee m upa the b r -men t' ed_ property f inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ,gnat a of Epic 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 1003170056'-' PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1 ON FILE SQ. FT STORIES TYPE 6418 ENCINITA AV ISTRUCTURE: 1600 V-H TEMP CA 917801319 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15382-017-020 THOMAS PAGE: 596 GRID: JI LOCALITY: TEMPLE CITY, Cl 1TENANT: 1E%IST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED BY: I IE%IST OCC GRP: 103/17/10 SR I IHARRI TEL. N0: 18LDG5. NOW ON LOT: VALUATION: 1�AL DATE FINA].�/g/Y: CODE: 1 HARRIS, BOB (626) 6]5-16ll- 5,500 v117P`•�,4-3t11-V\ � `/ 16418 ENCINITA AV I 1 ITEMP 917801319 FEES PAID (DESCRIPTION OF WORK IREMOVE COMP ROOF INSTALL 30 YR GAF COMPOSITION FLAT ROOF IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JNOT INCLUDED APPLICANT: TEL. NO: GRATER (626) 355-2755- AA BLDG PERMIT ISSUANCE 27.75 1 11407 FOOTHILL #307 JAB STATE GREEN BLDG FEE 5500.00 VAL 1.00 ISPECIAL CONDITIONS: 1 LA VERNE, CA 91750 JAC STRONG MOTION RESID 5500.00 VAL 0.55 - I ID2 PERMIT W/O EN-HC 5500.00 VAL 149.40 J 1 TOTAL FEES 178.70 J 1CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE ID AND G ROOFING (909) 593-4982- 1 1 1 11407 FOOTHILL BLVD #307 LIC. NO 1 (LOCATION AND SETBACKS 1 1 LA VERGE, CA 91750 534986/C39 1- ISOILS ENGINEER APPROVAL 1 I I I 1ARCHITECT OR ENGINEER: TEL. NO: 1 1FOUNDAT ION/TRENCH FORMS I I I LIC. NO: SLAB/UNDER FLOOR 1 I 1RAISED FLOOR FRAMING 1 1 1 1 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION I I I I153H265 3 001 1 I I IFLDDR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 NO 21 1 IROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS SHEAR PANELS JAIR QUALITY: 1000 FEET MATERIALS 1 1 1 J NO NO NO 1 IFR ,% INSPECTION 1 1 REQUIRED TOTAL SETBACK FROM E%IST IFIRE SPRINKLER RANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 1 1 1 FRONT PL- (INSOLATION/WEATHER STRIPII I I SIDE PL- I JINTERIOR LATH/DRYWALL I EXTERIOR LATH (RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS I 1T-BAR CEILINGS 1 I 1 II I (LOT DRAINAGE I RE PORT ID: DPA261 ROUTE T0: HS0508