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Home My Public Portal About6435 ENCINITA AVE_Building__ 76AG38A CEp803 5-B5 APPLICATION FOR. ElUlLbfNG PERMIT/ COUNTY OF LOS ANGELES BUILDING3t7 •' DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMSIE. COUNTY ENGINEER NEAREST - COLEMAN W. JENKINS.SUP'T.OF BUILDING CROSS ST. DIST TIJO G P TYPE. RO S BY FOR APPLICANT TO FILL IN pV/ CONST. F BUILDING STATISTICAL SI FICATION SE ER MAP ADORE CLASS NO' DWELL UNITS DK PG LOT NO. 30 BLOCK USE ZqI ONE MAP O { NO. TRACT SPECIAL - NO. OFSLOGS. .� r CONDITIONS SIZE OF LOT C O NOW ON LOT - - USE OF J� EXISTING Z �-.,I - SLOG. SETBACK FROM TEL. FRONT PROP. LINE OF (ST REET) OWN E /iC/�N C.JA/ O. TYPE OF EXISTING SETBACK HIGHWAY '+ YARD TOTAL ADDRESS 6 HIGHWAYWIDTH 'FROM C.L. - - - CITY —' F- C/T f./ . eoz/ L/ 5< -+ SLOG. SETBACK FROM ARCHITECT OR' TEL. ENGINEER NO. 510E PROP. LINE OF (STREET) TYPE OF EXISTING. SETBACK.. HIGHWAY + YARD =, TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. } C ON TC CTBYp OO""RR LIC CORNER CUTOFF VES `� NO O A DDR E 5 5 10 (. O NO CITY Gr C/7-5" CIA 8-- SEE REVERSE SIDE FOR SPECIAL "APPROVALS O DESCRIPTION OF WORKu / ` J210 C 2vrs -%J r,%llllit/ a N NEW ADO ALTER REPAIR DEMOLISH . _ w. Z SO.FT. NO. OF / NOC � / SIZE Q STORIES / FAMI LI F_5/ �F-- USE OF d/Lr t•/I IGNATURE OF - -7�0`�u /l ✓' APPLICANT � VALUATIONS OQ oO APPROVALS - DATEINSPE O- `S SI ONATURE P.C. PMT. 'FOUNDATION, LOCATION FEE 5 FEES I FORMS, MATERIALS FRAME, FIRE STOPS, HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION / / WITH ALL COUNTY ONDINANCE5 AND STATE LAWS REGULATING GASNENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY .THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY.PERSON IN VIOLA- LATH. . INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. Tj,//� ' � LATH. EXT. d /Lli�� SIGNATURE OF HOUSE NUMBER COR- / Y PERMITTEE RECT AND POSTED t %( ADDRESS-/1L10IGw :FINAL 3 • ' JOHN F. LEWIS. PRINCIPAL STRU TU RAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK.. M.O CASH LA%,o 3.2 4 1 JUL 1 1 D p il„ WORKERS' COMPENSATION DECLARATION h hereb affirm that I have a certificate ofd consent to self insure, or a certificate o4 Workers'-Compensation Insurance, • - ' or a cernfled copy thereof (Sec. 3800;Lab. C.), COUNTY OF LOS ANGELES BUILDING_ AND SAFETY ' Policy No. - - 'Company , BUILDING ❑ Certified copy,is,hereby, furnished. ,. FOR APPLICANT TO FILL IN ADDRESS . S r�AJ(�/ V/ T+H ❑ Certified copy.is,fi led with the county building inspec- BUILDING tion department. ADDRESS CITY' - -ZIP �7 O LOCALITY `Date - Applicant - _ NO. OF BLDGS.. - NEAREST CERTIFICATE OF'EXEMPTION FROM WORKERS' SIZE OF LOT 1C NOw ON LOi Z CROSS T. v -COMPENSATION INSURANCE ('� _ ASSESSOR p - (This section•need not be'completed if thepermitis for one* TRACT 7 BLOCK LOT NO: -3O MAP BOOK PAGE Z/Z PARCEL hundred dollars($100) or.less.),. ":, r \\ TEl ,�• •• -, ..- OWNER+- KLI N LLNO. Z La 7 S ' USE ZONE OP I I certify that in the performance of the work for'which-this - d - permit Is issued,:l shall not.employ any person in any maner ADDRESS 4CAJqJ/ A✓O SPECIAL d nC. CONDITIONS •so as to become subject to the Work s'Compensation Laws � .. � p �J clrvT/riW% L ` Lit" . zip /_7?6 Date ZI_ry ;� -e 1 {�• L� ARCHITECTr OR .TEL. DISTRICT GROUP TYPE - FIRE 'PR ESSED BY. NOTICE TO APPLICANT:,.If, after making this Certificate of ^• ENGINEER - -- - - NO.^ - - '� CONST. ZONE Exemption, you should become,subject.to the' Workers w Compensation provisions'of the Labor Code; you must forth- ADDRESS - a_ -with comply with such provisions or this permit shall be - TEL/1•.�1/ q�� STATISTICAL CLASSIFICATIO A CONDO. N deemed revoked. .. CONTRACTOR L 1 6 Z O,f.i'b N» Z LICENSED CONTRACTORS DECLARATION - L C, CLASS NO. DWELL. UNITS- I hereby affirm that I am licensed under provisions of,Chapter 9 ADDRESS NO. _ (commencing with Section 7000)of Division 3 of the Business LIC SEWER MAP and Professions.Code,and my license is in full force and effect., CITY. CLASS BK VALIDATION 50. FT ST -OF NO. OF `CHECK License Number.' Lia Clast SIZE 6 STORIES FAMILIES Q ONE -' VALUATION �'(- a ER F Contractor Date DESCRIPTION OF WORK NEW S /5' c=` V D +r.Ml7 +3 r f .ADI) ❑ ❑I am exempt under Sec. N Tnticr /V .ALTER ❑ - T �/ 1 31' B.BP.C. for this reason e.4 e- - - REPAIR ❑ $ Dater USE OFI6�'`•l �°`7 - 07 EXISTING BLDG. ,DEMOL Signature - ' APPLICANTi. TEL. - FINAI Ik_ H •- PRIN OWNER-BUILDER DECLARATION 0. q '^ s� PATE! t I hereby affirm that I am exempt from the Contractor's License gDDRE55 A,�/ /TR /. / pol - ^ ! Law'for the following reason (Section 7031.5, BusinessandFINALS L v Prafessibns,Code): - -. _ - _.. PRESENT:. .- - . - - - - -. BYFZ11<tr �� BUILDING ~ Y 3� LrJ I, as owner of the property,nor my employees with ADDRESS fFjEn� / ( �,�{ wages as their solecompensation,will do the work'and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING - - - - -- TEL CONTRACTOR NO. ❑ I, as owner of the property, am exclusively contracting = 1 with licensed'contractorsto construct the project (Seo- tion 7044, Business and Professions Code.) ADDRESS REQUIRED YARD HWY TOTAL SETBACK FROM' : EXIST. ` . •;` CONSTRUCTION LENDING AGENCY SET BACK - PROP. LINE WIDTH •\ . ' I hereby affirm that there is a construction lending agency for c ,. the performance.of the work for which this permit is issued ) RL. �: �^ ,1 - (Sec. 3097, Civ. C.). SIDE - �•t F `�• _ » Lender's Name '- ..-'. i - 1 ,.� 't '.••-` - ( • , $ _ -. / `'LDMA"Ref. ii t .. P.C. Fee$ Permit Fee - Lender's Address I certify that I have read this application and state that the Issuance Fee 0 � LDMA PiC# - Sabove information is correct. I agree to comply with all County Investigation Fee S 6. .ordinances and State Gws relating to building-construction, Total Fee I LDMA Perrrr. # , 0• and hereby authorize representatives of ythis County to enter . . - n uupponYh bove-mentioq property for 'nspect�io��pur�poses. ' SEE REVERSE FOR EXPLANATORY LANGUAGE_ Signature of Applicant or Agent Date 1 WORKERS'COMPENSATION DECLARATION pp� M M� 1��} �tLLL� Thereby affirm that haver certificate of tionconsent-to ure self !/"UPPL9C�Q�M V FOR D URDO11 VO PEP.M07 or a certificate of Workers Compensation Insurance, _ or a certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING D SAFETY Policy No. Company BUILDING copy Y FOR APPLICANT TO FILL IN ADDRESS ! / Certified co is hereby furnished. Certified copy is filed with the county building inspec- BUILDING T tion department. ADDRESS TA LOCALITY //1, elf rp/, NEAREST Date Applicant CITY / ZIP 17p tO CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' - NO.OF BLDGS. Z 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 •L B hundred dollars ($100)or less.) TRACT ?4 BLOCK LOTTEL. NO. �l SPECIAL y I certify that in the performance of.the work for which this OWNER NO.z13 CONDITIONS G. permit is issued,.l shall not employ an person in on manner DISTRICT GROUP TYPE FIRE PR SSED BY O P P Y Y P Y t ^ ` CONST. ZONE so as to b—ecDomesubject to the Workers' compensation Laws. ADDRESS j 0- ' \Date,'OP Applic CITY ZIP D STATISTICAL CLAASSSSIIFICATION APT. CONDO. O NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. __ ��LL ,, ENGINEER NO. CLASS NO.�DWELL. UNITS_ W 'Exemption, you should become -subject to the Worked d Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions or this permit shall be TEL / 4 Z deemed revoked. CONTRACTOR NO. BK. �PG,/' / VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and - LIC. O Q Professions Code, and my license is in full force and effect. -� Cm $CLASS D SO. FT O. OF NO. OF�/yy,�,/,p CHECK License Number - Lic.Class SIZE STORIES FAMIL4 ONE , \ $ DESCRIPTION O WORK NEW Contractor Data ❑ _ ADD I am exempt under Sec. ALTER FINAL B.BP.C. for this reason REPAIR DATE ti Date: USE EXISTINGOF BLDG. DEMOL .By Signature APPLICANT TEL Y 6—�—'•�� '2 3.4 &,4 A OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT ,2 ° ° 49.88 - BUILDING I, as owner of the property, or my employees with ADDRESS �e e e 49. 8 8 m' wages os their sole compensation,will do the work and •(! the structure is not intended or offered for sale(Section LOCALITY 0 �,O 8-83 7044, BusinessandProfessions Code). MOVING TEL. ' 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). REQUIRED TOTAL SETBACK FROM EXIST, CONSTRUCTION LENDING AGENCY YARD HWY SET BACK PROP. LINE WIDTH D I hereby affirm that there is a construction lending agency forFRO NT The performance of the work for which this permit is issued P.L. Sec. 3097, Civ. C.)." SIDE P.L Lender's Name y9 (�' �/ '( Lender's Address P.C.Fee$ Permit Fee J / 3I ` I certifythat I have read this application and state that the pp �. Issuance Fee 0, s a above information is correct. I agree to comply with.all County investigation Fee le el' //� g ordinances and State laws relating to building construction, Total Fee G •O L d and hereby authorize representatives of this County to enter upon the ove-mentioned property for inspection purposes. � 7 e'd'3 SEE REVERSE FOR EXPLANATORY LANGUAGE Si— gnature oYApplicont or Agent Dote ®s 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 BE 0508 1201050039 PHONE: (626) 285-0488 EXT: - (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 14396 LT: 30 SQ. FT STORIES TYPE 6435 ENCINITA AV ISTRUCTURE: 18 V-B TEMP CA 917801321 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15382-016-010 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 101/05/12 SR OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: MR. & MRS.. BELL (626) 286-7434- I6,000 6435 ENCINITA AV 11 ITEMP 917801321 - FEES PAID IDESCRI TION OF WORK (TEAR OFF EXISTING ROOF APPLY CLASS A 30 YR ROOF OVER EXISTINI _(FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IG SHEATING APPLICANT: TEL. NO: I .. I ILANSFORD ROOFING - IAA BLDG PERMIT ISSUANCE 27.80 1 I IAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS; I IAC STRONG MOTION RESID 6000.00 VAL 0.60 1 - ID2 PERMIT W/O EN-HC 6000.00 VAL 149.70 TOTAL FEES 179.10 (CONTRACTOR: TEL. N0: • (APPROVALS DATE INSPECTOR SIGNATURE I LANSFORD ROOFING (626) 390-3480- 13535 LANDFAIR RD. LIC. NO (LOCATION AND SETBACKS 1 (PASADENA, CA 91107 775436 C39 I (SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: IFOCNDATION/TRENCH FORMS I I I LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING I I I I I I (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: ICMP: (UNDERFLOOR INSULATION 1153H265 3 001 1 11 FLOOR SHEATHING I I I INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I ' I 1 0 NO 21 IROOF SHEATHING J I_ P SCHOOL WITHIN HAZARDOUS ISHE.lR PANELS HAIR QUALITY: 1000 FEET MATERIALS I- 1 1 NO NO NO 1FRAME INSPECTION 1 1 1 I 1FIRE SPRINKLER HANGERS I IINSuLAT10N/WEATHER STRIPI I I I- I I I INTERIOR LATH/DRYWALL I (EXTERIOR LATH I (RATED FLOOR/CEIL ASSEM. I I IRATED WALL AssemBLles I I I I RATED SHAFTS/OPENINGS - T-3+.R CEILINGS I I I I 1LGT DRAINAGE I I I I (REPORT ID: DPR261 ROUTE TO: 9S0508 I_. ' Ly��-� WORKERS' COMPENSATION DECLARATION /� rr�� r� /,a /^ r�p p rte' if II p r-�p/� I� r��T /� 5� hereby affirm that I have Workers' certificate of consent to self ypY l}v PI O I ��O IIUII IP "R B U�II D E Iryll l/ m� P I�Irl lllNl� II insure, or a certificate of Workers' Compensation Insurance, 4'1111 Il xb -U U V U Up LS U V�J IS I1�lIl C/O 00 - or a certified copy thereof (Sec. 3800, Lab. C.) _. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company - - ,. - '- �,FOR'APPLICANT:TO FILL 1N BUILDING y' ��L ❑ Certified copy is hereby furnished. ADDRESS' �p J 714 ❑ Certified copy is filed withthe county building inspec- ` - - - - - tion department. a ADDRESS n t - . ' CITY' �yJ 'L • FV zip % LOCALITY G"A . / 1 Date App icani - I-t 7 NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION�FROM WORKERS' • =_ SIZE OF LOT- /Z X. -/ NOW ON LOT Z CROSS ST. - G 4.J (I - COMPENSATION INSURANCEASSESSOR (This section need not be completed if the permit is for one TRACT'/-1_3BLOCK LOT NO:-��" MAP BOOK PAGE - PARCEL " hundred dollars ($100)•or less.) ' . . T"- r TEL. n - • ' OWNERT No;Z 3. USE ZONE MAP I certify that in the performanceiof the work for which'this NO. -Sr'41' permit,is issued, I shall not employ any person In any,manner - ADDRESS 3S -)C AN T YA• --. SPECIAL 0- CONDITIONS d so as to become subject to the Workers'Compensation Laws. - 0 .. CITY-' 6 / . / IP. / ..lJ • r _ V Dote Applicant. _ �' ARCHITECT OR - TEL. it DISTRICT .GROUP TYPE FIRE PR SSED BY NOTICE TO.APPLICANT: If; after making this Certificate of _ ENGINEER NO. _ CONST. - ZONE = .Exemption, you should become subject to the Workers' r' R � 7J� Compensation provisions of the,Labor Code, you must forth- ADDRESS �laV R"' d with comply With such provisions or this,permit shall be. TEL, STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. - CONTRACTOR NO. z LICENSED CONTRACTORS DECLARATION. - UC. CLASS NO. - DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapteri? ADDRESS NO. UC SEWER MAP (commencing with Section7000)of Division 3 of the Business - and Professions Code,and my licenseis.in full force and effect CITY _ CLASS BK PG VALIDATION' SQ.,FT. NO. OF - - NO. OF - CHECK License Number Lic: Class .f SIZE STORIES FAMILIES ONE VALUATION ' ° DESCRIPTION OF WORK l NEW ❑ Contractor Date $ .. .v _ •. .❑. .. . _ .. ❑I am,exempt under Sec. ADD - ALTER ❑ - - - - B.BP.C. for this reason REPAIR ❑ $ Date: USEOF _ - - - EXISTINGBLDG. QLQrp DEMOL' Si nature - APPLICANT l TEL. - g OWNER-BU)LDER DECLARATION - (PRINT) A�ICG U LGVO. 3 DATE I hereby affirm that I am exempt from the.Contractor's License ' 3S aJC/.vlT.4 -/.•`,. '�� ' Law for the following reason.(Sectlon 7031.5, Business and ADDRESS FI 1 . Professions Code): - - PRESENT - .. _ _ y . , B Imo LTJ I, as owner of the property, or myempoyees with ADUILDDINRESS' wages as their sole compensation,will do the work and €, 13 the structure is not intended or offered for sale(Section LOCALITY f� /} e - 7044,'Business and Professions Code ) - MOVING _ - TEL. _ _ / (r�/ ��!"A`/J GNU - j❑. i (y- E_,. - CONTRACTOR NO.as owner of the property, am exclusively contracting / with licensed contractors to construct the protect (Sec- - - - r - Lt HL -610. >,0 tiori 7044, Business and Professions Code.) ADDRESS V�f ' / ttU// ( LI _.cr T"F_ REQUIRED -TOTAL SETBACK FROM.:. EXIST. f F' / ( 1�j CONSTRUCTION (ENDING AGENCY SETBACK ' YARD HWY PROP. LINE WIDTH. n I hereby affirm that there is a construction lending agency for FRONT i.;yal'(}� the performance of'the work for which this permit-is issued -PL. - (Sec. 3097, Civ. C.). SIDE P.I. - Lender'sName. _ _ _ LDMA Ref. # PC. Fee$ Permit Fee s O Lender's Address I certify that I have read this application and state that the Issuance Fee Q LDMA P/C N D ` 8 above information is correct. I agree to comply with all County Investigation Fee :'! ) _ ¢ ordinances and State laws relating to.budding construction, Total Fee - • C/ LDMA Pe,m.1 ^ a and hereby authorize.representatives of this County to enter upon the a ye-mentioned property for pectin purposes. � �� /c4Gj ,�7.. - SEE REVERSE FOR EXPLANATORY LANGUAGE ' — o gnature of Applicant or Agent Date