HomeMy Public PortalAbout4864 ENCINITA AVE_Building__ 76A638A CE#803 9-68 TEMPLE CITY
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER 'ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUP T OF BUILDING CROSS ST �C
FOR APPLICANT TO FILL IN DISTRICT NO- GR -LLP TYPE R E
(Print or type only) L 6 CONST
BUILDING 'STATISTICAL C A IFICATION WER MAP
ADDRESS
CLASS NO DWELL UNITS B
LOT NO - BLOCK USE ZONE P
NO
TRACT SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG _ - ./}"VC�-� BLDG SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
OWNER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
oya
ADDRESSo . IGHWAY WIDTH FROM C L
CITY Alhambra Calif B +
LDG SET OM
ARCHITECT OR TEL SIDE PROP LINEO (STREET)
ENGINEER NO TYPE OF EXISTING SETBACK HIGHWA YARD = TOTAL
ADDRESS - - HIGHWAY WIDTH FROM C L
TEL _ a
CONTRACTOR NO + C
U
ADDRESS 2 Valley lle B1vdNO 186086 I CORNER CUTOFF YES ❑ NO C
LIC
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS w
CONSTRUCTION LENDER
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NAME AND BRANCH Z
ADDRESS
SQ FT NO OF NO OF NEW ❑
SIZE STORIES - FAMILIES _
USE OF ADD ❑
STRUCTURE -6 units-
ALTER ❑
REPAI
SIGNATURE ,OF
APPLICAN - DEMOL ❑
VALUATION $XjOtOft. APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE$ FORMS MATERIALS
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION t BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSO VIOLATION OF THE LATH INT
LABOR CODE OF THE ST TE O CAL OR A RELATING TO
WORKMEN'S COMPENS 10 IN C LATH, EXT
SIGNATURE HOUSE NUMBER COR-
PERMITTEE I RECT AND POSTED
ADDRESST�W _ FINAL
JOHN F LEWIS PRI CI AL STRUCTURAL ENGINEER
PLAN CHECK Vti ALIDATION CK M 0 CASH _ PERMIT VALIDATION CK M o CASH
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APPLICATION LOCALITY C .
DIVISION OF BIIILDING AND SAFETY NEAREST
C / D 15
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Department of Oounty Engineer DISTRICT NO. RECEIPTNO. PERMIT NO.
Ootnty of Los Angeles 9
WM. J: FOX, COUNTY'ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT,D. GRIFFIN, SUPT Dr BUILDIMO -J l7 —:3--
f l� 6-/
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FOR APPLICANT TO
FILL IN TYPE
CONST. 3{i_py/RECEIVED RY"F7I [pISSUED By I
OWNER /Y , /" .�/ �I'L,�S MAP /� / ( , �,e���f/��'/� /.!1 N`�!/
MAIL / Cii/� NUMBE V .tf SITjyAyTYE NO
ADDRESS
U E ZONE SPECIAL
CITY 7—�'/✓cP.�.�" N13L CONDITIONS
ARCHITECT OR TEL.
-ENGINEER NO
BUILDING YARD HW STREET NAME EXIST.
SETBACKWIDTH
FRONT
ADDRESS__ 't® )
1
CONTRACTOR J? O N P.L
�j BIDE
A DREBH !/ O D P.L.
DATE CORRECTIONS INSPECTOR
BUILDING
ADDRESS 0 �� �,r `���
LOT NO. BLOCK
TRACT �
NO 13 SLOGS. Hy
111�G
SIZE OF LOT O'-- / I NOW ON LOT
USE OF 81,213.
C
DESCRIPTION Ot WORK °
oct at- o
NEW ADD ALTER REPAIR DEMOLISH
era.FT. ND.DF ND,Dr dNr�►`"`'ti s'� D
912E - STORIES FAMILIES r
USE fFPTRUDWRE C+ GE'
L d
ll:PF
NO.OF
6'P LOY
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INrORMATION GIVEN IB APPROVALS 4 1 PECT 'S B GNATRE
CORRECT.
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATIONI LOCA*16m
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS ELrr✓ '� �Y
FRAME: FIRE
SIGNATURE OF BRACING,DOLTS
PERMITTE FURNACE: LOCATION, ( /
GAB VENT,DUCTS
ADDRESS
LATH, INT.
AUTHORIZED AMT. ^
LATH, EXT ��
$ �^ -.�--- P.60, FEE O
C G AO-te` HOUSE NU .MBER COR-
7/ V �� �' RECTAND PRTED
VALUATION J FEE S7/CFINAL r
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