HomeMy Public PortalAbout4900 ENCINITA AVE_Building__ 76A638A CE#803 9-68
APPLICATION FOR BUILDING PERMI
COUNTY OF LOS ANGELES BUILDING C/ v
DEPARTMENT OF COUNTY ENGINEER ADDRESS /J2
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUP T OF BUILDING CROSS ST GC
FOR APPLICANT TO FILL IN DISTRICT NO GAP I TYPE P OC SE BY
(Print or type only) -31 CONST
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NO OF BLDGS
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ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY :7777D = TOTAL
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CONTRACTOR H,L. Randol Co NOC
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ADDRESSS29 E NO _ CORNER CUTOFF YES ElNO 1:1 C
CITY class SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER a
NAME AND BRANCH Z
ADDRESS
SQ FT NO OF NO OF NEW ElSIZE STORIE FAMILIES
USE OF - ADD ❑
STRUCTURE I
L ALTER ❑ '
with REPAIREX
SIGNATURE OF
APPLICAN DEMOL ❑
VALUATION $ 353. APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE $ rcarFORMS, MATERIALS
T FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERS IN VIOLATION OF THE {LATH INT
LABOR CODE OF .THE ATE F C IF RNIA IN RELATING TO
WORKMEN'S COMPEN H RA E LATH EXT
SIGNATUR HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL C
JOHN F LEWIS P I CIPAL TRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK 11 0 CASH _ PERMIT VALIDATION 0 -0
CKMD CASH
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BUILDING ADDRESS
APPLICATION LOCALITY
NEAREHT
DIVISION OF BUILDING AND SAFETY CROBB HT.
Department of County Engineer DISTRICT NO. RECEIPT NO. e eER141T NO.
County of Los Angeles 5 f' Y 3 7151-311%—
WM. J.- FOX, COUNTY ENGINEER GROUP DAVE RECEIVED DATE�LBBHHUED
CAHBATT D. GRIFFIN, BUP'T Or BUILDING QJ r
FOR APPLICANT TO FILL IN TYPES CONST. pRECEiVED BY ,(CIHHUUEED_>By
OWNER NUMB—
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MAILER /✓ / O
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TELL/ CONDITIONS
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DATE CORRECTIONS INSPECTOR
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LOT NO. Q �`' lmmB9f�� L/YD�GBL" 1
TRACT '/2 1 .!
,{� NO OF SLOGS.
91ZE OF LOT V Q A' „�`Q I NOW ON LOT �P
USE OF
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DESCRIPTION OF WORK
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NEW I/ ADD ALTER REPAIR DEMOLISH Z
SO FT. �y�(�{ NO. OF ND.OF >
SIZE X%-.7 STORIES FAMILII/ r
USE OF BT UCTURE 4
i
NO OF
EMPLOYEES
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 19 APPROVALS INSPE TOR'SSIGNATURE DATE
CORRECT.
1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION' LOCATION 4
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS, MATERIALS - �.w......
FRAME. FIRE STOPS, n
SIGNATURE OFG /� /���yU�/� J6� BRACING,BOLTS
PERMITTEE_T� / G �•�(� FURNACE' LOCATION,
GAS VENT,DUCTS
ADORES - �
LATH, INT
AUTHORIZED AOT
LATH, EXT. y
$
g� v DU FEE H DO HOUSE NUMBER COR-
D RECT AND POSTED
VALUATION almlalmFEE (� 10
FINAL A !q
76A638A DE6 3(fib 5-54