HomeMy Public PortalAbout4921 ENCINITA AVE_Building__ r .
BUILDING ADD EIS9 7 �G. • �/�G-I/V I�/-/
APPLICATION LOCALITYNEAREST
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DIVISION OF BUILDING AND SAFETY CROSS ST ���to o
Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles �Gj ';' 1-6 3 3
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUP'T OF BUILDING
FOR APPLICANT TO FILL IN TYPE-C.QNST. RECEIVED BY o ISSUED Y
MAP
MAILER • 1 NUMBER ��d p slTWYYE YES NO
ADDRESS 0dV USE ZONE SPECIAL
r TEL CONDITIONS
C I TY NO.
ARCHITECT OR TEL A,�Oyi9"rv"
ENGINEER NO
BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT -e a a
TEL. P.L.
CONTRACTOR NO
SIDE
P L.-
ADDRESS
DATE CORRECTIONS INSPECTOR
BUILDING
ADDRESS
st/r r_E✓ Q�_
LOT NO. BLOCK
TRACTNO 13F SLOGS 7—
SIZE OF LOT.7� 3 I NOW ON LOT
USE OF
EXISTING BLDG
DESCRIPTION OF WORK
NEW =ADD ALTER REPAIR DEMOLISH ' Z
9q.FT. /Z p NO.OF NO.DF �/ D
SIZE STORIES FAMILIES t-
USE OF STRUCTURE
NO.OF
EMPLOYEE$
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS
` FRAME FIRE STOPS,
SIGNATURE P5 BRACING,BOLTS tti..
PERMITTE
FURNACE: LOCATION, /O
•
GAS VENT,DUCTS 6
ADDRESS
LATH, INT.
AUTHORIZED AOT.
LATH. EXT.
P.C !B HOUSE NUMBER COR-
FEE -r OREcTUSE AND PORTED
VALUATION FEE FINAL
76A638A D1353 12-53