HomeMy Public PortalAbout4923 ENCINITA AVE_Building__ 70A6AA OBb 3 3-88 `
APPLICATION FOR BUIL,®IN P R 11" �.
DIVISION OF BUILDING AND SAFETY BUILDING ,7 e,O• G�
Deportment of County Engineer ADDRESS
County of Los Angeles LOCALITY �� I e
WM.J FOX, COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN, SUPT OF BUILDING CROSS ST
DISTRICT NO. GVtOUP TYPE �y SEWER BK MA PG
f2,3OR APPLICANT TO FILL IN I TYPE .�x
BUILDNG
ADD EISS • �� MAP _ STATE
� NUMBER D HWY
LOT NO. +� � � BLOCK USE ONE SPECIAL ,
� CONDITIONS
TRACT 71 I'
NO OF BLDGS. OV gUtLDING EXIST.
SIZE OF LOT NOW ON LOT ^-�� UILDIK YARD HWY STREET NAME WIDTH
SETBA
USE
EX STT NG BLDG / , FRONT I /
P. L. �I
OWNER S. ^/J, SIDE
P L.
MAIL •
ADDRESS (/ O TRACT DWELL. I UNIT
5 INDUSTRIAL
_CITY NOTEL- O Q�I� DWELL. 1 UNIT g PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX I UNIT ADDN , ALT ETC./
ENGINEER NO. 3 APT UNITS( MISCEL. //
ADDRESS 4 COMMERCIAL
TEL CONTRACTOR /J�Q e,�/� NO INSPECTION RECORD
ADDRESS I
DESCRIPTION OF WORK '
NEW ADD ALTER REPAIR DEMOLISH
SQ FT. NO.OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
(nN
SIGNATURE OF
APPLICANT ^ APPROVALS
ADDRESS p p� Gr 60dwam& DATE INSPECTOR'S SIGNATURE
FOUNDATION LOCATION '
ij
P. C. $ FORMS, MATERIALSFEE FRAME FIRE STOPS. _
VALUATION G7� $ p p BRACING, BOLTS
FEE FURNACE LOCATION,
t HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION LATH. EXT.
SIGNATURE OF � HOUSE NUMBER COR-
PERMITTEE, �J� RECT AND POSTED
ADDRESS-1-M,I & AIAJ7� FINAL -
WM J FOX,COUNTY ENGINEER VALIDATION C N DIRLAM,CHIEF BLDG. INSPECTOR
_ -,tCo 9 6 0 0 1,10V 2 1 2.00 -
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