HomeMy Public PortalAbout4942 ENCINITA AVE_Building__ 76A638A CEA803 8-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELESBUILDING s
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY C
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. L
DISTRICT NO. I G OUP TYPE PR BY
FOR APPLICANT TO FILL IN 09 coNsr``� �
BUILDING `, �ZSTATISTICAL CLASSIFICATION SEWER MAP
ADDRESS _i cC lv'17w WUNITS BK ✓ PG
CLASS. NO. C
LOT NO. j BLOCK WATER
p� CERTIFICATE: NOT REQUIRED RE LIVED ❑
TRACT �O NO ��MAPI HI HWA STATE MAJOR SECOND LOCAL
NO. OF BLDGS.
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF - - CONDITIONS
EXISTING BLDG. I -o-.C-e
TEL.
OWNER NO. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT "
ARCH ITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L.
ADDRESS D - OLrj9-L
TEL.
CONTRACTOR NO. (�
ADDRESS
DESCRIPTION OF WORK G� B/G � rd
NE ADD ALTER REPAIR DEMOLISH In
SQ. FT. NO. OF NO. OF
.SIZE d0 STORIES FAMILIES
USE OF
STRUCTURE
JV�i� Lml
�Y "
SIGNATURE OF
APPLICANT
VALUATION $ � ZOO
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. 7_5' FOUNDATION: LOCATION
FEE $ FEE $ �7 FORMS. MATERIALS
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NO EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE T STATE CALIFORNIA RELAT-
ING TO WORKMEN'S COM NS ON I U CE.
LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED r�
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH
i NG0 0 0 2 9 AUG 1 0 1 D 1 7.2 5, �,
TEMPLE CRT*
7GA638A CE#80316= APP I ATION FOR BUILDING PERM1
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE PSSED BY
FOR APPLICANT TO FILL IN ' - CONST « 1
BUILDING,q STATISTICAL CLASSIFICATION S ER MAP
ADDRESS ��f- i CLASS NO DWELL UNITS K P
LOT NO BLOCK V ATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT MAPHIGHWAY
NO OF SLOGS a I40 (CIRCLE) STATE MAJOR SECOND OCAL
SIZE OF LOT �o 'n NOW ON LOT USE ZONE SPECIAL
USE OF Y CONDITIONS
EXISTING BLDG
TELOWNER NO O�
'BUILDING EXIST
SETBACK YARD HWY STREET NAM WIDTH
ADDRESS r FRONT i
ARCHITECT OR TEL P L I
ENGINEER NO SIDE
P L d
ADDRESS _ Q
TEL U
CONTRACTOR NO
ADDRESS i O
DESCRIPTION OF WORK
NEWALTER REPAIR DEMOLISH
A D
SO FT NO OF NO OF './ ��r(•�
SIZE STORIES FAMILIES
USE OF ` d
STRUCTURE,_ gt
AeSIGNATURE OF Q bw�
V APPLICANT
VALUATION ,$ y/9VVV [
%% C•' f APPROVALS UDATE INSPECTOR SSIGNATU RE
PC PMT FOUNDATION LOCATION
FEE $ FEE'S ` - FORMS MATERIALS pi 1
-T— FRAME FIRE STOPS &
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSUR:,�j LATH EXT
SIGNATURE OF��� _ HOUSE NUMBER COR ��
PERMITTEE RECT AND POSTED /
ADDRESS FINAL If Y
JOHN F LEWIS PI INCIPAL STR 6 . RAL ENGINEER
PLAN CHECK VALIDATI CK M� As- _ PERMIT VALIDATION CK M O CASH
7 5 8 7 NOV 2 9 2 3 ,D 1 5.5 0,1
` � o8962"02 CEC28 1 D 37.0QN
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7GA639;C6#803 2/60 APPLICATION _ FOR -BUILDING PERMIT -
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINMR ADDRESS - r
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE P SSED BY
FOR APPLICANT TO FILL IN (J CONST
BUILDING A� AV EI S IATISTICAL CLASSIFICATION � SEWER MAP G
ADDRESS XIV I
.CLASS NO DWELL UNITS
LOT NO, BLOCK MAP STATE YES
NO
NUMBER HWY
TRACT USEZONE SPECIAL
NO OF BLDG S ] CONDITIONS
SIZE OF 1-4-43,9'5_4 I I NOW ON LOT
F r
USE OF L�
EXISTING BLDG r He> J 5 B BL ILDING EXIST
T L SF=TBACK YARD HWY STREET NAME WIDTH
OWNER • - �p�� Too33 RONT 1
ADDRESS ✓yA�1• {J��t-•+ �S C�F- SIDEARCH
ENGINEER
F 4 TEL P L
NO INSPECTION RECORD
ADDRESS a "
i -
a
F
T%D o OCONTRACTOR r
ADDRESS �_i�� C I� AIG �vr.Gd✓I N r7
DESCRIPTION OF WORK O
NEW HADD ALTER REPAIR DEMOLISH
SQ FTNO OF CC NO OF
SIZE STORIESB F FAMILIES
USE OF
STRUCTURE I�r
/ � �a
SIGNATURE OF , ®� �a"vi'IE �.S�L'C.� gd/fr o' a. �7"G
APPLICANT
VALUATION$ �� (,j7 CD /<hs-Jt
1• APPROVALS DATE INSPE40R S SIGNATURE
'FEE
C7 PMT FOUNDATION LOCATION
FEE $ � '� 00 FEE $ 3 FORMS MATERIALS ��&I 11 ♦
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- I RAMS FIRE STOPS,
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING BOLTS
FURNACE LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION ) /
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE a i
WORKMEN S COMPEN I LA F CALIF A LATH EXT W
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE- RECT AND POSTED A
ADDRESS {FINAL
CLYDE N DIRLAM, PRINCIPAL ST CT RAL ENGINEER
PLAN CHECK VALIDATION (&VM o CASH r PERMIT VALIDATIO Cx M o.' CASH
LACO 1 5 8 3 o =t I_ 1 2 3 D 3 .0 0 ;
®P
����4 1 3 4 0 JUL ?7 1- D 6 6.0 0 �^