HomeMy Public PortalAbout5010 ENCINITA AVE_Building__ 76AGSBA De 9.8`11-98 '
APPLICATION FOR BUIL®IIVG' PERIVIII" �.
DIVISION OF BUILDING AND SAFETY BUILDING-ADD""
.fib/O N-
Depm ent of County Engineer
County of Loa Angeles LOCALITY
WM.J. FOX, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING _ CROSS ST.
DISTRICT Np. ,GRSpPPJ TYPE /� SEWEER� MAP
FOR APPLICANT TO FILL IN g
/— 1 CONST. L_ _ /• CO (D G
BUILDI_ NG O / .�L � � MAP STATE
ADDRESS NUMBER HWY.
LOT NO. �aK USE ZONE SPECIAL - -
_ CONDITIONS
TRACT
SIZE OF LOT NO. OF BLDGS. BUILDING EXIST.
G� . Dc� I NOW ON LOT SETBACK YARD -HWY STREET NAME :WIDTH _
USE OF
EXISTING BLDG. 12--• FPROL T ♦ _
OWNERL� �C ��Z�•• SP. L.
Al L
ADDRESS L?� .,J O TRACT DWELL. 1 UNIT 5 INDUSTRIAL - -
TEL 1 DWELL. 1 UNIT -
CITY NO. _ _ _ 6 PUBLIC-SLOG.
ARCHITECT OR TEL. 2 DUPLEX t UNIT 7 ADDN., ALT.. ETC.
ENGINEER NO. 3 APT. y UNITS ,
8 M_ISCEL..
ADDRESS 4 COMMERCIAL
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CONTRACTOR / ,
Z&4_11KI-11P NO' INSPECTION•RECORD
ADDRESS /�L�Fr/rC7��'/J� .✓/� C.�/jl���dj� I77.,.tc.r��-'t, W✓W` YJL(�k�^
DESCRIPTION OF WORg a ��zga
NEW TCDD ALTER REPAIR DEMOLISH /
SQ. FT. NO. OF NO. OF ��L
SIZE �i �� STORIES 1 FAMILIES
USE OF STRUCTURE I
SIGNATURE OF
APPLICANT / APPROVALS
ADDRESS O C� '�/ �, JJ DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION / _�
$ P.C. ffi �S FORMS, MATERIALS 2 SS
��wo FEE FRAME: FIREOLTS
VALUATION I�_•V _ $ � BRACING, BOLTS t�•
FEE FURNACE: LOCATION,
M.—F
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH13 G'n`8 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. I'LIII
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL _
WM.J. FOX, COUNTY ENGINEER - VALIDATION C. N. DIRLAM.CHIEF BLDG. INSPECTOR
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