HomeMy Public PortalAbout5030 ENCINITA AVE_Building__ 76A638A CEN803 5-65 APPLICATION FOR BUILDI PERMIT
COUNTY -OF LOS ANGELES . BUILDING
DEPARTMENT OF COUNTY.,ENGINEER n°oREss . O
BUILDING AND SAFETY. DIVISION LOC A LIT"Y -
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST
DIST ICT. NO GR .0 TYPE P O
FOR APPLICANT TO,'FILL IN CONST
BUILDING _ _ STATISTICAL CLASSIFICATION_ SEWER MAP
ADDRESS Q Q - E3K, PG --
CLASS NO DWELL UNITS
LOT NO - - BLOCK USE ZONE MAP-•- - //� -NOIT
l/
TRACT - - - SPECIAL - - -
NO-OF BLDGS "CONDITIONS -
SIZE OF LOT - NOW-ON LOT - -
USE OF
E (STING R60G BLDG SETBACK FROM
` TEL FRONT PROP LINE OF - (STREET)
OWNER OW c NO TYPE OF EXISTING SETBACK `'HIGHWAY + YARD = TOTAL _
ADDRESS Zf 7/7 r HIGHWAY WIDTH 'FROM C L
CITY vj '/ ~ BLDG SETBACK FROM
ARCHITECT OR TEL SIDE PROP LINE OF (STREET)
ENGINEER NO
_ TYPE OF- EXISTING SETBACK HIGHWAY-,-+- YARD -= TOTAL
ADDRESS - - _ HIGHWAY WIDTH FROM C L
-TEL
CONTRACTOR- NO
LIC CORNER CUTOFF YES - NO V
ADORES-14H NO
LC OC
'CITY CILASS SEE REVERSE SIDE FOR SPECIAL APPROVALS- O
DESCRIPTION OF'WORK u
W
CT d
NEW ADD ALTER - REPAIR -DEMOLISH
SQ.FT NO OF NO OF -
SIZE STORIES -FAMILIES
USE,OF - -
STRUCTURE -
o C/
SIGNATURE OF
APPLICANT - - V,X-11
VALUATION$/-
,I ,�.
APPROVALS DATE .INSP ATURE
_ PMT FOUNDATION, LOCATIO y I�
' �F E$ p FEE$ "� (J C/ FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION -
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK ,
AUTHORIZED HEREBY I WILL NOT;EMPL-OY ANY PERSON IN VIOLA. LATH INT -
TION OF THE-LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT - -
SIGNATURE OFA HOUSE NUMBER COR_- ,
PERMITTEEA T J ' RECT AND POSTED
ADDRESS X/� / �T Fl NAL --
' JOHN F LEWIS PRINCIPAL STRUCTURAL ENG R
PLAN CHECK VALIDATION CK- MO CASH _ PERMIT VALIDATION CK Mo CASH
LIC' 4 6 4-F� SEP 12 1 -D 3,00-
a
✓ �l 1
n EN Q
BUILDING
UIL ® iNG HADD EISS (/ 3 d 72,
APPLICATION LOCALITY -77 4 / ,,yy
DIVISION OF BUILDING AND SAFETY NEAREST ">CR059 ST. +�r
/�►... 27-5 �
Gf/U
Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County-of Los Angeles 2j �3 :3 �
WM. J. FOX, COUNTY ENGINEER GROUP DAT ECEIVED -`DATE ISSUED
CASSATT D. GRIFFIN, SUPT DF BUILDING
FOR APPLICANT TO FILL IN TYPE �sT. RECE a Hiram/'F UE6 BY
OWNER
MAIL NUMBER, 2,4,MAP /�)/` STATE Y.E NO
ADDRESS ♦ -
USE ZONE SPECIAL
TE 18 / CONDITIONS
CI NO /7 �]O ,
ARCHITEcl ORTEL
ENGINEER NO.
O BUILDING YARD HWY STREET NAME EXIST.-
SETBACK WIDTH
ADDRESS
FRONT '
/gyp/ l T P.L. -
CONTRACTOR(' / •t/1/ N ,
SIDE
P.L v
ADDRESS
:DATE _CORRECTIONS INSPECTOR
BUILDING
ADDRESS _
LOT NO.
TRACT /V 6 ! � -
17
HOLEiJOp I110GdEL V-�!ASTvE
BO. OF BLD'
n 6:L•:f����
gJASIZE OF LOT22 p OW ON.LOT �
USE OF .�
EXISTING BLDG.
DESCRIPTION OF WORK v °�
o
ADD ALTER REPAIR DEMOLISH 2
813.FT. NO. OF NO.OF r
SIZE /O STORIES / FAMILIES
OF STRR U
i
NO.OF
EMPLOYEES
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIN AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INSPEC OR'SSIGNATURE DATE
CORRECT. ^
1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES• FOUNDATION: LOCATION ,,,A
AND STATE LAWS REGULATING BUILDING CON RUCTION_. FORMS,MATERIALS fl � ' ST'
FRAME: FIRE,STOPH,
SIGNATURE OF _ BRACING,BOLTS
PERMITTE FURNACE: LOCATION, '
/ GAS VENT,DUCTS
ADDRESS
LATH, INT.
AUTHORIZED AOT.
LATH. EXT. "' .Jl ��..4�� 17
$ �� C.>B � HOUSE NUMBER COR-19_-'
'� FEE RECT AND POSTED L'
VALUATION III a 0� FINAL s ��x� (��(�✓. p7_c:l
FEE
76A6313A DBS 3 12-43 ---------
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