HomeMy Public PortalAbout5033 ENCINITA AVE_Building__ 1-55 D68.8 APPLICATION FOR BUILDING PERI) IT 1-
D ION-OF BUILDING AND, SAFETY .-, ,App ESS 44
Department of•County Engineer
-County of Los Ang61es LOCALITY 7y
JOHN A. LAMBIE, COUNTY,ENGINEER. NEAREST.
CASSATT,D.GRIFFIN, SUPT OF'BUILDING CROSS ST.
DISTRICT NO. ROUP TYPE, SEWER, MAP
P
'FOR APPLICANT TO FILL IN, ✓—
_ CONST.
"BUILDING• t'"`• - 4 MAP' /tom STATE
ADDRESS �.J NUMBER /••/ HWY, YES .Nd
LOT NO. �` - Q BLOCK USE ZONE SPECIAL
CONDITIONS'
TRACT
S.
i NO.OF BLDG "
SIZE OF L•OT f X AV-0 I NOW ON•LOT .� BUILDING, EXIST. '
YARD' HWY '•STREET NAME, �'�
SETBACK 1• �•• WIDTH '
;USE OF
EXISTING:BLDG. Gl�,o '� FRONT
,OWNER , SIDE -
MAIL O .- ,
ADDRESS �� 3' '•C/Y/�LJivt.I 1� OLA -0 TRACT DWELL. I UNIT •,5 _INDUSTRIAL'
r TEL. t 1 DWELL.' - 1 UNIT '
CITY NO. 6' PUBLIC BLDG.
ARCHITECT O TEL. 2 DUPLEX 2 UNITS 7 ADDN.,'ALT., ETC.
ENGINEER NO. 3 APT. UNITS
8 MISCEL.
4 COM
ADDRESS - -
'•�' MERCIAL
TEL
t�
CONTRACTOR L F .y��NO�/ T C INSPECTION RECORD ••
ADDRESS -
DESCRIPTION OF WORK
-NEW ADD ALTER REPAIR DEMOLISH
SQ'FT. NO OF NO'OF
SIZE - STORIES FAMILIES
USE OF STRUCTURE _
LID IX
SIGNATURE OF
APPLICANT ? APPROVALS, ,
ADDRESS CS Gni"' - DATE INSP CTO_R'S SIGNATURE
- FOUNDATION: LOCATION
FORMS;MATERIALS l(o �� - nvl ._..�
•FEE 'FRAME: FIRE bIut.5., - --L; _a _
VALUATION $� O O BRACING. BOLTS
FEE FURNACE:'LOCATION.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS -'GAS VENT. DUCTS -,
APPLICATION AND STATE THAT THE,ABOVE IS CORRECT y'
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - LATH. INT.
,-AND STATE_LAWS REGULATING BUILDING CONSTRUC-
TION. c LATH. EXT. "y r
SIGNATUREOF , 'HOUSE NUMBER COR- "
PERMITTEE ��ryyy L%���ifTil(� RECT AND POSTED ♦ -
ADDRESS'�� �' •FINAL'
JOHN A.LAMBIE. COUNTY-ENGINEER VALIDA ,CLYDE N. DIRLAM, CHIEF BLDG. INSPEC OR
+. - CK MO CASH