HomeMy Public PortalAbout5036 ENCINITA AVE_Building__ 7BA898A CE#809-6-87 APPLICATION FOR BUILDING PERMIT- -
COUNTY
ERMIT- • •COUNTY OF LOS ANGELES BUILDI s
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY F
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST
DISTRICT NO. GROUP TYPE EWER'MAP'' -'•`
FOR APPLICANT TO FILL IN s- G'. BK PG
CONST
BUILDING O STATISTICAL CJ�ASSIFICATION -
ADDRESS 11 �L/ _ -
LOT NO _ BLOCK CLASS NO JrDWELL UNITS� O, '
_ MAP STATE, YES NO•
_ NUMBER HWY. - -
TRACT O USE ZONE SPECIAL
NO OF BLDGS I -CONDITIONS
SIZE OF LOT I NOW 0,
N-LOT
USE OF
EXISTING BLDG BUILDING - EXIST
SETBACKSETBACK YARD HWY STREET NAME AA A WIDTH
OWNER I.J O FRONT .-
MAIL _ P L /
ADDRESS //�, SIDE
.� L). NO __ P L - - -
CITY. _ INSPECTION.RECORD-
ARCHITECT OR L�•' _ _
- 0ENGINEER O
ADDRESS TEL S7�)7�4 /Fi�OS�tl ld�S�4V/�/,/�) O N 63, 9v
_
CONTRACTOR NO
ADDRESS _ � � � ��' '�✓ -
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH a ate.
SQ FT. NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE' D: ' I - O 13 uou i-,-
SIGNATURE OF 1 � �I .WQVAL9
APPLICANT Y -
- � - ��DATE� INSPECTOR'S SIGNATURE
ADDRESS - - FOUNDATION LOCATION -
FORMS,MATERIALS
fFEE
$ FRAME FIRE STOPS, /
`T }S BRACING. BOLTS
VALUATION <,o QQ $ �a FURNACE LOCATION. /� l
�� GAS VENT,DUCTS N -/'
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT A- -
PLICATION AND STATE THAT THE ABOVE,IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CON TRUCTION LATH,EXT. i
SIGNATURE OF, 8 HOUSE NUMBER COR-
PERMITTFpr j ze 4A.1 RECT AND POSTED _
ADDRESS FINAL
JOHN A. LAMBIE.COUNTY ENGINEER. CLYDE N DIRLAM, PRIN61PAL ST%gEii,RAL(ENGt EER'
PLAN CHECK VALIDATION' cK mo. cnstt PERMIT VALIDATION' cK. M.o. cnSlt
2y.1 ,5T 8•. MAR 1-9 1 •A 8.5'-0 `m
7SA638A CE#809-6-57 APPLICATION •FOR BUILDING-PERMIT ' .
COUNTY OF LOS.ANGELES BUILDING
ADDRESS I
DEPARTMENT OF COUNTY ENGINEER.
BUILDING AND SAFETY DIVISION /LOCALITY- ,
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST C/
_ TYP
DISTRICT NO GROUP SEWER MAP -
FOR APPLICANT TO FILL IN c E /i BK PG
CON
.J ST.
BUILDING` SATISTICAL CLASSIFICATION '
- ADDRESS Q Ti `
CLASS NO 1-lr DWELL UNITS
LOT NO BLOCK MAP STATE '
- NUMBER `V 'HWY YES NO
TRACT - _ USE ZONE - SPECIAL -
NO OF SLOGS. y/ CONDITIONS
SIZE OF LOT NOW'ON LOTUSE OF r
EXISTING BLDG BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER d OT
MAIL 41 FRONT
IL
ADDRESS d .. O .j' SIDE - -
CITY ..
TEL
P,L
' - . -
INSPECTION RECORD
ARCHITECT OR -- TEL
ENGINEER - NOG-
ADDRESS /II P)LA
TEL- /GZ'Q / C� //✓ ��
CONTRACTOR NO p 3� S _• / y
ADDRESS
DESCRIPTION OF WORK J
�--
-NEW ADD ALTER REPAIR DEMOLISH -
SO FT. NO OF' _ NO OF
SIZE STORIES FAMILIES
USE OF'STRUCTUREDrAIV ��
SIGNATURE OF APPROVALS
APPLICANT DATEc INSPECTOR'S SIGNATURE
ADDRESS D_ -- a
IFF
FOUNDATION LOCATION
FORMS,MATERIALSC $ FRAME FIRESTOPS,-E BRACING.BOLTS
VALUATI E $ 5� FURNACE
CE LOCATI N �J '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH-ALL COUNTY ORDINANCES AND '
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH,EXT
SIGNATURE OF - HOUSE NUMBER COR-
PERMITTEE
OR-PERMITTE / RECT AND POSTED
A D D R E S Q ` FINAL
JOHN A. LAMBIE,COUNTY ENGINEER,: CLYDE N. DIRLAM, P,RINS IPAL STRU R.AL ENGINEER
PLAN CHECK VALIDATION K. M o. CASH PERMIT VALIDATION CK. M.O. CASH•.,
, . 2 0'&;0,00 ,MAR 17 1 '6 A 425 --n
� ' ® ' NG
ADDRESS
_ - APPLICATION LOCALITY
DIVISION OF BUILDING AND SAFETY NEAREST
CROSS ST.
Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles �' 3, 3
WM. J. FOX, COUNTY ENGINEER QRO P •DAT 'RECE VED DATE IS UED
CASSATT D. GRIFFIN, SUPT OF BUILDING,
_V
FO APPLICANT TO FA L IN TYPE T. RECE y� Y IS ED BY
f -OWNER i MAP // ' STATE YES NO ,
MAIL NUMBER rn HWY
ADDRESS "
CITY .�...-� TE L n UBE ZONE SPECIA
CONDITIONS
w!
ARCHITECT OR TEL
ENGINEER ��/ - NO.
� TE
BUILDING YARD HWY STREET NAME EXIST.
�/� SETBACK WIDTH
ADDRESS— ('1 D1
+TEL P.L.FRONT C/�''•'� ��
CON TRACTOR �..[/}4'`(/LJ NO. SIDE
P.L.
ADDRESS
DATE CORRECTIONS INSPECTOR
BUILDING //�� ♦ ' ,
ADDRESS �V CY
LOT NO.
TI ,_�� 77n,� Q BLOCK �p ✓0 '' o--,nen�qr� �p�p�
�TRACTr� .j,-l&/0 O /I _ fll®16® ®lfll I��i71'1c�1J @ �::1L'��`r/L.1��J 9 F' �� /17� rIIir'E:
1 NO. OF BLDGS.
SIZE OF LOT74X IZ NOW ON LOT ON
USE OF
EXISTING BLDG. Z ti V
DESCRIP ION OF WORK '
NEW ADD ALTER REPAIR DEMOLISH •, -fix Z
eq.FT. NO. OF NO.OF : _ �V r
SIZE .STORIES _ _ FAMILIES "
USE-OF STRUCTURE •/ / e_Y_ �
d1 ! l e-
C 1/ ,
NO.OF -
EMPLOYEE
I HEREBY ACKNOWLEDGE THATA HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPE TOR'S SIGNATURE DATE
CORRECT.
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES' FOUNDATION: LOCATION
AND STATE LAWS REGULATING BUILDIN CONSTRUCTION. FORMS,MATERIALS
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
PERMITTE FURNACE: LOCATION, '
Ir
i1 - GAS VENT,DUCTS
ADURES V '
LATH, INT.
AUTHORIZED AOT. '
LATH, EXT.
P.C.16 ��� HOUSE NUMBER COR-
_ FEE RECT AND POSTED
VALUATION III pO
FEE -tom FINAL
76AG38A DBS 3 12-53