HomeMy Public PortalAbout5040 ENCINITA AVE_Building__ 2,9195'
-BUILDING
U1L ® I NG BUILDING
ADDRESS
APPLICATION LOCALITY �i
NEAREST
DIVISION OF-BUILDING AND SAFETY CROSS ST,
Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles • . - ~— 3.3e!r, 1p 9 zz 0
WM. J. FOX, COUNTY ENGINEER CROUP A E RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUPT OF BUILDING, '
FOR APPLICANT TO FILL IN, I
TYP�gT• R"IVED B,r I SUED BY
-OWNER -
�j /�/ '- Ham, YES NO
AMAIL DDRESS O NUMBER G 40 � STATE
-1q i USE ZONE SPECIAL
• TEL.4T4�} �l / CONDITIONS
CITY N O. 1 `
ARCHITECT O i TEL / '
ENGINEER NO. ;(0
BUILDING YARD HWY STREET NAME EXIST.-
SETBACK WIDTH
ADDRESS
se. �� ,
FRONT D
T L. - i P.L.
CONTRACTOR NO.
SIDE
P. L. -
ADDRESS
BUILDING a DATE CORRECTIONS INSPECTOR
ADDRESS E04-0 ' A•—TED
LOT NO.
BLOCK • I HOLD
..Jj/p�/t�fr �•y�J / �t py�yp�/ Cog p��q �p
TRACT/Q G O 2 d 17 — HOLD (/F55R L'�'D1 oi30�6de1.'. !. C.IG/�oS�4,tl kms. CR L�G},h3kf�1iOTE;
Q� NO OF BLDGS. 1
SIZE OF LOT
OW ON LOT ON t
USE OF !'• � .1.may ,
EXISTING
DESCRIPVON OF WO R �" �` �4� d•'
NEW ADD '• ALTER REPAIR DEMOLISH _ - Z
9q.FT. NO. OF - NO.OF - r
SIZE 4 /5 BTO RIES FAMILIES
USE OF STRUCTURES
23
L G 2 s5 L u - -
-! - 00T - -_ - o 4.Zn a - -
7it My ir# S A ST -
� • G� 0 CiJPAG` _
--I HEREBY ACKNOWLEDGE THAT 1 HAVE WEAD THIS AP-
P L ICATION
P-PLICATION AND STATE THAT THE INFORMATION GIVEN IB APPROVALS IN PECgrORIB SIGNATURE DATE
CORRECT.
1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION - i....
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS
�j FRAME: FIRE'STOPS, ..
SIGNATURE OF �,J.L/ L-640-
BRACING,BOLTS
PERMITTEFURNACE: LOCATION,
OAS VENT,DUCTS
ADORES '
IQ LATH, INT.
-AUTHORIZED AOT.
/� LATH, EXT.
$ /J�' - -- P.C.IIIHOUSE NUMBER COR-
FEE RECT AND POSTED
VALUATION S FINAL
FEE, U - - - - -
76A636A DBS 3 12-53