HomeMy Public PortalAbout5322 ENCINITA AVE_Building__ 76A63BA_'CE #803,1/71 „ I - yy 710483 ,
' ' APPLICATION FO`R,BUI DING•;PERMIT-
COUNTY OF -LOS,ANGELES* ASSESSOR
DEPARTMENT- OF COUNTY ENGINEER MAP`BOOK. " PAGE ° PARCEL
BUILDING'"AND SAFETY'DIVISION �BUILDINs
COLEMAN'W. JENKINS,± SUP T OF BUILDING ' �'
LOCALITY
FOR APPLICANT TO FILL IN . "FOREST,
Print ort a only) CROSS ST;
FORE
G' - r, DISTRICT NO GRO P TYPE B n,
S . .5322 N. Encinita Te le' Cit ,� O CONST,
STATISTICAL CLASSIFICATION SE ER MA! - BLOCK "CLASS NO. -DWELL UNITS'USE ZONE MAPNO OF BLOGS' NO LOT NOW ON LOT � CONDITIONSG BLDG, TEL
Gebr a Patterson NO. 286-4395BLDG.SETBACKFROM
S 5324 N. Encinita - - FRONTPROP LINEOF (STREET)TYPE OF EXISTING •SETBACK' HIGHWAY } YARD = TOTAL
_' Temp•le Cit " HIGHWAY WIDTH FROM,C.L
ARCHITECT OR TEL. } _
ENGINEER NO
BLDG.SETBACK FRO
ADDRESS - SIDE PROP.LINE OF (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWA YARD = TOTAL a
CONTRACTOR Virgin Roof Co. NO 287-0$07 HIGHWAY WIDTH FROM C L U
ADDRESS 600'S.' San Gabriel B,L,o''160650 - _
LIC r C~7
CITY San Gabriel CLASS _ CORNERCUTOFF YES ❑ NO ❑ - y�
CONSTRUCTION LENDER
NAME AND BRANCH ', 'SEE REVERSE SIDE• FOR SPECIAL-APPROVALS',
ADDRESS r - -
SO FT NO OF NO.,OF NEW
- El --
SIZE
EUSE OF - STORIES i '.• FAMILIES ADD ❑ - _-
STRUCTURE dW 1 — f ,
ALTER ❑ - '
rock roofing '•
REPAIR:U
SIGNATURE OF '.• _ ,,w .�,- ,
APPLICANT DEMOL ❑
VA'LUATIOL4 $ -.�(p�/ _ gppROVALS r �._ DATE INSPECTOR'S SIGNATURE
P.0 _ PMTFOUNDATION: LOCATION
FEE $' FEE $ 9.00"" FORMS', MATERIALS '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONFRAME- FIRE STOPS,
' - BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION, '
'WITH ALL ORDINANCES AND LAWS REGULATING' BUILDING CON- GAS VENT, DUCTS -
STRUCTION I CERTIFY THAT IN DOING6THE WORN' AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, I,NT•,•, -
LABOR CODE OF THE STATE OFA CALIFORNIA IN RELATING'TO - a - -
WORKMEN'S COMPENSATI N INSURANCE - - F
_ LATH, EXT, •� '
SIGNATURE OF r p�--P�� HOUSE NUMBER COR- -
PERMITTEE _ RECT AND POSTED
ADDRESS F I N AL,
1'
JOHN F LEWIS PRI CIPAL S U L ENGINEER -
C PLAN CHECK,VALIDATION• cii Mo cases _ PERMIT'VALIDATIO CK ' o CASH