HomeMy Public PortalAbout5322 1/2 ENCINITA AVE_Building__ APPLICATION FOR BUILDING•-PERMIT
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COUNTY OF LOS ANGELES BUILDING .7�2 ?� ✓4
DEPARTMENT OF COUNTY•.ENGINEER
ADDRESS 6
--BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST /e
CASSATT D GRIFFIN,SUPT OF BUILDING CROSS ST" Q G
DISTRICT NO. GR TYPE SEWER MAP
FOR APPLICANT TO FILL IN B 'PG
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BUILDING .T / ;% '
.ADDRESS STATISTICAL CLASSIFICATION, / ^•• .-•
CLASS NODWELL UNITS–
LOT
NITS I - -
'LOT NOO - BLOC J , MAP n / STATE
J I HWY.•� ,YE5 .NUMBER • s
TRACT .[A. _I,ISEZONE SPECIAL - •' '
'NO O B GS /CyJ/ CONDITIONS "
SIZE OF LOT ' NOW ON LOT
USE OF QV 0 J�/O �/�✓L `• �[� ' _
EXISTING BLDG BUILDING / J r°- -EXIST
SETBACK YARD HWY STREET NAME. WIDTH '
OWNER -X21 FRONT 'n/ /`/ /•'�
MAIL + -�p P L. •`_V - LAG 1✓l
ADDRESS :. /hC -III�T SIDE • -
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TY C/�/ �.�` [r NO
CIINSPECTION RECORD'
ARCHITECT OR - TEL.
ENGINEER NO.
ADDRESS - - - C-L..i
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CONTRACTORt�� ��'l�6'��NO -
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~ADDRESS• �. V -
DESCRIPTION OF WORE G' A_ ,
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NEW L"'ADyDw+- ALTER REPAIR DEMOLISHSO FT. t�. - -
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iLt,7 STORIES - FAMILIES NO OF NO OF ,' �• y
USE OF,STRUCTURE, ' W�4� IV
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SIGNATURE0 APPROVALS
APPLICAN -
•I - DATE INSPECTOR'S 5IGNMURE
ADDRESS Q FOUNDATION LOCATION i '
FORMS, MATERIALS 1
19,
P C STOPS,
v y FEE '—� BRACING.BOLTS
VALUATION
FURNACE- LOCATION, v lk
\ I
FEE GAS VENT.DUCTS - -
1 HEREBY ACKNOWLEDGE THAT,1-HAVE READ THIS AP- LATH,INT.'
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ,
AGREE TO CO ITH ALL COUNTY ORDINANCES AND _
STATE LAWS REG LATI BUILDI ,C TRUCTI LATH,EXT. - ,.
SIGNATURE OF HOUSE NUMBER COR.
PERMITTE - RECT AND POSTED
ADDRESS FINAL 'Y
CLYDE N DIRL' M, PRINCIPALS CT AL ENGINEER
PLAN CHECK VALIDAT M.O., tis PERMIT VALIDATIO cic M O. CASH
,LACo 5'09 9 Un SEI' 2 3 2 3- A 1' 3.001 ,0
M.52 ! F
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