HomeMy Public PortalAbout5425 ENCINITA AVE_Building__ 76A638A CE#8032/60 APPLICATION FOR BUILDING PERMIT GJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP I TYPE I PROCESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING _ STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS (l_,;,�^rL•e... e- r i. BK PG
CLASS. NO. ' DWELL. UNITS _
LOT NO. -' - -f BLOCK MAP
STATE YES NO
_ NUMBER HWY.
TRACT l r USEZONE SPECIAL -
�+.,7`'j NO.OF BLDGS. C CONDITIONS _
SIZE OF LOT '� '` I NOW ON LOT - J
USE OF l
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
/l b, -� ! ^ TEL. SETBACK WIDTH
OWNER ./ - -G�`�-,{L'l NO. FRONT
ADDRESS 'r�%' L-! " "`VCiU'G"/i SIDE
ARCHITECT OR /TEL. P. L.
ENGINEER NO, INSPECTION RECORD
ADDRESS
TE
.71
CONTRACTOR j "Z: f//fr+/S�,,G,/ L% f-�Sr10 ; O
ADDRESS •d:lt/YF ii':��'f'�'_ ��/�,}l,-77 F V
DESCRIPTION OF WORK a
w
NEW ADD ALTER REPAIR DEMOLISH >4
SQ.FT. NO.OF NO.OF / w
SIZE � STORIES FAMILIES ' a
USE OF �"•`"
STRUCTURE ,�( ""• r' // i�f �' O
SIGNATURE OF
APPLICANT - +J✓r/+�" l`,/�/f`9G'G' -
VALUATION �'�•� ., ISS J •�_..r.,',!
f APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. " !,/ I `I PMT. r' FOUNDATION: LOCATION
FEE $ ," -^"" I f / FEE $ / FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THATII HAVE READ THIS AP- FRAME: FIRE STOPS,
BRACING, BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT, DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT.
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT.
SIGNATURE OF< HOUSE NUMBER COR-
PERMITTEE `•!'1' (rI /'/ / Y " �•-��% RECT AND POSTED
ADDRESS ' y FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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