HomeMy Public PortalAbout5515 ENCINITA AVE_Building__ 76A638A CE,r#803 z 63 APPLICATION FOR BUILD NC PERM IT
COUNTY OF'LOS ANGELES BUILDING _
DEPARTMENT OF COUNTY ENGINEER vooREss
BUILDING AND SAFETY DIVISION - LOCALITY r
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICTO GROUP TYPE P OCE B '
FOR APPLICANT TO FILL IN S�} CONST
BUILDINGSTATISTICAL CLA IFICATION 7 EWER MAP
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ADDRESS BK PG
CLASS NO DWELL UNITS
LOT NO"t4!35" ?/ BLOCK1. WATER •�
/ CERTIFICATE NOT REQUIRED RECEIVED
TRACTq _7 l 2MAP /`p HIGHWAY STATE�MAJOR SECOND CAL
NO OF LOG NQ (�! (CIRCLE)
SIZE OF LOT Q, t) NOW O LOT USE ZONE SPECIAL t
USE OF _ CONDITIONS
EXISTING PJOG A A - _
TEL
OWNE NOBUILDING EXIST
r SETBACK YARD HWY STREET NAME WIDTH
ADDRESS140 O G FRONT
ARCHITECT OR TEL P L (�
ENGINEER NO _ 30
P L
ADDRESS _ O
TEL V
CONTRACTOR NO
ADDRESS I O
DESCRIPTION OF,WORK w
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N
NEW ADD ALTER REPAIR DEMOLISH Z
SQ FT N NO OF -
SIZE TORIES F MILIES
USE OF
STRUCTURE
SIGN RE OF
APP CANT
VALUATION $
APPROVALS DATE INSPECTOR 5 SIGNATURE
PC ^ PMT FOUNDATION LOCATION
FEE $ FEE $ FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION -
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK'
AUTHORIZED HEREBY 1 WIL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR COD F THE STATE OF CALIFORNIA RELAT
INC TO WORKMEN 5 CO NSATION IN RAAGE
' LATHS EXT
SIGNATURE O HOUSE NUMBER,COR ,.
PERMITTEE RECT AND POSTED
ADDRESS FINAL '
JOHN F LEWIS PRINCIPAL ST TURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION cK M O CASH
_.. :., 1 1 7 4'�- OCT 9 1" D 6.00- "a
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76A630A CE X8032.,APPLLCATION FOR ,BUILDING,PERMIT'.
` COUNTY OF LOS ANGELES BUILDING
DEPARTMENT .OF COUNTY ENGINEER '
ADDRESS
i
BUILDING AND SAFETY-DIVISION LOCALITY
'JOHN A. LAMBIE, COUNTY ENGINEER .NEAREST - -
WILLIAM A. JENSEN, SU'P'T OF BUILDING CROSS ST. -
DIS TRI T NO. GROUP TYPE P SSED BY
FOR 'APPLICANT TO FILL'IN �. - CONST. '
BUILDING . .. STATISTICAL C LASSIFICATION SIEWER MAP - '
ADDRESS ,- BK'. 'PG' ' -
_ .CLASS..NO DWELLS UNITS'
LOTNO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT - MAP' HIGHWAY STATE MAJOR SECOND, OCAL
NO. OF BLDGS. NO. "�'� (CIRCLE)
SIZE OF LOT NOW ON LOT C� USE ZONE SPECIAL
USE OF _ �� .,CONDITIONS
EXISTING TEL-V
OWNER NO "BUILDING - EXIST.
SETBACK YARD H.WY STREET NAM WIDTH
ADDRESS - - FRONT '
,ARCHITECT OR /Q,������� T.E L. P. L. - /I Z } _
-"ENG,INEER V "'��1'v"`,. NO. .SIDE , '"1'�� a
P. L. a!
ADDRESS �� O
TEL: 9 _ .// .1J..-.f V
CONTRACTOR NO. ,�+ +y" ~ IIw.
ADDRESS , _ y .ri-. O
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH Z.
SQ. FT. NO. NO. OF
SIZE STPRIES: FAMILIES
USE OF
STRU 7 URE
S NATURE F - -
APPLICA
VALUATION $
APPROVALS DATE" INSPECT.OR'S SIGNATURE
FEE $ FO FEE $ �`-�' FORMSIO ATERCA SION 11 V4
- FRAM-E:'FIRE STOPS,r -
,1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE-THAT THE ABOVE IS'CORRECT.AND AGREE TO COMPLY FURNACE:'.LOCATION.
WITH ALL COUNTY'.ORDINANCES AND STATE LAWS- REGULATING GAS VENT, DUCTS " -BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK - -
AUTHORIZED HEREBY I W L NOT EMPLOY ANY PERSON IN VIOLA- 'LATH. INT.
TION OF,THE LABOR C OF THE STATE OFICALIFORNIA RELAT
ING TO WORKMEN'S C TION NSURAN E.
LAT•H, EXT. -
SIGNATURE HOUSE NUMBER COR- -
• PERMITTEE RECT AND POSTED �.y
ADDRESS ® FINAL x�wow
JOHN F. LEWIS.,PRINCIPAL STRUCTURAC. CAS
NE
PLAN VALIDATION CK.� M.O. CASH _ PERMIT VALIDATION CK. M.
2; 7 3 NOV 2 5 , 4.0 0 "'