HomeMy Public PortalAbout5523 ENCINITA AVE_Building__ Mib''ION OF BUILDING AND SAFETY
Department of County Engineer BUILDING
County of Los Angeles
WM. J. Fox,_COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
J DISTRICT NO. PLAN C11 13R REC No PERMIT NO.
BUILDING
DDREBS 5JevAl 5 o � 9'9 i-
A
/,) REhCE/l�VEeO�BY DATE OFAPPL. DATE ISSUED
LOCALITY G (� Lj C�'(�'`-^ �- 9 L 17171&s�_
NEAREST `/�
CR 9B ST. 'Nob ! C ADDREIN
SS 55
OWNER <I r.3
MAIL ,,I/y LOCALITY
ADDRESS 1 A. eAj NEAREST 4 I
TEL. CROSS ST.
CITY NO FIRE NO.OF TYPE I GROUP ;
/ L
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO. BLDG, ORD. NO
SETBACK LINE
ADDRESS USE r1�C APPROVED �- /
TCL ` ZONEI\- BY DATE"Z1 -1�
CONTRACTOR NO. / HOUBC NUMBERING
ADD 8 / rMAP NUMBER vJ NO ASSIGNED BY
DESCRILEGAL LOT NO. BLOCK �3 RECTIONS
TRACT r OF[�/
SIZE OF LOT ,4 a�1 I NOW ON LOT I� /
e IT
EUSEOFXISTING BLDG. �I NO.FAMOF 553 O
? DES TION OF WORK
_ o
NEW ALTERAT113N ADDITION Z
REPAIR DEMOLITION
Sq.FT. NO.OF 454 `
SIZE ROOMS STORIES
EXT WALLROOF
QOVERING 5Zpke" COVERING
UBE OF STRUCTURE
INSPECTION FOR APPROVALS
OCCUPANCYAS INSPECTOR'BSIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAMEI FIRESTOPS,
CORRECT BRACING, BOLTS / 1a
1 AGREE TO COMPL WITH ALL COUNTY OR NANCES FURNACE: LOCATION,
AND STATE LAWS REG LATINO BUILDI G=C UCTION GAS VENT, DUCTS
SIGNATUREOF �klL,16, i LATH, INT.
PERMITTE
LATH4e 0� , EXT.
ADORER
PLASTER, INT.
AUTHORIZED AIM
PLASTER, EXT.
Q P.C.• .S
FEE /O HOUSE NUMBER COR-
RECTANO
OR-
RECTAND POSTED � i
VALUATIONFEE 3 a" FINAL yl
76A63BA 0083 1-51