HomeMy Public PortalAbout5527 ENCINITA AVE_Building__ 76A63BA CIE#80310-66 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUMDING-AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN, SUPT OF BUILDING CROSS ST '
DIST,r NO GROUP I ' E `V--�-� SED BY
-FOR APPLICANT TO FILL IN t.�� CONST, I l�
[ADDRESS
ILDING
STATISTICAL CLASSIFICATION SE KR MAP PG s°a
a� CYi _ t" CLASS NO DWELL U/NITS a�
T N O 'V BLOCK oil NMA ER (� Sj ITyAjjy YESOACT �/ USEZONE SPECIAL•t NO OF BLDGS P /' CONDITIONSZErOF LOT O NOW ON LOT +E OFISTING BLDG ��L BUILDING EXIST
SETBACK YARD HWY T EETNAME WIDTH
OWNER
FRONT A l
MAIL [C /�
ADDRESS QJ � /V - -1,.,' lrtl-fi= r SIDE -
CITY Z`� �"'( .TELA-r, _ df INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER A O '
ADDRESS TEL Xz� Z 7
CONTRACTOR NO
ADDRESS ✓
DESCRIPTION OF WORK _
NEW. 'ADD Fv� ALTER REPAIR ! DEMOLISH
SQ FT / - NO OF / NO OF
.r �� Coy �/• .�r
SIZE � ;z ST RIE FAMILIES
USE OF
STRUCTURE '
SIGNATURE OF ! 1411ZE 1416-
S
APPLICANT /
APPROVALDATE INSPECTOR S SIGNATURE
ADDRESS � r /Y�t l�t�tzC/ FOUNDATION LOCATION
_
FORMS,MATERIALS b(� U77 l�T�'V{'hU4iCrGG I
VALUATION$ FRAME FIRE STOPS,
BRACING,BOLTS 2-
F !
FURNACE LOCATION.
PMT
F E S I FEE $�� '�' I GAS VENT,DUCTS /-
PC
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- ' ` LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
`AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND �/
__STATE LAWS REGULATING BUILDING -CONSTRUCTION LATH,EXT 60/h"9
SIGNATURE OF _ HOUSE NUMBER COR- - -
PERMITTE RECT AND POSTED
ADDRESS I=iL � FINAL
CLYDE N DIRLAM, PRINCIPAL STRUCTURAL E cases �R
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION KMO
T ('�6 4 1 4 GCT 2 3 1 A 500 `1 b