HomeMy Public PortalAbout5607 ENCINITA AVE_Building__ i
DEPARTMENT OF BUILDING AND SAFETY APPLICATION®�R PERMIT
COUNTY OF LOS ANGELES lee����
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
i DISTRICT NO PLANCK NO HERMIT NO
' BUILDING 6 T7 � � 1 /,to t3
7
ADDRESS V (J 1' � d
' LOCALITY �!Y �� I t REC IVSD BY DATE OF APPL` DATE ISSUED
NEAREST 3-//-d Y _ -�r�
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CROSS ST IV
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OWNER
MAIL L CALITY (
ADDRESS D 3 ®•, ® C-d NEAREST ,
TEL CROSS ST hr-
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CITY NO FIRE NOFIRE NO OF_TY�I GRO�GRO���y99
ARCHITECT OR TEL ZONfi PLANSS
ENGINEER NO BLDG
SETBACK LINE / .L
ADDRESS APPROVED _
i., TEL BY l DATE /
CONTRACTOR s NO USE APPROVED
ZONE BY DATE
ADDRESS HOUSE NUMBERING
LEGAL ���
DESCRIPTION I LOT NO BLOCK MAP NUMBE��IELD CHECK BY
TRACT jNO ASSIGNED BY��J�ATE
NO OF BLDGS / CORRECTIONS
SIZE OF LOT 1p NOW ON LOT
USE OFf NO OF
EXISTING BLDG, "� FAMILIES�a
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION
0
REPAIR I I DEMOLITION I I I A
SQ FT t. NO OF
SIZE F+ 0 ROOMS STORIES Z
EXT WALL ROOF r
COVERING COVERING
USE OF STRUCTURE
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APPROVALS
INSPECTOR'S SIGNATURE DATE
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRESTOPS,
HEREON ANDWITH L COUNTY ORDINANCES AND STATE BRACING, BOLTS '
LAWS R'GULATIN UILDI B CO $ RbCTION FURNACE LOCATION,
SIGNATURE ORIS GAS VENT, DUCTS
PERMITTE +�
O LATH, INT
ADDRESS
LATH, EXT
AUTHORIZED At%
� PLASTER, INT
76AG38A Deu 10-60 P C $
to, ���_ FEE PLASTER, EXT
VALUATION $
FEE I FINAL
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�DEPARTME*1T OF BUILDING AND SAFETY APPLICATION FOR PERMITf
COUNTY OF LOS ANGELES p
WM. J FOX, CHIEF ENGINEER L
FOR APPLICANT,TO FILL IN FOR OFFICE USE ONLY '
BUILDING -C/ �i DISTRICT' NO PLAN CK. NO PERMIT NO
ADDRESS .i'�j''3 ✓�,/,E/V e N(/Ti�Fy rS'7"
LOCALITY J e-/y/ e- t... 1/ Y RECEIVED pY DAT IE.OF APPL. 4/
/DDATE ISBUIED
NEAREST r/Y rl. /F / /7 ST—
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CR099 5T,
Yd' / -/ /� Pel e- LJ �F�� BUILDING
OWNER ADDRESS
-ADORES.MAIL
LOCALITY
1
/l-�/ yv1yT-/�iv( G(� /`. LOCALITY
^J q L NEAREST
CITY Sa,. I�ASff ���/�� NOL• # /�f`y� CROSS 9T
FIRENO OFO •V/
� I ,TYPE 1'/ �I GRUP / '
ARCHITECT OR TEL. ZONE I PLANB
r V
ENGINEER /�L, /' '+ NO
BLDG _ - ORD. NO.
ADDRESS SETBACK LINE
' TEL APPROVED
CONTRACTOR NO. z BY DATE
USE APPROVED
ADDRESS ZONE / BY DATE ~
LEGAL
DESCRIPTIONI LOT NO. � a BLOCK CORRECTIONS '
TRACTNO
SIZE OF LOT
oI NOWOONS
LOTS `
USE OF NO OF j� NO OF
EXISTING BLDG /�OIJ S G I FAMILIES / I ROOMS 3 -
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
REPAIR - MOVING DEMOLISH O
S4 FT. /0 NO.OF ( Z
SIZE , 1!/ ROOMS STORIES
,WALL ,. ROOF
COVERING K`D If A I COVERING _Q 111A/C4�S
USE OF NEW
BUILDING o F/Y _
'o 4 S -Fug NiT--u,9�
I HEREBY ACKNOWLEDGE THAT 1 HAVE'READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION' LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE STOPS, / ' ,.-•. �(�,..y„
SIGNATURE OF _ BRACING,,BOLTS-
OWNER , � � ��R <
LATH, INT: ti
AUTHORIZED AOT LATH, EXT.:' w
r
P C S PLASTER, INT., -
'
• FEE PLASTER, EXT
VVVVVV
VALUATIO23N~
FEE FINAL
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