HomeMy Public PortalAbout5707 ENCINITA AVE_Building__ 'TE1APLE CHTY
7...'.A C9 A03 2/10 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES Bn els"s
DEPARTMENT OF'COUNTY ENGINEER
BUILDING AND.SAFETY DIVISION . LOCAL T
JOHN A. LAMSIE, COUNTY ENGINEER NEAREST -
WILLIAMA. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. I GROUP
TY PR ESSED BY
FOR APPLICANT TO FELL IN a CONST.I�
BUILDING STATISTICAL CLASSIFICATION SEWER MAP,,
ADDRESS BK
CLASS.NO. 1 O DWELL.
LOTNOL5 BLOCK 6' MAP NUMB ER� G 'HW Ty' YES( NO
TRACT II - I .S" I USEZONE SPECIAL
NO.OF SLOGS. �)/ CONDITIONS '
SIZE OF LOT NOW ON LOT -
USE OF
EXISTING BLDG. BUILDINGEXIST.
TEL. SETBACK _YARD HWY STREET NAME WIDTH
OWNER r NO. FRONT
P. L. -
ADDRESS SIDE
ARCH ITECT OR TEL. P. L.
.'
ENGINEER NOINSPECTION RECORD
ADDRESS / - -
CONTRACTOR 4NEL D ; - LL
O
ADDRESS V
DESCRIPTION Of WORK / '6/ � k7 F_/�il�// T/ON pi
/✓ PRD/F/2ESS F"
�- NEW ADD ALTER REPAIR 'D2MOL't5H � .- W
SQ. FT. NO.OF NO.OF / T-F ToO CII
SIZE STORIES FAMILIES _ y
USE OF - 7
STRUCTURE FI
SIGNATURE OF
APPLICANT ' - FMOYE'D
1941
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ �� FEE UNDATION: LOCATI$ - C-0FO FORMS.MATERIALS
ON
FRAME: FIRE STOPS, '
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- 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 I LATH, INT. '
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT.
SIGNATURE OFHOUSE NUMBER COR-
PERMITTE RECT ANO POSTED 'J
ADDRESS____/__f'3/ FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN ER
PLAN CHECK VALIDATION CK, M.G. CASH. PEFMT VALIDATION' ` CK. M.G. CAHH
9 4 b tu�rI Jr 1 D :0 ®. ..