HomeMy Public PortalAbout5807 ENCINITA AVE_Building__ 76A63BA CE#803 B-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING �.
DEPARTMENT OF COUNTY ENGINEER AOD RESS J
BUILDING AND SAFETY. DIVISION LOCALITY
JOHN A. LAMBfE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SOFT OF BUILDING CROSS ST.
' D15TRICT O. GROUP TYPE C
ADDRESS BK PG
LOT
BY
FOR APPLICANT TO FILL IN �, CONST.�]r
BUILDING STATISTICAL CLASSIFICATION EWER MAP
CLASS. NO. DWELL.UNITS H
LOT NO. BLOCK WATER
CERTIFICATENOT REQUIREDlz RECEIVED El
IFCA
'TRACT NOPyZi p. (u RILE) STATE MAJOR SECOND,
NO. OF BLDGS.
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF - CONDITIONS
EXISTING BLDG.
TEL.
OWNER NO. BUILDINGEXIST.
/�• - SETBACK YARD HWY S BEET NAME WIDTH
A DDRESS� ,(t.�1/ FRONT
ARCHITECT OR TEL. P. L ASL
ENGINEER NO, SIDE
ADDRESS TEL.
CONTRACTOR NO
ADDRESS
DESCRIPTION O ORK
NEW ADO ALTER REPAIR DEMOLISH Z
SO, FT. NO. OF NO. OF
SIZE STOftIEFAMILI
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $ CJ if A
C� APPROVALS DATE INSPECTOR SIGNATURE
P.C. PMT. �� FOUNDATION: LOCATION
FEE $ FEE.$ _ FORMS. MATERIALS
FRAME: FIRE STOPS."
I HER EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS V V
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY OROI NANCES AND STATE LAWS REGULATING GAS VENT. DUCTS .
BU ILO,NG CONSTRUCTION. I CERTIFY THAT IN .DOING THE WORK / ' 1
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH. INT. (0 / 414
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN 5 COMP TION VRANCE. Z I
LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERM ,RECT AND POSTED
ADDRESS Ab. '!67 FINAL
JOHN F. LEWIS. PRINCIPAL STC RAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. GASH PERMIT VALIDATION CK. MIO. CASH.
Lho442 5— SEP35Q , 1 D 17 .50Cl
]6A608A CEtt809 9-68 APPLICATION FOR BUILDING PERMIT y
i COUNTY OF LOS ANGELES ABoloReSS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY —
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SOFT PF BUILDING CROSS ST. //wy/
FOR APPLICANT TO FILL IN DC
O. GROUP TYPE PROCESSED BY
(Print Or type only) y CONS T
BUILDINGh A-)O STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS JAS�"{{ 6 r / .� t/ CLASS NO._�DWELL/UNITS�_. BK LPG
K�
LOT NO. /� BLOCS�—%r USE ZONE NOP O(�
. 2. SPECIALTRACT 1s' /O CORD TIO
NS
SIZE OF LOT rNO.OF BLDGSJa)
NOW ON LOT
USE OF /5 t Br 'CLjJQe•A4,c- �(N,��•
EXISTING BLDG. avTS BLDG,SETBACK FROM
TEL FRONT PROP.LINEOF (STREET(
OWNER � , � EE' Lc NO�.. _
TYPE A EWIDTHG SETBACK HIGHWAY } YARD - TOTAL
AA //r y� HIGHWAY WIDTH FROM G.L.
ADDRESS E L G H A
CITY }
BLDG,SETBACK FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO. TYPE OFE%
TEL. ISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM G.L.
Y
} = 6
C
CONTRACTOR NO. L
ADDRESS I G LIC.
CORNER CUTOFF YES ❑ NO C
LIC.
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER
NAME AND BRANCH
ADDRESS
Sq. FT. NO. OF NO. OF NEW
SIZE STORIES FAMILIES
USE OF � ADD LiSTRUCTURE �// C C 4-
ALTER ❑
G i✓GOC - �L REPAIR❑
SIGNATURE OF
wo
APPLICANT 41OEMOL ❑
Ob
VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ FEE S `Q V rOFORMS, MATERIALSAIO [. EA/J 1/
FRAME: FIRE STOPS, ✓ /�_
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING. BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANy PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OR/F CALIFORNIA IN RELATING TO
WORKMEN'S COSATION INS ANCE.
e �� LATH, EXT.
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE �� RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENI R
PLAN CHECK VALIDATION N. M . CASH _ PERMIT VALIDATION CH: M.D CASH
1 63 t) 18 . . ' D 6
1
}� ••' • - IV 1 li L'1Gtl-Yil IYCY iCI O (i
Tuv,eA CE geo> ;�1 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDREss
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE: COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
5go FOR APPLICANT TO FILL.IN �.DI TNO ROUP TYPE � E D B
1,5 10
C l//^ CONST. �' 7
BUILDINGSTATISTICAL CL SI [CATION SEWER MAP
ADDRESS G e .� BK P
CLASS. NO. DWELL. UNITS
LOT NO. Z BLOCK -WATER NOT REQUIREDRECEIVED
CERTIFICATE:
TRACT MAP / i) HIGHWAY
S. q
NO.
NO.OF BLDG (CIRCLE) STATE MAJOR SECOND OCAL `
SIZEOF LOT- I NOW ON LOT ` USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. �!
T'"L
OWNER �� I (,r, Ir.P e�6f� NO0.^/-3li
b733 ILDING YARD HWY .STREET NAME EXIST.
SETBACK
ADDRESS D O�J /YG(N/f �i /� �' WIDTH
FRONT 7 O `. /A�
0
ARCHITECT OR TEL. - F. L. •� �(/y,/
ENGINEER NO. SIDE
P.L.
ADDRESS
N Oma-...'' TEL INSPECTION RECORD o}.
CONTRACTOR 1 NO./q�
ADDRESS b)D 5 •, 4'uv1�1y h'L n't<V a•` �i/�/
DESCRIPTION OF WORK „--I ^r' �- �p�✓l' �L O�
NEW 'ADD .ALTER REPAIR DEMOLISH p/ � / � ,��n ) / h
SQ.FT.— NO.OF NO.OF Z
IZE STORIES FAMILIES
USE OF t
STRUCTURE e IGL (' n •�S VCS
SIGNATURE OF
APPLICANT -
VALUATION S
.. APPROVALS DATE INSPECTOR'S SIGNATURE
P.G. PMT. -/�� FOUNDATION: LOCATION
FEE $ FEE $ 'G" FORMS, MATERIALS 1
F RAME: FIRE STOPS. /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS 1ivIel @-
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCT$
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AVTXORIZED HEREBY' WILL NOT EMPLOY ANY PER IN VIEL - TH, INT.
TION OF THE LABO WILL F THE
E OSTAT ICF -
ING TO WORKMEN T f
LATH, EXT. l4
SIGNATURE OF�� HOUSE NUMBER COR-/'
PERMITTEE 11" RECT AND POSTED /
ADDRESS /fir / l/'j e / A^
FINAL o
f pre CLYDE N. DIRL.AM. PRINCIPAL STRUCTURAL E 11
PLAN CHECK VALIDATION cK. M.o. cABH. PERM VALIDATION CK. M.O: cAs�l
LACo 1 S 0 3 e AUG 2� 1 D 1 2 .0�0