HomeMy Public PortalAbout5817 - 5817 1/2 ENCINITA AVE_Building__ 76A638A CE 960311-9] APPLICATION FOR BUILDING PERMIT -
COUNTY OF LOS ANGELES BUILDING ' '
_ DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMSIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUF T OF BUILDING CROSS ST.
DISTRICT NO. GROUP (TYPE SEWER MAP
OR APPLICANT TO FILL IN
FBK PG
CONST.
BlIL"SS I L �%G l
J STATISTICAL CLASSIFICATION
LOT NO. �&A I O BLOCK CLA55. NO.�DW ELL. UNITS
MAP STATE YES
NUMBER HW V.
TRACT USEZONE SPECIAL
l NO.OF BLDGS. CONDITIONS
SIZE OF LOT (�0 NOW ON LOT V 1 Z-
USE OF
EXISTINGBLDG. - L BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER IV. 1.i /-�iTAfOW FRONT
AMAIL DDRESS W ,Row P.L.
CY' SIDE
f TELNO.. P.L.
CITY TEL INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO. -
�'
ADDRESS
TE
CONTRACTOR1 i 04 p l ' N /
ADDRESS
DESCRIPTION OF VfORK
J
NEW ADD ALTER REPAIR DEMOLISH
NO.OFNoF
S ZE STORIES ( FAMOILIES � � I
USE OF STRUCTURE
u tr 2aL �. moo_
SIGNATURE OF APPROVALS
APPLICANT
DATE INS TURE
ADDRESS FOUNDATION: LOCATION -
FORMS.MATERIALS Ff
FEE S FRAME:BRACING, STOPS.
BOLTS
VALUATIOI;/ S 6 FURNACE: LOCATION.
FEE f A GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND 6�
STATE LAWS R LA I INC UCTION. LATH,EXT.
SIGNATURE OK- HOUSE NUMBER COR-
PERMITT RECTAND POSTED
AODREss FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PIAN CHECK VAIdDATION cK. M.O. CAaH PERMIT VALIDATION ICKY M.O. CASH
:. LACO278915"�O Ja 16 2 3 A 2 4.2 5 i
/����. M3 3. 5 7�w JUL 30 1 A . 4850 M