HomeMy Public PortalAbout5823 ENCINITA AVE_Building__ APPLICATION FOR
BUILDING PERMIT
F,�
PPLICANT TO FILL IN - ADDRESS y
NG
UILDING
F :.i C/A) 'T Xl LOCALITYNEAREST
l ZIP CROSS ST.NO.OF BLDGS. ASSESSOR
NOW ON LOT MAPBOOK PAGE PARCEL
B L"
DISTRICT GROUP TYPE FIRE RO SED BY
BLOCK LOT NO. CONST. ZQNE
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STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS S JP's L NC ) A. •r/9 CLASS NO.�gq '' DWELL.UN ITS L BK 9 PG
CITY T f L r p i r ZIP USE ZONE NOP. 004,
ARCHITECT OR TEL. SPECIAL
ENGINEER NO. CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑
CONTRACTOR ACts l2 P L"TELBLDG.SETBACK FROM
LIC FRONT PROP.LINE OF ISTREETI
ADDRESS Jtj .2'Z Off?NOTOTAL SETBACK FROM TYPE OF EXISTING
LIC ,�FR p HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
CITY o✓`TN P IC4/ – CLASS p-3 /
CONSTRUCTION LENDER + – }
I
NAME AND BRANCH BLDG.SETBACK FROM
SIDE PROP.LINE OF ISTREETI
ADDRESS CITY O
SQ.FT. NO.Of NO.OF CHECK HIGHWAY + YARD = T ACK FROM TYPEOF EX15TING w
SIZE. ' STORIES 1 FAMILIES ONE ID OP.LINE HIGHWAY WIDTH N
❑ + = 2
DESCRIPTION OF WORK RZ RnoF' NEW –
ADD 1-1CORNERCUTOFF YES ❑ NO ❑
2 O Sc`n `%1 n T^ ALTER ❑
IN OPEN SPACE YES ❑
REPAIR 11:3 NO ❑
USE OFDEMOL ❑ IN COASTAL PER NE VES E) NO ❑
EXISTING BLDG.
APPLICANT TEL
(PRINT)ffe uuF7// Af 4J0: Cv> NO.
BY ISIGNATUREI L/ '//)
HEREBY ACKNOWLEDGE THAT I•HAVE READ THIS APPLICATION AND STATE / . / V
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCESy�
AND LAWS REGULATING BUILDING CONSTRUQION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF TH E STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. V
PENSATION INSURANCE.
SIGNATURE OF _ FINAL �/ BY
PERMITTEE DATE
ADDRESS/2" 'U' S
TEL tft
Q- NO.'>J P.C.Fee$ Permit Fee Issuance Fee
�—
O Total Fee
PLAN CHECK VALIDATION CLC. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
9 9 u 2 1.7 5 A-:d
®f 76A6388 CE/8038 6/76
r DIVISION OF BUILDING AND SAFETY 0B U I L I N
Departmentof County Engineer
c` Lo A
WM. J.oFOX�'C1UNTYgeles ENGINEER APPLICATION
rn BUILDING
FOR APPLICANT 12 FILL IN ADDRESS
BUILDING �+•`�� .� a, , - LOCALITY
BUILDING
ADDRESS Jam/ yWa-!
NEAREST
LOCALITY
CROSS 6T. �T�(• 6( LJ
NEAREST / f DIS =- U
T NO. PN CK, oR REC. No. ,,PERMIT NO.
CROSS ST.
OWNER MAIL /�'u ^y /^J'-I ^ ',/� /}
RECEIVED 13Y DATE OF APPL. DATE 159U
ADDRESS 7 / O / w '✓`"T Il� / Vwl /��
-�/J_ �,, USE ZONE O. OF TYPE GROUP FIRE ZONE
CITY .G�tH�CO N NG
ARCHITECT OR TEL. DATED
ENGINEER NO. APPROVED BY
ADDRESS SETBACKGLINE: �Q ORD. No.
TEL. APPROVED DATE
CONTRACTOR NO. BYE
HOUSE NUMBERING
ADDRESS
MAP NUMBER QD
LEGAL NO. ASSIGNED BY
DESCRIPTION LO01r�— I BLOCK DATE I CORRECTIONS INSPECTOR
TRACTNO. OF
�� /(�•/ Gss ��E' LJr..
SIZEOFLOT �� J NOW ON LOTS /4 FI•v✓ �"'2 Ia ft 1.n. Y ,.d
USE OF NO. OF
EXISTING BLDG. FAMILIES Irk) A71,09- i A/.L e'Itrt' G
DESCRIPTION OF WORKz
�I� Qa,cT6 CS C'�vRa F-'AtA.�G� O�cn
q� z
NEW ALTERATIONHADDITION �T�J ^�'+7Y:•O is// Qm✓ J'G f�'/nS' /NSG• D
REPAIR DEMOLITION ( 'll ) f-GRr Yr Cin M/1 L�/ iJGN.Ad.1cr_
60. FT. NO. OF
SIZE J�'''� ROOMS STORIES �/ �(�•, _J<'L/w--
ROOF
COVERT GL L�•�(/•i-,vj COVERING
USE OF STRUCTURE
7*0
yL APPROVALS
r INSPECTORS SIGNATURE ,DATE
FOUNDATION: ION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS
CORRECTBRACING, BOLTS
.
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF�/ �G�T� LATH, INT,
PERMITTEE y /I •••✓✓✓ �.,..p/,J LATH. EXT.
ADDRESS �T r o 7 �" + aA-L-'e •
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
$ / OFEE S HOUSE NUMBER
REST AND POSTED
/ a
VALUATION FEE 8(// S D FINAL
76A638A DBS a z-Es "
i' DEPARTMENT OF COUNTY' ENGINUM
DIVISION OF BUILDING AND SAFETY L® �
COUNTY OF LOS ANGELES _
WILLIAM J. FOX, COUNTY ENGINEER �q5� APPLICATION
CASSATT D. GRIFFIN, SUPT OF Su1Lo1NG
FO`IR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING !'J��1 �. S �� D19TR7NO. Pury CK.oR RBc.No. PER NO.
EBB
LOCALITY / E.Y/n,L T—� /�/ U R�C/�1JI/V ED BY /'DATES OFF APPL. JDA 1`ISSUED
"AR"T
��� ^ / II yQ- v 3 / s_
CROSS ST wj--v / (/�T's BUILDING //+��.s� ,,n y{ �(/
OWNER /O / � F A(�S ADDRESS ^///�L%��/.--/-��[/ VS 164 C
MAIL 91 D �6 h J vim, LOCALITY Z-7
ADDREfiS T
ppTEL
/ NEAREST
CITY E/k9PLF �/�H. TNO
E CROSS ST. S tlh9$
ARCHITECTOR O TEL. FIRE NO. OF GROUP
ENGINEER NO. ZONE PLANS /"✓ 1py Jr
ADDRESS n SET ACKLINE
c
TEL USE APPROVED
CONTRACTO O L NO. ZONE ell. BY DATE
HOUSE NUMBERING
ADDRESS
LEGAL y1. MAP NUMBER � '�"" NO. ASSIGNED BY
DESCRIPTION I LOT O.YA I BLOCK
odar3 i:Io CORRECTIONS
7
TRACT.- 4,
J NO. OF ,, ,
SIZE OF LOTI/O / NOW ON LOT /I/N_ 7-a
USE OF NO. OF
EXISTING BLDG. FAMILI89 / B t')
- DESCRIPTION OF WORK T TiF ho.�r r� D -
NEW ALTERATION ADDITION
REPAIR DEMOLITION
90. FT. �" NO. OF
SIZE �-�� �., ROOMS LJ STORIES C
EXT. RING /Q M- I ROOF 1 166I_� .)�I4-' !
FXT. WALLS/'
'1 .,. Q .O COVERING Y1
USE OF STRUCTURE
o /r�,, ✓
Cf Aw. U/�� � APPROV� S
� INSPECTO 551GNATURE DATE
FOUNDATION: LOCATION I
FORMS. MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FAME: FIRE STOPS.
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. ON.
LOCATI
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURGANACE:NACE. DUCTS
ATI
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
SIGNATURfi OR�Z/ V14—z� ,L,;,�n LATH. INT.
PERMITTEE ",(/'1IyAA...���VVYVVY /"V /W//�,,7�1
ADDRESS 716 / C(la-e- w��.A 1//M.4f LATH. EXT.
PLASTER. INT.
AUTHORIZED AST.
PLASTER, EXT. Y
5 FC.
EE ® �O HOUSE NUMBER COR-
RECT AND POSTED
VALUATION 5;7,cw /e OO, FE N5j � FINAL
TEAM" DB68 0•52 I .®