HomeMy Public PortalAbout5828 3/4 ENCINITA AVE_Building__ 76A639A CE#60310-09 APPLICATION FOR BUILDING PERMIIT, Q 1
COUNTY OF LOS ANGELES ANILDING
DRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. `�w�✓
DISTRICT O. GROUP I TYPE sy I P O BY
FOR APPLICANT TO FILL IN S coNsr.JU`- /p,�'L
BUILDING 5^' o > SEWER A
ADDRESS✓ �Q [tee/ STATISTICAL CLABSIFICATION K P
LOTNO. �J ' BLOCK CLASS.NO.�DWELL. UNITS � _aV
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NUMBER l�
TRACT o USEZONE SPECIAL
SIZE OF LOT So,�,7� Q NOW ON LOTS CONDITIONS
USE OF
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EXISTING BLDG. BUILDINGEXIST.
L }� d SETBACK YARD HWY STREET NAME WIDTH
OWNER / �O�}Yy /T �il� Y FRONT v,
AMAIL
DDRESS e/JV)TR v —I .L.
SIDE
CITY e e. e I T NO.TI
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ARCH ITECT OR TEL. INSPECTION RECORD
ENGINEER NO.
ADDRESS w�
CONTRACTOR OWI/e,2 NO.
ADDRESS �//IN -
DESCRIPTION OF WORE J3/l7 n//�T I /TF /n'l.ff�1CIJ
NEW/—DD ALTER REPAIR DEMOLISH 9 �il,�,hf
SO.FT, I(o NO.OF NO.OF ) - I/"ry
SIZE �i( STORIES / FAMILIES/
USE OF STRUCTUR `
SIGNATURE OF APPROVALS zq-ke*-S1
APPLICANT n
Q �e �,Y �T DATE INSPECTOR'S SIGNATURE
ADDRESS
FOUNDATION: LOCATION
FORMS,MATERIALS � �IJY',)Y /'�Aw��"'•�CLL,^�
FRAME: FIRE STOPS.
PC. $In v BRACING. BOLTS
VALUATION $. G/ ¢ FON
FEE — GAS VENT,,DUCTS �ZID
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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 H.EXT. UV
STATE LAWS REG 6 LDI COON.
SIGNATURE OF HOUSE NUMBER COR- (} /�-//� /] 4
PERMITTE NS CTIRECT AND POSTED
ADDRESS a FINAL '(a'r4
CLYDE N. DIRLAM, PRINCIPAL ST CT AL ENGINEER
PLAN CHECK VALIDATIONCK. M.O. CASH PEBb=VALIDATION cK. M.O. CASH
3308.� :A:A11 2 3 n 10501 -
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