HomeMy Public PortalAbout6002 ENCINITA AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES
EPARTMENT OF
BUILDING PERMIT DBUILDING AND SAFETY COUNTY
IVSIONR
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FOR APPLICANT TO FILL'IN BUILDING
ADDRESS V _
BUILDING k,
ADDRESS E LOCALITY
1M&E p ST
CITY ZIP NEARESTCROSS
7 / NO.OF BLD 5. - ASSESSOR '
SIZEOFLOT NOW ON LOT MAPBOOK PAGE I P EL
DISTRICT UP PE 'FIRE PRO SE Y
TRACT BLOCK LOT NO. �Q iEL. �
OWNER /I ) NO. n
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS .7. C CLA55 NO.�DWELL.UNITS L6K
CITY , L 6 ZIP - US/EZ)ONE M _,.� ..
ARCHITECT OR EL N� SPECIAL
ENGINEER NO. (� CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED _ YES❑ NO❑
TEL.
CONTRACTOR NO, BLDG.SETBACK FROM
LIC FRONT PROP.LINE OF (STREET)
ADDRESS NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF E%I
FRONT PROP.LINE HIGHWAYSTING
LIC WIDTH
CITY CLASS _ -
CONSTRUCT( LENDER + O
NAME AND BRANCH _ BLDG.SETBACK FROM. U
ADDRESS CITY SIDE PROP.LINE OF ISTREETI O
SO.FT: NOOF / NO.OF CHECK- HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING w
SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH , N
❑ + = Z
DESCRIPTION OF WORK EJ NEW
-. ADD CORNER CUTOFF YES -❑ NO ❑
ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
REPAIR ❑
USEOF BLDG. DEMOL ❑ INC OASTAL PERMIT ZONE YES ❑ NOEXISTIN ❑
APPLICANTTEL
. IPRINTI L414 NO.
BYISIGNATUREI
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE -
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THELABOR CODEOFTHESTATEOF CALIFORNIA IN RELATING TO WORKMEN'SCOM— -
ATIONINSURANCE.
SIG
SIGNATURE OF FINAL !�. q/_ W, Br�-�/
PERMITTEE-' DATE / o�r�
ADDRESS
i
TEL. P.C.Fee$ Permit Fee
CITY NO. - --
�/�ff�J gQ Issuance Fee '
VALUATION #�((/ l '
Total Fee L�
PLAN CHECK VALIDATION
CK. .M:o::; :cnsH ., _ PERMIT VALIDATION Gc M.o. ASH '
2 7 4�JUh 29 .1 U 2. 2.0 b A-z
/(5\T\76AG38A CE 0803A 6/77 _
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TEMPLE CHTY
,,.,,.: .a...2A. APPLICATION -FOR BUILDING PERMIT Il"
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUVT OF BUILDING CROSS ST. �+
DISTRICT NO. GROUP TypE ESSED BY.
FOR APPLICANT TO FELL IN $ /f�" CONST. a>t l
BUILDING STAT ISTICAL CLASSIFICATION SEWER MAP
ADDRESS
�ao2 ENCIHITA vE. BK '
/ / CLASS. NO.-DWELL, UNITS � ,✓.l
LOT NO. - 1 L�C MAP STATE YES O
NUMBER HWY.
TRACT USEZONE SPECIAL
,I -I- NO OF SLOGS. yy CONDITIONS
SIZE OF LOT 5O X 4O -� NOW ON LOT I GAR• VV/J NL✓I
-
USE OF RESIDENCE BUIL INC .EXIST.
EXISTING BLDG.
��JJ TEL. 7 SETBACK YARD HWV STREET NAM WIDTH
OWNER / S Y� SS NO.AT/79 ,/ FRONT y/1
ADDRES5-l0� - Cimir . TEMP E (!IT SIDE
ARCHITECT OR TEL P.L.
11.4
awe�ceR D. , FORkEp� NoI. A,9-7M'
•n7 3'" INSPECTION RECORY
ADDRESS 1(0 E L SA-vi) LA- 4Ui
TEL. a
CONTRACTOR NO. .. O
ADDRESS V
DESCRIPTION OF WORE a0
c�
NEW AD ALTER REPAIR DEMOLISH
SO.FT. A 1^ NO.OF NO.OF �y
SIZE `YJO STORIES
FAMILIES I W
USE OF
STRUCTURE QUEST ROOM. FI
SIGNATURE OF
APPLICANT
VALUATION S .UUO _ /
_ APPROVALS DATE I NSPECTOR'S SIG NATURE
P.C. . PMT. /(j(/ FOUNDATION: LOCATION
FEE $ FEE �} FORMS. MATERIALS -Y / "
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT 1 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. /J
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH, EXT.
SIGNATUREOF J- HOUSE NUMBER COR- .
PERMITTEE /li .v-r� 'RECT AND POSTED
ADDRESS Z 'G FINAL /A��
CLYDE N. DIRLAM, PRlPfC PAL STRUCTURAL EN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ' CK. M.O.
cAsi-
LhLo 5 9 5 3 APR 4' 1 0 15 .0 -0 o®;