HomeMy Public PortalAbout6012 ENCINITA AVE_Building__ ' DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEERI
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
• DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS /O •,I•!If/(//l/��i�if.L/C�l.(J L''— 7 D O
'LOCALITY �V/ l RECEIVED Y' DATE O'APPL. DATEISSUED
NEAREST .
2 c/
CROSS BT.
' BUILDING
OWNER AD RESS 3 L-•G I��`
MAIL /D� �/ry ���ygJ/ LOCALITYL–
ADDRESS
NEAREST'
CITY -LLPifill/XLGP( 1 N0. HT.
FIRE
H FIRE NO.NTYPE [3GOUP
ARCHITECT OR y TEL. ZONE PLANS
���vG(iG_ U
ENGINEER NO.
BLDG. � � ORD.NO.
ADDRESS SETBACK LINE
APPROVED
EL CONTRACTOR/I'/.0�//�D�/�1V 1�0i��V/HM1p.IN 0. BY DATE
ADDRESS I/Y��IUI&40"_ e(,(�l��f USE APPROVED
ZONE BY DATE '
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. BLOCK
TRACT
N O.OF SLOSS.
SIZE OF LOT I NOW ON LOT
UHE OF I NOF I NO.OF
EXISTING BLDG. FAHILIEe RDOM9
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A
REPAIR I MOVING DEMOLISH
Hq.FT. NO.OF Z
SIZE ROOMS STORIES D
WALL ROOF r
COVERING I COVERING
USE OF NEW
BUILDING
A
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION-: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
I lam/ FRAME: FIRG,BOLTS
STOP
S.
SIGNATURE OF BRAC:
PERMITTEE
LATH, INT.
AUTHORIZED AGT LATH, EXT.
76A63BA-3 7-49 $ P.C.01 PLASTER,INT.
FEE / PLASTER,EXT.
VALUATION . .7
FEE 4J FINAL