HomeMy Public PortalAbout6027 ENCINITA AVE_Building__ ,76A638A CE0803 B-64 APPLICATION FOR BUILDING PERMIT
..A C6-17NTY OF LOS ANGELES BUILDING D Q
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY -
JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUPT.OF BUILDING CROSS ST. i
DIST CT'N GRO - TYPE,' / I P Z O'
FOR APPLICANT TO FILL IN ti (� CONST. ,
BUILDING STATISTICAL SSI FICA TION SEWS MAP " [
ADDRESS
:77 "N �/� CLASS NO. DWELL UNITS BK PG /,e
LOT NO.�Q(�, �- 79 BLOCK USE ZONE MAP LY
NO.
TRACT J SPECIAL
NO. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF j /. -
V / BLDG. SETBACK FROM
TEL.If/ FRONT PROP. LINE OF (STREET)
OWNER Qn NO. s7 TypE OI f%19TI N0 9ETBACK HIOXWAY + YARD = TOTAL_
ADDRESS /I'm E NI ON WAY HOT 'I OM<.L.
CITY L
BLD 0.9ETBACK FROM
aorw+= T OR TEL
ENGINEER L L E NO .y� sme PROP. LINE OF - (STREET)
N TYPE OF EXISTING SETBACK HIGHWAY' + ' YARD - TOTAL
ADDRESS J SO� XIOXwAY WIDTH (ROM E.L. _ OL
TEL I + = O
CONTRACTOR , NO bd �Z// V
ADDRESS SQ �. /Q aAIT rL OJ 7610 CORNER CUTOFF VES 11NO 0
CITY L LCIC SEE REVERSE SIDE FOR SPECIAL APPROVALS V
W
DESCRIPTION OF WORK a
NEW ADD v ALTER REPAIR DEMOLISH rL�L� �I// LFLJ- /YO W/✓�� l�
SO.FT. 1 1 NO. OF NO. OF ) L
SIZE j G Y STORIES a FAMILIES/
USE OF
.STRUCTURE L J'/uJ /6 CG�JE S
040'147,6 A4 f-A �
SIGNATURE
APPLICANT
VALUATI
SO
APPROVALS DATE IN9Pft R'9910 NATURE
FEE C. P MTS FEE$ .0 0 FOUNDATION, LOCATION ,p(
V L FORMS, MATERIALS _ 7"[!1 �.
FRAME, FIRE STOPS,
HEREBY ACKNOWLEDGE OV THAT HAVECORRECT
AN DAGRE APPLICATION BRACING BOLT l
AND STATE THAT
THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION F
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE BOR DC OF THE STATE OF CALIFORNIA RELAT-
ING TO WOR HIS PEN SATION IN RANGE* fin/ f//� LATH. EXT.
SIGNATOR F A �� _V L' HOUSE NUMBER COR-
'
C'K'��`+=IL RE T AND POSTED /]
ADDR SS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL E R
PLAN CHECK VALIDATION OK. M.O. CASH PERMIT VALIDATION CK. M.D. w ASH
LNGo ? 3 9 5.0 MAR 1 1 D 8,0 Q
��'PI-ICATION FOR S
r�AUILDIN PERMIT
FOR APPLICANT TO FILL IN ADDRESS t, 1
BUILDING /'
ADDRESS LOCALITY
(oO n/r
NEAREST
CITY �� ZIP CROSS ST. /u Q�C�C(�iL•
_ NO.OF SLOGS. ASSESSOR
SIZEOFLOT NOW ON LOT MAPBOOK PAGE I PARCEL'
DISTRICT GROUP TYPE FIRE PR ED BY
TRACT e y BLOCK LOT NO. J y� 7 CONST\ / Z
TEL O .�S 3 V
OWNER p NO. - STATISTICAL CLASSIFICATION SEWS//!y}AS��AP
ADDRESS 1A 7 ` CLASS NO. DWELL.UNITS �—BK `"PG/
CITY ZIP USEZONE No
(�Q
ARCHITECT OR. TEL _ �,/ SPECIAL '
ENGINEER NO. CONDITIONS
ADDRESS - - -ROAD DEPARTMENT,APPROVAL REQUIRED YES ❑ NO
TEL.
CONTRACTORIra 'i O./y -) LDG.SETBACK FROM
. LIC FRONT PROP.LINE OF ISTREETI.'
ADDRESS NO. HIGHWAY + YARD
TOTAL SETBACK FROM TYPE OF EXISTING
LIC.. - FRONT PROP.LINE HIGHWAY WIDTH
CITY 9 CLASS _. _
CONSTR CTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
SIDE PROP.LINE OF ISTREETI
ADDRESS CITY
TOTAL SETBACK FROM TYPE OF EXISTING O
SQ,FT. NOOF NO.OF„ CHECK HIGHWAY + YAR = SIDE PROP.LINE HIGHWAY WIDTH U++
SIZE STORIES FAMILIES ONE a
N
DESCRIPTION OF WORK NEW '
'ADD ❑ " CORNERCUTOFF - YES ❑ NO !0-
ALTER ❑ IN OPENSPACE ' YES ❑ NO [:1
REPAIR ❑
USE DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO E]E%ISTITING BLDG. _
APPLICANTTEL
IPRINTI a Br _ee
k40. gy6_ L9
BY ISIGNATUREI
I HEREBY AC WLEDGE THAT I HA READ THIS APPLICATION AND STATE
THAT THE AB IS 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
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'SCOM- - - -
PENSATION INSURANCE.-
SIGNATURE OF FINAL ,S- _3-78 BY .
PERMITTEE DATE
ADDRESS
TEL. - P.C. Fee$ Permit Fee
CITY NO,
O Issuance Fee ,
VALUATION� �
:PLAN CHECK VALIDATION CASH PERMIT VALID�TI cH, m.o. cnsH
2 6 5MAY 3 21-5 2 8.8 o
R.
�s 76A638B.CE B803B 8/77 6 6 MAY j .l V 42 C) O A56