HomeMy Public PortalAbout6057 ENCINITA AVE_Building__ Tawaasw aea.a I¢s�
APPLICATION FOR BUILDING PERMIT e
-DIVISION OF BUILDING AND SAFETY BUILDING
IV
ADDRESS
Department of County Engineer
County of Los Angeles LI—AlLIT9
WM. J. FOX. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BOILe1NG NEAREST �-
CROSS ST.
FOR APPLICANT TO FILLJN DlsrRicT No. .I ouP ' TYPE SE eii MAPPG
BUILDING .�t r CONST.
ADDRESS � //J MAP ¢I STATE YES NO
'J �7 /' NUMBER " HWY
LOT NO. w aJ� BLOCK USE ZONE' SPECIAL "
J CONDITIONS
TRACT oO�// '( .(� -
SIZE.OF LOT �/ /�( /ij J I NOW ON LOTS /� BUILDINGEXIST.
USE OF .YARD HWY STREET NAME
SETBACK WIDTH
EXISTING BLDG. FRONT
P, N
OWNER SIDE
MAIL
ADDRESS
TEL., t DWELL. I UNIT 5 INDUSTRIAL—
NO.CITY NO.
ARCHIT2 DUPLEX—UNIT- 6 PUBLIC BLDG.
ENGINEER
OR TEL.
ER67 NO. 9 APT. UNITS 7 ADDN.,ALT., ETC.
ADDRESS q COMMERCIAL—48 MISCEL. F/CO—
TEL. _
CONTRACTORI2 /qE�l No. INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK --
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USEO STRUCTURE / /
� v
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS DATE INSPECTORS SIGNATURE
FOUNDATION: LOCATION
S FORMS, MATERIALS
J v FEE FRAME: FIRE STOPS,
E O BRACING, BOLTS
VALUATION FEE a,0� FURNACE: LOCATION.
I HEREBY ACKNOWLEDGE THAT I. HAGAS VENT. DUCTS
VE READ THIS .
APPLICATION AND STA E THAT THE ABOVE IS CORRECT
AND AGREE TO COMPL IT COUNTY ORDINANCES LOTH. INT.
AND STATE LAWS GU INO BUILDING CONSTRUC-
T
ONSTRUE
TION. LATH, EXT.
'-SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE REIT AND POSTED
rrJ}
ADDRESS FINAL
uVAe. J. FOX. CounrY ENGINEER VALIDATION
BY ' 0E9Z'9.". FEa28:.( 1. ".2.070 ® .
DEPUTY \ DEPUTY
BY BY
O DEPUTY - DEPUTY