HomeMy Public PortalAbout6245 ENCINITA AVE_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT only) Te_ple
BUILDING 62L5 `�_•`_ COUNTY OF LOS ANGELES
ADDRESS7621165 audniM DEPARTMENT OF COUNTY ENGINEER
CITY Tile City ZIP BUILDING AND SAFETY DIVISION
NO.OF BLDG7NO ]
BUILDING / j—
SIZE OF LOT NOW ON LOT ADDRESS
TRgCT l- /,' BLOCK LOTLOCALITY
er rjavell TEL. NEAREST
OWNER NO. CROSS ST.
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
DISTRICT I GROUP TYPE FIRE PROCESSED 9,
CITY samle City ZIP CONST. ZONE
ARCHITECT OR TEL. i1;1 ';�
ENGINEER NO.
STATISTICAL GLA SSIFICA TION SEWER MAP
ADDRESS CLASS NO.yI/
,L_.OWELL.UNITS BK / 7pG
TEL.
CONTRACTORUSE ZONE MAP
NO. .,_/
ADDRESS 337 On. Woods AY P NI94X SPECIAL
♦T�-�- 1
.MeLIC. �N CONDITIONS
CITY Los Angeles CLASS INFN',J
ROAD DEPARTMENT APPROVAL REQUIRED .YES❑ NO�
CONSTRUCTION LENDER ED
NAME AND BRANCH FRONTSETBACKOP.LI FROM O
FRONT PROP.LINE OF (STREET U
ADDRESS CITY
$D. FT. NO. OF NO. OF CHECK HIGHWAY } YARD = TOTAL SETBACK FROM TYPE HIGHWAY
EXISTING
LU
FRONT PROP, LINE NIGH WAY WIpTN y,
SIZE STORIES FAMILIES ONE
Y
__ CC
DESCRIPTION OF WORK NEW XIOC
C
ADD ❑ BLDG.SETBACK FROM \ O
raraor SIDE PROP. LINE OF BEET a
ALTER C1 TOTAL SETBACK FROM TYPE OF XISTING W
HIGHWAY } YARD = HIGHWAY IpTH ~
EPAIR❑ SIDE PROP. LINE
USE
EXISOT NG BLDG. DEMOL ❑ +
APPLICANT TEL CORNER CUTOFF YES C] NO C]
(PRINT) NO.
BY (SIGNATURE' IN OPEN SPACE YES ❑ NO ❑
IN COASTAL ZONE YES ❑ NO ❑
VALUATION 700.00 CATEGORICAL EXEMPTION YE5❑ NO ❑
I HERESY ACKNOWLEDGE THAT I HAVE READ THJR
ICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGCOMPLY IMPACT E%EMPTION CECLARATION SIGNED IOq TEI
WITH ALL ORDINANCES AND LAWS REGULATINGNG CON-
STRUCTION. I CERTIFY THAT IN DOING THE WHORIZED IMPACT REPORT PROCESSED GATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOf THELABOR CODE OF THESTATE OF CALIFORNIA ITING TOWORKMEN'S COPENSATION INSeI jD M. �SIGNATURE OF ll{{iiAiif�YYMM VVIRNiPERMITTEE
ADDRESS 155f. ' YOUCITY Uw ^ N181 DIATENAL BV
%JAKE CHECKS PA1ABLE 7. F E $ FEE $ 15.00
HARVEY T. BRANDT. COUNTY EER
PLAN CHECK VALIDATION cK. M o CABH _ PERMIT VALIDATION cH H o CASH
16A638A CE u803 '.2 72
/ T Y -
76.638.
—18.838. CE#S..5.SIAPPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILaDIN
DEPARTMENT OF COUNTY ENGINEER
IDDBUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST /
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN
UIS"AOL NO. GROUP TYPE ESSED BY
CONST.
BUILDINGa /WI STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS Com"
�J CLASS.NO. DWELL. UNITS
LOT NO. J BLOCK WATER NOT REQUIRED' RECEIVED
c CERTIFICATE:
TRACT MAP Cy A,w HIGHWAY
OJ f- NO.OF BLDGS. �y NOWT/V STATE MAJOR SECOND LOCAL
SIZE OF LOT 6� X f0 ✓iV I NOW ON LOT r/ USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLEIG 4k /+ Cl R-Iekgr F_�
OWNER NRL Z E. /1 IDT (. BUILDING YARD HWY STREET A! E EXIST.
ADDRESS�Z ` ,tJ '/ SETBACK WIDTH
FRONTQ r
ARCHITECT OR TEL. P. L.
/
ENGINEER NO. SIDE d
6ADDRESS T RECORD
CONTRAC V ;r ti OM NO. /INSPECTION�.� Q
ADDRESS O L L✓ O U
1 W
DESCRIPTION OF WORK _ G.
z
NEW ADD ALTER REPAIR DEMOLISH
S ZE 'f m D S ORIES / FAMOLIES
USE 0 F
STRUCTURE
S A L I '� +
VALUATION$
A-6 FOUNAPPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ D FEE $ 1DATION: LOCATION
FORMS, MATERIALS
FRAME: FIRE STOPS, -
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- L.ATH, INT.
TION OF TH BOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING T COMPENSATION INSUR A
LOTH, EXT.
AT HDUSE NUMBER COR.
PERMI RECT AND POSTED
ADDRESS if FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTFLRAL ENGINEER
PLAN CHECK VALIDATION Y.O. CASH PERBUT VALIDATION cK Y.o. CASH
LAC107 6 5 5 JAN 31 2 3 D 16.5 O a
;F 191QI FEB ^y 1 0 33 .0D