HomeMy Public PortalAbout5608 CAMBURY AVE_Building__ 78A8}BA CE#808-8-5] P I A ON FOR, ILDING PERMIT
COUNTY OF LOS ANGELES BUILDING �' O
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND'SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST - >
CASSATT'D.GRIFFIN,SUF T OF SVILOING CROSS ST.
DISTRICTNO. !ROP SEWER MAP
4 FOR APPLICANT TO FILL IN I TYPE B PG l '
117
BUILDING CONST.
ADDRESS �'� v 7FLE STATISTICAL L SIFICATION
CLASS.NO. WELL.UNITS
LOT NO. If BLOCKMAP STATE�n - _
Y TRACT j,ry D'7 NUMBER mCJ WY. YES JO
USE NE PECIAL
q p NO.OFBLDGS./ /t&X } ND(TIONS
SIZE OF LOT /S_ //O / -NOW ON LOT
USEOF . ��yl L 6L A/
EXISTING BLDG. OOnn,,,� ^Q B LDING YARD HWY STREET NAME EXIST.
/,IA C/JA_N - SETBACK WIDTH
OWNER /U� jy �1, p o1' FRONT
ADDRMAI LESS n�6 QQ /yo. CAIN(�IA/V' A�� SIDE /
CITY l'// P TELNO. � rL�G - P. L. O - �O
ARCHITECT-OR TEL.
INSPECTION RECORD
ENGINEER �/;(/L (/QIY/C�JC NG.RT 7•L9(3 /
- ADDRESS
CONTRACTOR L NQ
ADDRESS
DES RIPTION OF WORE
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. jtt / NO.OF j NO.OF
SIZE 3V e1 STORIES / FAMILIES
USE OF STRUCTURE L
SIGNATUREOF APPROVALS -
APPLICANT
DATE lh$FELTOWS.SL&NATURE
ADDRESS FOUNDATI ON: LOCATION
$
PEC
C. $ FORMS, MATERIALS (
/ FRAME, FIRE STOPS.. 1)
/�' FEE -BRACING,BOLTS II
VALUATI6N ���0 $ FURNACE: LOCATION. (• I
GAS VENT,DUCTS Q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINAL.CES AND
STATE LAWS TIN/G/, /EIIJ..4m CONS UCTION, LATH,EXT .��
SIGNATURE OF ���6 // l/I , P� HOUSE RECT AND POSTED 'm
/1
PERMITTEE •/� L�
ADDRESS FINAL
JOHN A. LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM, • R
PLAN CHECK VALIDATION .CK. M.O.- CASH PERMIT VALIDATIO -cK M.o.
0 9=0,4°°, FEB 3 1 k 8.5 0 ®,
]6A 638A CE✓;903 9-6] �/� e -.
APPLICATION FOR BUILDING PERMIT LJII
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS - / .C4 A4Afu,9 It
BUILDING AND SAFETY DIVISION
JOHN A. LA MBI E, COUNTY ENGINEER LOCALITY . ,..
COLEMAN W. JENKINS, SUPT OF 8.11.1N. NEAREST
CROSS ST.
DISTRICT NO. GROUP TYPE PROCESSED BY
FOR:APPLICANT TO FILL IN CONST. '
(Print or type ODIy) 'D t
BUILDING STATISTICAL CLAS FICATION SEWER MAP
ADDRESS Jr(/Oi3ar - vc. CLASS NO. DWELL,UNITS BK# PG/17
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT _ SPECIAL
NO.OF BLOGS: /' CONDITIONS
SIZE OF LOT Z NOW ON LOT A
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
TEL FRONT PROP.LINE OF STREET)
�j .
OWNER NO. p TypE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS121A HIGHWAY WIpTH FROM G.L.
CCITY }
BLDG. FROM
ARCHITECT OR TEL, SIDE PROP.LINEOF
(STREET)
ENGINEER NO.
TYPE OF IEXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAYWIpTH FROM C.L. _
TEL. / } ♦♦vv/ _ y
CONTRACTOR NO, 4L D_
LIC.
ADDRESS NO.. CORNER CUTOFF YES ❑ NO U
LIC. 1 C
CITY-___----- _ -----CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS �.
DESCRIPTION OF WORK a
1 4 CG z
NEW ADDREPAIR DEMOLISH
SO. FT. l -LTER NO. OF NO. OF
SIZE 210 STORIES FAMILIES G
USE OF d �J
`
STRUCTURE /` s F C
vu
SIGNATURE OF /O C v
APPLICANT
VALUATION $ �Q m Q
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. 'FOUNDATION: LOCATION
FEE $ FEE $... FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE 19 CORRECT ANO AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ONO INANCES 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-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELATLATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN INEER
PLAN CHECK VALIDATION CK. M CASH _ PERMIT VALIDATION CK. M.D. CASH
LiiLo 5. 3' 9 aQ� JUL 9 1 DD 6.0 0~ Q