HomeMy Public PortalAbout5649 CAMBURY AVE_Building__ YSM BETE 10-46 { Y' +-
DEPARTMENT OF BUILDING AND SAFETY
APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES Cal L�9 ® 8 fill
WM. J. FOX, CHIEF ENGINEER �1 ��d
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING // -r, 4/'/`O� ,{r DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS '�/`�/'- p T /�!/.�C�/ (�
LOCALITY / G�/-LC C 171 �REC/EIVVEE/DBBY DATE OF APPL'.. fO DATEISSU/EDS/1
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APPROVED
TEL BY / �]� DATE
CONTRACTOR NO.
USE ft�1 ' APPROVED
ADDRESS ZONE/1I BY DATE
LEGAL '/
DESCRIPTION
I LOT NO. e7" BLOCK CORRECTIONS
TRACT i /K ✓l/y3 /- /)/ NO.OF
SIZE OF LOT ��S /1 //!/ I NOW ON LOTTS
' EX STING BLDG. ' .� I FAMILUSE Or NO.LIIES ZI ROOMS/0
DESCRIPTION OF WORK
NEW I ALTERATION ADDITION
/ O
REPAIR Z MOVING DEMOLISH
NO OF
SIZE T 3 L D d/ ROOMS / STORIES / �✓ ✓.T,j D
COVERING • I COVERING'/ /'_-'' �� (�6G t (- ✓ /
USE OF NEW
BUILDING
I
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE S CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
S113NATURE OF BRACING,BOLTS
OWNER /f// /� LATH, INT.:^•� `
AUTHORIZED AGT. LATH.EXT.: y
P.C.5 PLASTER. INT.
/ \ O O FEE ® PLASTER, EXT.
VALUATION L FEE FINAL
DEPARTMENT DIVISION
ENGU1E
DSION OF BUILDING AND SAFETY U IBJ^uVl r(vL�
COUNTY OF LOS ANGELES LVYY
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN. SUPT OF BUILDING _
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO I PUN CK.OR REC.No. PERMIT NO.
BUILDING
ADDRESS ( V ; �_
LOCALITY p T /R ESL ED BY DATE OFF APDL. DATE ISSUED
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OWNER IL- D OU SE l G
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CITY �G ' 1 T L CRO38 AREST
ST.
ARCHITECTOR TEL ZONE I PLANS IFIRE NO. OF TYPE GR UP
ENGINEER NO.
SETB �O / C ORD. NO.
AODRE69 A, pG SETBACK LINE
CONTRACTOft��,•v( v 5 TEL. _D_ ZONE gy PROVED DATE
ADDRE89 (]$ O HOUSE NUMBERING
LEGAL ryiTO.O O-(I MAP NUMBER_ NO. ASSIGNED BY
T
DESCRIPTION.( LONO BLOCK CORRECTIONS
TRACT J �S ' /✓O �,�j•.Air-N ivST
NO. OF FLOGS.
SIZE OF LOT I NOW ON LOT
USE OF /_ NO. OF -
EXISTING BLDG. hTU 4�'�e FAM we
DESCRIPTION OF WORK G -
, z
NEW ALTERATIONADDITION
Z
REPAIR DEMOLITION D
r
SO. FT. NO. OF
SIZE ROOMS STORIES _
EXT. WALLROOF _
COVERING I COVERING
USE OF STRUCTURE
o x � c
APPROVALS
INS PECTOR'S SIGNATURE .DATE
FOUNDATION: LOCATION
FORMS, MATERIALS 'V
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRESTOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN 15 BRACING, BOLTS
CORRECT. FURNACE: LOCATION.
1 AGREE TO COMPLY WnH ALL COUNTY ORDINANCES GAS VENT, DUCT6
AND STATE LAWS REGULATING BUILDING ¢ONBTg`PTION.
SIGNATURE OF �('//Y-(/4e� LATH, INT.
PERMITTEEF^
ADDRESS
STER. INT.
AUTHORIZED ACT.
PLASTER, EXT.
FEEc. S HOUSENUMBERCOI
RECT AND POSTED
VALUATION11 FEE $��. FINAL 3��3
76A805A OB0 3 9-01
9
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES �� T�F A��10T�
WM. J. FOX, CHIEF ENGINEER �J LI)I 1al
NO. OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO:
PLANB SETBACK LINE �J
FIRE ' APPROVED J
ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED
USE // APPROVED `� I�
ZON - BY DATE
E A `Z y-YS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
BUILDING
0 R NAME / / ADDRESS
WZ ADDRESS / LOCALITY
Z CITY ��✓J NEAREST
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Ely ! CROSS ST.
STATE TEL.
LICENSE NO. /// NO. C NAME
W w
E Z MAIL
NAME (X'
O 0 ADDRESS
Q ADDRESS J O CITY /A�l3V N
R c/ v
f
Z CITY I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
U APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO.. NO. AND STATE LAWS RiGULATING'BUILDING CONSTRUCTION.
O LOT NO. ,p- �/ SIZE OF LOT M)-e.5 SIGNATURE OF
�
Jf _ NO. OF SLOGS. '1
<L BLOCK NOW ON LOT �6M1p AUTHORIZED A'GT�
wu
JR TRACT slf-Al f-A /1 Ao 1-4- . CORRECTIONS
O USE OF BL T 4- �{I. { .n Of /0 - /-7-
NOW ON LOT (Ib((w•y(NI �C/�Ll,[,(J -I f'wa^e - I oU'C. �(F'L.^✓�^'
DESCRIPTION OF WORK (/ -at - V
USE OF v
BUILDING
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Z
D
r
NEW TYPE GROUP
O. OF r NO. OF
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ALTERATION ROOMS �/�FAMILIES
ADDITION SIZE /(/ /�. (1 V
REPAIR STORIES
MOVING WALL COVERING /CAIi '
DEMOLISH ROOF COVERING I fTYYI/l/J
FINAL APPROVAL
15FEE
FEE — _
/ INSPECTOR'S
VALUATION FEE DATE O-/�- NAME