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Home My Public Portal About4817 CAMELLIA AVE_Building__ 7EA838A CEs8038-84 APPLICATION FOR BUILbING PERMIT COUNTY OF LOS ANGELES BUILDING ,✓ - yo, ' eoz DEPARTMENT OF COUNTY ENGINEER ADORE58-, _ /y BUILDING AND SAFETY DIVISION LOCALITYs JOHN A. LAMSIE. COUNTY ENGINEER NEAREST J COLEMAN W. JENKINSFSUP'T.OF BUILDING CROSS SL DISI. -LT ; �GROUP TYPEO �E .FOR APPLICANT TO FILLIN Xl CONST BUILDING STATISTICAL CLASSIFICATION ..SE ER AP ADDRESS O('/'17 AQ CLASS NO.n DWELL UNITS -�— BK PG 9 LOT NO. BLOCK /USE ZONE MAP CL NO. TRACT SPECIAL . NO. OI BLDG3. CONpI TI ONS SIZE OF LOT 6_ O NOW ON LOT - USE OF E ISTI BLDG. SETBACK.FROM TEL. r FRONT PROP. LINE OF (STREET) OWNER NO. ss1 TYPE OF EXISTING SETBACK HIGHWAY YARD = FTOTAL ADDRESS HIGHWAY WIDTH I' CITY ARCHITECT OR TEL. BLDG. SETBACK FROM •' ENGINEER NO. SIDE PROP. LINE OF (9 TREAT) TYPE OF E%I STI NO SETBACK XIOXWAY } YARD- � TOTAL ADDRESS X..SWAY WIDTH TEL, } - O CONTRACTOR V LIC CORNER CUTOFF YES E) NO ADDRESS NOO CITY cls SEE REVERSE SIDE FOR SPECIAL APPROVALS v w DE1SCRIPTION OF WORK u. �77�,,.-- �' ✓ _Z NEW ADD ALTER REPAIR DEMOLISH SO.FT. NO. OF NO. OF SIZE STORIES / FAMILIES &A -Ads '&&Z air,ir, USE OF / � J./ g/d� STRUCTURE ib,t .ry 4�,le .`•/ :Y"' . SIGNATURE OF pi A ��(at• � APPLICANT VALUATION$ APPROVA , XeL LS ATE INSPECTOR'S SIGNATURE P.C. PMT. (} FOUNDATION, LOCATION FEES '—� FEE$ / FORMS, MATERIALS W FRAME, FIRE STOPS, /� HEREBY THAT THE THAT HAVE READ THIS ATO COMPLY BRACING SO LOCATION AND STATE ACKNOWLEDGE THE ABOVE IS CORRECT D ANO AGREE E COMPLY FURNACE: LOCATION F 't R WITH ALL COUNTY Ofl N. I CES AND STATE LAWS REGULATING GAS VENT. DUCTS AUTHORIZED CONSTRUCTION, CERTIFY THAT,NY DOING THE WORK n TION HEREBY OCWILLOF EMPLOY STATE ANY CALIFORNIA VIOLA-' I. }. NT.X&,54 lb° )P-M : ®� TION OF THE LAEOR CODC SA THE BTATE OF CALIFORNIA RELAT. L ��/1. ING'TO WORKMEN'S COMPENSATION IN3URarvc LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE '.RECT AND POSTED ADDRESS S Fl NAL =-14/(46 1 �.G.� .JOHN F. LEWIS. PRINCIPAL STRU TURAL ENGI EER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT .VALIDATION « M.o. CASH Liv v 8 �i 69FEB 8 0 11 .50- DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL RJ FOR OFFICE USE ONLY BUILDING DISTRICT.10. PLAN CK. NO. PERMIT NO. ADDRESS y/ -- �_� /-7 LOCALITY RECEIVED BY DATEOFAPPL. �D[ATEISSUED NEAREST CRO66 ST. �(�yW, j(� ya' BUILDING v OWNER MAIL LOCALITY ADDRESSNEAREST TEL. CROSS ST. .� CITY _ NO. FIRE NO. OF TYPE DTII GROU ARCHITECT OA TEL. ZONE PLANS 7/ ENGINEER V 'NO. BLDG: _/ /,ORO �1O SETBACK LINE � F/w 4/ �T ,R y' ADDRESS APPROVED TEL _ BY DATE CONTRACTOR NO- .W1 USE APPROVED- - - _ ZONE BY DATE APPROVED- ADDRESS ,. HOUSE NUMBERING LEGALIi DESCRIPTION LOT NO. LI BLOCK MAP NUMBER FIELD CHECK BY TRACT NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS.. SIZE OF LOT NOW ON LOT USE OF I NO. OF —A—j _ EXISTING BLDG. - FAMILIES .=f� T iw✓r 7-c�o DESCRIPTION OF WORN _ NEW ( ALTERATION I I ADDITION ✓meq/L �� D REPAIR I I DEMOLITION SQ. FT. NO. OF SIZE ROOMS STORIES ^ Z EXT. WALL I ROOF /y✓.S/—.A r COVERING COVERING' USE OF STRUCTURE w APPROVALS INSPECTOR'S SIGNATURE DATE i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP TI FOUNDAON: OCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, CORRECT. MATELRIALS 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BU�DING CONSTRUCTION. e .FURNACE: LOCATION, SIGNATUREOF / GAS VENT, DUCTS PERMITTEE LATH. INT. ADDRE88 LATH, EXT. AUTHORIZED AGT. - .j/� PLASTER, INT. ]ew Of OA OBE1 10-00 s (/ V �P. C. $ _ ® ` ( // I FEE PLASTER, EXT. VALUATION V'j•V V_ FEE $��6 FINAL � V _ MENT OF BUILDING AND SAFE}, APPLICATION FOR PERMIT COUNTY OF LOS ANGELES 4l LL 1 WM. J. FOX, CHIEF ENGINEER `®' 0 L ® a �+ �+I��❑� FOR APPLIC N ZO FILL IN FOR OFFICE USE ONLY .. BUILD' INGSS �� y"r i DISTRICT NO. PLAN CK..N0. PERMIT NO. ADDRE ' . •� LOCALITY RECEIVED By ` DATE OF APPL. �Dn/ATE ISSUED NEAREST - l� ►�/V.. !t�-�O- IV /k-� CRSS ST. • BUILDING - OWNERCIA OGRESS ��, _ ./J7-]Z' +J/�S /:/l/� MAIL � //�4 LOCALITY 72A-%e PLS C.//TY� ADDRESS- r/7V OC./TY :./ af/•r NEAREST C1TY�/mLHS I1•e•aAS.G(.f/� 3 NO. CROSS ST. LO-LLJ C' Pte. I Z..CJ S <T FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS X7, ENGINEER NO. SETBACK LIBLDG. NE G17J� PC_� (l+1 / ADDRESS _ � / APPROVED TEL Q �s BY ff- �,,,; _ DATE CONTRACTp • • NCL N ••ff /yjJ�'' USE -�- APPROVED ADDRESS Ygym../ ZONE I BY DATE LEGAL I DESCRIPTION LOT NO. 0'2(f CORRECTIONS BLOCK' /� TRACT13OF ��y� SIZE OF LOT 4J 10.0 NOW ON LOGS. F� 5 USE OF Np.OF �II 'Np.pF - EXISTING,BLDG. �� FA LIE.LIE. 1 R❑❑M5 - DESCRIPTION OF WORK NEW ALTERATION ADDITION'11 ' L REPAIR .MOVING DEMOLISH Q 54.FT. / r/� ROOMS . 6TpR1E6 SIZE ,J 7 Z WALL- R0OF' r. D COV ERING:Y� A/Kh.lT.1.!•b�, COVERING /Dinsls ! USE OF NEW BUILDING - (m.jl;. � _/7A YD �m/nervi w-�/ f �%! •?.x '4vY7_rl l I HEREBY,ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS 'CORRECT INSPECTOR DATE [FN. TIONi: LOCATION AND STATE LAWS REGULATING BUILDNG COSTRUCTION.AND AGREE TO COMPLY WITH ALL.CQUNTY ORDINANCESS,MATERIAL6 //. A/ _/ _ X�FIRE 6TOP5,SIGNATURE OF• /� `I NG,'BOLTSPERMITTEE IN>f1f�� T R A'Y� NT.XT. II V 76A6..A 9-46 oss-a SOM SETS $ �/J� , 'P.C.$ 9� 1 PLASTER, INT. '�•!F/l� ®� FEE _ PLASTER,EXT. PV S C.p VALUATION2�6 ) / / FEE FINAL APPLICAT•ION •FOR 621 TITY OF TEMPLE CITY BUILDING PERMIT BUILDING �7 FOR'APPLICANTTOFILL.IN 4..t.�`GA! . . _ ADDRESS - BUILDING •I /' .. ADDRESS 4817 N2 C aLm el li i LOCALITY C/ NEAREST Y' P" CROSS ST. NO.OF BLDGS. ASSESSOR _ SIZE OF LOT .NOW ON LOT. MAP BOOK PAGE - PARCEL - DISTRICT GROUP TYPE FIRE PR ESSED BY TRACT BLOCK LOT NO .`S rj / CONST:^ ' CWNE .S C' is ELowes . No285-5255 C/J . , .. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 48 1 7 N Camp l li a CLASSNO. DWELL.UNITS - BK PG " arvTem le C ti zIP:9EL us�eo NOP o2d76 'ARCHITECT OR TEL - K SPECIAL ENGINEER NO, CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES Ej -NO ❑-- CONTRACTOR H. L : 'RandOl` �. No.288-4040 BLDG..SETBACK FROM _ FRONT PROPLINEOF - ISTREETI - ' ADDRESS 529 ER. alle Bl No.186086 HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY San Gab r i e'1 LI Ass 'C•^3 9 _ FRONT PROP.LINE HIGHWAY CONSTRUCTION LENDER LENDER . NAME AND BRANCH - 0 BLDG.SETBACK FROM - - -- V ADDRESS CITY SIDE PROP.'LINEOF (STREET) SQ.FT. NO OF NO. CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF. EXISTING w 1 1- SIDE PROP.LINE HIGHWAY .WIDTH_ SIZE STORIES FAMILIES ONE - N El I + ' _ -. Z DESCRIPTION OF WORK NEW _ Re-roo ara' a onl*y ADD ❑ CORNERCUTOFFYES ❑ ' NO ❑ _ - - ALTER El IN OPEN SPACE YES ❑ NO El EPAIR USE TINOF BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE VES ❑ .NO El ' ,�/ - .. APPiPRINIH., 'L Randol N0288-4040 �j/jg/lf A'07-' /2 y BY(SIGNATURE "' 'I-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES. - AND LAWS REGULATING BUILDING CONSTRUCTION. CERTIFY THAi9N DOING THE e-/ o p/�l_,..T-� WORK•AUTHORIZED HEREBY I WILL NOT'EMPLOY'ANY PERSON IN VIOUAU'NIOF Cj'J�C 95, / •, THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- - PENSATIONINSURANCE. - m F Ni S16NATURED - FINAL BY - PERMITTEE' yr ' DATE ADDRESS OILY San Ga6rl el , Ca . 'E,, -4.040 P.C. Fee$ Permit Fee 9 . 00 Issuance Fee ' VALUATION V __2d I . L/.V Total Fee , _9 . 00 aPpL�AN6HJECCK VAAUDATIONI �A�P"i® . ' CABH _ PERMIT VALIDATION CK. MO. CASH o: - 8 8 nj c-t1A{i 2 ri D . '9.0 U r"� - . ICY HOLDER: ,C - OS 76A638B CE#8038 6/76 , )P 2J,?� LICY NUMBER; !N // a 96A696/,DBS-33-SAPPLICATION FOR BOILDING .PERMIT � DIVISION OF BUILDING AND SAFETY BUILDING woDREsa Deportment of County Engineer 1 11 County of Los Angeles LOCALITY f•P Cr WM.J. FOX. COUNTY ENGINEER NEAREST / .-, :i-, - 'Li 1 Din CASSATT D. GRIFFIN, SUPT of BUILDIN. CROSS ST. /I-{7✓ V DISTRICT NO. GROUP SEWER MAP FOR APPLICANT TO FILL IN ' S J CONST. Y I TYPE . BK. PG, .BUILDING MAP / STATE Yrs NO ADDRESS 4 7 l'�T/ / LL� NUMBER HWY LOT NO. 14:L- BLOCK USE ZONE SPECIAL / CONDITIONS TRACT - NO. OF NG6 . SIZE OF LOT /K� I NOW ON LOTSLOGa -SETBACK •YARD HWY STREET NAME WIDTH USEOF FRONT EXISTING BLDG. / P. L.I/ y OWNER /' t>Lfr/ BIDE P, L. MAIL !T� O TRACT DWELL. 1 UNIT ADDRESS lL _ 5 INDUSTRIAL - TEL. 1 DWELL. 1 UNIT CITY - NO. - 6 PUBLIC BLDG. ARCHITECT O TEL. 2 DUPLEX 1 UNI ADON., ALT...ETC. ENGINEER NO. $ APT. _UNITS B MISCEL. - ADDRESS 4' COMMERCIAL - CONTRACTOR�.�(/ To• (o-e27 INSPECTION RECORD ✓• / �7• / ADDRESS � DESCRIPTION OF WORK NEW C ADD ALTER REPAIR DEMOLISH 90. FT. 0)_ NO. OF / NO. OF SIZE `� STORIES FAMILIES USE OF STRUCTURE PIP— SIGNATURE OF7� �/J��j) ( APPROVALS APPLI ADDRESS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION M O CO P. C. $ FORMS. MATERIALS FRAME: FIRE STOPS. VALUATION $ BRACING;BOLTS FEE •.►� FURNACE: LOCATION. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. .LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS "FINAL l-L St - r t,r _ -� WM.J. FOX,COUNTY ENGINEER VALIDATION - C. N. DIR AM, CHIEF BLDG. INSPECTOR ,_ ICS 0 0 1 31 !OV 15 ,0 0 F�: ..