HomeMy Public PortalAbout4829 CAMELLIA AVE_Building__ 76AG3BA CE#BC9-T-SB APPLICATION FOR BUILDING PERMIT
BUILDING AND SAFETY DIVISION BUILDING ,�g h
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT O. GRIFFIN, SUPT OF BUILDING CROSS ST.O _
FOR APPLICANT TO FILL IN °ISTRIcr No. GRouP SEWER MAP
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ADDR KISS �p i� �G3/y/e'/C/,. STATISTICAL C ASSIFICATION
CLASS:NO DWELL. UNITS
LOT NO �� _ BLOCK
MAP _srt Q / STATE" YES O
NUMBER. '.HWY
TRACT- ��� 7 USE ZONE SPECIAL
NO. OF'BLDGS. - CONDITIONS '
SIZE OF LOT YoO1(. NOW ON LOT A — -
USE OF
EXISTING BLDG. BUILDING EXIST.
YARD' HWY STREET NAME
SETBACK � WIDTH-..
` OWNER �DB ![ Dh- �� FRONT
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ADDRESS 41Q 2q ee2� !GL SIDE -
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NO.
INSPECTION RECORD
ARCHITECT OR' TEL.
ENGINEER NO. - -
ADDRESS
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CONTRACTOR 1 C 1OrJQ '�N/O A77-.31Ai
ADDRESS h C�
DESCRIPTION '- WORK
EW �/ADD ALTER, REPAIR DEMOLISH '
SIFT
SIZE H1919 STORIES FAMILIES
USE OF.9011 TUBE -
C• APPROVALS
IGN TURE OF -
APPLICANT DATE IN5PECTOR'S SIGNATURE
ADDRESS D FOUNDATION: LOCATION
_ FORMS. MATERIALS r'
FRAME:-FIRE STOPS,
$ 9 O 6 BRACING. BOLTS 1@ �
I`S
FEE � Z
FURNACE: LOCATION. ,
VALUATION FEE GAS VENT. DUCTS (n�
1 HEREBY ACKNOWLEDGE THAT I'HAVE READ THIS AP- LATH. INT. I,
PLICATION AND STATE AT
THE ABOVE IS CORRECT AND
AGREE TO COMPLY W . ALL COUNTY ORDINANCES AND .LATH. EXT.
STATE LAWS 'REG TI BUILDING C TRUCTION.
SIGNATURE OF HOUSE NUMBER COR- Y�
PERMITTEE RECT AND POSTED
ADDRESS62MIEFINAL
JOHN A. LAMBIE,�COUNTY ENGINEER. .CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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.f,`y—DEPARTMENT OF COUNTY ENGINEER P,
DIVISION OF BUILDING AND SAFETY `" 4' �y
COUNTY OF-LOS ANGELES J
WILLIAWiL FOX. COUNTY ENGINEER APPLICATION '
CASSATT D. GRIFFIN, 8UP'T OF BUILDINO
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. , Pun CK.OR REc.No. PERMIT NO.
ADDRESS � � /`7 �.�
RECEIV IH{ DA EOF PPL. DA 1 9U D
LOCALITY 0
NEAREST
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OWNER
MAIL LOCALITY I/
ADDRESS
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'CITY CROSS ST. �./J5�/T-
ARCHIT ORTEL. FIRE NO. OF TYPE GRO�Uy�P�
ENGINEER NO. ZONE I PLANS z I T T-IT
BLDG. ORD. NO.
ADDRESS SETBACK LINE ZO
1 TEL.
USE APPROV ED
CONTRA - ZONE BV DATE A
ADDRESS _ HOUSE NUMBERING I,.{{n.u•.,.cJ�
LEGAL MAP NUMBER Z Z/// NO. ASSIGNED BV
DESCRIPTION � � LOT NO. BLOCK
y 6 CORRECTIONS
TRACT
SIZE OF IAT O O I NOW ON LOTS
USEOF NO. OF -"[STING BLDG. FAMILIES
DESCRIPTION OF WORK CID/V:67 - SO A"c a nn 6 Cie /rw/- G
Iy A
NEW '1 I ALTERATION �I ADDITION /�J , ��a fid/ '�N'
T1I I I �0��/�?. Z
REPAIR DEMOLITION D
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SO. FT. < NO. OF
y�G6 CrJ CcQJy/�/6 F- A
SIZE G S r ROOMS STORIES /
EXT. WALL ROOF
COVERING .LC/ I COVERING 1. +^ 1 ✓ /nA g a/17�e
USE OF STRUCTURE
�.P-Q I.OA-0 APPROV LS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRESTOP3,
PLICATION AND STATE THAT THE .INFORMATION GIVEN 18 BRACING, BOLTS
CORRECT.
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAB VENT, DUCTS
SIGNATURE OF �// ^/, LATH, INT. �• 9.'�' f3
PERMITTED n���•� cR/Q.�/l.� //
ADDRESS y�yp B/.0. 4/�A 120WLATH. EXT.
PLASTER, INT.
AUTHORIZED ACT.
O 1
/0 PLASTER, EXT. / N�
$ I V/{�/ 000` FEE S 1 Qa HOUSE NUMBER COR• �/ /�
RECT ANO POSTED / ,/� �
VALUATION FEE S OO FINAL
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