HomeMy Public PortalAbout4902 CAMELLIA AVE_Building__ 76A638A CE0803 3-68 ����
- APPLICATION FOR BUILDING PERMIT
-COUNTY:OF3 LOS ANGELES
DEPARTMENT'OF. COUNTY`ENGINEIrR':a ADDRESS
BUILDING AND-SAFETY DIVISION -\�
JOHN A. 'L'AMBIE,-,COUNTY ENGINEERA
LOCALITY Cl
COLEMAN W.'JENKINS, .'SL`P'T OF BUILDINGNEAREST -
CROSS ST. IC 4a-,T�•
tw , FOR APPLICANT TO FILL IN DISTRICT NO. GR�O•+UP CONS i__ P ocEsseD By
Printror t Pe only) �O� D
BUILDING /� 1 STATISTICAL CLASSIFICATION SEWER MAP
�1ADDO SS- ,/%O�, ;I G��l�'C.C���J, '_\ T�- CLASS NO.�DWELL,UNITS_6-BK P A
/�j BLOCK USE ZONE TRAP
TRACT` I%� b / - L�f NO.
,J /� NO O BLDGS.\S
-L CONDIT ONS -
SIZE OF LOT Y7 �y�S�+ NOW ON LOT �1� /.
USE OF '
EXISTING BLDG.' . TBAKCFOM j
Ge��
eT• JE L. ROKT,:RROP:LINE OF ISTREETI.
OWNER , /'I Gw /�1 I b/��� �TYpE OF EXISTING SETBACK HIGHWAY' 4 YARD = TOTAL
.1 In HIGHWAY WIDTH FROM C.L.
'ADDRE•SSS• C '•N•, GHzrJc //G00.
CITY°1TF-.yn PLE '\C/ r !-_�� Oi.. I. X1.7/ 0 - + '�U
BLDG.SETBACKF``ROOM -
ENGINEEOTAR \- TEL. •` SIDEPROP.LINEOF ' I
ENGINEER NO.
_ ♦ , TYPE OF EXISTING SETBACK HIGHWAY_;- YARD = TOTAL
ADDRESS �♦ - s HIGHWAY WIDTH FROM C.L.
�1
TEL
,
CONTRACTOR - a NO.
d
LIC: I I ICJ
ADDRESS a ..NO. CORNER CUTOFF VES ❑ NO V
CITY~ ` • CLASS N SEE REVHRSE•SID8 FOR�SPECIAL\APPROVAL`S,
DESCRIPTION.OF.WORK ,♦ _ ��♦ i t
., -- , ./ �S�•%� C i?-L/_ T A'.mac oil? �/i+rS`,PFc�- z
NEW ADD ALTER ,REPAIR '� DEMOLISH. P•> > :� ♦ Y ♦-- I
SO. FT, l NO. OF NO. OF lme7J. %fLD/T r�I^A � \% 1 h�.�>♦ y♦: At
SIZE ♦.�oo . •♦t•Y STORIES � ' FAMILIES,
USE O
STRUCTURE
SIGNATURE OF-
APPLICANT �- ' •'L I' e•. - ;�.♦ c �,
1
VALUATION $ 6 '•♦gPpROVAL`
DATE Ixe PECTOR'951GNATVRE
PMT. •� 2 5 FOUN DATION: LOCATIOtY:�"Y,�;/Lp
FEE FEE $ l ��� FORMS,.MA TERIALS /! //'�L'' r / CZ
I HEREBY AC R NOWLEDGE THAT I HAVE READ THIS APPLICATION ,FRAME: FIRE STOPS, /t
BRACING BOLTS
AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE; TION,do 's
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT,-DUCTS T
BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK '
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- /
TION OL THE LABOR C E OF THE STATE OF CAL IFOR A LATH', INT. A r
ING TO WORKMEN'S C I ENSATIO! NS RANCL
LATH, EXT.
SIGNATURE OF L HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED - I
ADDRESS "U _ dZUL FINAL
JOHN F. LEWIS. PRINCIPAL STRUCT RAL ENGINEER
cK. Wo.-PLAN CHECK VALIDATION O: CASH' •_ PEHMIT-VAIIDATION CK.- - M.G.. _GAS„
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