HomeMy Public PortalAbout5002 CAMELLIA AVE_Building__ -f ;FARTMERT OF BUILDING AND SAF�j 19 5"BUILDING
PLICATION FOR�P,EpRNIIT
COUNTY OF LOS ANGELES G3V B ryL�® I D�I
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING /� /j /
DISTRICT NO. PLANCK. NO.. PEE/RM IT NO.
ADDRESS t/ QD f� �y� �/J1.1A /IVC. J 7�f��5 V.
LOCALITY �G �( �' G r� G A /- RECEIVED BY DATE OF APPL. DATE ISSUED
CN AR ROSS6T&, S'�,QR/rc F.ff+ Cil RoS/f py` -17-s ;
�J. �I' ,A BUILDING SG O f-. � CAM L L 1A .4/J
OWNER J O// . G D /P L A N " LOCALITY
OC LIT
AMAIL DDRESS �$0 V GI. C AIN 'AYF , LOCALITY �MD�•! (� T'iV
NEAREST
TELCROSS ST. A ArTY
PE GROUPCITY GQS NO. FIRE NONEF L
ARCHITECTOR TEL. ZONE r
ENGINEER NO. BLDG. ,�J ORD. NO.
SETBACK LINE 0
ADDRESS }1PPROVED
�n�
( f �I �[ �J y DATE
CONTRACTOR. W " I �6/" NO. y T�] 0gNE8' _/{ BYPROVED DATE
ADDRESS l.3 0 ✓ C. coa�j R A�r�4 p,p/1 crA'/hpi o-a� G HOUSE NUMBERING '
LEGAL
DESCRIPTION I LOT NO. 70
BLOCK' MAP NUMBER /��yg FIELD CHECK BY
TRACT / f NO. ASSIGNED,By-L— -DATE
y NO. OF BLDGS*o 9' I
,V CORRECTIONS -
SIZE OFLOT 6O I\ /rQO NOW ON LOT .
EXISTTING BLDG, I FAM.LUSOF NO. O.e
DESCRIPTION OF WORK
NEW I ALTERATION I I ADDITION
REPAIR I I DEMOLITION
SO. FT,/ NO. OF lJ �u-r"-
SIZE f�QO.(� ROOMS J .�SJTORIES
EXT. WALL .v/�
ROOF
COVERING S! ✓ «r I COVERING /T� ��L� ��NT C4 tib.. TCtl r
USE OF BTRUCTUREjr` ®r A/C 6r_ /.4air T AV 5 . --r41p✓o&. I'I, 7a
C APPROVALS
INSPECTOR' -SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION p �^j
PLICATION AND STATE-THAT THE INFORMATION GIVEN IS FORMS, MATERIALS dd 'r�
CORRECT. n ,
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, ! _/
HEREON AND WITH ALL COUNTY ORDINANCES.AND STATE BRACING, BOLTS /
LAWS REGULATING BUI ING AISTRt1CTiON. //A ' FURNACE: LOCATION, �9 '
1 SIGNATURE OF ��� .rtCw / GAS VENT, DUCTS
PHRMITTE ^ ���/// ------�TTTT y
LATH, INT. � ��(/
ADDRESS
v / LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
76AG20A. Den 10-eD 9�s�0 P. /
C. $ u
® FEE / /' PLASTER, EXT.
VALUATION O OI FEE $ 31 ti - FINAL IZ411
�
I '