HomeMy Public PortalAbout5009 CAMELLIA AVE_Building__ ]6Ab38AjCE`p90312/'APPLICATION FOR BUILDING PERM�Ir
A ' COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING U
JOHN A. LAMBIE, COUNTY ENGINEER ADDR&S
COLEMAN W. JENKINS, BURT or BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print ortypa .,,l CROSS ST.
BUILDING DICT NQ,_ GRO CONST. O BY
ADDRESS �j QQ _ Aif��/FI (/
STATISTICAL CLASSIFICATION SE ER MAP
LOT NO Z- BLOCK
CLASS NO. DWELL,UNITS_ BK GPGa
TRACT USE ZONEI MAP Q
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OCONDITIONS
EXISTING BLDG. Q ���,j�✓[
NOL Z g,&
OWNER �,J3 BLDG.SETBACK FROM
ADDRESS .56n4 G%J/�fG<//J. FRONT PROP.LINEOF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY T.E`AC7/'�(G G'jT HIGHWAY WIDTH FROM C,L.
ARCHITECT OR TEL. } _
ENGINEER NO.
BDG,SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
LL TEL, TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR ,,i/sS/o.Fl y/x_lw NO. $'S HIGHWAY WIDTH FROM C.L.
ADDRESS -%'l7la�/�7C'Je 'C.61 NO.yaS /Z- } _
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CIT" 91 ON DE _ Aelg �. CLASS X CORNER CUTOFF YES ❑ NO, ❑ U
CONSTRUCTION LENDER �
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NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS t3
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ADDRESS OIL
SO. FT. NO. OF NO. OF NEW ❑
SIZE 3LsC STORIES / FAMILIES � I /
USE OF ADD ❑
STRUCTURE ,O/J ALTER ❑
X
— WI r REPAIR
SIGNATURE 2 ; 9 /�CUXWi
APPLICANT 1j L El -
- 14
VALUATION 5 -40. "
APPROVALS GATE INSPECTOR'S SIGNATURE
PIC. PMT. /p /) FOUNDATION: LOCATION
FEE S FEE $ . L/ �/ FORMS. MATERIALS /
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WIT HALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC
TION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HERE BT WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE f 'DLII I IN RELATING TO
WORKMEN'B COMPENBAT N II AANC E. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE - RECT AND POSTED
ADDRESS � �' s�^' /
FINAL 1J
JOHN F. LEWIS. PRIN IPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK, M.D. CASH _ PERMIT VALIDATION GK. M D. GASH
I A( 8 2
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