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Home My Public Portal About5026 CAMELLIA AVE_Building__ Y 1.-G 76A638A CE#803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING �ib1 DEPARTMENT OF COUNTY ENGINEER ADDRESS [/ BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUP'T OF BUILDING CROSS ST. DISTRICT N . G U TYPE D FOR APPLICANT TO FILL IN `'� 0 coNsr.� �. BUILDING _ // STATISTICAL CLASS IC TION S ER MAP ADDRESS Q tO T BK GPG CLASS. NO. DWELL. UNITS LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED / CERTIFICATE: TRACT (p MAP HIGHWAY !, NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND,LOCAL SIZE OF LOT `p Q (.! NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. T L. OWNE O. -I BUIL ING EXIST. /� SETBACK Y RD HWY STREET NAME WIDTH ADDRESS & , G FRONT ARCHITECT O TEL. P. L. ENGINEER NO. SIDE j P. L. ADDRESS d j TEL. 0 CONTRACTOR NO. U ADDRESS OC 0 DESCRIPTION OF WORK G NEW ADD ALTER REPAIR DEMOLISH olf�- SQ. FT. NO. OF NO. OF s Z SIZE STORIES FAMILIES ^� USE OF STRUCTURE ?f SIGNATURE OFQ�7�/_ / 1 APPLICANT 141& g 4 - VALUATION APPROVALS DATE INSPEC R'S SIGNATURE OUNDATION: LOCATION "'7 P C FEE FEE $JoLzg 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. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. /��,, LATH. EXT. SIGNATURE `i/ HOUSE NUMBER COR- PERMITTEE / n RECT AND POSTED ADDRESS 1 c0 l�irsLO ` T C FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 8 9 3 7t� Jw 7 1 D 1 5.00- 4 �iMp�F C� Ty 78A638A CE#803 ... APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING7 DEPARTMENT OF COUNTY ENGINEER ADDRESS D.Z(� C A Al/;GG BUILDING AND SAFETY DIVISION LOCALITY Try = G JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. ,f DISTRICT NO. I GROUP I TYPE PROCESSED BY FL R APPLICANT TO FILL IN �/ CONST. _ , STATISTICAL CLASSIFICATION EWER MAP --s CLASS. NO. L/ DWELL. UNITS- BK/ PG BLOCK WATER V_ CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑ TRACT MANOP O HIGHWAY STATE MAJOR SECON LOCA NO. OF BLDGS. SIZE OF LOT jp + NOW ON LOT USE ZONE SPECIAL USE OFCONDITIONS EXISTING BLDG. • �.�, + TEL. � OWNER NO. 42 6-IS6 BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS .5 Off. (p c.a, T. C FRONT O�.JD / t-� / ARCHITECT OR TEL. P. L. J ENGINEER NO. SIDE P. L. ADDRESS a TEL. 0 CONTRACTOR NO. (� ADDRESS DESCRIPTION OF WORK a NEW ADD ALTER REPAIR DEMOLISH - - Z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF -114-7 STRUCTURE + I SIGNATURE OF APPLICANT + VALUATION S 15 00QtL • APPROVALS DATE INSPECT Fi.'S SIGNATURE i P.C. PMT FOUNDATION: LOCATION FEE FORMS. MATERIALS FEE S :zoo FRAME: FIRE STOPS, �/ • ,l. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS f �� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH" INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. • LATH. EXT. SIGNATURE OF 7/� HOUSE NUMBER COR- PERMIT TEEt ✓+r w" �� -+/• '�` RECT AND POSTED ADDRESS +--��=-`-e ��T• - FINAL, JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Lt" 9427:'oJUL 5 1D 9.00- z APPLICATION FOR BUILDING , PERMIT 1 COUNTY OF LOS ANGEIFS Bul AflD�RE6H5Q26 d DEPARTMENT OF COUNTY ENGINEER. BUILDING AND SAFETY DNISION LOCALITY Te=16 01ty JOHN A.LAMBIE,COUNTY ENarNme NEAREST CABRATT D.GRJ EU Ma CROSS ST. e7� D18TR1 GROUP 1-y�PE P Y FOR APPLICANT TO-FELL IN � • L �Ne7 , A�gRa�>aaG 5026. C�ne111n. 1ve.! srATIBTICALCLOSSIFICATION SEER MAP B PO LOT NO. CLASS• NO UNIT BLOCKWAP YHB. NUMBER �yAyT7 �'�'� ' U ZONE SPECIAL SIZE O LOT - NO.OF BLDQH. �l CdNDITIONS NOW ON LOT USE OF Hom6 e.and garage BUILDING �1ST._ }�.__ SETBACK YARD .HWY STREET NAMZ- - .`WI1�rT1. MAIL ER Duncan .Bateson FRONT ADDRIISS. - 26- Camellia Ave, I . SIDE TEL. A CH INSPECYI• N1 RECO NITE CT OR TEL. GINEER .. NO. I i CONTRM;;&h Bro 5...! 71 Fir b atone ...t So Gat DESCRUMON OF WORK NEW = ADD ALTER REPAIR DEMOLISH 80.FT. TIO.OP NO.OF - SIZE -STORIES FAMILIES u o DTR CTuRE - m pool SiGNATURf O APPROVAL LI APPCANT o AISDRSHB Bl�. S t DATE INS d d TUBE FOUNDATION: LOCATION FORMS,MATERIALS P.C. f ME: FIRE STOPS, N 2 FEE BRACINQ BOLTS , VALUATIO ; FURNACE: LOCATION, FEE GAB VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVER IS AP- LATH INT. PLICATION AND NATE THAT THEABO 1 CT NO AGREE TO.COMP TH ALL COU I N D STATE LAWS TING B ION. 'LATH EXT• _SIGNATURE HOUSE NUMBER COR- PER I RECT AND POSTED A D D R �jygL f CLYDE N.cm M INC AL 6 RAL EN91NETgR MaTION hLo. CASH PEmbuT Y O o 4 21 JLA 22 3 A 3.0 0 L,Eo 7 4 2 2 JUN 2 1 A 1 2.0 0 � f6A6?0-A C9110607 %-e7 r'J/ • ,APPLICATION FOR BUILDING PERMIT COUNTY-Or LOS,ANGELES BUILDING ,DEPAFITM$NT De COUNTY•ENGINEER ADDRESS .S`d.Z CC BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMSIE, COUNTY ENGINEER C r COLEMAN W. JENKINS, SUF'T OF BUILDING NEAREST .Q A CROSS ST. 0 fT+ FEXISTING OR APP T.T FILL IN DISTRICT NO. GFjQUP TYPE PROC D BY /: CONST P/rint orn S�ml � 0 B --1-- Q L (,!.y/yj STATISTICAL CLASSIFICATION SEWER P ADDRES � CL ASS NO�DWELL.UNITS BK PG/ 7 BLOCK USE ZONE MAPNO. G/ � 1 SPECIAL / NO.OF BLDGS. /` / CONDITIONS T tlf� NOW ON LOTUSE OF LDG. �r . BLDG.SETBACK FROM � �� TEL �� S FRONT PROP.LINE OF (STREET) + TYPE OP ISTI SETBACK HIGHWAY + OTAL OZL ` HIGHWA WIDTH FROM C.L. CITY 9. BLDG.SETBACK FROM ARCHITECT O TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. ' TYPE OF EXISTING1 SET 6ACK HIGHWAY + YARD = TOTAL ADDRESS `J =1 HIGHWAY WIDTH FROM C.L. - �- TEL. + _ CONTRACTOR NO. O ADDRESS NO. CORNER CUTOFF Y ❑ NO ❑ 1 CITY CIL ASS SEE RE _ OVALS'. rs I DESCRIPTION OF WORK a z NEW ADD ALTER REPAIR DEMOLISH ial" Ov} 01 fa,i L A- a- RGIA Dep t„ A;;J SQ. FT. NO. OF ) NO. OF SIZE r STORIES / FAMILIES A • USE OF STRUCTURE !J �m Gera bKm&A'wly.lot 1 '*, A#fr SIGNATURE OF Uti APPLICANT VALUATION S 47 APP ALS A T',FE N YfC TOR•• I A T U R K P.C. PMT. ,1 D FOUNDATION: L TION FEES JZ,,2 FEES FORMS MATERIALS FRAME: FIRE STOPS, I H[A[SY ACKNOWLILDO[ THAT I HAVE READ THIS AFfLICATION BRACING BOLTS AND STAT[ THAT TH[ ASOV[ IS CORR[CT AHD AOR[[ TO COMPLr FURNACE: LOCATION;' WITH ALL COUNT' ORDINANCILS AND STATIC LAWS RIOULATINO GAS VENT DUCTS BUILD NO CONSTRUCTION. 1 CERT I FY THAT IN DOING THE WORK - ALrHORIZ[D H[R[SY I WILL HOT [MFLOY ANY F[RSON IN VIOLA. L},TH, INT TON OF THE LAIOR COD[ OF TH[ STATIC OF CALIFORNIA R[LAT- . -L ING TO WORKM[N'■COM MTION NSU RA N CEL. LATH, EXT. SIGNATURE HOUSE NUMBER COR- PERMITTEE' RE A D P TED ADDRESS _ JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENc�L� PLAN CIECg VALIDATION CK. M.O. CASH _ PERNUT VAUbATION cK. wo. �cAiH 6I fit$ -"1623 D 322251 �L/ 3733 RIC 25 a ' 64.50N �.. we kuE s,COMPE1 T16N DECLARATION APPL CATI T BUILDING PERMIT l heteby affirm that I have.,a•ceft cafe of consent to self. Insula or a certificate of Workers'Compgnaatlon Iniurance, ,Y y:• pr COUNTY OF LOS ANWILIM i.' BUILDING AND SA#Vri s :, PollcyrJo. Company FlIiIDPJG Certlfied copy Ishereby-fumWied. FOR APPLICANT TO FILL IN T ADD{ 0 , Certlfisd-copy Is flle�with the co bulldlrtq lnspec- BUILDING i flon.dep&hi ''nt:' ADDRESS Appl leant CITY LP LOCALITY CERTIF TE' EXEMPT FROMWQRF�S Na OFBIDGS -- NEAREST - - -. . INStJRAN� 1,:,' SIZE OF LOT NOW ON L (TJhh sectlbh need not be,completsd if,tFe perrhlt'li for.one - - - l4 e y ' Y. { . TRACT BLOCK LOT tJj. MAP BbOF�L'. P PARCH I burc#red c}o1l'am ji100)or less.).. - , l cartlfy,thaR�{r4 bite pef#orman�cpp of,1he',work#or which this. - OWN� _ i10. y Perm It lbImUed;I shall not empl3y arty..pera�n lna6r maPner .. - ��,'_ �. � 1._ -_ 7 � so as 10 me sulSls+a'to the WoFlieisr Compehaattort lbws S } CITY. -., .... .._ LP. Date Applicant, ARCH I ECT OR TB_ _ DISTRICT_ GtdO1JP TYPE J`IRPs, -BY-- 1..' r}OTfCE'T&AMICANT: _If,-after'maklhp thla"Certtflcate of : NO. - ODtST: ZONE - Exetmption; ,you=should 'becomS- ■ubled' to, the Workers' Competsatloo provbloru of'4he Labor Code, you mLW flirt}} AbDt 55 _�r�/1J ��✓: - --;- •.with comply•with µtCh•.provlalons or.'thls'perm[t shall be - nn�•��' deemed revoked. ' , CO�7tRACTOR STATtST1CA1``�� T1QN L An - - Y LICENSED CONTRACTORS DECLARATIODJ. ' - -,�✓ - ttG - CVASS NO.--�UWFlI. UNITS I hereby affijm that I dm Ikensed under prav!aiahs of Chapter 9 ADDRESS 6 NO. SEWER MAP (4 -!�G w th S�lGn.7000)of Dfvblon 3 of the Bus�rtew and _ --. - ---.- - -- -♦�(i'--. . - - -- - ProfeslonsCbde,'md rhylicense ls.ln full force and gffect. CITY CLASS -` W - PG VALIDATION Llcerue Number 'T��3 f Lk CI - FAMJt1E5" OrE _. T� L'!;1 •' ur^r . (rpn drYl4�.y� i t PiION OF WORK- - - F NEW. - - ;ALLIAI --- -- ADD- I am exempt under Sec. ^ B.bP:C_ for this reason _ REPAIR 1 DUSTING BLDG. DEMOL - stfl ro ILDER dECLARA�T}ON NO., :: _-. 4.8 a 5-A','- -W -1-herebY affi I am exempt from the Contra�tos:eLicense R Law fot the followiit(t+•blorl'(Sectldn 7031.5, Bujlnees.and ADDRESS al_az u #.o o-Ya`o-o Pr6fdsalons Code): _ BUILDING I, as'ovmer of the Qcopwrly,"or rtty emplo)ees with - wQpes ai their sole compensation,will dQ the work and ��S the structure.Is not rntended or offered for sale(Section' LOC.�LITY 1 'J 4,2�J i 7044, Business'and Profewlors Code).- MOVING QpNTIZACT— - _- - TEL - - ---1 - -- I I, as owner of the am exclvslvel ntradl OR 1 NO; ! 7u J! 1 0 5`8 6 with Ilcensed contractors'to cors ct'iftd'ptoroct,(Sec ADdRESS tion 7044, Buslnea}and Profewlbrs Coded OQNSTRUCTION'ENDING_AGE�JCY_ - SET BACK. Yom... FiYVY: TOTAL: PROP-LIFE WIDTH' I hergby affirm that there I"conitruoon-lendIN aganry_for the Performance, of the work-for which this permVr- &-Iwued (Sec. 3097,'Cly. C ). SIDE R " Lenders Name LDMA Ref. F1 C_ Few$ .... - - PormIt Fee' Lender's Addrpa CROSS _I certify._that I.have-read ibis appllcatlon.and state thcrt the issuance Few V ru(/ LDAAA•P/ 1- •r'- L above Informatlgn is correct:I agree!o Fomply with all County L rvestipat{on Fee ^4ldlnance4 and SWo.krwq r4latinp?4.bW114nG-pprot oon, -.. - _:. __. - Total Fse - - V LDdMP". and a e representatives of this County to enter ' upon abo tioned property for Inspection purposes- 4;;' urposes b ' W R11111411111113111R11111411111113111PORR�LMIATO[T L.ANbUAG4 I i R S1Qrigture of kWlkonror Agent - Date 41 _ ----- - -- - - -- - - — - m i I