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HomeMy Public PortalAbout5115 CAMELLIA AVE_Building__ I _ DEPARTMENT OF BUII.DING AND SAFELY APPLICATION FOR PERMIT BUILDING� I �®I COUNTY OF LOS ANGELES WM. J. FOX, CHIMW QIGINMM FOR APPLI T IN FOE OFFICE URE ONLY DIffTRICT NO. PLAN CK. NO. IT BUILDING HO. ADDRXS;Ssjzs 60 LOCAI..ITY RXC[IVKD BY DAT[OF APPL DATY ISGUm BUILMING cR �' ADDRESS /� I(/ Lt 1A OWN r. MAU L LOCAL.tTTM `4 /P� r $, ST CITY _ N -:2''A5 FIRE 0. OF TYPE GROUP ARCH R� T'[L ZONE PLANIS [NCII / NO. SETBACK LIN[ 6 f Owl ADDRMS ,` R APPROVKD Tam BY DAT[ CONTRACTOR NO. US[ gPROVI[D BY DAT[ ADDR[QS �\� fT //J�HO [ NUMBERING LKQL -21 DESCRIPTION LOT NO. C / BLOCK MAP NUMa `� KLD CHECK BY TRACT NO. ASSIGN® BY ❑A SLxIZ OF LOTS('k/2 N °OW ON LOSCOREEGTIONS T U8[OF NO. OF QCI STING 111-MG, FAII�W.� DFSC EMON OF WOEL NEW ALTZMAT10N ADDITION 0 R[FAIR DEMOLITION A Q pq. FT. NO. OF Z BIZ.[ ROOMS / ISTORI[S QCT. WALLROOF COVKRING T COVERING US[OF I TRUCTURi APPEOVALS INSPTGTOR'B SIGNATURE DAT[ 1 HQt[SY ACKNOWLEDGE THAT V READ THIS jPl' OUNDATIONS LOCATION PLUCATION AND STATZ THAT THE FOR ION GIVENFORMS, MATERIALS CORRECT. I AG PLY W [ CO CTIONS LISRAM[z FIR[OTOPS, XR AND H ALL ORDI ES D STAT[ BRACING, BOLTS -�1' r A— S R TING HUI G CT7 FURNACEi LOCATION, GAS VENT, DUCTS f � r - LATH, INT. ADD LATH, QCT. , /} - z�- Y► AUTHORITY AGT. M-ASTLR, INT. 7 9A 63 5A• Dass so-00 P. C. • ' FEE FL.A.BTER, QCT. �v. FINAL VALUATION Irk / �Y' DEPASTMET OF BUILDING AND SAFETY APPLICATION FOR MEN= COUNTY of Los ANaELE 'C 27 O/a B v ' `. D ' �+ ' 1N1�1. J. FQX. OHIEF [NOIH[GR 0, FOR APPLICANT TO FILL IN S OFFICE IISB ONLY " q DINTMOT NO. N P[1O�1rr D. "DRlq l/'3 S c Ni S '� 17 /Z LOOALITY REO[IVED■Y DAT[orA!<PL DSA/Tt IrLED NEARpT 1 L/s( /V-ST. �UILDINO OWN[I! 3- ADDRd Avrf/1/3 AD� l!-Mo e- Q� LO -r aL R14s P IC �L GRROSS W4E!Nxtl3lrT Q . 41 O s Fl R[ NO.OF TYr[ SROUr A.;DHITEOT OR _ Tm- ZON[ PLA."m [NOINEER NO. �y OKI-RACK LIN[ v N '6 G APPROVED TiLlv ONTRAOTOR' NO. RY DATE zoo"' tY� � oATt I /DESCRIPTION LOTN0. OLOOK TAAOT O.OF LD Hr� f o12[OFLOT NOW ONL.OT Un[OF NO.OF ol N0.OF O DESCRIPTION OF WORK m N[W ALTIRATION ADDITION > - rv•C, O 7• REPAIR MOVING D[MOLISH p Q4 FT. HO.OF BIZ[ Q ROOM2 fTORIp WALL ROOP OOVEIRIN GGO OOV[RINO / US[OF N[W Af BUILDING t ac3S' FD 1 H[RIKY AOKNOWLEDLI[ THAT 1 HAV[ READ THINI APPROVALXAl-PU12ATION AND RAT[ THAT TH[ ADWE 1■ BDRREOT AHD AOR[E TD OOMPLY WITH ALL COUNTY ORDINANOpFOU �MAIONW TERIALS /NJ T - A/ AND N'TAT[ LAWS RMUL AT ■UILDINO OONNTRUOT10N. M[1 FIRE KTOP16 o1L1NATURZ OF/ / ■RAOIN0 00LT1 P[RMITTI �✓ LATH. INT. AUTHORIZED ALIT LATH, EXT. 7&AA3QA-3 sio }�$ p.0.• PLAlT[R.INT. i FE[ PLALT[R,ExT. y VALUATION r~' FINAL ^ f :APPLICATI-OMFOR BUILDING PERMIT FOR APPLICANT TO FILL IN ADDS BUILDING- % ADDRESS LOCALTY l � N EARBT QTY L PS ST. OF BLDGS ASSESSOR SIZE OF LOT '1 WON LOT' MAP BOOK PAGE PARCEL DISTRI GROUPTYPE FIRE PROCESSED BY TRACT BLOCK LOT NO. r CONST. ZONE lirNNA :z OWNER hh p' TEL TISTI CLASSIFCATIONSEW R MAP ADDRESS l CLASS NO. DWELL UNITS BK PG QTY ZIP USE ZONE MAP ARCHITECT O TB,. je— NO. 2� ENGINEER NO. SPEQAL CON DTII ONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO — TEL CONTRACTOR NO. BLDG.SETBACK FROM LIC FRONT PROP.LINE OF ADDRESS NO. TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY +. YARD FRONT PROP.UNE- HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER + �� a NAME AND BRANCH BLDG.SETBACK FROM 0 ADDRESS UTY SIDE PROP.LINE OF (STREET) O 50.FT NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING Y� SIZE STORIES FAMILIES ONE1 7- SIDE PROP.LINE' HIGHWAY WIDTH a DESCRIPTKNJ OF WORK NEW ADD CORN CUTOFF YES ❑ NO ❑ ALTER IN OPIENY6 YES ❑ NO ❑ REPAIR USE OF DEAhOL IN TAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. �( APPLEt7oeQ.v�lcjkNT No. T�Z.s �9 GS /7JjQ �.L BY(SIGNATURE) �/ y I HEREBY AOQJOWLEDCE THAT I HAVE READ THIS APPLICATK)N AND STATE THAT THE ABOVE IS CORRECT AND ACS TO COMPLY WITH All ORDRNAbKES AND LAWS REG TNG BULDING CONt5FRUC)ON.1 CERTIFY THAT N DOING THE WORK AUTHORIZED HBZEBY 1 WILL NOT EMPLOY ANY PERSON IN V OLATK1 N Of THE LABQR CODE OF THE STATE Of CALIFORNIA IN RELATING TO WRKM OE?J'S COM- Z - I I NSURANCE- SIGNATURE OF FINAL 9 BY PERMITTEE DATE ADDRESS /y R TEL P.C. Fee$ J Permlt Fee QTY NO. _ Issuance Fee VALUATION$ t+] Total Fg. Cn0 PLAN CHECK VALIDATION M.O. CIVU ASH _ PERT,VALIDATION M.o. CASH 1 2-3 NHAR 17 23 D b 9.7' 5 ,&--,:-. 1 2 .4 ^1fVt 17 1 'D 5 4% 7eAE3ee CK f9O"6176 - % A, —