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HomeMy Public PortalAbout5220 CAMELLIA AVE_Building__ •78A61EA CE*11103 D-87 APPLICATIOi l FOR 1BUILDf G PERM COUNTY OF LOS AN=ES ulLorNa � O . I.?EPARTMFNT OF COUNTY ENGINM DDR BUIWING AND SAFETY DIVISION LOCALITY JOHN A. LAM91 E, COUNTY ENGINEER N COLEMAN W. JENKINS, SUP-T OF EARP$TCROSS BUILDING SARI ST. R AP F IN DISTRICT NO. OR TYPE MP B (Print or • onl c CONST. BUILDING STATISTICAL C FICAT-ION SEWER µAP ADDRESS CLASS F DWELL,UNITS SK PG LOT NO. BLOCK ZONE MAP NO. TRACT SPECIAL NO.OF BLDGS. CONPITIONS SIZE OF LOT NOW ON LOT E O XISTINO BLDG, BLDG.SETBACK FROM TEL / ! FRONT PROP,LINE OF (STREET) QWNER NO. GSS TYPE OF MUSTING SeTEACK HIOMMAY + YARD' – TOTAL IGHWAY WIDTH FROM C.L A D DR ESS �Z2.2 C) CITY ARG ECT.OR TEL. §IDE P O�aL�EO OM (STREET) ENGINEER NO. �T� OF STING BET BACK HIGHWAY + YARD = TOTAL A�JPRESS HIGHWAY WFDTH FROM C.L. CONTRACTOR } NOL O +VvC Op NO. CORNER CUTOFF YES ❑ NO E3 DDRESS CITY V. cll� SEE REVERSE SMf FOR CTA EL APPROVALS DESCRI N OF WORK � C/)NEW ADD ALTER RERAJR DEMOLISH SQ. FT. NQ. OFNO. OF SIZE STORIES FAMILIES L OFt �KATURE OF PLICANTLUATION ; d~ APPROVALS DATE IMS F[CTQR's SIGNATURE P.C. PMT. 0.w FOUNpATIONI o4- TION FEES FEE 3 FORMS MATEWAL-S FRAME: FIRE STOPS, I HEREDY ACKNOWLKDGK.THAT I HAVE.1KA9 THIs A-priLICATIOH BRACMG BOLTS AND sTATI THAT THE ABOVE Is coRR[Cr AND AOMM TO tbMPLY FURNACE: LOCAT40N, " WITHALL COUNTY ORDINANCCs 'AHD STAT[ LAWSREGULATING WLGAS VENT, DUCTS ID INO CONaTRUCTION. I CERTIFY THAT IN DOING THE WORK AV IjORIZM HERESY I WILL NOT EaI'LBY ANY FtRSON IN VIOLA- non OF THE LA10R cooE OF THE STAT[ OF CALIFORNIA R[LAT- LATH, rNT. ING TO WORKMEN'/CO SAT'— Ns LATH, EXT. SIGNATURE Q HOUSE NUMBER COR- PERMITTEE RECT AND POSTEO ADORES/ FINAL 11Q JOHN F. LEWES. PR CIALST RAL ENGINEER PLAN CCS VA=ATION. . CK cm.w _ PEWW.VALIDATION M.O. CAs+i 1 2.00,4 PZ'MENT OF BUaMING r,,N-b� O 19 4� APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' D WM. J. FOX. CHIEF ENGINE[]! FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN OK.ND. P MIT NO. ■UILDIN ADDR[S!S � �j LDCAJ-rrY AlRECEIVED KY DAATZ OF APPL DATE ISSUED N EAR EST CJ.S 5 D v- 1?— Oa ■UILDINO / OWN D! ADD RISi MAIL LODAIJTY �/T ADDRESS v�5'ZIKIP r NEAREST t I4 TEL OROeB XT i L N C-IG C1 ARCHIT[OT OR f TE0.L ZONES / PLAN■ �' TYPE ORD r [NOINE[R -� ►�--n=s N ' eLDA. � � N A D - - ■[TRACK LIN[ __ APPROVED TEL BY �' "�`"L DATE CONTRACTOR T.0. _ USE APPRw[D DR91" Qr ZONE 14 NY DAT[ LEGAL CORRECTIONS' Zp DEEORIFTION LOT NR ■LOOK �1 TRACT �k� 9 r a NO.OF ILDMIL RIZE OF LOTt!J- 68 o'a OI NOW ON LCT .C' UB[OF 0 NO.OF NO.OF I OO DESCRIPTION OF WORK NEW ALTERATION I I ADDITION O p REPAIR MOVING DEMOLISH p Bq.FT. NO.OF Z ■IZE ROOMS STCRIM > WALL yyyrrrryll� ROOF r' COV[RINA ���c.y �/iB DOV[RINO� USE OF NEW Bu ILDINO I HERCeY AOKNOWLLDO[ THAT 1 HAVE READ THIN APPROVALS APPLICATION AND CTAT[ THAT THE ADOVE 10 CORRECT FOUNDATICNI LOCATION INSPECTOR DATE AND AOR[[ TD COMPLY WITH ALL DOUNTY ORDINANCER FORMS,MAT[RIALt AND RTATE LAWS REOULATINO ■UI INC DONSTIlUOTION. A n ! FRAMEs SRADIN IaSOLTO SIGNATURE OF G PERMITT[ f�ZLLATH, INT.I i AUTHORIZED AAT �/' LATH,IXT.i DMB-3 sari erre 1-4a -yJ O P.O.8 PLAST KR,INT. FEE P LAST E a.IXT. • VALUATION FEE FINAL Y I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK. NO. �RMIT NO. d!! ADDRESS LOCALITY / - RECEIVF�D. DATE OF A DATSUED NEAREST CROSS ST. BUILDING / ADDRESS OWNER MAIL ' LOCALITY ADDRESS Q �,.�, - � ��<<' r:. (' NEAREST TEL.e/I, CROSS ST. d', L,,. 10 CITY e,0. C- . i'rl � NOG�4 ! FIRE NO. OFP GROUP ARCHITECT OF� TEL. ZONE PLANS ENGINEER NO. BLDG. ^Ir SETBACK LINE NO. ADDRESS APPROVED - TEL. BY I I DATE CONTRACTOR NO. USE PPROVED ZONE r Y DATE ADDRESS I 'HOUSE NUMBERING LEGALBLOCK -FIELD CH ECK BYDESCRIPTION LOTNO. MAP NUMBER TRACT Jr(�j � NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT { G NOW ON LOT KX STOING BLDG.j,j t`�jpS��p �1 F MILLIIES DESCRIPTION OF WORK NEW L_:. I ALTERATION I I ADDITION REPAIR I I DEMOLITION SQ. FT. f NO. OF D SIZE / ROOMS STORIES / Z EXT. WALL / ROOF t' .��� f COVERING L+d,GI, I COYERIN USE OF STRUCTURE Q G✓ GL_C I APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING WJILDI G CONS RUCTION. FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS PERMITTE -e �-.. LATH, INT. ADDRESS LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 7EAS28A, Desi to-bo ` P• C. It v v FEE PLASTER, EXT. VALUATION !6 11"q?FEE i FINAL �C " I