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HomeMy Public PortalAbout5309 CAMELLIA AVE_Building__I I 76A638A,,,'.E#803864 APPLICATION FOR BUILD G PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINUR ADDRESS S BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISTRICT NO GROU TYPE FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL SSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL UNITS BK PG LOT NO. BLOCK USE ZONEMAP NO. TRACT 177XQ SPECIAL NO. OF SLOGS. CONDITIONS SIZE OF LOT p NOW ON LOT USE OF EXI TIN BLDG. SETBACK FROM - / T .L ySr FRONT PROP. LINE OR (STREET) OWNE _ O. O J TYPE OF EXISTING I SETBACK HIGHWAY + YARD = TOTAL ADDRES © HIGHWAY WIDTH FROM C.L. CITY BLDG. SET ACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBM ACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROC.L. d TEL. + = O CONTRACTOR NO V LIC CORNER CUTOFF YES NO Ce O ADDRESS NO cl Y LL SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK / a N Z NEW ADD TER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF CIL STRUCTURE( Ir SIGNAT R OF APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION FE FEE$ FORMS, MATERIALS FRAME, FIRE STOPS, - . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS / /� � *0r AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING 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 COM ENSATION INSUR CE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTE ADDRESS IFI NAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CABH _.;�O APPLICATION FOR BUILDING PERMIT FOR AP LICANT TO FILL IN (Print or type only) BUIL�ING COUNTY OF LOS ANGELES AD�REss DEPARTME T OF COUNTY ENGINED{ CITY ZIP j d - BUILDING AND SAFETY DIVISION ,/ NO.OF BLDGS. BUILDING SIZE OF LOTox j NOW ON LOT ADORESy TRACT //) Q BLOCK I LOT NO LOCALITY TEL NEAREST .OWNE NO.• CROSS ST. ASSESSOR ADDRESS 'yd MAP BOOK PAGE PARCEL ,yd DISTRICT GROUP TYPE FIRE zx CITY ZIP 1% O� O� x'77 CONST ZONE ARCHITECT OR TEL ( L!/.� ENGINEER N0. STATISTICAL CLASSIFICATION 5E ER MAP ADDRESS CLASS NO.2 I DWELL,UNITS BK4-3PG CONTRACTOR /•_ TEL. USE ZONE MAP n^/ LIC. NO. ?10 - ADDRESS NO SPECIAL LIC, CONDI TIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM O ADDRESS CITY FRONT PROP.LI NE OF (STREET) C� SQ. FT NO. OF NO. OF CHECK HIGHWAY } YARD = T AL SETBACK FROM TYPE VOF EXISTING OC SIZE 9`f.�r STORIES FAMILIES ONE FRONT PROP, LINE DES-CRIPTION OF WORK - NEW i / N ���' DD ❑ SI PIfOP,D AFROM (STREET) SIDE P OP, LA OF ALTER ❑ TOTAL SETBACK FR C -HIGHWAY } RD = PE OF EXISTING EPAIR❑ SIDE PROP. LINE HFWWAYI WIDTH USE OF } _ EXISTING BLDG, DEMOL ❑ APPLICANT STEL R ER C TOFF YES ❑ NO ❑ (BRINY) t�10. •'� BY (SIGNATURE) IN 04-N SPACE YES ❑ NO ,01 iIN COASTAL ZONE YE3 NO ❑ VALUATION / - - CATEGORICAL EXEMPTION YES❑ NO Q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED 'IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO r' +J� WORXM E N'3 COMPENSATION INI URAN �/CE. / SIGNATURE OF PERMITTEE ADDRESS / FINAL ({ �� ( CITY�c ,A NOL DATE �/O n 41$ ?v RMT.t MAKE CHECKS PAYABLE TO: FEE FEE 'Y HARVEY T. BRANDT. COUNTY ENGINEER , 00 f OO PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. UBH 3 ,0 Tc'Z'W1 ifl 2 3 0 9.0 0 76A89BA CENBOD 7/79 �� 8N 1.0 1• D 1 5.0 0 A98 TMENT OF BUILDING ANDS� APPLICATION FOR PERMIT l � -tOT�P ff OF.LOS ANGELES J t r 2 9 ` wm. J. FO CHAP ENDINEoe B U I L D I N G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ■UILDINO - F`I DIOTR IOT NO. I■LAN OK.NO, PERMIT NO. ADDR[eo ��/ LOOALITY .4 [O[IV[D SY DATE OF APPL DATE IMU[D/, OPPIL0 ET OWNER ADDRES'S O 1 MAIL LOCALITY Jr, ADDRd —N Karr TIL CROSSI STCITY Ali . (.1 FIR[ NO.OF SROUPT ARCHITiCT OR TEL. ZONE PLANE [NUINEER NO. ■LDC.ADDRIONO oETRACK LIN[ 'L APPROVED .�- / TSL eY DATE C O NT RACT OIZ O. W[ APPROVED D ZOH[ fY D TI ,' LEUAL 2-d CORRECTIONS l.yr DMea:1 TION LCT Na ■LOOK / TRACT l ND.DF el�ae. ■IZi OF LOT Ue[OF �^ NO .•- .OF NO.OF DESCRIPTION OF WORK f NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH4 4q.FT. D NO.OF }� 71Z= ROOMS ST13RICE ,4� �, Z- WALL ROOF OOVERINO OOVERIND 60,41 UOE OF N[W ■UILDINO 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ]PLASTER, APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORFOUNDATIONI LOCATION AND AOREE TO COMPLY WITH ALL COUNTY ORDINAFORMS,MATERIALS- 1 R DATE AND STATE LA REGULATING ■UILDINC CONSTRUC �J FRAME. FIR[STOPS, ■IONATURE OF I[ BRACING BOLTS PERMITTI i - LATH,IHT.1 _ AUTHORIZI�D LATH,[XT.1 Du-a as Srre 7-47 J�� a v P.C.0 INT. 4 FEE ' PLASTER,EXT. VALUATION FEE, FINAL _ - ,1