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HomeMy Public PortalAbout5752 CAMELLIA AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING J COUNTY OF LOS ANGELES ADDRESS 5- - /1.' C µ 1.L1 DEPARTMENT OF COUNTY ENGINEER CITY zip BUILDING AND SAFETY DIVISION NO.OF SIZE OF LOT NOW ON LOTS. BUILDING �— ADDRESS 57 SZ1111"'- v Y TRACT X76 BLOCK LOT NO /r7 LOCALITY . NEAREST OWNER ,�%/ `JG' O. ��'�-/�� CROSS ST. 1AA rASSESSOR ADDRESS �^ / MAP BOOK PAGE PARCEL CITY �2 / DISTRICT GROUP TYPE FIRE PROC SSED /-0 ��l r� ZIP F� ©� CONST./ ZOIE r ARCHITECT OR TEL. a i V ENGINEER 44al*s2, NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL.UNITS L BK11,5, CONTRACTOR ��ftr__ TE0L. USE ZONE MAP � q LIC. /rn NO. L� ADDRESS NO. "�, SPECIAL LIC. 00 CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY HIGHWAY + YARD 'TOTAL SE CK FROM TY OF EXISTING SQ. FT� N0. OF NO. OF CHECK FRON P P. LINE GHWAY WIDTH SIZE Z,3 STORIES / FAMILIES ONE } + = c- DESCRIPTION OF WORK NEW ❑ U / ADD BLDG.SETBACK FROM (STREET) CC SIDE PROP.LINE OF O ALTER ❑ I- - TOTAL SETS CK OM ,TY E%I HIGHWAY + YARD - PE OF STING CU N HIGHWAY WIDTH W SIDE O E REPAIR❑ d USE OF + = h EXISTING BLDG. DEMOL ❑ Z APPLICANT jam, /��. /' - `/�(,Y'L /Y`C� ,',7� CORNE CUTOFF YES ❑ NO ❑ (PR NT) (�,/�j�(/ BY (SIGNATURE) ,�� _/� IN OPEN SPACE YES ❑ NO ❑ /!YJ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION gooa I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- S TRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPE NS N INSU NCE. SIGNATURE OF PERMITTEE ADDRESS CITY �`l TEL. v. -'�-�FINAL ZO-97 BY NO. ��� DATE HAKE CHEC P:1}-A13LE '10: P. PMT„ FEE FEE HARVEY T. BRANDT, COUNTY ENGINEER (�:7 PLAN'CHECK VALIDATION CK. , MO CASH , PERMIT VALIDATIO CK. ­m.o. CASH a t 7f"AUG s 1 © 62.25 • 76A888A CE7t803 5174 A 76AB38A Cy*803 j. APPLICATION FOR I§UILDING PERMIT COUNTY OF LOS ANGELES BUILDING I DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISTRIC NO. GROUP TYPE P C SED BY FOR APPLICANT TO FILL IN CONS.l BUILDING STATISTICAL CLASSIFICATION SER MAP ADDRESS CLASS NO. WELL UNITS B 1----PG LOT NO. r/s� L CK USE ZfNEMAP c7( a NO. TRACT NOOF BLDOS. SPECIAL 1 CONDITIONS . SIZE OF LOT NOW ON LOT USE OF EX'ST' IN L4etfo. SETBACK FROM �E TEL FRONT PROP. LINE OF (STREET) OWNER NO' TYPE OF EXISTING SETBACK HIGHWAY �' YARD = TOTAL ADDRESS HIGHWAY WIDTHFROM C.L. CITY ARCHI E _ TEL BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD- = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. d = CONTRACTOR NO EL. + 0 V ADDRESS LIC CORNER CUTOFF YES NO NO O CITY CIL SEE REVERSE SIDE FOR SPECIAL APPROVALS u D CRIPTION OF WORK a NEW ADD I ALTER REPAIR DEMOLISH -- S Q"FT. - N O. O F N O. O F I^�• ', 0. SIZE STORIES FAMILIFS n USE OF STRUCTURE SIGNATURE OF APPLICANT f VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATU E P.C. PMT. �" FOUNDATION, LOCATION FEE$ FEE$ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT 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. I TION OF THE LABOR COD- F THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C0O N THE INSUR E. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- - PERMITTEE RECT AND POSTED ADDRESS FI NAL ' ";; ✓1 JOHN F. LEWIS, PRINCIPAL STRUCTURAL EP.A.H PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O2 5 3 0'� JUN 1 1 1 D