HomeMy Public PortalAbout5813 CAMELLIA AVE_Building__ TEMPLE CIT' '
7GA630A CE 1/667. 1-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDIGADDRESSA C
DEPARTMENT OF COUNTY ENGINEER --�/ -
BUILDING AND SAFETY DIVISION LOCALITY! !
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISI I NO GROUP TYPE _ P C S Y
FOR APPLICANT TO FILL IN F �) -7: CONST'. - �i� _2
ADD EISS NG r SCLASS,NOLCLASSIFICATION I SEWER MAPPG
L DWELL.UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
TRACT CERTIFICATE:
IQ Li
NO.OF BLDGS. r NOP ({CGIRCLE)HWAY STATE MAJOR SECOND, LOCAL
SIZE OF LOT- X J NOW ON LOT ` �C� USE ZONE SPECIAL
USE OF - CONDITIONS
EXISTING BLDG.
r/ TEL.
OWNE G 1 '� a NO. BUILDI GEXIST.
YARD STREET NAME
ADDRESSS_ I -C 441A SETBACK �J�� DTH
ARCHITECT OR TEL. FP.L.
r✓✓ r ' C�
ENGINEER NO. SIDE
P.L.
ADDRESS
TEL. INSPECTION RECORD 0
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CONTRACTOR NO. V
ADDRESS
DESCRIPTION OF WORK
W
a
NEW ADD ALTER REPAIR DEMOLISH N
SQ.FT. NO.OF NO.OF ?
IZE STORIES FAMILIES
USE OF
STRUCTURE -C,L l.t
ed L
SIGNATURE OF
APPLICANT -
VALUATION$ �.—
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. -`5 FOUNDATION: LOCATION
FEE FEE $ "'� FORMS,MATERIALS
FRAME:FIRE STOPS,
1HEREBY 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 SURA
w LATH,EXT.
SIGNATURE O HOUSE NUMBER COR-
PERM ITT 66A14 RECT AND POSTED
ADDR FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E R
LAN CK VALIDATION CK. M.O. CASH PERIVIIT VALIDATION CK. M.O. CASH
P"o ' 4 9 ? SEP 12 - 3.00
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Temple City
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7dA638ACeGsv21 1-6,4jWLICATION FOR BUILDING PERM[T
COUNTY OF LOS ANGELES D U I L D I N O
DEPARTMENT OF COUNTY ENGINEER A D.....
BUIMING AND SAFETY DIVISION L O C A L I T Y
JOHN A, LAMBIE. C.ouNry ENa1NEER NEAREST
COLEMAN-W. JENKINS•tUN'T OF tUILD1NG CRO[[ ►T.
DISFLPT O Q TYPE
FOR APPLICANT TO FILL IN CONST.
'BUILDING STATISTICAL IFICATrON ! ER AF
ADDNSHIf CLASS NO. jo DWELL UNIT[ SK PO
LOT NO. BLOCK USE ZONE MAF ).15i.,
TRACT nPECIAL - - .
RO. OF■LDGS. r - - - - -
SIZE OF LOT ROW OK LOT USE OF
EXISTING BLDG. 'LDG.J[JIA C['FaOM
TEL. PIIOP. LINK OF i (StA[rt)
N Her _
EYP[ OP IRS SETBACK 71
� rY. YAllb — TOTAL
ADDRESS 58113 :N, Camel l is Av.e C'L.
CITYop] '- - - _ `'�_,. ,}, +:,- - —.�•
■LDS. G[TSACX FROM
RC EC EL. SID[ PROF. LIIGL OF lT
ENGf QR NO.
TYPE OF tEXINTING GETSACE •Ila 'A ARD — -TOTAL
ADDRESS
FIlei Y I!i TM k110M t.L.
REL. + — +
C N T R A C T C .,E
o
XbDUSS- 524 , Val7 O-
eNf CORN" CUTOFF :'1-14YES NO
CITY qan rAhripl raj CLASS
L -$ E REVERSE"4DE FOR'.tECIAL APPROVALS
DESCRIPTIOid OF WORK r -
NEW ADD ALTER RK4AR DEMOLISH
S4 FT. NO. OF NO. OF —
SIZE STORIES FAMILIES
USE OF
STRUCTURE '
SIGNATURE OF `t
APPLICANT „
VALUATION a 539- 0 •00 APPROVALS bATE 1.. IK&MCT011'S4I4KATUR[ -
P.C. PMT. FOUNDATION, LOCATION
FEQ S FEL• 9 ,00FORME MATERIALS
R Q, FIRE 1T0 S, -
I H [ RD P'L1
EROY ACKNOWLEDGE THAT I HAVEATHIL APCAT10N f RAC,NG
AND STATE THAT THE AROVIE I* CORRECT AND AORGY.TO COMPLY' FURN CQI LOCATION
S•
WITH ALL COUNTORDINANCES AND STAT[ LACKS REGULATING G
WILDS NO CONSTIIUCTION, I CERTIFY THAT IN DOING THE WORK _
AVI110111tILED HERESY I WILL Nor ANY PERGOLA IN VIOLA-
BATH. INT.
TON 4F TH[ LAaOR C [ T[ OF CALIFORN UI RELAX, .
ING TO woRKM[N G I u LATH. EXT.
SIONATU ROUSE NUMB" CON-
PERMITTER
ApDREbt . 529 F _ y�1 lPv�, �lfL��hr1e FI NAS
JOHN F. LEWIS. PRI CIPAL STFR:L.
F-NGINEER
PIAN CBCT VALIDATION cK. Mf D. cmw _ PEEK T VALIDATION CASH
2,7
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