HomeMy Public PortalAbout5828 CAMELLIA AVE_Building__ 76A 38ACE8031-62 APPLICATION FOR BUILDING
.� L N G PERMIT
COUNTY OF LOS ANGELES BUILDING ��
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT of BUILDING CROSS ST.
DISTRICT GRO P TYPE P OCE D Y
FOR APPLICANT TO FILL IN coNs .
NO
ADDREISS 2, �t�,/P• /1 STATISTICAL CLASSIFICATION SEBWER MAP
y ` CLASS. NO.–,F—DWELL. UNITSL,
LOT NO. d7 BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT MAP NO. O HIGHWAY
NO.OF S CIIRCLE) STATE MAJOR SECOND, OCAL
SIZE OF LOTH NOW ON LOT
USE ZONE SPECIAL
USE OF /a CONDITIONS
EXISTING BLDG. �1
TEL.
OWNER A. �' NO. BUIL ING EXIST.
YARD HWY STREET NAME
SETBACK W DTH
ADDRESS C C,GI,4 �Ir FRONT .2/til
ARCHITECT OR TEL. P. L. CJ'
AV, 6o
ENGINEER NO. SIDE
P. L.
ADDRESS O.
CONTRACTO CQ/V' \G N O/+�3J��1_�d ( Y 4
ADDRESS ! QLD CLtx+-4oR.4 .. - O
DESCRIPTION OF WORK ) u
NEW AD S ALTER REPAIR DEMOLISH - Z
SQ. FT. NO. OF NO. OF
SIZE STORIES / FAMILIES
USE OF
STRUCTURE CJ Z(X�•Q/
i
SIQNATUREOF
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE.$��'� FEE $ r O FORMS, MATERIALS f "
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLT$
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABO ODE OF THE STAT F CALIF RNIA RELAT-
ING TO WORKME C P SAT ON U CE. LATH. EXT.
SIGNATURE F' HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL /rJ 7'.1/
JOHN F. LEWIS, PRI' CIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION .K. '' M.O. CASH
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76AB38A CE0803 8.63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADOREss
BUILDING AND SAFETY DIVISION LOCALITY A i
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. _
DIST�,tICZ"N O. GROUP TYPE �._ ,Pf�OCESSED BY
FOR APPLICANT TO FILL IN �y� '�' coNsr.
BUILDING v C/!�., `� AveTATISTICAL CLASSIFICATION S WER MAP
ADDRESS Sg.�'$" l.�/�'/V1 krJ./p v(" -- BK PG
CLASS. NO.----/—DWELL. UNITS ,/i' (.
LOT NO. S BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT �. NAOP.�_- �. /� �'-" HIGHWAY STATE MAJOR SECOND,_(OCA
,/ NO. OF BLDGS. L (cIRCLE7
SIZE OF LOT JD )CI J NOW ON LOT ,z U ONE SPECIAL `
S
CONDITION
USE OF JJ � _
EXISTING BLDG. 'J' P V.- -� ��• a �,
OWNER !T �/ fi7N NO /'�l �_ ��
BUILDING YARD HW STR ET NAME EXI T.
^/ /� � /+ SETBACK WIDTH
ADDRESS Ha - �/" FRONT
ARCHITECT OR TEL. P. L. E C
ENGINEER NO. SIDE
P. L.
ADDRESSEL
CL
CONTRACTOR LkP/_ �t/f NO.� _r'ii - V
ADDRESS ,,?7 ll CC
DESCRIivriON OF WORK " "
) f `w
ADD ALTER REPAIR DEMOLISH
SQ. FT. `r s NO. OF NO. OF / F a z
SIZE 3 STORIES FAMILIES
USE OF �
STRUCTURE . 911 100
1124-1,
SIGNATURE OF
APPLICANT
VALUATION $ j. �'l� �} (1� �'j �- c
APPROVALS DATE INSPECTO 'S SIGNATURE
P.C. -1 PMT. -� FOUNDATION: LOCATION [ -
FEE FEE $_ "�i' FORMS, MATERIALS (!
FRAME: FIRE STOPS, #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL 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 CO EN SATION I URAN E. LATH. EXT. -
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE lll...t.../ a if RECT AND POSTED
ADDRESS 7v / FINAL -
JOHN F. LEWIS. PRINCIPAL SORAL ENGINEER '
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH
L-L,o 0 5 40%'-o JUNI 2 6 2 3 D 1 2.7 5 •
yAl- 0737 AL 1 1 D 255.50- a
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