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HomeMy Public PortalAbout5918 CAMELLIA AVE_Building__ f} Host l✓�S7'�Rt`/ �9F7-, 76AG30A ato=I]-" APPLICATION FOR BUILDINg PERMIT COUNTY OF LOS ANGELES BL,'ILDING l DEPARTMENT OF COUNTY ENGINE®. ADDRHBH BMDING AND SAFETY DIVISION L�.LLJ JOHN A.LAMBIE,COUNTY-EN¢INIIR NeARBST CA WATT.D.GRIFFIN fury of BM jmo 13S.TR1 G P .TYPE BKW MAP FOR.APPLICAM TO FILL IN.. CON auiLbimG J ADDRESS' STAT78T1CAL IP'ICATION CLAASS.N NIT LAT NO. _ I SL40CK �hpPATS YES 60 TRACT - ih NLIFIBER -bo 7HWY. us t ZONE SPEC NOB GH. / CONDIT N6 >:L. " 917N OF D NOW ONdN-LLOT USE OF E416TINOBU'LDING YARD HWY STREErf NAME EXIST' OWNER SETBACK W I DTH F ONT ri P.L' ADDRESS 'd HIDE TEL P.L 7����p ARCAITECTOR TEL. R;SM 'a`ON SECOND ENGIN R NO. CONTRACTOR NO. Apprtm _ d z y DESC=ON OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. NO.OF NO.OF i/ P y SIZE STORIED FAMILIES T . USE OF I P f N 7, SIGNATURE OF AFPROVAL6 ��� APPLICANT { - DATE INSPECT0$'3 SIQP ATU AD REBS FO NDATIONi LOCATION \ 14'j h @FORMS.MATERIALS O Q O �. P•C- III FRAMEi FIRE STOPS. a BRACING.BOLTS 1 VALUATION r S RNACEz LOCATION. E GAS VENT DUCTS I HERESY AQ]KNOWLIEDGE-.THAT 1 HAVE READ THIS AP- LATH INT. •PLICATION AND STATE THAT TH¢ABOVE IS CORRECT AND _ 1 AGREE TQ QOMPLY WITH COUNTY ORDINANCES AND - STATE LAWS U TSN BUI IN CONSTRUCTION LATH �T• SI¢NATURE OF HgqII,,JIHE NUMBER COR- Pff" Ft$CT AND POSTI D CLYDE N.DIRLAM PRLNCIPAL STRU ENGINEER NAA CE=VALED TMN M.O_ CASH }_ PEEN VALW=ON M.O. -.CASH 46 A mF -43-504 x { ��.�• APPLICATION FOR' BUILDING PERMIT 1 COUNTY OF LOS ANGELES 'Pu 9 DEPARTMENT OF COUNTY ENGINEER BUIWING` AND SAFETY DM3ION LOCALITY JOHN A.LAMBIE,COUNTY ENGIN®t NtARRST CASSATT D.GRJFMN,gur-r Or Du1LD1►IQ CROUS OT, 41 -5 DIS NO. I OR TYPE �Y FOR APPLICANT TO FILL IN CONST. BUILDITIO , STATISTICAL IP'ICATION '8 ER MAP E ADDRSS K PO SS NO-2UNIT LOT NO. BLOCK. MAP - _ STATE YES NUMBER HWY. TRACT U E ZO E ' SPECIAL - NO.OF BLIDOB. CONDITIONS SIZE OF LOT' D NOW ON LOT USE OF ��✓ I INQ Y HWY STREET NAME EXIST. _ H BACK WIDTH OWN" ri NT -MAIL `P. L ADDRESS QOp Q _ RIPE ARCHITECTOR TEL- -ENGINEER EL INSPF+CTION RECbH.D ENGINEER NO. ADDRESS i TE L CONTRACTOR NO. Af4q5311 I; !3— - DF$CRIPTION OF WORE ADD ALTER rnabAlR DEMOLISH NO.OF NO.OF SIZE STORIES FAML1ES BE,OF ST141JCTURI dq M,GNATLIM OF APPROVALB APPL1 CAN-. " DATE 1I19PE R'H 81GKATURE ADDRESS J FOUNDATIONi LOCATION FORM MATERIAL% s ©O P.C. f PRAMEz FIRE 8TOM FKX BRACIN BOLTS . VALUATION �' j FURNAGE� LOCATION. GAH V"F r DUCTS -I HEREBY ACKNOWl-RDOE TIJAT 1 HA READ THIS AP- LA INT. PLICATION AND STATE THAT THIS A I MI CORRECT AND �p AGREE TO COMPLY WITH ALL COWNTY ORDINANCE AND LA E7(T. 2Y 0 lT d' STATE ITAVYIi L'. NO UI ING lr7DNSTRUCTION. SIGNATURE OF OUSE NUMBER COR- PERMI RECT AND POSTED ADDFtKg a FINA —I s CLYDE N.Di LAM, PRINCIPAL RAL"ENOINEE]t X"CM=VLLtDMWZ me hLO. CASH PEMM O ON c m.o. tAstt LACo6923ER NOV 24- 1.A- 9.00 r . yOA"SA CE 0E03 4/70 APPLICATION FOR BUILDING ERMIT COUNTY OF Y.OS ANGELES _ASSESSOR DEPARTMENT OF COUNTY ENGMIEER MAP BOOK PAGE PARCEL BUaDING AND SAFETY DIVISION BbILDING ADDRESS JOHN A. LAM■IE, COUNTY ENGINEER COLEMAN W. JENKINS, ISUF'T OF EIUILDING LOCALITY OR L F N rNEIAREST SSST. ICT N G TYPE R BUILDING �lT�dCONST.ADDRESSTISTICAL CLASSIFICATI N 3 E MAP LOT NO. BLOCK L 435 NO DWELL,UNITS B TRACT USE ZONE MAP NO.OF BLDGS. I NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG, TEL OWNER G of t NO. BLDG.SETBACK FROM ADDRESS � FRONT PROP.LINE OF (STREET) -TYPE OF B(ISTIHG SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + _ ENGINEER NO. BLDG.SETBACK F ADDRESS SIDE PROP.LINE OF (STREET) J TEL TYPE OF ISTLHG SETBACK HIGHWAY YARD = TOTAL CONTRACTOR •� NO. t6 HIGHWAY WIDTH FROM C.L. ADDRESS 6 /v k(,� NO + 8 LIC. CITY �L CLASS CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE ALTER ❑ REPAIR❑ SIGNATURE OF APPLICANT DEMOL ❑ VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT, FOUNDATION: LOCATION FEE ! FSE Sf FORMS MATERIALS AME: FIRE STOPS, I H[R[EY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 12 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS IRKGULATING BUILDING COM- GAS VENT, DUCTS 1TRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HERESY 1 WILL HOT [MFLOY AMY F[RSON IN VIOLATIOR OF THE LATH, INT. LABOR CODE OF THE STAT[ 0 •CA NIA IN RELATING TO WORKMFK'S COMFENSAT INS NC LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL / L 7 JOHN F. �L�E�WIS.. PRINCIPAL STRUCTURAL ENO PLAN a, VALIDATION CK. M.O. GPE SH _ RNU VALMAION CK. M.O. 79AGO AC=a0314-x1 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF IAS ANGELES BUILDING f C DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFE7Y DIVISION LOCALITY ) ' JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN wu T or SUILmme C V Ift 1S FOR APPLICANT TO FR•T• IN DISTRICT NO. GROUP TYPE SEWER MAP CON ADDR]BUILESS S. ADDRESS STATISTICAL CLAHSIFICATION CLASS.NO UNIT LAT N0. DLOC7C MAP STATE NUMBER HWY. YES O TRACT USE ZONE SPECIAL • 1NO.OF BLDGB. CONDITIONS SIZE OF LAT NOW ON LOT USE OF, B SETBACK Al T' K EQ WIDTH YARD HWY STREET NAM B SET . OWNER FRONT MAIL, P.L' ADDRESS Ib0 r Y1+e, BIDE[ NEL P.L ARCHITECT OR TEL INSPECTION RECORD ENGINEER NO. DD TEL CONTRACTOR NO. DR � - DFSCMMON OF WORK NEW ADD ALTER REPAIR DEMOLISH BQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE / 02o)-4 8IG►dATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATIONS LOCATION FORMS,MATERIAL.9 S `00 Fl! C f �� FRAME FIRE STOPS. •d BRACING.BOLTS VALUATION i ` FURNACES LOCATION, GAS VENT,DUCTS 1 HERELBY ACKNOWLEDGE THAT 1 HAVE READTHIS AP- LATH INT PLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RE LA NG UILDING CONSTRUCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMI RECT AND POSTED ADDRESS2 l FINAL l�"•'•�,�• CM��"-'L tS.• ' CLYDE N.DIRLAM PRINCIPAL STRUCTURAL ENGLbtffXR PLAY Cm=VA LD TIOY CX hLo. CASH PE KIT VALIDATION cx. ".o. 3 1 9 3 0 ,m 2.5 1 'A 2.00 m. WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT Insure, or a certificate of Workers:Compensatloo Insurance, or a certlfled copy thereof (Sec'3BDD, Lab. C.) - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING IL"JI Certified copy Is hereby fvmished. FOR APPLICANT TO FILL IN ADDRESS ADDRESS e - Certffled copy Is filed with the county building Ihspec- BIJILbING / tion department. ADDRESS LOCALITY NEAREST Date App IIcpnt &12�' CrrY. / Z.1P CROSS ST. - CERTIFICATE Of`"EXEMPTION FROM WORKERS' NO. OF BLDG& ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCH - (Thb section need not be colsleted if the permit Is for one - USE ZONE MAP -7 hundred dollars ($100)or less. TRACT BLOCK LOT NO. NO. I certify that'In the performance of the work for which this �' �'�-TEL' SPECLAL RKS d permltis Issued, I shall apT employ any person In arty manner - Q15TRfCT (,ROUP ' TYPE FIRE BY so as to become subject to the Workers Compensation Laws. ADDRESS CONS � Z _ FY CITY Date Applicant ECT OR ZIPTELG, ATISTIL CLASSIF r DO. F+ NOTICE TO APPLICANT: ff, after making this Cerfiflcate of ARCH ITE -�f V Exemption, you should become subject tq the Workers NEER NO. CLASS No. Dom- UNITS a Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER Mo P to with comply with such provltlona or this permit shall be Z deemed revoked. PG PG; VALIDAMN LICENSED CONTRACTORS DECLARATION ltC I hereby affirm that I am Ilceraed Under provlslons of Chapter 4 ADDRESS NO. VAUJ T}ON (comm rxl wtiJh Section 7000)of Dhrtsloh Tof the Bushes and LJG Professions Code, and my license Is In full force and effect. CTTY / CLASS i L,c:Class (57 SFT. �°S NO. � — bNE .. . License Number nn _ NEW ControctrYliJy/-�9['pi� z gw DESCRIPTION Of=WORK ADO I am exempt onder Se c ALTER ❑ A NAIL &3P.0 for this reason DATE REPAIR S7 r; USE OF EXISTING BLDG. FINAL o►" S l a asci, APPLICANT TE1 OWNER-81JILDE14DECLARATION I NO. I hereby affirm that I am exempt from the Conirgctor's License Ldw for the following reason (Section 7031.5, Busines and Profeslons Code): BUILDING I, as owner of the 'property, or my employees with ADDRESS wages as their sole compensation,will do the work and PNG -41 ¢ 3'8 A the structure Is not Intended or offered for sale(Section 7044, Business and Profealona Code). TEL ,# o • ❑ 1, as owner of the{property, am exclusively contracting RACTOR NO. r with licensed contractors to Construct the project(Sec- Q'o.0 3 2;5 0 tion 7044, Business and Profesalons Code) ADDRESSti CONSTRUCTION LENDING AGENCY REQUIRED Y'� H T�PROP. U WID I , SETBACK PROM 32'50 I hereby affirm ifxit them Ira Cortsiructlon lending.agency for .0602,-8 , the performance of the work for which this.permit Is Issued js.c. 3097, CIV. C_�Lnder's Name Psrinit Fee - . Lender's Address I certify that I have reod this application and state that the Inuarc*Fee above Information Is correct. I agree to comply wtt'Kall County Investigation Fes ,►. ordinances and $tate laws relating to building construction, Total Fee and hereby authorize vee of this County to enter u bove mentioned for Ir*pectlohpUrp SM MV111111611111 POt DQLANATORYLANGUAGN SFgoaturs of App4mryt or Agent