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HomeMy Public PortalAbout5945 CAMELLIA AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES B U I L D I N C3 WM. J. FOX. DHI[F KM61N[u! FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY y y ,I DIMTR10T N0. PLAN OK.NO. PERMIT NO. MUILDINM AD REM 6vlo �--e L,OOALRY (. RE DAT[OF APPL DAT[IMUED� N[ARElrT O Cl�7 _aMEN IFT, BUILDIN13 OWNER AB/7 ADDREM bMIL ADDR[M 0HKARIEWT C/''' /� /�✓� LOOALTY 4. ¢ TEL .moo Q O!•NT. /' FIR[ NO.OFT aROUr AROHITEOT OR TEL. ZONE PLANS ENUIN[[R 0.N ■LDD. RD.NO. ADDRI<M BETRAOK LIN[ ArPROV[D �1' <Y DATE OON'TRADTOR �'eI ND. . UME APPROVED D ZONE ■Y DATE AL DWORL MON LOTNO. /6 ■ OOK CORRECTIONS TRACT Y✓"( / ■IZ[OF LOT S'0 / 7,r NO OF RLDRR. `�_ NOW ON LOT +J UQ[OF NO.Or ND.OF ime Ewa, FAMIUM Rn DESCEIPTION OF WOES NEW ALTERATION ADDITION O A REPAIR MOVIN■ D[MOLIEH G EQ.FT. NO.OF Z EIZi ROOMA MI'DRI[! WALLROOF Ot' OVERINO DOV[JlIN O/7 euILDIK orNo �GI" e �Wo1 QO/!1 I H[REMY AOKNOWL[DO[ THAT I HAVE READ THIN APPROVALS r API+LIDATION AND (TATE THAT THE ABOVE IN OORR[OT. AND An RE[ TO QOMPLY WITH ALL DOUNTY ORDINANOEO FOUNDATIONI LOCATION INft[OTOR DATE FORMi,MATEIlLALJ• � AND RATE LAWN RIOULATIND ■UILDIN■DON/TRUOTION. FRAII[I FIRE RTUIN,r ■ImNATUR[OF ■RAOIN ■OLTP PERMITTE LATH,IMT.a AUTHORIZIM AJrT- �- LATH,[XT.I ooa-a 5CM4 erre 7-47 moo®, P.D.0 PLANTER,INT. FEE P L AA ER,D(T. *�J VALUATION IF= G FINAL ` DB-3 25M SETS 9-44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER NO. OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE _ r FIRE APPROVED ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE - APPROVED ., ZONE r -- BY DATE APPLICANT FILL Ill HEAVILY OUTLINED PORTION ONLY tr BUILDING 0 E NAME ADDRESS F W _ W Z ADDRESS LOCALITY F — I Z NEAREST U W CITY CROSS ST. E Q STATE TEL. - ✓:` LICENSE NO. NO. K NAME W E Z MAIL 0 NAME 3 ADDRESS , " \ U O TEL. Q ADDRESS / CITY NO. E F 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 0 CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. O LOT NO. ! �y Vr SIZE OF LOT �® Q SIGNATURE OF OWNER NO. OF BLDGS. •� Q IL BLOCKNOW ON LOT ,s„/ AUTHORIZED AGT. D LC J W TRACT (p - - CORRECTIONS D USE OF BLDGS. NOW ON LOT •.� - - DESCRIPTION OF WORK USE OF BUILDING r WARNING ! This Iruc ion maybe in violation of War Prnrlt'Ct'�i} beard e"' "- _ cautioned to comult withyour local War o ro uctior.BoardC :ice before commenc- M in'=j die work e authorized in this permit, z D NEW 4// TYPE GROUP NO. OF NO. OF ALTERATION ROOMS FAMILIES` ADDITION SIZES /'✓ 7 REPAIR STORIES MOVING WALL COVERING DEMOLISH ROOF COVERING $ P. $ FINAL APPROVAL FEE $FINSPECTOR'S //```` 1 eed VALUATION ` EE DATE w NAME W i I FOR B ILDING PERMIT �eA,eaeA cseeoa e_. APPLICATION COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A-JENSEN, SUPT OF BUILDING CROSS ST. DIET CT O RO E � P FOR APPLICANT TO FILL IN ( °NST. 4- BUILDING STATISTICAL C IFICATION SEWER MAP ADDRESS �K -- P{7 CLASS. NO. DWELL UNITS LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT MAP HIGHWAY STATE MAJOR SECON LOCAL NO.OF BLDGS. NO. (cIRCLEI SIZE OF LOT NOW ON LOT USE ZO E SPECIAL USE OF CONDITIONS EXISTING B G. TE OWNER r N BUI DING EXIST. STREET'NAME SETBACK YARD HWY WIDTH ADDRESS FRONT ARCHITECT OR TEL P. L_ ENGINEER NO. SIDE P. L. ADDRESS E ^^ O CONTRACTO O CJ �� _ / l� U ADDRESS (! DESCREMON OF WORE NEW AD ALTER REPAIR DEMOLISH // 3Q. FT. NO. OF NO. OF +� v SIZE STORIES FAMILIES USE OF STRUCTUR SIGNATURE OF APPLICANT VALUATION $ APP OVALS DATE INBPXCTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEE S d FORMS. MATERIALS FRAME: FIRE STOPS, E A I HUREDY ACKNOWLEDGE THAT I HAVREAD THIS lPLICATION SRACIN BOLTS AHD STATE THAT THE ABOVE IS CORRECT AND AG11EE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANE R C" AND STATLAWS EOULATING GAS VENT. DUCTS SUILDI NO CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORrLJM HERISY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF TH I[ LA0OR CODE OF THE STATE OF CALIFORNIA RELAT. TNG TO WOAKM W'■COM NSATION URA NCE. ATH. EXT. SIGNATURE OF OUSE NUMBER COR- , PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION cK. M.o. c"H PERMIT VALIDATION cK M.O. cv,I LALo 2.1 1 D �J 6.0 0 i DEPAR1Ivi'ENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING _ DISTRICT NO. PLAN CK. NO. PERMIT NO./ AIIR RECEIVED BY DATE OF APPL. DATE ISSUED LOCALITY e- NEAREST �'' / t✓ .. �` i.S. / CROSS ST. v�>I BUILDING ADDRESS OWNER MAIL LOCALITY ADDRESS Q/,L./ NEAREST J_ TEL. CROSS ST. CITY NO. ,Td-c- B� FIRE NO. OF ARCHITECT Ott TEL. ZONE I PLANS--- ENGINEER e-1l� NO. BLDG. / ORD. NO. SETBACK LINE _ l ADDRESS APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ZONE BY DATE ADDRESS HOUSE NUMBERING LEGAL ' DESCRIPTION I LOT NO. G j I BLOCK MAP NUMBER /-FIELD CHECK BY TRACT C J^ (�" NO. ASSIGNED BY oATF CORRECTIONS NO. OF BLDGS. �- ��. SIZE OF LOT NOW ON LOT USE OF I NO. OF / EXISTING lLDG, FAMIUF DESCRI IO OF WORK NEW I I ALTERATION I �I ADDITION O REPAIR I I DEMOLITION SQ. FT. NO. OF 41 fIZE ROOMS STORIES Z EXT. WALL ROOF D r COVERING COVERING USE OF STRUCTURE el APPROVALS INSPECTOR'S SIGNATURE DATE I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HERGON AND WITH ALL COUNTY ORDINANCES ****ND STATE BRACING, BOLTS LL LAWS REGUL,�TING ffftDING CO ST U¢TION _JJ FURNACE: LOCATION, SIGNATURE Ok GAS VENT, DUCTS PERMITTit LATH, INT. ADDRESS----V� Gf(�(/ / d- LATH, EXT. AUTHORIZED^GT. PLASTER, INT. 76Ai98A, D699 10-50 P. C. v / FEE '-- PLASTER, EXT. VALUATION '°/ o 5 1 `:--- FEE FINAL I r 76A638A CE#803 6-66 APPLICATION FOR BUILDING PERMW COUNTY OF LOS ANGELES BUILDING 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. (/(0 DISTRICT NO. GROUP TYPE PRO ESSED BY FOR APPLICANT TO FILL IN CONST-17 BUILDING �� �� STATISTIC�SSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL UNITS . HK PG LOT NO. BLOCK USE ZONE MAP �© TRACTSP SPECIAL N0. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM �J -TE FRONT PROP. LINE OF (STREET) OWNER (� NO TYPE OF I EXISTING SETBACK . HIGHWAY + YARD = TOTAL ADDRESS 0i HIGHWAY WIDTH FROM C.L 1 � + CITY BLDG. SETBACK FROM ARCHITECT OR TEL. ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY IWIDTH I FROM C.L. TEL. + = 3 CONTRACTOR NO O LIC ADDRESS NO CORNER CUTOFF YES NO U CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS 0 DESCRIPTION OF WORK v W D_ NEW ADD ALTER REPAIR DEMOLISH N SQ.FT. r NO. OF / NO. OF SIZE lJ � STORIES / FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ 'V'� APPROVALS PATIE INSPECTOR'S SIGNITWE P . PMT. FOUNDATION, LOCATION - FEE$ FEE$ •�� FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS 7i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILOING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEZ T EMPLOY ANY PERSON IN VIOLA- INT. p'xe �!'�112A_71 TION OF THE LATHE STATE OF CALIFORNIA RELAT- ING TO WORKMEONrNCE._ �,. LATH. EXT. SIGNATURE OHOUSE NUMBER COR- PERMITTEE1 RECT AND POSTED A0DRESSV L;tINA L rLl >'. 1. JOHN F. LEWIS. PRINCIPAL STRUCTURAL PLAN CHECK VALIDATION CK. M O. CASH _ PERMIT VALIDATION CK. M.O ASH A 7309n NOV 12 1 D 6.00C :� WORKERS'COMPQJSATION DECIARATION4 hereby a-cr?,certificate at I house r cern amp of consent to stiff AP P L I CAT I C3 N' FOR BUILDING PERMIT Insole, or a_certffica» of Workers'Compenstrtlon insurance, or a certlfted copy thereof (Sec 3!31(30, Lab. C.) COUNTY OF LOS4 ANGELES BUILDINGAND SAFETY PollLy No.� Company BUILDING cart copy is hereby fumlatred. 1 [� FOR APPLI T Fa LL 1N Certified copy Is filed with the county bulldlaq Inspec- tion 0.epartm6nt. ADDR65 G./1 LOG�LLf1 path Applicant CITY. ZIP CROSS ST. �CJ/Tt— CH7TIFJCATE.OE E)TMPfi0N FROM WORK]ERS' sI OF LOT �ON L OF QLPGSV A$SESMAP PAGE . P�R[g COMPENSATION 1 NSU RANCF &T la',seStJon neied.nor be'cpm retard If•the permit is for one USE Z r� hundred dgllgrs ($100}or leaa , I cirttfy•that,lri'the pirformance of tt» wdrk'fot which this _ OMR , r C�Kx�E 43-,. pwmlt is IsWed•, I,.1lttalL not employ any person In arty manner DISTRICT GR04JP TYPE F�Rf PROC 7 BY _ so m to become sub(ect to the Work Compenstrtlon Laws. ' ` OONS:r7ONF CITY ZIP t �/ Dare Iicant ARCS IfrFCT Ta. A C LASSIRCATiON AFT.ENQ • r N0TICE.T04PPUCAI4T:-#f, aftK mpk hp thli Cwtlfictf&of Exptriptlon, .you 'should L7 me subJbci td the Wor{arts' Irk NO. CLASS'NO.. DWELL i1NTIE- CompernQtlon provfslont.of the LaborCgda, you daunt forth ADDRESS yy�M,p with- Comply wlth such pt•ovlslens,o? this permit shall be z deemed.revoked' . - - - . iii gK .. VALIDATFON 6QNS�DpObITRAC'TORS DECLARATW N LIC.I'heriby�ffirgi thatd am Ikgr�Md-undo[prbvWorrs b�ptso 9 NO.- VALUATION ((comtori � meridrig wtth.Sect7000)of Dtvblpn 3 bf the�ualnbss and UC P.rofeelora Code, and my,lkwrt -is 16 full force and effect, CITY - CLASS SQ. FT. NO.OF / tJb.QF ./ C7 IEC]( _ Llcpnse,NVmber US.albs. SkZ1 STORIESFAMI ESONE _ Conitactorl 3 Date DESCRIRTION Of WORK NEW ❑ $ Q ADD l.'am exempt-ur-4 r Sec G(JOR&-511YO�. B.d,P.C, for thisracoon RPAIR ❑ DATE u�E of ❑ w� � :�..�j 2 a 5,9,•2 5 EXISTING 13LDC�: 6�5' .y Sl atlturs AP9LICANT NO- Otto, t{I�` 59,2 E. OWNER-SUILDER DECLARATION f hereby affirm that I a' 'exempt from the Contractor's License - , Larw far tf,. foltowtnp reason,(Section 70 1:'5, B.vsl e«'end `- Ptofsslpra-Code)! t. 9LI ILDRJC3. -� ti m owner 4 it e.property, w:my employees.with APDRE" W090 aq their_sgle,comperisotion,will d>-the work end the s"ctVre Is not intended or bffored for salt fSectlon LOG1fIY i,- 701d, BualneeC and Profe"lons Cbc)4} MOMNd Tl:L, - I,as gwnar of the property,atn pxclusivety controdfnfl NO'' with ho4nsed contYactors•to ooratroct the project(Set-, % ttgn 7�44,$iuipess and Professions Code} CONSTRUCTLON!ENDING-AGBJCY YARD HWY RIDTC7TAJPRO.SETBU FROM' WIDTH y I hereby affirm that there Is a cosi kictlon lending'agency for l�OD1T the perforrtwiKe of..the work for which.thisperrrflt Is lasugd P rSec. 3097, Clv. C) ' -SIDE J Lbndds Name ` l e nderi Address z P.C.Fos Pa..It Fes, l I certtfy that I have'rsigd th is apps lba}fO n-and state that>♦» !sconce Fie ✓� i above Infornigti Is correct:I 1 flr .to corn pry With.1311 Cqu"t1 r Fse a „ . ordlnanteR ond,Wt ;I bks'pk1WIng to'Wlding cobstruOton, ° 'r I. *,d h".by authorize reprMi ifa lvp of.this Cou6ty fo enter y 1 /upon tgfa4oYeymgntfgned pre .,forinip¢ctlon purpbsec F,: : . my Sture of Applicant a/spent r Date kbnp �s