HomeMy Public PortalAbout6000 CAMELLIA AVE_Building__ EPARTMENT 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
( DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY RECEIVED BY DATE OF APPL. DATEISSUED
NEAREST
CROSS ST.
BUILDING /� ' /
OWNER ADDRESS O{? AJ '�• � ��
MAIL `fit LOCALITY
ADDRESS I�OD
jr
NEAREST
CITY TEL NO' /4FIRE CROSS ST.
ARCHITE R TEL ZONE PLANS TYPE GRO�JP
O
ENGINEE NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE
APPROVED
CONTRALTO T L. BY DATE
O.
0. USE r4- APPROVED
ADORER ZONE Y DATE
LEGAL CORRECTIONS
DESCRIPTION I LOT N OCK
TRACT
-G�
NO.OF SLOGS. /
SIZE OF LOT NOW ON LOT
USE OF NO.OFNO.OF
EXISTING BLDG. + 'r - FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION a
A
_ REPAIR MOVING DEMOLISH GI
SQ.FT. NO.OF Z
SIZE ROOMS STORIES D
r
WALL ROOF
COVERING I COVERING
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
�%� , //' FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
PERMITTEE_ G2
LATH, INT.
AUTHORIZED AGT LATH, EXT.
7GA63BA-3 7-49 $ J1 P.C.43 PLASTER,INT.
Y V FEE PLASTER,EXT.
VALUATION ..�,...--
FEE FINAL
or
76A69EA CE.9E09 a-aa APPLICATION FOR BUI�--
AFG PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENG2f= ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NE-AREST
COLEMAN W. JENKI"AUP'T OF EUILOING CROSS 9T.
DI ICT NO- ORO P TYPE. O BY
FOR APPLICANT TO FILL IN ,0 CONST, .
BUILDING
STA T I S T I C A-L CLA SIFICATION SEWER MAP'
A.-RE-IMMCLASS NO. DWELL UNITS B �
LOT NO. 0- BLOCK USE ZONE MAP O
NO.
TRACT BP ECTAL
1 N0. OF ■LOSS. CON 01
ONI
SIZE OF LOT O IDD NOW ON LOT
USE OF
BLDS. SETBACK FROM
EL. FRONT PROP. LIN[ OF (STREET)
OWNER TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADOR E99 L
m
� C L.
ARCHITECT 'CITY P—L o_TE L � BACK ROIL/ +
ENGINEER NO. SID[ PROP. LIME OF (STREET)
TYPE OF EXISTING SETBACK I HISHWAY + YARD = + OTAL
ADDRESS HISHWAFY WIDTH FROM C.L.
L +
CONTRACTOR NOLx�t 30 O
LIC CORNER CUTOFF YES NO U
ADDRESS NO
LCLASS
C
SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIP ION OF WORK
!J, t a
NEW ADD ALT REPAIR DEMOLISH Z
9Q,FT. NO. OF NO. OF
SIZE STORIES 15AMILIPS
EALUATION
OF 7
E
r
4.1E OF
T K-O� '
'
APPROVALS ATE INAFECTOR'S SISNATUR[
FOUNDATION, LOCATION
F F$ REE S FORMS, MATERIALS
FRAME, FIRE STOPS,
I HQP'
IEBY ACKNOWLEDGE THAT I HAVE READ THIS APLICATION'S ISRACING DOLT
AND STATE THAT THP ABOVE If CORRECT AND AGREE TO COMrLV FURNACE: LOCATION
WITH ALL COUNTY ORDINAN C ED STATE:STATLAWS RZOULATING GAS VENT. DUCTS
VUJLDING CONOTMVCTION. I CERTI" THAT. IN DOING THE WORK
AUTHORIZED HERESY F.WILL NOT EMPLOY ANY MPMON IN VIOLA- LATH. INT.
TION OF THE LABOR CODR OF THE STATE OF c RELAT.
TNG TO WORKMEN'S COM •An ON INSURA NC[ LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR--
PERMITTEE R ANP PQSTFD
ADDRLSs Fl NAL
JOHN F. L_EWIS. PF INCIPAL S RUCTUIRAL ENG
HE
PLAN CCK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M.O
LAL03 7 2 9�2 X26 1 0 6.001
78A"BA e[FEo96-u APPLICATION rOR BUILDING ITC 4mtja ,
COUNTY OF LOS ANGELES S U I L DING
EER O D
DEPARTMENT OF COUNTY ENGINADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
VIS (�
JOHN A. LAMBIE. COUNTY ENGINEER N AREST
COLEMAN W..JENKINS,SUP•T.OF BUILDING CROSS ST.
DIJTRICT NO. 0 OUP - TYPH, R SDED BY
FOR APPLICANT TO FILL IN CONST.
BU'LDIN0 STATISTICAryL C�LASSIFICATION R MAP ,-
.ADDRuSS CLASS NO.2s$DWELL UNITS BK PO
LOT NO. BLOCK USE ZO�[NE MAP O O
TRACT �.-(1 SPECIAL -
X0. OF SLOGS. 'T
SIZE OF LOT .7 NOW ON LOT
USE C'
0� IL-DO. SET" FROM
TEL. FRONT PROP. LIN[ OF (STREET)
OWNER fl NO• TVP[ OF [X1!71 A4K. HIGHWAY YARD = TOTAL
ADDRESS O A M C. -
CITY `
ILD!. SETBACK FROM
ARC LTECT OR TEL• SID[ PROF. LIN[ OF STREET
ENGINEER NO. _
TYPE OF [11!71X- FROM C. HIlHWAY + YARD - TOTAL
ADDRESS HIlHWAY W�IQDTH FROM C.L. 4d
CONTRACTOR NO
L �� +
LIC I CORNER CUTOFF YES � NO 0
ADDRESS NO
LIC yEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK h
ADD ALTER REPAIRDHMOLISH
SQ FT. NO. OF NO. OF
SIZE L STORIES PAMILIES
USE OF
STRUCTURE r—
U
SIGNATURE OFL UC
APPLICANT
VALUATION$ too APPROVALS DATE I NSP[CTOR'!!19 NATURE
P.C. .-1 PMT. P0UN0ATION,
LOCATION
FEE$ FEE FO TERIAL
FRAME, FIRE STOPS, _
I HQHT
TESY ACKNOWLEDGE TAT I HAV[ R"D HIS APPLICATION BRACING BO T
AND STATE RL THAT THE AWV[ IS CORRECT AND AOR[ TO COMPLY f,URNACEI LOCATION
WrH ALL COUNTY ORDINANCE! AND STATE LAWR REGULATING QAS VENT. DUCT
•UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZ<D H9191BY 4 WILL NOT [MP LOY A N'1 VIOLA- LATH. INT.
TION.O F'TH[ LAIOR COD OF THE STA CALIFOR ShA7�
ING TO WORKMAN'S Cn SAT10N INR RA AAIT--EXT.
SIGNATURE OF HOUSE NUMBER COK-
PEftMITTEE _ R� ANVUU
ADDRESS F I N A L
JOHN F. LEWES. PRIN ALSTRUCrUR,11I. E R
PLAN CF= VALIDATION CK. M.O. wH _ PERMIT VALIDATION cm- M.O. urH
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