HomeMy Public PortalAbout6032 CAMELLIA AVE_Building__ 76A638A CE#8036-61APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDINGo.
DEPARTMENT OF COUNTY ENGINEER ADDRESS /
BUILDING AND SAFETY DMSION LOCALITY r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. 71-,"-
DISTRICT NO. GROUP TYPE PR SSEQ BY
FOR APPLICANT TO FILL IN , CONST.
BUILDING STATISTICAL CLASSIFICATION - SE ER MAP
ADDRESS 6 j� 3"
CLASS.NO. DWELL. UNITS
LOT NO. - BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT Le MAP = I HIGHWAY STATE MAJOR SECOND, OCAL
SIZE OF 1_07f 15�_ I NOW ON LOTS S- O
ZNE SPECIAL LE)
USE OF // CONDITIONS J
EXISTING BLQG. Lo
OWNER .- BUILDING YARD HWY STREET NAMEEXIST.
SETBACK WIDTH
ADDRESS
ARCHITECT OR TEL. rP. LT �` l I >-
ENGINEER NO. SIDE Q.
P.L. O
ADDRESS T -- INSPECTION RECORD m
CONTRACTOR - '
Q
ADDRESS ~
DESCRIPTION OF WORg '' Luo-
V1
EW j ADD ALTER REPAIR DEMOLISH
NO.OF NO.OF
IZE STORIES FAMI IES
USE OF �y
STRUCTURE -
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
$ PMT. �� FOUNDATION:LOCATION
FEE
'1 FEE '—� FORMS.MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP CATION BRACING, BOLTS
ND STATE THAT THE ABOVE IS CORRECT AND AGREE CO LY FURNACE: LOCATION,
W ALL COUNTY ORDINANCES AND STATE LAWS G TING GAS VENT DUCTS
B ILDING CONSTRUCTION. I CERTIFY THAT IN DOI HE ORK
AUTHORIZED HEREBY I WILL N T EMPLOY ANY PER N IN IOLA- LATH, INT.
TION OF THE LABOR CODE HE STATE OF CAL RNI RELAT.
ING TO WORKMEN'S M N ATION INSURANCE.'
L ATH, EXT.
SIGNATURE OF ,HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDREs� FINAL
CLYDE N. DIRLAM, RINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION cK M.C. CASH PERMIT VALIDATION CK M.O. CASH
G, 2.5
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76A638A GEu803 5-65 WPLICATION FOR BUILDI G PERMIT
COUN '� OF LOS ANGELES BUILDING /
DEPARTMEI�1 OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION L O C A LI T Y
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DIST RIC^NO. GRrY PRO
FOR APPLI NT TO FILL IN J/' V co
BUILDING STATISTICAL CL SIFICATION SEWER MAP
ADDRESS d� 3 CLASS NO. DWELL UNITS BK PG
LOT NO. 7'�' BLOCKUSE ZONE MAP
! NO.
TRACT O 9 I CONDI TIO / AV 1
1 N0. OF SLOGS. SPECIAL
SIZE OF LOT e-3 NOW ON LOT / �/ / 11
USE OF
EXISTING TEL BLDG.�% FROM
FRONT PETBROPA LINE OF2-rjl
OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 2
HIGHWAY WIDTH FROM C.L.
"'0 _�C) I I ,-+
CITY
ARCHITECT OR TEL. BLDG. SETBACK FROM
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
EL. // + _
CONTRAC/T O /J��y� O
ADDRESS//XX: NO �O�YCORNER CUTOFF YES N V
11'r�..IAV �
clrY CILASS SEE REVL , h Sp � ,;�13PROVALS O
DESCRIPTION OF WORK u
NEW ADD k— ALTER REPAIR DEMOLISH Noter permits To N
,:'rade a2
SO.FT. /' NO. OF NO. OF i�
SIZE :va STORIES FAMILIF_SI
USE OF O{fIce, or T. ,'; starl ad
STRUCTURE C.
-y irca perrn:h at T.
SIGNATURE OF
APPLICANT
VALUATION$ APPROVALS DATE INSP EC TOR'S SIGNATURE
P . PMT. FOUNDATION, LOCATION _ 2
F FEE$ FORMS, MATERIALS
FRAME, FIRE STOPS, rr��
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILOI NO CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. -r ? C-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S C� SATIO SU I"
// LATH. EXT.
SIGNATURE OF,' HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS11X3,!�—' FINAL
JOHN F. LEWIS, PRINCIPAL ST CRURAL ENGINEtR
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH
L.+ O 9 7 1 4 FEB 16 2 D 11.50-