HomeMy Public PortalAbout6052 CAMELLIA AVE_Building__ 76A638A CE t00311-57 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING ?
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTR�r. GROUP. I TYPE SEWER MAP
FOR APPLICANT TO FILL IN PG
LJ
CONST.
BUILDING ✓
ADDRESS
' STATISTICAL CLASSIFICATION
LOT NO.
. J 1 ��O � S BLOCK CLASS.NO. I DWELL.UNIT.---�---1
- MAP STATE
TRACT
NUMBER HWY. YES O
USE ZONE SPECIAL
NO.OF BLOGS.jj � _ CONDITIONS
SIZE OF LOT O X NOW ON LOT N �C�
USE OF
EXISTING BLDG. Pzg m e: l�eAc IBUILDING EXIST.
YARD HWY STREET NAME
J� SETBACK WIDTH
OWNER - - l=.v' FRONT G
MAIL A r P.L.
ADDRESS 410`7 Lt u e dAVL SIDE
TEL.W( P.L.
CITY �2�pf.'![,4 NO. (v-!of 3(
INSPECTION RECORD
ARCHITECT OR Q C TEL.
ENGINEER
ADDRESS
( E
CONTRACTOR D V�/�tice(� T
o A\ NoL.-", 6-(4
ADDRESS 4(ol - 4-t0C
DESCRIPTION OF WORK
NEW V/ADD ALTER REPAIR DEMOLISH _
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES /
USE F STRU TORE /
SIGNATURE O APPROVALS _r
APPLICAN
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
o FORMS,MATERIALS
P.C. $ 7�,� FRAME: FIRE STOPS.,, ,
/ FEE BRACING.BOLTS 4'�'
VALUATION $ FURNACE: LOCATION. f
FEE 7 `�, GAS VENT,DUCTS '14 (
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- �
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH,INT.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS R TING BUILDING CONSTRUCTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMIT.T/E RECT AND POSTED Q
ADDRESS`�' FINAL -20�
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH PERMIT VALIDATION CK. M.O. CASH
AC01 5 7 O 3R JUN 5 16 A 16.75, K ®.
L,U1767S " 11 1 A 3350
76A638ACE :,,, ,,, APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING p
DEPARTMENT OF COUNTY ENGINEER ADOREsC
s
BUILDING AND SAFETY DIVISION LOCALITY (i r
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST.
DISTRICT N G P TYPE - C D BY
FOR APPLICANT TO FILL IN D coNsr.
BUILDING / 0 q IJiL J� STATISTICAL CL ICATI ON S BK MAP
ADDRESS (� o,[ /�J
/ '}� ✓ CLASS. NO. DWELL. UNeITS�/' •�
LOT NO. ��/ Q /t O / B K WATER NOT REQUIRED I-��I RECEIVED
CERTIFICATE: Ly�
TRACT MAP /� HIGHWAY STATE MAJOR SECON 'CAL
NO.OF SLOGS. NO. (" (CIRCLE) D
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF ' ' CONDITIONS
EXISTING L.G.B
TEL
OWNERAIA O. BUILDING YARD HWY STREET NAME WI EXIST.
SETBACK
ADDRESS U L L FRONT
ARCHITECT OR TEL. P. L
ENGINEER NO. SIDE
P. L. a
ADDRESS O
TEL V
CONTRACTOR L G ,v C
,u ! ix
ADDRESS (J0 ` Q V�- �' 0
DESCRIPTION OF WORK w
CL
N
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. L/ s NO. OF NO. OF
SIZE / STORIES / FAMILIES
USE OF
STRUCTURE G d
SIGNATUR OF �-
APPLICANT ln�
VALUATION $ `
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. �� FOUNDATION: LOCATION ,
FEE $ FEE $ 6 / (!G/ FORMS. MATERIALS {p
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.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, D CT8''
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK �l
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. �) 'r��7
TION OF THE LABOR CODE OF THE STATE OF CALIFORPNA RELAT.
ING TO WORKMEN'S CO !M SATI/ONblr;ISURANCE. LATH. EXT.
SIGNATURE_ QF A HOUSE NUMBER COR-
PERM ITTE YE '/ ECT AND POSTED
ADDRESS d AL +¢*� '
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.G. CASH
_ .._ .: J i