HomeMy Public PortalAbout6111 CAMELLIA AVE_Building__ 7�J�
08031/71 Q. a'.C-"
APPLICATION FOR B ILD1N4�
PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING [/� c��`
ADDRESS LJI�I rb
COLEMAN W. JENKINS, BUP'T OF BUILDING LOCALITY �{
R L TO FILL NEAREST
CROSS ST.
(Print 2 •V
BUILDING DIS CT NO. GROUP TYPE �E,S�S�E�DpBY
ADDRESS -L� O �y"'�'�`�'�
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. BLOCK CLASS NQ 2/ DWELL.UNITS ~ BK/. P
TRACT 377USE ONE MAP 7AO�
NO.OFNBLDGS. NO.
SIZE LOT J( NOW OLOT / SPECIAL
USE OFF _ CONDITIONS
EXISTING BLDG.
TEL
OWNER NO. BLDG.SETBACKFROM
ADDRESS 6 .FRONTPROP.LINEOF (STREET)
TYPE OF EXISTING SETCACK HIGHWAY + YARD = TOTAL
CITY:T�",o HIGHWA WIDTH FROM C.L.
ARCHITeC OR v TE4. +
ENGINEER .NO.
BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF ISTIN.G SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR NO. HIGHWAY WIDTH' FROM C.L 8
LIC. + — oC
ADDRESS - NO. —
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO
CONST`RNAME AND BRRANCHH 'SEE REVERSE SIDE FOR*CAPPROVALS
ADDRESS -
SQ. FT. NO. OF NO. OF NEW 101J L
SIZEl
STORIES FAMILIES
USE OF ADD ✓fX�l
STRUCTURE
ALTER ❑ V_q 7Z— zgl .
REPAIR❑
SIGNATURE OF G
APPLICANT DEMOL ❑
A-7
VALUATION
VALUATIONS APPROVALS PATE IMG tow'G SIGNAruRIE
P.C. PMT. �J�f 7 FOUNDATION: LOCATIOIN
FEE i G FORMS MATERIALS
FEES •L
FRAME: FIRE STOPS, CAICk V,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. BRACING BOLTS L.J
AND D-TAT[ THAT THE ABOVE 12 CORRECT AND AGREE TO,COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL MOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE QF CALIFORNIA IN RELATING TO
WORK MEN,
GCE.NSATION INS AN LATH, EXT.
SIGNATUREJ/ / HOUSE NUMBER COR-
PERMIYTEERECT AND-POSTED
ADDRESS FI N AL.
JOHN
F.. LEEWIS. P IPAL SYR-u RAL ENGIN R
PLAN CT ECIK VALIDATION CK. M.O. CAaH _ PERMIT V ATION K. M.O. CATH
LA&D7684;4-AX22, 1 2 1.7 5X ca
CITY Tm)r"u CITY
78A"BAel"03 -e. APPLICATION FOR BUILDING PER
COUNTY OF LOS ANGELES BUI LDINO
DEPARTMENT OF COUNTY T�IGINEES A D D R E"
BUILDING AND SAFETY DIVISION LOCALITY '
JOHN A. LAMBIE. COUNTY ENGINEER NEARESTf "
COLEMAN W. JENKINSAUP'T.OF DUILDING CROSS ST.
DISTRICT NO. OR P TYPE.
FOR APPLICANT TO.FILL IN CONST.
BUILDING STATISTICALC A /IFICATION SEWER MAP
ADDRESS 6111 Camelia
CLASS NO. DWELL UNITS BK
LOT NO. BLOCK USE ZONE MAP /! .
NO.
7J
TRACT - . 32 gy SPECIAL
N0. QF
SLOGS.
SIZE.OF.LOT Mow ON LOT - ..
USE OF - -
EXISTINQ 156 a. ■LDG. SETBACK FROM
A�.a spa TEL. FRONT PROF. LINE OF (STREET)
OWNER Albert NO. TYPE OF EXISTING BE-j/AGK HISHWAY YARD = TOTAL
ADDRESS 6109 Camelia
CITY Temple City - }
BLDG, S MACK FROM - ..
RC EC OR TOL. SIDE PROF. LINE OF STREET
ENGINEER NO. TYPE OF 1XINTIX/ SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. -
CON TRACTOfFBid Mfg-. LIC
263A5181 + = O
U
ADDRES$37 S. Woods Ave. NO 159496 CORNER CUTOFF YOD NO O
CITYLos eles L'C C 39 SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK w
z
NEW ADD ALTER RIKPAIR X DEMOLISH
SQ FT. NO. OF NO. OF
4179 STORIES FAMILI[/
US[AF'
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ 450.00
APPROVAL/ DATE I.NGPECTOPPSSIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FIE D$ FOO$ 9.00 FORM! MATERIAL/
RA [, IR[ 'T;5 O /,
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION D ACING O
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY FURNAC[I LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAP VENT, DUCTS
GUILDI NO CONSTRUCTION. I CERTIFDOING THE WORK
Y THAT. IN
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TON HE LASOR CODE OF THE STATE OF CALIFORNIA RELAT•
INC ORKI/[ '■ PE TON IN LATH. O7(T. -
61 A I HODS[ NUMBER COR-
PERM E[ C'T AN D POSTED
ADDREoe N A L
JOHN F. LEWIS. P INCIPAL ST URAL ENGINE R
PLAN CHECK VALIDATION CK• M.D. CASH _ PERMIT VALIDATION cK M.o. CASH
LAG00 4 1 413 "31 1 D 9.p0N
.APPLICATION FOR BUILDING PERMIT 1
DIWIMON OF BUMDING AND SAFETY SUILDIND J '
D. of C mity I;II� KSADDRESS
Comity of Lox Angel" LOCALITY
WM.J. FOX,COUNTY ENGINE R HEARErT
CAS,ATT D.aR107 1N, fur^r or a ILD DIS 9ppas ST.
DISTRI N0. OROUF ,T1'FE f r[W)K ilAr
FOR APPLICANT TO FIU IN yY/
.UIL '2 / —� MAP .0 RATS YSf NO
ADORErS NUMB"
LOT N0. BLOCK USE ZONE fr[C1AL
CON DITION•
TRACT /Z �' ,1�(p NO.OF BLD�m -
SIZE OF LOT CO NOW ON LOT I ■Li rBACxILDING YARD HWT fTRSiT NAME EXIST.
•[TEACX WIDTH .
USE OFL ��' FRONT l 41CJ-
L
P. L
owNEn L SIDE
MAIL
ADDRM- y G , O TRACT DWCJ- 1 UNIT D INDUSTRLAL
C TSL. ! 1 DWE+v- / 1 UNIT E PUBLIC SLDO.
ARC7iITECT OR l/ Tia- C 2 DUTLKx !!!! / I UNIT 7 ADDN.,ALT., ETC.
Cdo NEER NO. 3 APT. ..L�UNITS
RlW 4 COMMERCIAL
CONT71AGT0
R- +f fff J9V G HfSPEGTION EECOED
O ' � � 7T
DESCEUMON OF WOES
NEW V ADD ALTKR RpAIR DWMOLISH
fQ. FT. N0.Of NO.OF
SIZE t'3 BTORIEr FAl[ILlEr
USE OF STRUCTUREZ OW
L
S G
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS be
DATE IRSrECToR'f S1f1UtrURE
s ViOUNDATION: LOCATION
P.C. S CO AFORA. MATERIALS -� t
FEE FRME: FIRE UTOPS.
VALUATION - S `_ BRACING BOLTS
FURNACE: LOCT1116ATION, ,S
1 HEREBY ACKNowLEDoE THAT 1 HAVE READ T1■ QAS VWT DUCT, -
ArTLICATION AND STATE THAT THE ABOVE If CORRECT
AND AGRSS TO COMPLY WITH ALL COUNTY ORDI ANCYS LATH INT.
AND STATS LAWS RE6UL.ATi 3 ■U (IiO� UG .
TION. �(// R,r
SIGNATURE O OUSE NUM;r COR- ✓ '
F ERM 17T R ECT AND POSTED
ADDRESS FINAL -
WM.J. FOX,CouNTY EN4INEIR VALMILTION C. N. DIRLAM. CHIEF BI-Do. INrrECToI{
LAC0 4 3 2 7 JAN 21 1 6 1 0.0 0 A n
4. , , M4499fir, JAN25 1 20.00 '�