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Home My Public Portal About6127 CAMELLIA AVE_Building__ Of 76A638A CEu403 R-64 APPLICATION FOR BUILDIN PERMIT I - 7 - COUNTY.OF LOS ANGELES BUILDING c ,F, 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. DISj JCT,\No. G TYPE PR B FOR APPLICANT TO FILL IN �/ CONST. BUILDING STATISTICAL C SSI FICATION SEWER MAP ADDRES S CLASS NO. DWELL UNITS BK PG LOT NO. �j BLOCK USE ZONE MAP TRACT 1-72 �7 !�� SPECIAL l• , �1 N0. OF SLDGS. CONDITIONS ..SIZE OF LOT�CJ / NOW ON LOT USE OF EXIST NG .Jlk/ 6LE E.r, BLDG. SETBACK FROM TEL. FRONT PROP, LINE OF (STREET) OWNER C, tST NO. 2,6 7 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CITY ARCHITECT OR TEL. BLDG. 5 BACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. d TEL. + = 0 CONTRACTOR NO ADDRESS NO LIC CORNER CUTOFF YES El NOO CITY cI SEE REVERSE SIDE FOR SPECIAL APPROVALS uu, DESCRIPTION OF WORK N L, AND PARKWAY TREE RE;I_'IRED Z NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF I I SIZE 97,--5— STORIES FAMILIES o e: Perml for USE OF stallations should be takcn ou' a,' ill, i ,a, " .>d Dapt., Altad A STRUCTURE _1 Al�rLE /� L /�� r Office, or T. C. Co. Engineer's Odsi i-- '<<' 'Ijjiy In or er TO Y ' is not start d SIGNATURE OF until Permit has bean issued. Apply for parkway tree permit at T. APPLICANT c7ty-Rall. VALUATION$,� APPROVALS DATE I "PE 4R'9510 NATURE P.C. PMT. �' FOUNDATION, LOCATION FEE FEE$ FORMS, MATERIALS FRAME, FIRE STOPS, HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FU NACE: LOCATION ` --- ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK p AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. ' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- J ING TO WORKMEN'S COMPENSATION INSURANCE. l .1 LATH. EXT. SIGNATURE OFi' HOUSE NUMBER COR-- PERMITTEE/ -�- RECT AND POSTED / -- ADDRESS e;"2 7 �. G.�/�7�-�L.L F I NAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN E-I�R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O CASH L rt,o 3 0 5 �u� 1 =?- 15.C'0 r 76A638A 1PE#8038-64 APPLICATION FOR BUILDI PERMIT COUNTY OF LOS ANGELES BUILDING t DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,BUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PROC SS B FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS _ CLASS NO._!! DWELL UNITS BK L PG LOT NO. - BLOCK USE ZONE MAP NO. TRACT SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EX,ST, IN BLDG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNER NO. - TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CITY BLDG. SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + = 0 CONTRACTOR NOLIC U ADDRESS NO CORNER CUTOFF YES NO O CITY LIC S SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK h Z_ NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIES i USE OF STRUCTURE SIGNATURE OF - APPLICANT _ VALUATION$ / ��-C7 APPROVALS DATE INSPECTOR'SSIGNATURE P.C. PMT. FOUNDATION, LOCATION L FEE FEE$ L_FORMS, MATERIALS FRAME, FIRE STOPS, t I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -BRACIREB NG OLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION , WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. - LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE t RECT AND POSTED ADDRESS f FINAL 4 l JOHN F.F. LEWIS. PRINCIPAL STRUCTURAL E PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH D 4.00- i DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT C UNTY OF LOS ANGELES `� L BUILDING aofille"WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. G BUILDIN ADDRESS �) _ -l-' 7iZ c3 Z CD 7 3 LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. tiY r �..<;: ,- BUILDING ADDRESS 4-7 OWNER �.% t....q/ ' , MAIL �' LOCALITY ADDRESS NEAREST , h h TEL. �� CROSS ST. CITY { NO. FIRE NO. OF I �- TYPE I GROUP ARCHITECT OR TEL, ZONE PLANS ENGINEER NO. BLDG. SETBACK LINE �✓� !'– J APPROVED ADDRESS ✓ f TEL. BY DATE CONTRACTOR _'> NO. USE + APPROVED ZONE BY DATE ADDRESS �G.{.! __I., > HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. BLOCK MAP NUMBER r '� V FIELD CHECK BY TRACT / r NO. ASSIGNEDBSf_,3r GATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT n NOW ON LOT USE OF NO. OF EXISTING BLDG. -- I FAMILIES `J DESCRIPTION OF WORK 2 NEW Y I ALTERATION ADDITION REPAIR I I DEMOLITION I I I _A SQ. FT. �. NO. OF c 0 Z07^ 'e cri1- SIZE : ROOMS STORIES EXT. WALL ROOF r Z COVERING // ✓�^�'-�'a I COVERING '^" `•. r r 1' USE OF STRUCTURE APPRQVALS c,«. r. W9 TOWS• A URE D TE 1 HEREBY 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, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING 8UILI?ING CONSTRUCTION. - (f i FURNACE: LOCATION, SIGNATURE OF U GAS VENT, DUCTS PERMITTE LATH, INT. ADDRES>s ,� �, .t' �A .� LATH, EXT. AUTHORIZED AGT. '� S• PLASTER, INT. 7SA638A, Dees to-so /2, Q� P. C. a J o-Q FEE p240, PLASTER, EXT. VALUATION G✓s' FEE S� 11 L FINAL WORIO=RS'COMPENSATION DECLARATION hereby.affirm that 1 have a cs' Compensation tion lbs to self APPLICAS'ION ��OR BUILDING PERMIT Insure, or a certificate of Workers'Compensation Insurance, ' or a certified copy thereof(Sec 3800, Lab.'C:) 'COUNTY OF LOS ANGELES BUILDING AND SAFETY LL - Pollcy No. Company' E�`CeTtlfled copy Is hereby furnished. FOR APPLICANT TO FILL IN BUILDING , Cerllfled copy Is filed with the'tounty building Inspec- BUILDItJG t l o nd e part m e n t. ADDRESS Date Applicant" CITY _ ie,-1ZX ZIP ,fCERTA CATE OF EXEMPTION F KERS' - - - -NO.OF BLDGS. - - NEAREST . .. -.. COMPENSATICt44NSURANCE SIZE OF LOT NOW ON ST. . (This sactlon need not be completed if the permit h for onb TRACT 132-21 ]BLOCK LOT NO. OR hundred dollars ($100)or less,) MAP"B�OIC PAGE PARCH p Ow?` R USE Z E I certify that•In the der ormance of'the work for vi titch this [E, Permit-4 Issued, I s.Fall'not erriploy arty person Ih any manner _ _ ADDRESS. 14-7 / SPEC lA1 so as to become sublect'to the W ors'Compensation COtDff10tJ5 Afit Appl7cant ISLZ Cal ZfP .7�d. - NOTI 1 TO ICANT: If, after makln this lflccte of ARCJI�ECT DISTRICT GROUP'.TYPE FIRE._ B O Exernptlorr, .you'should become'subject to' the, Workeri rEETt T' Cpmpensatlon provisions of'thb Labor Code, you must forth ADDRESS _ _ — wltft comply with such provisions or this permit shall be - deemed revoked. . ccom� / - AT15T1CAL 5T �FFGAAPT CO --"l/ - - LICLNSED CONTRACTORS DECLARATION -- - - - - CLASS tJO.. DW9L UNITS 1 hereby aff�rm that I pqt Ikarus d under provlslo[s of Chapter 9 ADDRESS. �' r/T NO.4t.?3117 ; � (commenring,with_�t)ori 7000)of DMslo 3 of the Business and _ SEWER MAP c� Professions Code,Arid hiy license Is In fti�t force dnd effect. CITY 6� - CLA55 -- -- VALDATFOH SQ. FI.' Q NO OF. NQ,OF BK PG. License NumberTLlc.Clats ., Sl7E STbRIES FAMIUES VALUATION �/� DESCRIPTION OF.WORK { t Contractor W "/ Date - ADD _ B�Q I am exempt under Sec - oil, _ B.BP.C. for this reason - REPAIR ;USE OF Date: EXISTING BLDG. DEMOl Sl9n-ature APRZANTTTS I FINAL. OWNER BUILDIO ER DECLARATION (PRINT) ---DATE .`, -�/• _-...- --. _ _z I hereby cr flrm that[-am exempt from•the.Contractor-s.Ucbnse Law for the following reason (Sectlon 7031.5, Buslneu and ADDRESS 2 I C Qil A ProfnVnFons Code): ' - - . - BUILDUJC _ # e,o s.o o 1. I, as owner of the property, or my employees with ADDRESS 0 t,. wages as their sole compensation,will do the work.and LOCALffY - — - - - - t 0.1 (�. the structure Is not Intended or offered for sale(Sectlon 7044, Buslness and Profeulons Codek - MO"NG - - - TEL NTRACTOR NO. - '! - J o e 0E1 3 2T5 �. I, as owner of the property, am exclusively contracting , with 11censed-contractors to'constrvct the-project (S-ec y tion 7044, Business and Profoulons Code) f Q 26:. 8TOT8 : L SE I RALIK NNW CONSTRUCTION-LENDING AGENCY: SEF BACK YARD HWY PROP. UNE WIDTH I hereby affirm that there Is a construction lending agency for FRONT the performance of-the work for which this permit Is•Issued - P. (Sec 3097, Civ. C.L B P!, - .. Lendees Name aF g LDMA Ref. tF Lender's Address .-C -F"-$ -' - Perm It fee' I cert that I.have rood this_a licatlon and state_that the�' PP :-' _ - -- - Ia.ncie Fee LDMA P/C above Information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to bullding cQnstructlon, Total Fee -. LDMA perm, and hereby authorize representatives of this County to enter the above-mention operty for Inspection purposes. upZ; __ tO nVWM PO!E M ANATOItY LANG AGN SIg of Applkant or-Agent Date