HomeMy Public PortalAbout6138 CAMELLIA AVE_Building__ aI1/ISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER �� i APPLICATION
FOR APPLICANT TO FILL IN ADDREISS
BUILDING _ LOCALITY • C•
ADDRESS
NEAREST -
LOCALITYD/P ` CROSS ST. -
NEAREST ` • DISTRICT NO. PUN CK. OR REc. No. PERMIT NO.
CROSS ST. I _ 1 �1 ;0�7 ���,�G�
OWNER r AE PE , I RECEIVED.BY ////DATJ OF APPL. PATE ISSUED
MAIL - :f'
ADDRESS /
�j"�� �j�J/��/ USE ZONE NO. OF TYPE GROUPFIRE ZONE
TELCITY Zvi/J/Q �� 4, NO.y01 //V�J(',� I PLANB..
ARCHITECT OR TEL. ZONING ' AT
ENGINEER NO. APPROVED BY-
BUILDINGp RD•
ADDRESS SETBACK LINEA- 2-0 �/ 4
EL. z//// ^ APPROVED
CONTRALTO NO. V r/ BY: e__-;1
G
HOUSE NUMBERING
ADDRESS 1 /1 1 / `;>
LEGAL
MAP NUMBER `~ -".�� NO. ASSIGNED BY
DESCRIPTION LOT NO. BLOCK
/Z DATE I CORRECTIONS I INSPECTOR
TRACT
�G1 NO. OF BLDGS.
SIZE OF LOT NOW ON LOT Z I_ i
USE OF A I NO. OF J
EXISTING BLDG. P$ ����'`_' ' FAMILIES
O
DESCRIPTION OF WORK o
NEW ALTERATION ADDITION ,. >
REPAIR I DEMOLITION
SQ. FT. NO. OF /
SIZE ROOMS //STORIES
EXT. WACOVERINGL 15if.0 lG I COVERING e!5;"
USE OF STRUCTURE
APPROVALS
INS PECTO 'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, r.
CORRECT. BRACING, BOLTS �Z
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, /
AND STATE LAWS REG TING BUILDIN CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF LATH, INT.
PERMIT TE
ADDRESS
,- -
4 f)�� & LATH, EXT. ,f .)',
r - -
4 1/
PLASTER, INT. -
AUTHORIZED AGT.
PLASTER, EXT.
/0 FEE $ :�' "� HRECT AND POS EDOUSE NUM ER R
VALUATION 46
FINAL
76A898A DBS 3 Y-SS ,