HomeMy Public PortalAbout6143 CAMELLIA AVE_Building__ DIVISION OF BUILDING AND SAFETY (O
Department of County Engineer BUILDING
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL N FOR OFFICE USE ONLY
UILDING DISTRICT NO. PLAN CK. OR RED.No. PERMIT NO.
ADDRESS
RECEIVED BY DATE OF APPL. DATE ISSUED
LOCALITY 'q
NEAREST Y`
CROSS ST. BUILDING
_ADDRESS - a
OWNER U� ^ `T
MAIL LOCALITY L z
ADDRESS �''" _ A
r...i TCL �'`� CROSSNEARESBT. A TL.I7
CITY NO. �:" _ FIRE I NO.OF I Tl(P� I GROUP
' ZONE .., '�
ARCHITECT OR TEL PLANS J
ENGINEER NO. BLDG. t' ORD. NO.
SETBACK LINE b O
ADDRESS
UBEAPPROVED
TEL, ZONE -1 BY DATE
CONTRACTOR NO. HOUSE NUMBERING
ADDRESS MAP NUMBER S �� 7 NO. ASSIGNED BY _
LEDPT - CORRECTIONS
DESCRIPTION LOT NO. ,�� BLOCK
TRACT t?' ♦� (' (� r. 1 3 , 1
NO.
OF BLLOTGS. 0
O
SIZE OF LT
USE OF 7*1 Q Of O F_
EXISTING BLDG. FAMIu68 i
DESCRIPTION OF WORK A
0
NEW ALTERATION ADDITION =
NDGv ®f Lo;
REPAIR DEMOLITION
Sq.FT. NO'
O.O F
SIZE ROOMS I STORIES
EXT.WALL I ROOF _
COVERING COVERING
USE OF STRUCTURE
INSPECTION FOR --"`- APPROVALS
OCCUPANCYAS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAMEt FIRESTOPS,
CORRECT. BRACING, BOLTB
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ACE: LOCATION,
AND STATE LAWS EGULATING BUILDI G CONBTRUCTION. FURNACE:
VENT, DUCTS
SIGNATURE OF �. LATH, INT.
PERMITTEE
LATH, EXT.
ADDRESS
PLASTER, INT.
AUTHORIZED AOT.
$ —_ PLASTER, EXT.
0<> FEE S HOUSE NUMBER COR-
RECT AND POSTED
VALUATION "� FINAL � , ?- p-3a;y�
FEC
76A63BA DBS 3 1-52