HomeMy Public PortalAbout6158 CAMELLIA AVE_Building__ 76A638A CE #803 4/72 ,
APPLICATIO FOR ILDING PERMIT fJ
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
bIAKE CHECKS PAYABLE 70: ADDRESS t�
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEAREST
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PEXISTING
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NO.OF SLOGS. NO. _ - 6
d^ d NOW ON LOT SPECIAL
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DG.
OWNER �Gsn r TEL.
NO. BLDG.SETBACK FROM
ADDRESS 'g G� �� FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY C' HIGHWAY WIDTH FROM C.L.
ARCHITECT OK TEL. + _
ENGINEER NO. IN DG.SETBACK FROM >'
ADDRESS SI ROP.LINE OF (STREET) 0
TEL. TYPE OF E SETBACK HIGHWAY + YARD = TOTAL C.D
CONTRACTOR !�� NO, S la HIGHWAY WIDTH F O
ADDRES I� it 0 '�I NO. _�`Z�32
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CONSTRUCTION LENDER
NAME AND BRANCH f
E REVERSE SIDE FOR SPECIAL APPROV S
ADDRESS 73SQ. FT. NO. OF NO. OFSIZE STORIES FAMILIES NEW
USE OF ADD
STRUCTUREALTERSIGNATURE OF REPAIRAPPLICANT ' " DEMOL
n
VALUATION S �J�j e9 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEES 1, I O G' FORMS, MATERIALS
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,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STR UC TI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALIFORNIA IN ARE TING TO
WORKMEN'S COMPEN �INSURA LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE .t RECT AND POSTED
ADDRESS J
FINAL $" �7
PLAN CHECK VALIDATION CK, M.O. CASH _ PERMIT VALIDATIONCK. M.O. CASH
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8. 4 21,7 1 QD , 1 5.00
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OTOF COUNTY
DIVISION BUILDI GAND SA TY 1._-BUILDING /u
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING - -
+ FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.OR REC.No. _ PERMIT NO.
BUILDING _
ADDRES �y 770,57
LOCALITY Temple Cit Calif
RECF`_IVJE�BY D T OF AP L. D TE ISS D
NEARESTCROSS T . Garabaldi - 2
BUILDING Q��•
OWNER Tol'ILtee Inc ADDRESS
MAIL LOCALITY
ADDRESS 9170 E. Las Tunas Dr..
City
TEL NEAREST ���
CITY Tem 1e Clty NO AlT 7-3759 CROSS ST. �j"'
ARCHITECT OR TEL• ZONE �.� I p�Ng Z TYPF,��•. I GRO
ENGINEER NO. •,�j�•�
BLDG. F�j ..JyO.
ADDRESS SETBACK LINE
�'+ �,,,•�
TEL USE APPROVED A f ^a
CONTRACTOR �.LOTalee, Ind. NO, AT 7-3759 _ ZONE BY DATE G.'�/
ADDRESS 91.70 E. Las Tunas Dry, T. C. Ht�O..U.�SE NUMBERING
LEGAL MAP NUMBER -NO. ASSIGNED BY
DESCRIPTION I LOT NO. �i 10 I BLOCK
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CORRECTIONS
TRACT 19338 _
SIZE OF LOT 50 y, 200 I NO. OF BLDGS.-
NOW ON LOT
USE OF I NO. OF
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK o -
A
NEW ALTERATION _) ADDITION _
Z
REPAIR DEMOLITION D
r
SQ. FT. �t'i NO. OF
SIZE ROOMS STORIES SYl��7,, 1 _
EXT. WALL j.t,uCCO I ROOF COT!? O
COVERING COVERING P a
USE OF STRUCTURE
Residence
20 x 19 Altl garage
APPROVALS
_ INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND S4REGU
HE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT.
LOCATION.
FURNACE:
I AGREE TO CLL CO TY O DINANCES
AND STATE LAWSUILD CO TRUCTION. GAS VENT, DUCTS
SIGNATURE OF LATH, INT.
PERMITTER
9170 E, Las aS D m• n LATH. EXT.
ADDRESS S �
PLASTER, INT.
AUTHORIZED AGT. _
PLASTER, EXT.
s
FEE• HNUMBER
OUSE
AND POS EDR
VALUATION 1- FEE L� Q�.. FINAL
76A639A 055 3 0-01