HomeMy Public PortalAbout6160 CAMELLIA AVE_Building__ T
"AVW" APPLICATION FOR BUILDING PERMIT ], f
DIVISION OF BUILDING AND SAFETY %DRDrisa � C9 jnU!�
D.porim.nt of CODUly F.AUt""
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0 LOCALITY
JOHN ACBIU1NTYENOIN13M ..
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CASSATT D.GRIFFIN, •UP'T OF ISUIL13ING c $aST
IMAJI
FOR APPLICANT TO FILL IN DIBTRIcL�tn. GROUP [ D[W[R
CO NST
BUILDING ® )/ MAP STAT[ YES o
ADDRH88 /{/ NUMBER HWY
U E ZO E SPECIAL
LOT NO. BLOCK CONDITIONik
TRACT 3 3
SIZE Or LOTSO x �S NO. Or BLD 48. S I�,DINO EX►ST.
NOW ON LOT 5 ACK YARD HWY STREET NAME WIDTH
UDE OF
EXISTING BLDG. tlRONT
OWNER /yRd S l D T BIDE
S
MAIL �y
ADDRESS L/T U E O. TRACT DWELL 1 UNIT 5 INDUSTRIAL
CITY tlL Roo. No 1 DWELL r 1 UNIT 8 PUBLIC DLDO.
ARCHITECT OR TIL. 2 DUPLEX / UMTS
7 ADDN.,.ALT., ETC,
ENGINEER NO. 8 APT UNITS
8 M18CEL
ADDRESS 4 COMMERCIAL
CONTRACTORH)IC, b 7rTio' Cb V912 ENSPEGTION BECOSD
ADDRESS 1'yy/ C j/W/ Ir�bP I\ .
DFSCSiPTION OF WORK 1_ -s-
NEW ADD AITILR REPAIR DEMOLISH
SO. FST. NO. OF NO.OF )
SIZE STORIES FAMILIES
USE OF STRUCTURE
h S ZZMr,
t P.L.
SIGNATURE OF
APPLICANT APPROVALS c G?
ADDRESS �+0 I ?H R DATE I"PECTOR'I1'JIGFIATURE
FbUNDATION: LOCATION M / 1/1
-7 '1, ,,,! ,/� ,�• .
FE[ • FORMS.
ATILRIALH
77FRAME: FIRE STOPS.
VALUATION • BRACING, BOLTS
FE FURNA E: LOCATION. _
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS F
APPLICATION AND STATE THAT THE AEOVI3 IS CORRECT p y.
AND AGREE TO COMPLY WITH ALL' COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING 19UILDING CONSTRUCT
TION. { LATH. EXT. / - ;7� �•;:.:
SIGNATURE IGNATRE Or HOUSE NUMBER COR- '1
PERMITTEE RECT AND POSTED
ADDRE8 F[NAL
JOHN A.LAMBIE, COUNTY ENGINI3i VALIDATION CLYDE N. DIRT AiA 4HIMr BLDG. INSPECTOR
ox Mo dAAH
LACo 5 5 4 5 FB 26 1 6 9.0 0 A in 1 18 0 0 in
5 6 1 0� FEB28
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7GA"BAa#502 APPLICATION FOR BUILDING PERMIT" 1
BUILDING AND SAFETY DIYlSION BUILDING
Deparwient of C-mi7 EIIgbx*w - ADDRR ES
S 1-�
fit'!Of"Ang" LO CAL TTY 1
JOHN A. LAMBIE, COUNTY ENa1NIm3 NEAREST
CASSATT D. GRIFFIN, SUr'T OF D41I,DINa CROSS ST.
DISTRICT NO. GROUP TYPE HEWER MAP
FOR APPLICANT TO FILL IN BK PG
CDN 8T.
BUILDING
ADDRESS . STATISTICAL CLASSIFICATION
CLASS. NO DWELL UNrT,___l
LOT NO. 0 BLOCK
MAPSTATE Y"NUMBER HWY
TRACT 9 SY F U 7 NE SPECIAL
r NO. OF BLDGH. A}!� CONDITIONS
SIZE OF
E OF LOT S,9 of s NOW ON LOT dL66/••]]1L"'
EXISTING BUILDING EXIST.
SETBACK .YARD HWY STREET ME WIDTH
OWNER 7 �. P FRONT
MAIL +' d P. L
AD0REHB G �e SIDE
P. L
c p NO, INSP=ON RECORD
ARCHITECT 04 TELL.
ENGINEER ow NO.
Al)DRK"
CONTRACTOR O / ef
D DffiCB.IPTION OF WORK Cr
NEWD ALTER REPAIR DEMOLISH
NO. OF NO. OF
&IZE l� HTO FAMILIES
USE OF RU '
APPROVALS
SIGNATURE OF
APPLICANT DATE INSPECT RAS SIGNATURE
. ADDRESS FQUNbATION: LOCATION 2—7
FORMS MATERIALS ll L-D
P. C. .t FRAME: FIRE STOPS.
FEE ShACING. EOLTS
(J /�.... FURNACE: LOCATION.
VALUATION t (J GA 8 VENT DUCTS
FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIN AP- LATH INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND �.TM EXT i S D •��l •`
STATE LAWS EGULATIN ILDIN RUCTION.
81GNATURa OF HOUSE NUMBER COR-
P[RMITTEE RECT AND PORTED
ADDRESS FINAL
JOHN A.LAMBIE, COUNTY ENGIN¢2311CLYDE N. DIRLAM PRINCIPAL BTRU URAL ENGINEER
PLAN CHECK VILMATION Ox. Y.O. CAxH "WKIT VALMATIOIt Y.O. CASH
LA�o6 5.0 5 MPR 27 1 4.0 0 �'