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Home My Public Portal About5418 CAMBURY AVE_Building__ c At-APPL�CAT�ON FOR COUNTY OF LOS ANGELES ,1 BUILDING PERMIT DEPARTM BUILDNGAND ASO SAFETY BUILDING FOR APPLICANT TO FILL IN ADDRESS 'BUILDING - ADDRESS. l _ ___ - rr 'LOCALITY h ` 'NEAREST -• CITY `_ ZIP CROSSST./NO.-OF BLDGS. - - ASSESSOR SIZE OF LOT NOW ON LOT 'MAP BOOK PAGE PARCEL �6 �t' DISTRICT GROUP TYPE FIRE PftOC ESSED BY .TRACT ` Ei LOCK LOT NO. 3' CONST. ZON 1 TEL OWNER q�n_ `N_O.� STATISTICAL CLASSIFICATION SEWER MAP , ADDRESS (�i, {tom. J .CLASS NO.,�.Z U OWELL.UNITS BK PG USE ZONE MAP CITY CL ZIR NO. ARCHITECT OR TEL. - ^ SPECIAL _ ENGINEER NO. A CONDITIONS .ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ � TEL i BLDG.SETBACK FROM CONTRACTOR e r�QAF�C NO 1 IC. Y� FRONT PROP..LINE OF ISTREETI 'ADDRESS ' fv, �4;✓t(,Rbr O. / dIGHWAV f YARD - TO SETBACK FROM TYPE OF E%IBTING LIC, - FRONT PROP. LINE HIGHWAY WIDTH CITY � .CLASS CONSTRUCTION LENDER .NAME AND BRANCH d D FROM ADDRESS CITY SIDE PROP. LINEOF (STREET) [) SQ. FT. NO. OF - NO. OF CHECK HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF E%ISTING CD SIZE STORIES FAMILIES ON_ E SIDE PROP. LINE HIGHWAY WIDTH H DESCRIPTION OF.WORK NEW {` a +~ h ADD ❑ CORNER CUTOFF NO ❑ Z ALTER ❑ -' . IN OPEN SPACE YES ❑ NO REPAIR❑ USE OF _ 1 IN COASTAL PER . .YES ❑ - - NO ❑ EXISTING BLDG. DEMOL ❑ APPLICANT TEL (PRINT) - NO. BY (SIGNATURE( - - - I'NERE BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL, NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR N'S M THE STATE OFCALIFORNIAIN RELp TING TO WORKMEN'S CO COMPENSATION INSURANCE. - RNIA I ' SIGNATURE OF FINAL / BY PERMITTEE ` DATE ADDRESS CITY p 1 - � - NO. - Q I P.C. Fee$ Permit Fee 10.00 Issuance Fee VALUATION 's — � - - � rJ . Total Fee � (�, PLAN CHECK VALIDATION -CK. .:G. CASH PERMIT VALIDATION• IN. 'M.o. CASH 6 5 4 n(ICT' 1 > 1 U' 2 1.7 5 era DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES u 'U' " 0 L � M WM. J. FOX. CHIEF ENGINEER �J FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING // . /Y ! DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDREBB (®' [ Q, D �lN (/�E . ,3aq /o �3670 �I 3 LOCALITYCNEARESTC^' /�� _./ ^J/.� RECEIVED BY DATE OF APP L. DATE ISSUED CROSS ST. L� �/ I/Li //q�'I 'PJ J /�/ . ADDRE //�—/� -,5_1/ !-. OWNER L.." T'T BUILD / / / • ' D / 0 n /// ��' BB 10 Olam- R4M1LI .il itAJr'�.�. a T• MAIL //•y L LOCALITY +r' ' ADD REBS Z .Ja H L^i/I '4j' s _ I / AT ^., ' NEAREST' TEL. Y DROSS 3T. CITY NO. FIRE N .OF TYPE 13RDUP-;''_. ARCHITECTOR TEL ZONE PLANS ENGINEER- NO. ' BLDG. ADDRESS SETBACK LINE —�. M APPROVED CONTRACTOR �• / • k Np ��]�C BY DATE , Z7 `�-1 / / / USE APPROVED ADDRESS L`S_ SDH �L/ 61�/L�' 2DNE �� BY. DATE LEGAL // CORRECTIONS DESCRIPTION LOT NO. b BLOCK TRACT QD/ /}r. 'Z�/T / �n�� SIZE OF LOT �Zi( I NOW ON LOTS IDN h S( Lt n'{7 _ `- / F NO or LSE OF I FO 0 ES I ROOMS �} e4 Q d eive J C 3 / c%ISTING BLDG. DESCRIPTION OF WORK NEW ALTERATION ADDITION D T REPAIR MOVING DEMOLISH G Sq.FT. / NO.OF L /� D 91ZE / I ROOMS ® STORIES0/////ppppte F ROOF WALLCOVERING KL:CD COVERING j} . USE OF NEW BUILDING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION ^ FORMS,MATERIALS rJ �K kj•� � Gv AND STATE LAWS REGULATING BUILDING CONSTRJ}}��CTION. - n FRAME: FIRE STOPS, z � Sip NATURE OF {/{% � BRACING,BOLTS 'D PERMITTE LATH, INT. AUTHORIZED AGT - LATH, EXT. J 76A633A-3 7-49 $ IN �7m, fff PLASTER, INT. 7 m, $/ I PLASTER,E%T. / / `{ VALUATION FEE ;24 ! FINAL / ''�aH I . WORKERS'COMPENSATION DECLARATION ., I.hereby affirm that 1 have o certificate of consent Io,self - —PPLOCAMN FOR B n.O 05NG PERAR67 insure, or acertificate of Workers' Compensation Insurance, W I('� uv L�! LL tl� or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY _ Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL INBUILDING 574/ V- ADDRESS K r ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS n Dote.+ _*—J S{ Applicant CITY ZI LOCALITY CERTIFICATE OF EXEMPTION F WORKERS' - NO. OF BLDGS. NEAREST - COMPENSATION INSURANCE :- SIZE OF LOT NOW ON LOT CROSS ST. - (Thissection-need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or.less.) - TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL EL. OWNER 'O USE ONE MAP 1 certify that in the performance of the work,for which this NO. Permit is issued, I shall not employ any person in any mannef l SPECIALt so onto become subject to the Workers'Compensation Laws. ADDRESS A23 44,la ieCONDITIONS - O. Date Applicant CIARCTY HITECT O TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT, GPPP,,,OUPTYPE FIRE PROCESSED BY O Exemption, you 'should become subject to the Workers' /]%g�1 CONST ZONE U Compensation provisions of the Labor Code,you must forth- ADDRESS - `� 't/ V ((fr(\ Lt•I with .comply with such provisions or this.permit shall be - TEL. STATISTICAL CLASSIFICATION APT. - CONDO. deemed revoked. n CONTRACTOR Q• NO. Z LICENSED CONTRACTORS DECLARATION- OC. -CLASS NO. DWELL. UNITS_ hereby affirm that I am licensed under provisions of Chapter 9 ADDRE NO (commencing with,Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK -, VALIDATION -�J ,! SQ. FT. NO. OF NO. OF CHECK . License Number,2 06 � tic.Class l 3 q SIZE STORIES FAMILIES ONE _VALUATION - DESCRIPTION OF WORK NEW Contract - `Date-2 ADD p s.;A 9"?9 . O b D I am exem t oder Sec - — - ALTER B.BP.C.for this reason ' /—/v ,pBpgtR $ Date: USE OF DEMOL EXISTING BLDG. 'Signature APPLICANT TEL. FINAL - OWNER-BUILDER DECLARATION PRINT NO. .• DATE�..�.. ^ I hereby.affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5,. Business and ADDRESS . Professions Code): PRESENT BUILDING _I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work'and - - .- - the structure is not intended or offered for sole(Section LOCALITY 7044, Business and Professions Code). MOVING - TEL. I, as owner.of the property, am exclusively contracting CONTRACTOR NO. D :2 8.8 7 tl A _ with licensed.contractors to the project (Sec- # - ADDRESS tion 7044, Business and Professionssnots C Code). ) • - 49.88 REQUIRED TOTAL SETBACK CONSTRUCTION LENDING'AGENCY SET BACK YARD HWY PROP.-LINE WIDTH - e e a 4 9, 8 8 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit.is,issued .PL - O �,2 8.-�8 8• (Sec. 3097, Civ. C.). SIDE .. ". P.L. Lender's Nome J , LDMA Ref. If , Lender's Address - - -"' P.C. Fae.$ Permit Fee T� n I Certify)hot I hove read this application and State fhai,fhe - Issuance Fee iJ L./ LDMA.P/C M - - _ above information is correct. I agree to comply with all County Investigation Fee t ' ordinances and State laws relating to building construction; Total Fee ) LDMA`Perm. It and`hereby authorize representatives of this County to enter - • upon the above-mentioned property for inspection purposes. - - • ��rJ�' /�` — /'+f q GI'S(' SEE REVERSE FOR EXPLANATORY LANGUAGE nature ofApplicantor Agent Data COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0609280024 PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 17002 LT: 26 SQ. FT STORIES TYPE 5418 CAMBURY AV _ STRUCTURE: 21 VN TEMP CA 917802619 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8588-019-009 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/28/06 JK 09/23/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: 5418SCHLENER JOHN N (626 358-9208- 61550 /�� / 5418 917802Y AV Y TEMP 917802619 . PEES PAI➢ D SCRIPTIAN OF WORK TEAR-OFF AND RSROOF WITH COMPOSITION SHINGLES FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: GARVEY ROOFING CO. INC. (626) 358-9208- AA BLDG PERMIT ISSUANCE 27.75 174 WEST FOOTHILL BL AC STRONG MOTION RESID 6550.00 VAL 0.66 SPECIAL CONDITIONS: MONROVIA, CA 91016 D2 PERMIT W/O EN-HC 6550.00 VAL 166.20 TOTAL FEES 194.61 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE GARVEY ROOFING (626) 358-9208- 174 W. FOOTHILL BL. LIC. NO LOCATION AND SETBACKS MONROVIA, CA 91016 692839-C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING O SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION WBATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508