The URL can be used to link to this page

Home My Public Portal About4847 CAMELLIA AVE_Building__ i DEPARTMENT OF BUILDING AND SAFETY a APPLICATION FOR PERMIT GrOUNTY OF LOS ANGELES R ®& WM: J. FOX, CHIEF ENGINEER N e NG r. FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN BUILDING i// DISTRICT NO. PLAN CK. NO. PER57 NO ADDRESS ' 7 �,/^J- O �� / LOCALITY�� yy� f-14 RE�CEIEIIIVVED BY DATE OF APPL./p/ DATEISSUED NEAREST- V ` /� /` �/ CROSS ST. / /// , /��//1 // /fes 91 BUILDING//�U`i /✓ // 1 ' OWNER �.Q IC/[i�l /f .( J/J AA 1/Z.�I /'/ _ ADDRESS _/ MAIL /J' � /�� f+. LOCALITY, ADDRESS ;� 144 ��) �/ '/u /� I� &.01ry NEAREST V J/ /J CITY, /�, /J� / % �/��" NO. I FIRECROT..�/jNO. OF FIRE I NO. OF /IITYPE pp I GROUP' ARCHITECT ORS ��,�q[/� TEL. ZONE PLANS i ENGINEER V - 'l1,4 NO. BLDG. ORD. NO. y SETBACK LINE ADDRESS 'APPROVED - d TEL. BY DATE CONTRACTOR Jv NO. ZONE_ I APPROVED DATE ADDRESS By J HOUSE NUMBERING . LEGAL I DESCRIPTION LOT NO. � BLOCK MAP NUMBER %� � G FIELD CHECK BY / � � '� ' TRACT 4 - NO. ASSIGNED BY—C—DATE y Iy aAA NOW ON LONO.bF BLDG6��J,,99 CORRECTIONS SIZE OF LOT ,n'�. 3( J 7 p I T M_4-ije USEOF NO. OF EXISTING BLDG. IFAMIUBS > V/ ,_ DESCRIPTION OF WORK NEW I I ALTERATION (.ADDITION 11? P L.o c.� CFo wT I•..-90 0 REPAIR DEMOLITION SQ. FT; NO. OF SIZE ROOMS / STORIES' 6/� EXT. MkCL I ROOF `' /d / COVERING Id//�] COVERING _�i�G lw FOU. USE OF STRUCTURE /2vD'E o� 11. / v� v APPROVALS INSPECTOR'SSIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATIONJ�� 'J, Q tr 1 PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS ,ZJ�,/ i0/ / CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED 'FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION.+] ��//�//�f., ''FURNACE: LOCATION, G� /yf0/� SIGNATURE OF � taOLI )GRAS VENT, DUCTS /l PERMI,TiT�EE r �r vgq ^ •j/ATM, INT. ADDRESS 4 'LL �.L��/1.nw1/(/LAA.. ilf LATH. EXT. AUTHORIZED'AGT. _ / q AA PLASTER, INY. 9EA.saA OB6l 10-00' (� !T U EE ,(y j.-•� PLASTER, EXT. 17- VALUATION ,� ` o� $ y 0 ' 3 �--' .FINAL �/2 � APPUCAMON FOR BU,LMNIG PERNT. � COUNTY OF LOS ANGELES I BUILDING ANDSAFETY ^- WORKER'S'COMPENSATION DECLARATION - FOR APPLICANT TO FILL IN aulLDl pADDRESS ///^ BW INC ADD ; RESS .hereby affirm that I have a certificate of consent to self insure, •. -or a certificate of WorkersCompensation Insurance,or a certified - copy thereof Sec. 3800, Lab. C.) r CITU- --� _zIP l - - - fal� LOCALITY Policy No. Company 746 SIZE OF LOT I NO.OF.BL GS.NOW ON LOT - ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified Copy is filed with the county building inspection TRACT : BLOCK- LOT NO f depar ent � //�� - USE ZONE _ MAP NO. Dat e3 Applicant 1 Y r{M4]0/1'7r'�d^• ASSEf$OR�4� OOK '" PAGE ^ PAEIj- i�� :^ `II SPECIAL CONDITIONS Jr CERTIFICATE OF EXEMPTION FROM WORKERS' owNER TEL NO NO COMPENSATION INSURANCE �t A:!✓L • Z WITHIN 1,006 FT of SCHOOL? VES NO (This section need not completed if the permit is for one hundred AD R SS , DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED By dollars.(5100) or less:), - - CITY ZIP �/ n (� I certify.that in the performance of the work for which this permit - ( g(� /S-Q� ,/� 3. — -3 [�i-��•�—�y is issued, I shall not employ any person'in any manner so as to gRCHITECT O ENGINEER .TEL NO: o/ /` L become subjERS to the Workers'Compensation Laws. STATISTICAL CL�A.eS�SIF�ICATION APT CONDO Date Applicant ADDRESS - CLASS N0, I DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate. Of _ .REQUIRED - TOTAL SETBACK FROM. EXIST Exeinpfion, you should become. subject t0 the Workers' -CONTRACTOR �c SET BACK YARD HWV PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 4 7 FRONT- comply with such provisions or this permit shall'be deemed revoked. ADORES LC�NO. .�A P L V 5 �J a 6 SIDE LICENSED CONTRACTORS DECLARATION clTv _ uc�Lnse�q PL hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (Commencing with Section 7000)of Division 3 Of the Business and SO.FT.SIZE NO.OF STORIESFAMILIES _ DE Professions Code,andfi�(,y. )license is in full force and effect NEW ❑ BK PG D d License Numb "' Lic.Class—_�� ADD E] VALUATION Q �r> $ J DESCRIPTION OF ORK U Contractor I I ate<�`�I'93Jb R'ALTE ❑ ❑ 1 am exempt under Sec. ' O�t EPAIR• ❑ $ - to B.BPC.for this reason C G,6-s y to DEMOL ❑ LDMA P/C# - LU Date: USE OF EXISTING BLDG., URM ❑ a- Signature - pp( T(P T) - TE O. LDMA Perm# 1 ., ? ❑ 1,as owner of the property, or my employees with wages as • '•�V Z^�� - Iy�;{int their sole compensation, will do the work and the structure is AD RES -� - 1. FINAL DTE Q73307 '} r . - not intended or offered for sale (Section 7044, Business-and a.(` _ R 1 Q - W. Professions Code.) WILL THE APPUGANT OR FUTURE BUILDING.OCCUPANT HANDLE A HAZARDOUS MATERIAL .�� r 1 3A [' 111, as owner'of the r0 ert , am exclusive) contractiD with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE a I'�i—COR ~ P P y y g AMOUNTS SPECIFI D ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? - FINAL BY n licensed contractors to construct the project (Section 7044, - •1/ f,7 - n Gln Business and Professions Code.) YES❑ NO 3jV WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING. '' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ' t' CONSTRUCTION.LENDING AGENCY ' COAST AIR QUARRY MANAGEMENT DISTRIGT.OtaxOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES �//)�T _ .:. _ .. _ .. N .r. E. - - S�.I heieby, affirm that there..is a construction lending agency for YES❑ NLY - t1�'='T r the performance of the work for which this permit is issued(Sea /— h 7` 3Q97, CIV.t) IHAVEREADTHEHAZARDOUSMATERIALS INFORMATION GUIDE AND THESCAOMDPERMITTING uiLr 1L .YL ) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. W TITLE 2 CHAPTER 220 SECTIONS 2.20.100 THROUGH 2,20 140 CONCERNING HAZARDOUS 1 HEMS t L:y1.J 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A.PERMIT FROM THE SOAOMD. r - OL .Lender's Address QNNER OR AGENT TOTAL 117'e 90• o i certify that I have read this application and state under penalty o P.G.FEE PERMIT FEE withperjury that the above information is correct. agree to comply ;_NECK 117;90 with all county or ' antes and State laws relating to building - - L _ - 1Qm construct; tl e eby aUthofize fepre5entailVeS Of this County ISSUANCE FEE �` / t_HAha1zE •�I� to en po a ve- ntioned property for inspection purposes. i 6 ;?o— 3 INVESTIGATION FEE TOTAL FEE Nro1real. OCIOCI-0001 31'22/93 SEE REVERSE FOR EXPLANATORY LANGUAGE - - 26Qh5 1..._. AM10-53 Z COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP ' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0104250050 PHONE: (626) 285-0488 EXT: LEGA . OF CONST NEW DI G. R TR: 14467 - LT: -44 " - SQ. FT STORIES TYPE OCCUP GROUP 484 -CAMELLIA AV - STRUCTURE: 956 1 VN, R3 - TEMP. CA_917804241 ' _ AS FORMA NUMB R: � � � GARAGE: NEAREST.�CROSS'STREET T LOWER'A2USA 8589-015-021 OTHER: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: SS PROCESSED P RES 0 : EXIST OCC GRP: 03/25/02 JK 09/21/02 OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE: PEARSON WILLIAM L;SHARON L, WK#6262 (626) 287-2632- 1 110,000 4847 CAMELLIA AV TEMP_917804241 - FEES PAID DE3CkTFf70N b'R ADDITION OF 956 SF; EXPAND KITCHEN AND BATH-ADD NEW BATH, FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LAUNDRY AND ENTERTAINMENT CENTER. FINAL:25SSF - 3BR,3BA, AP 0: SAME AS OWNER - B1 PLANCHECK W/ENERGY 71280.00 VAL 952.44 D9 PC EXTENSION FEE 316.69 DOL 316.69 SPECIAL CONDITIONS: AA BLDG PERMIT,ISSUANCE_—�\ 27.75 AC STRONG MOTION'RESID,E,LE1.10000-.00, AL 11.00 B7 PLANCHECK'/,W/ENERGY�"110000100'VAL 314.30 CONTRACTOR: TEL. NO: B2 PERMIT�W/ENERGY 110000:OORVAL' 1,490.28 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - V` TOTAL FEES ' Y 3,112.46 LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: . NO: FOUNDATION/TRENCH FORMS /,l/I/^/ LIC. NO: 1111111 SLAB U DER FLOOR _a 02- RAISED FLOOR FRAMING MAP : SEWER MAP BOOK: PAGE: FIRE ZONE: CM01I ��Lp `L NO WO R u U O p UNDERFLOOR INSULATION --� S VEL FL00 TH NO. OF FAMILIES: DWELLING S: APT/ 0 : STA S: NO 21 d B 2ND LEVEL FLOOR SHEATH O 0 'Ah. CH00 H N, S tROOF SHEATHING L7 L` AIR QUALITY: 1000 FEET MATERIALS 0 -'- NO NO ( NO A 0 ®y FIRE DEPT. FRAME NSPECT REQUIRED SETFROBACK YARD: HWY: O PROP LINE: WIDTH: 46,70T PL- SE'rVoO:That V'O<� SHEAR PANELSBLDGRA NSPEC o-- SIDE PL- _ 7'*� �- TWgUEATI—ON7WEATHER STRIP 3�z INTERIOR LATH/DRYWALL ,�•��-�y � - ----- E OR LATH LOT D AINAGE SMOKE DETECTIONV C S FIRE DEPARTMENT PPROVAL • ADDITIONAL DATA ON FILE ZtLr' l/rl' G2-- REPORT ID: DPR261 ROUTE TO: BS0508 9