HomeMy Public PortalAbout4918 CAMELLIA AVE_Building__ 76A83BA DBS-3 1254 "
APPLICATION F;O:137,4BUILDING PERMIT
DIVISION OF BUILDING AND SAFETY BU ILOING
Department of County Engineer- ADDREss
County of Los Angeles Locnuiv /
WMl J. FOX„COUNTY ENGINEER NEAREST V
CASSATT D. GRIFFIN, SUPT DF BUILDING0=0 HI - CROSS ST.
DISTRICT NO. GROUP SEWER MAP FOR APPLICANT TO FILL; IN rr / pp f U 7 TYPE, I BK 'PG
BUILDING ` flp . �,b YNI Illi f //MtK l/)1 .MAP CONST STATE YES 6.
NO
ADDRESS 7 f }
HWY
NUMBER �D
LOT NO. {/ 'J BLOCK- USE ZONE SPECIAL
) , CONDITIONS
e
TRACT' - /'7 1� 7
NO. OF BL GS.
SIZE OF LOT, X I NOW ON LOT BUILDING YARD HWY STREET NAME EXIST.
USE OF SETBACK 'WIDTH
EXISTING BLD n FROM
P.
SIDE V /'
OWNER � i - - -
MAIL
ADDRESS �[[ / L[I/yjl tl:Yj�/� (/1/(�-K{y''/ �J” - . .
CIT)' YMAAIiC1' TEL) 7, b,..ljO7 t DWELL. 1 UNIT -5 INDUSTRIAL
2 DUPLEX_UNIT - 6 PUBLIC BLDG:
ARCHITECT OR .- .TEL.
ENGINEER NO. 3 APT. - UNITS AODN.. ALT.. ETC.
ADDRESS q COMMERCIAL 8 - MISCEL.
CONTRACTOR t)IU-.UE{2 No`' T,63o03
� � � �// � T INSPECTION RECORD
__ADDRESS ���! f.-�YhA�GC/.fA� { C / L -Cl -
DESCRIPTION OF WORK
NEW ADD ✓ ALTER. REPAIR DEMOLISH '
50. FT. NO. OF _
SIZE . y STORIES -�/ FAMILIES _
! -.P fA/I Ss-C1.CTURE
. .
SIGNATUREOF - l�
APPLICANT /� / 'O/MI//ILrWrr����PPP?}}/'TTL.fff/ffdw�J��y-p� APPROVALS
ADDRESS ��/}� (_/J/1K.d�CJa"-Q/iM[ �fNY DATE INS ECTOR'S SIGNATURE
P. C. S'
FOUNDATION'
FORMS, MATERIALS ION I 5c /1^ `��
Y FEE - FRAME: FIRE STOPS. ...II fY
VALUATION S BRACING, BOLTS
-. FEE ZO FURNACE'
GAS VENT. CATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS p
UCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT 1//
Nl
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING. CONSTRUC-
TION. - A_ LATH, EXT.
SIGNATURE OF - HRECT AND POSTEDOUSE NUMBER R
PERMITTEE �� q i� /�
ADDRESS ' V, ""��^-D FINAL jG7 to
WM. J. FOXVCOUNT.Y ENGINEER VALIDATION - Y Zil
`-� _
BY Xo7E 8 6� AU024 1 1 0:00 to
DEPUTY -- - _ - DEPUTY,/
BY .. _ BY r r
CYJ DEPUTY DEPUTY
veAcr,Acell,o,Io-,: APPLICATION FOR BUILDING PERMIT: 1.
COUNTY OF LOS ANGELES SUlLomc� / j
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE•COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,Sup•T OF BUILDING CROSS ST.
DISTRICT NO. TYPE P OCESSED B
FORAPPLICANTTO FILL IN / -1 ` I CONST,
ADDREBUILDISS Y-/.��{ �(rn 4 /{- t� STATISTICASSIFICATION I SEW A PG
DWELL. UNITSi
LOT NO. (OY BLOCK NUMMAP -6 TATE
BER �O HWY. YES
TRACT 6 7 ZONE SPECIAL
NO.OF BLOGS. —/ CONDITIONS
Af
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BUILDINGEXIST.
.-./.1 ! ^ 1 I yAr ° SETBACK Yom_ HWY STREET NAME WIDTH
MA L`OWNER v //n,, {l.� l0 FRONT
ADDRESS 7 qz�{ _ A..rim .pi f/�e Q w SIDE
' CITY Q GI TEL. P. L.
NO
NFEE
° INSPECTION RECORD. .'
A RCH I TECT OR
ENGINEER { -
ADDRESS S,A, YVA-C A-S- AMO✓
CONTRACTOR 6,dz /I-..h
ADDRESS
DESCRIPTION OF W
NEW ADD � ALTER REPAIR
SQ. FT. NO.OF
SIZE ,3 `� STORIES SUSE OF STRUCTURE
SIGNATURE APPLI CANT F `IAI. APPROVALS D E INSPECTOR'S SIGNATURE
ADDRESS' FOUNDATION: LOCATION
SIfo0dFORMS.MATERIALS FRAME: FIRE STOPS.
p� BRACING, BOLTSVALUATION v FURNACE: LOCATION.
GAS VENT, DUCTS ,✓�
i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES/AND LATH. EXT.
STATE LAWS RE ULATING BUILDING CONSTRUCTION.
SIGNATUREOF /"� /� HOUSE NUMBER COR-
PERMITTEE Q A �t.A,0. IU RECT AND POSTED G
ADDRESS �• �� FINAL
CLYDE N. DIRLAM. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH .PERMIT VALIDATION CK, M.O. CASH'
�, c 8 8 7 8 JUL
eaasrA=enao ,o ;4PPLICATIoN FOR BUILDING PER �.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE: COUNTY ENGINEER. NEAREST _
_CASSATT D. GRIFFIN, SUP-T OF BUILDING' CROSS ST:
DISTR{ T N GR .TYPE - OCESSED B
FOR APPLICANT'TO FILL IN I I CONST.. "
BUILDING /'� STATISTICALC IFICATION _ SEW R M MAPr
ADDRESSl CLASS.NO.�LDWELL.UNITS I G
BLOCK MAP N �1 STATE . YES -NO. ,
,r - NUMBER t/ .l6 HWY.,
TRACT 6 - - U ZONE SPECIAL
NO:OF.BLDGS / CONDITIONS' _
SIZEOF LO , I NOW ON LOT. /J'•. BOO
' `USE OF -EXISTING BLDG. BUILDING{ YARD HWY, STREE7 NAME EXIST.
_ SETBACK WIDTH
OWNER O FRONT
MAIL P.L.
.ADDRESS '�/CJ/°J� 'C A :an p•�I/t%f SIDE - -
P.L.
CITY -- c T .NO I- - e' INSPECTION RECORD -.
,ARCHITECT OR. . TEL
ENGINEER 2 w NO. .
ADDRESS
CONTRACTOR
O Lin NO
TEL
'ADDRESS . -
DESCRIPTION OF WORK
`
NEW ADD ALTER REPAIR DEMOLISH `
SQ.FT.. _ ;NO.OF NO.OF -
SIZE - STORIES FAMILIES •USE OF - - -
.STRUCTURE le Ife
- - - ,
- SIGNATURE OF•(i
APPLICANT APPROVALSP ATE' f INSPECTOR, IG ATTIRE
.ADDRESS FOUNDATION%LOCATION -q
'VALUATION ! FOR MS,MATERIALS / -
3FRAME: FIRE STOPS,
BRACING,BOLTS
P.C. FURNACE:LOCATION,
FEE S ^ J.I FEE Sol. 8� I- GAS VENT.DUCTS' _
- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT.- -
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND -
-AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE -CAWS REGULATING BU LDING CONSTRICTION. LATH,EXT. -
SIGNATURE OF /7 HOUSE NUMBER GOR- .
PERMITTEE _ RECT AND POSTED
ADDRESS- ' ^ FINAL. - -'
CLYDE N. DIRLAM: PRwcIPALSiriucruewL ER
PLAN CHECK VALIDATION CK. M O - CASH PERMIT VALIDATION- CK. "G ' CASH
4
l 00'1 3 lu_ °4 1 A 3 .0,0 �.
APPLICATION FOR'
BUILDING PE,RMI.I:
BUILDING
FOR APPLICANT TO FILL IN ADDRESS '-
BUILDING
ADDRESS,. -a. E 2p(�L' � - G ^LOCALITY ♦ `
NEAREST
CITY �\ - _ ZIP I ZOO CROSSST. -.
NO:OF BLDGS. - ASSESSOR'
.. . - ..__
s¢BOF CoT r _ ./ .., ..
fp U NOW ON LOT - MAP BOOK PAGE PARCEL
/ / / DISTRICT GROUP TYPE' 'FIRE. 6E,�SED BY
'TRACT''/ Y�p BLOCK LOT NO.(O aa{ CONS
OWNER O�J.A{ ( R 4„� TEL ,O -
e (� � STATISTICAL CLASSIFICATION - SEWER M
ADDRESS Z CA A\..1_44I Aue CLASSNO.o e/ DWELL.UNITS - „BK _ AS
CITY /�A ZIP O INE- MAP
ARCHITECTOR - - ,'TEL. _ NO.
ENGINEER NO. SPECIAL . . _..
CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED - YES 1:1 - -NO-❑I-- `
TEL.
CONTRACTOR NO, BLDG.SETBACK FROM
_ - _
FRONT PROP LINE OF ^'
LIC. -(STREET) '
ADDRESS NO. HIGHWAY + 'YARD - TOTAL SETBACK FROM TYPE OF" EXISTING
LIC: - - FRONT PROP.LINE - HIGHWAY WIDTH '
CITY- _ ' CLASS
CONSTRUCTEDEITtINDER
NAME AND BRANCH - BLDG.SETBACK FROM ' - - OU
ADDRESS CITY' SIDE PROP LINE OF ' lSTREETI O
SQ:FT. NO.OF NO.OF -CHECK HIGHWAY + YARD' TOTAL SETBACK'FROM TYPE OF- EXISTING U
SIZE . 5TORIES FAMILIES ONE SIDE PROP.LINE' HIGHWAY.WIDTH N
+ _ Z
DESCRIPTION OF WORKNEW
_ b R ADD Q CORNER CUTOFF '-YES ❑ NO ❑ ,
ALTER El(f-2 IN OPEN SPACE YES ❑ NO ❑ '
REPAIR ❑
EXIS USEWG BLDG. - DEMOL Q IN COASTAL PERMIT ZONE V�ES ❑ NO `❑_
APPLICANT
TEL
IP INTI .. NO. .. _ •.. 91 C-7'c��1 �s
BY ISIGNATUREI - -
'I HEREBY'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 CONSTRUCTION.I CERTIFY THAT IN DOING THE ,
'WORK AUTHORIZED HEREBY I,WILL NOT-EMPLOY ANY PERSON IN VIOLATION OF l THE LABOR CODE OF THE STATE OF CALIEORNIIAiN RELATING TO WORKMEN'BOOM
- i ,r
PENSATION INSURANpE. ' C
SIGNATURE Of - FINAL / : BV - -
PERMITTEE DATE
ADDRESS
e TEL P.C. Fee$ ' Permit,Fee t
/ Issuance Fee
`VALUATION �` 6 0,,
`.., i
_ Total Fee-
T
PLAN CHECK VALIDATION. "a;cK.S= M.o. , CASH'' PERMIT'VALIDATION 'CASH
`� �., .• ,. 7 1'4 SSE?: 12 1'. ® 1..5.0 0 e�3 :.
®3�76A638B CE'M603B 6/76`._. . .- .,• ,. _ ... - - _ -
` / .
COUNTY OF LOS ATEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLI 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709290028
PHONE: (818) 285-0488 EXT:
LEGAL ID: - NO. OF CONST 'BUILDING
TR: 14467 LT: 64 SQ. FT STORIES TYPE ',4918 CAMELLIA AV
STRUCTURE: 0 VN TEMP CA 917804242
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SPARKLETT
8589-016-014 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG U ESID USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/29/97 UT 09/29/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY ODE:
LAM DARRICK;LUU BECKY - 1 4,000 -
4918 CAMELLIA AV 2
TEMP 917804242 FEES PAID DESCRIPTI01 OF WORK
RECOVER WITH CLASS A ELK 40YR. iMP. SHINGLE-TEAR OFF FLAT
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: AREA 8 ROOF WITH 3 PLY HOT BU UP ROOFING
APPLICANT: TEL. NO:
J N DAVIS ROOFING (626) 289-7380- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC. pn T4000.00 VAL 116.10
I�-TOTAL FEES 144.35
�tt ai, _ -y OJ
CONTRACTOR: TEL. N0: ,f APPROVALS DATE INSPECTOR SIGNATURE
J N DAVIS ROOFING (818) 821-4665- rY�y� ��� H B
2 E. LA PORTE #A LIC. NO LOCATION AND SETBACKS
ARCADIA, LA 91006 572125C-39 ,�Y/^7�
�^� �� �✓�� \ �y� SOILS ENGINEER APPROVAL
r s
ARCHITECT OR ENGINEER. TEL. NO: ' a; 1--_. �\ FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ' '"^ 'I C i ` UNDERFLOOR INSULATION
147H265 3 01 �
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: T 0 D: STAT CLASS: - - -
NO 21 ?I? '/ ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS �� S E R PANELS
AIR QUALITY: 1000 FEET MATERIALS (��� '::�'�� _
NO NO NO �� _ i' FRAME INSPECTION
_ !
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: •• - -_ !
FRONT PL- . '� INSULATION/WEATHER STRIP
<t
SIDE r.-
PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FL00 /CE L ASSEM.
RATED WALL ASSEMBLIES
RATED SH F S/OPENINGS
T-BAR CEILINGS
I
LOT DRAINAG
REPORT ID: DPR261 ROUTE TO: RS0508