HomeMy Public PortalAbout4925 CAMELLIA AVE_Building__ 11,5'„A DBe,, APPLICATION FOR :BUILDING PERMIT •--'� •-•. �,
DIVISION OF BUILDING AND SAFETY BUILDI s /
Department of County Engineer / -
et
County of Los Angeles LOCALITY aj
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / y /t
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. /
FOR APPLICANT TO FILL IN DISTRIC NO. GROUP' TYPE SEWER MAP
BK PG
CONST. -
BUILDING
ADDRESS '7 y/ fl Y/GTL_id Nuen BER STA�jy YES NO
�J US ZOJJE SPECIAL
LOT NO. J BLOCK , CON D ITIO�N{_S —A ILS
TRACTNO. OF
SIZE OF LOT �Z x� 7e I NOW ON LOTS
BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
USE OF
EXISTING BLDG. FRONT
OWNERbr=K SIDE
MAIL
_
ADDRESS --5;;D, /'�?- O TRACT DWELL. I UNIT 5 INDUSTRIAL
CITY / j/Q{�[GT /i Y� NO. - 1 DWELLZ/ 1 UNIT
6 PUBLIC BLDG.
1 : 2 DUPLEX 2 UNITS '
ARCHITECT OR TEL.
ENGINEER pL i.L✓J NO. S/LNLS 3 APT. 4—UNITS 7 ADDN.,ALT., ETC.
B MISCEL
ADDRESS e;'-'j G of 4 COMMERCIAL -
Rc�s TA J' LVO ;� f INSPECTION RECORD '
CONTRACTOR c�J z�
ADDRESS s'� �r/f GJG•i/G—/!D.__ —
DESCRIPTION OF WORK
NEW AC ADD ALTER REPAIR DEMOLISH _ -
so. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS DATE INS ECTOR'S SIGNATURE
y FOUNDATION: LOCATION
FORMS.MATERIALS tl 4 S` L
/-T- 1^ /•F FEE FRAME: FIRE STOPS,
VA `
LUATION v as S BRACING. BOLTS
FEE O FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.
AND STATE LAWS REGULATI BUIL NG CONSTRUC.
TION. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR- _
PERMITTEE ` RECT AND POSTED p j
ADORES
s FINAL - '�fJ S�VGIQ✓t--� !'
JOHN A:LAMBIE. COUNTY ENGINEER ALIDATION CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR
CK MO CASH ”
_ . .,!r.Co9�?.9 6zR,;AUG 6 ' 25.01 :®
9801�0 AW31 1 10A0 fa
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
r +'•,:WL( J. FOX, CHIEF ENGINEER )A APPLICATION_..
FORpAPPLI/C/JANT TO FILL IN FOR OFFICE USE ONLY
DD RE99 / //I ✓ 1 DISTRICT NO. PLAN CK._oa REC'Na.' 1 PERMIT NO:; /j
BU
AILDING c/Y 5- 6 o{J3 I 3&4
& 4
LOCALITY / C RED/BY , DAT^E OF APPL DATE ISSUED
NEAREST //J' VI"/✓ I
CROS99T. ✓ BUILDING S M L' }
ADDRESS Fl
OWNER �o �
ADDRESS S -I T / / &W- LOCALITY
NEAREST S pp( RK LE
�/y :S ST.
Il GTT
CITY / , 1 NO. oll FIRE - NO. OFI TVP _ OROU -IS
ARCHITECTOR EL/ / ZONE PLANS 5
' ENGINEER NO. BLDG. 1 O D/�NO.
SETBACK'.LINED`FT.M/N � ( '`I
ADDRESS
USE APPROVED _ - I.I !
D ../. /� „ TEL SONE BY _ i .DATE
CONTRACTOR (�(/n/ J/�! NO. ,
HOUSE NUMBERING ? f
ADDRESS - MAP NUMBER NO. ASSIGNED BY__'
LEGAL o CORRECTIONS
DESCRIPTION LOT NO. jO BLOCK
TRACT
NO. OF BLOOIL
L X
SIZE OF LOT 5 � � �I O NOW ON LOT
USE OF NO. OF—
EXISTIN BLDG. I FAMILIES
DESCRIPTION OF WORK
/sco - ��•fib LTB' 7I, -F,-A r.Er---- — o NEW ALTERATION ADDITION
REPAIR I I DEMOLITION / F
9qZE. FT. / d ROOMS !p STORIES /
91O
EXT.WALLl�w �a I COVE R'I NB�V�/�(y�/-
COVERING V
USED
STRUCTURE I
L'aQ/tLrLA-� f.P'X' vo .
INSPECTION FOR - APPROVALS
OCCUPANCYAS INSPECTOR'S SIGNATURE. DATE
FOUNDATION: LOCATION e
FORMS, MATERIALS L
I HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS AP-
PLICATION AND
P-PLICATIONAND STATE THAT THE INFORMATION GIVEN 18 FRAME: FIRE STOPS,
CORRECT. BRACING. BOLTS
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, /A�-
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 4 Z
GA9 VENT, DUCTS �} e
SIGNATURE OF 1 1 LATHr INT. /' / •> S�y
PERMITTEE
/
ADDRESS LATH, EXT.
PLASTER, INT.
PLASTER,$
AUTHORIZED ACT. /G/ ,<J' 9S$Oe� FEE . r
�V.( HOUSE NUMBER COR-
RECT AND POSTED
VALUATION O �Q'
FEE � FINAL
76A63SA CBS 3 '-51
• COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1206290038
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 14467 LT: 38 1 SQ, FT STORIES TYPE 4925 CAMELLIA AV
(STRUCTURE: 2400 V-B TEMP CA 917804243
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET-
18589-015-015 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CAI
I
ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 IISSDED ON: PROCESSED BY:
I IEXIST OCC GRP: 106/29/12 SR
OWNER: I-
GUINN, TEL. N0: `1BLDG5. NOW ON LOT: VALUATION: FINA TE FINAL BY: CODE:
1GUINN, iimm�CAMELLIA
(626) 286-7811- 1 6,250 T //J
4925 CAMELLIA AV _ I
ITEMP 917804243 1 FEES PAID IDAS�R!IPTION OF WORK
1 IT/C,REROOF 50 YEAR CLASS A ROOFING COMPOSITION 2400 SQUARE
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IFEEF - HOUSE AND ATTACHED GARAGE
(APPLICANT: TEL. NO:
1GUY, BLANCA (626) 679-1284- IAA BLDG PERMIT ISSUANCE 27.80 1
16252 TEMPLE CITY IAB STATE GREEN BLDG FEE 6250.00 VAL 1.00 ISPEC'IAL CONDITIONS:
1TEMPLE CITY CA 91780 IAC STRONG MOTION RESID 6250.00 VAL 0.60
I ID2 PERMIT W/0 EN-HC 6250.00 VAL 166.20
1 TOTAL FEES 195.60
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
(BSG ROOFING (626) 679-1284- 1
16252 TEMPLE CITY BLVD. LIC. NO (LOCATION AND SETBACKS
(TEMPLE CITY CA 91780 903492
I ISOILS ENGINEER APPROVAL
I I
IARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
I I
I LIC. NO: (SLAB/UNDER FLOOR
I_
IRAISED FLOOR FRAMING
I
(MAP NO: SEWER NAP BOOK: PAGE: FIRE ZONE: CMP:( IUNDF.RFLOOR INSULATION I
1144H269 3 ODI
I FLOOR SHEATHING
N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
I0 NO 21 - IROO, SHEATHING ^� -
I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS (�
(AIR QUALITY: 1000 FEET MATERIALS I_
I NO NO NO I (FRAME INSPECTION
I
(FIRE SPRINKLER HANGERS
I
I I INSULATION/WEATHER STRIPI
I I 1
I I (INTERIOR LATH/DRYWALL
I
II IEXTERIOR LATH
I I
I RATED FLOOR/CEIL AESEM.
I 1 _ 1_
I (RATED WALL ASSEMBLIES
I IRATED SHAFTS/OPENINGS
I
I IT-BA.R CEILINGS
I
ILOT DRAINAGE
I
I IREPORT ID: DPR261 ROUTE TO: BS0508
I I