HomeMy Public PortalAbout4950 CAMELLIA AVE_Building__ OF
DSION F UILDING" ENGINEER
DIVISION OF BUILDING" AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUIL JNO
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Be UILDING 'f`FSO /1 IV. CAM
EL"A J`�DISTRICT ry0. PLAN CK.OR RBC.NO. PERMIT NOy
DDRESS ` I�I G �
LOCALITYo 1 RgC 1, ED I DATE OF APPL. I (DA)rEISEJUED
NEAREST
CROSS 9T G (� BUILD
IN
ADDRESS
OWNER A.�
ADDRESS SO N. C /�� Al.lc LOCALITY J
NEAREST
CITY 6� NO AT A 7 CROSS 6T.
ENGINEER ARCHITECT O b NO.l7T 6 34 7 2'. ZONE I PLANS FIRE N OF TYP GRpUP:�
ADDRESS O k, C BLDG.
p SETD'& LINE /
CONTRACTOR
TEL
/ USE APPROVED
/s /� ZONE 1 /BY DATE
ADDRESS .'�J� C.�4ME1.4I I ,/{I.HOUSE NUMBERING I'
LEGAL MAP NUMBER N/L4NO. ASSIGNED BY
DESCRIPTION I LOTNO. 46 BLOCK
.44C� � A .
TRACT Mt CORRECTIONS
NO. OP SLOGS. —
SIZE OF LOT 6 V k O I NOW ON LOT
USE OF I NO. OF
EXISTING ISTG BLDG. AM'U.
DESCRIPTION OF WORK 57;y o 6-7 0 -
_ NEW ALTERATION ADDITION
REPAIR �LlDEMOLjITION �.
Q. FT. NO. OF
eIZE lgrao ROOMS / STORIES
COVERING IZG✓WAOD I ROOF
COVERINGCo1APOal
USE OF STRUCTURE
GoQAA&e . SM#Pat WASM
O®
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION �, 7
FORMS. MATERIALS I✓ Q //�
I HEREBY ACKNOWLEDGfi THAT 1 HAVE READ THIS AP- FRAME:.FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT.
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION.
AND STATE LAWS/R,�EGUL/A�TING�BBUU/,ILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF / � 1 V I ' u�'_�. __ SIB LATH. INT.
ADDRESS-
PERMITTER 4 4�� i AO _UllI w//Isl'L�iV�^#e 'a�6a &VVV/A LATH. EXT. .
S�oV PLASTER, INT.
AUTHORIZED AGT. -
PLASTER, EXT.
PP
FEE ® HOUSE NUMBER COR-
RECT AND POSTED
VALUATION FEE FINAL
�76AWSA M88 8-88
DEPARTMRNT�ON.BUILDINd AND SAFETY APPLICATION FORrPEh,
COUNTY OF LOS ANGELES o M M l/lJ� -- _
WM. J. FOX, CHIEF ENGINEER j B v 0 1. D 0 `+ �+ v ��-
' r ng_APPLICANT TO FILL IN FOR OFFICE USE ONLY
�- DISTRICT NO. �PLAN CK.
rNO. PERLIIT NO.
BUILD
ADDRESS BB 9 azr--.r /J(y / V/Xp
LOCALITY C 7rFrm �E L� 7 ?'� RECEIVED BY DATE OF APP/PL. DAT ISSUED
NEARESTCROSS T. ( . SP�Ir?K6.Im// 1I /0/��/ �� �Y- /
OWNERCARL J. Ad5'NO5 P"1 JANL° (J / ��
�J'5N , -AODRE89
MAIL
ADDRESS/T���Aya 6 •Vrr�V,�EM p"a/� LOCALITY
CITY / L/ 1 �� �r 7T� TE NEAREST /^ ,I^ / ��7
t CROSS ST.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANA . )� �-
ENGINEER NO. v
BLDG. //nn ORD.NO.
ADDRESS
OWN�I` _SETBACK LINE 1 2-e) /'y��, V¢fj'
APPROVED ��
TEL
CONTRACTOR S,c Mn .w NO. BV /,./( A+ DATE
.--rl USF� PROVED
_ -ZONE ' / � BYDATE
ADDRESS CIO.""� L
LEGAL CORRECTIONS
DESCRIPTION7.IL
(L/OT NO. / BLOCK - df! /(O
TRACT / / q &
Go x /bO NNO
OW ON ILDLOT / J G
SIZE Or LOT Nc Nf".
USE OFNO.OF NO OF
EXISTING BLDG. fymNE fwMI EIEe ROOMS
DESCRIPTION OF WORK
NEW < ALTERATION I ADDITION
O
A
REPAIR MOVING
DCEMOLIB
H-
SFT. NO.OF
SIZE ROM STORIES D
WALL NyKERING FETVCOVERINGSNEVIV �
UBE Or NEW
BUILDING oMG 75A L
J I
AL1 n/I'I L 5 /7a ,7* 77
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT' FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMAT MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF O / ) - a BRACING,BOLTS
PERMITT /
LATH,INT.:
AUTHORIZED AOT LATH,EXT.:
DSS-3 SOM SETS 7-47 $ e C PLASTER,INT.
O FEE 0 - l PLASTER,EXT.
L/Fi/s Uv i
VALUATION
FEE /� - - FINAL
TEMPLE CITY
.M.�.. Eu.oE• I6, APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
,DEPARTMENT OF COUNTY ENGINEER ADDRESS p p. (( ,
BUILDING AND SAFETY DMSION LOCALITY Z (.
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST �nn
✓s WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
„ - - DISTRICT NO. TypE .P 4k 3SE
FOR APPLICANT TO FILL IN S [I CONST. - -([
BUILDING �(� s' AveSTATISTICAL CLLAASSISIFICATION S ER MAP
ADDRESS i/�J�0 N. CAMF�uA NCLASS. NO.�DW ELL. UNITS _� IBK PG
LOT NO. 10 BLOCK WATER NOT REQUIRED RECEIVED '
J)�� -
TRACT - / ^� p� CERTIFICATE:MAP HIGHWAY STATE MAJOR SECOND, LOCAL
)F BLDCI
SIZE OF LOT. (oO X J U'O NOW ON LOTS Z USE ZONE SPECIALLEI
EXISTING/Ba BLDG. 6S NG F .USEOFCII/ CONDITIONS
OWNER CARL. ��� /'7�P1VJ NO.RJ �"TEL �I BU/ILL,,NGygRD HWV ,STREET NA
qE EXIST.
/I� SETBACK WIDTH
ADDRESS' V " CIiMECLI-A AVE FRONT ARC �
ENGINEER OR OW,y�R NEo`�J-63' 7P `
SIDE
P. L.
ADDRESS TEL. INSPECTION RECORD a
CONTRACTOR C9WNF.IZ NO. 77 ( 0
ADDRESS
DESCRIPTION OF WORE y✓f�>!� �"/ -c�+� /� — O
� V
SQ.FT. ADD q PALTER REPNO.OFAIR DEMOLISH
NEW 3I�P�I�.1 1�� 1I .LMlU) Y/�l/✓ .A�RAi+ /'//11 r z
SIZE 7Z 7 - STORIES FAMILIES / / C /i
STRUCTURE CTURE Rc-5EDE �oNCE• ((Ss 5
.3 gtOOM / 1// !!-(L-Li 1 ruvlrl ,L�7Tr. . to /.I
SIGNATURE OF / , I I'�a-�• �-Yb ( I/�P..M / 1
APPLICANT lll......
VALUATION$
yj
APPROVALS 2 DATE, INSPECTOR'S SIGNATURE /
F E $ LI? FEE PMT.$ A. Uly FOUNFORMS,MATERIALS LOCATION
lJ��'..✓.r z. /' ! '"
FRAME: FIRE STOPS.
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
C
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS I/
BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- •LATN,.INT..D�Y//'('f� �. �/ ,Z /J �
TION OF THE LABOR OODE OF THE STATE OF CALIFORNIA RELAY
ING TO WORKMENS COMPENSATION INSURANCE. -LATH', EXT. ��o/I,�/IG ✓�I��V- ✓ ^i�V /
SIGNATURE OF C �1. ' ` p.J -_' „w HOUSE NUMBER COR- _
PERMITTEE / /NY lll....CCC fff111��/v✓-��J RECT AND POSTED /
ADDRESS 49.s'b MS'1-tiA Vt FINAL
CLYDE N. DIRLAM. PRINCIPAL STRYCTWRAL ENG NEER
PLAN CHECK VALIDATION cK M.D. CASH PERMIT VALIDATION cK M.D. cASR
'A% 9058 MR 2 2 3 D 1. 2.00 _k
LN�;o 9 4 6 9 MlA 1 2 1 D �/�2 4.0 0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND ,SAFETY i LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0004200022
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 14467 LT: 69 SQ. FT STORIES TYPE 4950 CAMELLIA AV
STRUCTURE: VN TEMP CA 917803865
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-017-016 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-T ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 05/01/00 UT 10/28/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
LU;JACK (626) 288-2719- 30,000
3436 BURTON AVE �.Q(} L_
ROSEMEAD, CA FEES PAID DESCRIPTI N W0
EXTENSIVE INTERIOR REMODELINGREROOF /
APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: -/ice �`L .;�C_w �'L.dGC•0'fps00�(,.
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 30000.00 VAL 3.00 SPECIAL CONDITIONS:
D2 PERMIT W/0•EN;HC 30000.00 VAL 536.70
P�yGELESTOTAL-F,EES 567.45
AL
CONTRACTOR: TEL. NO: �05 V/V�,y APPROV LS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
/ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: k
FOUNDATION/TRENCH FORMS
LIC. N1111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEW R MAP BOOK: PAGE: FIRE ZONE: MP,:-• n n n n UNDERFLOOR INSULATI N
XX 3 I U 11 III^SII W O RK FLOOR SHEATHING
NO. OF FAMILIES: DWELLIN UNITS: APT/COND: STAT CLASS:
LTJ Lam,
NO 21O8 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 49 Q
AIR QUALITY: 1000 FEET MATERIALS O 0 tt- ` SHEAR PANELS
NO NO NO 1" FRAME INSPECTION
eb
REQUIRED
XIST
FIRE SINKLER
BACK
SET
FROBACK YARD: HWY: TOTAL
PROPT LINE:FROM WIDTH: `b,ZCT PL- Service That��(� INSULATION/WEATHERGSIRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT 10: DPR261 ROUTE T0: BS0508
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 0004050016
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 14467 LT: 69 SQ. FT STORIES TYPE OCCUP GROUP 4950 CAMELLIA AV
STRUCTURE: 95 1 VN R3 TEMP CA 917803865
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA
8589-017-016 OTHER: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 04/05/00 UT 10 02/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
LU;JACK (626) 288-2719- 1 20,000
3436 BURTON AVE
ROSEMEAD, CA FEES PAID DESCRIPT IT 0 WORK
ADDITON- LAUN Y ROOM, E%PANS(ON 001
STING LIVING ROOM
APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: LOM: AMOUNT:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 20000.00 VAL 2.00 SPECIAL CONDITIONS:
AX BUILDING REVIEW--FEE� 54.70
B2 PERMIT W/ENERGY.''—X20000`00 VAL 423.06
PNLU3 I6TAL�FEES 507.51
CONTRACTOR: TEL. NO: s `U/� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - 0, Ty
LIC. NO LOCATION AND SETBACKS
/ ( SOILS ENGINEER APPROVAL /
ARCHITECT OR ENGINEER: TEL. N0: OUNDA ION/TRENCH FORMS
LIC. N0:// 7111111 SLAB/UNDER FLOOR
II/J'�L RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,: UNDERFLOOR INSULATION
3 I U1 /U L (C W011 11K IST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING NITS: APT/COND: STAT CLAS
NO 21h( g ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS 0 0 , I: ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS � Q � Q fi"��ryttTY�L _ -B C1
NO NO NO A ®'1:;,jl®g FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXISTt BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: b/j O
FRONT PL- C Service That SHEAR PANELS
SIDE PL-
INSULAT ON/WEATHER S RIP n_0O
INTERIOR LATH/DRYWALL i 2
J
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508