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HomeMy Public PortalAbout5032 CAMELLIA AVE_Building__ -APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING POR APPLICANT TO FILL IN ADDRESS 3 BUILDING r ADDR LOCALITY NEAREST CITY ZIP CROSS ST. .OF BLDGS. ASSESSOR SIZE OF LOT GW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY TRACT BLOCK LOT N0. I CONST - * TEL. .�if�/�__ OWNER NO. STATISTICAL CL IFICATION SEW MAP ADDRESS CLASS N DWELL•UNL73 K 2,?'G ZrE MAR CITY ZIP f NO. ARCHITECT OR TEL. D SPECIAL _ ENGINEER NO. �id CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YESE N-0 ❑ CONTRACTOR TEL. BLDG.SETBACK FROM LIC: FRONT PROP.LINE OF (STREET) ADDRESS Pi NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EX]STING LIC. FRONT PROP. LINE HIGHWAY Wf DTH CITY CLASS CONSTRUCTI ENDER + - NAME AND BRANCH BLDG.SETBACK FROM ADDRESS CITY SIDE PROP. LINE OF (STREET) Ej SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD __ TOTAL SETBACK FROM TYPE OF EXISTING GC SIZE STORIES FAMIL ES ONE SIDE PROP. LINE HIGHWAY WIDTH DESCRIPTION OF WORK NEW ❑ + DD ❑ CORNER CUTOFF YES ❑ NO ❑ Z LTER A h, IN OPEN SPACE 'YES ❑. NOS❑' REP IR USE OF IN COASTAL PERMIT ZONE YES NO ❑ EXISTING BLDG. nEMOL ❑ APPLICANT TEL (PRINT) NO. r r BY (SIGNATURE) I HERESY ACKNOWLEDGE THAT I HAVE "CAD THIS A"LICATION > _ AND STATE THAT THE ABOVE IS CORRECT AND ASR EE TO COMELY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- /] ��r STRUCTI ON. I CERTIFY THAT IN DOING THE WORK AUTHORI;ED �� �`�,, W 4 HEREBY I WILL NOT EMPLOY ANY PERSON IM VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION 1"URANCE. r SIGNATURE OF r FINAL 9 Q BY PERMITTEE DATE ADDRESS TEL. P.C. Fee$ Permh Fee CITY NO. Issuance Fee - VALUATION$ / O Q �+p�/�.� T� .T.}ota�l EFee/�� PLAN CHECK VALIDATION CK. M.O. CMH rLiLMI VALIDATION IO /CK M.O. CASH 5 2t'4-NOV 12 1 B 76AS341A C<*80711111 h/75 - } P l� 76ABSOA GEfe0.7 3-80 � `-'!c 7 hl APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS tiJ B=ING AND SAFETY DIMON LOCALITY 77 JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, sur-T OF EuILnINa CROSS ST. R APPLICANT TO FILL DISTRICT NO.- GROUP TYPE PROCESSED-BY- Print or • only) C T l 0 �APle BUILDMG +� STATISTICAL CLASSIFICATION' SEWER MAP. , ADDRESS /VIa it L :CLASS NO___T_' DWELL,UNITS. BK P,3,2 LOT NO. - BLOCK USE ZONE MAP NO. TRACT Z SPECIAL NO.OFBLDGS. CONDITIONS SIZE OF LOT NOW ON LOT Z USE OF! EXISTING BLDG. Q BLDG,SETBACK FROM 1.' EL FRONT PROP.LINEOF - - (STREET). W OWNER IM, xir.4" NO. TYPE OF EXISTING 'BETDACK HIGHWAY + YARD = ' TOTAL ADDRESS ,S APA ICA HIGHWAY WIDTH FROM C.L. CITY BLDG.SETBACK FROM ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF I&TI NO-BET MACK HIGHWAY'_ '�- YARD - "TOTAL ADDRESS HIGHWAY WIDTH FROM C.L.TE - I CONTRACTOR 1V. M NOL -I" + - ADDRESS TC, vD. NO. —OO 9 CORNER CUTOFF YES ❑ NO . LIC. � CITY F. 0, CLAss —7- S E REVERS SIDE FOR $CIAL PPROVALS D CRIPTION OF WORK N ADD ALTER REPAIR DEMOLISH Sq. FT_ NO. OF NO. OF SIZE STORIES FAMILIES U$E OF STRUCTURE W191 k t SIGNATURE OF APPLICANT VALUATIONS APPROVALS DAT INSP TOR' to TUR P.C. PMT. .� FOUNDATION, LOCATION FEE S FEE f •? FORMS MATERIALS L FRAME: FIRE STOPS, I HQ1[7Y ACKNOWLEDGE THAT I HAV[ READ THIS APlLICATION BRACING BOLTS AND STATE THAT THt AIOV[ IS CORRECT AND Aa REI TO-COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCIS AND STATE LAWS REGULATING GAS VENT DUCTS SUILDI NO CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIXrD)-4VM2Y I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LASOR COD[ Of THE STAT[ OF CALIFORNIA RILAT. LATH, INT. ING TO WORK MOF COM P[y SATIOH INSURA �(/f! LATH, EXT. SIGNATURE OF HOUSE NUMBER• OR- PERMITTEE � RECT AND POSTED �s ADOREss FINAL JOHN F. LEMS. PRINCIPAL ST R URAL ENGINEER PLAN CH= VALIDATION 6c. M.D. CASH _ PESNIIT VALIDATION CK M.O. CA~I Lffr,9 5 0 $Q� AN22 D 1 7.25- COUNTY OF LOS ANGELES TEMPLE• CITY f 0508 BUILDING PERMIT DEPARTMENT OF PUBLJC WORKS 9071 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT � TEMPLE CITY CA BL D508 9611190050 PHONE: (818) 285-048$ EXT: LEGAL ID: OF CONST BUILDING ZdkESS TR: 14467 LT: 75 SQ. FT STORIES TYPE 5032 CAMELLIA AV STRUCTURE: 400 TEMP GQ1703 ,853 ASSESSOR INFORMATION NUCTEWT. - tNEAREST CRQSS'8TREET• * 1 8589-017-022 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TERANT: EXIST BLDG USE: RMID USE E: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST DCC GRP: 11/19/96 TC t1/19/97 OWNER: TEL. NO: BLMS. NOW ON LOT: VALLIATTDW-- FINAL''DATE FINAL 9 CODE�: SKINNER WILLIAM R;LILLIAN A - 1 0 5032 CAMELLIA AV TEMP 917803853 FEES PAID DENO EXISTING GARAGE AND ROOF STR LRE FEE DESCRIPTION: OUANTITY: UOM: AMOINTAPIPLIMT: TEL. NO: : TMC BUILDERS,INC. (618) 445-8301- AA BLDG PERMIT ISSUANCE 0.00 02 DEMIOLITION INSP �7 163.50 SPECIAL CONDITIONS; � �� ESf'� 163.5a 4 V 1 .CONTRACTOR: TEL RU7 DATE I-N TMC BUILDERS (818) 445-8301- �� r P.0. .0. BOA( 66D564 LIC. NO ARGDIA, G 91066-D564 673353 B � ®�f � Md DISCONNECTIONARCHITECT TEL. NO: ' / t f LIC. NO: 4 � � iiia AND BOIL RECOMPACTION 1MAP W: SEWER MAP DOOK: PAGE: FIRt ZONE. CHP: 44H269 01 PUBLIC WORKS S NO. OF FAM UNITS: STAT Syco NO 23 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALSNO NO No O"v ice 1pTLF1GITLON i "-Ki ft�iv. a*Womb.of 4*8" f .• • REPORT ID: DPR261 ROUTE TO: 850508 k ; DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER - BUILDING FOR APPLICANT TO FILL IN ' FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING r' ADDRESS LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. BUILDING OWNER ADDRESS ,.t MAIL /( LOCALITY ADDRESS v ! / NEAREST _ TEL. CROSS ST. CITY NO. FIRE NO.OF TYPE GROUP,- ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. �J ORD.NO.. ADDRESS SETBACK LINE L 0 r APPROVED AA( TEL. Tol BY DATE CONTRACTOR !'�/"'. ! ♦1 NO. USE APPROVED ADDRESS log, ZONE . BY DATE LEGAL CORRECTIONS - DESCRIP"T I['ONL.�/ LOT/NO. BLOCK TRACT NO.OF SLOGS. d SIZE OF LOT NOW ON LOT USE OF i•"') NO.OF NO.OF EXISTING BLDG. FAMILIE ROOMS DESCRIPTION OF WORK NEW ALTERATION I ADDITION O A REPAIR MOVING DEMOLISH - Sq.FT. l NO.OF / Z SIZE V ROOMS STORIES r WALL ROOF COVERING Q COVERING 0 USE OF NEW BUILDING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS / �ti AND STATE LAWS REGULATING B LDING CONSTRUCTION. G " FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTE LATH, INT. AUTHORIZED •AGT - LATH, EXT. 76A636A s-aa i 0 BS-3 50M SETS PLASTER,INT.—� P.C.$ FEE !~ 'PLASTER,EXT. VALUATION FEE FI NAL