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
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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
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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