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Home My Public Portal About5039 CAMELLIA AVE_Building__ :PARTNlENTaOF BJILDiNG Atv,� SAS. APPLICAT vN TVrrVznmiI HIP COUNTY OF LOS ANGELES B D I N WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY G BUILDIN1( r DISTRICT NO. PLAN C NO. PERMIT NO. ADDRESS / S -� �•:��^ LOCALITY C; xi ��f,�� ' •- RECEIVED BY DATE OF APPL. DATE 189UED NEAREST ;% f t i ��- -CROSS ST. """ .'BUILDING /�- /J� —•e love 7 OWNER ADDRESS ^' F ' / -✓ MAIL /, LOCALITY ' -940-0'c L4/ ADDRESS TEL NEAREST Q CROSS ST. CITY NO. FIRE I NO.OF �; I TYP GROUP- ; ` ARCHITECTOR ? - TEL. ZONE -- PLANS J ` ENGINEER _ NO. BLDG. r ORD.NO. ADDRESS SETBACK LINE APPROVED TEL BY DATE CONTRACTOR ol„ti...y�. NO. USEAPPRDVED ADDRE139 ZONE BY DATE LEGAL DESCRIPTION I LOT NO. I BLOCK CORRECTIONS TRACT O.OF SLOGS. SIZE OF LOT NI NOW ON LOT USE OF NO.OF NO.OF i EXISTING BLDG. FAMILIES ROOMS j a p .1,4. DESCRIPTION OF WORK NEW ALTERATION ADDITION lot - i' -:•N O A REPAIR MOVING DEMOLISH O_ Sq.FT 41 NO.OF Z SIZE ROOMS ST E9 /` U - ,,� R' D WALLROOF COVERING '� I COVERING j J/'►-7//'1� -, am"we. o� 7�, I USE OF _ BU.LDI EW T I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION IN ECTOR DAT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. T '/I� FRAME: Sr -•«"•'� '*....t, t1 ,�'�^ SIGNATURE OFBRACING BOLTS ; / %tI//�/j/ OWNER J Y LATH,INT.: A_ AUTHORIZED AGT. LATH,EXT.: ` �Q DSS-3 25M SETS 1-47 $ P.C.S PLASTER. INT. - O� r. t G O� �► FEE �`{ PLASTER, EXT. Q ffi VALUATION FEE FINAL � FI DrvISION OF BUILDING AND SAFETY BUILDING Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN ADDRESS `'� it G� �'�-►'' BUILDING LOCALITY ADDRESS NEAREST LOCALITY CROSS ST. NEAREST DISTRICT NO. PLAN CK. OR REC. No. PERMIT NO. CROSS ST. OWNER RECEIVED BY DATE OF APPL. DAT ISS ED MAIL ADDRESS /�// USE ZONE NO.-OF I TYPE I GROUPI IRE ZONE TEL.„t'j i I PLANS__, Y}T' T CITY NO. +7 - Y�i .d.i�� ARCHITECT OR TEL. _ ZONING 1 .PA7 0 ENGINEER - NO. APPROVED BY- BUILDING Og .No. ADDRESS SETBACK LINE: =,+ TEL. APPROVED DA CONTRACTOR NO. _ BY: ' HOUSE NUMBERING ADDRESS /2 LEGAL 2. 7 I BLOCK MAP NUMBER t' 41<1 NO. ASSIGNED BY DESCRIPTION LOT NO. 4 DATE CORRECTIONS I INSPECTOR TRACT �� NO. OF BLDGS. SIZE OF LOT -2u//o I NOW ON LOT USE OF y. FAMI EXISTING BLDG. ' / / OLIES, ' / tn/P C DESCRIPTION OF WORK NEW ALTERATION ADDITION �� d�/7� 5 /,rJ,`, r REPAIR I DEMOLITION I SO. FT. '` NO. OF ,� SIZE ��y�"ROOMS STORIES /� e' ",q. /%id-7' 1,44 EXT. WALL / V I ROOF '• > COVERING COVERING USE OF STRUCTURE APPROVALS -T INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PL P- FRAME: FIRE STOPS, , PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, G _ AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF" LATH, INT. PERMITTER - LATH, EXT, w ADDRESS PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. $ �`OO Li FEE $ HOUSE NUMBER COR- ��TED 8 VALUATION FEE �� y,�'" 76A636A DBS 3 Y-SS 76A638A CE.#8035-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING -- DEPARTMENT OF COUNTY ENGINEER ADDRESS 4 BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICTT E BY FOR APPLICANT TO FILL IN _ f� Ps1U CONST. BUILDING �Jb3� CM nq STATISTICAL CLASSIFICATION SEWER MAP ADDRESS J �kXXJ� BK PG '7 CLASS.NO:UDWELL.UNIT0i -'• '— LOT NO. / BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT MAP HIGHWAY p NO.OF BLDGS. NO. ' ICIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT I']j X p I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. OWNER ,�AR S SOMIU f QUI IL[ NOL.. BUILD NG EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS o3 M LI--f A- fE h'+ )LF- L' I FRONT ARCHITECT O '1 TEL. P. L. >_ ENGINE I-r F' b0 L- S NO. SIDE d P.L. O ADDRESS to I`42, O()1) TEL. _ INSPECTION RECORD CONTRACTOR R k ()1) N 1�S O. m 0 ADDRESS 7 3 Ai`UJ I. S RJ b ^I DESCRIPTION OF WORK "' d [.IEADD ALTER REPAIR DEMOLISH Z S FT. NO.OF NO.OF IZE O p STORIES FAMILIES I USE OF STRUCTURE IZ iU4T-F- SWI vj SIGNATUREOF APPLICANT��-'L VALUATION$ b Q OG APPROVALS DATE INSPECTOR'S SIGNATURE PC FEE FOUNDATION: LOCATION EE $ $ 1.'V FORMS, MATERIALS F «, J•'i�- FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKM 'S COMPENSATION INSURANCE. LATH,EXT. SIGNATURE O HOUSE NUMBER COR- PERMITTEE 'L_ RECT AND POSTED +' ADDRESS FINAL '•° 's CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN 6(t PLAN CHECK VALIDATION cK. M.o. cASH PERMIT VALIDATION CK. M.O. CASH I � . _. L' (7 . I 76A638A CE#803 ...., APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 1 DEPARTMENT OF COUNTY ENGINEER ADDRESS _ p BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DIST T NO. GROUP TYPE CESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING �v STATISTICAL CLA SI FI CATION EWER P ADDRESS 5039 i\To. Cnamelia . C. BK PGq CLASS. NO. DWELL. UNITS �-� ?L LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED}❑ CERTIFICATE: TRACT MAP ��Q,. HIGHWAY STATE MAJOR SECOND, LOC i NO.OF BLDGS. NO.. (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. it I OWNER Clifford La R u No287-159 BUILDI G YARD HWY STREET NA EXIST. SETBACK WIDTH ADDRESS 5039 I'j :�7 Camelia T. CFRONT ARCHITECT OR TEL. P. L. j ENGINEER NO. SIDE P. L. ADDRESS d � CONTRACTOR Vir yin Roof tip TEL.o. 2E,7- ...c 7 O V ADDRESS 600 So. Sm Gabriel i3lvd. ce t' r' i, 0 DESCRIPTION OF WORK c- W CL NEW ADD ALTER • EPAI DEMOLISH Vf SQ. FT. NO. NO. OF SIZE STORIES FAMILIES USEOF Reroof house & garage STRUCTURE Arai -n 6 !ayers roc SIGNATURE OF APPLICANT r� VALUATION $ ��7 00 APPROVALS DATE INSPECTOR'S SIGNATURE p FOUNDATION: LOCATION FEE $ �----�' FEE $ 8.00 FORMS, MATERIALS FRAME: FIRE STOPS, _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRU TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREB I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR C DE OF THE ST TE OF CALIFORNIA RELAT- _ ING TO WORKMEN'S PENSATIOhK IN5 NCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE 1 ,+ C RECT AND POSTED ADDRESS � a � FINAL JOHN F. LEWIS. PRINCIPALSU URAL ENGINEER eTAPLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.Q. CASH 6 6 9 1" QCT 21 1 D 8.00- 14 CANC LLQ AT r �: ;_Y � _ - - � ITTEE C 76A636A CEN608 3-63 APPLICATION FOR UI.LDING ERMIT. COUNTY OF LOS ANGELES BUILDING l DEPARTMENT OF COUNTY ENGINEER ADDR-E33 Ti=ING AND SAFETY DIVISION LOCALITY - JOHN A. LAMBIE, COUNTY ENGINEER NEAFF��EST COLEMAN W. 1ENKINSAUP•T OF BUILDING CRO'JS 8T. DISTRI T O. O TYP C SSED BY FOR APPPLICANT TO FILL IN CONST: 15 Ul L DI Na ��V /y7z. STATISTICAL L AD Pt 953 ADSIFICATION , '8E�KlG P''.% CLASS NO. DWELL UNIT r— B � LOT NO. ISLOCK USE ZONE MAF NO. TRACT 6R I SPECIAL NO. OF SLOGS. NS 912E OF LOT NOW ON LOT , USE OF ,v - - -- SLDG. D[TDAC[ FROM I TEL. FRONT PROP. LIN[ OF ' (STREET) OWNERNO. TYPE OF EXIBTIN• SETBACK HIGHWAY YARD TOTAL' ADDRES8 HIGHWAYC.L. CITY J� BLD[. SETBACK ROM - - ARCHITECT OR TEL. ENGINEER NO. SIDE PROF. LINE OF - STREET TYPE OF EXISTING SETBACK HIGHWAY - + .YARD - TOTAL' ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTO;?' ' / NNOL �rT L`�d + ADDRESS Y / /CNp �0O / CORNER CUTOFF YES NO �J CITY1.� / `Y 'r LdLA ICS. SEE REVERSE SIDE FOR SPECIAL.APPROVALS DES RIPT ON OF W RK NE A TE5;7 RE D 0L19H S4 FT. NO. OF N OF SIZE STORIES F�MILIES ' USE OF STRUCTURE - SIGNATURE OP APPLICANT _ VALUATION$ r(J 9`{, +�� _ APPROVALS DATE INSPECTOR'S SIsNA TUR[ P.C. PMT. Q FOUNDATION, LOCATION FEE$ FEE$ PORM9 MATERIALS - PRAME, FIRE STOPS, I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT -' AND STATE THAT THE ABOVE IS CORRECT AND AGR[I TO COMPLY FURNACEl,LOCATION. WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING GAS VENT. DU TS 7UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HERESY I"WILL NOT EMPLOY ANY P[ROON IN VIOLA. LATH. INT. TON OF TH[ LABOR CODE OF THE STAT[ OF CALIFORNIA R[LAT. INO TO WORKMEN'S CO T10NCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PE,RMITTEE RE AN P ADDRESS F] NAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGIN ER PLAN CHECK VALIDATION CK. M.O. CAS„ _ PERMIT.VALIDATION cK M LACO 8. 2 0 .3.-n DEC 21 1 D 1.� ^' 4 J l AETMENT OF BUELDING AND SAFETY APPLICATION FOR PERbUT ` COUNTY OF LOS ANGELES ®i NG WM. J. FOX, cHIEF ENGINmR FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING '- AO • DISTRICT NO. PLAN CK. NO. IT NO. DDRESS LOCALITY IV BY DAT[OF APPL DAT[SSB N 6ARls6T 1 16pd&lo" CROSS ST. JAPPROVIKD G 11 d S cy OWNER WY Y ADDRESS A� , T TEL T. CITY / G, NO. NO. OF TYPE t/ GROUP ARCHITECT OR TEL PLANS ENGINEER NO. K LINE ✓L - ADDREBL BY DATE CONTRACTOR UBE APPROVED _ 7�ONE BY DATY ADDRESS HOUR NUMD[RING LEGALy �D DESCRIPTION LOT NO. Z CLOCK MAP NUMBS ` FIELD CHECK BY TRACT NO. ASSIGNED DY nA No. OF BLDGs. CORRECTIONS BIZE OF LOT �./V NOW ON LOT UB[OF NO. OF r EXISTING BLDG, FAy1kWeT 7— LICS ��r DESCRIPTION OF WORK NEW ALT33 ATION I ADDITION o REPAIR DEMOLITION :SQ. FT. NO. OF tzX U 0 ROOMS 2TORIES EXT. WALL ROOF COVERING COVERING L USK OF STRUCTURE APPROVALS INSPECTOR' SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIB AP- FOUNDATIONS LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS It t IS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED PRAMEs FIR[@TOPS, }1�EON AND WITH ALL COUNTY ORDINANCES AND'STATE BRACING, BOLTS LAWS REGULATIN ILDING CONSTRUCTI FURHAC[i LA CATION, SIGNATURE OF GAS VENT, DUCTS PER M I TT ig LATH, INT. ADDRESS I LATH, EXT. _ /-�- AUTHORIZED AST. PLASTER, INT. 7BA635A• EMLW I0-80 ; e d P. C. f FSS PLASTER, EXT. VALUATION r F , FINALFEE �� 7BA638A CE#803 8-64 APPLICAT10fl FOR BU LDING PERMIT COUNTY OF LOS ANGELES BUILDING ✓ ., ✓_. DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY l I JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISTJR.CT NO. GROUP TYPE PQ,CESSED BY FRE OR APPLICANT TO FILL IN CONST. STATISTICAL CLASSIFICATION SE R M P + - (� J T C� -- BK�- PG �3 ,�r� -� i CLASS NO._:;L_DW ELL UNITS 2 7 BLOCK USE ZONE MAP 1 _ NO. .�� SPECIAL NO. OF SLOGS. CONDITIONS LOT17 Ll NOW ON LOT — / J E N L BLDG. SETBACK FROM B FRONT PROP. LINEOF (STREET) /1 ` E N'O1L „��/ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ttG 3 Pi ELL/A HIGHWAY WIDTH FROM C.L. CITY P LC (fiT i �- + = 1 I ARCHITECT OR TEL. BLDG. SETBACK FROM L` L ' < �. ENGINEER NO. SIDE PROP. LINE OF — (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL ADDRESS I HIGHWAY WIIDTHEL TE FROM C.L. CONTRACTOR I NOL -Ti + OV _6 LIC CORNER CUTOFF YES NO _ Ix 0 ADDRESS - NO CITY LILA SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK H Z_ NEW ADD ALTER REPAIR DEMOLISH SQ.FT. / NO. OF NO. OF SIZE STORIES FAMILIES USE OF /, STRUCTURE ibehl 1 // — SIGNATURE OF APPLICANT L VALUATION$ i �+ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. _ PMT. _�( FOUNDATION, LOCATION FEE$ FEE$ �—� FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT d AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABOR CODE OFTHE STAT OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATJQM INSU A E. LATH. EXT. SIGNATURE OF i HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS ` L �— — FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH l,. .� S 4 1 ii>H i u 1 1.5 U COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDrNG PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BLIILDIMG AND SAFETY / LAND DEVELOPKENt TEMPLE CITY CA 91780 BL 0508 04D8040023 PHONE: (626) 285-0488 EXT: LEGAL ID: W. OF CONST BUILDING ADDRESS: TR: 14467 LT: 27 SG. FT STORIES TYPE 5039 CAMELLIA AV- STRUCTURE: V STRUCTURE: VN TEMP CA 917803854 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8589-014-014 THOMAS PAGE: 59T--,GM:-M ` LOCAtfTY: TEMPLE CITY, C TENANT: ENIST BLDG ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: RESID USE ZONE: - 08/ /04 JK 07/30/05 i KLIO HSU; HUEI CRING (626) 285-9112- 300 L 5039 CAMELLIA,Av TE NP 917803$54 FEES PAID' DESCRIPTION OF -REPLACE WINDOW 61X 4 TO 4' X 41 1 ADD ONE 41 X 41 WINDOW FEE DESCRIPTION: -QUANTITY: .UOM: AMOUfT: APPLICANT: TEL. -NO: SANE AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG NOTION-RESID - 3Q0.DO VAL 0.50 SPECIAL �ZNDITIONS: D2 PERMIT W/0 EN-HC 300.00 VAL 43.65 TOTAL FEES 71,90 CONTRACTOR: 0: APPROVES DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGWER: TEL. W- F0XMTIONfTRENCH FORMF LIC. 110: SLAB/UNDER RAISED FLOOR FRJANING 3. Lw: UNDERFLOOR INSULATION V 03 MO 21 . ROOF SHEAT�ING SCHOOL WITHIN SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS -NO - NO NO SST BACK YARD: H1.fY: PROP LINE: WIDTH: FRONT PL- I' SIDE PL6 ` "+ EXTRIOR LATH RATED FL A RATED WEL ASSEMBLIES T-BAR CEILINGS LOT DRAINAGE REPORT 1p: DPR261 ROUTE TO: BS-0508 r COUNTY OF LOS ANGELES TEMPLE CITY f 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION • BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0407060017 PHONE: (626) 285-0488 EXT: TR: 14467 LT: 27 SQ. FT STORIES TYPE 5039 CAMELLIA AV STRUCTURE: TEMP CA 917803854 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8589-014-014 THOMAS PAGE: 597 GRIb: A4 LOCALITY: TEMPLE CITY, C T ENA-4 T EXIST BLDG USE: RESID USE ZONE: I S-SJM ON: PROCESSED BY: EXPIRES ON: EYIST OCC GRP: 07/06/04 JK 07/01/05 MNER: TEL. 90; BLMS. kkOW ON LOT: VALUATION: F I NAL QAT F I WE79Y: CODE: KUO HSU, HUEI CHING (626) 285-9112- 4,000 5039 CAMELLIA AV TEMP 917803854 FEES PAID :MF V DEMOLITION 9 SWIMMING POOOL FEE DESCRIPTION: QUANTITY: UOM: AMOLMT: APPLICANT: --TEL. NO: L G CONSTRUCTION (626) 627-6024- AA BLDG PERMIT ISSUANCE 27.75 530 W PALM DRIVE 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: ARCADIA, CA 91007 TOTAL FEES 191.25 CONTRACTOR: T E APPROVALS DATE INSPECTOR SIGRATURE L G CONSTRUCTION (626) 627-6024- 530 Y. PALM DR LIC. NO PEDESTRIAN PROTECTION ARCARDIA, CA 91007 839673 ARCHITECT OR ENGINEER: TEL. W: ABANDON PRIVATE DISPOSAL LIC. N0: AND SOIL RECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: ' -FTn—ZNE: 04P: X 03 X NO. OF FAMILIES: DWELLING UNITS: APTICOND: STAT CEkn-- NO 23 , SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: &S0508 COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0404140023 PEON[: (626) 285-04$8 EXT: LEGAL ID: NO. OF CONST NEW ADDRbb5' TR: 14467 LT: 27 SQ. FT STORIES TYPE DCCUP GROUP 5039 CAMELLIA AV STRUCTURE: 572 1 VN R3 TEMP CA 917803854 ASSESSOR INFORMATION WLMER: GARAGE: NEAREST CROSS STREET: LA ROSA 8589-014-014 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TEKANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:i EXIST OCC GRP: 07/1 04 JK 07/07/05 OWNER: TEL. NO: BLDGS. NOW OW LOT: VALUATION: FINAL BY: --C&ODiE: KUO HSU, HUEI CHING (626) 285-9112- 47,300 5039 CAMELLIA AV TEMP 917803854 FEES PAID OF WORK MEW BEDROOM AND 1 BATH - 572 S.F. FEE DESCRIPTION: QUANTITY: UCM: AMOUNT: APPLICANT: TEL. kO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 47300.00 VAL 721.44 AA BLDG PERMIT ISSUANCE 27.75 . AC STRONG MOTION RESID 47300.00 VAL 4.73 B2 PERMIT W/ENERGY 47300.00 VAL 848.76 TOTAL FEES 1,602.68 CONTRACTOR: E U.—IRF-- APPROVALS DATE INSPECTOR SI GNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENG ARCHITECT OR ENGINEER: _. LIC. 90: SLAB/UNDER FLOOR RAISED FLOCR FRAMING M.kP NO: SEWER RAP R": PAGE: FIRE E: Cw: UNDERFLOOR INSULATION 01 1ST LEVEL—r15NF=R NO. OF FAMILIES: DWELLING UNITS: APT/CDND: STAT CEK9,9--. NO 21 ZND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NNO NO MD FIRE DEPT. FRAME INS-PEff REQUIRED TOTAL SETBACK FROM E)(rTr-- —� SET BACK YARD: HWY: PROP LINE: WIDTH: C FRONT PLSHEAP PANELS - SIDE PL- REPORT ID: DPR261 ROUTE TO: BSO508