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HomeMy Public PortalAbout5123 CAMELLIA AVE_Building__ A {LOAD DEPT. PERMITC IS REQUIRED KR ANY MATFVIALJ�,.k1 q1Z WORK DONE . IN, THE ROAD RIGHT,-OF WAY} - APPLICATION FOR BUILDING- PERMIT- . ..- �I COUNTY OF LOS-ANGELS BtJILDING � . DEPARTMENT OF COUNITY-ENGMM ADDRESS tMDINGAND,-SAFETY DIVISION LOCALrrY . JOHN A. L.AME31E, COUNTY FNaIN[TR NEAR - C"SAYr D. G 1"IN Q r-T Or u ING CROS HT •' _DISTRICT NO. -G UP np ED BY pOH APPLICANT rG FILL IN CONST` QUILDING STATISTICAL_CLABBjFICATION. SEVER MAP ADDRESS CLASS.NO BLL UN LOT NO. - BLOCK MAP ''STATE' NUMBER H\MY.. YES O TRACT US tL-ZONE SPECIAL - - - - NO.OP BLDQS. CONDITIONJ3 - _ SIZE! CW LOT .3 NOW ON LOT U$$B-OF .. _ EXISTING BLDG. BEILDI G YA11D ►-4WY STfzp_SI' - �`�j� OWNER FRONT _ ADRESS HIDE D TEL PL. > t, No. 25 INSPECTIGN• umm ARC ITS L ENGINE 140. ADDR - - . TEL CONTRAOTO NO_ DESCREMON OF WOES NEW ADD ALTER REPAIR- DEMOLISH - - - HQ. FT. NO.. OF O. OF SIZE a STO HB FAMI IES $E OP STRUC-rURE SIGNATURE OF APPLICANT - . APPROVAL •DATE -'INDPECTbR'E SIGIUITU ADDRESSL I O.UNq 10 •LOCATION FORMS 1AATERIALH - � - VALUATION # FRAME:FIRM STOPa, . BRACING BOLTS _ P.0P►.('i' FURNA B:LOCATION , FBL�' F$E :3 '� GAS VENT DUCTS - ~ I HEREBY ACKNOWLEDGE TWAT I HAV$ R -THIS AP- LATH 7NT• PLICATION AND STATE THAT THE ABOVE iH CORRECT AND AGREE TO COMPLY WITH ALL CQUNTY ORDINANCES AND LAT �T.' - •. - - STATE' LAWS E¢ULA NO BUILDING ION, - HIGNATURE O -- HOUSE NUMBER COR- PERNITT RBCT AND POSTED ADDR FI CLYDV N. DIRLAM. PRINCIPALS R.U_ kGlti=;k AN PLC23= VALMATION WO, a� 0 - pEgMIT VAUI*TION ax K. . ate, . 060 ?.�S . MAY I 'A: 3.0Q eta 930196 SB APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FfLL IN ESS nNEAREST I hereby affirm thed I have a certtficete of corker to sett trlsiae, 85123LrLDM me or a certificate of VVorkeera' C«npeneation Ineuranoe,or a certified [Ty ZIP Camelia � hYWC;L4Q1V1L—t(F Golden Eagle Temple Cit 91780 IIE Comparry 817E OF LOT Na OF BLDOS.NOW ON LOT Certified copy b hereby fumiahed. S Certfiled.copy b flied with the oourrty bulldfrlg Inepectbrl TRACT BLOCK Sf LOT NO. USE E MAP Na Date 7/x./94 App&�atVirgin Roof Co. ASSE83OR BOOK PAGE sPECL1L CONDrrtDN9 CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER 32-5039 YES ND COMPENSATION INSURANCE Walter 0. Kalla WITI-N 1000 FT,OF SC-tooL? ADt7RE38 (R1 .1a eeotbn need not be comK the e permit 1e for°fie hundred 704 Partridge Ave. DIBTR3GT GROUP CONSTFSE ZONE PROCESSED BY ddlam ($100) or lees.) CMY I certify tt,at I n the perforTnarme of the work for wh ian ttda perT dt zZIPake r s f i e ld i CA m 93309 is I shall not employ any person fn any manner so ee to becbrne subject to the Wortwra'Compensaton Lawa. ARCHITECT OR E1JGP1¢R TF1 NO. SVOISTx O��gJgI�RC11TION APT CONDO Date •AppIICArIt ADDRESS C1Ass Na QA DWELL UMTS NOPCE TO ADPL rC .- 1f, after making this Cert ncate of REOUGlFD TOUR SETBACK FROM EXIST Elaempti , you shoLdd becorne subject to file Workem' CONTRACTOR TEL NO. SET BACK YARD i ryyY POOP LIE WICTI-I Compensation provtabns of the Labor Code, you must forttwnt, V i r �n Roof C o. 287-0507 FRONT corrpfy with such provtabne or thle permit shall be deemed revoked. ADORERS Lr-NO. P L PO Bog 5010 160650 SDE LICENSED CONTRACTORS DECLARATION p Ass PL - I hereby affin, ti-et I Qm I licensed undegxDv stone of Chapter 9 Ban GAb r i e 1, CA 91778 Y SEWER MAP (cornmerldng with Section 7000)d DMsJon 3 of the Buafnees and 9a FT.SIZE NO.OF ST fws NO.OF FAMLEB Protesebrle Code,and my kecme is In hAl tome and effect 1500 1 NEW El BK PG uceflae Wrrd,, 160650 uc-Clew C39 CE9CFl8TloN DF WDW ADD E] N LLUMON a, Ctn;cto, Virgin Roof qqtti3 6/30 95 Over existing apply Class A ALTER ❑ $ 1993-00 8 composition shingles. (15 S S) REPAIR ❑ Q� ❑ 1 am exernpt under Sec. $ F RAP.C. for this reason DEMOL,.D LDVIA PSC F (� Date: USE Qwelling URM El . spm frr�infroof Co. 'E1n-0507 -- -�"" z A Z ❑ I, es owner of file property, or my empbyeee with wegea as GGT.T their sole compensabon, will do the work and the stnioture Is ADDRESS ° '' ��i.�a not Intended or offered for sale (section 7044, Bushaes and P.O. Bog 5010 SAn Gabriel CA 91778— t� ,3�' ., Profeseiorla Code.) _ _ wu,,E APRJcAW OR FURM R.EM ANT�A 8µL � 27-7 1 ❑ I, 88 OM71ef Of the OR A►1DmURE CON-PMq A FMZARDOUG 1H4Efd1L TO OR Cl�JITEA THAN TFE llcer�aed oontractors to construct the pr*ct (Sectbn7 044 !Erna ea'E�,�7; ON Tre FuzAraas uA1ETa�1a ouoEt _ . F1NAL - - ACCT.i YES❑. NO f9 10.,.16 Bueirleas and Profesaiorle Code. w+_L THE �rrE)Deo,use OF THE auoLrro BY THE APPLIGAIrr OR FuruRe DULCiJa 33K � OCC NMT A PB:4&T POR CONSTRUCnON OR MOOFGITIOM FROM TFE 8WM -. CONSTRUCTION LENDING AGENCY cuce-1AIR EF Pr r+o UMZrFY 6WOODOE T DVrRICT MCJCW SCFE ST FOR. j yl ITERS I.hereby affirm that there Is a construction lending agar y for res❑ No TOTAL IL79_70 N the performance of the work for which ttlia permit is bailed(Seo m I Fur>=READ THE Fv,zATDoue s RFOR►waN oiUoe AND THE e('1,OID P4ilFrNa _ _ {'}p �}{� 3097,Ctv.a) Cl-EClataT.I UNDERI 4�PD Nr f�►ENTa UNDER THE Lob Aru 8 COUNTY CODE` - �C 1!7■(t.7 TfR.E 2 220 22a 100 T1fiOlX31 2,ca 140 CONCEFPANG FNZAUUOU8 L OrKWs Name OBPNIO A PERWT FF"A TFE SCAQ � .00 Lenders Addressmr r o I certity thed I have reed this appllca and state under penalty of perjury that the above fnformatbn is correct.I agree to oorrpy P.a FEE / '16.65 CXW-0010 1 9/2),/93 with ell county ordinances and $tate lawn raMm W buDdtry lv �E 1T 9 1 W'I 'SE sentatives of this Canty Lb,40 _ � ,:F�tl� for Irepeo8on4/pu 93 YNlVE9TK3AT10N FEE TOTALo.r SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF L0s Awainm TEMPLE CITY #{ 0508 BUILDING PERMIT i DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1107250101 PHONE: (626) 285-0488 ETT: LEC3AL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 15683 LT: 90 SQ. FT STORIES TYPE OCCUP GROUP 5123 CLM]n LTA AV STRUCTURE: 797 1 V-B R-3 TEI4P CA 917803856 ASSFSSOR INFORMATION NUMBER: GARAGE: NEAR.RST CROS$ STREET: LA ROSA 8589-013-012 OTHER: 30 1 V-B D THO69LS PAGE: 597 GRID: A4 LOCALITY: 'iT.7PLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCFSSED BY: EXIST OCC GRP: 07/26/11 SR OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: DATE FINAL BY: CODE: NON9G, HARRY H (626) 318-7189- 117,720 5123 CAM4E'L•LA AVE -! TEMPLE CITY CA 91780 FEFS PAID DFMRIPTION OF WORK 11) (1)DEW EXISTING COVERED PATIO AT REAR (2) ENTRY ADDITION FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 26 SQFT. W/COVERED PORCH 30 SQFT. (3) MASTER SUITE, MASTER APPLICANT: TEL. 190: BATH, BATHRM, FAMILY RM, (4) NEW LIGHT WEIGHT CON7CRETE ROOF HONG, HARRY (626) 318-7189- B1 PLANCHECZ W/ENERGY 117720.00 VAL 1,315.50 AA BLDG PERMIT ISSUANCE 27.80 SPECIAL CONDITIONS: AB STATE GREEN BLDG FEE 117720.00 VAL 5.00 AC STRONG MOTION RFSID 117720.00 VAL 11.80 B2 PERMIT W/ENERGY 117720.00 VAL 1,547.70 CONTRACTOR: TEL. NO: 08 CERTIF OF OCCUPANCY 101.30 APPROVALS DATE INSPECTOR SIGNATURE HONG, HARRY H (626) 318-7189- TOTAL FEES 3,009.10 3134 WASHINGTON AVENUE LIC. NO LOCATION AND SEIDACTS EL MONTE, CA 91731 BONE SOII9 ENOINEA2 APPROVAL ARCHITECT OR ENGINEER: TSL. 170: FOUNDATION TRENCH FORMS LIC. NO: SLAB UNDER FLOOR -- RAISED FLOOR FRAMING NAP 90: SEWER WAP BOOL: PAGE: FIRE PONE: CNP: UNDERFLOOR INSULATION 3 00 Ai • IST L,EVEI, FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 0 NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUAL PTY: 1000 FEET MATERIALS ()'( L• NO NO NO FIRE DEPT. FRAME INSPECT i BLDG DEPT. FRAME INSPECT SHEAR PANELS • INSULATION/WEATHER STRIP INTERIOR LATH DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPART74ENT APPROVAL ADDITIONAL DATA ON FILE REPORT ID: DPP-261 ROUTE TO: BS0508 f COUNTY OF LOS ANIGELE9 TEMPLE CITY v 0508 BUILDING PERMIT DEPARTMENT OF PUBL�C WORKS' 9701 LAS TUNAS ALTERATION/REPAIR HULLOING AND SAFETY / LAND DEVELOPMffin TEMPLE CITY CA 91780 BL 0508 1110130033 PHONE: (626) 285-0488 STT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 15683 LT: 90 SQ. FT STORIES TYPE 5123 CAMELLIA AV STRUCTURE: 600 V-B TEW G 917803856 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STR=: LA RASA 0589-013-012 THONAS PAGE: 597 GRID: A4 LOCALI'T'Y: TEMPLE CITY, C TENANT: EXIST BLDG USE: D&'PAC USE ZONE: R-1 ISSUED ON: PROCF69SEM BY: EXIST OCC GRP: 10/13/11 SR OFRgR: TEM. NO: B. GS. NOW ON LOT: VALCTI ON: Fp[AL DATE Y: CODE: NOM, HARRY H (626) 318-7189- TT 1,800 5123 CAMELLIA AVE .✓ TT+J[PIE CITY G 91780 FESS PAID DESCRIPTION OF WORK V TEAR OFF AND REROOF WITH NEW LIGHT WRIGHT CONCRETE ROOF TIIR FEE DESCRSPTION: QUANTITY: UOM: AMOUNT: DSLACIIltiD GARAGE APPLICANT: TEL. NO: NONG, HARRY (626) 318-7189- AA BLDG PERMIT ISSUE 27.80 AB STATS GREEN BLDG FES 1800.00 VAL 1.00 SPECIAL M ITION9: AC STRONG MOTION RESID 1800.00 VAL 0.50 D2 PERMIT H/0 EN-HC 1800.00 VAL 82.20 TOTAL FRES 111.50 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE NONG, HARRY H (626) 318-7189- 3134 WMRI249MN AVENUE LSC. NO LOCATICN AND SETBACKS EL MONTE, G 91731 NONE 90ILS ENGINKER APPROVAL ARCHITECT OR ENGINE R: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB/CINDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOL: PAGE: FIRE ZONE: CFD?: UNDERFLOOR INSULATION 144H269 3 00 FLOOR SHEATHIAIG NO. OF FAMILIES: DHSLI,II9G UNITS: APT CODID: STAT CLASS: I + J ---����-� 0 NO 21 1 .1 - ROOF 9HRATfI.I1?70 SCHOOL WSTHSH FAZARDOU9 j� ) - I SHEAR PANELS AIR QUALITY: 1000 FRET MATE MALS NO NO NO 1 FRAME INSPECTION FIRS SPRJNrrER HANGERS INgULATION/WEATHER STRIP nTFERIOR LATH DRYIWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED FALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS - _ , LOT DRAINUM j r ! - r REPORT IDT DlIR261 ROUTE'Mi 880508 = - ,