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 = - ,