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HomeMy Public PortalAbout5129 CAMELLIA AVE_Building__ 1 7EA0.lEA C114503 5-65 AP PLICATION FOR BUILDING PERMI COUNTY OF LOS ANGELES ISUILDING \S— DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY 'DIVISION LOCALITY JOHN A. L-AMBIE: COUNTY ENGINEER NEAREST COLEMAN W. JENKINB,fUP'T OF BUILDING_ CROSS ST. DISTRICT0 OR TYPE P 9 E FOR APPLICANT TO FILL IN C © CONST. BUILDING /� /� STATISTICAL C PICA TION SE R AF ADDRESS.. (� A6 l 7l� f CLASS NO. DWELL UNITS BK 0 LOT NO. BLOCK USE ZONE MAP O O. TRACT, F3 SPECIAL SIZE OF LOT ` x ;i9 -.• OF ■L T /7 ROW OH LOT ,}L USE OF NCE' �1 _ r I �► rf BLDG. I[TB G[ FROM _ HAjVff6STEL;jlS [ 1110117 PROF. LIN[ OF (DTRE[f) OWNER10M �p ! NO. D TYPE OF [%IDT'MI SETBACK HIGHWAY YARD = TOTAL' ADDRESS 1 / t` ( l� HIGHWAYM C.L. - - - 'sC� f�C� + O BLDG. SETBACK CITY OM ARCHITECT OR TEL. SID[ PROP. LIN[ OF STR[[T ENGINEER NO. TYPE OF [[IDTI11G SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ . CONTRACTOR NO O LIC CORNER CUTOFF YES NO U ADDRESS NO LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH N P 11,11-FT. NO. OF Z SIZE D STbRIES L FAMILIES USE OF /� STRUCTURE Jr 1106lW PAPPROVALS Q TN r ort f3/I,r6m TSIGNATURE OPAPPLICANTVALUATION DATE IN1P[CT 'S SIGNATURE P.C. �_�f1 PMT. FOUNDATION, LOCATION FEE$ /-✓ FEE$ FORMS MATERIALS I/7 FRAME, FIRE S, I HERESY ACKNOWLEDGE THAT I HAVE READ THIO APFLIGATION DR ACING BOLTSTOP AND STAT[ THAT THE AOOVE Il CORRECT AND AOR[[ TO COMFLY FURNACE] LOCATION WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING OAS VENT. DUCTS 7U ILDING CONSTRUCTION. I CMRTIFY THAT IN DOING THE WORK [D AUTHORRHEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TON OF THE LABOR COD[ OF THE RATE OF CALIFORNIA RELATAe - ING TO WORKFIEN'O COMPENSATION INSURANCE. LATH. EXT. - ,�'`4,41 SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RE T ANP N POSTEP ADDRESS FI NAL � JOHN F. LEWIS. PRINCIPAL STRUCTURAL E ER PLAN CHECK VALIDATION cK. M.O.�_ PERMIT VALIDATION cK. M.O cABH LAC0025 MAR 723 D 11 .00, I. p LAGO0703,'g MAR23 1 D 22.00 APPLICATION FOR BUILDING PERMIT , , ' COUNTY OF LOS ANGELES BUILDING AND SAFETY. WORKER'S COMPENSATION DECLARATION FO R APPLJCANP TO F1 ILL IIN� � I � BinDNc3 ADDR> I hereby affirm that I have a oertificate of coroeht to ee)f Insure, BtntCrx3 ADDRESS n 9 OA t3 V l or a oertfficate of Vybrkers' Ccmpeneation InsUn nce,or a cerdfled /'OCA{ Q 7 copy thereof(Sec.3890,Lab.C.) C✓r1 A ``6 Gr Tr � I / f . Policy.fJo Cornparry ` 812E OF � � _` ^ N0.OF BLD(3S.NOW ON.LOT^ . ❑ COrt.fW copy he hereby fUrrl ed. X 1 ` NE,,REsr GFos8 ST. ❑ certuied copy filed with the cotmb bu6ding tReoeotion TA^�T eiocK LOT No. deQeitinerTt. Usr=ZONE MAP Na ccie Applicant ASSESSOR MAP s g �p 3 PARCEL / CONaT1� CERTIFFCAT7= OF EXEMPTION FROM WORKERS' GRQ�� �W fl _26-7,[f YES NO COMPENSATION INSURANCE " ^l �1 1000 FT.of sc it ? ADDRESS (This secflon need not be conpleked ff the permit b for one hundred r1 G WT'( GROUP TYPE CONST FIRE X31E PROCESSED BY doaara ($100) or Idas.) /� v I certlfy that.In the performance of the work for wl-d& thbe permit CITY ��P`6 61� � of 7� �AO b.lasued, A�- I shell not employ erry person In arty manner so as to ARCHF=OR ENG&=R TEL NO. vv�� ✓✓ become sub}ed to the VibrkeW Compensatlon.Laws. SPTf3T1GAL APT CONDO' Date Appilcent ADDRESS CLASS NO. DWLLL Umn Ng7X,- 7U 'Ag1JCAW ff, after making•thls Cerftf�e of �/ REOURED ToU��rarrtc FROM EMS`r Exemption, 'you should become' 'sub)ect to the Vvbrkera' CONTRACTOR ' /-�6`r� 7 SET BAGK WD HWY �f1oP L� MUTH Conpensatlbn' provWons of the Labor Code, you must forUwAh i� FRON cortpby with such provbbna or this permft shall be deemed revoked. ADDRESS uC.40. P I- LJCENSEb CONTRACTORS DECLARATIONSUE CITY LIC.CLASS PL I hereby afflrm that I am Ilceneed undAP erprovlekm of Chapter 6. SEWER M (ocx enChlQ with Swtlow 7000)d DMabn 3,d the Bigness and Sa FT.SIZE Na OF 9TDRE8 NO.OF FAMIES - ' NEW 11 arc PO Profeeabns Code,and my DDahae Is In fuO force and effect , r Llcaaaa Number L ic. Class r DEscRvrK N of YA)RX ,S`0 v ADD'R El 4� p D L�L Contractor Date _ ! t ALTS El ala,R o. ❑ 1 am.exempt under Sec. $ �j B.SP.C. for this reason 00 vo f7 VO) /L 6r/k,i—M /Q .DEMOL;❑ i L�p W Date_ USE OF DG8Ttw BLDG U R M ❑ t, �;' 1T 7.1O Cl) �.. 04gnature APPUCANT(PFMYT) TEL 40. r_ -- Ty e Z t, as owner of the proA ,.or my employees with wages es - -- - - 2 their pole compensafi�on, wbu do the work and the structu a Is ADDRE� LLTaAL -1 1 not Intended or offered for sale (Section 7044, Buelnees and F --fy __ Pro(easlone Code.) wLL THE APFi1GFfT OR FUTURE w■n■ra ocarANT HlA1DLE A HlAz1IDOUe IIATEWI C EI ft . 149.10 ❑ I, ea owner of the property, em axduehefy corThactirp with OR A�mUFE Cro►rv�xa A ruzxaas EflIlAL�p c R THAN THE _ _ licertged contractors to eonatruot the pro)ect (Section 7044, r►�ouaTa eFEOFEn ON THE HKZAFDOltB �oFudiorr c � FINAL eY y� 00 Byslness and Profeeai)ns Code.) YES❑ No 1-1 ■ WCL THC HTErDED USE OF THE BIJpL�(�BY THE APpLIGWT OR FUTlJf-E H■nNfi OCCIZ FEOIiE A PEFMT FOR CDIi�TR1CTION OR MOOHG410N FROM THE 9OUr-H �j� CONSTRUCTION LENDING AGENCY p1�TY"'^'�'OE1e" °�T I��OA�erg PEFnn r���'�FOR � Q� �U1 5/26/93 s I hereby affirm that two Is a oonstructbn lendkp-agerxy for YES❑ No❑th53 e performance of the work for*t"this permit Is Kaued(Sec. 1._ AM $•■ m I FWE PEAp THE Fj to uawWe lPoF1A4710♦1 ouDE A1D Tl-E PET#tfTTNO .- —. .. __. _ „_ _ - a 3067;CN.C) tl-Eaa_taY.i uroEReTkND►rr�a�lo ENTS UNDER l}E p& coUrm�odrZ .' TM-E 2,Q!-V A 220 BECTIONB 220.100 THROU(Ei 22Q 140 HAZARDOUS Lendee8 Name s FEPO(r AND FOR ors MW A PB%4T FFKW THE Lenders Address OAHM 0F1AQWU I certify that I have read ttils appilaation and State under p9rmfty of perjury that the above Honnati n Is correct.I agree to comply Pr-FEE PERAfT FEE with all county ordinances and State lews rsfating to buliding and hereby of thle County lssuANCE FEE ioupon the for�p4;poe� fD m c aL._.li�� rmal rvEsoN FEE Tovi.FEE SEE REVERSE FOR EXPLANATORY LANGUAGE, WORKERS'COMPENSATION DECLARATKIV s �, I . iaffirm that I consent toself Ins—, cc a certificate ofWorktp " on Inwrance, APPLICATION ,POR- BUILDING- PERMIT , -� or-a certified copy thereof (Sec. 3800, C) PollryN �sZl1 _��mP., ` COUNTY OF 605 ANGELES dU!W1NGAND SAFETY. Gerttfied copy Is hereby furnlsl- d. BUILDING FOR T I CANT TO FILL I N ALlORESS f-1 .Certtfied ropy Is filed with the codnty bel Ing Inapbc gIJILpINC3 lel �M�� LOCALITY L� tion department.' ADbQfss t _ _ NEAREST . Date Applicant CITY ALP at055 ST. coenFICATE Of.�MYRTK>N NO.OF•� . . COMPENSATION IN$URANCE SIZE of LCIT:� I3C NOW oty �� MAP 9OOK PAGE RARCH (Thep sectlah-read not be cbal leted if the permit It for one LISP ZONE I VAP hundrs4 doIIart.($100)ar.'len TRACT BLOCK T NO. TEL I certify thaornt'In the perfamsi of,the work for which this OWNER NO. ..y/ CONDrr�S a permit Is Issued, hahall not employ any petserr Irr any'manner ADD SS DtSTR1CT .GROUP . O T.' z f{E 'BY tOf' so as to,become sub ed to the Wgrkens'Compeosatlon Laws Dat• Appm licant•' QTY ZIP STATISTICAL T10N Q NOTICE TO APPUEMA : fE, after bklrrg this Certtflcote of A`RCHITECI OR TEL i �j ►b• DWELL 1JNIT5 CUSS NO. W `Exemption, you should become subject to the WoHxerV- d Compehsatlon provisions of tM L,abor Code, you must forth- ' SEWER H with comply with such provisions or this permit shall be mid revoked. �—T- doe VALIDATFOlI�'. ..- ilCENSED CONTfW7046 DECLARATION I hereby affirm that I am Ilcerued unrderprovlalons of Chapter9 ' ADDRESS N�O.���V o- VALUATION i (tommerx4ng with Section 70M)of DtvWort 3 of.the BuJslnow aM L� ProfeMbns Code;and my Ikertse.Is in fulP force and effect. QTYC1A55 _. 6 SQ. FT OF NO.OF CHEQC" Llc.Clbas - SIZE STORIES FAM LIES OPE License Numb,&r • Contractor Date DE5a21PTION OF WORK NWw 3 . Q I am exempt u Sec ADD ALTER FINAL B;iP.Cl fair this reasonREPAIR E] DAT! OF q _ EXIS11tJG BLDG. i DEMOL signature APPILJiC4kNT t L. OWNER-BUILDER TION I heratby affirm that I am exempt from tkae.Cgntractor--s License Law for the following:reason (Sectlpn.7031,5, Business and (j Professions Code): PRESENT BUILDING Cl I, as owner of the property, or my,employees withADDRESS wages ds th•lrsole compensation,will do the wok and the structure Is not 1nferndedor offered.for sale•(Section LOCALITY 0.2 2`6-A :, 7Wa, Businges and Profession Code}. MbMtJCi TES-., - I, as owner of the property, am exckWveTy controcting NO, #70,010 • 0 1 with licensed contrattors to coristfuct the proje4t (Sec- tion 70", Business and PtofessionsCode� ADDRESS2,010 6 +6.3 CONSTRUCTION LADING AC43' Y . IRED . YARD HW TOT 'SET&*aC FROM EXIST. + < I hereby affirm that there It a cprst�ctlon lending-ogepcy for FRONT. PROP. UK, WIDTH ;°�•'o'b g b 3 the performance of the work for which the permit Is IssuedL tSe 3097, Ov. C-� 0.3.a�'1�8 3. : P.L. 7 Lender's Name f ups Address Perm Fee - I cart Pfy that I have read this appllcc lon'arrd suets that the Fee . above Infomxfllon Is correct. I agree to XPM ply with.all County Irrvediggt10n'Fee prdlnances and Stale laws relrrting to building oonstrucion, +' Total and hereby auth'orize of this County to enter upoh so- tlonetl for Inspectlon purposes M!/Vlfl pm K PLAMTORY LajkMJAG4 S{grwturs of Apphmnt or:AQemt Dote i COUNT'( OF LOS ANGELES TEMPLE CITY f 0508 BUILDING PERMIT DEPARTMENT-OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING tAD SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0011010044 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 15683 LT: 89 SQ. FT STORIES TYPE5129 CAMELLIA AV STRUCTURE: 0 VN TEMP CA 917803856 ASSESSOR WEAkEST CROSS STREET: LA ROSA 8589-013-011 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE MOE: �-1 I SSLIED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/01/00 UT 05/01/01 HAWKES JEROME K;ALICE TRUSTEES (818) 286-2464- 1 $,500 I O CODE: 5129 CAMELLIA AV 1 SCJ TEMP 917803856 FEES PAID Dn79MMITTION OF W3W�- C/O OF 10 WINDOWS, SAME SIZEr FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SEARS HOME IMPROVEMENT (800) 807-9889- AA BLDG PERMIT ISSUANCE 27.75 10415 SLUSHER DR. AC STRONG MOTION 8500.00 VAL 0.85 SPECIAL CONDITIONS: SANTA FE SPRINGS D2 PERMIT Y/ - .00 VAL 199.80 GEL S 228.40 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGN.AlVRE S SEARS HOME IMPROVB4ENT (800) 807-9889- 10415 SLUSHER LIC. NO LOCATION AND SETBACKS SANTA FE SPRINGS, CA C-61 D 41 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOLJNDATION/-TR9ffF7WU- LIC. MODNE 111111 RAISED! FLOOR F 144H269 3: ��L. C W G 'R K 2 MO. OF FAMILIES: DWELLING LIMITS: APT/ MO 21 SCHOOL WITHIN - 49 SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0 ❑ t NO NO NO FRAME IWSPEMN REQUIRED -70TA179ETBACK FROM E)(rgT— SETBACKYARD: HYY: PROP LIME: WIDTH: 4b�jc S9r . That��i FRONT PL- VIC9 SIDE PL- INTERIOR LATH/DRYWALL EXTERIdR LATH RATED WALL ASSEMBLIES RATED SHAFTS/OPENI NGS • ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: B80508 1 COUNTY OF LOS ANGET.R4 TE?Q'LE CITY - # 0508 BDILDRiC3 PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVEIAPmEwr TEMPLE CITY CA 91780 BL 0508 1304090029 PHONE: (626) 285-0488 KIT: LD3AL ID: NO. OF. CONST - BUTIZING ADDRESS: TR: 15683 LT: 89 SQ. FT STORIES TYPE 5129 CAMELLIA AV STRUCTURE: �5 V-B TEPP CA 917803856 _ A.SSFSSOR =R)- I ON NUMBER: - WFARP.4T CROSS STREFiT: 8589-013-011 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CTTY CA TENANT: EILST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCE.9SRI) BY: MOIST OCC GRP: 04/0p/13 SR O1Qffit: TEL. NO: BLAGS. ON LOT: VAL=0 : BY: CODE: HAWKES JEROKE (818) 788-7331- 6,000 5129 CAMELLIA AV TEMP 917803856 FEfi9 PAID DE9 PTI N OF WORK - TEAR OFF + RSROOF HOOSE II lI7G 30 YEAR CLASS •A• SHIMFLES FEE DESCRIPTION: QUAVITTY: OOM: AMOUNT: OVER 2 LAYERS OEC 15 LB FELT APPLICANT: TEL. NO: - HOCENBERY, JASON (909) 596-3993- AA BIa6 PERMIT ISSUANCE 27.80 5655 JUNIPER STREfiT AB STATE GP= BLDG-FEE 6000.00 VAL 1.Q0 SPECIAL CONDITIONS: CHINO CA 9171.0 AC STRONG MOTION RESID 6000.00 VAL 0.60 _ D2 PER= W/O RN-HC 6000.00 VAL 149.40 TOTAL FEES 178.80 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE II SHEA ROOFING (909) 591-4463- 5655 JUNIPER ST LIC. NO LOCATION AND SETBACKS CHINO CA 91710 565595 - . SOILS ENGINRER APPROVAL . ARCHITECT OR ENGINEER: 'TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: 9LA.rJ/OtZQER FIAOR RAISFD FLOOR FPJV4NVG - MAP NO: SEWRR MAP BOOS: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION , 3 00 FLOOR SHEATH-LNG NO. OF FA►1TT S: DWE4S,ING UNITS: APT GOND: STAT CLASS: NO 21 ROO , SHEATHING . SCHOOL WITHIN i-A2ARD0US SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE.SPRIN7bL•ER FJANGERS . IN �T ffuIoN ATHER 97RIP . LNTERIOR LATH DRYWALL r . F.K'I'FRTOR LATH . RATED FLOOR/CEII, ASSEM. RATED WALL ASSENBLIES 9 OPENTWS . T-BJAR CEILINGS + A.DDITIONAL DATA ON FILE . LOT PRAIPAGE REPORT ID: DPR261 ROUTE TO: 13SO508 COUNTY OF LOS ANGELES TEMPLE CITY Q 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDIFG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - BL 0508 1304090030 PHONE: (626) 285-0488 ETT: LEGAL ID: NO. OF CONST BUIIaINO ADDRESS: TR: 15683 LT: 89 SQ, FT STORIES TYPE 5129 CAMELLIA AV STRUCTURE: 5 ' V-B TEMP CA 917803856 ASSRSSOR INFORMATION NUMBER: NEAREST CROSS ST'AEEE- 8589-013-011 THOMAS PAGE: 597 GRID: A4 tOCALTTY: TEMPLE CITY CA ' TERANT: Ea_9T BLDG USE: DETAC USE ZONE: R-1 _ ISSUED ON: - PROCESSED BY: EZIST OCC GRP: 04/09/13 8R OWNER: - TTL. NO: BtZGS. NOW ON LOT: VAJ,=ON: F f: CODE: RAWJT,S JEROME (818) 788-7331- 5129 Clea AV 1,000a�y� TEMP 917803856 FEES PAID DESCRIPTION OF WORK TEAR OFF + REROOF DETACHM GARAGE USING 30 YEAR CLASS •A• FEE DESCRIPTION: QCANTITY: UON: ANDS T: SH22KR• S OVER 2 LAYERS OF 15 LS FELT - APPLICANT: TEL. NO: . HOCKENBERY, JASON- (909) 596-3993- AA BLDG PERMIT ISSUANCE 27.80 5655 JUNIPER STREET AB STATE GREEN BLDG FEE 1000.00 VA$, 1.00 SPECIAL CONDITIONS: CHINO QA 91710 AC STRONG MOTION RESID 1000.00 VAL 0.50 D2 PERMIT W/O EN-HC 1000.00 VAL 65.40 ' TOTAL FEF}9 94.70 CONTRACTOR: TEL. - APPROVALS DATE INSPECTOR SIGNATURE II SHEA ROOFING (909)_. 591-4463- 5655 JUNIPER ST - _ LIC. NO - LOCATION AND SETBACKS CHINO CA 91710 565595 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO. 8LAB- UND FLOOR RAISED FLOOR FRAMIN 0 ' MAP NO: SEWER MAP BOOK: AGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 00 - FLOOR SHEATHING NO. OF FAbELL ES: DWlMJ SN G UNITS: APT/COPD: STAT CLASS: - NO .2� _ ROOF 911F.ATFII27G ' 9 0 0 0 F WITHIN HATERIALSDOUS - S K&AR PANELS ASR QUALITY: 10 0 0 FEET MATERIALS n 7-a � . NO NO NO FRAME INSPECTION FIRE SPRINIC:,ER HANGERS INSIILATIOiH STRIP INTERIOR LATA DRYSOIi,i, - EXTERIOR LATH . RATED FLOOR CLIL ASSEN. RATED WALL ASSEMBLIE,9 RATED SHAFTS OPENTN(3S T-BAR CEILINGS • ADDITIONAL DATA ON FILE LOT DRA 2iAGR REPORT ID: DPR-261 ROUTE TO: BS0508