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Home My Public Portal About5144 CAMELLIA AVE_Building__ f 76A62�A CE 0803 12/eG APPLICATION FOR .-BCU/ILD NG P MIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEIr BUILDING AND SAFETY DIVISION BUILDING l JOHN A. LAMNIE, COUNTY ENaINF[R ADDRESS COLEMAN W. JENKINS, SUPT OF EuILDINd LOCALITY J. R T FILLNEAREST CROSS ST. BUILDING DISTRICT NO. GROUP TYPF�� PR ESS ED BY ADDRESS in '0'9 `= CONS T.1/ - STATISTICAL C�IFICATION a�L� SEWER MAP LOT NO. BLOCK CLASS NO � DWELL•UNITS BK4PC/0 TRACT USE ZONE MAP NO.OF BLOCS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE QF CONDITIONS EXISTING BL-DG. - TEL OWNER NO. BLDG.SETBACK FROM ADDRESS Sane #lE OP.LINE OF (STREET) ISTI SETBACK HIGHWAY } YARD = TOTAL CITY HIGHWAY IDTH FROM C.L. ARCHITECT OR TEL. ENGINEER NO. BACK FROM ADDRESS .LINE OF (STREET) Roof TEL. EXISTING SETBACK HIGHWAY } YARD = TOTAL CONTRACTOR Virgin 16001 CO -No O. 2 IDTH PROM C.L. ADDRESS NO } _ CITY San Gabriel 91`776 CLA. C- CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDER NAME AND BRANCH SEEREVERSE SIbE FOR`SPECL. L, APPROVALS ADDRESS SQ. FT. NO. OF NO. OF JER SIZE STORIES FMILIESUSE OF STRUCTUREi SIGNATURE OF APPLICANT VALUATION S 667.00 '_PP DATA INSPECTOR'S SIONA TL R[ P,C. PMT. FOUNDATION; LOCATION FEE f FEE S CORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, - BRACING BOLTS AND )TAT[ THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY FURNACE: LOCATION, WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. ,LABOR COPE OF THE STAT[ OF -CALIFORNIA IN RELATING TO WCRI(ME N'S COMP[NSATIO INS.UR E. LATH, EXT. SIGNATURE R O HOUSE NUMBER CO - PERMITTEE RECT AND POSTIED ADDRESS FINAL JOHN F. LEWIS. PRIM IPAL STRU 7URENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERDRT VALIDATION cK. 'CAGH T2 5 1. X22 1 v 1 2DON IT ' APPLICATION FOR BUILDING PERMIT W • =NTY OF LOS ANOE1 E8 BUILDING AND SAFETY [ AfORKEA'a_COipEaISATfOPI DECLARATION. POR APPUCAWr TO FILL DI SUa_DINO ADDRM BUVJ) 0 ADDRESS .1 hareby afthm that I hors a cartt8caie of oonwrrt to sett trmn% or a csrtlflcaft Or Workers'comparmsbm Irrurance,or a oertRbd -slqLl5 aWy thareof(8ao.38M Lab-a) cmTe mp c Poioyr 8a�OF LOT L— NO.OF BLDOS NOW ON LOT ❑ C4rffWCopy-Whereby tumW*cL J 9 ,�' 20 7 -� NEAREST CROSS ST. ❑ C*dW copy is flied w lth the ocunty buldlrlg InspecOon TRICT/ $ 2 eLoac 1 71 Lor Na use ZONEMAP No. dep.rnnent J Date rt A88eDBOR�.I+,P Mg'T 17— SPECIAL CONDrfFOHB OWN CERTIFICATE EXEMPTION WORKE�ts' �J J f� lC �" ,1 S 6 I wrrl N 10M FT.OF.9VAO L7 YES NO ADDF dM (Thio section read not be oornpiebed tf the Perm Y for one hundred �T�T GFKXF J.rYPE CONSt FIRIE ZONE doius($1 OD)or leM.) � per, � � � � � ,� Ac:or? . 3 I owft that In the Wfforrmmnoom of to work for whbh tttis permit TLzile le- In haued, I shat not employ any parson In any merrier so as to AROF111TECT OR EF#n INEER TEL NO. bacoma vA*s t to the Workers'COmpena ct UwL. ST1SI'78T1_AL CLApmW_A, N APT Dat �� AApDFtE88 CLAM NO. DWE L LN" NOTICE TO APPLICANT. if, after making this Cartttloate of RBouIA® TOTAL SETBACK FROM EXIST 6[emptlon, you should become aubJeot t0 the Workers' 0,*,T TOR �� Tam 6Er BACK YARD FFw1' PROP UNE WIDTH Compensation proyMons of the Labor Code, you must forthwith FRorrr compty wrtth auoh provhims or this permit shall be deemed revoked. ADDRESS Lr_Mo• PL LICENSED CONTRACTORS DECLARATION CITY Leme K•CLASS �- PL I hareby affirm that I am Ikertaed under pralaions of ChapW 8 SEWER MAP (CORYne wkQ wl#i Section'7000)of DtAmlon 3 of the Business and S•FT.BEZ:E Na OF STORES NO.OF FA CEB NEW •❑ BK PO Professions Code,and my IIc rm Is tri full force and eifecd , Lk erw Number Lir—cum A ACEADD �. OF VKM YALUA ,Z WOC d [N ILS 1 Contractor DatALTER ❑ I wn exempt under 8aa A Iv. , �. REPAIR B.aP a for thb reason 1WIN46LJ W t SS !: DEMOL ❑ LD"PIC a DaW LOSE OF PaeTM BLDG URM ❑ 8$g tfftum APPLICAtJr(1'PoPIT) TH t � 1 ` �' LDW1 Perm r 1 ❑ I, as owner of b"m property, or my empbyees wRh wages s �L J ACCT.T their sob cornlwaatlon,wUl do the won*and the sbvoture V 1 ` qr � not kMock d or offered for sale (Section 7044, Business and ! /a O ��n . 38 Proseadorm Coda.) w71 TFC APPLKANT OR R1T mB1 IN DING OCCA lVdiT HANOLaAFMZArDOUa WaMAL 5 ❑ I, m owner of the property, am amd w lth OR A IaxTlli Corfas+xl A HAZARDOUS WOUIMA.RQUAL TO OR QFEATM THAN « 1 I Licensed oontreolor■ m condn,ot pro}ect.(8eatlon 7044, THE ANcuN rs aProPm ON THE FVZAFIXe LVGW we n•orsuUM GUMV ' T�]TRL 0 -38 Buatness and Prof eakm code.) ym❑ No❑ CHECK ]�7 WLL THE MGD®USE OF THE SUallaq IN THI ArRr AXT OR PUTIM OULO .CHEM f 0. S OCCUPANT PECKARK A P W%Jrr FOR CONIMIUCTION OR MCC@90 U 10N MOM THE SOUTH CONSTRUCTFON LENDM AGENCY COAST AA O[NLrTY YMMo�fr DarrsoT MCAQb"SUR PvarrrM C4MCKLeT .11V FOR d IKA ES I hereby affirm that there In a oortairucrion km K& agarxy for tm❑ NO❑ ��f the psrforTnarloe of the work for wit h this pmTn t Is"mcl(8ec. I FWE PEAD THE FMZAEN)OUR MAMMALS ei�Aro TFE SCACMD 3087,Ctv.C.)• P�asTrsa aacicusT.I tnoeNvlro use+TFa Loe ArlO�� , LertaeraN.r,s COUNTY OHAPTIRLE „�«,oH>Lm"m� 900D_"1 '51/9fJ Lenders Addre» 1442 1 0:37 I eerttfy that L here read this app lox and stab that the above A� Information is oorrect_ I agree to comply wtth all county P.0 FEE F'BifAFT ordlrrnom and SWe laws relating to bufiding oormt ucft%and r 1 hereby authortze of this County to enter upon MLIAHCE FEE f O O 1 qPNFEE TOTAL FEE WE FtEVUM FOR EXPLANATORY LANOUAa 1930165 APfi`" OCATION FOR BUILDING PERMIT B3—SB COUNTY OF169-AGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPUCANT TO FILL 0�IN WADDRE I hereby afflrm that I have a cerVfcate of conserd self Insure, BuaDax3 ADDRESS or a certfflcaha of Vrbrkars' Compwmtbn kmrarm,or a certffied 5144 Gamelia CrFy 21P� PWC 242191 0 Golden Eagle I Te i 1 LOGUJIY SUE OF LOT 40.OF BLDG&NOW ON LOT ❑ Cettffied copy Is hereby fumished. NEAREST CROSS ST. QCertffled copy Is filed wIth the county txrlldlng Inspection TAT BLOCK LOT Na , 2'n� t USE ZONE MAP NO. Dare 7—1-9 4 y Appt Virgin Roof C o. ASSESSOR MAP BOOKR�EPARCEL SPECIAL coNaTaNs CERTIFICATE OF EXEMPTION FROM WORKERS' 004ER TEL Na YES 40 COMPENSATION INSURANCE Steve Hickey WiTHQN 1000 FT.of SCHOOL (Th}e sectlon need not be oornpkK&d1 H 514 the permft Is for one hundred AD4 Camelia °'eTRJcr 1n� f DoRo+_rP PROCESSED BY doaara($ioo) a leen) 514 I certify that In the performance of the work for which this permlt CrTY ZIP Tele j is Issued, I shall not employ any peraon In any manner so an to ARCliTEOT OR ENoO become sub)ect b the workera'cornpen8ation Law& W�EA TEL NO. 1 80 v �CA s17UTffTr.AL CLASSFCADON APT CONDO D�' A�iwt ADDRESS CLASS Na .�L DWELLLnr a NOTCE TO APPUG.WT.• H, after making this Certl� of REQUFfD TO-TL SETT"FROM EXf8T Exemption, you shouVd become suboct to the VNbri"' CONTRACTOR TEL 40. SETBACK YARD HWY POOP LINE WIDTH Compenaatlon provWor%a of the I-Bbor Code, you moat kwttnvfth Yjrgin Roof — 87-0507 FRONT cc"*with such provlebne or this permit shall be deemed revok d. ADDRESS LIG NO. PL LICENSED CONTRACTORS DECLARATION P SL I hereby afflrm nce that I am liced underpro„talone of Chapter Ln an Gabriel 91778 C CL�.39 PSEWER MAP (commerciTlg with Section 7000)a(Division 3 of the Buslrom and 9a FT.srg Na OF STORIES 40.OF FA)AdJES Profeaslona Code,and my noenae la In fudl force and effect 24 s one NEW ❑ BK PG Ucense Number 160650 Lb chase C39 OF WORK -SitS ADD ❑ WLwvroN Q Conftwtor Virgin Roof Cry 6-30-95 ALTER El $ 3978.00 U and Claps ' a s REPAIR ElQIr ❑ 1 am exempt urxier Sea $ F RAP.C.for thle reason uSh glee, DEMOL ❑ LDAM P/C+ W Date: e n � URM Eli � Signature APPUCANT(PRWT) TEL Na -_-LDMA Perm t 1 Z ❑ 1, as owner of the property, or my ernpioyeea with wages as Virgin Roof Co. 287-0507 ° - -- - 0 ACCT.i ffledr ede compansatbn, wrnl do the wait and the structure fe ADDRESS not mended or offered for ease (Section 7044, Bu rms and P.O. Boa 5010 San Gabriel CA 91778 FD1kL DArH p �¢ 3303 134.25 RDfeaaione Code.) Y L THE APPUCNrT OR FUTURE BUI-DM OCa,PANT FMDLE A FIAZAFDCUS LW754Ai ❑ I, as owner of the property, em exchra}vefy contractlng with CR A corm COKM000 A FAZAFD"k4CERh-L EQUAL.TO OR GFEA TE3 THA NTHE ITEI' ncensed contractors to construct b-o pro}ec (Section 7044, A�axa ePecr®ON THE HAZARDOUe wavF s rr-a�wan ouoEa :.FINAL BY - -- -.. TOTAL 134- ?5 vEe❑ No❑ &alneas and Profeeaiorm Code) Y&L TFE NTE•om use of THE euDLm ay THE AamxANT op FUTuE ra■Dm [.FEW, 134.25 OCCUPANT fEaF£A Posit FOR CaETRUCTION OR 660MGMON FROM THE SOUTH CONSTRUCTION LENDING AGENCY caarAI OUMnI MANAGEMENT M&TRICT VOt. 'o1 9E_PEAMT M a-Eaa.raT FOR I hereby affirm that there Is a Constnuctdon lending agency for YEe❑ No❑ a the performance of the wroric for which this perm H Ie teaLned(sec. 1 Hwa REAR THE HVZAFdX"M vFRALa eFOFiaTaN OLOE Aro THE sCACAD PE IATrN0 1 7/19/93 3087, Civ.C.) Cl-ECKUffr.J uNDEpQw.D WY REQLX-k4EN-M UNDER TFE LOS•weE_ES COUNTY CODE• TR.E 2.q-MPTSi 220 8ECTI ZM 100 TI-F xi 23 140 CONCSNIG FNZNO� A Lender's Nerve ►W'EiALS FI P044TM AND FOR 06-D"Q A PE"T F10N THE 8C.&UMD. 1 AM u:377 LerTder'e Addraea o awe+OR Amrt I certtfy that I have read this application and state under pervey _ of perJray that the above Information Is correct I agree b con#y P.C.FEE PEFOArr FEE wnh all county ordfnancee and State Tawe ramtN to brfidlrp $107.85 oxmt"c ion, and hereby authorize repreaentalhea of this County ISSUANCE FEE upon the Yfor��P-00 ee- $26.40 7-16-93 O;VESTIOATKA FEE TOILL FEE 134.25 �-- SEE REVERSE FOR EXPLANATORY LANGUAGE A