HomeMy Public PortalAbout5303 CAMELLIA AVE_Building__ � ' D BUILDING
' ADDRESS
APPLICATION LOCALITY
NEAREST P -
DIVISION OF BUILDING AND SAFETY CROSS ST.
Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUPT OF BUILDING -FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY ISSUED BY
OWNER
MAP STATE yE6. NO-
MAIL NUMBER HWY
ADDRESS
USE ZONE SPECIAL
TEL, CONDITIONS
CITY N❑
ARCHITECT OR TEL.
ENGINEER NO.
BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT
TEL. P.L.
CONTRACTOR NO. ---
SIDE
L.
ADDRESS --
DATE CORRECTIONS INSPECTOR
BUILDING
ADDRESS
LOT NO. BLOCK L�
TRACT
SIZE OF LOT //,` I NOW ON LOT
USE OF
F_XIFTINO BLDG.
DESCRIPTION OF WORK p
Q
NEW ADD ALTER REPAIR DEMOLISH Z
Sq. FT. NO. OF NO.OF Y
SIZE f STORIES FAMILIES r
USE OF STRUCTURE
NO.OF
EMPLOYEES
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INBPECTO
CORRECT. 'S SIGNATURE DATE
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS -
FRAME: FIRE STOPS,
SIGNATURE OF � BRACING,BOLTS
PERMITTEE FURNACE: LOCATION, �• a
GAS VENT,DUCTS
F
ADDRESS
y _ LATH, INT.
AUTHORIZED AOT.
r� LATH, EXT. -
P.C.$ ,� ,- G+' ` HOUSE NUMBER COR-
Q Q FEE / RECT AND POSTED
2
VIOFEE -r— FINAL
ALVA N
76A638A DBS 3 12-53
APPLICATION FOR BUILDING PERMIT_
COUNTY OF LOS ANGELE$ BUILDING AND SAFETY.
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN
BUILI hereby affirm that I have a ow fScate d consent to. self hmre, ��
or a d worker& Compensation hm rare,or a l
ZF ,QTY
Cor�" SUE OF LOT Na OF BLDGS.NOW ON LOT
1:1Cwffleod copy Is hereby fumfshed. CA088 8T.
❑ Cerm1Qd copy'IS fled wfch the Q"."bu6dfrp Inspecdon TRACT BLOCK LOT Na
t U8E ZC E MAP Na
Dflte MAP BOOL( - - ROE PARCEL
` SPEGAL CONDfTIONB
CEhTIFICATE OF EXEMPTION FROM WORKERS' C"• / 4�
OOMPENSAT10N INSURANCE r��` S WITH 1000 FT.OF 8CH7 YES Ni
mll.a section need not be cornpieted H the permit Is for one hundred ADDRESS
Gt9l-FtlCT OROt1PCONST. FRE ZDNE PROCESSEDHY
ddlare'(s 100)or less.)
I certify that fn the performance of ti,e work for whkch this permlt Crry Zp .
!e 10aH not empty ary person Ln airy manner eo as to AR( frECT OR ENdNEER TEL Na' f'
«,bOct m t-,&Workers'Carpeneebon Laws. SWFMTCAL D-12Fc,TaN APT CONDO
Date,' EwAd� ADDRESS - - - _ CLASS Na �_ DWELL
/VOT10E TO APPLK'ANT- H, after maknp thle Certffiaate of REQUIRED T0-D1L SETBACK FROM EXOT
Exemption, you, should become.sub}ect to the Abricers' m I SET BACK MRD HWY PPRP L;W wQTM
Compersatbri proyWorn.of the Labor Code, you must kxt7 tth. MPR FRONT
COrnI y wtth such provbbne or this perrrft ahall be deemed revoked. ADDFess PL
LICENSED CONTRACTORS DECLARATION J v Sri
LICWSS
P L
I hereby,affirm that I am Ilpers underprwlebne of Chapter 9
(cormnendrp with Soct n 7000)d DMalon 3 of the Business and k9aj3ZZE "t4O. 1EII No.OF H—" E9NEW ❑ ��� PO
PrafeeaSorra and myscenes Is fn full furca effeectLLicene Numl Li. Clew; - qr,' ADD Q w UKION
TER E3
❑ I am exempt under Sea ,Q REPAIR ❑ $
` DEMOL Q LDAM P/C+ W
BhP.C.for this ,
USE URK ❑- 1
MC-
�ture (PFirlf) LDMA Por-J A1,4T.T .
❑ I; ea ow d the property, or with wepee as C� y� .
their Sole oornpbneati wdl work and.the struckre b O MAL DATE 33031 TTM
not htwided or offered for sale (Sectbn 7044, Business.and d 1
R deeakns('Tote.) wLL THE.APPI X'.4rr OR FUTLm w■DM oCCURWT FADLE A.FVZARXXM MUEAAL
ORA C.ONTYMW A FVZAaXXJa NWUML EQUAL TO OR GW-ATM T"V4 TFE
Q I as owner of the.property. am exclusively corn rautl wnh � oN T-E FH71J�011e►aysaµs!f-0RM KION GLIDE? FlLAI_BY T13TAL. 125 .'-5
kei s contractors to oonetruct the pro}ed (Section 7044, y�❑ rq�1
B. kxm and ProfesmbrtA Coda) DECK 1-25.55
wLL Tv-E HTE QED ueE OF TFE 6UOLNO ar TFEOR Rrn E Nx-D
OQUI:E A Pyr FOR OR A (3
CQlnANr rEION FF1OY TI-e SOUTH QVNGE ■
CONSTRUCTION LENDING AGENCY =sr D16TRCr OC SEE PB:*. °a-EaareT wR
I hereby afftrm that there Is a gonsti ctlon lertdrna aoarac y for YES El } i
w the performance of the work for which tfils permit Is feared(sea . 1 �� ��q6.
m I H dE READ THE PAZAFCOUB LL4EFMLE IFOFMAQgN GLEE AND THE BCJO�O
3097,Civ.a). a-Eaaer I uFEE OrWo N1'FEOLI IDAEN-a LNDEi TWE ANGELES COIIlnY
Lender's Name a � '1 ""�'�1A 7262 1 PM 5:14
Lender's Addfeea e !,}
0-
ow
Q I certlfy &Let I ha%e read thie appllcibm and state under penalty
Y
of per)ury that the above flat ation Is corredL I agree to com* P.C.FEE PE14 T.FE1
R with all county ordinances and State lave ratatinp to biLW g / a
end hereby a re¢reserttstives d this County1JAtJCE FEE
the ebo� PmAer fY
m NVESTOMnCN FEE j0'111L FEE
SEE REVERSE FOR EXPLANATORY LANGUAGE
C
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS y'i ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 s — BL 0508 0008040005
PHONE: (626) 285-0488 EXT:LEGAL ID: NO. OF CONST BUIL-DING ESS:
-y
i
TR: 17780 LT: 1 SQ. FT STORIES TYPE 5303 CAMELLIA AV
STRUCTURE: VN i TEMP CA 917803245
ASSESSOR I ER: I NEAREST CROSS STREET: BLACKLEY
8589-001 017 f i THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TDKlkN T EXIST BLDG USE: RESID USE ZONE: RI I SSLIED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: Q8/0100 UT 02/01/01
FINAL DATFINAL COD E
CALVERT, GENE - 1 1,200
5303 CAMELLIA AV `
TEMP 917803245 fthhS PAID DESCRIPTION OF WORK
REROOF HOUSE AND GARAGE OVER EX STING.30YR CELOTEXT CLASS A
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: F
DOUG DEARDEN (626) 287-0669- AA BLDG PERMIT ISSUANCE -27.75
4016 TEMPLE CITY BL AC STRONG NOTION RESID 1200.00 VAL 0.50 SPECIAL CONDITIOM
TEMPLE CITY, CA D2 PERMIT W/0 .00 VAL 82.20 1
CONTRACTOR: PNC,ELE co E 110,45
WEATHERITE ROOFING (626) 287-0669
4016 TEMPLE CITY BLVD LIC. NO ^,--z LOCA'IUN AND SETBACKS
ROSEMEAD CA 91770 HIC * f
SOILS E)
ARCHITECT ZVTNr.=: FOUNDATIONITRENCH FORMS
LIC. NO SLABfUNDER MOM
111111
MAP NO: SEWER MAP BOOK: PAGE-.— FIRE ZONE:
n 4
147H269 3 U ISG
LTJ I1L�� C W R Kf
OF FAMILIES: DWELLING UNITS: APT/CMD: STAI LLAbti-
O 21 3--)
FLOOR SHEATHING
M
AIR QUALITY: 1000 FEET MATEhIAL$ Z7 El
NO NO NO REQUIRED TOTAL SETBACK FROM E)(I STwrwguor-mumm❑ FRANt INSPECTION
FET BACK YARD: my: PROP LINE: WIDTH: b/' ❑ t Ot $ i
SIDE PL- 'C `Service TM8
INTE�IOR LATH/DRYWALL
2 .
f
I
* ADDITIONAL DATA ON FILE
LOT �RIWAGE---
REPORT ID: DPR261 ROUTE TO: BS0508