HomeMy Public PortalAbout5332 CAMELLIA AVE_Building__ ,-DVZ§,IOaN OF BUILDING
1
WM. J. FQX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY (M}T
3 2 D�OTNO. i A`� 3R;e r/Q 7 /i
■UILDIND G
anDRsa■
REOEIVKD BY DATE OF APPL. DATE I■■UED
OGA QTY -vs / 3 - �'--3
N[ARaT UiLDIND
aacw •/1DDRQ■ /,3•.J 2— rT!C
OWNQ �. '. J
MAIL L DIIALTY -t n7 /
ADDRJ30 NEARE■T
DRUM/T. t
arry .LIQ. 1,
FIRE NO.cW zt TYPE GROUP/✓
ZONE PLAN■
AROHITEOT QR TEL
[NOIN[IJl NO. BlaACK LIME ;7 O /!/�pyORM NO.
AJPP ROVED,
TKlI- UK / BY DATE
DONTRADTOK NO. I HOUSE HUM■ERIND
ADDIRM MAP NUMBER &,fi> L+ HO.
A�■■pIO ■
NED Y
1 r�+l CORRECTIONS
DE■OR1P770H LOT NO. ■LaOK
TAA IT 4/
SIZE DF LOT F` 0 NOW OM Rt n�r�
UBL OF NO.CW
XXCISTINO■LDL FAMIup
DESCRIPTION OF WORK s
b ' -
NEW ALTMATION ADDITION
REPAIR DEMOLITION
SQ.FT. 1 NO.OF
■IZE { RQOM■ ■TORIQ
[ICT.WALL ROOF
MNE
UOE OF BTRUOTIJRK
F 7�17�f
lKwrOTION FOR APPROVALS
000UPAN13YAN � INBPTOT•OR'StiI0NATURE DATZ
FOU H DATI ON I LGOATI O N
FORM■. MATERIALS
I HEREBY AOKNOWLmGE TI•IAT 1 HAVE READ THI■ AP-
PLIOATTON AND ■TAT= THAT THE INFORMATION RIVEN IN FRAMKI FIRE■TC*n4 ']
OORREOT, BRAOINe, BULTO 7
1 REE TO OOMPLY WITH ALL COUNTY 13RDINANOE7l. FURNAOi7 LAOATION,
AND ATM
LAWS RIGULATINLO BUILDING OON■,T{�AUOTION. M"VENT DUOT7
■IONATURE OF ��/! ` A �6`r � LATH. INT. i
PKRMITTlM
LATH. Iocr.
-ADDRESS v
PLANTER, I NT.
AIJrHORLZLD AaT
PLATER, CCT.
'7 0 0 P. 0 _°I
HDueE NuweEs2 DOR-
FEE} O ` REOT AND POBTm
vALuwnON /� FINAL
FEZ
76AAMMA DS 0 1-JL.f
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGPI Fit BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION POR APPL)CANT TO FILL N BUILDM ADDRESS
BUILDIING
I hereby affirm that I have a cenUficate of consent to self Inwue, ) ADDRE88 M/-y� / + V
ri 7
or a cwtMcele of%brheaon'Compensation Insurance,or a certi ied r 1 G�-
COPY thereof(sea 3o,Lab.a) CRY ZIP
G 'C � ZIP 53 3;1 U �
Po No. n' of LOT Na oP eLDoa crow ON Lor
El Grtfffed copy is hereby tumkhed NEARE13T CROeB BT
❑ Certifled copy Is filed with the county bulkting hgmotlon TRACT BLOCK LOT NO. USE MAP NO.
dwartnen
Dee t ApplicantASeEseoR MAP Soolc PAGEPARCELCoNDrrroN B
oalN ERTEL No.
CEATI COMPENSAATE OF'TI N�INSURANCE WITH IN 1000 Fr.OF SCHOOL? TEs No
ADDRESS
Mile eection reed not be compleled K the pemlft is for one hundred ( DISTRICT OROl1F F1 ZONE PROCEBB®BY
dollen($1 013)of iia p CITY 5.ti 3
I certify that In the pertornsnCe of the work for wf,act,this permit
Is Issued, I shall not employ any person In any mi rner so as to ARCHITECT OR ENO NEER TR_N0.
Abqoom4 sub}eot to the VlibdmW Compenaatton LawL BMKnsTr L CL.ASBU9CX K)N AFT CONDO
Dde `/(3`VAppanurt S CLABB NO. DWELL LX*TB
NOnCE TO APPLJCMfr: it, after mWd V this Certificate of RBDtWr® TOTAL BETBACK FROM EXIST
6remptlon, 'you should beo0me sub)eot to ,the VkrkereCONTRACTOR ^� Tl� E NO. SETBACK `AIRD Hwy PROPL9WIDTH
CAmpect
rsfon "Islors of the Labor Code. you must lorttnwith r&4 w FRONT
comply with such provisions or this perm it ehal be deemed Twoked. ADDRESS Lr_ND. P L
frJ
UCENSED CONTRACTORS DECLARATION CITY Q CLASS PL
I hefeby aff Tm that I am licensed under provklors of Chapter 8 D Q4 SPRIER SAPIMI �.
(commer sift with Section 7000)of Nvkion 3 of the Mmksee and FT s� Nlo or Snort» No oP
Proleasionle Coda and my Soww b In hull force and effect NEW ❑ BK PO
DI�tlFTI N OF WORK ADD ElvNj ATm
Lksrse Number IJa ClawF o 05
c«Ttnwtor Dale ALTER ❑� #. ( z
ItJ RUWR ❑
El am moertrpt under Sec.
EL&R .for thk reason DEMOL El LDMA Pro e
Data: uee of oastTNa eLDct URM ❑
8lgTlahpe APR-r ANT(ft" T9..NO. LOW Penn e 1
❑ I, as owner of the IBX or my ernpioyees with wages ACCT.i
their sole oompensatt rn vA I do the worts and the structure,Is ADDREBe
not UThxxW or offered for sale (Section 7W, BLxdneee artd DIAL DATE < 7 92■38
��yy'? sem-) wa.LTFOAPMJCA rORPanneD■M+OOCLFAKTHAMXRAwaARDOLOMATeaAL 1 ITEMS
I;b OWnen of the property, am exd oorttTlUtl with
OR A bKXTURH OONMUMM A HAZAIOOUS 1rVfeAL EQUAL TO OR QRNUM THAN ...
t Lnively nG TFe A SOUNTS 81-XlreD ON THE KVAFUOIC MXrWAALS Pf RIX"MOO" '
.
ticbnead oontreclon to conetrtuct the pro)eot.(Sectloh 7044, rm El No 1:1 TOTAL 92- 31.3
Buslneee and Prolewlors Cbda.) //'{{�j���.��// p+}
i VALL TFC e1TR6 nta UOP TFIERDL DING Cr THE APPLK3IWT OR PUTLFW BlMD 2
1rrC4r\ 7 .38
OCCUP"T FINNS A PERfT Pon COr6TRUQTION OR Y0001CA10N PROM THE SOUTH
CONSTRUCTION LFNDINa AGENCY court AiI QuALTTr uAHAaemENT DSTnar Mio&orof e®PwdKrr o areoKLerr. `�FaILL
POR Gr MEINE 010
I hereby affirm that fes Is a constnratlon lendUV ogency for YES❑ --No❑
the pwWmroe of the work for whloh thk permit In lowed(Sec. i HAM MAZ TPU MZARooLe MairwALz ra'aRwpN Gua AND TFf er.ACAM
Qe
30e7,ar.o.). � 2�T�'�e�pN ,aHM � 0O —0001 4/13190
d Lendwre Name F AZARDOLA LL4UW ALA WFORTM AND KM oS01fa110 A POFifr RIOH THE BOACAM.
Lender's Adder C�aA01W 0051 1 AM 7:29
I cwtHy that I neve read this appkatlon end steA thed the above PC FEE PERT`tIT
Information b correct. I agree to oohipty with an ooLmty
ordhwncee and State Tarn rein V to bufidllg oorlehuctior4 end
hereby etrUlortae repneenta&Ma of thk County to Saler upon FEE,-,,5,, O O
the Pboye-men ad PmP Y PwP�L
LNVEBTtaAT,oN FEE TOTAL FEE
ate.• �INr Ap.r Orr
ag REVERW FOR EXPLANATORY LANGUAGE.
COUNTY OF DaS ANGELES TE?IPLE CITY 0508 BUILDING PERMIT
DEPART?-= OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEYPLE CITY CA 91780 BL 0508 0910200044
PHONE: (626) 285-0488 ETT:
LEGAL ID: 90. OF CONST BUILDING ADDRESS:
TR: 17780 LT: 10 SQ. FT STORIES TYPE 5332 CAMEL IA AV
STRUCTURE: 2200 V-B TEMP CA 917803244
ASSESSOR INFORMATION NUMBER: NEARE,4T CROSS STREET: BLJUJ Rv
8589-002-018 THOMAS PAGE: 597 GRID: A4 LOC95,=: TEMPLE CITY, C
TENANT: EXIST BLDG USE; -R-FS D USE ZONE: R-1 ISSURb ON: PROCESSED BY: -
=ST OCC GRP: 10/2 /09 SR
OWNER: TEL. NO: BLDOS. NOW ON LOT: VAIAATIOH: FINAL DA BY: CODE:
AL-TOTO FRANL (626) 291-2097- 7,500 /^
5332 CAMET•r.IA AV (-
TEMP 917803244 FHFi9 PAID ESCRIPTION OF NO—
TEAR OFF 1 LAYER OF EXISTING COFO?OS PTION AND INSTALL 50 YEAR
FEE DESCRIPTION: QUANPTTY: GCM: AMOUNT: CLASS A SHINGLES
APPLICANT: TEL. NO:
JOE SHEA (909) 591-4463- AA BLDG PERMIT ISSUANCE 27.75
AS 3ZkTE GREEN BLDG FEE 7500.00 VAL 1.00 SPECIAL CONDITIONS:
AC STRONG MOTION RRSID 7500.00 VAL 0.75
D2 PERMIT W/O EN-HC 7500.00 VAL 183.00
TOTAL FEES 212.50
CONTRACTOR: TEL. NO: APPRCVAL9 DATE INSPECTOR SIaWdURE
II SHHA ROOFING (909) 591-4463- 1
5655 JUNIPER ST. LIC. NO LOCA1 ON AND SE'THACI9
CH1390, CA 91710 565595/C39
90n-Q EAGIM9Rt APPROVAL
ARCHITECT' OR ENGINERR: TEL. NO: ON TRENCH FORMS -
LIC. NO: STAB' ER FLOOR
RAI�ED FLOOR FP AMI19G
MAP 190: SEVER MAP BOOR: PAGE: FIRE ZONE: Cly: INSULATION
147H269 3 00
FLOOR SHEATHING
90. OF FAMILIES: D4�ING UNITS: APT/GOND: STAT CLASS.
NO 21 ROOF SHEAIMNG
al
SCHOOL W17HI A HAZARDOUS SHW PANELS
AIR QUALI'T'Y: 1000 FEET MATERIALS
NO NO NO FRAN IIi.9 PRC'TION
' r
REQUIRID TOTAL SETBACK FROM EXIST FIRE SPPINICL HANGERS
SET BACK YARD-. HV Y: PROP LSD➢'i: 11'IDZ4i
FRONT PL- INSUTATIOP STRIP
SIDE PL-
INTERIOR LATH DRYWALL
RrTERIOR LATH
RATED FLOOR CEIL ASSEM.
RATED MALL ABSE24BLIE9
RATED SHAFTS OPENING.9
T-BAR CRrr•MS
LOT PRAMiAGE
REPORT ID: DPP-261 ROUTS TO: B30508