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Home My Public Portal About5338 CAMELLIA AVE_Building__ DIVISION OF BUILDING AND SAFETY � ' ® � Dxpartment of aunty Engineer I. ! . -County of Los Angeles 6CT 2 3 1952 NG WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY 'BUILDIN G,_ DISTRICT NO. PLAN CK. DR REC.No. PERMIT NO. ADDRESH ✓ �/�i 6 L _ 0/3443 +. LOCALITY RECEIVED BY DATE OF APPL. DATE SSUED 1 NEAREST -. 10-2 CROSS 8T. BUILDING — ADDRESS OWNER MAIL LOCALITY ADDRESS _ NEAREST l TEL. OR Dan ST. CITY t' NO. Z- FIRE NQ.OF I TYPE GROUP ZONE PLANS ARCHITECT OR TEL. ENGINEER NO. BLDG. . ORD. NO. SETBACK LINE ADDRESS USE APPROVED TEL ZONE- BY -;_ DATE CONTRACTOR NO. HOUSE NUMBERING ADDR988 `\ MAP NUMBER NO. ASSIGNED BY__ LEGAL CORRECTIONS DESCRIPTION LOT No. BLOCK r TRACT NO. Or BLOBS. SIZE OF LOT I NOW ON LOT USE OF I NO. OF '}Tjlc P ✓ EXISTING BLDG. FAMILIEO DESCRIPTION OF WORK NEW ALTERATION ADDITION t J STio GG. !�O i-v TS �� __ G—t> D REPAIR DEMOLITION r Bq.FT. No.of SIZE ,, t ROOMS _ STORIES EXT.WALL -` ROOF C• COVERING I COVERING USE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS, CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAN VENT,DUCTS L - SIGNATURE OF LATH, INT. PERMITTEE ,A LATH. EXT. ADDRESS �.' PLASTER, INT. AUTHORIZED AOT. $ PLASTER, EXT. �•� P.C.S I f1 0 FEE HOUSE NUMBER COR- ...-' CJ RECT AND POSTED VALUATION FINAL --;2 FEE 76A638A DBS 3 1-52 76A638A CE re03 12/89 CITY OF TEMPI$ CITY APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING 2 JOHN A. LAMMIE, COUNTY ENGINEER ADDRESS J COLEMAN W. JENKINS, SUPT OF DUILDINU LOCALITY FO R AP LIN NEAREST. CROSS 3T. BUILDING DISTRICT N GROUP TYPE P ESS ED BY ADDRESSFL CONST. -S ATISTICAL CL IFICATION SEWER MAP LOT NO. BLve-OCK CLASS NO DWELL,UNITS BK PG TRACT iU^SE 1ZONE MAP J NO.OF SLOGS. !/it NO. SIZE OF LOT NOW ON LOTh/� SPECIAL USE OF CONDITIONS EXISTING BLDG, '- - - p L^ 1. TE OWNER . Z8NO6-6204 BLDG.SETBACK FROM " ADDRESS 5338 N. Camellia FRONT PROP.LINE OF (STREET) CITY Temple City OF EXISTING SETBACK HIGHWAY +. Y*RD = TOTAL 'HIGHWA WIDTH FROM C.L. ARCHITECT OR TEL. + _ ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE '7� SIDE PROP.LINE OF (STREET) CONTRACTOR Alhambra Roof ing C4;. —19 HIGHTYPE OF EXISTING BET BACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROM C.L ADDRESS 712 SO. Mar6ngO NO.'2 3l 3 L �j CITY IC.CLA CORNER CUTOFF YES -L] NO ❑ CC CONSTRUCTION LENDER O NAME AND BRANCH SEE REVERSE SASE FOR SPECIAL-APPROVALS L; a ADDRESS - - N SQ. FT. NO. OF NO. OF NEW ❑ Z_ SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE DID-TO Of .. .. Felt Base &239 COLO White ALTER SIGNATURE OF REPAIR APPLICANT DEMOL ❑ VALUATION S62O.O0 APPROVALS DATE INSP[CT0I1'9 2I9NAru11E P.C. PMT. FOUNDATION: LOATION FEE 3 FEE S FORMS MATERIACLD FRAMEI FIRE STOPS, I.'HEREBY ACKNQQWL[DSE THAT 1 HAV[ READ THIS APPLICATION BRACING BOLTS AND•[TAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMELY FURNACE: LOCATION, WITH ALL ORDINANCE! AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS aTRUCTION. I C[RTI FY THAT IN DOING THE WORK AUTHORIZED 11 BY I WILL NOT EMPLOY ANY PERBON IN VIOLATION OF THE LATH, INT. LABOR CODS OF THE STAT[ OF -CALIFORNIA IN RELATING TO WORKMEN'S COMP NSATION INSURANCE. LATH, EXT, SIGNATURE OFHOUSE NUMBER COR- MFL PERMITTEE RECT AND POSTED ADDRESS �• �O>tjlha • FINAL G JOHN F. LEWIS. PRI CIPAL ST ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH J PERMIT VALIDATION 4d cAl}I LL11A 3 0 2 5 W;c 28 1 D 12.0%-- 77 7NCertified KERS' GOMpISATION DECLARATIONror that I have a certCome nof satio Int tui c APPLICATION FOR BUILDING PERMIT _,Jll cote of Workers' Compensotlon InsyranceVrd copy thereof (Sec. 3Bb0, Lab. C.) �`^ COUNTY OF LOS ANCPEL-ES BUILDING AND SAFETY Company copy Is hereby fumished. FOR APPLICANT TO FILL IN BUILDING ADDRESS + I7I Certlfled copy Is fllbd with the county building Inspec- BU LDING [– LTJ tion department. ADDRESS-7� 3 Q O Date _Applicant CIALP I LOCALITY' CERTIFICATE OF D(EMPTION FROM WORKERS' V NO.OF BLDGS. T COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ST. (This section need not be completed If the permlt Is for one ASSESSOR hundred dollars ($100)or less,) TRACT BLOCK LOT NO. MAP BOOK PARCH I t40 I terttfy that In the performance of the work fat whlcl this OwNiER -JHu 7h•m .F,�-.��-�aa �Z permit Is Issued, I shall not employ any person In any mannerADDRE555 3 L`�A , / SPECAL CONDMONS to ns to become subject to the Work Co nsatlon Laws. //►� Date Applicant + CITY 7J P NOTICE TO APPUCANT:'If, after making this Certlficate of ARCJIRECT Ste, t,o 6_ o a.) DI$TRCT TYPE FRE BY O Exemption, you should become subject to the Woriceri CONST. ZONE 8 Compensation provisions of the Labor Code, you must forth- ADDRESS d A04/W� Sp. �,(/ E dwith eemednrevoked such proyltlons or this permit shall be - - TE1 - ! STATISTICAL CLASSIF TION An. (/7 CONTRAC.'TOR >– NO (O � Z LICENSED CONTRACTORS DECLARATION n n- LYC CLASS NO. DWEJ.L UNITS 1 hereby affirm that I am licensed under provlsloru of Chapter 9 ADDRESS NO. SEWETR (tomrfienci with Section 7000)of D]vWon 3 of the Bushels and LIC_ Profeslons Code, and my licences is In full force and effect. CITY 1 CLASS BK VA A SD. FT hYO.CSF IVO. OF CHEC)C License Number LIc.Class Sig STORIES 3��.• vAL.uA 2 3 N # � • • • Contractor Date- DESC1t1PTlON OF WORK � ; 1 - 39207 I am exempt under Sec. d� R ALTER _ , ° - 392076 B.aP.C. for this reason I REPAIR = USE OF oEMOL """ 0 4,2 0—8 8 - EXISTING BLDG. TEL Signature + RNA) OWNER-BUILDER DECLARATION APPL T � �' –/ DAT1I I hereby.affirm that I am exempt from the Contractors License �L�f� T, RNAL Law for the following reason (Section 7031.3, Business and PPrroofealons Code): PRESENT, By r I, as owner of the BUILDING r property, or my employees with ADDRESS :,`t,..,,� �aQ 1ves as their sole compensation,will da the work and Y_960, 1 A the structure Is not Intended or offered for sale(Section L y #'o ••o o • 1 7044, Business and Professlon■Coded MOVING TEL I, as owner of the CONTRACTOR NO. property, am exclusively contracting �, ) 0 4 7,1,7 5 with licensed contractori to construct the project (Sec- ADDRESS tlon 7044, Business and Professions Code). L SETBACK CONSTRUCTION LENDING AGENCY sa r YARD I PROP. UNe TH : ' c 47 1,752S I hereby affirm that them Is a construction lending agency for FST the performance of the work for which this permit Is Issued P. Q 5 l 2--!'8 8 (Sec. 3097, Civ. C.). SIDE P.L. Lenders Name LDMA Ref.'# ` Lenders Address P.C. Fee$ Permit Fee I certify that I have rood this application and state that the Issuance Fee ` LDAAA'P/C I a above Information Is correct. I agree to comply with all County Invomfgatbn Fee ordinances and State lows relating to building construction, Total Pee LDMA Perm. f and hereby authorize reprssentatives of this County to enter t upon t abov mentloredInspection purposes. M RRVIIII11111fi POR K PLANATORY LANGUAW Y. Slgrwturs of Applkm"or Apert Date WORKERS'COMPENSAtION'DfiC�TION I hereby a#irm�that,I hgve a certfflcate of consent to self Insure,or a certlficate of Workers' Compehsatlon Insurance, [ A P PL I CATION F:O R . U IWING PERMIT or a certified copy Thereof (Sec. 3800, Lab.'C:) — COUNTY OF LOS ANGELES BUILDING AND SAVFTY - Pollcy,No. Company- , Certified copy Is hereby furnished., •. FOR APPLICANT TO FILL IN BUAD� 6-33 Certffled copy Is fifep,with The cdunty bulfding Inspec- - UILDING �V-s' ' ��L, r , s ` ilon department. ADDRESS ✓7 VV L14A AV a Dtrte,'....-- - AppllEant.- C]TY Gl ZIP LOCALITY CERTIFICATE OF EffiYJ TION SROM WORKERS - - NO.-OF BLDGS. NEAREST_ _ COMPENSATION"INSURANCE SIZE OF LOT 3b� 46..�D NOW ON LOT ' � & St. , Is section,hoed not be qom leted of the itis for,one � A55 . hundred aollar>t 5100)or.lsq �. m TRACT I1 7 BLOCK LOT NO.-� - YAP bOOK, r PAGE PARCH ZONE - I tertffy that In`the performance of'tF»'work`for WMchlthis OWNER L� �' NO• } -Cllr X44- "E• t - permIt Islssued, I shall not emplby any n I'n bny mannerL �'• SPECIAL ' Lo'tls tis become subject to the Workeri�Compe adtlbn Laws. ADt 55 C)NDf OM = Date Applicant !y}1 �A C]T1 t?.1 _'-. .BJP_ - - - - OC NOT1Cfi TO APPL"ICANT:`If, after kine thii Cestlflc8te of ARa �(,� p� p� pSTRICTx. lf�?jITYK.T ZRE.- BY A ExeMptiCompensation ompep��• n should 'become ffl-eL subr o , yto ou must forth- ADO �Z S. 7 K• .T y• /`V Com Ion provisions of the Labor Code, u must forth- ►(� y4th comply with such.provisions or. this.permlt ahgll be .._ .. ___ _ __ __. _ _ deemed Tevokeo.. CONTRACTORIU CTs t. NO.L Ti STATIST1C41(]ASSIFICA ON APT. O�J. - S1. _ LICENSED CONTRACTORS DECLARATKX4 •, - - - _. _ _UC, _. NO. DWELL UNITS - I hereby affirm that I am licensed under provisions Pf Chapter 9 ADDRESS NO. (c¢mmeod Section 7000)Se7000)pf Dlvision 3 of the Business and _ _. ---- .- _. _<K. _. _ AMP ! Profe cions Code, and my Il�cense Isln'full force arid'gff- CITY CLtiSS - - VALIDATION scl No.of oF_ 7a A ; Ucense Number LIc-Chis SIZE 7ti - STORIES 4' F V TION Q # 000023 Contractor late DESQtIPr10N OF woRK Q' vc+•'w"V' N �Q _ I am exempt under Sec. y�,,_ w) ADD ° ° 8 fi 7 0 ' ,. . J. ALTER , �. B.BP.C- for this reason OW6�1. APj(O REPAIR ; - .l `8 Y,y„ 9 0, - Dote: USE OF EXISTING BLDG.SI L DEMOL I Srgnature APRICAFtrFINAL6 2 fi 2 A OWNER-BUIMER DECLARATION Y ;. DATE # o o s 0 -0.5 ir . I hereby affirm that a am exempt from the Conoctbrse s Ucen (p'I2 .g Law for the following rebton (SbcTion 7031.5, Business and: ADDRESSC FtNA1 'Ptofesalorn Codd): - '_ ... _ .. _... .-. . .. _ .- � .. . �'�*'� E=D I �5 7.0 0 I, as owner of the property, or my employees with wages as their sole compensation,will do the work and ° 3 5 7.0 0'6the structure Is not Intended or-offered for sale(Section r 0 0 $7 7044; Business and Professlonr Code. MOVING - - - " 'r' S I, as owner of the property, am exclusively contracting NO. with licensed contractor tocorsiructnf,e-prolect (Sec- - tion 7044, Business and Professions Code). FROM 7 Q Q S A ` CONSTRUCTION LENDING AGENCY YARD +fwY PROP. LINE WIDTH TOTALSEMAN _ _ J hereby affirm thcrt there Is construction lending agency for FRONr # o ° 4he performance-of the work for which this permit-is Issued - - - Lt (Set. 3097, Civ. C,). SIDE `-I - 53250 C P.L - - - o,0 532506 Lenders Name A LDMA Ref. R 0 5 111 =.8 7' la 'f- - Permit Fee- 0?. Lenders Address J) I certify-that I have read this application and state.that the LT6, --- hsuance Fee -O CJ- LDMA P/C f above Information, Is correct. I Agree to comply with all County Invedipatlon Fee - - 'ordinances and Siete flaws relating to building constructlon, /J To►aF Fee p( .� LDMA Perm. f and hereby authorize ntotives pf this County to enter the abo ntl property for Inspection purposes. Sli REVlf!POR DQLANATORY LANGUAOR 47 SlunaVf Ilmnt or Agent. Data i APPLICATION FOR BUILDING PERMIT ` COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN I hereby affirm tftat I have a owtHlcate of coniwrt tc self Irm". B111DNO ADDRESS �/� or,a certfflcata d Workers' Compenaeti .0 on Ineance,or a certffbd30y mr la V�• copy thereof(�3800,Lsb.C.) aTY jr C'i 7 /7B0 LOGALrTY R'0� Na COfToarry SZE of 40.OF BLDG&Now ON Lor ❑ Certfffed copy Is hereby fumlalvd 5,00 1 NEAREST CFKM ST. ❑ Gartt5ecl copy Is tied with the county bulldinp Inspection TRACT BLOC}( LOT Na USE ZCNE MAP NO. Date App(laantASSFSS-Q%9BOOK PAOE P1AR('.a SPECIAL CONDFncN8 CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER I Ta No. P` 0 COMPENSATION INSURANCE jOsixl -/ MTHw 1000 Fr.OF SCHOOL? YES 40 (This secdon need not be oorrpieted If the permt)t Is for one hundred ADORE�r // vy, DISTRICT 0"" TYPE CONST. WE ZONE BY ddlans($100)or lean) f � I certffy that In the performance of the work for which Ihb permit 7 Q Is leased, I shall not empty any person h arry manner so as to /• ( T ARCHrrCCT / 8 0 jj becomne�su�bjje�ctyto tthe Workers, �}��g_ OR TEL NO. 8W19T1CJ�L APT COPDO /�DateL�L1 APP�flnt�'/'I • ADpRESS C1J188 NO. �DVVE11 0fiT5 ' NO710E TO APPLA:4MT.- If, after nwkhrp this Cerrtfloate of emption, you should become suboct to the Vlbrkars' CONTRACTOR TEL Na &Aa< �p H%VY PROP LJ71JE FROM V?U Ex Com>pertsation provisions of the Labor Code, you must forttrvfth w we FIONT comply wRh such provbions or this permit shall be deemed revolted. ADORE88 LIC.NO. PL LICENSED CONTRACTORS DECLARATION SDE CITY LIC.CLASS PL I etflrm that I ram licensed uxkwprov{elone d Chapter 9 SEWER MAP Mrtlmrrx�nq with Seatlon 7000)of Dhrtaion 3 of the Business and sa FT Bag Na OF STORES Na OF FAAYLFB NEW El BK PG loop.Code,and my license Is In full Some and effect "-L jcenee Number Lb.Class DEeCRFrrK N OF WORK ADD VuliA ION e Contractor Date ALTER El $ J ❑ 1 am exempt raider Sec. it C oy REPAIR ❑ RAP.C.for this reason DEMOL ❑ LOAM,P/C f Dam 113E OF EXtBIING BLDG. URM ❑ APPLICANT( ) TEL Na LDVA Pram♦ 23 4 E as owner d property,propY, or my er piayoee with wages as = their sole compensation; wll do the work and the sla-U&ure Is T not Lntandad or offered for ease (Section 7044, Business and PwALDATE 50 50 Proteeak" Code.) VLL THE APPLC' OR RMW 9UI-DM ocanvrr RArNOLH A LL46VL � 1 ❑ 4 as owner of the property, am exclualy* cont wtInq with OR A NECrUE COPf"iNG A FHZ4.RDD a 6WOML EQUAL TO OR oreasa THAN THE A KXNM�THE rNW ZAM" 0E3iALe woRwa oN GLIDE? FINAL Wr nceneed contractors to construct the protect (Section 704-4, Yea ElNo Q ACCT.T Buetriess and Profeealone Code.) WILL THE NTeo®LINE OF THE BUIDL oar THE APFLrJArT OR FUTUM MXD140 303.`7 WcUFNwT FEQUFE A 2EfW FOR cONerRucnaN OR 4DG1FC U)oN FROM TI-E 9ouT1 CONSTRUCTION LENDING AGENCY �n"'�O1 A7oaELIENT°�T�T I°6'� TT*+s T 2 ITEMS a.,F,•FS I hereby affirm that there b fl construction kendtrlp agency for the perfomnence d the work for whlch this YES ❑ permit la taeLred(sec TOTAL _ o *- RE:w I UN ER8VOOUM FEOLARe ENTS NDE twos Aro THE acwo►o COUNTY DECK 359.V 2 a TM 3097, Civ.C.) creaasr.i ur�ewo w REou�le,oNTs uloFA TFE Los uNrEPA COl1rrY axE, }.1 • Lender's Nese LLA4EFLALS FEPORTM AND FOR oBaJ 949 A PEFU "100 TF00"1 M TTFe 40 CDH3ET#4NG � . Larder's Address C '0D o a*�a A�rr 5Q� I certify the I have road this appmati n LB and state wader penetty �71�]-j �1 81/1113/94 � d penury ttmf tie shote Information is correct I else to comply P�FEF with al! county ordinances and State laws rots Q to bu6mnp and hereby authorize representatives of this Canty 1880ANCE FEE .w � , &5731 F11 4:�5 b property for Inspectionptrpoeee. �'L Son r�fvE sT1010 ATN FEE TOv,L FEE SEE REVERSE FOR EXPLANATORY LANwAGE