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Home My Public Portal About5702 CAMELLIA AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or"only) COUNTY OF LOS ANGELS " �ADDRDEPAUMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DIVISION OF BLDGS. BUILDING �( SIZE OF LOT NOW ON LOT ADDRESS A J O.Z TRACT �,5� $LOCK LOT NO. �� LOCALITY TEL NEAREST OWNER CROSS ST. ASSESSOR ADDRESS AMP BOOK PAGE PARCEL DISTRICT GROUP TYPE RRE -CITY TY 1 l ZIP ,� OB ...C.r CON-ST ARCHITECT OR TEL ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS _ CLASSNo. DWELL LIN ITS 't=B-KTE- ��►PG CONTRACTOR AI & w O. USE ZONE MA-NO. Q O UC �/ A NO. Sf SPECIAL LIC CONDITIONS CITY CLASS _ON LENDER ROAD DEPARTMENT APPROVAL REQUIRED. YES ❑ NO ❑ ' NAME AND BRANCH 6LDG.SETBACK FROM FRONT PROP.UNE OF ASTREETI ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO:OF NO.OF CHECK HIGHWAY + YARD FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMIUES ONE DESCRIPT OF WORK � L NEW ❑ + 8 ADD BLDG.SETBACK FROM oc SIDE PROP.UNE OF (STREEn O ALTER ElOTAL SETBACK FROM TYPE QF EXISTING C HIGHWAY + YARD SIDE PROP.UNE HIGHWAY WIDTH USE OF REPAI DUSTING BL DEMOL + APPUCANT TEL CORN ERCLITOFF YES ❑ NO ❑ (PRI N-n IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATU IN COASTAL ZONE YES ❑ NO ❑ VALUATION 1 -/, 0- 0 ,- O i i I HERBY A004OWLEDGE THAT I HAVE READ YHtb APKfCATKXI AND STATE THAT THE ABOVE 6 CORRBCT AND AGREE TO COMPLY WRH ALL ORDMAEKM AND LAWS REG"TI NG BU LDA NG COttMLI(T)OR I CE nFY THAT IN DOING THE WORK AUTHORIZED HERBY I WILL NOT EMPLOY ANY 1`8601N N V`KXATKDN OF THE LAMA CODE OF THE STATE OF CAL FORNIIA IN RELATI TO WORKMEN a. PENSATIONNSURANCE SAGNATU .77n PERMITTEE ADDRESS T E� F I NAL DATE CITY- —NO. MAKE CHECKS PAYABLE TO: P.C. FEE' HARVEYT.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK N.O. CASH PERMIT VAIJDATION c+c o. CASH 2 0 2 NJAN' 23 1 d 1 2.0 0 e�,; ,e, 7e4n,1"CE#&W a-7s -- APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING SAFETY DIVLSION 1R'APPLICANT TQ.FILL IN Aoloa� BUILDING - I ADDRESS ? LOCALITY .{ NEAREST - CITY ZIP D CROSS ST. O.OF BLDGS. ASSESSOR ' SIZE OF L T S7 NOW ON Ot MAP E00K PAG ]PARCEL �rnOISTRICT GROUP TYPE FIRE IPW57PSEPBY T CT BLOCK LOTNd,.�v �� CONST ZO1 TEL OWNER NO. STATISTICAL CLASSIFICATION EWER p_DDR CLASS NQ _DWELL•UNIT3==�j 4 G ONE MA P CITY ZIP NO. d . ARCHITECT QR .NOL' —/ CONDIAL IT ONS ENGINEER ADDRESS - ROAD DEPARTM-FNT APPROVAL REQUIRED YES NO CONTRACTOR TEL BLDG.SETBACK FROM _ LIC. FRON PROP.LINE OF (STREET) ADDRESS NO. HI Y + YARD = TOTAL ETSACK FROM TYPE OF E(ISTINQ CITY LIC. FRON'r PROP. LINE HIGHWAY WI-DTH CLASS _ CONSTR TION LENDER + yyy NAME AND BRANCH BLDG.SFTB Q SIDE PROP.LINE OF (STREET) ADDRErSS CITY C> N OF NO. OF CHECK MIGFIWAY + YARD OTAL SETBACK FROM OF Ea(ISTING hC SQ, FT. Q - H10 WIDTH. SIZE STORIES - FAMILIES ONE .SIDE PROP. LINE cpm, = Z OE9CffIPTION OF WO. NEW ❑ +K •• • DD CORNER CUTOFF. YES O NO ❑ lk LTER ❑ ' L✓, ,I`, � EtPAIR IN-OPEN SPACE YDS ❑- NO ❑ USE OF Nw IN.OQASTAL PERMIT ZONE 4ES ❑- NO ❑ EXISTING BipG., - MMOL APPLIC"7 TEL (PRINT) - NO. - BY ISIGN-A I HEREBY ACKNOWLEDGE THAT I HAVE READ T - AND STATE THAT THE ANOVE U CORRECT AND A . WITH ALL ORDIKAMCES"AMD LAWS REGULATING - ✓1TRUCTION. I CERTIFY THAT IM DOING THE WORK AUT [ZED - HEREeY I WILL NO-T I<MFLOY ANY FEpSON IM VIOLATION E THE LASOIt CODE OF, THE STATE OF CALIFORNIA IM RELATING TO WORKMEN'S CO Mr MIA ION INSURANCE. _+ SIGNAt•URE OF FINAL /J PERMITTEE eyopplig 006 DATE ADDRESS TEL C. Foe$ Permit Fee. . 7� CITY ' NO.. + fwuence Foo �T VALUATIQN � Q D - PLAN � / Totnl Fee PLA lHECX ♦AIDA IO;\ CK. M.O. CATH _ PEBMT VALIDATION CK. M.O. CASH 2.9 CJI + o 21.75�.A'�d APPLIC:ATI > N FOR 'EUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) i) BUILDING I COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER clrY zIP BUILDING AND SAFETY DIVLSION NO.OF BLDGS. BUILDING v SIZE OF LOTIT7 A NOW ON LOT ADDRESSZy TRACT BLOCK LOT NO. LOCALITY TEL NEAREST OWNER N CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE CEL DISTRICT GROUP TYPE FIRE PROC ED BY CITY ZIP CONST. ZON ARCHITECT OR fEL. ENGINEER NO. STATISTICAL CLASSIFICATION W E R P ADDRESS CLASS NO DWELL,UNITS BK CONTRACTOR W TEL _g ZONE MAP LIC. C NO. d ADDRESS NO. fJ SPECIAL LIC. r CONDITIONS CITY CLASS ROAD DEPARTMENT'APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLD .SETBACK FROM FR T PROP.LI NE OF (STREET) 8 ADDRESS CITY HIWAY } YARD = TOTAL SETBACK FROM TYPE OF IXISTIHG � .SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH . SIZE STORIES I FAMILIES ONE DESCRIPTION OF WORK NEW ❑ DD BLDG,SETBACK FROM (STREET) SIDE PROP.LINE OF LTER OTAL SETBACK FROM TY OF EXISTING fl" No -+ PJAT14 floopq HIGHWAY } YARD = SIDE PROP. LINE 360'—REPAIR HIGHAkY WIDTH USE OF t = EXISTING BLDG,fZEC EMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) W. INDWAYHO-A BY (SIGNATURE) r IN OPEN SPACE YES ❑ NO ❑ ' K t IN COASTAL ZONE YES ❑ NO ❑ VALUATION i , CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND 5 TA7C THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CIRTIFY THAT IN DOING THE WORK AUTHORIIED IMPACT REPORT PROCESSED (DATE) HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO �U/ /] j1151 WORKMEN'! COMPS MEATI N INDU ANC E. [� // C7 !'�- 0 SIGNATURE OF i PERMITTEE E ADDRESS 42* FINAL- 7 BYTEL DATE CITY NO. t MAXE CHECKS PAYABLE TO: FEE FEE i HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA7 574c`-,APR 17 1 0 4. 8.75 �� 76A63BA CE#803 7/73 - — - - _ 6 7eAe3eA eIIHOS a-" APPLICATION FOR BUILDI G PERMIT 44 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINB,BUP'T.OF BUILDING CROSS ST. D19TR1 T N OROSJP TYPE, P SDED BY FOR APPLICANT TO FILL IN c0Nar. BUILDING STATISTICAL CLASSIFI-CATION DE ER MAP ,. ADDRESS 5702 N. Camelia T. C ., CLASS N.O. DWELL UNI Ta ° LOT NO. BLOCK UDE ZONE MAF I� TRACT / SPECIAL N0. OF SLOGS. SIZE OF LOT NOW OX LOT USE OF EXISTING sLpr, BLDG. ![TBACE FROM ' TEL. FRONT PR0P.'LIN9 OF (STREET) OWNER To C• BroadwayNO. TYPE OF EXIpTIN! ![T4AFlS HIGHWAY YARD = TOTAL ADDRESS 655 E. Live Oak T. C . M C.L. I vi '} = CITY LD1. ! TGACK FROM ARC I HCT OR TEL. SID[ PROF. LINZ OF !TR[[T ENGINEER NO. TYPE OF EXISTING SET ACK HIGHWAY i- YARD _— TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTOR Virgin Roof NOL 2B 7-I 5 7 + - 0 O• an a cel 16065 - CORNER CUTOFF YES NOF-I oa ADORED Q Ban Liabriel LIC C39 SEE REVERSE SIDE FOR SPECIAL APPROVALS CITY CLASS DESCRIPTION OF WORK n Z NEW ADD ALTER (REPAIR DEMOLISH SQ.FT. NO. O NO. OF SIZE STORIES FAMILIES .. USE OF STRUCTUR SIGNATURE OF APPLICANT VALUATION$125.00 APPROVALS D E INBP[Cfb 'SlIGXATUR[ P.C. PMT. FOUNDATION, LOCATION . FEE'$ OW,. FEE S4.00 PORK!, MATERIAL FRAME, FIRE STOPS, I HERESY ACKNOWLXDGX THAT I HAVE READ THIS A"LIGATION BBACINO'BOLr AND ETATI THAT THE ASOVE IS CO RR[CT AND AGRES TO COMPLY FURNACEI LOCATION WITHALL COUNTY ORDINANCE/ AND GTATI LAWS REGULATING GAS'VENT. DUCTS •UILDI NO CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AU-HORIZXD Im", ILL NOT EMPLOY ANY PERSON IN VIOLS,- LATH. INT. I TION OF THED[-OLIFORNIA RE T- ING TO WORKFENSLATH: EXT. SIGNATURE HOUSE NUMBER COR- PERMITTEE RE ADDRESS • Fl NAL L.J JOHN F. LEWIS, PRIM IPAL ST URAL ENOI EER PLAN CE= VALIDATION CK. M.O. CASH _ PERMIT.VALIDATION cc M.O. CASH LJw 4.G 0 4 « PUG 2 1 D 4 COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0406290017 PHONE, (626) 285-0488 EXT: LEGAL ID: 0: ?5F CONST RUILDING ADDRESS: TR: 6561 LT: 550 UN: .002 SQ. FT STORIES TYPE 5702 CAMELLIA AV STRUCTURE: 1600 VM TEMP CA 917802501 ASSESSOR INfORNATION NUMBER: NEAREST CROSS STREET: 8587-022-027 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: - ED(IST BLDG USE: RESID --ME ZONE: EXIST OCC GRP: - 07/01/04 JK 06/26/05 OWNER: TEL. 90: - BLDGS. NOW ON LOT-: VALUATION- FINAL DATE FINAL BY: CODE: THEILACKER MARLON S;GAYLE C (818) 285-6555- 3,DDO 5702 CAMELLIA AV �!-T TEMP 917802501FEES PAID OF WORK w �• APPLICANT: TEL. 0: FEE DESCRIPTION: QUANTITY: UOM: AMOUiT: T/0 REFOOF CHRISTIAN (626) 357-0426- -N&-FE S PAID TOTAL FEES g9.00 DITTONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIUATURE LOCATELL AND ASSOCIATES (626) 357-0426- P.O. BOX 116 LIC. NO LOCATION AND SETBACKS MONROVIA, CA 91017 NONE ARCHITECT OR ENGINEER: TEL. NO: FOLLNDAT I OUTRMT75W LIC. N0: KkP NO: SEWER MAP MW PAGE: FIRE X 3: X 03 CLASS:NO. OF FAMILIES: DWELLING UNITS: APT/C0ND: STAT NO 21 ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST r I R E S P R I W SET BACK YARD: HWIY: PROP LINE: WIDTH: FRONT PL- SIDE PL- REPORT ID: DPR261 ROUTE TO: BS0508 1 COUNTY OF LOS A93ELFS - TEMPLE CITY G 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA,91780 _ BL 0508 1001060030 PHONE: (626) 285-0488 IXT•: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 550 UN: .002 SQ. FT BTORJJS TYPE 5702 CAMELLIA AV STRUC`lVRE: V-B TEND CA 917802501 ASSESSOR INFORMATION.NUMBIP�:_ NEAREST CR0SS STREET: CMRIJ I.A 8587-022-027 TBObULS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RF9ID USE ZONE: R-1 ISSUED ON: PROCESSED BY: ' E3MST OCC GRP: 06/17/10 SR 0WNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATECODE: THRILACKER MARLON'SIGKYLE C (626) 285-6555- 9,870 W� 5702 CAMELLIA AV (� r� o TE26P 917802501 - - FEES PAID OF WORE r REPAIRS TO EXISTING FOUNDATION 9ETTLE24ENT PROBLIP7W UTILIZING FEE DESCRIPTION: QUANTITY: QOM!: AMOUNT: PUSH PIERS AND URMUK lffiI"OD 4 ROID FITS, INJECTIONS + APPLICANT: TEL. NO: THEIIAICEER, IARLON/GAYLE (626) 285-6555- D1 PLANCHECE W/O EN-HC 9870.00 VAL 184.11 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: - AB STATE GREEN BLDG FED; 9870.00 VAL 1.00 AC STRONG MOTION RESID 9870.00 VAL 0.99 D2 PERMIT W/O RN-HC 9870.00 VAL 216.60 COlTPRACtOR: TYL. NO: TOTAL FEES 430.45 DATE INSPECTOR SIGNATURE THETTA!_LER, MARLON (626) 285-6555- GAYLE T11RIL&CIER LIC. NO LO=ON SETBACKS 5702 CAMELLIA AVENUE NONE TEMPLE CITY, CA 91780 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: TION TRENCH FORMS JYL SERVICE _ (626) 241-8552- 420 E. FORSYTHPLACE LIC. NO: SLAB UNDER FLOOR CIARIIMONP, CA 91711 73151 RAISED FLOOR FRAJ41NG MAP NO: SEIM MAP BOOK: PAGE: FIRE ZONE: CNP: IIHIJERFLOOR INSULATION 150H269 3 00 FLOOR SHEA'iEIM NO.. OF F'A)CE.TRS: UNITS. APT GOND: STAT CLASS: NO 21 ROOF SHEAaIU21G SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MAGE TALS NO NO NO FRAMt INSPECTION FIRE SPRT3[TFER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH DRYN LL E2'1'ENTOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBT, RATED SHAFTS OPENINGS T-BAR CEILI2A9 • ADDITIONALD]�.TA ON FIDE LOT DRAINAGE REPORT ID: DPR261 ROLTI'E TO: B90508 1 5 y• COUNTY OF IAS ANGELES TEXPLE CITY 0 0508 BUILDING PERMIT DEPAATT4E?" OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPf= TEMPLE CITY CA 91780 BL 0508 0908180025 PHONE: (626) 285-0488 EMT: LEIKL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 550 UN: .002 SQ. FT SI.ORTTYPE 5702 CAMELIIA AV STRUCTURE: V-B TEMP CA 917802501 ASSESSOR INFORMATION NUMBER: NEAp£4T CROSS STREET: CAMELLIA 8587-022-027 THOMA9 PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TT2UUT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXIST OCC GRP: 08/j1-8/009.LE T/SR OWNER: TEL. NO: BLAT DG9. W ON LOT: VALLiATION: I F ✓ 1\BY: CODE: THETTAR MARIAN 9jGAYL,Fj C (626) 285-6555- 43,000 5702 CAMELLIA AV TEMP 917802501 FEES PAID DE�gCP C)14 OF WORK KITCHEN, M'STRBA REMODEL, 2 NEN WINDOWS OPENING, NEN DOORfMY FEE DESCRIPTION: QcuNTITY: DOM: AMOUNT: INSULATE STUCCO, REPLACE B WINDOWS 4 RELOCATE WX-%E&'R/DRYER + APPLICANT: TEL. NO: SAME AS OWLqER - AA BLDG PERMIT ISSUANCE 27.75 AB STATE GREEN BLDG FEE 43000.00 VAL 2.00 SPECIAL CONDITIONS: AC STRONG MOTION RE9ID 43000.00 VAL 4.30 _ Al BUTLDII93 REVIEW FSE 54.70 B2 PERM= W/ENERGY 43000.00 VAL 776.99 CON7.RA.CTOR: TEL. NO: TOTAL FEES 865.74 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - =C. NO LOCATION AND SETBACKS 50110 ENGINIM APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LSC. Nb: SLAB IIl9T}ER FLOOR RAISED FLOOR FAP NO: SEWER NAP BOOT: PAGE: FIRE ZONE: CMP: UNDERFLOOR IMULATICIN 150H269 3 00 FLOOR SHEATHING 190. OF FAMILXJ: CONN G UNITS: APT GOND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR E AIR QUALS'L'Y: 1000 FEET M&TERSAIS 1 fy NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACM FROM EXIST FERE SPB'S341CT iiR HANGERS SET BACK YARD: HWY: PROP T.I2ili: 1rIDT'1-I: FRONT PL- INSULATION/W&KTM& STRIP SIDE PL- TW'RTOR LATH DRYWALL BATOR LASTS RATED FLOOR/CE II, ASSEM. RATED WALL IEMBLSFS RATED SHAFTS OPENI29G8 T-BAR CEILJ299S + ADDITIONAL DATA ON FILE LOT DRA.IIAaR REPORT ID: DPR261 ROUTE TO: 390508