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HomeMy Public PortalAbout5708 CAMELLIA AVE_Building__ 1.2"ONE 1m IO-A APPLICATION FOR BUILDING PERMIT .1 COUNTY OF LOS ANGELES BUILDING DEPARTN9W OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENaINE3R NEAREST CAMATT D. GRIFFIN,aur-r or EuaniHa CROSS-ST. pJ R NO. GROUP �Lr HD BY FOR APPLICANT TO PHI INCONST BUIL.DiNG / STA STICAL CLASS FICATION R HAP ADDRESS C eua NO UN �^� 2 K f // MAP -" STATE LOT NO. .�C.� O BLOCK NUMBER HWY. YES O ' TRACT �G Ulqd ZONE SPECIAL =101"N13 O.OF.BLD G6 CONDITIONS SIZE OP LOT �O NOW ON LOT USE OF ' E�XISTIN(31'13LJDG. BUILDING LDIN YARD HWY STREET ��TM'1 . OWNER FRONT MAIL P.L. ADDRESS :-SIDE TEL P CITY NO. } IIqSPECTION BECOBD ARCHITE R _ THL ENGINEER NO. ADDRESS _ TEL- CONTRACTOR NO. ADD DESCRIPTION OP.WOKS } NEW ADD REPAIR DEMOLISH' 9 .FT. NO.OF NO.OF SIZESTORIES FAMILIES USE OF STRUCTURE 4f kZ,7 pl bIONATLT"OF v APDL(CANT T" APPROVALS DATA IMEMCTOR'E 31GRATURE ADDRESS O r C FOUNDATION:LOCATION FORMS,MATERIALS VALUATION PRAWN- FIRE STOPS, BRACING,BOLTS P.0 PMT. ; FURNAGAS�TLOCATION. FES FEE 1 1 HEREBY ACKNOWLECDGE THAT 1 HAVE READ THIS AP- PL.ICATION AND STATE THAT THE A13OVE IS CORRECT AND AGREE TO COMPLY VGTH ALL COUNTY ORDINANCES AND STATE LAWS RSG G UILDIN NSTRUCMON. LAM EAT. SIGNATURE OI• }•LOUSE NUMBER COR. PERUITTEpr RECT AND POSTED ADDrrNAL, 2 'S "YDE N. DIRLAM. PRINCIPAL ENGINEER PLAN CICS VALIDATION PERMIT VALIDATION a""' LT,0 9 7.8 0 JUL P 0 —1 A 5.O 0 �� T 6a 7RAaA aoa 9-17 GMI I� *003-° APPLICATION FOR BUILDING PRMIT L' COUNTY OF LOS ANGELES LDING — DEPARTMENT Off' GOUNTX ENGINEER ADIDRES95-7 CR,t2R All B=ING AND SAFETY DIVISION LOCALITY JOHN A. LAMBI E, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST L G v` CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP CONST. PROCESSED BY Print or type only) BUILDING STATISTICAL IFICATION SEWERMAP ADDRESS CLASS NO- OWELL.UNITS _ BKJIC PG / LOT NO. BLOCK USE ZONE MAP NO. TRACT SPECIAL NO.OF BLDGS. CON 01 TIONS SIZE OF LOT NOW ON LOT USS OF EXISTING BLDG. BLDG.SETBACK FROM * � RONT PROP.LINE OF STREET). OWNER61 A ZV TYPE OF JEX 15TI NC4 SE THACK I HI OHWAY + YARD = TOTAL ADDRESS — HIG"AYJ WIDTH FROM C.L- r� ri0 + 20 =zO CITY _�` 1`ry BLDG.SETBACK FROM ARCHITECT O TEL. SIDE PROP.LINE OF ET) ENGINEER Q NO. E _ � TYPOF IITItiO SETRACK H YARD - TOTAL ADDRESS " HIGHWAY WIDTH FROM CONTRACTOR OL + - ADDRESS - u CORNER CUTOFF YES E] NO ❑ CITY CLASSIC SEE REVERSE SIDE FOR SPECIAL APPROVALS rs DESCRIPTION OF WORK r # a c z NEW ADD ALTER REPAIR DEMOLISH SQ. FT. W. OF NO. IF All SIZE STORIES FAMILIES USE OF P STRUCTUREof / M I rIv a"s"hy °f SIGNATURE OPOjr- APPLICANT4111111111:1�''" VALUATION 329F,". QJt APPROVALS DATE INSP[cTOR'G elGKwruR[ P.C. PMT. FOUNDATION: LOCATION FEES FEE 3,20,_50 FORMS MATERIALS FRAME: FIRE STOPS, I HER DY ACKNOWLEDOE THAT I HAVL READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ADOYE I• COR"C;rAID AOR[[ TO COMPLY FURNACE: LOCATION, WrTH ALL COUNTY OROINANCES AND (TAT) LAWS REOULATINO GAS VENT UCTS BUILD)No CONSTRUCTION. I CCRTI FY THAT IN C>01 NO THE WORK 1 AUTHORIZED H[RIDY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR C OF THE STAT[ LIFORNIA RELAT• ING TO WORKMEN'S NSATIO N LATH, EXT. SIGNATURE HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CH= VALIDATION eK. M.O." CAIN _ PERMIT VALIDATION (�D M.O. CASH Y ; 55.fl6% mss.1722.5 0N 7_ r WORKERS' COMPENSATION DECLARATION hereby afflr-m that I have a certificate of consent to -APPLICATION self A P P L I CATION FOR BUILDING P E RM I T Insure, or a certificate of Workers'Compenstlon Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy Is hereby furnished. FOR APP (CANT TO FILL I BUILDItaGLX ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department.. 4DDttE55 LOCALrY NEAREST Date Applicant CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKI RS' Ae OF BLDGS- ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOWON LOT MAP BOOK PAGE PARCEL (hundred dollars ($100)or less.) � NO. This section need not be completed If the permit Is for one USE Z TRACT BLOCK LOT NO. J TEL r SPECIAL ' I certify that In the performance of the work for which this 01NtER CONDI-TIONSECLAL perpilt Is,Issued, I shall not employ any person In any manner DISTRICT GROUP TYPE FIRE BY so as to become subject to the Workers'Compensation Laws. � ADDRESS CONST. z MP3 r/ o Date Applicant CITY ZIP STATISTICAL CLASSIFICATION APTCONDO. G NOTICE TO APPLICANT: If, after making this Certificate of �r� t,TEL CLASS trp pydgL UNfTS LU Exemption, you should become subject-to the Workers' N Compensatlon provisions of the Labor Code, you must forth- ADDOM SEWER MAP ' Z' with comply with such provisions or this permit shall be deemed revoked. CONTRACTOR NNOO M. PG, J VALIDATION LICENSED CONTRACTORS DECLARATION LIG I hereby affirm that I am llcensed under provision of Chapter 9 ADDRESS NO. VALUATION (commencing with Sedlon 7000)of DIVIs1on 3 of the Business and LIC. Professions Code, and my license Is In full force and effect. CITY CLASS L5700 SQ. FT. OF NO.OF CHECK License Number Llc.Class SIZE STORIES FAMILIES ONE S Contractor Date DESCRIPTICt,4OF WORK NEIN - I am exempt from the licensing requirements as I am a ADD licensed architect or a registered profeulonal engineer ALTER FINAL / acting In my professional capacity (Section 7051, DATE -7 r/ �� Business and.Professlons Code). OF REPAIR EX ING pE/�yOL FINAL —L By Lic. or Reg.No. Date APPLICANT TEL Cr OWNER-BUILDER DECLARATION PRINT NO. I hereby offlrm that I am exempt from the Contractor's License Law for the following repson (Section 7031.5, Buslneu_and ADDRESS Pr feuIans Code):- BUILDING. I as owner of the property, or my employees with ADDRESS .•wages as their sole compensation,will do the work and LOCAIJIY 1 6 7 A the structure Is not Intended or offered for sale(Section 7041, Buslneu and Professlons Code). MOVING TEL # I, as owner of the property, am exclusively contracting ��� �' with licensed contractors to construct the project (Sqc- ADDk 2 o�o 2 0 0 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWl' PROP. LINE WIDTH �• ° o ° 520 0� I hereby affirm that there Is a construction lending agency for FRONT the performance of the work for which this permit Is issued P.L I G23-8 (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name P.0 Foo S Permit Fee Te _ Lender's Address I certify that I have read this application and state that the Issuance Fee above Information Is correct. I agree to comply with all County Investlgation Fee ordinances and State laws relating to building constr4ctlon, Total Fee 6— 2, an d here reli tatives of this County to enter / u a •+e-meat propQrty for Inapectlo��/ r' S14 REVOW FOR EXPLANATORY LANGUAGi ^ Ipnature of nt or Agent Data �i I ; r WORKERS' COMPENSATION DECLARATION IIgshuere affirm that I have a certificate of cornent to self recertor a ified copy tftes of (Sec s' Co Labrucrt)ion insurance, APPLICATION.: F O R' B U I E DI N G PERMIT. r COUNTY OF LOS ANGEM BUILDING AND SAFETY Policy No. Company BU ILDI NG ❑ Certified copy Is hereby furrilshed. . FOR APPLICANT TO FILL l.N ADDRESS 4, �p ❑ Certtfied copy Is filed with the county building ins^- Bu rLD I NG tion department, ADDRESS Date Appllcant CITY ( zip LOCALITY CERTIFICATE OF E)CEMAT}ON R20Mleted If the-WORKERS' ' SUE OE IAT NOW ON LOT NEAT OOMPE4SAT1 ON I N$U RANCE CROSS ST. (This section need not be carnipermlt b for one TRACT' BLOCK [OT NO. MAP BOOK PAGE PARCH. hundred dollari(;100)or lew y TEL • OWNER USE ZONE MAP I certify that An the performdr{ce of the woik for whlth the 7 permit b Issued, I•aholl not employ anyPerson In any,manner ADDRESS Q CONDT10N5 so-as to become subject to the:Worke s Com i O GTY ZIP . A�pllcant ARCHrECT OR TEL � NOTICE TO t If, after mgking. b Certtficate of ENGINEER NO- P TYPE RE PROCESSED BY O CONST, ZONE' Exemption, you..should becort)4.subleat to the. Worker' Compgrsatlon provisions 9f,the Labor Code, you must forth- with comply with such' fKpvlsloh* or.rho .permit shall be TEL ATISTtCAL CIAS&FtC.4TFON APT. CONDO. deemed revoked. CONTRACTOR NO. LICEN$1D pEGLARATION LIC CLAM NO. UNMS I hereby affirm that I arrr'llcan6d.under provUlons of Chapter 9 ADORE''''S NO. L!G SEM/E2 MAP (commencng with 5edlon 7000)of Dlvblon 3 of-ti-;e Business - and Prgfesslons Code,and myalcer"is In full force and effect. CITY CLASSPG VAIIDATFON 1 SQ:FT... NO.OF NO. OF. - Llcense.Number r rl 1' I_Ic. Class SIZE, I STORIES FAMILIES ONE VCal ALUA Contractor DESCRIPTION OF WORK - NEW .❑ 1��,� ❑ ; k (JCL.... AW ❑I am exempt under { d ALTER LJ _ B.&P.C. for.thit.reason LdO /� I�AIk� ; �. USE OF - EX=NG BLDG. DEMOL ❑ Signature APPLICANT TE19NA1 Eft BuiLDER DECLARATION , TRINTZKAa2w ' ffi I hereby arm lhgt I am exempt from the Contractor's License �� Law for fhe following reasgri(Segtlon 7031.5, Buslne" and ADDRf55RkkL; / ProfessionsCode): � _ _ ❑ I, as owner of the prop", or'rn employees-with ADDS ACCT.T ! , . -wagee-as their sole compensation,jvll�do the work and. _ ;J0 the structure Is not Intended or off' for sale(SedIon • LOCALITY 'r`fi'} [mac 7044, business qnd Professions Cpd MOVINKi - TEL . , 1 ITEMS ❑ • .1, as owner 9f the•prop",aryl e.*&ilvely contracting CONTRACTOR NO. -, with Ilcensed contMctors to constrict the project (Sec- ADOREtS _ TOTAL �r3'_ 75 tion 7044, Business and Rrofa"Io'ns'Code_) TOTAICHECK CONSTRUCTION LENDING,�C•,IENCY. YARD I VY -4�. r I hereby affirm that-tEere Is a corstriuction lending agency for # '. .00 the perfonmahce of-the work for which this permit Is Issued P.L. (Sec. 3097, Ov. C.) 11 SIDE. 2/20/91 Lancet's Name LDMA Ref. f ; Lenders Addro*s P.C'Foe Permit Fee 5721 1 AN 10:59 $C> I certify that I have read this application and state that the ls&"ce LDMAP/Cf abow frrformationAs correct. I agree tc comply with all County Inveetlpotlon Fee' V ordinances and State laws relating•to building corstrudlon, Total Fee J LDMA and hereby duthotlze representatives.of this County to enter upon the abo ntlon for Inspection purposes- RNV�FM D�LAMATORY LAPOGUA04 - _ J Signature Applicant arAgent Dots insureboraem 9fVJarker r mpe�a��ro cd,. APPLICATION FOR BUILDING PERMIT insure, �a certff or�ed co the, f (Sec 3800 Lab.. ) BOUNTY'OF LOS ANQ$E$ UnLDING AND SAFETY Icy o Cprrippiiy l ,� I*ALD.. UJIU)ICertified copy h hereby furnished. FOR APPLICANT TO FILL-IN . ADDRNS . ADORF,�S , ❑. Certifled copy Is filed with the county Irtspec- BUII N ` tlon department. ._ ADDRESS Dates=L�—A—IIcG CITYL� �1P ' LpGALffy l , CERTI RCATE OF ON SIZE OF $4 Now ON LOT r 4 t COMPENSATION INSURANCE CROSS 5T. is section need not be perm A (Th ,corn luted if the ff Is fdr one 1'RA(-T BLOCY LOT NO. /Mp BOCK PAGE PARCEL hundred dollars ($1007 or.lea. Tr=L 7 owrr�' Get=i�b,H� No. USE IF ..I certify that.In the performance of the',.,",for which-this permit Is Issued, I shall not employ arty n Irt any manner ADDRESS sous to,become subject to the Workers mpensatlon1awi. _kntomcm_ Cr - CITY ZIP V Date Applicant ARCH ITEiT TEL O ENC tEC D P TYPE FI BY NOTICE TO APPL}G4NF:_ lf, after making ffi� -Certificate. of. ZONE Exemption, you .should_become sub ect to the Workers.. y^� Compensation pcovhlons,of the Labor�, yoU rryuit forth." ADDRESS with comply yvl6 iuch is p Islohs_ ar..thl} perrrllt shall be deemdd ravo-kedti _ - OR { 5TAT15T1CAL,CLASSIFlCA APT. CONDO. UCRI SM CONMACTORS.DECCARATION ' 'c:'. U OASS No. UNrM I hereby affirm that I am IIoer»ed under provbloru of Chapter 9 ADDRESS + NO (commendN with Section 7000)of Dlvlslon'3,of the Business SQ . UC and Professions Code,arld my.11cense is In-full fora and effect. .. `` ���a`ss- `_ VALIDATION Ucense Number' } ,LUc.Claw SiZEF .1 SZURfES FAMJUES VALUATION Conh'adnr��/�"'«L L ' bgti # '�/', DE3E3tl oN OF WORK NEW ❑I amexempt under.Sec A1TSt. ❑ Y: B_11P,C, for th[4reason REPAIR ❑ USE OF • Data+: - DEAAOL ❑ _ EXWW BLDG. Signature. APPU GAM F lti���l OWNER-BUILD R DECLARATION tg, DAny I"hers+by affirm that I am-exsrm'pt from the Contrpdor's License . Law fbr the following reason,(Sd¢lon 7031:5,.8uslness'and ADOMS s F1 1 Professlons.Code)i ❑ I, as owner of the property, or.my employees with woges as their solecompensaTloh,will do thework and r the structure Ira not Intended or offered for DoIa.(SectIQn, LOCALITY ' �- �'. , ' _ •' `� ;�. 1C .1i -044, pc op", Code.) MOy1 TEL oil, ❑ .I, .'owner of the pp",'am exclusively conira.aing CONTRACTOR NO. with Ilcensed contractuto construct the prole t.(Sec- TOTAL 106 � 1- Hon 7044, Buss ri Business and Profession}Code.) OONSTRUq_nbN LENDING`AG$JCY YARD HWY At FROMMST. - t�+_fit' 106.13 I hereby affirm that there Is a construction lehdln4 agency fbr _ 4 .`z �. .C�i the performance-of the.work for which this petmit.is Issued P.L .(Sec 3097, Civ. C). 64D� rr;nn Lenders Name P,L i - '-� 31 4I14•'�c.7 LDW Ref. f i 1 n P.0 For PermN F« 1�7 Lenders Address I certify,that I have rood this application and' at the Issuance o. above Inforaxrtlon ect. I agree to-cdmply.w all County tovsrtlggtlon Fse J LDeAA P/C f orcllnances and S - I Ing to build[ cortsdructio,'n Total Fee /© 3 LDMA Pan, ! 1 and her a Ivbs of th unty io enterONE upo e o fbr Ion purpc** - + fa MMI11 NOR DXPLANATOtY yLWWA04 App[jAnt or Agent _ ate-- �•, - ---- — - COOK" OF LOS ANGELES TEMPLE CITY * 0508 ` BUILDING PERMIT RKS DEPARTMENT OF PUBLIC WO9071 LAS TUNAS I ALTERATIOM/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9711030085" PHONE: (618) 285-0488 EXT: LEGAL ID: NO. OF COkST BUILDING TR: 6561 LT: 550 SQ.. FT STORIES TYPE 5CAMELLIA AV: 708 STRUCTURE: 0 VN TEMP CA 917802501 ASSESSOR INFORMATION NEAREST CROSS STREEY: LAS TUiAS 8587.022-026 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY 1EXIST BLDG USE: REBID USE ZONE: 1 I SSUI�P ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: - 11/03 . UT 11/03/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION, FINAL.DAIE F I RAL BY. CONROW T}iONAS;MARY TRS'CONRW TRUST (818) 286-3219- 1 3,500 // 5708 CAMELLIA AV ` 21 4 TEMP 917802501 FEB PAID DESCRIPFtION UF WURL REMOVE AND INSTALL BASE SHEATHING R LY EXISTING TITLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: LOCATELL CONS. (626) 357-0426- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3500.00.VAL Q 50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-}r. I E�00.DO VAL 11b.10 �� 144.35 APPROVALS DATE INSPECTOR SIGNATURE LOCATELL CONSTRUCTION (800} 357-8426- _ 329 Y PAL11 AVE LIC. NO � �QLOCATtON'AND SETBACKS MONROVIA, CA 91018 475911 B '/v/ SOILS I ENGINEER APPROVAL� ARCHITECT OR TEL. NO: FOUNDATION/_TRENCH FORMS LIC. NO: SLABPADER FLOOR RAISED FLOOR FRAMING F 111 � 150H269 3O1 PUBLIC WORKS ORKS MO. OF FAMILIES: DWELLING UNITS: APT/Milb: STAT Mau- MO 21 U ci SCHOOL WITHIN HAZARM o �� RWF'SHEATHINGSHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0 O� i MO NO NO 11n!WTRM- TOTAL SETBACK FROM EXIST � . FIRE SPRnfl= RANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: cl FRONT PL- SIDE PL- arv1 C p 1 'G IN H/DRTWAL EXUT ED FLOM/C_EIL-)399Fi RATED SHAFTS/UPEXINUr T-BAR CEILINGS LOT PRAINAGE i REPORT ID: DPR261 ROUTE TO: BS0508 J 1 .