HomeMy Public PortalAbout5728 CAMELLIA AVE_Building__ Q�.• tl•49 F'sm SETS APFL"TI,ON FOR PDRIMT
DEPPARTMEM1 OF BUILDING AND SAFETY j
COUNTY OF LOS ANGELES BUIL"VILLJING
WM. J. FOX, CHIEF ENGINEER
NO.QF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLAN6, BET13ACK UNE
FIRE APPROVED
ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED
USE APPROVED
TONE BY DATE
- � —
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
BUILDING
O NAME ADDRESS /
I- w
U W ADDRESS LOCALITY L E
O NEAREST / rr/J K
U CITY CROSS ST.rc
L` J
G
LICENSE am
E NO. NO. M NAME tJ,d r`[1 /V P Hdr-Ajg
Z MAIL
C
C NAME ADDRESS y Sg Al
U TEL.
ADDRESS; A CITY NO.
g
t•
Z CITY 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U
STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
ZI' r SIGNATURE OF
9 LOT NO. y tj J�G SIZE OF LOT s`d 1( �a. _
OWNER d
NO. OF BLOTS. ry AUTHORIZED AGT. — r }''
BLOCK NOW ON LOT rV
TRACT CORRECTIONS
O USE OF BLDGB.
NOW ON LOT
DESCRIPTION OF FORK
USE OF / -
BUILDING' 19 o)) I-I b N Tn R
1 o. e- T D `t LROAkY
W 1 -
garard nrders, You are
cautioned to consult with your local War
Production BaardO ice before commenc- �
mg trie work authurized in Rtis pern4i. 0
z
a
r
NEW TYPE GROUP
NO.OF NO.OF
ALTERATION ROOMS ` FAMILIES
ADDITION SIZE
REPAIR STORIES
MOVING WALL COVERING S'[u Cc d
DEMOLISH ROOF COVERING r. R"':}
P.C.$ FINAL APPROVAL
FEE
INSPECTOR'S
,VALUATION Z r f.R FEE ! /v DATE NAME
i
WCfZKERS'LOMPE1` A ON DECLARATION i
hereby trffirtn that I havr. a certfflpate of cbnaent to self APPLICATION -f O R . �J _INQ PERMIT.
Insure,.or a certlflurte of-Workers' Compehsotlon Insurance, -` Q.. ■� ■. T
or a certlfled copy trlRteof(Sec $800, Ldb..C). COUNTY.QF tOf ANQIlLES bUIIDINa AND.fAPEfY
'P611cy.No. Company
El Ce.,tm d.copy�u hereby,fUmished:r .' FOR APPLICANT TO FILL IN
ADDRESS !
BUI1bING
Cwf fl ad copy Is'flled.wtth the county building Inspec BUAD
Hon departrtlert.
Date,, Applipont' CITY' ZIP LOCAL7Y -
7' .' •CERTIFICATE OF-I`EMPT'ICNJ 1`4 N QkURS' SIZE a�LOT OfJ LOT CROSSNEAREST
COMPH+I.SATIOWINSURANCE ASE ST..
•{This liedlon n*ed-not 66 cbm l6ted ffthe pimilt'is for•one TRAtF' - - - LOT No. - MApA55f PAC3E PARCEL,
*hurxk,&d dollars.(;100)or iess�- .'
flWP NO. U�ZONE
- - 60
I cettlfy,tl,u`t In the p6rformgrxi,bf;the•vyoiic-for Gihlch this
permit Is Issued, I shalh not,erhploy.arty person In any.mariner ADpR1�5 -�` ' /��
„ so as CONbf110N5
to become subject t¢'fhe.Workgrs'. mnsa
CQpetlon laws . O
. - GfrY - - 71P
_ ac
f)trte- Fa
_T^ApPIInt- .. ., ,. T ARQ�tTECT Tf� DI P RE PROCESSED BY O
NOTKE TO APPLICANTr,=1f,,,•after,maklngr this:Gdlficate of I - NO. CpNST: Z
r ExJrpptlon, you, should beco" syb}d;to. the. Workws
Corr�pensatlo,n.provlatons of,the Labor. ,.you.mvst forth .. ADDRESS i0• - V
wit, comply with-such.po vislanl or, ts,permlt-:shQll'be TEL. N
rtl STATISTI '.4ASSJffC�TFON AQT• CONDO. Z
deemed revoked,.`.,• ;,. .�.�� - .. - . . _
LICENSED COtlTRAOR$¢EQARi°+T1Ql1.r -" } T
_UC CLASS NO.'•'o=I EWL UNfFS
ereby affil rn that I am Ilcense{I ndgr ptoVW6ns.of Chapter 9 ADDREss NO.
I h
comrtl8ncl with Sectloa y000 -0f Dlvlalor�3 of the Business UC � �
nd Profess ro Code,bnd m' 11cense Is In foil f. and ffect. CLASS VAUDATFON
Y 4� 4 - 5t}. FT. NO. OF . Of CHECK aPG / -
Ucehs6 Nur4iber 11 r- O i} - STdkfES F ULS OtE
FO
I _ +' ��TI VALUATN
wn4t Ltgr pate DEK;RIPT19N.OF WOW
QI am exempt-undw4,6r_ L _ ►,.
BARfor.trl}reasp^ � R � $
Rl�At
Dates. r NG BLDC3_ _ DEAhCK I—I +
Slflrwturi ti r� APPLICANT _ TEL.r Ur WNAL
OWN92-BUILDER DE{L RAT10N NO.
DATE .
I hereby affirm that I dm exempt from the.Cbnttoctor's License
Jaw-for:the.-folkbwfl rbdson,156ao� 7031.5, Buslneft'and ADDRESS FINAL
Profs�lon�Codb): �" by _ Y
AC
NILDiNG
I, as-owriW of_Ae property, or my employees ,V&h
wogeig4 their sole,com _ _ 7 f,`
pen'sation,.yrll I'do the work'and ,, �, 98.
63
the'structure Is notlntericied CK-offefed for sdle(Section tOCALITY
7044, Biulness.and Professions Code.)', MOVING TEL.
I,.qs gwrter;of the prop",.am excluslvely contFddlnq OR NO. - 63
T 1
with 11geosod contractors.tg constrUdPro I�.the sec- _ - TOTAL u
'.( /�}�.�•�
-)1dn 7044,.Business c1nd P[8fesslorn.Co¢e,); *� ' 43:6,
I here hffirrh that QPNST1RU ON LET4DING AGE J g7 I HWY
YARD Fi2GhA -- -
{ �
' by• 4tl n lending 51�tency for.
the performance.of-tkie.yrork for which_ this permit Is Issued. P1.
(sec,3097; cis, t.� M1 p DE
C tJ—'90 i 2/26f 9i
Lgn�s Nam}
LDMA Rsf. 1
F PwmIt F:. iq3 1 Fdi 9:3°
Lendees Addrew -
I cerjffy that rhave rw8ihls appllcatlon and state That the.
lea,a LDMA P/C f-
above InfDrn Ion Is correct. I agree tocomplywlth all County Ir1vi.11Qatrorl
bfdli.rc8s and'Stgtq'kaws r6latlndA6 budding construction, - Taial Fie .(d LDMA Perm OL
and hereby duthorlm.reprn*entatives of this County to enter,
u the-dbove-ingnfloned p"Jor Ir}Wacto "purposes-
.0902,0
l T; - SM RRV11fE POR OTLAlIATORY LA#GUAG1
9 of Ap&t ar Apenf Dat+
P
COUNTY OF LOS ANGX S TZXPLE CITY f 0508 BUILDING PERMIT
DYPARnUMT OF PUBLIC WORKS 9701 LAB TUX38 ALTERATION/REPAIR
BUILDING AND SAFETY / LIM DYVEIAPMZVTT TEMPLE CITY CA 91780 BL 0508 0609770003
PHONE. (626) 785-0488 EXT
LZGA.L ID c 1110. OF CONST BUl7 DING ADDRESS.
TR: 6561 LTA 548 SQ. FT STORJAS TYPE 5728 CAMIELLLA AV
STRpCR4REVN TIMP CA 917807501
ASSIBSOR INFORMATION NUMBER. NEAREST CROSS STRENT:
8507-022-072 TBOMAB PACK: 597 C42 . A3 LOCALITY, TEXPLN CITY, C
TEI)ABTc EXIST BLDG USI: REBID IISE LONE1 R-1 ISSUED ON: PROCESSED BY: EXYIRNB ON:
EXIST OCC GRPt 09/27/06 JK 09/22/07
OWNER c TEL. NO BLDGS. NOW ON IATs VALUATION: ➢ FINAL BY: CONDIt
H81XNSOW, DAVID (626) 309-1301- 2,000 �f
5728 CAMELLIA AV `/
TOG 917802501 FIRS PAID DILSCRIPTION 01 WORK
DRYMALL NOW STRUCZ4RAL BATH RIDMEL
FEN DESCRIPTIOEs QUANTITYI DOM. AMOUNT.
APPLICXNT, TEL. NO.
DIANE (562) 945-2003- AA BLDG PERMIT ISSUANCE 27.75
0407 ENRAKADA AC STRONG MOTION REBID 2000.00 VAL 0.50 SPECIAL CONDITIONS.
WHITlIER CA 90605 B2 PERMIT W/ENERGY 2000.00 VAL 90.42 ,
TOTAL FEES 118.67
CONTRACTOR. TEL. N0i APPROVALS DATE INSPECTOR SIGK TURK
D i T G33F]a AL CONTRACTING (562) 945-2083-
0407 ENRAMADA LIC. NO LOCATION AID SETBACKS
WHITTIER, CA 90605 423766 B +
SOILS NEGI3fffi APPROVAL
ARCHITECT OR ENGINE R. TEL. NO. FOUNDATION TRENCH FORME
LIC. NO. UNDER FLOOR
AWNED FLOOR FRAMING
MAP NOi SEWER MAP BOOK. PAGIc FIRE EONS, CKPi UNDSDFLOOR INSULATION
150H269 3 01
FLOOR SHEATHING
N0. OF FARILIR9: DWELLING UNITS: APT CORD, STAT CLASS:
NO 21 ROQF SBaTHING
SCHOOL WITHIN u�fARDOUg SHEAR PANYLS
AIR QUALITY: 1000 FET! MATIa T LS
WO No 1110 FRAME: INSPECTION
REQUIRED TOTAL STPBACS FROM =ST FIRS 8PRIXlJ.XR HANGNRS
SET BACK TARDi HWYl PROP LINE: WIDTH:
FRONT PL- INSULATION WEATHER STRIP
SIDI PL- INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ABBEM.
RATED MALI, ASSMOL128
RATED SHAT'P8 OPENIEGS
T-BAR CEILIEGS
+ ADDITIONIL DATA CIN FILE
LOT DRAIaGE
REPORT IDN DPR.261 ROUTE TO: B80500