HomeMy Public PortalAbout5733 CAMELLIA AVE_Building__ DIVISION OF BUILDING AND SAFETY
• #* ,department of County Engineer BUILDING
County of Los Angeles APPLICATION
WM. J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING �� z DISTRICT N0. PLAN CK. DR REC.No. PERMIT NO.
ADORE88 a.,`, ;�1 a u L-
LOCALITYM
RECEIVED BY DATE OF APPL. DATE ISSUED
/ r/'L�. &,.INEAREST
CR0886T. LI ✓'V' VA BUILDINQj" a
OWNER I ' I N ADDR'1'=5/3 "t/O
MAIL / LOCALITY /4
hl-
ADDRESS 43 y Cv+- 1�I A NEAREST /
CROSS ST.
CITY... �',, °+' C - NOL �� FIRE NO.OF TYPE GROUP
ZONE No.
ARCHITECT OR TEL
_ENGINEER �t+ NO. BLDG. ORD. NO.
SETBACK LINE
ADDRESS USEAPPROVED s
TEL. ZONE _,/ BY ,[c` DATE
CONTRACTOR NO. HOUSEf NUMBERING
ADDREBB MAP NUMBER C r� NO. ASSIGNED BY
LEGAL
DESCRIPTION LOT'NO. mCORRECTION
r BLOCK ���'�J _
} � rr f' a
TRACT r ./T e► f
V I NO. OF SLOGS.
SIZE OF LOT I NOW ON LOT Q
EXISTING BLDG. - = Q� No.cw
�/__ , FAMILIE8 {
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
Z
REPAIR DEMOLITION r
EQ.FT. NO.OF G
SIZE ROOMS STORIES - , ✓`
EXT.WALLt)� �, I ROOF
RJ
COVENG ` - COVERING
USE OF STRUCTURE S�T
o �I T C.fJ;E i✓
INSPECTION FOR APPROVALS
OCCUPANCYAB I NSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FORMS, MATERIALS
PLICATION AND STATE THAT T14E INFORMATION GIVEN IS FRAME: FIRESTOPS,
CORRECT. BRACING,BOLTS '
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REQ LATIN BU DING CONSTRUCTION. FURNACE,
VENT, DUCTS -
SIGNATURE OF LATH, INT.
PERMITTEE /•Y' -' -
ADDREBB's 133 • LATH, EXT.
PLASTER, INT.
AUTHORIZED AOT. _
PLASTER, EXT.
P.C.!s =
a HNUMBER COR-
RECT
i� RECT AND POSTED
VALUATION FEE S/ y FINAL
76A635A D135 3 1-52
CK Foos
r ,
APPLICATION FOR BUILDING PERMIT\\
COUNYY OF LOS ANGELES BUILDING AND SAFETY L
FOR APPLICANT TO FILL IN BUILDING -
ADDRE55
BUILDING
ADD C. LOCALITY
NEAREST
C TY TE tllL-E 4 aXz,P CROSS ST.
�. NO,OF BLDGS, r� ASSESSOR
SIZEOFLOT NOW ON LOT /�. BOOK PAGE PARCEL
g / 1 Ml-
R DISTRICT G.RQUP TYPE FIRE P EO BY
T G> v BLOCK' . L TNO. 9 �C[ CO�JST.' / Z�JE +
TEL .J��(l "f 1 V. 117
OWNER NO. d
STAnSTtCA1 CLASSIFI nON EWER MAP_
ADDRESS L CLASS NO.C;L DWR I•UNITS
CITY R L E c zip /
ARCH IT
OR TEL
ENGINEER. NO.. VALUATIONADDRESS LDG.SETBACK FROM
TEL FRONT PROP.LINE OF (STRF T)
CONTRACTOR �� NO. TOTAL SETBACK FROM TYPE OF. EXISTING
LIC HIGHWAY .+ YARD FRONT PROP-LINE HIGHWAY WIDTH
ADDRESS NO.
LIG + .
CITY. CLASS
COSTRLKTFON LENDER BLDG.SETBACK FROM
STRUC .
N NBRANCH L .^( SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESSCTY SIDE PROP.LINE HIGHWAY WIDTH
FT. NO.OF NO.OF CHECK + u
SIZE 1/l+O STORIES f FAMILIES / ONE oe
O
DE5Ci PTK)N OF WORK G !� -^ NEW P.C. Fee S Permit Fee
ADD 7Issuante Fee
AI,TER
RCPAIR Total Fee O _
USEOF
EXISTINGBLQG..•i r...
A PPU CANT TEL
(PRI NTI L
BY(SIGNATURE)
f f
IHAY ApO4OWL.EDGE THAT I HAVE READ THIS APPL"TION AND STATE
THAT THE ABOVE IS CORRECT ANDTp COMPLY WITH ALL ORDINANCES .
ANID LAWS REGIAATING SULDING C�KCYTON.I-CF3RIFY THAT IN DOING THE
WORK AA��wn+cz�HE3tF$Y I WRL NOT EMPLOY ANY PERSON IN VKXATGN OF
THE LATpR CODE OF THE STATE OF G.IJFORNIA IN RflAT1NG 70 WORJ(MEN'S COM-
PENSA
SIGNATURE OF
PERMITTEE A
ADDRESS--
TEL]
DDRESSTEL
GTYmmummommonommommommtl ° ° r}USE
U
ONE MAP
NO. :aO Q 3<
1 SPEa.L >
CON D f
RN E BY I
F DATE
LJ ,r
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PEMUT
COUNTY OF LOS ANGELES BUILD 1 N
%VM. J. FOX. DHI[F ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING LTJ / Ale. DIBTRJFD. PLAN❑K.NO. PERMIT NO.
AD D R K.R9 r7 r c /{'
19 3 �4
i
LODALITY A&-rn � R[D[I Y DATEOF :L- DAT[RELIED
NK"XKT ya a�•�v� C
/^ 7 BUILDING
OWNER �/O Y�O ADDRKME "`-Ti-7 !
MAIL , '71LDDA-TY I
ADDRESS ✓'J! d
No. _1'71,(
/ 1p� DR .
I f3TZ ����Q FIR[ NliPL ❑F TYPE OUP
AROHITEOT ORKNOINKXR 71 TEL. ZONE PLANS '
D BET�ADK LINE �� L- G
/M APPROVED
DONTRADTO G✓"� N❑L �,( BY DAT[
USE
DDR[
/A Q/ a7 f 2 �� r /// ZONE 13Y DATE DATE
LEGAL CORRECTIONS
D[GCRIPTION r/LOT NO. ELOOK
RCT
TA -r,
NO.13F SIZE OF LT`..� x NOW ON LDOT ^/
B
O
US[OF NO.OF NO.OF
ET i 1 O
DESCRIPTION OF WqRK
N[W ALTERATION ADDITION i
13A
REPAIR MOVING DEMOLISH �
Bq.FT. NO.OF G
EIZ[ ROOMS STORI EA
WALL ROOF
C❑VERINO OOV[RIIND
Uo[OF HEW / ,7
BU //C JILDING ¢�
I
1 HEREBY AOKNOWLEDOE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE IS DORREOT
FOUNDATIONS LOCATION IMILP[DTUR DATE
AND ABRE[ TO COMPLY WITH ❑LINTY ORDINANCES _
AND STATE LAWO U TING DING DOMSTRUCTION. FORMS,MAT[RIAI�
FRAM[c FD
IR[BT-13
SIONATU F
BRADINO MOLT?
D [` '-
PTRIAZKD
l LATH, IMT.
AUTkf
LATH, EXT.
7 9-4e
P.C,* PLA1T[R,INT.
FE[ PLASTER.[XT.
VALUATION F[[ ` l FINAL
. WQRtEW,OOMPU SAIION DECIARATIQN
I here°6y afflrtgr_th I)have:a'certificate of corrsanf to- serf
In,ur?, 4f a �tfl of Works; Compensaflbn Ins�ronce' 4 APPLICATION- CS B U I to I"N C�: PERMIT
or_n cetttfied c. .m... ed
(S . 300O3 Cab, G ) .. . COUNTY OF LOS ANGELES BUILDING AND SAFETY - v
PoIIcy,No: t�mpany� -
BU I LDI NG
�" Cbrttfied copy Ir hereby famished. FQR JAPPLICA�ff-TO FI L IN $ ��,-• {_
❑ Certtfted obpy Is filed with the'cdurity buIWIng Ifspec-'. ;DDS ?- 3;!�, -�A"ELU A. A�
tlpn depgrhrtent. -. .
Data A,pp116ant -- aTY � �P - J LO fry "
y: f-
CPMFIC.ATE O� EXkWW t�FROM WORKERS':' LOT 50 )(�•5-I. � NOW ON LOT NO. OF UDGS.� NEAREST
.
CQMPB49AT10N I NSI RANG
��Tfhhls ssicltoh rased not be completed If the Perm Ii lj fvr one TRACT 6.0 (� BLOfY LOT NO. 7� p gbq� PAGE d PARCIl
Vhundred dol,
ari(;100}.or `els.) TEL-Vw1jT�a 20
OWTI R 164 !tQ NO. USE Mt�z. h1AP +,
I cer*.thpt-.in the performgnge of the woric.for 1which thisONS
mit Is IssuBd;I shall not etnploy clr}y�rson In'arty.manlier ' ADDRE6S F/�� 4L4V .'
-so as to become.sublect'to the.Woikem•Compa-r a ori;
WORKERS'COMPENSATJON DECLARATION
* a�b �tofa ;on�rnr6bAP.PLICA IOFOR BUILDING PERMIT
nu tlte Worker*' Cmpbs lonlur :
or a certlfled copy thereof(sec 3800,lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
`Polley No. Company _ -
Certlfird copy Is.hereby furnlah+d_ FOR APPEi TO Ii1`IN ADDRESEkiLLDING Z
ADDI�Ess J
Certlfibd copy Ft filed with the county bulldlnQ'In BUILDING
+ JJ l
tion department.
Date y �Q,•t Appflcon CITY ZIP LOCALITY Vj
CERTIFICATE OF VMWMOtt FROM SIZE OF LOT S 0 :/ _
COMPENSATKYN INSURANCE ST'
(This section need not'be com leted If the permit+s for.one BLOCK , .
ktondred doIIbrs($100)or lessLOT MAPBOCK AL3E.. P
1 TEL 115E _
I tarsi that In the Al',
NO_� `
fy performance of thl work for which th1N NO
45efmlt is issued, [andll not employ any n In any manner :� � s .
W os to become sub[ect to the Worke[ri�rrApens¢tlon Laws. 'C'+ ' ,
Date Applicant CITY ZIP
NOTK:E TO APPLICANT: If, c f,-Wl maklhp thls'Certtficate,of,, ARCH[TEC2T OR TEL DI_,. T FIRE BY Q
Exemptlon, you should .become iubject to the. Workers ✓+ QST . r
Campe rsatlon provlsions.of'the Labor Code, you must forthADDRESS-
deef) J]]������
with med revoked.comply with such proVlslorn or this pgYmH shall be � 4c::;0r �7.✓ STA CAl TION APT.
LICENSED CONTRACTORS DECLARATION L!C NO DWELL UNf[$
1 heriby affirm that I am Ilcersed under provlslc of Chaplet 9 ADDRESS ' .sr(, � NO.'Y2' 'Y
SEWER MAP
(tornmer�-irp with Sedbn 9000)of Dlvhbfi Sof the E,uslnew and y ,
Prbfeislons Code, and my I lcer»o-It Irt full forar and effect. C7ry: F BrC PG: VAl DAT)OM
+ SQ. NO.OF NO.CF CHECK
{[Gert;eNumber 19.7*91 UGCkms 512E' STORIES / y
�/ •i'�a� G,. Y �+r DESCR1PT10N-0F WOW NEW. _ !Q IC
tontroctor' Dq}P ADD e7 ✓
I am exempt under Sec. r�I'�+ � � �� `.
A1THZ lair
B.BP.C- for this reason' RfPA1R 'f .
�•8 3 9 7-A
Dar.:q. EXI:MNG BLDG. Si�� �t OF DeMot
9
. APPLIG1fdT 'rEL• # o 0 0 •,e fl
5✓ nature OW1�R BUILDER DECLARATION PR NO.
DATE
I hereby'affirm that I am exempt from this Confrvgt¢r's LlSerse
Law for`.th+ following reason (Sectloh 7031.5,. Business and ADDRESS J~' ','��'� ~�
Ptofpsslans ): . .. - a, s1.. . . q 510
El 1 as
pwnbr of thq. or -m em I with SAD DESS
astheirsoleco�� � Y the nd i 7
wages pbnsatfprt,wll[do the and Q[�
tbrstructure b not Into of offered for sale=onLOCALITY
7044, BuNnow and Profeeslors Lodes - NA MNG
I, bs owner-of the prop", am exclusive['y contruicting '
with licensed contractors to construct the p7 Q& (Sec_ ADDkESS
tion 704/,Buslpen and Professions Coda}
TAL SETBACK FRONF
CONSTRLK.-TION LU; DINt,AG83CY YARD HWY PROP.LINE
I hereby affirm that there Is a construction lending agency for
the performance of the work for which this permit ItAme l , AL,
(Seg 3097,Clv. �.} SIDE
_lenders Name P.L.
8 LDM A Ref.0
Lendees Address P.C. i perms
I certify chat.I have read this ¢ppllc¢tlgn and stat.that tho _ r. _ Wouance fee LDMA P/C
e obow'Inforrnwflon b correct. I ogrto comply with all County - Inveerlpatlon Fee t.'
$ ordlnarfgs and State laws relating to budding Qonatrucfl0n, T Prm.
!� and hereby authorin reprelenfat[ver of this Counfy'fo enter
upbn the gbov*-mentioned for Inspection purposes .
tla=VWU POR 2XMAKATOO IANGUAW
of Apolmnt or Ag*nt DW
vPRKBq compe,4 noN DEaARATtoN -- -- -
l hereby gfflnn that 1 have a'c.rtifiaate of xbntseni to calf A P P L:I C " �O N F u l DING P E RM�T
Insure, or a aertlficate of Workers' Compenstrtlon Inwrante,'.
or a certtfled 4opy thereof (Sec 306,'Lab. �) COUNTY OF LOS�i NG Y a r BLPLDING AND SAFETY
Poky No. ;arnporty, BU INO — .
1 421
❑'. Certified'x�py Is;her6by furnished. FOR APPLI TO.FILL �j��� - --
�, Certified appyb fi)pd with tate souriyi'ulyd1.N Irnpec-
I
• tion department. '
Date 4ppNcartt Crr NO. LOClaLTTY
NEASIST
CFRTIFtCATE OF OfJ FROM W04 SIZEoF Lor NOW LoT CROSS ST.
CI INSURANCE Q¢'��y —7
(This section need not be roM leted fF the perrnit'is for oi» BLOCK LOT NO. BOOK X0 /� PAGE/7 : PARCEi �
Zia
dollars(;100)or•iess�- ��p
OWPFR i� Ntr USE ZONE MAP +:-
i'certlfy that In the perfprmance of the work for which this
SPECIAL
permit Is Issued,i&hall nest employ artyn In arty manner' AAORESS' - 1CONDITICt4
m µ
so as to become subject to the Wprkers�penscrtloniaws.
MyZIP. O-
DaTe Applicant ARCH[ OR, TEL. DisTRCLGROUP TYPE- BY
IJpnCE TO APPLIGAN7: If, after making thls.,Certtflcate of. '- BJC,INffit _ -.NO. CONST.
Exemption, you should became sube t to the-Workerr
Erelyw!th,
eion prgvlslons of the Labor Code, you musf fort}- � ' — , [g ZONE,-
such_proyWans or this permit shall be Ta STATISTICL CLASSiFIGATON APT. CONDO.
ed rvoked,.`-.. OOfJTI�ACTOR NO. —
UCENSED.CONTR;NCTORS.bfCLARAITON UC aAss No. UNrrS
I hereby affIn,-that t am IIcersed under provisions of C�arpter 9 ADDRESSNO.
(commencing.with S*c 4p.n 7000)of DIVIs1on 3 of,the Business UC SEWER MAP
and Professlors Code,anti my license fs in full fgrce.Qnd effect. CITY CLASS- BK PG. VALIpATION
SQ.Ff.. NO. OF NO. OF CI IEOC
Ucerse Number, Lc Classes S(g O S1bRJES FAMILIES ONE
VALUATION
DESMPTION OF WORK fE1N ❑
Corttrodor Dcrte 4 -
ADD El :
❑I am exempt under Sec
ALTER ❑
B.aP.rr. for this reason FAIR ❑ ;
D03
ate: FX1511�NG ii � ❑ -
Signature APPLICANT i FINAL. 1 OWNER-BUILDER DECLARATION DATE
I hereby affirm that I am exempt from the Contractor's Ucenae . - v A.CT3
for the followlrtg'reason (Section.7031.5, Business and RSL 3303 (� �[
ons Code): by
1, as owner of the o or_ m em I s with BUILDING
rx Y p ADD 1 ITEMS
" '
wagns'as thelt sole cornpentatlxin,will do the work andL m - l TOTAL 437-99
the structure Is not Intended or offered for sale(Section TEL ,
7041, &Wnbas and Professions-Code.) . `(NECK MOVING -�-7
99
❑ I, as owner of the prop", am pxG]Oilvely.coniractlnp. CONT4tACYOR r iJ0_ y ]r.
with licensed`contrgctors fo.coristr t.fhq Pcolect ($ec- ADORtss t - r '\� (�' '`
ti
on M", Business and'Profes;lohs-Cocke) FROM 1 ' � : ' r
CONSTRUCTION LENDING AG,I_NCY, g7 YARD HWY' -.
WIDTH
I hereby affirm that there Is a construction rending ageniy for
the performancb of the work for which.this-perfntt WIpoed Pt `r'y 1 1 7/18/96.
(Sec 3097, ay. C). SIDE
P.L. ht_r �. 1 M. 2$
_ -
Loodees NameL- <f r'::
�j LDMA Ref.# r
P.0 Fee Y P"H Fee
Lendees Address:
I certify that I have reod.this application and state that the Issues o17-7� LUMA P/C f ►
above in aI on Is correct. I agree to comply with dll County Im�esrlpanor,'F«
ordinances and Stain-laws relating to building'cor ructlon, Trial Fee LDMA Perm.
'and hereby author representativee of this County to enfw
upon the above�n ntioned property for Inapectlon u
� �•. t' � t11t RIVM!'OR DtTLAHATOt[Y LAIiOUA61
%grwture of Apps for Agent ..• Date
COUNTY OF LIDS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 02012.0010
PHONE: (626) 285-0488 EXT:
NO. OF CONST N E61 BUILDING ADDRESS:
TR: 6561. LT: 554 S0. FT STORIES TYpE OCCUP GROUP 5733 CAMELLIA AV
STRUCTURE: 551 1 VN U1 TEMP CA 917802502
GARAGE: NEAREST CROSS STREET: LAS TUiAS
8557-017-D07 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: 19SUfn ON: PROCESSED BY: -
EXIST OCC GRP: 03/04/02 JK 08/28/02
GARCIA• JESUS (626) 256-6914- 5 VALUATION:00
5733 E6HLIA AVE c--0'd L p c
TEMPLE CITY 91780
ATTACHED OPER PATIO
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: T .
SAME AS OWNER . - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG. MOT ION RE .00 VAL 0.80 SPECIAL CONDITIONS:
AX BUILDING 54.70
D2 PERMIT L 183.00
266.25
SAME AS 06MER - �.�5 Ty
LIC. NO LOCATI ON AND SETBACKS
SOILS ENGINER
LIC. NO: 111111
PAGE: - FIRE y 3: 0 Q D
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 FLOOR SHEATH
SCHOOL WIIHIN ROOF nEATHIWUO
AIR QUALITY: 1000 FEET MATERIALS D
NO NO NO - - FIRE DEPT.-FORE-WMT
FRET BACK ONT _ YARD- HWY: PROP LIME: WIDTH: �G Service Th�t��t 40
SIDE PL-
INSULATJON/WEATHER STRIP
EXTERIOR L.ATF
LOT DRAIKAGE
SMOKE DETECT]
FIRE DEPARTNafl-IMPOW1
REPORT ID: DPR261 ROUTE TO: BSO508