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HomeMy Public PortalAbout5749 CAMELLIA AVE_Building__ ti 7 AWISA CEkaDa a-aa APPLICATION FOR BUILDING PERMIT a COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JEN§EN, SUPT OF BUILDING CROSS ST. DISTRI N Gr I TYPE FOR APPLICANT TO FILL IN CONST: r BUH_D1�6 STATISTICAL CTION SEWER MAP ADDRE S BK PG CLASS. NO. DWELL UNITS LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT MAPHIGHWAY STATE MAJOR SECOND, LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT NOW ON LOT USEZONE PECIAL USE OF CONDITIONS EXISTING BLDG. TEL 1 OWNER NO' -A&2- BUILDING YARp HWY STREET NAME EXIST' SETBACK WIDTH ADDRESS,,' i FRONT ARCHITECT OR TEL_ P. L. ENGINEER NO. SIDE P. L. ADDRESS TEL CONTRACTOR NO ADDRESS O DESCRIPTION & WORK y ,NEW 'ADD ALTER REPAIR DEMOLISH Z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES VSE OF STRUCTURE SIGNATURE OF Pf APPLICANT 00 VALUATION ; b APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE S FEES O� FORMS, MATERIALS FRAME: FIRE STOPS, I HERESY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IR CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND /TATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED-HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION'OF' THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. . LATHEXT ,,-SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINc PAL STR URAL ENGINEER PLAN CF= VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CATH 5 St 7 6$ AW 1-6 1 D g L:O WORKERS'COMPENSATION TION :.: {I hereby>ch-"of have a crirtHl of consent to golf p p L CAT I O N FOR BUILDINGPERMIT Jry1 'nwro, or of Workers' pensation insurance, x a certireof (Sec Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY �ollcy No. ny_ Cerh FOR APPLICANT T FILL INBASCers ed with the my building Inspec-tion ADDRESS LOCALITY t�ST DateA?lIcant QTY - LP CROSS ST. CLRTIFI TE OF EXEMPTION FROM WORKERS' 1*l1 /. NO. OF BLDG& ASSESSOR COMPENSATION INSURANCE Sam OF LOT `7 C/ NOW ON iCi MAP BOOK PAGE PARca ,This sectlon need hot be com feted [f the petmlt Is for one S USE SONES G1 hundred dollars-(;100)or less." TRACT LOT NO. i TEL 1 SPECIALI car ttfy thatF�In the.performance of the work for which this OWNO CONDrnoz d D15TRICT GROUP TYPE FIRE BY ' O oermlt b Issued, I shall not employ any�erson In any manner A S TYPECONZONE U txfas to a subject to the Workers Com Ion _ OC Date Appllca ARaffECT Com/ ZIP ATpHCATION AFT. OONDO, O NOTICE O CANE: If, after t s of �, LU Exemption, you should - '�+ CLASS NO. -I- / _DWELL UNITS IL Compersatlon provisions of the Labor Code, you m rth- ADDRESS f with cpmply with such provisions or this permit sh II be SUMER deemed revoked: CONTRACT BK PG/ VALIDATION LICENSED CONTRACTORS K-CLARATION r hereby affirm that I am Ilcersed under provisiofs of Chapter 9 ADDRESS S� b � VALUATION (commendng with Section 7000)of Dfvkslon 3 of-the Business and LIC. !� Profopion s Code, and my license is I full force and effect. QTY r� f C7LV�'`- / Iq E9. woo NO. NO.OF CnECK , Llcerse Num Ic.Cl Sfg C! STOP FAMIUES ONE €6 1 49A bESCR1 OF WORK NEIN ❑ yon ADD ❑ #`. o . o 23 .. I am exempt under Sec ❑ F1NAL 2,- o 4 1.4 5' ' B.&P.C. for this reason REPAIR ❑ DATE USE Date. EXISTING BLDG. DEMOL ElFINAL o c o [t 1 4 5 Slgrwture APPLICANT By . I.Q 2 0—8 3' OWNER-BUILDER DECLARATION INT '�C �j I hereby crPh that I am exempt from the Contractor cense <el Law for the lowlnfl reason (Section 7031.5, nese and Ptofesslbrs PRESENT ❑ BUILDING 'r ..�.Z�� I, as owrw the'property, or employees with ADDRESS wafles as their compensatfo III do the work and the structure Is not nded ed for sale(Sectlon LOCALITY 7041,'Business and s Code} MOVING Te- I, as owner of the m sxduslvely contractlnp oR NO. `6 o a with licensed con to ct the project.(Sec- ADDRESS tion 7044,Rusin nd Profen] Code} # • 0 0 0 0 REXXIIRE D YARD F{WY TOTAL SETBACK FROM EJXtST. C. ON LENDING CY SIT BACK PROP, u WIDTH I hereby affirm that "Is a construction le hg aoency for FRONT � � o 0 5 9,2 r5' the performance the work for which this, It Is Issued P. JSec 3097, CIY k 54DE o •.5 9. 2 S5 ' P.L. Lender's e I Q 2 0—.8 3 Lenders Addreei P.0 Fee$ Y111A Permit Fee J I certify that l have.rood.thti appllcdtlon and state that the dance Fop S - above Inform¢tign Is correct:I pgrpe tocompiywttf>_alt-County T nvedlQatton Fee ordinances and ,qk".laws relating to building:C'obztmctlort, Total a and hereby authM" rejiresentailY of this County to.enter upon the Jr.-rhgn f nsppctlon p S~ Ito,Rt_m"FOR VLANATORY LANGUAW Slprwtun of XppJ kan or I - I f ' 1 COUNTY OF LOS ANOELE$ TEMPLE CITY 9 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUU1S ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780 BL 0508 9811040032 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 555 SQ. FT. STORIES TYPE 5749 CAMELLIA AV ASSESSM INFORMATION NUMBER: STRUCTURE: VN TEMP CA 917802502 NEAREST CROSS STREET: 8587-017-010 T90MA8 PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY EXIST OCC GRP: 11/04/98 UT 11/04 OWNER: TEL. NO: 9LDW. NOW LOT: VALUATION: FINAL DATE FIlLkL BY: — E: BAIL YJUDITHGLENROY �C TR PEET TRUST (714) 846-7104- 1 1,250 FEES PAID DESCRIPTION OF WORK REMOVE AND RECOVER WWIITH 3 TAB COMIPAVSHINrl E OVER GARAGE ONLY APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: UiITED ROOFING CO., INC. (323) 223-4081- AA BLDG PERMIT I"UYANCE 27.75 1821 DALY ST. AC STRONG MOTION R U)� 0.00 VAL 0.50 SPECIAL CONDITIONS: LOS ANGELES, G D2 PERMIT W/0 VAL 82.20 P�GELRQ� E 110.45 UNITED ROOFING CO. (323) 223-4081- 1821 DALY STREET LIC. NO / LOCATII� AND SETBACKS LOS ANGELES, G 90031 137650/C39 ARCHITECT OR ENGINEER: TEL. NO: •� FOUNDATION/TRENCH��f. LIC. N0: X111111 SoDuTw- 150H269 3ZONE. 0. P U r- D:� vr V�' I� K FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND TMATMM: MO 21 ROOF SHIEATHING SCHOOL WITHINSHEAR PANELS \ , AIR QUALITY: 1000 FEET MATERIALS. \� vFIRE SPRINKLER HANGERS U 1 T NO NO No \\\�� h /REQAJIRED FROM Ell ST0 j/ FRAME IKSPECTION SET BACK YARD: W: PROP LINE: WIDTH: \bl�C t��� FRONT PL- `S@r�1ice�aINSULATIONNEATEFUM SIDE PL- INTERIOR LATHIDRYWALL RATED WALL K990CUrff— REPORT ID:. DPR261 ROUTE TO: BS0508 I C Y " COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADO/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0305160006 PHONE: (626) 285-0488 EXT: LEGAL ID: 100. OF cow NEW BUILDING TR: 6561 LT: 555 S0. FT STORIES TYPE OCCUP GROUP 5749 CAMELLIA AV STRU!<:ILRE: 1495 2 YN R3 TEMP CA 917802502 ASSESSOR INFORMATION NLMER: GARAGE: NEAREST CROSS STREET: WORKMAN 8587-017-010 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT. EXIST BLDG LJRE:— USE E: TRUEYM.— PROCESSED BY- EXPIRES ON: EXIST OCC GRP: 07/29/03 JK 07/23/04 OWNER: BLDGS. NOW ON LOT: VALLIATT5W.— F I!I�L JPAT E FINAL BY: CODE: KATINAS•JAKES - 118,404 A CA 5749 ELIA AYBRIE TEMPLE CITY 91780 fthS PAID ES 4�3 ADD , 18ATH, LAUNDRY RM, i FAMILY RM APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: lX�l: AMIOUNT: TOM OILEARY - 81 PLANCHECK Y/ENERGY 118404.00 VAL 1,322.28 5623 AGNES AVENUE AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: TEMPLE CITY 917BO AC STRONG MOTION-REBID 118404.00 VAL 11.84 B2 PERMIT W/ENERGY - 118404.00 VAL 1,555.62 =_ _ TOTAI, FEES 2,917.49 CONTRACTOR: TEL. NO: t TOM OILEARY CONSTRUCTION (626) 287-0927- 5823 AGNES AVENUE LIC. NO TEMPLE CITY, CA 91780 489354 B-1 LOCATION AND SETBACKS SOILS ENGINEWUPOW ARCHITECT OR ENGINEER: TEL. NO: LIC. NO: I '4�rC QS;KAP NO: 99JR MAP BOOK: PAGE: M $ Q 3� IST LEVEL FEW W. OF FAMILIES: DWELLING UNITS: APT/ D: STAT CLASS: MO 21..,-. 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOLJS ROOF SHEATHING AIR ORALITY: 1000 FEET MATERIALS i a3 le", NO NO NO FI RE DEPT. FRAME INSP R EQU I RED TOTAL SETBACK FROM E)(I ST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PLSHEAR PANE - SIDE PL- INSULATION[WEATHER STRIP EXTERIOR LATH LOT DRAINAGE SMCKE DETECTION DEVICES FIRE DEPARTM T APPROVAL REPORT ID: DPR261 ROUTE TO: RS0508 F