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