HomeMy Public PortalAbout5802 CAMELLIA AVE_Building__ APPLICATION FOR BUILDING PERMIT
DIV ON OF BUILDING AND SAFETY :w�Res"SG
Dbp=t—ni of C—t! Engt)Aw L
�OTuttpp of TAi A1M LOCALITY
JOHN A. GRI E, COUNTYIIgy*ENGINE
CAt1ATNMAREST.
T D.D.GRIFFIN. lUTT OF BLi„L,MO CROSS ST
FOR APPLICANT TO FHl IN DISTRICT NO. GROUP TYP< SEWER MAAP
CONST. t .
BUILDING /
ADDRESS A. NUMBER r_,00 / �H MAPY YW O '
LOT NO. BLOB UDE ONE SPECIAL .
CONDITIONS -
z -7Ns�
NO. OF BLDGS.
SIZE OF LOT NOW ON LOT L BUILDING YAk�D HWY STREET NAME EXIST.
USE OF SETBACK WIDTH
EXISTING BLDG. FRONT
P. L
OWNER A- I—e-M P A SIDE
'Al LADDRESS +Y "� e P
^F P O TRACT D 1 UNIT fl INDUSTRIAL
CITY (I �!y l `--' NO -- 1 DWELL 1 UNIT 6 PUBLIC BLDG.
ARCHITECT OR, TEL 2 DUPLEX VV Y UNITS ADDN.,ALT., ETC
ENGINEER NO. 3 AFP. -UNR'S
8
ADDRESS - 4 COMMEMISCEL
RCIAL -
CONTRACTOR P1;!',C( D /3 INSPECTION RECORD
ADDRESS f
D ON OF WORE
NEW ADD ER REPAIR - DEMOLISH
SQ. FT. NO. OF NO. OF J
SIZE STORIED FAMILIES
USE OF STRUCTURE
SIGNATURE OF-
APPLI APPROVALS
ADDR / DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
/� P• C- ; - - FORMS,MATERIALS
FEE FRAME: FIRE STOPS,
VALUATION ; BRACING. BOLTS
FURNACk: LOCATION,
1 HEREBY ACKNOWLIDGE THAT 1 HAVE RI<AD THIS GAS VENT. DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY ALL COUNTY ORDINANCES LATH INT.
AND STATE LAWJB.,AWU TING B ILDIItjG_CONSTRUC-
TION. - i''Gsr LATH. EXT.
SIGNATURE OF � HOUSE NUMBER COR
-
PERMITT 193 RECT AND POSTED
ADDR f FINAL 'Z
JOHN A.LAMBIE.COUNTY ENGINm3 ATION CLYDE N. DIRLAM, CHIEF BLDG. IN"XCTOR'
�O C"H
L&4542In JM28 1 8.00 '�
DEPARTUM
OF BUILDING
DMISION OF BUILDING AND SAFETY
WILLIAM J. foot. CouNTY EIGINEER APPLICATION
CwMAT'T D. QitIFFIN, Sur,OF BM DIM
FOR APPLICANT TO ALL IN FOR OFFICE USE ONLY
IILDINa Q / DISTRICT NO. FUM Cr-oR Rtc-No. PERMIT NO.
su
ADDRESS
LOCwL1.TY RECEIVED By DATE OFAFPL. DAT[19SUED
N[AR EXT y
Q.S ��l GP �� /r f —
eUDRX68rLDim
ADDRESS
OWNER
MAIL LOCALITY
-77
ADDRESSL NEAREST
TQ- CROSS ST.CITY No,
.S
ARCH OR Td, FIRE NO. OF TYP7�_ GROUP
ENGIN ZONE PLANS
ADD SETBACK / O
ETSACK LIN[ •L
UBE APPROVED
CO ZONE NY' DATE
ADDRESSHOUSE NUMDERING
LEGAL S;< NU S "' "� O. ABDIaNED tY
D ESCRI FTI O T CORB=0NS
TRACT
NO. OF O DGI
BD3 OF LAT NOW ON ma
USE OF NO. OF
DESCRIPTION OF WORE o —
a1
NEW ALTXM'ngN
D 9
z
SQ. FT.REPAIR / DENO. Oir
MOLITION
SIZE ��� , ROOMf STORIES
KCT.WALL I RC)W
COVERING
USE OF STRUCTURE
I
ROOF
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATIONi LOCATION
FORM! MATERIALS
I HYR HY AC3QiOWL.ED4i THAT I HAVE READ THIS AP- FRAMKs FIRE STOPS,
PLICATION AND (TATE THAT THE INFORMATION GIVEN 1S BRACIN DOLTS /7
COIUlECT. FURNACES LOCATION.
I AGREE TO COMFiY WITH ALL COUNTY QRDINANCES
AND STATE LAWS TFNG nUiLDING COlffTRU ON. GAS VENT DUCTS
BIaNATURE OF ''
LATH, MIT.
PRM
A LATH. t7CT.
ADD �b
PL.�fTGt INT.
AUTHOR17m AOT.
PLASTER. ECT.
P.L
r C' s
NUMBER NUMBCOR-
R[CT AND POSTED
VALUATIONFEE
O FINALmi X-
7aASS" ESS 3 9-ft
1 '
4 WORKE96' CO/JIPENSATICItJ DEQARAT1011
.
*'4q -
i
.hereby.affirm that I have a c* ate pf-gym to selfAPPLICATION FOR, BUILDING PERMIT
'Are, or a certificate of Workers'' CoCompermsatlon Insurance,
- � i , .
certtfisd copy thereof (Sec. 3800;L66. ..). COUNTY OF LOS ANG dll UNNG MAID SAFETY
ti'
Policy No. Company
BUILDING
❑ .Certlfied,copy Is-hereby fiimhdje . FQR APPLICANT TO FILL IN ,qppkESS Q�-
❑ Certlfle¢.copy ik filed wtth the`county 6311ding Irmspac, BUILDING
tlon depdrtment - ADDRESS
Date� App7 fcd at .1 ,i clrr { c� LocurTY cr
NO:OF-BLDG& .
CSMFICATE EWMON'FROM,WOMRS' SIZE"OF LOT NOW ON LOT
b> E
COMPENSATION INSURANCE
(This section nee¢not be'oom rated-if-the.Pormlt'iiN
ess• ,for one TRACT BL - LOT O. ASSESSOR_LIMP BORIC PAGE PARCEL
'hundred dollars ($100}or.i �,' "
r" - bW►` Va6NR USE.
I certify that In the-Performance,of the work for which this
permit Is Is■�pd, I,stmgll not,'*Mployan�any p& Inaoy mbnnpr (�_ � �' SSS
so as tq Racoma syh�e4t-to-tlie W Comp.qnwtlpn Lpws_.
'
zip
".
DateAppllcarU - ARCHTTECi OR TEL, - n!
NOTICa •IIf4after making this Certtfitats of. BJC�INEER. _ -NO... _.D GROUP T TPROCESSED BY Q
�xernption,..yqu Yhonl-d botome ;plb to. the -Wdrker* �Q r� {om. E
Compentatldn provisions of the:Labpr Code, you-mustJorth- ADDRESS _ Gti `✓ T
wit+ comply with-Wc♦ ,pq yl�lons..oR.this,permit ,hall be STATI$i1CAL QA551FICATION CONDO.,
dee riled revoked.. r;. NO. Zr —
LIdIJS® ,okr ACTORS DfidARATION•,
LIG CLASS NO U N ITS
I hereby affirm that{.am IIcensedu provlslons of Cbapter9 ADDI 55 NO. SEWS MAP
commpncln with'Spotlon 17000 of CtfY \ ' / uCLo�.55 t^i
�. 4 ), tylslon Sof time BWinea G fo
and Profealoro,.Co le,and tjty license Is In ful(}a'ce ano affect. BK VALIDAT}ON
OF QAECK
Poen",Numbor LIc .bass �1_' STORfE5 MNL7E5 OSE
Co r T_''rPcrTa' 065M Fn ON OF.WORK� VAL[�ATFb
tractoIt
I am exempt,under Sec T ,gid qpp n❑ ► . .
B.BP.C. for.t�il rigson J ALTER #..
REPA I R
c e' iJOSIItJG BLDG.• XMOL" -
S l g n otu re APPU CANE ,y-, _
OWNER-BUILDER DECLARATION PRI NO: -4{-1
DATE t• �
I hereby ofHrm that l.pm axpmptfro m the.Cohtrgctor's Llcense . .'. 'V 1.� ........ _ t
Law for the fo11•owing rpasorr (�ctlpn'_7031.5-, OvLlriess dnd FWAL,' _ 1
P�ofeasiona Code):
❑ I, cis owner 'of the o or em I with ILDiNG ACQT.i
wages as their sole'compensnsat�lora,will do tth�'and _ . __ .
7' ■
•
the stYucturs Is net Intended or offered fS}r#e{Sedloii LCCAUTy 7 r� •
7044; BuIvIness and Professions Code.},- AhrJVI _. _ TEL
❑ I, as owner of'the property, am exclusively oontracHhq CONTFLAGTOR NO.
wlth-llcgnsed.cpnttactors-to.construct the Prple;:t (w-. ARORESS _ _ ,_ TOTAL: -,_70 3cj
tlorl 7044, Business and Prof6Won#Code.) •
CONSfRtJC710N_LENDING'Abtl` Y •. YARD HWY "-TOTAL
FRO�A- - - �EFrfi TO..ry
I hereby affirm that there Ira coratructlon lending agency for FRONT DIMGE
th• performonce of.the' wotk for:whioh this Permit-L&lss.Lmd
{Sec 3097, h.L
CIV. C_). SIDE
Nara
PLl: . `i 1
Lenders' a LDAAA Ref.
f'
:.. - Pa Fee m,i
P. t Fee 91 Af110:48
Lendees.Address .
I cerTFfy that J have•read this appllcatlon armd tt4tR that the _ hsuDM
arxs r LA P/C f ,
abovrm
e Infoation Incorrect. I agree to cgtnply with all Caunty I.N.ew patld Fos R
ordinances and State laws relating to building construction, Total Fey D• 0 LDMA Penn
an hereby quthgrlta repra"ntgtive4 of this County to ent6r
n
upo ' abovmentioned prpperty for Inspectlo pu
IL il■OvW 1'O!DUILAMTORY LV6GLLAOt
Slgrwture of Applicant or Aunt +r`
1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1301150073
PHONE: (626) 285-0488 EZT:
LE<3AL ID: NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 544 SQ. FT STORIY,S TYPE 5802 C7,r,nZLIA AV
STRUCTURE: V-B TEW CA 917802101
ASSESSOR INFORMATION NUMBER: - - NEAREST CROSS STREET:
8587-021-029 THOMAS PAGE: 597 GRID: A3 LOCALITY: TE31P E CITY CA
TEiANT: RYTST BLDG USE: REBID USE PONE: R-1 ISSUED ON: PROCCESSED BY:
EZIST OCC GRP: 01/15/13 SR
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FPUJ, BY: CODE:
GERVASE, KKLisaA (714) 306-3141- 8,880
5802 C)ANEL r TA AVE - W?7
Th3JfP 917802703 FEES PAID C4,I OF WORK
PLACE 18 W120OWS, 1 PATIO DOOR (NO GRIDS)
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
APPLICANT: TEL. NO:
CHIN, KELVIN (626) 448-8321- AA BLDG PERMIT ISSUANCE 27.80
2110 TYLER AVE AB STATE GREEN BLDG FEE 8880.00 VAL 1.00 SPECIAL CONDITIONS:
S EL MONTE CA 91733 AC STRONG MOTION REBID 8880.00 VAL 0.90
D2 PERMIT W/O EN-HC 8880.00 VAL 199.80
FR IRV WORK W/O PERMIT 339.60 DOL 339.60
CONTRACTOR: TEL,- NO: TOTAL FEES 569.10 APPROVALS DATE INSPECTOR SIGNATURE
DOOR Affil W12ZD0W PLUS INC (626) 448-8321-
2110 TYLER AVE LIC. NO LOCATION AND SETBACKS
SOUTH EL MONTE CA 91733 801964
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL,. NO: FOUNDATION/TRENCH FORMS
LIC. NO: BLAB UNDER FLOOR
RAISED FLOOR FRAF324G
MAP NO: SEWER MAP BOOK: PAGE: FIlZE ZONE: CMP: UNDERFLOOR INSULATION
150H269 3 00
FLOOF. SHEATHING
NO. OF FAC[L--MS: DWEL.TM UNITS: APT/GOND: STAT CLASS:
0 NO 21 ROOF $HEATIRING
SCHOOL WITHIN HAZARDOII9 SHVUI PAN3M
ALR QUALITY: 1000 FEET MITERI L_9
NO NO NO
FRAME INSPECTION
FIRE SPRINKLER HANGERS
ZNSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CELL ASSEN.
RATED WALL ASSEM BT-
RATED SHAFTS OPSNngGS
T-BAR CEILINGS
LOT DRASRAGE
REPORT ID: DPR261 ROUTE TO: BS0508