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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