HomeMy Public PortalAbout5822 CAMELLIA AVE_Building__ a M SETS 6-46
DEPARTMENT OF BUILDING AND SAFETY PLICATION FOR PERMIT
COUNTY OF LOS ANGELES ' ® ' 1
WM. J. FOX, CHIEF ENGINEER
NG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS
LOCALITY REPEIVED BY DATE OF APPL. DATE ISSUE6
NEAREST ' /,
CROSS ST. -
BUILDING
OWNER , ,, _. ADDRESS
MAIL
ADDRESS LOCALITY:::::r �""` " / Lam"' ,r, .. .,,,,•
NEAREST
-,# TEL. CRO35 ST.
CITY NO. _•
FIRE NO.OF TYPE i GROUP.
ARCHITECT OR TEL. ZONE I PLANS
ENGINEER —'""-- NO.
BLDG. �, _ ORD. NO.
ADDRESS SETBACK LIN
E � �• -
APPROVED
TEL. BY DATE
CONTRACTOR NO.
USE APPROVED
ADDRESS ZONE ', BY DATE
LEGAL — _.. CORRECTIONS
DESCRIPTION I LOT NO. - i BLOCK
TRACT
NO. OF NSLDS.
SIZE OF LOT +y L�' `` I NOW OLOTOw� +
USE OF • .I NO.OF r I NO. OF
EXISTING BLDG. : - "'" `,` - FAMILI[S j ROOMS _ .„_ ,y »,
Jf
DESCRIPTION OF WORK
� .
NEW ALTERATION ADDITION O
m
REPAIR
�7� MOVING DEMOLISH E
Sq. FT. NO.OFZ
SIZE �/ Q ROOMS d STORIES r
WALL �, .� ROOF
COVERING .w s i COVERING
USE OF NEW
BUILDING
/A-le-t F;G; �, 'a” ;ff_J' L.• )C /`�•.ate
'_ T / � r��. ice`
APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE OF BRACING, BOLTS
OWNER LATH, INT.:
AUTHORIZED A LATH, EXT.: _---
� P. C. $ PLASTER, INT. 14
FEE PLASTER, EXT.
VALUATION FEE FINAL
D,P.ARTi=T OF BU=ING AND SAFETY BUILDING U1LDING
COUNTY OF LOS ANGELES
WM. J. FOX. OHI[F ENOINE[R APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. DR k[n.Nm PERMIT NO.
BUILDINo ' -
Al)DR[J1N
RED[VIED RY DATE OF AJ-PL.
p`-DAT[ IMU[D
_LOCALITY _ I 7 S
QR"Om 91WT. BUILDING
ADDR[a1
OWNER � /
MAIL LODALITY �C /�/
AR
_ OROS
TZ L
D TYNO. 'Sf ZONE P4ANS�- TMP[ I GROUP
AROHITECT OR .� L V
[NOINEER 5LD0, �Q �` ORA NC.
[I N[TSAOK'LIN[ /'-
ADDRFBI /1 /J��r��'�= U/[ APPROVED
TZL ZONE SY DATZ
CONTRACTOR NO. HOUSE NUMN[RINCI
ADDRESS MAP B[N'jU�M� ' O NO. AESION[D NY
LEIRAL
DEVO IR PTICN LOT Na CLOCK HRECTIONS
TRADT
N C. OF N LD GN. / D rn-
SIZE OF LOT J NOW ON LOT
US[OF NO. OF
DCISTIN NLD13L FAMILI.
DESCRIPTION OF WORK
o
NEW ALTIRATION ADDITION v Z
r
REPAIR DEMOLITION
oq.FT. lk—` )3r Z NO.OF
BIZ[ ROOM? STORIES
[XT.WALL ROOF
COVIRINO OOV[RIN11
USE OF STRUCTURE
INSPECTION FOR APPROVALS
OOOUPANCY AS INSPECTOR'S SIONATUR[ DATL
FOUNDATIONI LOCATION
FORMS, MATIER1ALS
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIN Ar- _
PLICATION AND STATE THAT TH[ INFORMATION UIV[N IN FRAMEI FIR[STOPS,
CORRECT. NRAOIN% MOLTS
I AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FURNAO[I LOCATION,
AND STAT[ LAWS REOULATINO NUILDINO CON7TRUOTION. O,y V[NT DUCTS ,
■IONATURE O� "'~f_„�� _ Y J/) _ LATH. INT. d`�
PKRMITTEW
LATS, DCT.
ADDR[1
PLASTER, INT.
A fTHORIZLD AEFT
PLA6T[]l, EXT.
,/fib► P. O.
FICE HOUSENUMNOS ED
Vy1//Vn' U REOT AND POSTED
r�
VALUATION mic FINAL
7&AA3UA DIY 3 7-i1
R WbRX±RS'COMPE715A11ON DEaARATlori 7 , .
I.hereby nal arm fi ar l have'q ceittftcate of cIon:In s r self APPLICATION FOR RU IL D I N G � P ERM I T
Insure, of a cerllfirnte.of Workers CompeMatlon.lnsurrnxe,
e or o certtfledco th Sec 3000, Wb 'c. _
Q�--77 _ COUNTY Of.LOS ANGELES BUILDING AND SAFErtY
follcy Nof�^ mpany
certffi.d copy is hereby furnished_ FOR APPLICANT TO FILL IN AAD RREk8 ���'
Certtfted copy Is fated with the county building Inspgc- BUILDING 1
tion depa'rtm.nt. ADDRESS SVJZ'M1i. LOG4uTy-
} NEAREST
Hate Applicant CITY � �1,I — zip CROSS
CERTIFICATE.01'DQ MPTION FIKW WQRKER$' NQ. OF BLDG& ASSESSOR
c,OMPEN$AT10N INSURANCE SIZE#LOT NOW ON LOT MAP BOOK PAGE PARCH
fhb se�tlon need not be cord leted If.thp permit b for one LISE uZ O�
hundred dollar (5100)or leas TRACT BLOCK LOT NO. f�pprr z/o� 3 NO.
f certify that 1^ the performance of mile work for which this
MSRKowr�et.� ro_ a�0(0 r' cowIOHs d
permit Is Issued, I shg1I*iot•ernploydny 7t.ln aay mpnner �',d�pt/ 1 GROUP TYPE ZOFIRNE Bac 0
so as to become subject to the Wbrkan pertsatlon Laws ADDRESS "y�rs-u- CONST. ZO1E
TEL
flat. Ap�Ilcant cry iI1lL-L Ct Z1P' I SUT45T�+ti C> FIG°7
NOTICE TO APPLICANT
-1�, gfier, maklpg this Cerjfficgh of
E><empfjon, you shoul4 become sublgtl tq the Workers' NO CLASS tJO.�DWELL UNITS d
N
' CompergQtion provbloM of the tabor Code, you'rtlyat forth- ADbRESS - SEWER
with comply wlth'such provisions or,thli per,nIt shall be �- VAl IDATFOii
deemed revoked. l TEL _ r
CONTRACTOR BK Pt3,
l
I hereby affiirr L*�aatt rrbrri.l�&Q.A�lorw Chapter 9 >O 14F NO.
VALLLATIOPI
(conhmenclrgwO Section 7000)of.DM"3 of the&Wntew and Ir Code;and-r"Ikxnse is Int full force and effect. CITY CUSS
/ SQ. Fr. NO.aF NO.Gf : C1fCK
License Number" LJc CI `' SUM STORIES F ES _ ;
IPTION OF WORK L NEW L7 s
Ato^ Die ADD
I am eAempt Under Sol-. ALTER
F ATE
B.3P_C. for the reason REPAIR DATE
USE OF ~ 19MAI
Dote .. EXISTI)JG BLDG. � r DEMOLBY Af --
Signature Dt A7tON n APKJCANTJ NO. ' l� 2 9 2�8 A
I hereby affirm that I am exernpT fcgm the Coatroctors License #
Law.for the following reason ($ectl9n'7031�.5, EkWnteq and I- OJ
,
Profeestons'Code): -. �;' 4;o7-a00�LIILDING '
�- }, as ovrper of the-property, or my employ-44- h - ADDRESS - - " J o 0 0 ]8 0 0 m-
prop",
as their sole,campenwtIon,WIII do the woric and
the atruafu?e Is not ntended or offered for sale(Section, - - 0 ;7 2(j.'-8'4
Ta-7044, Bus Inton arta Profehloris Lode) MOVING
1,-at o*n.br of the pfoperl�,'ahr exCIuaIve4'contrcc.fnp OONTRACTCR
with Ilcerrsed-contractors to construct the profact (Sec AbDRSS
Hort 70,14, Bwlnese and Profm ldns Code)
El
CONSTRUCTION LQ4DiNO AGENCY. SE7 X YARD HWY TOTAL PRSETBACK�O� �,�DT
1 hereby offlrm that there Is a-ban strucHon findl'ng agency for FRONT
the performance.of:the"work for which-thli.permlt Js Lnued
tSec 3097, Clv.C. -
' - P.L.
Lender's Name Q
Lender's Address P. P.,m Fee
I cerfmfy that I have reod•thls appllobrH?n and smote that the lan,ance Fee d s`
. gboye Ihforrrallon Is coQgd. I agref to compi�with-bll County Invesf[RGtton Fee
ordinances and state krrws rekrHN to bulWingrcorstruction, Total Fee, i
and hereby.authorize rep q:gentatives of thl-k Co.4nty tb enter e. .
u the.above entloa f9r Ifl#pectin pu
7.
ss ervtIMP roe oMANATp[y
oIwMauwoa As
f Appl Agent AgeY-r
COUNTY OF LOS AST F6S
TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUI7LDING AND SAFETY / LAND DEVELOPMENT TEMPLE CTI'Y CA 91780 BL 0508 1107110002
PEONS: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 540 SQ. FT STORIES TYPE 5822 CAMELLIA AV
STRUCTURE: V-B TEMP CA 917802101
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-021-024 THOMAS PADS: 597 GRID, A3 L000%. i'Y: TEMPLE CITY, C
TEN7M: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PRO'>`SSED BY:
EXIST OCC GRP: 07/11/11 SR
OWNER: TEL. 90: BLDGS. NOW ON LOT: VALOATION: FINAL QXTE CODE:
HMUC, DAVE 4 TERESA (626) 287-0372- 1,500
5822 CANEIJ.?a AV
TEXP 917802101 FEES PAID D ON OF WORK
REMOVE DADOSQED DRYWALL BE= WASHER AND DRYER, PATCH, PAIFT
FEE DESCRIPTION: QUANTITY: VOM: AMOUNT: PEMOVE DEBRIS. REPAIR UNDERSLAB DAMAGE DOE TO WO R
APPLICANT: TSL. NO:
YEN, TED (626) 513-1475- AA BLDG PERMIT ISSUANCE 27.80
331 VALLE VZS'TA AVE AB STATS GREEN BLDG FEE 1500.00 VAL 1.00 SPECIAL CONDITIONS:
MONROVIA, CA 91016 A.C.STRONG MOTION RESID 1500.00 VAL 0.50
B2 PERMIT X/ENERGY 1500.00 VAL 90.50 ,.
TOTAL FEES 119.80.
COiPTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
BLA CONSTRUCTION LLC (626) 513-1475-
331 VALLE VISTA AVENUE LIC. NO LOCATION AND SETBACKS
MONROVIA, CA 91016-2314 901778
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS --
LIC.'NO: SLAB FLOOR
RAISED FLOOR FRAMIIA3
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: \� UNDERYLOOR INSULATION
150H269 3 00
FLOOR SHEATHING
NO. OF ?AbE[L.IES: DWELLING UNITS: APT/GOND: STAT CLASS:
0 NO 21 ROOF SHEATHIRO
SCHOOL WTTllIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET l9aTERSALS
NO 190 NO FRAME INSPECTION
FIRE SPRINKLER HANGERS
INSUTATZON/WEATEM STRIP
INTERIOR LATH/DRYWALL
RZTEaIOR LATH
RATED FLOOR CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILLNG9
LOT DkkIXADE
REPORT ID: DPP-261 ROUTE TO: BS0508