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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 &GTO 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