HomeMy Public PortalAbout5919 CAMELLIA AVE_Building__ 76A838A CE 9809 8-69 APPLICATION FOR BUILDI G PER T
COUNTY OF LOS ANGELES BUILDING C -eDEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DIS�CT N0. GROU TYPE PR E
(PRINT OR TYPH ONLY) �, V
BUILDING STATISTICAL C SIFICATION SEWER MAP
ADDRESS 5919 N. Camellia CLASS N0. DWELL.UNITS BK
LOT N0. BLOCK USE ZONE MAP
N0.
TRACT SPECIAL
NO. OF BLD G3. CONDITIONS
SIZE OF LOT NOW ON LOT
US E OF
EXISTING BLDG. Dwelling BLDG. SETBACK FROM
OWNER & Bob gi TELerald FRONT PROP. LINE QF -(STREET)
TYPE OF EXISTINGSETBACK HIGHWAY + YARD - TOTAL
ADDRESS 3853 Briar Patch Drive HIG AY WIDTH FROM C.L.
CITY CovinA
ARCHITECT OR TEL. SIDG.SETBLI FRO (STREET)
ENGINEER NO. SDE PROP. LINE OF
TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL + = d
CONTRACTOR N0. O
LIC. CORNER CUTOFF_ YES ❑ NO ❑ V
ADORESS(i00 N0. (j 0 W
CITY San Gabriel CLAss C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER
NAME AND BRANCH
Z
ADDRESS —
S FT. N0. OF NO. OF
SI E STORIES FAMILIES NEW ❑
USE OF ADD ❑
STRUCTURE ❑
ALTER
With Built U RoofingREPAIR [X
SIGNATURE OF DEMOL ❑
APPLICANT
VALUATION1400 00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEES FEES F T RI LS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
L
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC-
TION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIF MIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEE AND POSTED
ADDR FINAL
K��-
JOHN F. LEWIS, PRINCIPAL STIR TURAL ENGINEER
PLAN CHECK VALIDATION CN. u.0. CAr.H - PERMIT VALIDATION CK. M.0. CAeH
1ar� 63 o .5,Q AW12 1 -D-, . 1725N 4
it Y
COUNTY OF LOS ANGELES TEMPLE CITY D508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPIIIR
BUILDING AND SAFETY / LAND DEVELOPMENT , TEMPLE CITY CA BL 0508 9711240042
PHONE: (818) 285-0488 EXT:
4
LEGAL NO.
•
TR: 6561LT; 110 SQ. FT. STORIES TYPE 5919 CAMELLIA AV
STRUCTURE: 0 VN TEMP CA 917002003
ASSESSOR I-MMUMTWWOWER: NEAREST CROSS STREET:
8587,019-010 THOK S PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: nnlr_ff0WmE- 'RESID ZONE: R-2 I SSU E� ON: PROCESSED BY: EXPIRES M'i
EXIST OCC GRP: 11/24/,97 UT 12 /98
CHU MARY HENG - 2 2,000
LOSA 900710127 FEES PAID MMPTM OF wou
REMOVE AND REPLACE-WITH 25 YR.,ELK COMP. SHINGLE
FEE DESCRIPTION: QUANTITY: UOM: . AMOUNT:
APPLICAJNT: TEL. NO:
AAA ACCLRATE ROOFING (800) 281-8188- AA BLDG PERMIT IS"CE 27.75
AC STRONG MOTJON RES,ID 2000.00 VAL 0.50 SPECIAL CONDITIONS:'
.
'
02 PERMIT 11/0 EN-�G r �+�pQp.O�OS VAL �2 20
L E �E 110.45
CONTRACTOR. TEL, NQ: %wollAPPROVA�S DATE INSPECTOR sIGKATME
AAA ACCURATE ROOFING AND MATERIALS (800) 281-4188- `
P.O.CAIN INC LIC: NOTRACKS SE
125 BRYikT AVE 427466 C39
BLOOMINGTON CA. 92316 SOI LS I EAG I NEER_APPROVAL
ARCHITECT OR MMINEER: TEL' NO:
LIC. NO: SLAB/�JNDER FLOOR
147H265 01PUB L IC WO`E S
*0. OF FAMILIES: DWELLING UNITS: APT/COW: $TAT CLASS:
YES 21 14, 0 Co ROOF .PHEATHI*G'SCM WITHIN __Fumummm ^
o n
AIR QUALITY: 1000 FEET MATERIALS �6D
NO NO NO E) FRAME INSPECTION
WRMTkm— . TOTAL SETBACK FROM EXI 9T O�
�' _
SET BACK YARD: HWY: PROP LINE: WIDTH: c
FRONT PL-
erv,
SIDE PL- "
IRTERIOR LAT
1
EXTERIOR LATH
RATED SHAFT377M07s
T-BAX. CEILINGS
ADDITIONAL DATA ON FILE
LOT DRAIRAGE
REPORT ID: DAR261 .ROUTE TO: BS0508
COMITY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071'LAS TUTAS ALTERATION/REPAIR
OUILDING AND SAFETY,/ LAND DEVELOPMENT- TEMPLE CITY CA BL 0508 9711240043
PHONE: (818) 285-0488 EXT: -
LEGAL ID: 'NO. OF CIDNST 90ILDINa ADDRESS:
TR: 6561 LT: 170 SO. FT STORIES. TYPE 5921 23112 CAMELLIA AVASSESSOR INFORMATION NUMBER: '
STRUCTURE: 0 VN TEMP SA 917802003
EAREST CROSS STREEt:
8587-019-010 HOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TQWT: F -EX 191 BLDG E: RESI'D USE ZONE: R-2. I 9900-M: PROCtSSED EXPIRES ON:
EXIST OCC GRP: 11/24/97 UT : 11/24/9¢
UWNLK: TEL. NO: BLM. NOW ON LOT: VAL-UATION: FINAL
CHU NARY HENG - . 2 3,200 ;�'�Z�
LOSA 900710127 , Fh44i PAID DESCRIPTION OF WORK
REMOVE AND REPLACE WITH 25 YR. ELK COMP. SHINGLE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT;
APPLrCANT: TEE.--W.-
AAA ACCURATE ROOFING (800) 281-8188- AA BLDG PERMIT ISSUANCE 27,75
AC STRONG MOTION RESID 3200.00 VAL 0;50
D2 PERMIT W/O EN- C� 0.00 VAL 116.10
�'Y ESS T".35,
CONTRACTOR: TEL NO: APR*LS
-7 DATEAAA ACC1RgTE ROOPIMO AND MATERIALS (800) 281-8188-
P.O.CAIN, INC LIC. NO LOCATION AND BETBACXS
125 BRYANT AVE 427466 C39 * ��
BLOOMINGTON CA. 92316- - SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: F0LJN RENCH FaM
LIC. NO: FLOOR
u
RAISED FLOOR FRAMING
MAP 100: SEWER I FIRE
147H265. 3: Lmt0� PUBLIC WORKS
FLOORiSHEATHINU-
NO.
YES 21 0 !,�
AIR QUALITY: 1000 FEET MATERJALS
NO NO NO / FRAME INSPECTION
REQUIRED
�n
SET PACK YARD:. MY: PROP tINE: WIDTH: c �� « w�
FRONT PL- `�,
SIDE PL-
��
jORL
INTER LATH/DRYWALL
-�
EXTERIN LATH
RATED fLOOR-
RATEDIWALL ASSEMBLIES
RATED SHAFT97WEMM
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR%1 ROUTE TO: B80508
s.