HomeMy Public PortalAbout5925 CAMELLIA AVE_Building__ DEPARTMENT OF BUILDING AND S` TY APPLICATION FOR PERMIT
COUNTY OF 7TGELES � ' ® �
WM. J. FOX, CHIEF ENGINEER
NG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
�\i DISTRICT NO. PLAN CK. NO. /PERMIT NO.
BUILDING y ",' Mar �+� .. ._ 1 L-r �Z -7 u
ADDRESS /�/� /���
LOCALITY f��/��' 67//ctDATEISSUED
RECEIVED BY DATE OFAPPL.
NEAREST
CROSS ST.
BUILDING
OWNERW/VI / ISI N ��•O ADORES Yom,LOCALITY
MAIL
ADDRESS l 3/2 ���/C J N
NEAREST CITY !� S9ZS//Z,
m !_ r� /��- TEL CROSS ST. - r'
_ ` I. u NO.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO.
BLDG. I J _, ORD. NO.
ADDRESS SETBACK LINE,�f
�y
7� APPROVED
CONTRACTOR 4Q/ 1Jv1Ul S NOLjPLr�-�Q� BY DATE
1 ,�yf q USE APPROVED
ADDRESS 6 3 is JE //VC '� ( ZONE ' BY DATE
DESCRIPTION
CC LOT NO. e� q BLOCK
LEGALI. CORRECTIONS
TRACT SI 6
NO. OF SLOGS. I
SIZE OF LOT O x 1 7 S NOW ON LOT Q
USE OF - NO.OF NO.OF
EXISTING BIDG. I FAMILIES I ROOMB
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
REPAIR MOVING DEMOLISH G7
SQ.FT. NO.OF - Z
SIZE ROOMS STORIES
WALL 'ts �or IO
ROOF C'P r
COVERINJI � CVERING = fv te
USE OF NEW
BUILDING 1�,es Q7yb�1c
1�^r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION /
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS, MATERIALS
[,Jp FRAME: FIRE STOPS,
SIGNATURE OF /J � D BRACING, BOLTS
PERMITTED v /�l ' LATH, INT.
AUTHORIZED AOT. -
LATH. EXT.
7GA63BA-3 is-so $ P.C.III PLASTER, INT.
FEE PLASTER, EXT.
VALUATION FEE - '�r FINAL ���
i
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDINGDISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS _ 9 /" '7.—, ,_r / /rr ,/ ,
LOCALITY •"� RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST // �'^ _ / �• /i"
CROSS ST. F £ i r� BUILDING
ADDRESS
OWNER
MAIL i / LOCALITY ...c_ I
ADDRESS NEAREST
TEL. `` CROSS ST. / �.. r _ _
CITY ' "'` NO.ArGam ' FIRE NO. OF TYPE ) GROU
ARCHITECT OR TEL. ZONE PLANS V v
ENGINEER NO. BLDG.
ORD. NO.
SETBACK LINE
ADDRESS "�`•�Y .r--�-
APPROVED
TEL. #— 7 BY DATE
CONTRACTOR NO. USE APPROVED
ZONE BY DATE
ADDRESS ',r HOUSE NUMBERING
LEGAL
DESCRIPTION LOT NO. BLOCK MAP NUMBER _FIELD CHECK BY
TRACT -"�„ NO. ASSIGNED BY DATE
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT NOW ON LOT •`�,
USE OF I NO. OF
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION
O
REPAIR I DEMOLITION I I 2!
SQ. FT. NO. OFG)
SIZE Q ROOMS �( STORIES Z
D
EXT. WALL ROOF t r•
COVERING S P,r { COVERING
USE OF STRUCTURE
APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
I AGREETO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, 1
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS t
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE OF f GAS VENT, DUCTS
PERMITTER,�a
�j LATH, INT.
('
ADDRESS !f +7% ��w• !7.r i -r� ' ,
LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
78AS38A• D893 10-50 P. C. $
FEE PLASTER, EXT.
VALUATION $ 5 �
FEE j FINAL
I
76A888A CE#8088-88 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS -
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST _
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. 6ROUP TYPE ,- P CESSED BY
FOR APPLICANT TO FILL IN I CONST. I
BUILDING �y y �G I S WER MAP
�-^E+/ / b STATISTICAL CLASSIFICATION I
ADDRESS �) �C."S L!i--^oma-i. �
/ CLASS.NO. DWELL. UNITS
LOT NO. /V BLOCK MAP STATE YES Id
NUMBER HWY.
TRACT (/ (!/ USE ZONE SPECIAL
SIZE OF LOT ��rJ J( S' NO.OF BLDGS. ///��� CONDITIONS
NOW ON LOT
USE O
EXIST,NG SLOG. BUILDINGEXIST.
SETBACK YARD HWY STREET ME WIDTH
OWNER MAIL /� /�11/� FRP.ONT , \
ADDRESS ��7+�-f1GJ�^�, SIDES'
T
EL�,.�/ / G� P.L.
CIT Y Z NO ZOL4 O INSPECTION RECORD
ARCHITECTIbR TEL.
ENGINEER NO.
ADDRESS �--•
CONTRACTOR !� NO.
ADDRESS
DESCRIPTION OF WORK
,7P , - 1,.
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. Alt
y NO.OF NO.OF
SIZE STORIES FAMILIES _
USE OF STRUCTURE
77� Al
412
SIGNATURE OF APPROVALS
APPLICANT
G i `� C p - DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS.MATERIALS
EVALUATIIN
P,C, S FRAME: FIRE STOPS.FEE BRACING, BOLTS S FURNACE: LOCATION.
FEE �� - GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REgLlLATING SUILDI �i)IVSTRUCTION. LATH,EXT.
SIGNATURE OF /� ) tX/! HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADORES FINAL
CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK, m.o. CASH
[. 01 5 8 6 Jm 6 1 A 3.0 0
®F
f
76A638A CE#803-10-56 APPLICATION FOR BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION BUILDING I i
ADDRE
Department of County Engineer SS
County of Los Angeles LOCALITY 3 t✓
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SuF"T OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN -.ax PG
CONST.
BUILDING ,t - - I
ADDRESS J �.�t,Yj►-fL.�_,,(�E..� {jam STATISTICAL CLASSIFICATION
LOT NO. BLOCK CLASS, NO. DWELL. UNITS
MAP STATE YES O
NUMBER HWY
TRACT d/' �tUSyyy..E���ZONE SPECIAL
NO. OFSIZE OF LOT G� I NOW ON LOTS �•^ CONDITIONS
�/
USE OF
EXISTING BLDG. BUIILDING EXIST.
_ SETBACK YARD HWY STREET NAM WIDTH
OWNER FRONT y„
MAIL P. L. G/fes/J—
ADDRESS SIDE
TEL. L.
CITY NO* INSPECTION RECORD
ARCHITECT OR TEL. 9
ENGINEER NO.
ADDRESS
TEL.. .. _ -r f d RD
CONTRACTOR NO. OAF(K �Y/ Ti"
ADDRESS / 16?F./ Rill.
DESCRIPTION OF WORK L
242�Mrmclrs i=6 le
NEW ADD ALTER REPAIR DEMOLISH ���
SQ. FT. NO. OF NO.OF
SIZE STORIES FAMILIES r pn
USE OF STRUCTURE / �,E F'� Oy/ -77
APPROVALS
SIGNATURE OF
APPLICANT DATE INSPECTORS SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS. MATERIALSP.
$ F S FRAME: G. BOLTSIRE _
FEE BRACING, BOLTS
VALUATION s t FURNACE: LOCATION.!,.. �_ 5
FEE GAS VENT. DUCTS !
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT.
j
STATE LAWS REG�TSTATE LAWS REG T IG BUILDING NSTRUCTION.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE � � RECT AND POSTED
ADDRESS � FINAL -
JOHN A.LAMBIE. COUNTY ENGINEER, _ CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
2322 SEP 16 1 11 .00
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDI_Np AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPIJ;ANT Tq FlLL IN •
I hereby affirm that I have a certtFlcate of corn&nt to self Irm", ��
m.
or a certificate of Workera' Compeneadon Insurance,or a Certffled
copy thereof(Sea 3800,Lab.C.) CITY L 78
Polhy No. Comperry �f
OF LOT OF B1D3S.NOW ON LOT
❑ CerHW copy Ie boreby f imished. NEAREST CROSS STOr
❑Gw filed copy le flied with the oor{rty bulldlnp impaction _ LOT NO.
dapartrr—t . q USE ZONE AMP NO.
Date "Icant ASSESSOR AMP BOOK (�^�.� PIAE�/ 9 RVCae07 SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWtom' d� TEL NO
COMPENSATION INSURANCE
Wm-w 1000 Fr.OF Sq-100L? YES- 40
0hle section need not be completed If the permit Is for one hundred DISTPoCT GROUP TYPE CONST FIRE ZONE SSED BY
dollars($100)or'leea) Xg, C—Q
I cerfffy that In the perfomrance of the work for wr
hich thle pemit ZJP
Is Issued, I ahall not employ arty peroon In arty manner so as tDQ -3
become aub)ed to the Workers'Compeneaiial Law& ARCH=OR EN(3fEER TEL Na
BIATISTK'.�L CIAICAION .. APT CONDO
Data App6cart ADDRESS CLASS N(l _ DWELL UNITS
NOTICE TO APP'LKNJT. H, after' mak1w thls Certlfioate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you shad become suboot to the Workaro' TOR TTL NO. SEr BACK )ARD HN✓Y PRQP UNE WmTHi
C.ompernation proviaixe of the Labor Code, you must forthwith FRONT
comply,with such provWone or this permk shall be deemed revoked. ADDRESS NO. P L
LICENSED CONTRACTORS DECLARATION Sty
CTfY � LIC.CLASS PL
I hereby aff rrn that I am Ilcertsed underprovWorm of Chapter.9 SEWER VAP
(commenchlp with Section 7000)of Dfvlebn 3 of the Bualrwm and 8Q FT-SME NO.OF STORES NO.OF FA/.dES NEW ❑ BK FG
Profeaslore Code,and my Ilcerlse Ia In fbill force and effect
LJcerree Number Lk:.Class Wt7F1fc ADD 0 MU_MON
"contracdx ALTER Date ' AC:GT.L
❑ 1 am wzmpt udder Sea EPAIR El $ �� 50.50
RAP.C.for this reason MOL El1
LI AM P/C 0
Date` EX1SllNO BLDG URM n
�ACCT.T
rTFL NO. LDAM Perm 0
e .. APPLE NT rPFPJT) .'r. 1 3.45?
❑1, owner of the Property, or my ernpio'yeee with Wegee as =
sole cornpensetlor> will do the work and the structure Is ADDRESS O ?
f 1TE,
riot tntertded or offered for sale (Section 7044, Budneaa and FWAL DA&E
w11 TEE APPLKJJrr OR FUTURE BUU)M OCCIA"WT HAMXE A HAZARDOUB 6WERIAL ,1J 0 A I
Code) OR A►orrurE CCN-P �A HAZARDOUS 4ArHRI L EOLYL TD CA GREATEN TW THE .TIJTYYL LJ _ C
owner of the property, am 97Q tetV@ty COr1tr'9Ct}!rg Wffh A6*C(NTB SPECT-®ON THE HAZA DOUG I�A'3vLe PfOR1Ao4gN al]E7 {{�y-- -��// ��{{yy�,
F?iA1 T�$EC:K 203.
tractors to construct jhe pro}ect (Section 7044, YEe❑ . No❑
Alas and Pro(easlon8 Code.) .. wa1 THE MEND®USE OF THE Tars.BY THE APPL)a4F OR RTnRE n Arra j
CLQJW r REflUFtFA PF�-0Lt CCNBTRICTON OR MOOR r-Q-K N FROM THE SOUTH
CONSTRUCTION LFNNNG AGENCY caaT Art QUALnY MAxbE►arRDETac-r(sCp4w eEE PbiwFn O CHEcKusT FoR -
I hereby affirm that there fe a oa,evuutlon lendlrtp scanty for YEB❑ No❑ 1 12/14/94
tl5e performance of the work for wNch thle permft Is tamed(Sec.
CD IIIA►F READ THE HWARDOUaµ4EFl4_B H�F�1410HaIlE AND THE eCAQL�PERIATTM - -
3097,Ctv.C.) a�ac�r.i u►D�aswD►rV
17LL Z CHAPTER 230 SECTIOMB TFRaH�40 H VL•�
Larders Name FOR oe7A!!!p A PEl:"T FROM THE.!'A:.T.
Lerdere Address
o awag al mm ..
QQ I certify that I have read this appficatlon and state under penalty
of perjury the the above hformatron b correct I agree to comply P.C.FEE �i, FEFiMT FEF /� D
wfth all County orirtantces and State Iews relating to bulking
constijcb T, and hereby authortna representstives of t33LIAICZ FEE O
to eater the above for trTapediorT �p
I' f PlVE9Tq.4i0N FEE TOULL FEE
^D� rr ror11.6,
A
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY f 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9801150055
PHONE: (818) 285-0488 EXT:
LEGAL ID: W. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 168 SQ. FT STORIES TYPE '5925 231/2 CAMELLIA AV
STRUCTURE: 0 VN TEMP CA 917802050
ASSESSOR INFORMATION NLRBER: 'NEAREST CROSS STREET: LAS TUNAS
8587-019-008 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: MnTr= USE: REBID USE ZONE: 2 Tggan-M- PROCESSED BY: EKPIRES ON:
EXIST OCC GRP: - 01/22/98 UT 01/22/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE Fl CODE:
MORHAR FREDA•MARTIN L TRUSTEES (310) 478-7273- 5 1,000 \ y Z Y
1551 GREENFIELD AV
LOSA 900253421 FEES PAID DESCRIPTION UF WURK
RECOVER WITH COMP. SHINGLE GAF YR.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
SAME AS OWNER , - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION_RESID=�-�---1,000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/-0' HC _---_.1 1000--QC VAL 65.25
-LE.1 jAL:FEES 93.50
CONTRACTOR: TEL. 1 J ^.. '�.
SAME AS OWNER
' LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: / _ -
LIC. N0. 11111 1
MAP NO: SEWER MAP BOOK: PAGE: F E: �Qy �I_ I fJ J- rl lam,l7-I 1` r-�I L 1
150H269 �' _
YES 21 �•`' — n `-
� �• - � trL- hili � ��,�
ROOF SHEATHING
Wffn
AIR QUALITY: 1000 FEET MATERIALS .`.`,• \ _ �_ -l_}i: ;'%
NO NO NO FRAME INSPECTION
MUM- TOTAL SETBACK FROM EXISTFIRE SPRINE03FTPMZMY
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- !7 C 9 i_i; IWSULATIOk/'WEATHER STRIP
SIDE PL- i �-..--� --f
EXTERIOR LATH
RATED FLOOR CEIL ASSEM.
RATED WALL-Kl9ffff[rff—
LOT DRAINAG
REPORT ID: DPRZ61 ROUTE TO: BS0508