HomeMy Public PortalAbout5926 CAMELLIA AVE_Building__ '/eAglA DEi-E>f-A
APPLICATION FOR BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY ADDRESS■uILDINa �' �v
DfpQlw-III of Co—ty EnutneK
Co=ly of Los Ang*l" LOCALITY
WM.J. FOX, COUNTY ENGINKIER NXARI[OT
CAISATT D.GRIFFIN.•UT•T OF SUMMING CROSS ST
DISTRICT 110. GROUP ■,n,P` :Q F'4
FOR APPLICANT TO FILL IN S
BUILDING
AD RENS S `� r NUMSER I/MAP �HWY _ATZ Y� O
LOT N0. BLOCK USE:ZONE: SPECIAL
CONDITIONS
TRACT
NO. OF■LDGS. ST.
ILDING
SQ[OF LOT' Now ON LOT SUCTEIAClC YARD HWY STRKWT N"K WIDTH
Un OF FRONT
'' , 11 MLP. L.
OWNIER W ■IDC
MAIL pTRACT yL, I UNIT
D
ADRESS DydS INDUSTRIAL
Td. 1 *'+�+'*+�- - 1 UNIT
6 PUBLIC ■LDG.
ARCHITZC'r OR Tp_„ ZDUPLEX 1 UNIT 7 ADDN.. ALT.. CTC.
INGINEYR NO. 3 APT, UNITE
B MISE
ADDRIESS 4 COMMERCIAL
Td. INSPWTION RECORD
CONTRACTOR NO.
DESCRIPTION OF WORK _
N[W ADD ALTYR RfTAIR DIEMOLISH
SQ. FT. NO.OF NO. OF
SIZE STORIES FAMIURS
UI3E OF STRUCTURE:
SI ATURC OF
PLICANT APPROVAL)
DAT= INEFSCTOR'S SIGNATURE
ADDRESS
FOUNDATION: LOCATION
c' c'
6 P.C. # . FORMS,
ORM• MATETtIALS
Fix
VALUATION O -# O 6 BRACING,MOLTS
S .
FURNACE LOCATION,
1 HER >
ESY AC NOWLE2GK THAT I HAV= R[AD THIS GAS VENT DUCTS
APPLICATION AND TI THAT THE: ADOVK 1/ CORRECT
AND AGREE TO COM Y WITH UNTY ORDINANCES LATH INT.
AND STATE WS ULATING ING CONSTRUC-
TION. LATH,EXT,
SIGNATURE HOUSE NUMSR COR-
PKRM RACT AND POSTEa
ADDRESS f'INAL S -
WM.J.FOX.COUNTY SHWWlZR VALIDATION C. N. DIRLJ•.1a.CHIE7 BLDG. INsrscroR
L` o� 2 1 5�R APR 19 1 2.0O in
m
1
APPLICATION FOR COUNTY OF LOS ANGNP
EER
BUILDING PERMIT DEPARTMENT BUILDINGND SAFETY ET YY DIUNTY IVVISSIONN
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
BUILDING f _
ADDRESS- elgIn ACL LOCALIT
CITY L ZIp NEAREST
CA CSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT �c l NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP I TYPEFIRE ESSED BY
TRACT BLOCK LOT NO. 7 CONST ZONE
TEL.
OWNER NO. STATIST' SIFICATI N
SEWER MAP
� ADDRESS CLASS NO DWELL,UNITS A5 BK G
CITY ZIP N
E ZONE MAP
O.
ARCHITECT OR YEL. _ SPECIAL
ENGINEER NO. CONI TIO X.ea
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YE9❑ NO ❑
CONTRACTOR EL BLDG.SETBACK FROM
LIC. FRONT PROP.LINE OF (STREET)
ADDRESS/ NO. vV"53q HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING
FRONT PROP. LINE HIGHWAY WIDTH
CITY IL CILASs _
CONSTRUCTION LENDER +
NAME AND BRANCH
BLDG.SETBACK FROM O
ADDRESS CITY SIDE PROP.LINE OF (STREET) C>
SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD — OTAL SETBACK FROM TYPE OF EXISTING
SIZE STORIES FAMILIES ONE. SIDE PROP. LINE HIGHWAY WIDTH
NEW ❑ + = W
DESCRIPTION OF WORK CL
CIO)
DD ❑ CORNER CUTOFF YES ❑ NO ❑ Z
ALTER
IN OPEN SPACE YES ❑ NO ❑
EPAIR❑
USE OFEMOL El COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG.
APPLICA .a. TE
(PRINT)
BY (SIGNATUR
I HEREBY AC HOWL GE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORN AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR COBE OF THE STATE OF CALIFORNIA IN LATI NG TO
WORKMEN'S COMPENSATIO A
SIGNATURE OF FINAL BY
PERMITTEE DATE OJ'f
ADDRESS
l TE L. P.C. Fee$ Permlt Fee
CITY NO.
Issuance Fee
VALUATION F
Total Fee
PLAN VALIDATION CK. 14.0. CASH PERMIT VALIDATIOIJ�
CASH
5 1 r
FB 4 ti D 2 1.7 5
7GA438A C«107. 12/75 .--
L r� G�a�lv� APPLICATION FOR Su PERMIT
COUNTY OF LOS ANGELF� BUILDING
D$PARTTMENNT OF COMM ENOMM ADDRHBE
BUILDING AND SAFETY 'DIVISION . LocALrrY
JOHN A. LAMBIg, COUNTY ENaibpam , NEAREST
A-JEWS]EN. Su– OF SUILDINS CROSS ST. L ,--,
_
FOR APPLICANT TO DISTRICT o. ouP npE �n BY
Q CONSr.
BUILDING SCATLSrICAL CLASSIFICATION
ADDRESS ) ��,
CLA ls.N � J UN
LAT NO. DL.00K NUMBER +�`�J HMAP
WY. yMq Q
TRACT Ulig ZONE . SPECIAL
NO.OF BLD 12 CONDITIONS r. -
SIZE OF LOT NOW ON LAT -
USHOF
ElU STI NQ E LD0 VU 1 L D I NG EXIST.
ETBACK -YARD HWY v"mIrrNAMS ..WIDTH
OWNER NOL FRONT !
P.L
DRESS SIDE
ARCHITECT OR TEL-
ENGINEER
SLENGINEER NO. INSP=ON RECORD
ADD .J +�+�+�+
TEL.
CONTRACTOR )Fb"O I A ^
A.DDRVM
DESCOMON OF WORK O
NEW ADD k=L REPAIR DEMOLISN
8Q. N .OF NO.OF t B
BIZ STORIE8 F ILIES ,
USE OFt
STRUCTURE
SIGNATURE OF _
f I/
VALUATION S 2 5z a9
APPROVALS -` EE DATE - INSPECTOR
'D dIGNATURE
p pMT FOg=jION:LOCATION
FSE FEE — FORM MATERIALS
I HEREBY'ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: a '
PLICATION AND STATE THAT THE ABOVE IB CORRECT AND CRACI G,BOLTS C '
AGREE TO COMPLY WITH ACOUNTY ORDINANCES AND FURNACE:LOCATION. ll
STATE LAWS,REGULATING BUILDING CONSTRUCTION. GAS VENT DUCTS
ALL
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH IM7.-
WILL NOT EMPLOY ANY PERSON IN VIOLAtION OF THI<
WORKMN'S COMPdN$ATI�LA F CALIFORN
ELATH EJ�r.
IIIONATURE OF HOUGSNUMBER COR,
PERM - RECT AND POSTED
L-62o
s CLYDE N.'DIRLAM, PRINCIPAL STR ENGINED! �
PLAN ME= VALIDATION Mm cuum VALIDATION K./MO. CAPM.LACO Q
9 6.2 S MC 8 2 3 D 3.00 --indD►} .
Tr
i
APPLICATION F"OR BUIL ING PERMIT Z
COUNTY. OF LOS ANCMLES BUILDING
UEPASTMWT OF COUNTY ENGADDRESS
II�ffi
BUILDING AND SAFETY DrnmoN ►e -m r
JOHN A. LAMBIE, COUNTY Braine N"REBT
or CROSS ST.
DISTRI N GROUP TYPE
FOR APPLICANT TO FILL IN CONSr...
UL NMI i ST�TIST I CAL CLASSIFICATION YAP
B
AUL NMI / 12
FG
CLASH.NO UN Z
LOT NO. r BLOCKSTATE .YES .
NU B®R
TRACT I uaEzoNE SPECIAL
CONDITIONS
NO.OF SLOGS.
1lZE OF LOT NOW ON LOT 1�
UBE OF
..TINB BUN-DING YARD HWY STREET NAME IST
BE-.BACK WIDtH
OWNfft NO 4f ..FRONT /
P L
DRESS VIDE '
ARCHITECT OR TEL '
ENGINEER No. INSPECTION RECORD
ADDRESe
_ ..
TQL
CONTRACTOR NO r (�
ADDRESS
DESCSIPTION OF WOES
/ �
NEW REPA I Ft "DEMOLISH
SO.FT. :NO.OF /� NO.OF i
BIZ STORIES �-+ F ILI
USE OF I S,R,
r -
STRUCTURE 4 ov
t
!il TURE � � r/ r•: Ji � � � V�
Al LI
VALUATION's- F/JCT d7��
APPROVALS DATE INSPECTOR'S SIGNATURE
P GPWT O FOUNDATION:LOCATION
FES FEE "RMB MATERIALS �-0-/ -2,
r O• ( d
1 HER®Y ACKNOWLEDGE THAT I HAVE READ THIS AF FR AY E:FIRE BTOPH,
BRACING BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND O}H VENT DUCTS Z-
STATE LAWS REGULATING BUILDING CONSTRUCTION. /
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LArFi Imo, Z' 'Z
WILL NOT EMPLOY-ANY PERSON IN V106ATION OF-THIK /
WORKMEN'S CO TION L/AW$ O FORMA LA17H EXT.
SIGNATURE HOUSE NUMBER COR-
PERMrI-1 c QCT ANDP99TIED i
p —
CLYDE N. DIRLAM, PRINCIPALRAL ENGINEER
PLAN CErE= VALIDATION arc. a CASH PERMVALIDATION
2 3 D
_ _ . . LA
r,F54 0 5EP16 1 0 15 .5.0
WORKERS'fCOMPENSAT10N b0iAIi IOfJ 86 8
1,Jvveby ¢fflrm-that. 1 hove a: 0 af.coruent to self AP PILI CA�t IO_N. -F Oft" �C I LD I N'G' P E ISI I T .. .
Insure, or a rerttficate of Workeri m rsatlon Insurance,
ora certified copy thereof(sec:3800, Lab. C.j
PaIIry.Na.w000�a46 tompanrlie�►yer I�►SU�`ance - COUNTY OF LOS ANGELES BUILDING AND SAFETY
Cbrtlff*d copy Is.hereby furnished:.. _ FOR APPLICANT TO FILL IN
'Ciwdlfiod copy fs filed with the county bulldI66,Irspec- BUILDING
tion dipdrtin.nt. ADDRESS 5926 Camellia
CA
p6tb 10-29.-86 ApputonV t r-ct i n 'Roof: Co� _... - -- �P. _ .._ . Locw,Y
CERTIFICATE OF''I)M APTION FROM,WORKEitS' - - - y -- + - NO. OF - --'COMPENSATIONINSURANCE' SUM OF LOT NOW ON LOf aT.-.,•K
(this iectloh need not be
completed
le. ted if tiepermit'ls fcfonb BLOCK -. T NO.hundred doj1qn.(S1.0Q),oes& TRACT . PAGEp �
TEL-, 7 '
J,perttfy.`thwt Iri thio performarjce of thp'.work for wh`c� this 710 - NO. }
perTIt Is IssLed,I&Mall ndf employ any person In any`xnanner _ _ - SPECAl; - --- - .+IL
so as t6become iublect to-thie Work""CompensatToh Law& ASS OaDMbNS o,-
• v� - - '
pati rA�plltant .,. ARQIf#ECLOR - -- ZIP
-
NOTICF 'TO'I�PLlaiN it dffer'4i klyd thli'G4HIfica'te of DISTRICT _ TYPE: _: _9RE BY
ExerfipHon; Q.
YOU. should become subject to' thio Workers ZONE
Eomper»ati proviilons of'the-Labor Code,•you,must forth- ADO ,
�ylth comply+wttfi such: provLslons,,or th1s,•permp shall be,t-_ _
dgarTmed revoked., �, .t - SrATISTICA1 TION CONDO?
i CONTRACTOR _.. ._
LICENSED CONTRACTORS DECLARATFON .
- T - - - _ ._. Qua NO. -- UNrrS
I hprebypffirrp that I am licensed under provisions of Chapter 9 ADDRESS P.0 BoX J No)606 0
(commng
end .w)th•S"y00b)of Nvt� 3 of the Busln.ss and __ 1_ __ _ _ _ __. ._. _._.-_` .. _ I SEINER MAP I -.
Profession*'Code,'ar1j nry,Iloer�e Ii•Irl.full force add effect. Crry - CLASS --'" -'- _r - — -Y/LWATFON . ._. I .
•,t
SQ F[ - NO - NQ..OF - PG. ti r
" 16650 CST s+zf stow FAAAlLtES" `I — '
�Ge .Number LIG Clai&
—VALUATION.-.
c«, r V 1 r'd 1 nl n�,o.oate a 0-25-,86 Dff1MwK)N oa woRK Tear-o "--1 a ers _AW q-4rn-no ,
h'am exempt under Sec.; -- - 1430:6,3=1-E
ALTER 1
ff.&P.C.for this reason _ n flOt OhajS 53,
uSE OF oEMOL a
PusuNG BLDG. Apartment f4w X
— - -- _
Stgnafuro:, .. _.. APPLICANTT. TIa.. Ri/SL i
OWNER-BUILDHt DECLARATION —- . _ No DAT!
I herebyafflrm-that I'am exemptdYom-the Contractor'sLicense
Law for the fol lowing.YeasdnI(Sectibrr 7031.5, Businew and ADDRESS 0
`-PLrofdhloris Cod*):'-
.
�_..
. BUILDING,
M I, as owget_of the propgrty, or my.employees with ._ . -_ --. - --
1
w, g as t(ielr sole compenptlon,will&thb worts and ~ I `
the structuce Is not Intended or offend for sale(SectionLQCALrrY
- r ;
r -7044, Business and Professions Code}. N44vrrxr� _ . . ... .._« .. . 7 TIM:
I as owner of theF
I�roperty, am exclusively wntracting ..
',.With litensed toniracfors to codz1rut1-th4'prbldct (Sec-
tion 7044, Buslnew and Professions Code). IRE) '
_ COfNSTRUCTION-1. iNDING AGENCY BACK YARD `HM/1 PROP.UNE --
I hiereby affirm that there Is.a cdnstructlon lending agency for FRONT 5.8.3 2-A,
'The performance of the work-for Whl4;h this permit isissued.
(Sec. 3097, Gv, C� SIDE # o 0 o o 0�1,:
tenders Nam• ( ° 1 24 8 8
LD&&A'W. 1
Lenders Addren P.C.-F«,s-- -. - P rmi F.e---j44 -8 - °. 0 1-2 4 8 8 5-
I certify that a.haw rood this appllcatlon-0nd-state that the - - __.. F..--- 10.50 - LDMA P�C-i :- V CtZ 0'�'8 6"'
above Information b correct. I agree to comply with all County r IrNeWSga4on Fee _
ordlrKzncei.gnd State-laWs relatl.ng to bulfdl•rig 4onVructlon, _ _ _
th
and.hereby authorize rapresentvtives of this County to enter Dial Fne- -LDh1A i
Pen.
ypon iR boJ.itilentloaedpr foF Inspection purpose&
w« fa ny PO!MUMIANATORY LANGUAGA
SlQnatun of Apel lcad or AQ.rd - - Dole
00&f'Y OF LOS ANGELES TEMPLE CTTY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAB TUNAS _ ALTERATION/REPAIR.
BUILDING AND SAFETY / LAND DRVELOPM4 T TE24PLE CITY CA 91780 BL 0508 0705300020
PHONE: (626) 285-0488 ETT:
LEGAL ID: 190. OF CONST BUIIDIW AmvuaS:
TR: 6561 LT: 144 SQ. FT ST173LIR8 TYPE 5926 CAMELLIA AV
STRUCTURE: VN TE" CA 917802004
ASSESSOR INFORMATION NUMBER. N]lARR.ST CROSS STREET: LAS TVPAS
8587-020-029 TH0111 S PAGE: 597 GRID: A3 .ACA=: TT,3)LE CIT7, C
TENANT: RZLST BLDG USE: REBID USE ZONE: R-3 ISSUED ON: PR.00SSSED BY: EDCPI3ZFi4 ON:
E3= OCC GRP: 05/30/07 SR 05/24/08
OWNER: TEL. NO: BLDGS. NOW ON LAT: VALMMON: FIIUIL DA7E Y: CODE:
GALLCMO T7k'33FLS P;JULSE (626) 574-6874- 7,000
5926 CAMELLIA
TE2GYLE CITY CJS. 91780 FEES PAID D TCN F WORK
INST7LLL GARAGE DOORS
FEE DESCRIPTION: QUIuNTITY: UOk: AMOUNT:
APPLICANT: TEL. NO:
SAYE AS OWNER - AA BLDG PERMIT ISSDANCE 27.75
AC STRONG MOTION RSSID 7000.00 VAL 0.70 SPECIAL CONDITIONB:
AZ BUILDING REVIEW FRE 'ti • - - 54.70
D2 PERMIT W/O EN-HC 7000.00 V8L.-'. w166,,20
TOTAL FER.9 � ��.�'R 4P C 3 5 '-
.`
CONTRACTOR: TRL. NO: - 1 - T __ APPROVALS DATE INSPS'CTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SET`BACXS
_ r4
90IL9 EAQUUM APPROVAL
ARCIECTECT OR ENGINEER. TEL. 210: POUNDATION TRXVCH FORMS
LIC. 190: BLAB FLOOR
RAISED FLOOR FRAMING
MAP 190: SEWER MAP BOOK: PAGE: FIRS ZONE: CMP: UNDERFLOOR INSULATION
150H269 3 01
FLOOR SHEAT[-II.2 G
NO. OF FAMILIES: DWELLING UN= AFT GOND: STAT CLASS:
NO 21 ROOF SHEA.TH329G
SCHOOL WE= HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME IM PBCTION
REQUIRED TOTAL SETBACI FROM EXIST FIRE SPRINKLER AANGEM-9
SET BACK YARD: HWY: PROP LIKE: WIDTH:
FRONT PL- Ig3ULATION GUiAT'FLRR STRIP
SIDE PL-
INTERIOR LATH DRYKAL
EOrrE IOR LATH
RATED FLOOR CELL ASSEM.
RATED WALL a�Svxomi Luo
RATED SHAFTS OPENINGS
T-BAR CELT INGS
LOT 17ZAINAGE
REPORT ID: DPR261 ROUTE TO. M0506
l �' i r.
COUNTY OF LOS AbnK MS T624?LE CITY # 0508 BUILDING PERMIT
DEPAATSENT OF PUBLIC WCGM 9701 LAS TUDIA.S ALTERATIOU/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1403140012
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDI7?G ADDRESS:
TR: 6561 LT: 144 SQ. FT STOR]BS TYPE 5926 CAMELLIA AV
STRUCTURE, 4600 V-B TEW CA 917802004
A99S930A rxunYM►TrON NLMER:
NEAREST CROSS STREET:
8587-020-029 TfOMXS PAGE: 597 G=t A3 LOCALITY: TEMPLE CITY CA
TENANT: E = BLDG USE: REBID USE PANE: R-3 ISSUED ON: PRDCE.S9ID BY:
=ST OCC GRP: 03/14/14 SR
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINALF CODE: .
GALLONIO DENNIS P;JUL�IE (626) 484-6374- 1 14,200
ARCD 910771312 FEE.9 PAID ON OF WORX
REMOVE EL=ING ROOFING MATMUAL AND INSTALL 4 PLY BUILT UP
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TO SPACE SHEATING
APPLICANT: TEL. NO:
BERMUDEZ, DIE00 (909) 370-9259- AA BLDG PERMIT ISSUANCE 27.80
7375 DAY CREEL RD AB STATE GREEN BLDG FEE 14200.00 VAL 1.00 SPECIAL CONDITIONS:
RANCHO CUCAMONGA CA AC STRONG MOTION RESID 14200.00 VAL 1.40
D2 PERMIT W/O EN-HC 14200.00 VAI, 300.60
TOTAL FEES 330.80
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SICUqATQRE
ALT ROOFING, INC. (909) 463-9723-
7375 BAY CREEI BLVD LIC. NO LOCATION AND SETBACKS
#103-52 920480
RANCHO CUCAMONGA CA 91737 SOILS ENGIM3KR APPROVAL
ARCHITECT OR E 12CM: TEL. 90: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB FLOOR
RAISED FLOOR FRAJ1M
MAP NO: SEWER MAP BOOK: PAGE: FIRE F,O29: CMU?: A INSULATION
3 00
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
YES 21 ROOF SHEATHING
SCHOOL WITHIN? HAZARDOUS SHEAR PALS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
FIRE SPR130CL.AR HANGERS
INSULATION/WEATHER STRIP
INTERIOR LATH DRYKALL
EXTERIOR LAS$
RATED FLOOR CEIL ASSEM.
RATED HALL ASSEMBL7B8
RATED SHAFTS OPENINGS
T-BAA CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPP-261 ROUTE TO: 13S0506