HomeMy Public PortalAbout5951 CAMELLIA AVE_Building__ A ROAD DEPT. PEVArT IS 'REQUIRE)
FOR ANY IA ATSi.il.L-%;�iZACE ux 1v,iRK .
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7&M*aACZJ. APPLICATION .FOR BUILDING PERMIT
COUNTY OF LOS ANGELESBUILDINo
DEPARTMENT OF COUNTY ENGINEER wDDRHBr�
ItILDING AND SAFETY DIVISION LOCAL
JOHN A. LAMBIE, COUNTY ENGINiEJR NEAREST
CAAiATT D G
CROSS ST.
RIF'FI a of Cu -
LD M a
MEERMEW DI ICT O. 1 GROUP .Tlyi-.E #SR
FOR APPLICANT TO FILL IN cc
BUILDING ST'ATISTICAL C 1FICATION SEVrgli MAP
ADDRESS . �PO
CLAeH.NO UN
LOT NO. BLOCK M B STATP O
NUMBER HWY. YES
TRACT 6'1d O 1-18� ZONE SPECIAL
I NO.OF BLDG9. �� CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. B�LPING YARD STREET NAME EXIST'
BACK WIDTH
OWNERA- FRONT
MAIL
P L.
ADDRESS BIDE
TEL P L.
CITY
ARCHITECT OR NO. INSPECTION RECORD
TEL
-ENGINEER NO. -
ADDRESS LA
TEL
CONTRACTOR NO.
ADDRESS /
D ON OF ORB
NEW ADD ALTER - REPAIR DEMOLISH
NO. QF NO. OF r I
SIZE STORIES FAMI ES
USE OF 7 .
STRUCTURH ,
SIGNATURE OF
APPLICANT _
APPROVALS DATEINSPECTOR'S SIGNATURE
ADDRESS FOUNDATION:FORMS, MAERIALS ION /
VALUATION ; �� FRAME:FIRE STOPS, - !.
BRACING BOLTS r
P.C. PMT. RNACE: LOCATION, -
FEE FEE OAS VENT DUCTS
HBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT
CATI N AND STATE THAT THE ABOVE 19 CORRECT.AND ,
AGR EE TO COMPLY WITH CO NTY ORDINANCES AND
STATE, LAWS RE LA 1 l IN6 CDNBTRU 1 N. LATH EXT.
t�1GNATURE OF HQQUBH C
NUMBER OR-
ER M ITT 1#ECT AND POSTED
ADDR PI NAL l Zi
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL
PLAN CHECK VALIDA-TION « u'0• + PERMIT VALIDATION — m.o. H
COUNTY OF LAS ANGRI,Rq TE PLE CITY 1 0508 BUILDING PERMIT
DEPART[4.NP OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPA-IR
BUILDING AND SAFETY / LAND DEVELOPMENT TF71= CITY CA 91780 BL 0508 0912010015
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 164 SQ. FT STORIES TYPE 5951 CAMELLIA AV
STRUCTURE: 3400 V-B TEMP CA 917802055
ASSESSOR INIFORIATION NUMBER: NEAREST CROSS STREET: WOODRUFF
8587-019-003 THO61AS PALM: 597 GRID: A2 LACALSTY: T134= CTTY, C
TIOU.NP: EXIST BLDG USE: RESID USE ZONE: R-3 ISSUIM ON: PROCESSED BY:
RTT T OCC GRP: 12/01/09 9R
OWNER: TEL. NO: BLDGS. NON ON LAT: VALUATION: FINAL FINAL BY: CODE:
STANTON, CONNIE - 3,400 ,��1 IM/
5951 CAMELLIA AVE, r
TEMPLE CITY CA 91780 FEES PAID OF WORE
REROOF REMOVE HOOD SHINGLES ADD PLYWOOD 4 30 Y12 COMP CLASS A
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
APPLICANT: TEL. 1900:
WEATHERGUARD ROOFING (909) 982-7000- AA BLDG PERMIT ISSUANCE 27.75
1709 W 11TH ST. AB STATE GREEN BLDG FEE 3400.00 VAL 1.00 SPECIAL CONDITIONS:
UPLAND CA 91786 AC STRONG MOTION RRSID 3400.00 VAL 0.50
D2 PERMIT W/0 EN-HC 3400.00 VAL 115.80
TOTAL FEES 145.05
CONTRACTOR: TEL. NO: APPROVALS DATE INNSPSR SIGNATURE
WFATH13WUAPD ROOFING 909982700 -
1709 W 11TH ST. LIC. NO LOCATION AND SETBACZS
UPLAND, CA 91786 921927
SOIW ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORKS
LSC. NO: SLAB/UNDER FLOOR
PALS= FLOOR FRAMING
MkP NO: SElCIR MAP BOOK: PAGE: FZRE ZONE: CMP: UNDERFLOOR INSULATION
150H269 3 00
FLOOR SHEATHING
NO. OF FAIN[IldRS: DWELS,ING UNa-TS: APT CORD: SPAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WTTHIN HAZARDOUS SkTaR PANELS
AIR QDALTTY: 1000 FEET 1AT RTALS tr
NO NO NO FRAME IINSPECTIOM
REQUIRED TOTAL SETBACK FROM EZIBT FIRE SPRINXLRu HANGERS
SSP BALE YARD: HWY: PROP T. : WIDTH:
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
I
aIRRI
OR LATH
FLOOR/CRIL ASSESI. -
RATED WALL ASSE2-MT,
RATED SHAFTS OPENINGS
T-BAR CEII 29GS
LOT DRAINAGE
REPORT ID: DPR261 RD= TO: 890508