HomeMy Public PortalAbout5957 CAMELLIA AVE_Building__ DEPARTWMW °FCOUFff BUILDING
DIVISION OF BUII.DING AND SAFETY
C mx r CF UX AMIGE�
WILLJAM J. FOX. Couxrr KIa1Nme APPLICATION
CAtlATT D. MRIFFIH. Sur•T OF hmnuft
FOR APPLICANT TO FELL IN FOR OFFICE USE .ONLY
aUI1.DINa DISTRICT NO. FL Am CI[.on RSO.No. PERMIT NO,
ADDRESS
Lam, CY DATIK OF APPL- r)ATIt IbSUIED
NEAREST �.
IN
�DDURif1:
OWN�t C
MAIL LOCALITY CALITY
ADDRES6
N
,�- /1
EREST, '
CRORS ST.
ARCHITECT OR e7 Tp- FIRS NO. OF aR0
KNOINIM ZONE PLAN!
ADD ELDQ LINT I ' O.
•ITSACK
�'�-- USAPPROVED
CO ZO[ my DATE
HOUSE NUMDERIN3
LiaAL MAPNU O. ASSIMHID SY
DESCRIPTION COHEWTIONS _
TRACT
NO. OF an^W.
aIZE OF LOT 15 OW ON LOT
WIN OF NO. OF
KXLIMNG RIT FAMi
ONION OF WORE o —
ADP
p
REPAIR DEMOLITION
SO. FT. NO. OF
812M MS STORI d
KXT. WALL ROOF
COVERIHM COVKKFN43
USE OF
/117u"'
J :
APPROVALS
INSPECTOR'S SIQNATURi DAT=
FOUNDATIONS LOCATION
'FO MAT0UALS
1 HKRKRY AC]CNOWLJMai THAT 1 HAVL READ THIS AP- F-RAHit F7RY STOM,
PLICATION AND STAT= THAT THE INFORMATION GIVEN IS CRACIN COLTS O 4�
CORRECT.
IAWM TO COMPLY WTPH AL1 COUNTY CI
ORDIHAHCit FURHAt LOCATION.
AND STATE LAW1 REaULATiHa dDQia gOtiSTRUOTION.
GAS VWTDUCTS
Ji1aHA71IRi OF
//J LATH. U'rT.
LATH. EXT. v .
ADDRKM
rLA9TEFt. 1 NT.
AUTHORIZm AMT.
PLASTER, ERT. -
s4�ZO- MNLAL
OUSE NUMSER COR-
RECT AHD POSTED
VALUATION FQ �.�,� ` �J•-S'
78ARaA 4a a S-aa
APPLICATIONFOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR AFPIJCANT TO FILL IN
I hereby affirm that I hake a certificate of consent to self haure,
or a certlflcafe of V%brkarW Corrpensatbn Insurance,or a certffled '-?/
copy ( 3800,Lab.c") r /0
LOCALITY�L No OF LOT 40.OF NOW ON LOT
eJ2"L'ertfM1ed copy!a hereby turnla d. QST CAOB9 9T.
❑ CwttW copy Is flied wtth the bulldlrlg TRACT BLOCK LOT NO.
6913-1 r—tUSE ZDNE117
AMP NQ
Date44 ASSESSOR AMP BOOK PAOE PARCEL
CONDI K S
NO
RTIFICATE OF EXEM M WORKERS' TEt
COMPENSATIO SURANCE w1T-�+loon Fr.OF 8CH30L? s
(Thla section need not be corrpfeted If the permR Is for one hundred DISTRICT OFK" CbNST. FIRE ZONE PROCEBSED BY
dollars(S1DO)or lase)
1 ce_r_ti�f�y-Jthat In the perfomlerioe of the %"ic for whish this pe- h: �� L7
1e 1DSU, I shall not ertpby enY person Ill any manner DO Ba t0 AAG�fTEOT OR ENGINEER TEL
Hka
become aub)Dct to the Workers'Conp'ensation Lewe Syvl9lx11 APT CONDO
Deter_ Applicant ADORE89 CLASS Na =DWRL UNITS
NOTIC- TO APPLCMT If, after rnakkQ thle Coufiicate .of REQUIRED TUUQ-SETBACK FROM EXr3T
Exenptbn, you ahcuid become subJact to the Vkrkere' SUR "a 81ET BILK YAM HWY PROP LINE WDTH
Cor peneation-provlalons of the Labor Code, you must tordwAth )0-7eAr77 17A f 7' Ad
copty with such VvAebm or this pwTntalI be deerned revoked. CONT
mft ef
� PL
LICENSED CONTRACTORSP
DECLARATION P LL
I hereby affirm that I am Ilcwn uiderprwbJorm of Chapter 8 SEWER VAP
(corrvnencing with Section 7000)of.DNhsbn 3 of the Bualneaa and 4a of sTOREs NO.OF FAA9JE8
Proteealons Code,end b In full force and NEW El RK PG
lee , Q
Lnae Number Ix.C OF� ADD ElC7
Contractor Z& .P/�� ateyl�r CWZV ALTER ❑ 7
❑ I am exempt under Sec. REPAIR
BAP.C.for UJs reeaon r MOL "❑ LAM P/C r
USE URM ❑ 1 Z
APPLICANT(PFN(F) TEL Na tDNA Perm t 4cff..T
❑ I, as owner of Or rrry ernployees with wag- as ,'}
their Bole will do the work and the structure Is ADDRESS — v::,]L.7� 139.90
not tnhxxled or offered for sale (Section 7044, Buelrxm.and FINAL
Proreeaione Code) VALL n e �PLI�+rr oa wmx£auLa.ra o�+T u�DLE A Fuznrn«b►wm� i ITEM
❑ 1, aB owner of the property, am exc tatvely contracting with oR A AbTtrf co►rpiaro A fwsaooLra uQeFPL eaw To on aFeArER THAN Tr-E
"-mad contractors to construct the project (Section 7044, 'WOLWrs 8PECFEO ON TFE FIAZARDCM MasrinLs PFOFnwrar GIDE? FULL TOTAL 1,39 _ 8101
Buelnees and Pro(eeabne Code.) YES❑ No❑
CHECX .80
w7_L THE NrbIra 19YTE ®use OF THE BUID Y THE! FUT
IPPLIQWT OR URE BULDNG 1 '
OCCk"J47 FECUFE A PU04T FOR CONBTF#JCTgN OR MODPICA IDN FROM THE souTH ��.�t,�/-�C .U�
CONSTRUCTION LENDING AGENCY COAST AS QLAUTY WH^°D ENT DETRICT(er1a�1 a�PffV4rn a a-EaarsT FOR �•Th9 Y]L
rr<riRi�g
I hereby affirm that there Is a construction lending agency for YEs❑ No El
the performance of the work f whish permit Is Issued(Sea
m I OW-�VE FEaART TFf KkZARDOUa MA-6�5LB lFCF"g10N GIDE AND TFC.�.._'#,QW P B4&T M or
THE Lem cy.C. lTh. 2 C1-i�,PTs T ONe BTl=2-M,� :+G ,e DE. J— 1 X1111 .,
Ler,dere r�anle NVTU.,_a REPOIRTM Aro FOR Off""A PB:MT FROM TFE ecloro. 9896 1 AN u:47
Lerlder'a Address joy
I GKWY that I have reed th1B applbatfon and state under panafty
of pa*ffy that the above lntomvtbn Is correct I agree to comply P.C.FEE FERAIIT FEE
with an county ord and State taws rekr&Q to bu0dtrlg '
tonne tand Wky qt-rt,- rapr5pqr�he for I of pur-CwTty 13BI ANCE FEE
m NVESTKiATION FEE TUUIL FEE
577 SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS AlGELES TEMPLE CITY (# 0508 B=ING PERMIT
DEPART]INT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUIIDIAG AND SAF3TY / LAND DEVELOPMENT TEMI'L•R CITY CA 91780 BL 0508 0708160040
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BU=ING amRESS: .
TR: 6561 LT: 163 UN: .002 SQ. FT STORIES TYPE 5957 CAMELLIA AV
STRUCTURE: VN TTDI CA 917802055
ASSE89OR I24PORl0.T'IOti NEWER:
NEAREST CROSS STREET:
8587-019-001 TTKVO M PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
TgANT: EXIST BLDG USEi RESI]D USE ZONE: R-2 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/16/07 SR 02/12/08
OWNER: TEL. 190: BLAGS. NOW ON LAT: VALUATION: . FINAL DATE Y: CODE:
MARIA, JOSEPH (626) 963-3285- 6,050
5957 CAMELLIA AV
TEMP 917802055 FEES PAID ON OF,WORK
PROVIDE 4 INSTALL 16 WINDOWS
FEE DESCRIPTION: QTANTTTY: DOM: AMOUNT:
APPLICANT: TEL. NO:
RANGIur. (714) 996-1907- AA BLDG PERMIT ISSUANCE 27.75
1315-D BLU BUM ST. AC STRONG MOTION REBID 6050.00 VAL 0.61 SPECIAL CONDITIONS:
ANAHEIM, CA 92806 D2 PERMIT W/O EN-HC 6050.00 VAL 166.20
TOTAL FEES 194.56
CONTRACTOR: TEL. NO: APPROVALS DATE DNSPRCTOR SIGNATURE
HARDY WINDOWS CO. (714) 996-1807-
1315-D BLUE GUM LIC. NO LOCATION AND SETBACKS
ANAHEIM, CA 92806 503323 C17
SOILS ENGINEER APPROVAL
ARCTIITECT OR ENGIN: TEL. NO: FOUNDATION/TRENCH FORME
LIC. NO: S /UNDER FLOOR
RAISED FLOOR FRAr@7G
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ZYLOOR INSULATION
15OH269 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLIM UNITS: APT GOND: STAT CRSS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
ADR QUALITY: 1000 FEST )ULTIiRTALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPR10aE5Z HANGERS
SET BACK YARD: H": PROP LIT7E: WIDTH
FRONT PL-
TNSULA 'ICIN STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ASSEM.
RATED VZALLT• ASSENfiT.TF17
RATED SHAFTS OPENINGS
T-BAR [*RTL I NGS
LAT DRAINAGE
REPORT ID: DPR261 ROUTE TOi BS0508