HomeMy Public PortalAbout6008 CAMELLIA AVE_Building__ CK faoa WIN.cn.l 1�
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES r BUILDING AND,SFTj
FOR APPLICANT TO ADDRESS
FILL IN BUILDING
BUILDING
ADDRESS LOCALITY
74-
NEAREST
QTY ZIP V CROSS ST.
�D 91(� NO.OF ASSESSOR
R
SIZE OFLOT LJ WON LOT MAPBOOK P P RCS
L DISTRICT I GROUP TYPE FIRE P ED BY
TRACT BLOCK LOT NO).C� Q CONST. ZON
TEL. �Od -� \
OWN - /CA�/� NO
STATISTICAL CLASSIFICATION 5 EW ER
ADDRESS CLASS NODWEL.L UNITS BK /3PG
QTY ZIP
ARCH OR TELVALUATION $ / l/ENGINEER NO. v
ADDRESS MY,.SOMCK FROM
TEL_ FRONT PROP.LINE OF (STREET)
CONTRACTOR HIGHWAY +. YARD. TOTAL STEBACK FROM HIGHWAY WIDTH
LK-
ADDRESS NO.
LIC-
CITY
IGCITY CLASS
BLDG.SETBACK FROM '
CONSTRUCTION 1 SIDE PROP.LINE OF (STRfETI
NAME AND
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS Qom, SIDE PROP:LINE HIGHWAY WIDTH
SQ.E. NO.OF NO.OF CHECK + V
SIZE STORIES FAMILIES ONE 0
O
DESCF1PTK)N OF WORK NEW P.G m
Fee$ Pe Fee
ADD
Issuance Fee
AJER
REPAIR Total Fee
USE OF DEM )-
EXISTING B
APPLICANT TEL .
(PRINT) 77�
BY(51GNATURE) j
IHEREBY AC)24OYnED E-THAT I HAVE RLAD THIS APPUCATJON AND STATE -- $3'58, 1 A
THAT THE A9OV�IS QORRL{.-T AND AC,RI�TO COMPLY WfTH,ALL ORDI N.ViCES
AND LAMS REGiJ1.TWG BUJLDING COf6TRI.KT10N.I CERTIFY THAT IN DOING THE .
WORK AUTHORIZED HERBY I WILL NOT EMPLOY ANY PERSON IN VK)LAT"OF o o o O e 1
THE LABOR CODE OF THE STATE Of CAL FORK IA,IN RELATING TO WORKMEN'S COM-
PENSATKxNINSURANCE
2'- - 3400
SIGNATURE 'o'o
PERMITTEE - 34,006
ADDRESS 0 A 0'5
779
T,S..
CITY NO.
USE ZON E MAP.: j+
NO.
SPEQAL
CONDITIONS
ANAL
* L
DATE
DEPARTMENT OF BUILDING AND SAFETY � APPLICATION FOR PERMIT �
COUNTY OF LOS ANGELES
BUILDING
WM. J. FOX, OHIKF KNE31NEKR
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
O
SUILDINO 40 IT DIETRIOT NQ. PLAOK.No. - PERMIT NO.
ADDRESS
LOOALITY RKOKIVLD BY DATE OrAPPL. TI ImUm
Jai H[AR EHT ,
OROBS f.
■UILDINO
OWNER d f ADDREY
MAIL LOOALITY
AD D R.
NFAR EST
TEL. GROSS ST.
O TTY NcL FIRE NO.OF OROUP_�m
ARDHITEDT 0 INZONE PLANS wr!J
KNOINKKR
Loa � L L
ADDREM !�4N-2&-1 9t9fU&
S1LTOAOKL1N[ PJ
TIL APPROVED
CONTRAOTOR q SY DATE
UB[ AP M3VKD
ADORE" MNK t SY DATE
LEnAL CORRECTIONS
DESCRIPTION I LOT MO. BLOCK
TRAOT
Nc OF SLD OL
SIZE OF LOT NOW ON LOT
FA
UEXISTINQK OF No.OF NO.OF
G SIDU. ►r— ROOMS
DESCRIPTION OF WORK
NEW ALTERATION AbDITION - - -
O
REPAIR MOVING DEMOLISH - A
D
Sq.FT. N0.OF Z
SIZE ROOMo El-DRIES ry
WALL ROOF
DOVKRINO OOVERIMO
USK OF NEW
SUILDINO
I HERKIFY AOKNOWLKDOK THAT I HAVE READ THIS APPROVALS
APPLIOATION AND NATE THAT THE ASDVE IS OORREOT
AND AORKK TO DOMPLY WITH ALL COUNTY ORDINANOKS FOUNDATIOM LOOATIOM INOFKOTOR DATE
AND STATE LAWS R[OULATINO ■UILDINO OONSTRUOTION. rORMS, MATERIAL
FRAMK7 FIRK MTOP%
■IONATUR[ OF I ■RAD IN SDLTB
PEFIMI
LATH, 1 MT.
AUTHORIZED AJTf F
LATH, loCT.
7&&AMaA-2 lu- 0 / s P.0.or PLASTER, INT.
FKK P KXT.
VALUATION F" '-�� FINAL
T
I
DEPARTbtNT OF BUDDING AND SAFETY ".),,*PLICATION FOR PERM
C®UNTY OF LOS ANGELES BUILDING
'UM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL INFOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO
BUILDING
ADDRESS d�/ --^L , ..�7e
5 w3
LOCALITY RECEIVED BY DATE OF APPL. ATE ISSUED
NEAREST
�r• i F ��/�
CROSS ST. BUILDING
ADDRESS
OWNER
MAIL LOCALITY
ADDRESS NEAREST
TEL. CROSS ST. Chi (j
CITY, del& NO, FIRE NO. OF TYPE GROUP
ARCHITECTTEL. (' ZONE PLANS
ENGINEER • N � BLDG. ,. _ - ,lam/ - ORD. NO.
SETBACK LINE
ADDRESS 7J' APPROVED
TEL. BY DATE
CONTRACTOR ,e NO. USE APPROVED
' ZONE BY DATE
ADDRESS HOUSE NUMBERING
LEGALI
DESCRIPTION I LOT NO. I BLOCK MAP NUMBER ,'` -FIELD CHECK BY
TRACT P , NO. ASSIGNED BY ' 4 DATE
NO. OF BLDGS.F CORRECTIONS
SIZE OF LOT .�. I NOW ON LOT ��.
USB OF I NO. OF
EXISTING BLDG, FAMILIES
DESCRIPTION OF WORK J
NEW I I ALTERATION I I ADDITION
0
REPAIR I I DEMOLITION
SQ. FT. /] NO. OF
SIZE f(/� ROOMS STORIES Y
EXT. WALL �'',� ROOF r
COVERING .2 GG.^^ "-Q COVERING '
USE OF STRUCTURE
t rr
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUC ION.
-� FURNACE: LOCATION,
SIGNATURE OF e GAS VENT, DUCTS
PERMITTEIrfff►►►��� 1/y T_
LATH, INT.
ADDRESS
LATH, EXT.
AUTHORIZED AGT. ,.
PLASTER, INT.
78A838A• D9341 10-80 ,�/o p. C.
G/J FEE 6 - PLASTER, EXT.
VALUATION FEE FINAL ,
I
�)l
,' WORKERS' COMPENSATION DECLARATK>N
sura, o affirm that I haver certificate ns �nsent to �I, A PP L I CATION F O R. . B U I�D I N..G ' PERMIT
Insure, or a certificate of Workers' Competuatlon Insurance, '
��or a certified oopy thereof (Sec 3800,"Lab. � ) - COUNTY OF LOS ANQ.ELES BUILDING AND �S/►FETY
Policy No. - • Company .
❑
Certifiedc0py Is hereby.fbrnlahed. FOR APPLICANT TO Flu IN ADDRESS
BUILDING. -
❑ Certified copy.Is filed with the county building Inspec-
tion departmeht. L L VE L
Date App l l4a nt CITY `I r c-, Ty, . Z]P 11-7 b-0 LOc1 zr
No.'OF BLDGS. NEAREST
CERTIFICATE OF bEYPTION FROM WORKERRS' SLZT OF LOT NOW ON LOT5T. -
COMPENSATION INSURANCE QROSS
(This sectlorr need not be•com leted if the permit is for one TRACT BLOC7C LOT NO. ryygp BOOK p
OR
hundred dollars($1 OD) or.less. PAGE' Q�D PARCti O��r
C7WPER USE'ZONE MAP
I certNy that In the.peffpr mance of,the work foc whlci this /
permit Is Issued, I"II nbt employ any.person In any manner ADDRESS pQ «'1 -a' SPECIAL CXJS
so as to b*come subject to.the Worker'CompensgTlon Lavyt O
CITY . _ LP U
Date Applicant.-- ARCHr1EGT OR 1t2.� DISTRICT GROUP TYPE. R PROCESSED BY
NOTICE TO APPLICANT: if, after "king this Certlflcate of ENGINEER NO. - CONST. ONE
Exemption, you should become -;ybject to the Workers'
Compensation provisions of the Labor Code, you must forth-. ADDRESS �0� ' 3 ✓ ' '
with cdmply with such provislons qr this.Qermltshall be I STATISTFG41❑ASSIFiCJ�TKJN APT CONDO
deemed revoked. NO. _
LICENSED CONTRACTORS DECLARATION LFC CLASS NO. a f nwai UNrrs
I hereby affirm+fiat I am licensed under
provisions of Chapter 9 ADDRESS
(commencing with Section 7000}•of Dlvlllon 3 of tf» Buslnes7t
t}C SEWER MAP
qnd Professions Code,-and my IIbehse is In full force and effect. ry CLASS VALIDATION
SQ. FT. NO. OF / NO. OF / CHECK
License Nymber Or-Cldn SE STORIES / FAMIUES / ONE nt
VALUATION
Contractor Die bESCRI ( WORK NEW ❑ Fel�:I .i
ADD ❑
❑I am exempt under Sec. ATTER ❑ oo ► - .
B.BP.C. for this rpason $ ��'O DD. -I TRE
REPAIR ❑ 1 1 Ci IJ
oar°: TING BLDG. DEnaoL ❑ TOTAL 611 - 14
_ Signature- APPLICANT ]EL _ _
OWNER-BUILDER DECLAMATION PRi NO. FINAL _ LCi
I hereby affirm that I am exempt from the Controc7of's License l608. DATEI � FIj£ 1 �Oct
Law for the following reason (SectlOh 70.31.5, Business an1,DDR£
d sS 6FINAL' - - _ -
P fesslons Code): PF0814T �r _ r LL A
I,. as.owner of The property, or my employees withADBU�� ��Q ' ' '+�
wages as their able compensatlom^wlll do the work and til �AAf
The structure is not Intendedor offered for'sale(Sedlon LOCALITY -�-tr
7044, Business and Professions Code.) MOV14G TB p'1/! �J�1
❑ I, as owner of the property, am exgIVsively gontracting CONTRACTOR NO.
with licensed contractors to construcr.the project (sec- ADDRESS Ii `. t
Uon 704.4, Byslness and Professions Code.)
CONSTFEUC�710N LENDING AGENCY SET REQUIRED YARD Ihyy AL FROM• ��
I hero affirm that there Is a construction lending a for FRONT
by n9 ag. rte'
the performance.of the wont for which this perrnit-Is Issued P.L T i l
(Sea 3097, Civ. C). SIDE TC . 9
P.L
Lenders Name `~� f!1.06
MA Ref.
GO� Permit Fee
Lenders Address , P c.� r
o I certify that I have read this appllcdtlon and starts that the tssuand 7J LDMq P/C I
above Information Is correct. I agree to comply with all County anvrrstlpatloo Foe',
ordinances and State laws rotating to bulldlog conatroctlon, Total Fee , LAMA Perm. _'-rn^l1 [!,f
and hereby authorize representatives ofthlrCounty to enter �`;I-7 i "1074c
µgo a above-mentioned property for Inspection u
Z IpnM RN�iL FO!�LAKATORY LAPOGUAGE (412
viWO Appllcgnt t r 2S
r COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTNTENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
v BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0209240008
PHONE: (626) 285-0488 EXT:
NO. OF CUNST NEW BUILDING ADDRE
TR: 6561• LT: 8 BL: .001 LN03: .0SPL. FT STORIES TYPE OCCUP GROUP 6008 CAMELLIA AVM
STRUCTURE: 455 1 VN R3 TEMP -CA 917802007
ASSESSOR INFORMATION WLIMBER: GARAGE: NEARITT CROSS STREET: WOOORQFF
5385-018-016. OTHER: THOMAS PAGE: 597 GRID: A2 LOCALITY: TE#PLE! CIT`!
•
- USE ZONE: — I SSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/05/03 JK D5/30/04
OWNER: TEL. NO: 9EM%–.M9 ON LOT: VALUATION: — F
WONG HENRY Y (626) 309-9968- 51,900 / TE r FINAL BY: CODE:
6008 CAMELLIA AV
TEMP 917802007
FEES PAID DESCRIPTION OFIUW—
FEE DESCRIPTION: P]llAIPTITY: U01U: AMOUNT: ADO MASTERBD L BATH AND LAUNDRY CLOSET;TTL WHEN DOME:3BR/23A
APPLICANT: TEL. NO:
HERRICK Y AU (626) 319-2021- B1 PLAMCHECK W/ENERGY 40000.00 VAL 673.82
145 ORANGE STREET AA BLDG PERMIT ISSLMCE 27.75 SPECIAL CONDITIONS:
SAN GABRIEL 91776 AC STRONG MDTION.RESID -.__51900.00 VAL 5.19
81 PLANCHF:CK{:V/,ENE-RGY - -51.909.00 VAL 143.49
82 PER>jI�-wvblERGx6 5]900':00 VAL 902.72
CONTRACTOR: TEL. NO: -G FELIX CONSTRUCTION (626) 401-1391- 1
�= 40TAU' FEEII.'... 1,702.97 APPROVAL$ WE—INSPECTOR SIGKATLJRE
4924 N HALIFAX RD LIC. NO LOCATION AND SETBACKS
TEMPLE CITY CA 91780 449477 B
J f
ARCHITECT
i �. -
AU HERRICK Y. (626) 576-270 -!
141 ORANGE ST' LIC. NOq ,'
SAN GBR
AIEL, CA 91776 NONE i ' -- .:_I I -- ---.1
R FRAMING
PAGE: FIRE
UNDERFLODR INSULATION
3• f X01.
--' -. - J _ _ .. _._
18T LEVEL
ZND LEVEL FLOM SHEATH
- -
sc WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS G�
NO NO FIRE DEPT. FRAME INSPEOT'
REQUIRED TOTAL SETBACK FROM BUST BLDG DEPT. FRAME INSPE j/—
SET BACK YARD: HWY: PROP, LINE: WIDTH:
FRONT PLSHEAR PANELS
-
SIDE PL-
INSULATIONA&ATHER 9TRI
INTERIOR LATH/lDRYWALL
tRTERIOR LATH
LOT DRAINA
FIRE DaMTROn–UPROWT
REPORT ID: DPR261 ROUTE TO: B80508