HomeMy Public PortalAbout6012 CAMELLIA AVE_Building__' 76A8_4ACE 'e03 M7APPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELS ' _ASSESSOR
DEPARTMENT OF COMM. ENGINEER MAP BOOK PAGE PARCEL
BUIMING AND SAFETY DIVISION BUILDING
JOHN A. LAMDIE, COUNTY ENGINEER ADDRESS
T
-6COLEMAN W. JENKINS, WLOCALITY
P"T OF BUILDING
FOR APPLICANT TO L IN NEAREST
tPrlht Sr t-vD@ only) CROSS ST.
ABUILDINGC 1 ,DDRESS L;,/
DISTRICT NQ,. GR CONST P BY
t (� TYPE
P'
STATISTICAL C IFICATL N SEWER MAP
LOT NO. .f�i hy BLOCK *43
CLA33 NQ pWELL',UNITS BK�i PO l
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TRACT- USE ZONE MAP .. Zd Jr .. .
NO.OF BLDG$, NO.' V
SIZE OF LOT OW ON LOT SPECIAL,
USE OF CONDITIONS.
EXISTING BLDG.
OWNE5egfO. BLDG.SETBACK FROM
ADDRE83 FRONT PROP.LI NE OF (STREET)
TYPE OF EXISTING SETBACK HI(h1WAY + YARD _ = TOTAL.
CITY—,
HIGHWAY WIDTH 'FROM C.L.
ARCHITECT TEL. +
ENGINEER NO.
BLD SET ACK FROM .
ADDRESS SIDE PROP.LINE OF (STREETl
TEL. TYPE DF EXISTING SETSACK HIGHWAY '+ YARD = -TOTAL
CONTRACTOR NO. HIGHWAY WIDTH FROM C.
LIC. + H
ADDRESS NO. _
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER
NAW AND 13 NCH SEE REVERSE SIDE FOR SPECIAL APPROVALS �
cn
ADDRESS - x
SQ. FT. NO. OF' NO. OF NEW ❑ I
SIZE STORIES FAidILIE3 USE OF ADD
STRUCTURE ALTER ❑
REPAIR❑
Li
SIGNATURE OF
APPLICANT MOL ❑
VALUATIONS APPROVALS DAT INS CTOR'G ■ aNATUR[
P.C. PMT. FOUNDATION:LOCATION
FEE S FEE S FORMS MATERIALS
AMEs FIRE STOPS,
I HERESY ACKNOWLEDGE THAT I HAVE REAP THIS APPLICATION BRACING BO TS
AND STAT[ THAT THE ABOVE 12 CORRECT AND AGR[[ TO COMFLY FURNACE: LOCATION, ._
WITH ALL ORDINANCES AND, LAWS REGULATING BUILDING CON- .GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED _
H[RERY .I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. '
LAGOR CODE M DT NK
STATE OF -CAL4I`ORNIA IN RELATING TO
WORKMEN'! COMF[NI/ATION INSURANCE. LATH, EXT, y
SIGNATURE OF �9 OUSE NUMBER QOR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL 6
JOHN
�F..�LEWIS.'PRI C�IIPAL ST L ENGINEER
PLAN CHEC1 VALIDATION CK_ M.O. CA 11 _ rL.laL�iii VliLil/A ION CK. M,O-, CA"
a ' �nv6s .m 3 1D . 3ry
,. 170A64A CE SBOE 4/70
APPLICATION FOR BUILDING PERMI
{. COUNTY OF LOS ANGELES _ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOO� PAGE PARCEL
BUILDING AND SAFETY DIION BUILDING
VIS
ADDRESS a
JOHN A. LA MALE, COUNTY ENGINEER
COLKMAN W. JENKINS, ISUP'T OF DUILDINO
LOCALITY It x
FOR
I F W NEAREST APPLIFANT
CNCSS ST.
(Print or tyDe only) DISTRICT NQ, jG TYPE PR BY
BUILDING .�` 11 CONST.
ADDRESS V
STATISTICAL CLAMIFICATION 8 ER MAP
LOT NO. O J EILOCK .CLASS NO WELL,UNITS BK PG
TRACT USE ZONE MAP �it O
NO.OF BLDGS. NO. V
SIZE OF LOT NOW ON LOT SPECIAL
USE OF �J CONDITIONS
EXISTING BLDG,
TEL .
OWNER - NO. S BLDG,SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
0.�
TYPE OfEXISTING_ SETBACK HIGHWAY } YARD = TOTAL
CITY L HIGHWAY WIDTH KROM C.L.
ARCHITECT OR TEL. } _
ENGINEER NO. Jf BLDG,SETBICK FR
ADDRESS SIDE PROP.LINEOF (STREET)
TEL. TYPE OF EXISTING SETBACKHIGHWAYYARD = TOTAL
CONTRACTOR NO. HI0HWAY WIDTH FROM C.L.
C. } H
ADDRESS NO.
CITY CLIC.
L-A SS CORNER CUTOFF YES. ❑ NO O
CONS-1-RUCTION L
NAME AND BRANCHNDER O LcJga SEE REVERSE SIDE FOR SPECIAL APPROVALS-
ADDRESS
SQ. FT. NO. OF NO. OF ❑
SIZE STORIES FAMILIES NEW f
USE OP • ADD ❑ i F i
STRUCTURE ALTER ❑
REPAIR❑
IS I G&A TUR F 1 i
APPLICANT. `
VALUATION S APPROVALS DATE )MSP ilr O1R'S/2jfNATUMK
FOUNDATION. LOCATFON
FEET FEE= FORMS MAT
tERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING HO TS
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE,TO COMPLY FURNACEt LOCATION, ff
WITH ALL ORDIKANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HER
I WILL iiOT EMPLOY ANY PERSON IN VIOLATION OF THE {-ATH, INT
LABOR CODE OF THE STATE OF -CALIFORNIA 1N RELATING TO `
WORKMEN'S COMPENSATION INSURANCE. LATH, EXT,
SIGNATURE OF OUSE NUMBER CO -'
PERMITTEE R'RECT AND POSTED
ADDRESS G FINAL
JOHN F. LEWIS. PRINtIPAL ST5Var4,TAL ENGINEER.
PLAN CHEC'R VALIDATION CK. M.O. CABH _ PERMT VALIDATION CK. M.O. CASH
IBJ'
0059 ;`X 3 1 D 6.00 a
• 7eAe35A CE 0803
FOR BUILDI G PERM
V COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING d
ADDRESS
COLEMAN W. JENKINS, EUP'T of BUILDING LOCALITY
FOR APPLICANTO FILL IN NEAREST
(Print
CROSS ST.
DISTg1CT NO GROUP TYPE B
BUILDING . S /J CONST.
ADDRESS / s V
STATISTICAL C IFICATION S ER�MAP�
LOT NO. BLOCK CLASS NO DWELL,UNITS BKS' PO
TRACT USE ZONE MAP O
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TE
OWNER lv NO BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
TYPE OF 18T1 5VEAUA HI GH`WAY + YARD = TOTAL
CITY C HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL.'
+
ENGINEER NO.
BLDG,SETBAC
ADDRESS SIDE PROP.LINE O (STREET)
TEL. TYPE OF EXISTING BETBACK HWAY + YARD = TOTAL
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. 8
ADDRESS LIC.
NO. —
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF DD
STRUCTURE ,.r ALTE ❑
-� REPAIR❑
SI NATURE OF
APPLICANT DEMOL ❑ ,
VALUATION S APPROVALS fD A TFE N• CTOR'S 1 NATURE
P.C. PMT.' FOUNDATION: LOCATION
.
FEE S FEES FORMS MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAV[ READ THID APPLICATION BRACT NO BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERDO}1 IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S;;;:Paom INSUR M �\ LATH, EXT.SIGNATURE ( HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN
��+F..�LEWIS. PTR1 CIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ rJ..LLI�JIi VAJaWATIO CK W.O.
f]CA"H
�rr. 12 4 7 JUL 6 1 D 21.75, �
COUNTY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS. ALTERATIOM/REPAIR
BUILDING AND.SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0104170008
-- PHONE: (626) 285-0488 EXT:
LEGAL ID:
NO. OF Umbi BUILDI
TR: 6541 LT: 152 UN: .002 SQ. FT STORIES TYPE 6012 CAMELLIA AV
STRUCTURE: 384 VN TEMP CA 917802007
NEAREST CROSS STREET: WOODRUFF
5385-018-017 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TENANT:
ENIST BLDG USE: SFR USE ZONE: )0( TOUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 04/17/01 UT 10/14/01
OWWER: TEL. W: BLDGS. NOW ON LOT: VALLJATTOW-- FINAL DATE FJNAL BY: CODE:
SCHEIDEGGER PATRICIA
6012 CAMEL77AV ( ) 285-4661- 500 ,JF , n �
'
CONVERT EXISTING FAMILY ROOM TO BEDROOM (384SQ.FT.)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
SAME AS OBER - AA BLDG PERMIT ISSUANCE 27.75
82 PERMIT W/E)NERGY 5M.00 VAL 22.01 .
FEES 49.76
�MGELES co
MOVALS DATE INSPECTOR SIGNATUT—
SAME AS 06IINER - �yOCONTRACTOR: TEL-. NO: s
LIC. NO ARCHITECT OR ENGINEER: TEL. \ LOCATION AND SETBACKS
SOILS ENGINEOF-09WAF
.
- \
LIC. NO RAIft FLOOR FRAMING
ti 1
llllll J
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: L?WjF: UNDERFLOM INMTION
NO. OF FAMILIES: DWELLING UNITS: APT/CCIND: STAl --- HEATHING
I
Mo 21 F SHEATHING
AIR QUALITY: SCHOOL WITHIN HAZARDOUS SHE I�R PANEtS
1000 FEET MATERIALS /
MO NO NO \ - FWE INSPECTION
REQUIRED TOTAL BETA= FROM E)(I STFIRE SPRINKLERTME79--a
SET BACK YARD: RN: PROP LINE: WIDTH: 4(i/j ❑ '
FSDE PL- \�QrVIC6 RT PL-
EXT�ERT6IR Gtil'T-
i
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: W508
I
i
• COUNTY OF LOS AMU TEMPLE CITY 0588 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATIOM/REPAIR
a BUILDING AND SAFETY / LAID DEVELOPMW TEMPLE CITY CA 91780 BL 0508 0305850010
PHONE: (626) 285-0488 EXT:
ID: NO. OF CONST BUILDING
TR: 6561 LT: 152 LM: .002 SQ. FT STORIES TYPE 6012 CAMELLIA AV•
STRUCTURE: VN THP CA 917802007
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WOODRUFF
5385-018-017 THOMAS PACE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TENANT: EXIST OLD13 1 - PROCESSED BY: IRES ON:
EXIST OCC ORP:: RHID USE ZONE: - 05/05/03 JK 04/29/04
uwm M TEL. W: BLDGS. NOW ON-ffr VALUATION: FINAL DATE FINAL BY: CODE:
LEE HSING H i CIM L (626) 286-5588- 8,500
6012 CAMELLIA AV G- IZ- o�
TEMPLE CITY 91730 FEES PAID DMOIPTI OF WORK
REPLACE ALL WINDOWS W/SAME SIZE•REPLACE WOOD SIDING W/STUCCO
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ON WEST AND NORTH SIDES OF HOUSk
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75.
AC STRONG NOTION RESID 8500.00 VAL 0.85 SPECIAL CONDITIONS:
D2 PERMIT W/O,EN-HC--------_8500.00 VAL 199.80
- r-- _5-TQTAL FEES 228.40
CONTRACTOR: TEL. NO: APPROVALS DATE lNspn7M-9fllUTMr--
AS OWNER
SAI¢
LIC. NOLOCATION AND SETBACKS
`4 .-1 �J fF . \` `
ARCHITECT OR ENGINEER: TEL. NO: j,
LIC. N0: J - -- - '� SLAB/UNDER FLOORFLOOR SHEATHINGi
MAP NO: SEWER W M: PAGE: FIRE umt:
W. OF FAMILIES: DWELLING UNITS: APT
NO 2 ROOF SHt:AIMINLi
SCliODL WITHIN HAZARDOUSSH EAR PANELS
_ r .r
AIR QUALITY: 1000 FEET MATERIAL!
NO NO NO - 1' k -I' I �' FRAME IkBPECTr5W
REgUIRED TOTAL SETBACK FROM E)(I ST FIRE SPRINKLER HANGERS
SET BACK YARD: HAY: PROP LINE: WIDTH:
FRONT PL- ^ _
SIDE PL- •`" -
_ , yINTERIOR LATH7MTWT1
—
wi,_foo
RATED WALL X19041TW_
RATED sKkFrs/amimag--
LOT DUINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
I
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