HomeMy Public PortalAbout6022 CAMELLIA AVE_Building__ a ,
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print Or type only)
BUILDING Z �m ` COUNTY OF LOS ANGELS
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDING AND 3 DIVLSION
LLen NO.OF BLDGS. BUILDING
SIZE OF LOT IU� NOW ON LOT ADDRESS V
�/�
'TRACT )�6 I BLOCK LOT NO.lb.dhdO LOCALITY
TEL. NEAREST
OWNER NO. �— CROSS ST.
ASSESSOR
ADDRESSCAW MAP BOOK PAGE PARCEL
D STRICT GROUP TYPE FIRE P ESSED BY
CLTY ZIP CONST. Zp `,
ARCHITECT-OR TEL
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MA
ADDRESS CLASS NO-.>- / DWELL.UNITS If BK]39!-G
CONTRALTO TEL NO. U ZONE MAP
r Wt)-NO.
LIC. G NO.
G• �vk t hi A NO. 3PEC1 L
..r LIC. CONDITIONS
CITY CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
SQ, F NO. OF NO. OF CHECK FRONT PROP. LINE HIO AY WIDTH
SIZE1543 1 STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW S,
BLDG.SETBACK FROM
DD SIDE PROP.LINE OF (STREET)
LTER = O-TAL SETBACK FROM TYPE OF EX13TI40
pjtj
Ig HIGHWAY + YARD
EP AIR SIDE PROP. LINE HIGHWAY WIPTH
_ !/J
USE OF �' EMOL + Z
EXISTING BLDG.
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) )}•, NO.
BY (SIGNATURE) y IN OPEN SPACE YES ❑ NO ❑
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION,$
I HEREBY ACKN IDLE THAT I HAVE READ THIS APPLICATION
AND GTATE THAT THE ABOVE IG CORRECT AND AGREE TO-COMPLY - -
WITH ALL ORDINANCIG AND LAWS REGULATING. GUILDIM§ CON-
STRUCTION. IC
THAT IN GING THE WORK AU ORIZED
HEREBY I WILL NOT -EMPLOY A ERSO IN V10 THE
LABOR CODE I TH ETAT! F •CAL MIA RELATING TO
WORKMEN'1 COMPEN T IN N E
SIGNATURE OF
PERMITT
ADDR
TEL FINAL
CITY NO. DATE
_tjt
MAKE CHECKS PAYABLE TO: FEE'+ FEE•$
HARVEY T. BRANDT. COUNTY ENGINEER A, �A7S
PLAN'CHECIK VALIDATION CK. M.O. CASH PPMIT ♦ATION CK. CAS4A
0..5 4 NOGT 9 l 9 5.O O •98
79AGSOA Ct0e01 5/74 '-
AP PL I CATION FOR Q COUNTY OF LOS ANGELES
BUILDING PERMIT 3v ��2 DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUI LDING
FOR APPLICANT TO FILL IN ADDRESS Zi ✓y
BUILDING eA4 ,r/
ADDRESS f-t LOCALITY
NEAREST
CITY ZIP 1 CROSS ST.
O.OF BLOGS. ASSESSOR
SIZE OF LOT NOW ON L MAP BOOK PAGEVFIREJ�
RCEL
DISTRICT G TYPE TRACT BLOCK O'TNOCON T. �J
TEL `�• ��
OWNER G� NO. STATISTICAL C S FICA TION SEWER M
ADDRESS e� cr'/"7� CLASS NO. ---/ Jr- BV_� G
�i rJ 715 NE MAP
CITY C_/ ZIP / NO.
ARCHITECT OR TEL. SPECIAL
ENGINEER NO. CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NOTE e? ❑
S NOL 3 BLDG. ETBACKFROM
CONTRACTOR
LIC. �-y-- FRON PROP.LINE OF (STREET(
ADDRESS _Zj AW14 NO, HIGHWA + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC.
FRONT PROP. LINE HIGHWAY WIDTH
CITY CLASS _
CONSTRUCTION LENDER
NAME AND BRANCH
BLDG.SETBACK FROM a
ADDRESS
CITY SIDE PROP.LINEOF ' TREET) V
SQ. FT NO. OF NO. OF CHECK HIGHWAY + YARD = TOT L SETBACK FROM TYPE OF (STING
SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY TH
NEW ts
+ _ W
DESCRIPTION OF WORK �
V!
ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z
,N- ALTER ❑
-REPAIR[] IN OPEN SPACE YES ❑ NO ❑
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. DEMOL ❑
AP(PRINT)ANT S NOL.
N .
BY (SIGNATURE) !/
I HEREBY ACKNOW GE THAT I HAVE READ THIS APPLICATION -
AND STATE THAT THEJABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- G�
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPa�NSALSIGNATURE OF t�,Qi'` FINAL BY
PERMITTEE DATE
ADDRESS
( _
TEL /_ P.C. Fee$ Permit Fee
CITY- � /{C]y j/ NO. G
y Issuance Fee
VALUATION
✓ Total Fee 7
PLAN CHECK VALIDATION CK. M O. CASH _ PERMIT VALIDATION C . CASH
835r'--JUL9.2 5 ,
836'=IuL 1. 0 4 8.7 5
76AG38A CE#8038 12/75
COLINTYJ F-tUS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUB (C.WORKS 9701 LAS TUNAS ALTERATIOM/REPAIR
BUILDING AND SAFETY%-, 1-AND DkVELOPMENT TEMPLE CITY G 91780 BL 0508 0102080028
PHONE: (626) 285-0488 EXT:
LEGAL - NO. OF CONST --mrLDING
TR: 6561• LT: 153 SG. FT STORIES TYPE 6022 CAMELLIA AV•
ASSESSOR INFORMATION NUM1BER: — STRUCTURE: 0 VN TEMP G 917802007
NEAREST CROSS STREET: GARIBALDI
5385-018-019 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
Z T99am-m—i PROCESSED BY: EX IRES ON:
EXIST OCC GRP: - 02/08/01 UT 08/07/01
UWNt:K: TEL. � FINAL
3EN HSI11 CHE - 1 4,600 2 2
ARCD 910064258 FEES PAID OFWOR
TEAR OFF EXISTINGIN INS X15 FELT( INSTALL 1/2•
APPLICANT: TEL.–VU-- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PLYWOOD AND REROOF PITH YR. CaP. CLASS SHINGLE
CONSUMER ROOFING CENTER (800) 276-6388- AA BLDG PERMIT ISSUANCE 27.75
7438 VARNA AVE. AC STRONG MOTION RES �T7
00 VAL 0.50 SPECIAL COKDITIONF
M. HQLLYYOOD, G D2 PERMIT LlLO VAL 132.60
EL \ 16o.s5
APPROVESCONTRACTOR: �S C
CONSUMER ROOFING CENTER (800) 276-6388-' V
7438 VARNA AVE. LIC. NO �� \� LOCATION AND SETBACKS
NORTH HOLLYWOOD, G 91605 616284 C39 • \ ��
ARCHITECT OR ENGINEER: TEL. NO:
LIC. NO.If I U,111111 1�
150H269 3*0. OF FAMILIES: WMING UNITS: APT/01D, STAT .
L' �Ii� I 1�'I i���1� r11tJ uC�=)
_ r
No
22
SICH
COL. WITHINSHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
No No NoREQUIRED TOTAL SETBACK FROM E)XIST FIRE SPR
FRAME IW3PECTION
SET BACK YARD: HWY; PROP LINE: WIDTH:
FRONT PL- �.70VICt�%
SIDE PL-
INTERIOR LATHfORYWALL
EXTERIOR LATH
RATED FLOOR/CEIL •
RATED WALL A99997M
RATED SHAFTS/OPENINGS
` ADDITIONAL DATA ON FILE T-BM CEILINGS
LOT DRAINAGE
REPORT ID: DPRZ61 ROUTE TO: BS0508