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HomeMy Public PortalAbout6036 CAMELLIA AVE_Building__ ms 7ewe3eA cis faoa IR>n/ elrel lu' A LIGATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS �/ Q BUILDING �. A DD 3 LOCALITY - CITY L Z P N EA REST CROSS ST. .OF RUDGL ASSESSOR SIZE OF LOT NOW ON LOT BOOK P E PARCH DISTRICT I GROUP I TYPE FIREROC ED BY TRACT I BI-CgLOT NO. 0 ^ OONSTt � E OWN d a.1� `/ ATLSTICAL CXJ E P' 'ADDR2,1A CLASS NO. DWELL UNITS BK 7 CITY ZIP AROINEEECT OR TEL VALUATION ENGINEER NO. 'ablr A` ADDRESS M TEL- FRONT PROP.UNE OF (STREET) CONTRACTOR NO. TOTAL SETBACK FROM TYPE OF EXISTING UC HIGHWAY + YARD FRONT PROP.LINE HIGHWAY] WIDTH ADDRESS NO. tic + . aTY CASs CONSTRUCTION LENDER BLDG.SETBACK FROM . NAME AND BRANCH SIDE PROP.LINE OF (STREET( HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT /„ [NO.OF NO.OF m CHECK + SJZE b� STORIES FAMIUEES�/ _ ONE DESCRIPTION OF�WORK � 01..05 NEW P..0 Fee$ Permit Fee l T C-)O}+ PO-i–T ADD luuance Fee Q ALTER REPAIR Total Fee USE OF ^ / DEMOL IXfSTING�BLD(G�,APi' ,,�1/.T/'rCANT �f[1�L (PRINI�.ITry PY GL N01d /-, F r BY(SIGNATURE) I I HERE35Y THAT I VE READ THIS APPLICA AN STATE THAT THE AN IS AND AGREE TO COMPLY WITH ALINjagPITtANCES AND LAWS REGU A eULDWG COfSTRll(TION,I CERTIFY THAT IN DOING THE WORK AUTH(MZED HEREDY I WILL NOT EAST ANY PERSON IN VIOLATION OF THE LABOR COOS A THE STATE OF C!JJ FORK lA N RELATING TO WORICMBJ'S OOM4 PENSATKxJ INSIJRAAII($ 1M,1•'h`/i SIGNATURE OF PERMITTEE ir;f 5 0 ADDRESS d a TEL. 4 USE ZONE M¢AP NO— B O ' SPECIAL FINAL CONDITONS A ATN V r--T- 76AE20A CE#S07e-EIAPPLICATION FOR BUILDING PERMIT . COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDS BUILDING AND SAFETY DIVISION LOCALmr .JOHN A. LAMBIE, COUNTY EN41Nme NEAREST VWl 1 u or Nui LDiNa Ctto"ST. �l - DISTRICT N GROUP I TYPE ED BY FOR APPLICANT,TO FILL IN le CONs1. BUILDING A ISTICAL CLASSIFICATION ADDRE" C�`�� ��� � CLASS.NO_'7S�L_DWELL UN " LOT NO. BLOC.`K WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT - MAP HIGHWAY NO.OF■LDOa. NO. ccIRCL.a> STATE MAJOR RECON LOCAL SIZE OF L NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS IX I a BLDG BUILDING YARD HWY STRH[T NAME IXIST. SETBACK WIDTH ADDR FRONT ARCHITECT OR IF TEL P. L. ENGINEER NO. SIDE O ADDRESS INSPECTION RECORD CO O ADDR DFSCBIPTION OF WORK 1-1 EW AD12 ALTER REPAIR DEMOLISH Lagerrf. NO.OF NO.OF IZE STORIES USE OF STR U CT SIGNATURE OF - APPLICANT y VALUATION S APPROVALS ' 'T DAT IIIkPECTOk' SIGNATURE P.0 ~ PMT FOUNDATION:LOGATION `;. I `, / y_• FEE � FEE FO � RMS YAFERIALd FRAME: FIRE STOPS, IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THEADOVE 19 CORRECT AND AGREE TO COMPLY FURNAL CE: OCATION; WITH ALL COUNTY ORDINANCES AND STATS 1. R.ULATINO GAB VE T DUC BUILDING CONSTRUCTION. I C[RTIFY THAT IN DOING THE WORK AUTHOR IZED HEREBY I WILL NOT]EMPLOY ANY PERSON IN VIOLA- LWH, INT. TION OF THIS LABOR CODE OF.TH]E STATE OF CALIFORNIA RXLAT- ING TO WORKMEN'S COWPENSATION SURANCE. EXT. SIGNATURE"PF SENUMBKR COR-PERM IT'TE _ Z CT AND rOaTADDRES •1 J �� r ti, CLYDE N. DALAM, PRINCIPAL ENGINXVt PLAN CE= VALIDATION m mo. cASH PERMIT VALIDATION o Y.O, aAISa 9 8 2 42 PIAR 1 D 5.0 0 �,• WORKERS' COMPENSATION.DECLARATION APPLICATION FOR ILDING PERMIT I hereby affirm that I have a certificate'of consent to self ,Insure, or b certificate of Workers'Compen;flon Insurance;or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGEL BUILDING AND SAFETY Policy No. Company minim ElCertified copy is hereby furnished. FOR APPLICANT TO FILL IN A Certified f—F Certified copy Is filed with the county building Inspec- BUILDING LJ Ilan department. ADDRESS - `r` LOCAUrY NEAREST Date Applicant CITY + TIP, J CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' V J NO. OF BLS- ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed If the permit Is for one USE ZOt4E g0 hundred dollars ($100)or leu:) TAT BLOCK LOT NO. A NO. } TE1_ -i_ /✓� SPECIAL. a I certify that In the performance of the work for which this OYVNER D[STRICi GRN TYPE FI BY 0 permR Is Issued, I shall not employ any person In any manner I so as to become subject to the Workaws. �� � CONST. Dat `. CITY ZIP G e pllpant 7pa � '�� STATISTICAL OR TEL STATISTL IFtCAT10N AFT. CONDO. NO CE TO APPLICANT: If, afte making this Certificate of ENGIrEER NO ty Exemptlon, you should became subject to the Workers' CLASS NO. DWELL UNITS N Compensatlon provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. CONTRACT NCO VALIDATION LICENSED CON-ERACTORS DECLARATION. uC I hereby affirm that I am licensed under provisionsof Chapter 9 ADDRESS VALUATION (commencing with Section 7000)of Division 3 of the Business aro LIC. Professions Code, and my license is In full foice and effect. 1 BASS $ SQ. NO. OF NO. OF CHECK Llcense�lumber Llc.CI SIZE STORIES FAMIUES ONE Confractorl7• / _ DESCRIPTION OF WORK NEW s +1btY�C /rnll S Date I am exempt from the licensing requirements as I am a i h ADD licensed architect or a registered profeulonal engineer ALTER FINAL acting In my professional capacity (Section 7051, DATE /J- -7' Business and Professions Code). RFPA I R USE OF D(LSTING BLDG. pFNyOL FINAL Lic.or Reg. No. G Date APPDAAT TEL By V - OWNER-BUILDER-DECLARATION PRINT NO. I hereby affirm that f am exempt from the Contractor's License � � Law for the following reason (Section 7031.5, Business and" ADDRESS Professions Code): BUILDING 1,I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure Is not Intended or offered for sale(Section Llnvm4gatlon Y 225-S 3 R 7044, Business and �rofeulons Code). G TEL ❑ I, as owner of the property, am excluslyely contracting CTOR NO. # 0 0 0:0 0 1 , with licensed conimctors to construct the project (Sec- S y� tion 7044, Busyness and Prbfesslons Code). 2'- 0 7 7,0 0 IRED TOTAL SETBACK FROM DIST. CONSTRUCTION LENDING AGENCY CK YARD FI�VY PROP. UNE WIDTH 0'0.'o 9.7 Q I hereby afflrm that there Is a construction lending agency for T 06 the performance of the work for which this permit Is Issued O 1� 0 7-8 2 (SeG. 3097, Civ. C.). , Lender's Name f Perm t Faye i Lender's Address I certify that I have read this application and state that the Issuance Foe above Informatl0n Is correct. I agree to comply with all bounty atlon Fe• ordinances and State laws relating to building construction, Total Fee and hereorize ntativea of this County to enter upon t abo n property for Inspection purposes. SEE REVOM I'OR£XPLANATORY LANGUAGE ^ Signature of Applicant or Agent �� COUNTY OF L0S ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DIPARTIO T OP PUBLIC WORS 9701 LAB TURAS ALTZRATION/REPAIR BUII.DL]PG AND 8A1tPT / LAm DEVNL.OPMENT TEMPLE CITY CA 91780 BL 0508 0602060049 PHONY. (676) 185-0488 ZIT: LEGAr. ID: NO. Or CONEtT BUILDING ADDRX.SS. TR. 6561 LT. 154 UN: .007 SQ. rT STORIES TYPE 6036 C&MZI.LI.A AV STRUCPURN. 1000 VN TEMP CA 917602007 A88Z8SOR INTORMATIOW ITOIBIR. NEAREST CROSS STRINTi 5385-018-077 THOMAS PAGE. 597 QYID. A.2 LOCALITY. TEMPLE CITY, C TZWANT. EXIST BLDG UHE. REBID USE ZONE. R-7 ISSU® ON. PROCZSM BY. KKP IY28 ON. EAST OCC GRP: 07/06/06 JMc 07/01/07 oWNZR. TEL. NO. BIMOS. NOW ON LOT. VALUWICW, FINAL BY. CODE: BALAM, ILLY 7,000 ��m 6036 CANKLLTA AV 4 /1 TEMP 917807007 FEES PAID DES" PTICf9 Or WORK TZAR OFF AND #30LB FELT TILE (LIGET WRIGHT) WkWIZ LITE #787 FZZ DESCRIPTION. QU7JWTTITT. UOM: AMOUNT. MALIBU ICBO #4660 APPLICANT: TEL. NO. CHUNG (713) 500-7956- AA BLDG P13MMIT ISSUANCE 77.75 6140 CAMAILLI.A AVE AC STRONG MOTION REBID 7000.00 VAL 0.70 SPZCTIT, CO DITIONS: TEMPLE CITY 0 91780 D7 P W/O Ef-HC 7000.00 VXL 166.70 TOTAL FEES 194.65 CONTRACTOR: TEL. NO: APPROVALS DAT➢ INSPZCTOR SIGX&TURN PROTNI COWSTRUCTION CO. (713) 500-7956- 6140 CAMBIA AVE LIC. NO LOCATION AND SZTBAC S TEMPLE CITY, CA 91780 B/L 30568 + SOILS ENGINEER APPROVAL AR TEUrZ T OR ENGITEIR: TEL. NO: FOIDIDATION TRZWCH FORttB LIC. NO. SLAB UNDZR FLOOR RAISED FLOOR FRAMING MAP NO. SZWER MAP BOOL. PAGE: FIRE ZONE, CMP. UNDERYLOOR INSULATION 15OH769 3 01 FLOOR SWATHING NO. Or FAM.ILINS: DWELLING UNSTB. APT COm. STAT CLABB. NO 71 ROOF RR12XTBgG SCHOOL WITHIN E[XZAR OU8 SamR PANELS AIR QUALITY. 1000 rEZT NXTIERTATS NO NO NO FRAME INBPBCTIOMM YZQUIRID TOTAI, SZTBACI FR.CK =SFT FIRE SPR13FKLZR HANGERS SET BACL TAYD. HWY: PROP LINE. WIDTH. FRONT PL- INSULATION WZATHRR STRIP SIDE PL- INTIIRIOR LATH DRYWALL IIXTERTOR LATH RATm FLOOR CEIL ABBEM. RATED WALL ASSEBLIES RATED SHAFSB OPZNI7G8 T-BAY CEILINGS + ADDITIONAL DATA CH FILE LOT DRA.IINAGZ RIPORT ID. DPR761 ROUTE TO. BS0508 ' COUNTY OF LOB ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DZPARTM[WT OF PUBLIC WORKS 9701 LAB TSS ALTERATION/REPAIR BUII,DI=G AND SAY= / LAND DXVRLOPIaaT TEMPLE CITY CA 917RO BL 050E 0603060004 PHONZi (676) 285-0488 ETT: L2GAL IDS NO. OF CONST BUILDING ADD3LWS: TRS 6561 LTA 154 UN: .007 SQ. FT STORIZB TYPE 6036 CAMELLIA AV STRUCTURE. VN TZ{P CA 917807007 ABSESSOR INFORMATION NUM®ZR: iLLRJLGr CY088 STREET. 5305-018-077 T80iOAB P)10Zi 597 QAIDi A] LOCALIT7. TEMPLE CS T7, C T'XJaXT: NZIST BLDG USN: REBID USE ZONZ: R-7 ISSUED Owl PROCESSED BYt ZXPIYNB ON: ZXIST OCC GRP: 03/06/06 JK 03/01/07 OZNER.. TEL. =O, BLDGS. NOW ON LOT: VALIDATION: FINAL DATE FIaL BY: CODE: SALAM, ELLY (676) 614-5904- 3,500 X77 6036 CAMELLIA AV `0,6 -- TEMP 917807007 FZZS PAID DESCRIPTION OF WORK STUCCO NHTIR3 HOUSE FEE DZSCRIPTIOiX. QUANTITY: VOK. AMOUNT: APPLICZ Tl TEL. NO: SAME AS OWIZR - AA BLDG PERMIT ISSUANCE 77.75 AC STRONG MOTION RNSID 3500.00 VAL 0.50 SPECIAL M ITIONS: D7 PER W/O ZV-HC 3500.00 VAL 115.80 TOTAL FEES 144.05 C0M7TRACTOR. TEL. SOS APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AMID OUTBACI S SOILS ZNGnrKZR APPROVAL ARCHITECT OR ZNGItIYY: TEL. 10. FOUKDATION TRENCH FORMS LIC. NOi SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: BNWZR MAD BOOKi PAG➢: FIRE ZON"EI CHP: UNDERFLOOR INSULATION - 150H169 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UXITS: APT CONDI STAT CIA 6-7 NO 71 POOP SHEATHING SCHOOL WITHIN HXXJLRDOUS SHEAR PANELS AIR QUALITY: 1000 YKET MATZRIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRT>I[I" FMNN13RRB BET HACK Y71YD t HW7 t PROP L INE. WID`PH FRONT PL- INSULATION WEATEXR BTRIP BIDE PL- 1BTERIOR LATH D"RSWALL EXTERIOR LATH S�J� RATED FLOOR CEIL ASSXM. V RATED WALL ABSw[BLIZB RATED SHAFTS OPMnXGS T-BAY CEILINGS LOT DRLI3 LGE REPORT IDi DPR261 ROUTE TO. 880500 L