The URL can be used to link to this page

Home My Public Portal About6044 CAMELLIA AVE_Building__ 78AE38A CERaoa a-ea Job ;# 6234 APPLICATION FOR BUILDI G PERM' COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS (P BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLISMAN W. JENKINS, SUF'T OF BUILDING NEARS ST. D13T IJCT GR TYPE DB FOR APPLICANT or T FILL IN � !' CONST. pe only) BUILDING STATISTICAL C IFICATION SEWER MAP ADDRESS CLASS NO DWELL-UNITS BK PG LOT NO. BLOCK USE ZONE MAP pI NO. Cl TRACT SPECIAL 3 CONDITIONS NO.OF BLDGS. SIZE OF LOT NOW ON LOT E O EXISTING BLDG. BLDG.SETBACK FROM TE FRONT PROP.LI NE OF (STREET); OWNER NO. TYPE OF EXISTING SETEACK HIGHWAY- + YARD = TOTAL HIGHWAYWIDTH FROM C.L. A D DR E53 6044 Camellia Avenue CITYSI + II ARCHITECT O TEL DO.3 FROM SIDE PROP.L (STREET) ENGINEER NO. TYPE OF EXISTINGI fET6ACK Y + YARD = TOTAL ADDRESS TE M HIGHWAY WIDTH FROCA_ _ CONTACTO O. + R 0 ADDRE38 O. CORNER CUTOFF YES ❑ NO v LIC. C) CITY CLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK to z NEW ADD ALTER REPAIR][ DEMOLISH 3Q. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE garage r SIGNATURE OF APPLICANT VALUATION f APPROVALS DATE INSPECTOR'■ SIGNATURE P.C. PMTC . FOUNDATION: LOATION FEE f FEE f FORMS MATERIALS FRAME: FIRE STOPS, 1 HEP1[SY AC KNOWLIDOX THAT I HAV[ R[AD THIS APPLICATION BRACING BOLTS AND STAT[ THAT THK A60Vc IS CORRLCT AND AOR[L TO COMELY FURNACEt LOCATION, WITH ALL COUNTY ORDINANCIS AND STATL LAWS RSOULAnNO GAS VENT, DUCTS SUILDIN0 CONSTRUCTION. 1 C LFFTIFY THAT IN DOING THS WORK RUTHO IMED HKRiSY I WILL NOT EMPLOY ANY MASON IN VIOLA- '. nON OF THK LASOR CODE OF TH[ STATt OF CALIFORNIA PMLAT- LATH, INT. IMG TO WORKMIN'S COMP[ TION INSURANCK. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LElN15, PRI CIPAL S L ENGINEER PLAN CHECK VALIDATION z,L M.o. cASH _ PERMIT VALIDATIO C!(. M.O. CASH N yo9732� MAY 1 D 12,QQ" 4 r---• —WORKIM' COMPENSATION DECLARATION ffi I hereby arm-that I have a cetfficatte of consent 'to .elf APPLICATION _FOR.S U I L D I N G P F RM,IT Insure, or a cectifioe? of WorkpW-Compensation Insurdncej or a certtfled copy thereof (Sec 3800, Lab.C-) COUNTY OF LOS ANQBF.S- BUILDING AND SAFETY Policy No, Compdny I'JUICDIIVG ❑ Certffied'copy-is-Feweb�.fcmished.. FOR APPLICAW7 TO FILL IN Q' ❑ Certifledcbpy is filed with the county building Inose- BUILDINc3 tion dbpartment. Date `; Applicant CITY ZIP Mim.ALOCALffY DCEMP TION FROM % v NO. OF CFRTI RCATE OiF WQRlC82S' SIZE Of LOT C�7 K 1 NOW ON LOT ST. S 'COMPENSATION I NSU RANC E" (This 46cflon'-heed riot re com Yefed If the perrrmlt Is for one TRACT BLOCK LOT NO. MAP�b01C PAGE PARCH. hundred dollars.(;100}oleas O •ER S NO. ZONEj MAP* I terHfy,that In the'p&Kformance of-the'work for which this Wt „.� SPC{lA1 jtermlYls.tasued, I shall not employ any n In any manner ADDRESSIto ; 03NDMOM � so as„to become subject to the Worse r Compensation Laws-. *16 {.� �y�. O CITY to Date A Ilcant'' A�,RR��ii OR TB.. NOTICE TO, ff, u#tw making this .Certificate of BJGINEfR- —"?""* tJO. D[_S� 7G P' TYPE BY ZANE ti_ BY O Exemption, you ihould -.become...subject to the. Workers � /) Compensation provlslons.of the Labor Code,-you must forth- ADDRESS - ✓ 7 dwith eemed p,ly with such provislons or this permit.shall be OR EL. STATLSD1 AL CI SSI AAT. CONDO. -revoked.. CONTRACT _ LICENSED 00tfTRACTpR$.DEQ4RALIG LASS NO. O --DWELL WEL UNITS • I hereby affirm that.I am licensed undorprovWons ofChcipter9 ADDRESS NO. . (opmmencing with Section-7000)of Qlvlston 3 of the Bwlnen UG q apd Professions C.o¢e1ppdY- (1-T”N In ful{force and effect, CTY CLASS PG.13/ VALDATFOff r , S4 ET. NO.OF NO. OF CHECK License Number Vic clan SIZE ��* STOR LES FAMILIES--' j Off VALUATION C�ontrodor + Date,T PT10N Of WORK NFW El ❑I am exempt under ALTER _ IC�•�- / . El B.V.C. for th is -assn.^ S FAIR ❑ ;. .. LJS�OF DasnNG BLDG. swA L ^as QVZ DEMOL APPLICANT Signature OWNER-BUILDER DECLARATION No. Ilk �a " NO. I hergby,affirrrrthat I am exempt-from the Contractors License ; � Low for`_the followfng,reason'(Smedlon 7031.5, "mess and ° S J, F11 Professions Code). ❑ I, as owner of the or m em I wlth BUI I �r^r z wages rk$eIrwlc�peen lan;WIII do tthe�and -,i!7 -�•� c 'the structure Is not Intended or offered-for sal&(Sedlon LOCAL1IY' •USI 7044, Business and-Profeeslons Cgde.) CONTRACTOR I,as-ownelu r of tha'prop";am excsively d`ontractlnq with licensed•Contractors to construct the pro(e4t.(Se4 : 779 - 60 0 tion 7044, Businesp dnd Profes4lorn C.od& ADDRESS CONSTRUCTION LENDING AGENCY YARD l-WY. . FROM G�r�, ED.50 I hereby affirm that there Iva const action lending agency for (x the performance of the.work.for which this permit IsInged P, (Sec. 3997, CI v, C. SIDE Liabove ders Name 7� LDMA Rsf:! F I i ders Addrw F:C Fee Permit Fee i i'r 1 �� 19 ertffy thfit I have read this application pnd state that the Issuance Fes LDMA P/C! Information Is correct: I agree to comply with all Countyinances and Stafe.krws relating to bulldlpg corutructlon, Total Fee LDMA P«m.d hereby authorize representatives of this County to entthe abov eotloned for Inspectloh purposes., M!/lief!rbR DMANATORY LANQUA04 _ Icam.or Agent: Duh - = ' WOR1jEK5'COMPENSATION DECLARATION $form rhpr`,I, have a certlflcote, of consent to self ,A P P L�:� ► � InsuFa, or a certificate of Workers' Compensation Insurance, � 0 ,BU I.L D I N PE IT or a certtfled copy theweof'(Sec.380D, Lab. C.)' ' r e011l Y Of,. OS,I�NLG�LES BUILDING A7dD SAFETY Rblicy No- Company MEOW ❑ Certified copy JI hereby furnhhed. FORA PU T TO FILL IN. ' ADIADDRISS c r 1 Certified copy Is filed with t�'caunty building Inspec- BUILDING �J tion deportment. ADDRESS 42HM doh Applicant C ITY ZIP LOCALfTY CERTIFICATE OF EXEMPTION FROM WORKERS' SUM OF LOT r � O iST COMPENSATION INSURANCE (This sectionrteed not be com lend If the permit Is for one ASSESSOR hundred dollars (=100)or les& .. Tyr LOT NO. MAP BOOK PAGE PARCH �-7t2t n44 lJSE ZONE I cwtify that In the performance of the work for which this %. WE CLAI It is Issued, I shall not employ any Person In any manner ADDRESS Z! rTFONS to become subject to the Workers,Compensation Laws. 29- CITY LP D V " Appllcan ftermARCHITECT OR 18 DISTRICT GROUP TYPE F BY LICANT: V NOTICE TO APPaak th caof Ila, CotzT, Z(" Exomptibecome on, you should sub act to w n orker' Compensation provisions of the Labor Coda, must forth- ADDRESS Id with comply with such,provlslons or this permit shall bi' TEL. STATISTICAL CLASSIFICATION I AFT. CONDO. U)) deemed revoked. LICENSED CONTRACTORS DECLARATION LK_ CLASSI`40. 61MF11_ UNITS I hereby affirm that I arn.lkan nd under provisions of Chapter 9 ADDRESS NO. SEMAR MAP =01'11(=' comrrtind with Section 7000)of DlvWw 3 of the Business and LIG Professions Code, and my Ilurse h in full force and affect. CITY CUSS B� 3 VALIDATION Sp. FT. NO. of NO.OF0 ECK License Number, Uc.Class > STORIES . OtF - � VALUATION DESCulFrtoNOF W W r+i• NEW 1 ,1 &6 A . to . Controcr Data. _ ADD # °-°,c c 2 3 ❑ I am exempt under Sec - ALTER I o 5 69.9,3 orlo B.BP:C. for this reason - �S REI'AlR : �USE OF DENOL 9, E7(TSnNG BLDG. Signature 's' TELFINAL OWNER-WILDER DECLARATION I NO. I#iereby affirm that I am.exempt from the Con iroctora License �L Law for the following reason (Section 7031.5, Business and ADDRESS tAl- Profeplom Code): BUILDING 1 1 ❑ 1, as owner of the property, or my employees withADDRESS wages as their sola compensation,will do the work and - the structure Is not Intended or offered for sale(Section LOCALITY �_- +]�` 741.75 7044,'Business and Professions Code}. NKMNO \ �. . TEMS I, as owner of the property, am exclusively contracting ,�y7`/��.I }.i with licensed contractors to coriYtruct the project (Sac- ADDRESS !VC 7^t 1 7' tion 7041,$uslnass and Praflons Code) �> , OTAL SETBACK FROM CONSTRUCTION LENDING AGENCY YARD HWY PROP. LRS a," ` '; !. ( ( �41■7� I hereby affirm that there Is a construction lending agency for FRONT the performance of the.work for which this permh Is Issued ' '` `' • ■ (Sec. 3097, CIv. C), SIDE Lenders Name �LDMA [�LMJ1 3/r:r 89 �,, , $ P:G Fee 3 Pa .Ir Fr. -'. .. -�a_, ; Lender's Addrees !� �'�_r .7 1 $% -I certify that I have rood this application and state that the Ysumce F•ee 1v- — LDMA P/C r above Information Is correct. I agree to comply with all County Invest{gatton Foe --� ordirwncas and State taws relating to_bulldlrng corsiruction, TotoI fee 1 • 1 LDMAverm.■ and hereby authorize representatives of this County to anter u n the above- ntionedprop"for Insp rtilon purposes. H. 8 50 WM0 FOR EG%ANATORY LMOGUAGM Dd» 49 5 woxKFRS"ctmflENSPs bN DECLARATION hereby affirm that I have a certhmof nsent so[f APPLICATION FOR BUILDING _PERMIT Insure, or a certificate ofaA/orker�„Comperuatlon Insurance, or a certified Copy thereof (Sec 3$00, Lab. C) COUNTY OF LOS ANGELES BUILDIN¢AND SAFETY Policy No. Company ❑ Certified copy.Is hereby furnished. FOR APPLICANT TO FILL IN BLID� ❑ Ceritfied copy Is filed with the county bulloing Inspec- BUIL NG tlon department. G X1 CITC \- E-\Y ZIP L {1 0 LOCJUJTy Date_ ApplIgant tO,REST nCERTIFICATE OF O MPPON FROM WOR1�115' SIZF IAT NOW ON LOT CROSS ST. R 2 COMPENSATION INSURANCE ASSESSOR(This{action need not be completed if the permit Is for one TRA - � 1 OCY LOT NO. t 5 ASS BOOK �15 psi PAS hundred dollars (;100)br tea.) f�.. owrER 0�.1 ?� S No: USE ZO MAP I certify, that In the performancb of the wor) for.which this n permit Is Issued„Ishdll riot-employ any person In any manner ADDRESS. C✓ti L-� C ECIA.L S so as to become subject to the WorkenV CompenscrtlonAdws. O CITY 'Z7f� u C.�'C ZIP O Date Applicant ARQ-ITIECT OR TEL_ TO APPLIC_4NT: if, -after making this Certificate of BJGINl�2. tip _� D ICT GfaOdP TYPE FI BY Q Exemption, you should become subject to the Worker;' E Compensation-provlslons of the Labor'Code, you must forth- ADS with comply with such proVltlons or thjls permit shall be TEL STATISTICAL FI T}ON, APT. Z deemed revoked. CONTRACTOR LICENSED CONTRACTOR$ DECLARATION % UC CLASS NQ. UNITS - I hereby affirm that)am Ilceni a under proylsiors.of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Sectlon 7000)of Division 3 of the Businea LIC - anions Piofanions Cpde,and my license Is In full force_and effect. Crr CLASS BK FG VAI1DA710N SQ. FT. NO. OF• NO. OF CHECK License Number Uc..Clan SIZE STORIES Z.. FAMIIJES OtE VALUATKM Conitactor —batt n P-PON OF WORK Z NEW = r OQ . . wo ElI am exempt uhder Sec f ADD ❑ ► r ALTER El I B.BP.C. for this reason REPAIR LJ $ Drrtw: USE OF EXISTING BLDG. DFMOL ❑ Signature JPRI C Q EJ 1 L5 t L. o� to ZJ'�($ FINAL OWNER-BUILDER DECLARATION DATE I herobyafflrm that I am exempt from the Contractors License Law for the following reason ($ectlon 7031:5,Business and ADi S Prof�fans Code): JL L{d I, as owner of the property; or my employees with RUI� - ANT wages as their sole compensatlon,will do the wa1'k andLOCALLTY �4Or.7` noff the structure Is t Intended or oerad for sale(Sedlon 7044, Business and Professlons'-Code.) MOVING. TEL i T ❑ I, as owner of the property, arm exc]Vslvely contracting CONTRACTOR NO. 1 1 TEIS with licensed cgntractors.to construct the project (Sec- ADDRESS Tff'aL r -7 1 tion 7044, Business and Pr9fesslorls Col$e.) REQUIPfD' TOTAL- CONSfR4CTION LENDING AC4NCY SET YARD HWY EFROM of�ti I hereby affirm that Vre Is a construction Is agency for �� `¢ IIx the performance-of a work for which this permit'Is Issued.- P.L (Sec-.3097, C1 v, C.r. SIDE . P.L' Landers Name ODOD—W01 2/ 5/90 Landers Address P.C, Fee$ Permit Fee Ref. f 876, 1 AM °:J! _o I certify that I have read this appllcatlon And state that the I»uarxe Fee 3 ► O IDMA P/C f above Information Is correct. I agree to comply-with all County InvettigoHon Fee_ ordinances and State laws relating to.bullding construction, Total Fee . LDMA Perm. and areby authorize representatives of this County to enter upo a abov ntlpn property for Inspection purposes.. 'z —9 D � M Ri41M No#EXPLANATORY LAMGUAGE Slpnature of"p mnt or Agent Date COUNTY OF LOS AAI7RL&S TEMPLE CITY k 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAB TUNAS ALTERATION/REPASR BUILDING AND SAF= / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1202280030 PHONE: (626) 285-0488 ETT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: BL: 215 PG: 84 PC: 1 2 SQ. FT STORKS TYPE 6044 CAN LLA AV SIRUCTURE. 25 V-B TEMP CA 917802007 ASSESSOR INFORMATION NOF!BERi NEAREST CROSS STREET: TEMPLE CITY 5385-018-029 THOMAS PAGE: 597 GRID: A2 LOCALITY: TE1{PIE C=, C TENANT: EXIST BLDG USRt RESID USE ZONE: R-2 ISSUED ON: PROCESSED BY: EXIST OCC GRP: 02/28/12 SR OWNER: TEL. NO: BLDW. NOW ON IAT: VALGA IOiN: F I Tc : CODE: CHEUNG, JANE (626) 665-9693- 6,000 A / TEMP 917602007 FEES PAID DE'.SCRDPTION OF MORAL N TEAR OFF rrr,•LNG ROOFING MATERIAL, OU HOUSE R ATTACHED GARAG FEE DESCRIPTION: QUANTITY: UOM: AMDONT: E INSTAT.T. MALARKEY 30 YEARS SEENGLE WEAS'BERED HOOD APPLICANT: TSL. NO: SUNSHINE ROOFING (909) 598-8988- AA BLDG PRRMIT ISSUANCE 27.60 AB STATE GREET! BLDG FEE 6000.00 VAL 1.00 SPECIAL CONDITIONS: AC STRONG MOTION RESID 6000.00 VAL 0.60 D2 PERMIT W/O RB-HC 6000.00 VAL 149.40 TOTAL FEES 178.80 CON TRACTOR: TEL. NO: APPROVALS BATE INSPECTOR SIGNATURE SUXSH3M ROOFING (909) 598-8988- 516 N DIAMOND BAR BLVD 4183 LSC. NO LOCATION Aim SYIS CMS DIAM019D BAR CA 91765 755126 C39 SOILS,ENOIHSSR APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LSC. NO: SLAB/UNDER FLOOR RA.zsEb FLOOR FRAMING MAP NO: SEWER MAP BOOL: PAGE: FIRE SONE: CMP: UNDERFLOOR INSULATION 150H269 3 00 FLOOR'SHEATRING NO. OF FAMILIES: DWSLLII7G UNITS: APT COND: STAT CLASS: 0 NO 21 ROOF 5HEATHILPG SCHOOL WITHIN HAZARDOUS SHEAR PANELS AER QUALITY: 1000 FEET M LTERZA S 90 NO NO FRAME INSPECTION FIRE SPRIN112R HANGERS INSULATION STRIP INTERIOR LATE/DRYWALL EXTERIOR LATS RATED FIGO CELL ASSEM. RATED WALL ASBEMBT, 1il9 RATED SHAFTS OPEWLNGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: M0508