HomeMy Public PortalAbout6056 CAMELLIA AVE_Building__ ti
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APPLICATION FOR BUILDING ERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY -
JOHN A. LAMSIE, COUNTY ENGINEER NEAREST ,.
COLEMAN W. JENKINS, SUPT OF BUILDING
CR OBS ST.
R APPLICANT O F IN T�tsTq�T� GR CONS P BY
Print or • only) CpNST.
BUILDING ��.t tSTATISTICAL CL IFICATION SEW MAP. .
ADDRESS 6 N. Camellia CLASS NO 4DWELL.UNITSr BK PG
LOT NO. BLOCK USE ZONE MAP
I
NO. Q
TRACT SPECIAL _
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
usL OF
EXISTING BLDG. BLDG.SETBACK FROM
7T��,,,� TT��,,.,,,,��� EL�r� [ FRONT PROP.LI NE OF (STREET).
OWNER Do Drown NO. til U 751 TYPE OF ISTI SETBACK HIGHWAY + YARD = TOTAL
ADDRESS H1GHQNAY WIDTH FROM C.L
CITY Temple City + _
BLDG.SE KFROM
ARCHITECT OR TEL. SIDE PROP.LI (STREET)
ENGINEER NO.
TYPE OF EXISTING1 OETBA AY -+ YARD TOTAL
ADDRESS TELHIGHWAY WHITH FROM C.L
CONTRACTOR .NO. + _C.
ADDRESS NO. 1606qo CORNER CUTOFF YES ❑ NO
LIC. °C
CITY S ASS — SEE REVERSE SIDE FOR SPECIAL APPROVALS o
C)
DESCRIPTION OF WORK Lu
xxx
z
NEW ADD ALTER REPAIR DEMOLISH
SQ.'FT. NO. OF NO. OF
SIZE' - STORIES FAMILIES
USE
STRUCTURE Reroof u'UBe with 235# Gom •
Shinales
SIGNATURE OF
APPLICANT
VALUATION f
APPROVALS DATE INSPECTOR'S SISNATUR
77PMT. FOUNDATION: LOCATION
FEES FEES 9.00 FORMS MATERIALS
FRAME( FIRE STOPS,
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY FUR NACEI LOCATION,
mm f
WITH ALL COCNTY ORDINANCES AND STAT[ LAWS R[OULATINO GAS VENT DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WOR/(
AUTH ORIZ[D H[RI BY J WILL NOT [M1•LOY ANY PERSON IH VIOLA• LATH, INT.
TION OF TH[ OR CODE-OF THE STATE OF CALIFORlI U\ RE LAT•
ING TO WORK N'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE O C HOUSE NUMBER COR-
' PERMITTEE• RECT AND POSTED
ADDRESS 6 sAll b el San—dabriei .FINAL
JOHN F. LEWIS. PRINCIP L ST URAL ENGINEER
PLAN CHECK VALIDATION CK M.O. CASH _ PM.UT VALIDATION / �-/- M.O. cA,f,
63o6 ' 6 1 0 910-0~ cv17
"A=@A CZJSMIo-w APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES 131JILDING
DEPAHTNiENT OF COUNTY ENGINEER ADDRESS0.
BUILDING AND SAFETY DIVISION LOCALITY .00
JOHN A.LAMBIE,COUNTY ENaINaR NRARFS r
CASSATT D.GRIFFIN eul"r of EU ILDING CROSS ST.
D18TR1CT NO. O O TYPE BY
FOR APPLICANT TO FILL IN CON
BUILDING STATISTICAL CLABSIFICAYION ER MAP
ADD, BK
LOT NO .. CLASS NO 1
BLOCK MAP STATE YgS
NUMBER HWY.
TRACT (f USE ZONE SPECIAL
,/ NO.OF BLDGS. NDI IONS
SIZE OF LOT /� NOW ON LOT
USE OF x
BUILDING YARD HWY STREET EXIST.
�Q C SETBACK WIDTH
MR i FRONT _
Aff
rm, SID
� !i, P.LSIDE(CITYi
TE P. yy�
RD
ARCHITECT O TEL
u�PFON ��
�IGINEER NO.
TH L
CONTRACTOR NO.
DESCHUMON OF WORK ILA13
NEW ADD ALTER REPAIR DEMOLISH
HQ.FT. NO.OF NO.OF
SIZE FAMILIES
,USE OF STRUCTURE ._
-- - A
BIGNATUR-E OF APPROVALS
APPLICANT .
DATE INSPECTOR'S SfQNATUREQ
ADDRESS FOUNDATION, LOCATION
s FORMS MATQRIALB
P. C. j �.----� FRAME y FIRE STOPS.
PEE BRACIN BOLTS _
VALUATION j FU RNACE; LOCATION, -
Irgg GAH VENT DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- u-n.{ INT.
PLICATION AND STA T TH ABOVE IS CORRECT AND
AGREE TO COMPL U ORDI NCES AND LATH ��, .
STATE LAW _ UI NG STRUGTION. '
SIGNATU HOU NUMBQR CQR- -
QERM RH AND PO D
ADDREH
CLYDF,N. DIF7LAM PRINCIPAL STRUCTURAL R
. :PLA*aM=VALMATIONCK Y.O., CA1H VALMAT ION •Cx. y o0. CAbI
����o 7 1 0 4 t SAY 7 1' A S:0 �.
VJOit ERS CON�ENSATIO[ DEF RATION $50340 •SB -
hereby, flan that J hove a cprtF{icatq.af cansentao self APPLICATION � FORg � .I�VG PERM1�._. '
Insure, or a certtflcctte of Workers' Comperlsatlon Imuran •,T-.�•
or a tertlfied fogy thereof{Sec 380D, Lab. C.)
COUNTY OF LOS ANGELES BUILDING•Aid�-SAFETY
Po1,.yNAV85r2251%mpaQy El "nit Indemnity-
- _ -
0 Certffied•copy is'hereby fumlibed:' • .` '.1, ,, Y; FOR APPLICANT TO FILL IN I3uII�+NG 't�Jlj AIL
ADDRESS 0 S-6
' Certtfied'topy Is ftledwit.>1 the bounty biJl,fdlrib Inspec- BUILDING
tloh ddpa'rtmerit.';' ADDRESS 60 6 H 1 i
Date7122/851 - A0pIIcdnt-'•'Y i rei1,n Roof' to_ CITY T 1 e Cit Z1P LOCALrrY
CERTIFICATE OF EX1 AAPFJbt F FROM YVORKE325' - - - NO. OF BLDGS
' COMlqJSATtON 4F�.Sl.)RANCE'.:.-`
SIZE OF LOT NOW L ST,
(Thlr.iactlon oebd not:be'com leteid if the perirllt•Is for-one _._
hundred Ilafs $1,W or'Jess, BLOCK LOT NO. MAP BdOK PARCEL
h - Ovvr Eft _ - - - :TEL
cecttfy. That IP"fh' performgncq-of tf1e:work for ivhlch thli' USE ZONF J
permlt(j'V.. d, rsli II not e,mplq any n'In'any manner F'{' SPt
ap a1•to ¢ecomb'sab�et4,to fhb V�oFkers sutnperisatlorY'Laws� ADDRESS eS•.above - - — �: oonntrrdNs _
L < y < - 5.r
Dote' Y. .x ♦ 1Icant TEL.
TC' - - � ZIP
F tJOT10E TO'A RLI 'YffF;4aft�r'rodkltTg;;r..Certfficate Of - U4GM� 3 O.ARCH ITECT OR 7 -GROUP T :..FIRE_
Z� _ BY. _ -
Exern' lofr;"ybu should :B�tbrhi'subject to the Workers'
Compe}isatron p Xslons-gf,thb Labtir'Code;.you.musT forth �8S - S"c _ _
with compty.,with-such,provislo5s or-thir'permit shall be --
dgemedrAvok*d!. i „ ••,..:r ' -- CONIR�CTOR t STATISTICAL TION 1 - AFT p0.
LICBJSED'CONTRACTORS PRf►T}Ot}-,-„l +.• _ __ UC -.. -.—. c1A55 N0., L( PVV9 L-�UNITS- —
I hereby affirm that)am liceroad under provlsiort!of Chapter.9, ADDRESS P� 0 Box J No.. 1606 0 I MAP
(4omrT?e 00n9 with Sit pn7b00}8f Djvtslgrl y7 of tk'°Bpslrie md' --- _ _ _ _ _ _ ..- - -ty WER_
Piofessiotq Code, and'rtl, Ilceris�"Is'In'.ffuulll force'aid' I CITY Sa11 � I e l CLASS C BK PG. —
1, y _ _ SQ FT._.. __ t44.OF NQ,�f _._.__ _
�ICQ�ILd';NUmbef --16V [(� �1 .�IC.lI-i[ii1'•�C iL'l�
�j SIZE STORIFS FAMJLIES '.I
_ VALUATION --
T' V �ig i ter Fidoi* - DESM"oN oFw6RK- rw ra a !” =379.0012'5z5i
conft; oi,, t t°t: ! `� ADD A
am exdtnpt under Sec - I - -
' _ 4 1/3 Suates. - .BdP.G for'thl'renson R�A
USE OF
EXISTING BLDG. Ga rage DEMOL - --
- T' . APRKANT .T>L e:s 2 a 5
' 8fpria�ro of Ca _ -
+OWt�ER-BUILDER DECLARAT}ON _ . . _.. __ . . _ _ DA NT) Rcp o o } 2 a:5 0 8"
' [-hereby affirm that-I am exempt from the Contractors•Ucense'
Law for the foI]owl rifl:'fepidn•'($ectlgh 7031.5, Businees and ADDRESS P 0 Box J SainGabriel . CA.9177a F� T2485
frafewldrm Cone)!-. _ -. _ .__. ._. . . __
I, as owner of the property, or my.employees with �ADDR�SS
wagai.theTrsorecompeivatlpri,wllTdo the work and
es j
the structure is not Intended or offeree-for sale(Saction LQCALJTYf
](144; Buslnewand Profegions-Codef - - MOWANG Tg
TRACTOR
I, as'ownee of the proBerfy, am exclusively contracting �+
❑--with licensed contractors-too-construct the project (SeG
ADDRESS
tion')()14, Business.and Profeeslons Code) I
-
0ONSTRUGT10tJ LENDING"7�GENCY f, t YARD FIWI PROP. LIRE. WfDTH '.7 :-
I hereby affirm that there Is a ponpruction lending agency for Fir
the,p*rformance of the-work for-which this-permhIs Issued
(Sea 3097, Civ. C SIDE
Lender's Name-
8 _ EDAM W.'#
f Lendees Addrom -- :• __ _
P.-C.-FM f P.rmtt F,.' A8.00
' _I:certily'chat 1.have read Alt aPellcatlon.and.-state-that the.. - .. -_ _ - _ — - -- • --_
above.lnforrnatidn Is correct. I agree to comply wtth all County In Fee ' ']0. 5Q - LDAA4 P/C
r prdInanc qnd Wt 0 I :s re14t14a lo.bt�Ilbl.rtq'cpnZtn{�fon, -Total Fee- - 28-50 - LDMA Perm.
and h authorize representailves of this County to enter --
ypon. bo�i mTillongd.pr Ion
- M-_RJfVPJRP F(M DPLANATORY LMXWA M l ,
I
4 __ gfApplkdntori,pen -
4
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S C PENSATION DECLARATION Abp, FOR APPLFCANT TO FILL IN. /
I hereby affirm that I have a certificate of conswr to aO h&Ar%
or a oertfftcate d Workers' Compeneation Inarence,or a certhW
copy thereof(Sec 3800 Lab C.) /�" !• /
Dolby `. '��7 p),,T Sy •✓ `` .
,�—�p saw of LOT N0oP&Dla&NOW ON LOT
❑ Certified Dopy is hereby furnhhed / /–�/ / rEAREeT CROSS 8T.
❑ Certffted copy IS flied with the county building hiepecthn TWACf BLOCK LOT Na
L78E ZONE BOOK PAGE FA
DateAppBPECIAL CONDffIONS
flcant ASSESSOR MAP ACEI
CERTIFICATF OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE /w✓ � � WITHIN 1000 FF.OF SCHOOL? YES 40
(Thio Section need not be completed ff the permtt Is for one hundred L / DOTRtCT DAOOP COk9T. ZOW PROCESSED BY
ckAam ($100) or fes&)
I certify that In the performance d the work for which this permite P� ` 7d n
(s feared, I Shall not employ any person In arty manner eo BB to ,3 v
beoorne sub)ect to the"brkers'Compensation Law& ARCHITECT ENONE�1 TEL NO
HD919Tr_&..�.J�-lG9lON ,SPT CONDO
Dat
e'Applic�nt ADDREsg CLASS No. �;[- DWELL urns
NOT/CF TO ARIJI AW: If, atter making thb Cermicate of REQUIRED TOIL 8ETBACK FROM EXIST
Exmmptloa,' you Should become subject to the Workers' �g ` p 9E-f BAC,fc YAM Hoof PROP LINE M�DTH
Compensation prov6ior» of the Labor.Code, you must brttwft Jf erg+ q di*eA #3t� G41/ .
FRONT
comply with suds provisions or this Permft'shalI be deemed rewked. P L
D � [. �
LICENSED CONTRACTORS DECLARATION �. N 4 .081DE7�
I hereby affirm that I am Ifoenaed of Chapter 8 CrTI 7 j' P L --
(commn
eCtd W with Seddon 7000) Division 3.of the BLWrKm end .S>ZE NO.OF BTOREs NO,OF FA169JFS SEWER MAP ,
RdeSabn I and Ilcsr»Fi to full foroe effect. NEW ❑ BK pa
3 8 ova
c« t« Date _ _ 9 1,0 Ile,I fd;e d v ,a�D ❑ «+e4 p
u ALTE R ❑ s 3 Y U
❑ I am exempt under Seo. �DDp+ ,`BX PA 4s'D042'/ EPAJR 1:1
R. for t4s reason Gd►Hj �/ G��O DEMOL ❑
LDIM Pic r W
Date:
LL OF EXIST NO RLDa URM El1 a
r ) I.Ta Na LDA1A Prim,rACCT Ir
z
Z
I] L as owner d the proOwty, or my enpbyem with wegee ea 9 / b 9 = ACC
theiracie compeneatfon will do the work and tt,e.struchue IsO 3303 1142Mnot Intended or offered for sale (Section 7044, Buehieea and -L-v� ja rn /y *0 �L�E [rye
Pro(eaaiona Code) wu Tri APPL?CMff OR RMAE RADNO oOCi1PANT HI LE A FWAADOUB MA7EV1 1 ITu R
❑"� ea owner d the property, am exdu8}vefy contractfng with OR A NOCri-�CC#rD"Xi A FIAZA.FDOUS 6WITPL ECIAJ To OR OFF4E3 TI-MN THE 0–Z_�S TryT�,'
MAOINTB ON THE HAZAMCU8 WQ-Ef� PFOF"UM GLUE? FINAL ErY CHEM l�{l� 142
3aarsed contracture to construct the,prcjeot (Section 704-4, YES❑
Buefnam and Prohmmioris Code.)
YA L THE NTDOm 11eE CF THE BIIELM BY TFE APf'L".N r OR FUTIFE a1LDNo
O�C�C(" E,Ni FEOXA PE144T oRCONBTRA'TION OR MOOFiCoUM FROM THE SOUTH
ST� (�
CONSTRUCTION LENDING AGENCY «C rfsouwTY �T(9CA.01k)SEE P� CHECKLIST POR 'w
I hereby afitm that there is a construction ler>dirq agan y for YES❑
the perfonnanoe of tfTe work for whk;h this perntt Is laaued(Sec. p/rte
m 3087,Ctv.C.) FE1D THE RkZAFCCC 6 MASiALs W-OFM410N OLUE AND THE SCAGW PM4ATrN3 �—"1
I_erlder s Narr,a � u�TANo 'HF101"�;;'° HAZAQDDUS 245 1 AI111.12
LendWs Address •
oCM00OR
I certtly that I have read thb application and State under penally
of perjury that t:he above Information Is Corr6Ct I agree to cony P.C.FEF PEFNIT FEE O
wfth all county ord1nsrK>w and state Iswe reiafing to buedrq
corotictlon, and roreby authatze repreeentatilym of If* County rssLlANIcE FEE .�Q
tD the for �j n PL
rp��/gr8.
o ,/`yl �i I4VE8TK3ATION FEF TOp,L FEF
D, O�
SEE REVERSE FOR EXPLANATORY LANGUA13E
L—
i
r COUNTY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780 BL 0508 0411090001
PHONE: (626) 285-0488 EXT:
LEGAL ID: 100. OF CONST NEW BUILDINGI
TR: 6561 LT: 156 SQ. FT STORIES TYPE OCCUP GROUP 6056 CAMELLIA AV:
STRUCTURE: 995 1 VN R3 TEMP G 917802007
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GARIBALDI
5385-018-025 OTHER: 131 1 VN U1 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: USE E., I SVJED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 02/01/05 JK 01/27/06
OMER: TEL. NO: BLDGS. N()W ON LOT: VALUATION: FINAL DATE FINAL BY: CME:
NGUYEN THUNAO (626) 589-3230- 127,130 /7 iy_�
6056 UMIELLIA AVE �'7
TEMPLE CITY G 91780 FEES PAID
ADD NEW BEDROOM 1 BATHROOM 995 SOFT. REMODEL 1053 SOFT.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LIVING AREA, REMODEL EXISTING PORCH OF 131 SOFT. THE HOME
APPLICANT: TEL. 0:
PHUNE (626) 378-2781- B1 PLANCHECK W/ENERGY 127130.00 VAL 1,377.82
9059 WOOLLEY ST. AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
TEMPLE CITY G 91780 AC STRONG MOTION RESID 127130.00 VAL 12.71
92 PERMIT W/ENERGY 127130.00 VAL 1,620.96
CONTRACTOR: TEL. W: TOTAL FEES 3,039.24
P S REMIODELING CORP (626) 378-2781-
821 N SPRING STREET 139 LIC. NO LOCATION AND SETBACKS
LOS ANGELES, G 90,012 7540898
SOILS ENGI9EGF-AM50VJT-
PETER LEE E?IOINERRIMO, IMC. (626) 280-9000-
8748 VALLEY BLVD. SRL LIC. N0:
ROSENEAD, G 91770 NONE RXT9M-n= FRAMING
3 01
NO. OF F . WG UNITS: APT COND: STAT CUM—: IST LEVEL FLOOR SHEATH
NO 21 2ND LEVEL FLOOR 3 HEATH
SCHOOL WITHIN HAZARDOUS ROOF.SHEATHINig
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPEC)
REWIRED FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PLsm
-
SIDE PL-
INT RICIR LATH/DRYWALL
EXTERIOR LATH
LOT DRAIROF—
FIRE DEPARTMOff–WOWT
* ADDITIONAL DATA ON FILE
REPORT ID: DPR261 ROUTE TO: BS0508
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0411090003
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING
TR: 6561 LT: 156 SQ. FT STORIES TYPE OCCUP GROUP6056 CAMELLIA AV:
STRUCTURE: 0 0 VN R3 TEMP CA 917802007
ASSESSOR INFORMATION NUMBER: GARAGE: 441 1 VN L11 NEAREST CROSS STREET: GARIBALDI
5385-018-025 OTHER: THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: Pit0CE&SED BY: EXPIRES ON:
EXIST OCC GRP: i 02/01/05 JK 01/27/06
OWNER: TEL. NO: BLDGS. NCW ON LOT: FINAL BY:
COOE
NGUYEN THUHAO (626) 589-3230- 13,053 /�1 �c� 5-- .
6056 GLMELLIA AVE G r
TEMPLE CITY CA 91780 FEES PAID OFWORK
BUILD DETACHED 2 CAR GARAGE 441 SOFT.
FEE DESCRIPTION: QUANTITY: LION: AMOUNT:
APPLICANT: TEL. NO:
PHUNE (626) 378-2781- D1 PLAMCHECK W/O EN-HC 13053.00 VAL 241.23
9059 WOOLEY ST. AA BLDG PERMIT ISSUANCE 27.75 .
TEMPLE CITY CA 91780 AC STRONG MOTION RESID 13053.00 VAL 1.31
D2 PERMIT W/O EN-HC 13053.00 VAL 283.80
TOTAL FEES 554.D9
C[INTRACTOR: TFL. NO: APPROVALS DATE INSPECTOR SIGKATMr
P S REMODELING CORP (626) 378-2781-
821 N SPRING STREET 139 LIC. NO LOCATION
LOS ANGELES, CA 90012 7540898
ARCHITECT OR ENGINEER: TEL. ND: FOLVDAT I am/TMNtT-F55[F
PETER LEE ENGINERRING, INC. (626) 280-9000-
8748 VALLEY BLVD. #L LIC. 160: SLAB/LINDER FLOOR
ROSEIeM, CA 91770 NONE
MAP NO: SEWER 14AP BOOK: PAGE: FIRE UNDERFLOOR IN90UOTW-
3� 01
IST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT
MO 21 . ZND LEVEL FLOOR SHEATH
SC HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO k0 FIRE DEPT. FRAKE INSPECT
DEPT. FR E INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PLSHEAR PANELS
-
SIDE PL-
REPORT ID: DPR261 ROUTE TO: BSO508