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Home My Public Portal About6059 CAMELLIA AVE_Building__ WORKERS'COMPENSSATK>N DECLARATION _ 1 nqr , g c.&rffIca I hay..a trs' C mpgofconsentrance APPUCATI N FOR."SJILUING PERMIT � Ihsure, or a certfflcate of-Workgn'Compensation arovranc.„. �or�a cdrtffled copy thereof (Sec. 3800, Lab. C.) COUNTY OF Los �►N�3�L S. dtIIL)INa A►Nb,tI►FETY ' PolIcy-lo. P,C }�� 5`Company Republic'Tndemiiity Certfft .copy if hereby furnished_ FOR APPLICANT TO FI I ,WMS C, ecl copy 4s filed with the county Isulldtnq inspec. r GUIDING tton detpartmdnt. - _ ADDRESS - 6059.N r Cemeliia Ave. QTY Dote 11,-1—& ,�Ircdnt;9,sndol-P.00fiuk ary T le Cit zip 1780, a ssn. CERT1HCATk OF.D(EWTION FROM WQRIORS', SIE OF LOT � BLD(3S W ON µP K PAGE PIkCH COWENSATION INSURANCE (TF ii egdtlgn eed nbt be co�nplQt.d If The permit h for one bur�dred.dol� ($ 100)or Ips. TRACT BLOC( LOT NO. . >a �. I"coo fy'thot In•the pblformancq of the wbrk for.which thIL 'No. — �.r>filt h Issued,i sliall.not employ anyperson•ln any bander A7 -. DISTRICT GROUP TYPE FI RE BY tJ OONST•. ZONE so as to.�ecome�subleat to the Workers Comp.nsatJod laws. ¢," Crry Temple Cit nP . :81780 ' 0 . `flare „' lIc ht R.sndoi'Roofing :STATISTICALCASS19CATK)N ,.. t CMQE-TO APPUCANT.`A afte---making this Certificate of ARCIIRE(TOR TEL _ �' }'- G . 'Expmptlon,.'you should become 0blecn to- the; W9rkeri NO. C.ASS NO. D 1 UNITS:::] a N ' Com�.ruation provlsloro of the Labor Code,'ybu must forth- � _- _- ,._ _ $�M,ep Z with'compfy with such'provlsl'oro or.-this permitshall be �' _ deemed revok.0. coNTRAcroR Randoi Rp-0fim X288-4040 . BK (�PC3; vAuDATiON, U1 CONTRACTOR C NTRACTORS'DEPAlRATION _ LK I hereby affirm that t am licensed under_provhlons of Chapter•9 VAWATK3N (comrTmodng with Section 7000)ai`DlvW0'0:3 of fhe Boslnpe; 'and ' r. LIC, ' Prohaloto Code, and my Ilcerj*W.)s.In full force ,rsd of-ed'. &YC CLASS — i.2,224.00 SQ FT, -. .OF, Ct-IEO( r `3 LiceroeNumfer' 41}37 Llc.Cfdss Sig STOR1Es FAhuLES ONE k- . .. _�,.. i, ,•:err�Tr.l cohrrncfor`Rando,, Roofing 8-,28=180 4Sm iioNof.woRK Re— oaf .House' . El ADD_ ❑ - ri i am exempt under.SeG Q Pltrlll z i .. ALT6f DATE B.t,P.C. for this reason- REPA1 R' '[2 ✓ Date USE OF Exz-n NG BLDG. LL , Slghi�ure Rand i Roaf1 Z207,4040 Ovyr��ulLDER DECLARATION _ _ .1 hpretby affirm that I-am exgmpt from the CbotroctWs Cicero. 9r E ` Law fpr the following reason (Sectlon 7031.3;'Buslj ess and San dabri&l prdfseloro Coqre): BUILDING ownel of thq property, or my employeas with ADDRESS wagq�althblr aql�comp.nsatlon,,�wilj do.the Wark'and -the str6qure-h not Intended or offered•for sale.(Secflorr. r—r 7044, walnw and.Profe.slons Coder}. MOPING TR_ 5 3 5 k. I F I,-asowhpr of the property,'.arii exclusively controding witb licensed contractprs to constnkl the prq]eQ(Sec- ADDRLSS # o o 6 o,o 1 ti , flon 7944, Busing"and Professlons Codb� , ; -CONSTRLK3fION lINNDING AGENCY SET BACx Y� �� PR u SOA' nDrH I. - .o 59.2 5 I her.I;a, fflrrri thof there Is a cbrlst colon lending agency for FRONT the performdnc'p.fof th&;work for-wblch thls.perrrtlt Is.lssued 'P.L , o q 0.. 9'25 6S .. p c P.L. Q a 9'4 i.$-6 - $ ' P:C Fes Pe..tf FM f i.,;rtffy th t'I have read this application 'and,oatq that the - Iseuarice fee - above InfdrrwTTori Is'corred. agree to corn*with.611 Cbynty In V"gatforti_Fee ,ordinances-oad,$tcte•krws relating to.bullding constru tIan-, al F" 59.25 r qnd h.poy.outhorlm repr tativ.s bf this County to a iter j:` ?�y `+ j? =�} ✓1`," upon p v tip for)nii lon purl:>cosewL 8-2$--86to l!lbtsa Tolt OTLWTM a of Appikr i &r Agent Dat. �e L _ _ COUNTY OF LOS A9GELaS TALE CITY 0508 BUIIDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RE9IDENTIAr ADD BLL=im AND SAFETY / LAND DSVELOPM� TFNPr.R CITY CA 91780 BL 0508 0906170053 PHONE: (626) 285-0488 EXT: LEIAL ID: NO. OF CONST NEN BUILDING ADDRESS: TR: 6561 LT: 157 SQ. FT STORIES TYPE OCCUP GROUP 6059 CAN LLIA AV STRUCTURE: 79 1 V-B R3 T3MP CA 917802008 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GARJJlALDI 5385-014-001 OTHER: THOMAS PAGE: 597 GRID: A2 LOCALITY: TEXPLE CITY, C TENANT: EXLST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXIST OCC GRP: 06/25/09 SR OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: DATEY: CODE: GAO, ZHANHOA, DONG LINGYU (626) 262-9589- 11,760 6059 CAMELLIA AV "4iy TE342 917802008 FEES PAID DENCRIPTION dF WORE ADD 79.33 SF OF ADDITION NEXT TO THE MASTER BEDRX, AS MASTER FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: BATHROOM. APPLICANT: TEL. NO: SHIP (626) 377-1033- B1 PLANCHECK W/ENERAY '11760.00 VAL 233.94 1439 SASTIEIGH AVE. AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: RA["13NDA HEGHTS AB STATE GREEN BLDG FEE 11760.00 VAL 1.00 AC STRONG MOTION RF9ID 11760.00 VAL 1.18 132 PERMIT W/ENERGY 11760.00 VAL 275.22 CONTRACTOR: TEL. 190: TOTAL FERS 539.09 APPROVALS DATE INSPECTOR SIGNATURE HSIAO, SHIH (626) 377-1033- 1439 EASTLEIGA AVENUE LIC. NO LOCATION AND SRTBACKS HACIENDA HEIGFTi'S, CA 91745 678049 B SOILS ENGINEM R APPROVAL _ ARCHITECT OR ENGINEER TEL. NO: FO TION/TRENCH FORMS LIC. NO: 9LAB ER FLOOR RAISED FLOOR FRAMING FAP NO: SR"WE1R FAP 3001: PADS: FIRE ZONE: CMP: UNDERFLOOR INSULATION � 3 00 LST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS � NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SLTBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK ]2RD: HWY: PROP L. WU=: FRONT PL- 1 SHEAR PANELS SIDE PL- OA WEATHER STRIP 1 Dq'I=OR LATH/DRYWALL � EXIWRrOR LATH i LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPP-261 ROUTE TO: BS0508 `- 'COUNTY OF LOS ANGELES T574PLE CITY # 0508 IDIPG PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RE9ESIDElNTInr ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1111080073 PHONE: (626) 285-0488 ETT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6561 LT: 157 SQ. FT STORIES TYPE OCCUP GROUP 6059 CAMELLIA AV STRUCTURE: 91 1 V-B R-3 TEMP CA 917802008 ASS-&SSOR I2FOR)P=ON N@fl3ER: GARAGE; - NEAREST CROSS STREET: GARIBALDI 5385-014-001 OTHKR; TFX>Nab PAM: 5 9 7 GRID: A2 LOCALITY: TF24YLE CITY CA TSN': EXIST BLDG USE: USE ZONE: ISSUED ON: PROCF6SSED BY: EZI9T OCC ORP: 11/15/11 SR OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F Y: CODE: GAO - _j 6059 6059 CAI •,?. AV 13,590 TEMP 917802008 FEES PAID DtHCRIPTION OF WORK ENCLOSED EXISTING DECK FOR STUDY ROOM FEE DESCRIPTION: QUANTITY: U M: AMOUNT: APPLICANT: TEL. NO: SHSH, HSIAD I (626) 377-1033- B1 PL.ANCHE CT W/ENERGY 13590.00 VAL 266.10 1439 F2.-S=IGH AVE AA BLDG PERM= ISSUANCE 27.80 SPEC77lL CONDITIONS: HACIENDA HEIGHTS _ AB STATE OREEN BLDG FEE 13590.00 VAL 1.00 AC STRONG MOTION RESID 13590.00 VAL 1.40 D2 PERMIT W/0 EN-HC 13590.00 VAL 284.60 CONTRACTOR: TEL. NO: TOTAL FEES 580.90 APPROVALS DATE INSPECTOR SIMiATURE R H GREEN TECH AND CONSTRUCTION (714) 932-7010- 1439 EASTLEIQE AVE LIC. NO TION AND SETHT.CTS LIV HAC=nA. HEIGHTS CA 91745 NONE 90 ENGINEER APPROVAL, ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS ( /� LSC. NO: SLAB/UNDER FIOOR WSIM FLOOR FRAMING MAP NO: SEVER OLP BOOL: PAGE: FIRE ZONE: CMP: UND R INSULATION 3 00 NO. OF FAMILIES: DWELLING UNITS: APT/CO : STAT CLASS:' 17 LEVEL FLOOR SHEATH 0' NO 21 2ND, LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS F SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FT DEPT. FRAME INSPECT BLW DEP,•, FRAME INSPECT SHEAR.PANELS INSULATION/WEATHER STRIP NTH LNPpERIOR LATH DRYWALL I EXTERIOR LATH I LOT DRAINAGE . SMfiO).CE DE 97� ON DEVICES :. y U;, if-.?+�..:-..c-_•�-•=t 'c: _sem i`�:�'.e 'j-- ,7} _ _ " _ . - _ DER ULTHE NT APPROVAaS _ - - •�_'+a�'.".�r - y, r- • REPOR.T ID: -DPR261 ROUTR TO: BSO500• _ _ _ •s -- I r COUNTY OF LOS ANGELES ( TEMPLE CITY 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS "' NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPNEXT TEMPLE CITY CA 91780BL 0508 9512100078 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS TR: 6561 LT: 157 SQ. FT STORIES TYPE OCCUP GROUP 6059 CAMELLIA AV: STRUCTURE: 0 1 VN R3 TEMP CA 917802008 ASSESSOR I GARAGE: NEAREST CROSS STREET: 5385-014-001 OTHER: THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: USE ZONE: R-2 ISSUED ON: PROCESSED BY: EXPIRES ON: 12/10/98 UT 12/10/99 WALBRIDGE LUCILLE LARSON TRUSTEE (818) 285-8721- LOT: 900 6059 CAMELLIA AV �Z�2 TEMP 917802008 FEES PAID UF WORK TEAR OFF AND RELACE'WITH HOT ROOFING 3N 'LAUNDRY AREA- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: HOUSING RLHAB APPLICANT: TEL. NO: J 3 S GENERAL BUILDERS (626). 487-0429- AA BLDG PERMIT ISSUANCE 27.75 4763 N. DURFEE AVE. AC STRONG MOTION R I .00 VAL 0.50 . EL MONTE, CA D2 PERMIT W/O cam- VAL 65.40 ASG E L 93.65 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGJtATURE g C/ J S GENERAL BUILDERS (626) 487-0429- 4 f� N. DURFEE AVENUE LIC. NO LOCAT�N AND SETBACKS EL MONTE, CA 91732 747128 BSOILSi s ' y... LIC. NO: 111111SLABfL�NDER FLOOR --KOOR FRAMING 150H269 r 317 MAP 100: SEWER MAP BOOK: PAGE: FIRE � U ED-DUC W O }� r NO 00 2ND L�WL FCWV - SCHOOL WITHIN HAZARDOUS ROOF S�HEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO N0 11 REQUIRED TOTAL SETBACK FROM O� BLDG DEPT. FRAME INOECT SET BACK YARD: M PROP LINE: WIDTH: 46��C FRONT PL- `SQrVIC9 That SIDE PL- INSUITIOANEATHER STRIP FIRE DEPARTRMT WOVE 1: REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 0508 BUILDINQ PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TLKAS ALTERATION/REPAIR BUILDING AND-SAFETY / LAND DEVELOPMENT. TEMPLE CITY CA 91780 - BL 0508 0401Y4D027 PHONE: (626) 285-0488 EXT! LEGAL ID: N0- OF CONST -BUILDII-NO ' TR: 6561 LT: 157 7p FFT STORIES TYPE ¢¢00559 CAMELLIA AY. 12 STRUCTURE: 00 VN - IMP CA 917802008 ASSESSOR INFORMATION NUMBER! NEARJEST PIM STREET: WOODRUFF 5385-014-QOI ---- ::r _#HONAS.PAGE`..,597, --GRdDx-*2=',.f9pk�jTY:TEMPLE CITY, C EXIST BLZ USE: RESID USE ZME: R-1 I SSUEY ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: Q1/14/-04 VG 01/08/05 OWWER- TEL. NO: BLDG&. VW ON LOTz VALUATION: FI FIKAL BY: CODE: PFISTER, JULIE (6261 286-3385= Jj 8DO 6059 CAMELLIA AV TEMP 917802008 I 'OF WDRK"-- T/0 EXIST ROOF Olt HOUSE & GARAGE & INSTALL MbDIFIED BITUMEN FEE DESCRIPTION: QUANTITY: LOM: AMOUNT:APPLICANT: TEL- + WEATHER.GUARD ROOFING (800) 828-4646- M BLDG PERMIT ISSUANCE 27.75 AC STRONG 140TIOU RESID 2800,00 VAL' 0:50SPECIAL ZONDITIONS: D2 PEI7MIT W/0 EN-HC 2800.00 VAL 99.00 TOTAL FEES 127.25 WEATHER GUARD ROOFING (626) 287-0669- 4251 BALDWIN AVE. LIC. NO LOCATION AND SETaACxS, EL MONTE, CA 91731 8088M C39 L ARCHITECT OR ENGINEER: TEL. NO: EOUNATIONtTR0ffFTWW- LIC. NO: X 3~ CMP: UNDERFLOOR X 01 FL550 SHEATHING ND 21 9NOOL WITHIN —Kcum5um SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO ' NO NO ' -FWE INSPECTION -REQUIRED TOTAL SETBACK FROM EXI ST FIRE SPRINKLER RANGERS $E7•-BACK YARD:. HWY: PROP LIME: WIDTH: FRONT PL- SIDE PL- INTERIM LATH/DR7UCL RATED WALL T-RAR CEILINGS LOT DRAIKAG� REPORT ID: DOR261 ROUTE TO: BSD508