HomeMy Public PortalAbout6149 CAMELLIA AVE_Building__ MM° � SAFETYMUMMp 301 ®1C=mTr 1
MIM 1E►.. J. Fox, Couwry ex APPLICATION ■
CASSATT D. WRIFFIN, Sur'T OF, Wnum tta
FOR APPLICANT TO FILL M FOR OFFICE USE ONLY
BUILDIND DISTRIOT NO. Pelt Cr-ore R=_No. P>DIMIT NO.
ADDR[M f(� Z
LOCALITY Tem le City RECZIr; ,BY w OF U
N><wR,Ms-r Garabaldi fr'
wwDDR lESS 6
Na
oN ER
`w`D''IRE[as 1 0 E Las Tunas Dr N G
RARKET
Temple City TQ- AT7-CITY 3759ARCHc ST• �-
FIRNO. OF TYPE 6R
IX NCIXR OR �- E ZONK PLANS
ADD ORD. NO.
11TUACKLINE Q
comTgAcTog Tcunl.ee Inc �- AT 7-37 "� grRo`�
ZONE !<5( DATE
ADDRmm 9170 E Las Tunas Dr. T C HOUR NUMEHINGI
LKQAJL MAT Nuumm, 2 9W O.. A"IGNED Elf
DESCRIPTIO L.OT MO
TRACT 19338
COHREGTiONB
Buz OFr GOT 0 x 130 How . BlOne
uSE of NO. OF
NO W439, FAN
DESCRIPTION OF WORK - z r o -
N KINow
REPAIR DEMOLITION L
■171 1� ROOMM'e 6 sTORIEe
—ECT. WALL
COVERINd stucco ROOF a Dolomite
USE OF STRUCTURE
Residence
20 x 20 Dtched gar$ge
APPROVALS
INDPaCTOR'e BIGNATURE DATE
FOUNDATIONz LOCATION J; l
FORUM. MATHRIALS
I HEREBY AC?Q O WL.�i THAT 1 HAVE READ THIS AP- FRAMES FIRM STOPS, 7 '
FUCATION AND STATE THAT E INFORMATION GIVEN IS BRACT I OLTS
CORRECT.
1 AGREE TO COMPLY ALL.J�COUNTY ORDINANCte FURIyACILi LOCATION, Z
AND STATE LAws R1M7liFJ r. -��1% / ON. tiAH VEM DUCTS
SICINATURE OFr LATH, INT. 7
PQM
4
ADD 9170 E. Las Ttmas Dr. T. C. LATH. EXT.
PLASTtR, INT.
AUTHORCL3ID ACIT.
p PLAe I fit, EXT.
s J F. C • -�-- HOUSE NUMBER COR-
t— 0 FQ RRCT AND POSTm
VALUATION ® FII= •�� FINAL
1 79AACS" 9 p8 @-"
1
COD= OF LOS ANGELES TZKPLY CITY f 0508 BUILDING PERM T _
DZPARTM3NT Or PUBLIC WORKS 9701 LAB TUNAS 1LTYRATION/REPAIR
BUILDING AND SArRTS / LALID DEVSLOPFDIYT TZMPLZ CITY CA 91780 BL 0508 0611140007
PHONZ, (676) 785-0488 ZIT.
LS6KL ID: SO. or CONST BUILDING ADDRESS
TR: 1933E LT: 3 BL: .001 SQ. FT STORIES TYPR 6149 CAKKLLIA AV
STRZCTURE. 7700 VS TRIP CA 917801734
AS8LS90R INFORMATION YUID3ZR. NEAREST CRABS STRNLT: LCIGDRN
5385-015-003 THOMAS PAGEi 596 G321)i J7 LOCALITY. Tno?LZ CITY, C
TRpKSTi NSIST BLDG USX: REBID USX EONZ: R-1 ISSlgw 01: PR.00EBSZD BYt IMPIYSS ON:
EXIST OCC GYP: 11/14/06 ,7Z 11/09/07
09rWpRTNI,. NO SLOGS. NOW ON LOTi VALUATIOQ. FINAL DATE FINAL BY, CODsi
KOIATKO MA.RY7IOIAYLD MISE (676) 786-9145- 5,770
6149 CAMELLIA AV
TZMP 917801734 FZZS PAID DESCRIPTIOK Or WORL
COIWLYTR T/O 077 AL ROOFING. RE-R.00r WITH 30 YR BOXD D CLAB
YM DESCRIPTIONi QUAXTIT71 DOM. AMOUNT: 8 A FIBlr2rn-AA8 COMPOSITION 9HIY6I.E8 NAILDOWN. REPLACE ALL
APPLICANTS TEL. NO:
PAGA,QO (676) 815-1755- AA BLDG PYRMTT ISSUASCI 77.75
944 W. FOOTHILL SL, AC STRONG MOTION R18ID 5770.00 VAL 0.57 SPLCIAL COIDITIONS.
ASUSA, C1 91707 D7 PZRMIT W/O W-RC 5770.00 VAL 149.40
TOTAL FYYS 177.77
ACTOR: TEL. S0: APPROVALS DATE INSPRCTOR. SIGNATURE
A G 8 ROOFING OF PASADWA (676) 815-1755-
944 S. FOOTHILL BLVD. LIC. NO LOCATION AKDi SSTBACIB
AZUSA, CA 91707 374573 C39
SOILS 2*01]rZ R APPROVAL
ORCHITIC! OR EZGIYaY: TIM. NO YOUND1TI007 TRYS(H FORMS
LIC. 1901 SLAP UNDZR FLOOR
RAISSO FLOOR FR]UIIDG
MAP NO: SSWSR MAI? BOOLi PAGNi FIRE EONS: CMP: UNDERFLOOR IISULATIOS
15OH261 3 01
FLOOR BHIATHIIG
10. Or rAMILIZS. DWELLING UKITS� APT COND: STAT CLABS�
NO 71 ROOF SHmTHIS6
SCHOOL WITHIN EDEARDOUS SEW7R PANELS
ASR QUALITY: 1000 FSZT MATERIALS .
SO NO NO FR1M3 INSPECTION
REQUIRZD TOTAL SWTBACI FROM XXIST FIRM SPRrcrr•m HASDIYS
SRT BACI'. YORDi HWt PROP LM WIDTHi
YYANT PL- INSDLITION WSATBZR STRIP
HIDE PI,- rrreviOR LATH/DRYWALL
IITI�RIOR LATH
RATED FLOOR CSIL ABSD1.
RATED WALL AB IES
RATZD SHAFTS OPZNI2GS
T-BAR CEILINGS
+ ADDITION, DATA ON FILE
IAT DRAINAGE
RIPORT IDi DPR161 ROUTE TOi BS0506
WORKERS'COMPENSATION DECLARATION
SSD 3:5�" s
insure, oorac cateof Work Come pfo�tuto urran e, APPLICATION FOR BUILDING. PERMIT
or a certified copy tfiergof (Sec. 3800, Lab. C-)
p�M.�-2255154 Companrreigont Indemnity COUNTY OF LOS ANGELES BUILDING AND SAFETY
Certified copy Is hereby furnished.. BUILDING
17 FOR APPLICANT TO FILL IN ,.,wRESS
Certified copy Is filed with the county building inspec- BUILDING
tion depattment.. ADDRESS .6.-149. .CaMelia LOCALCTI 1,4.64L d4
NEAREST
.Date 713.0/8�Applicant Vf rQi n -R04114--co aTY Temple City . ZIP CROSS ST,
CERTIFICATE OF ID MPTION FRbM WORKERS' NO. Of B1ON
ASSESSOR
COMPENSATION INSURANCE SIZE OF L07' NOW ON MAP BOOIG PACE PARS
(Th [on need not be com leted If the petmlt Is for one USE ZWMNQP
h u nldredU.sectdollars(;10))(5r l ess.� TRACT CT BLOaC LOT NO.
TEL - SPECLAL
I.certffy tl4at•Iritfte performance of the work for which this !' COtDUlOr�S d
permit Is Issued, I shall not employ any pefroh.In arty manner ,:6149 Camelia DISTRICT P TYPE ZBY 0
COtNE
so as to become wbjeq to the Workers'Compbrlsatlon Laws. - ZONE/ � W
Crry T le 'Ci v l/ 0
¢ate -•Appllcohl ITECT OR Ti STATI:SMCAL TION APT.
NOTICE TO APPLICANT: after making this Certtflcate of a GINEER NO. CLASS tdo. DWELL UNITS us
Exemption, you should become subject to the Workers` a
Compensation provlslons of the Labor Code, you must forth- ADDRESS SEWER MAP V)
with comply with such provisions or this permit shall be Z
deerred revoked. CONTRACTORVir in Roof Co.,o. 2�7-050 BK. Pc, VALIDATION —
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am litersed under provisions of Chapter 9 ADDRESS.P efl a BOX J o.160650
VALUATION
(co endng with Section 7000)of DKIslon 3 of.the Business and UC
mm
Professions Code, and my license Is In fun forceamd effect. aTY San Gabriel aASS M 9 1,630.00
160650. :: _ _.. --C39 SIS5Q��r�• _ NO..oF_ r�o.oF . CtslEc
UcE ..
ense Number Uc,Clam. STORES STORES AWLiEs
Contractor Virgin Rr; DESCRIPTION Of WORK RerOOf -hbnSW � ❑ S
I am exempt under Sec
and garage with 20- ADD El
ALTER ❑ . R rrAL a
B_BP.0 for this reasonUSE OF 1.3 REPAIR ❑ F1 # o•e ".o
a
Date: EX1.Sf1tJG BLDG. _ pE/yyOL- FI
By ► a 4.Q50
sigrldtur. A7AZ`V in of Co 1. 287-05
OWNER�UILDER DECLARATION
f haffirm erRby arm tflat I am exempt from the Contractors License P.fl a BOX J, San Gari
bel, o 0 0 4 Q 5 0
Law for the following reason (Section 7031.5, Business and -
Profeeslons Code): o a of —8 5
- ❑ I, as owner of the pFoperty, or myBUILDING
-employees'wlih ADDRESS '
woges as their sole compere Ioh,will do the wcx*and
the sttucturr Is not Intended or offered for gale(Section_ L��
706", Business and Professibns Coded MOVING TEL
❑ I, as owner of the prop",_am exclusively contracting OR NO.
with licensed contractors to wrstruct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). -
CONSTRUCTION LEtJDING AGENCY � YARD HWY PROP. UK
[RED TOTAL wraAcK IoM nN DrFI ,
I hereby afflrTm that there Is a cbrutnxtlon.lending agency for FROIJ LL
the performance of the work for which this permit Is Issued P.L
(Sec. 3097, CIv. C. SIDE
c
P.L.
Lenders Name
..
enders Addresse P.C.P. _f $ Permtt Fee nn .,
I certify that I have read tfiis appljcatlon and state that the ye,ar�Fee 1;0.50
abow Information Is card. I am
gree to cophy with:all Courcy Investiggtlon Fee
ordinances and ,State Igvrs relating to building construction, Total Fee
and 1101111ebY authorize representailves'of this County to enter
cepaVFfebove�entloned =flIon pu
L
� R fi Itltvli11 HOS DQLAIiAiOR1l LANdl111W
V
S49 w Agent Daly. �s