HomeMy Public PortalAbout6154 CAMELLIA AVE_Building__ DEPAR
OF COUNY
" DIVISION OFTBUILDINGTAND SAFE ;�,Q
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CA88ATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
�-'^A �^�,y // DISTRICT NO. PLAN .oR Re o. P Nil
T NO
BUILDING
ADDRESS �jJ �f' �J �J!/ S 7Q b/' . ,
�
LOCALITY Temple City, Cal-if. RECEIVED BY DA EOFAQPL. DAT ISSU
NEAREST ACROSS ST. :ra Utt1� Q - 1 26
BUILDING
D
OWNER Toplee, Inc. ADRESS
MAIL LOCALITY T7 5f/ ol
ADDRESS C1ry0 E. Las Tunas Dr.,
G f/
T. C•
TEL. cNEAREST
CITY TAmnle City No. AT 7-3751? RosssT.
ARCHtTECTOR TEL. FIRE NO. OF TYPE GROUP
ENGINEER NO. ZONE ---� PLANS Z
BLDG. '?e5;
t / OR O.
ADDRESS __r��I+ �r7 SETBACK LINE
CONTRACToRTonllee, Inc. No' AT 7_:3/ rjO USE ,� _. , APPROVED
Las
� BY DATE
ADDRESS 91.70 T;. La S Tunas Dr., T. Cis HOUSE NUMBEffJNG
LEGAL I MAP NUMBER G "' NO. ASSIGNED BY
DESCRIPTION I LOT NO. I BLOCK
CORRECTIONS
TRACT 19338
SIZE OF LOT 50 X 200 I NO. OF BLDGS.,,
NOW ON LOT 'TO?'1C'
USE OF I NO. OF
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK O —
z
NEW —y) ALTERATION ]_�__LD-ITION I O
REPAIR Z
DEMOLITION
r
SO. FT. NO. OF l
SIZE 1095 ROOMS STORIES ,
EXT. WALLROOF
COVERING STUCCO I COVERING Dolorite
USE OF STRUCTURE
Residence
20 x 20 Dtchra20 x 20 7ar.�e
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION i
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT.
FURNACE: LOCATION, Z
I AGREE TO COMPLY 1 ALL COUNTY ORDINANCES GAS VENT, DUCTS
AND STATE LAWS REGU N BUI ING NSTRUCTION.
LATH, INT.
SIGNATURE F
IX
PERMITTEE T�,,,
ADDREss91 0 E. Las Tunas T`,T� G.
Las Tunas y1,T� C� LATH. EXT.
PLASTER, INT,
AUTHORIZED AGT.
_ PLASTER, EXT.
FEE' !g
_ HOUSE NUMBER COR-
RECT AND POSTED
VALUATION (J D� FEE 2 OO FINAL F
76A698A DBS S 9-161
I —
COUNTY OF LOS A13EIRS TE4PLE CITY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0809030035
y PINE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 19338 LT: 9 SQ. FT STORIES TYPE 6154 C714=LA AV
STRUCTURE: V-B TEMP CA 917801733
ASSESSOR INFORMATION NUMBER: NE2RE<4'T CROSS STREET:
5385-017-015
TI-pM41.9 PAGE: 596 ARID: J'1 LJOCALTTY: T'F'Myi,E CITY, C
TMVTNT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GR-P: 09/03/08 SR 03/02/09
OWNER: TTS,. NO: BLDGS. NOW ON LOT: VA Z?=ON: FINAL DATE Y: CODE:
CZER.KA<SKI TATIANA TR (626) 287-3208- 4,790
6154 CAbflK ,TA AV
TEMP 917801733 _ FEES PAID DESCRIPTION OF WORK
HARDY WINDOW WILL PROVIDE AND INSTALL 8 WINDOWS AND 1 DOOR
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: LIKE FOR LIKE
APPLICANT: TEL. NO:
HARDY WINDOWS (714) 996-1807- AA BLDG PERMIT ISSUANCE 27.75
1315-D BLUE GUM ST. AC STRONG MOTION RESID 4790.00 VAL 0.50 SPECIAL CONDITIONS:
ANAHEIM, CA 92806 D2 PERMIT W/O EN-HC 4790.00 VAL 132.60
TOTAL FEES 160.85
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
HARDY WINDOW CO. (714) 996-1807-
1315 N. BLUE GUM ST. #D LSC. NO LOCATION AND SETR CKS
ANAHEIM, CA 92806 904342 C17
SOILS ENGIZ= APPROVAL
ARCHITECT OR ENGINRER: TEL. NO: FOUNDATION TRENCH FORMS
LSC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRA4IM
MAP 190: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
153H269 3 61
FLOOR SHEATHING
NO. OF FAMI.LI&S: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 ROOF Sf�
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRp SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LIPIi: WIDTH:
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
INT=OR LATH/PRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATID WALL ASSE301SE9
RATED SHAFTS/OPEN-INGS
T-BAR C F,11 INGS
LOT LR?_ZNAGE
REPORT ID: DPR261 ROUTE TO: BS0508
WORKERS'COMPENSATIO'N'DECLARAMON "
Insurer affirm.1 1IcattI11 e f a art' Comtpesafonnlnsu�a e, APPLICATION � FOR BUILDING PERMIT '
or a'certified hereof 3800,' C.)
�r COUNTY OF LOS ANGELES BUILDING•AND sAFET'(
Policy No pon
❑ y —
Certlfl•d copy Is here furnished. FOR APPLICANT TO FILL IN BUILDING
ADORESS
Certlfled copy Is fl led' th a county di BUILDI f l
{loh deportm,
Da> 1 Applicant CITY / L�� ZIP - LOCALITY
CERTIFICATE Of FXE}VIPT)ON FROM RS' -NO. OF fBLDGS. NEAREST. ,
COMPENSATION'iNSURAN SIZE OF LOT NOW ON LOT ST.
(This sdctlon rived not be'completed If the mit.Is for one ASSESSOR
h ndred dollars 100 or.leas TRACT BLOCK LOT NO. µAp BOOK PAGE' PARC$
i
T� 7 USE NE
I certify that In the performQFlce of the work for which this OWNER NO.
permit Is hsued, I shall not employ any person 1h any manner �� SPECAL
sp as id*oinb'subjact to the Worke'r's'Campensafton Laws. ��T=M �' III��� ��m� o
ZIP
Date' Appl leant
NOTICE TO APPLICANT: If,'aRer' making this Certlflcate of E�ffECTOR NEER T. WMCT FIRE BY
Exemptlpn, you should become subject to the Workers' COtdST. ZOt•E
Compenfatlbn provisions of the Lobor.C'_ode, you-mutt forth- ADDRESS L�t(J� -
with coroply with'..ruch provisions or this,permit shpll. be -
deemed revoked. CLCONTRACTOR /r/ STATISTICAL=- DWELL
APT. DO.
LICENSED CONTRACTORS DEARATION. M s,� -U / CLASS NOUNITS
I hereby affirm that I am Ilcerued under prpvblons of Chapter 9 ADDRE ,
(commer�ng with Section 7000 of Dlvhlon 3 c;f the Buslnea and SEWER MAP
Profeulons'Codd,'and my license Is In full force and effV. CITY VALIDATION
SO- FT. _ No. of No.of a-Ieac
BK PG. f43Q8A
License Number Llc CI' v' / STORIES- - FAMILES OrE
� VALuwTIiON
Contr /`� ' 4
DESCRIPTION OF WCM2tC NEW ADD = -#-o • o 0 2
❑ 1 am exempt under Sec. EDJ.1 I • -3 7.5 0-
ALTER
B.&P.C_"for tftls reosoREPAIR ; o a - 37.506-
Date:
37.506-
Date: `EXISTING DEOF titioL 0 3 2 7 f-8 6 ' -=
S l fl riots re - t PPLIGs NT
FINAL
OWNER-BUILDER DECLARATION N7 UCi No. DAT
..I hareby affirm that I am exempt from the Contractors License ADDRESS /�/ r�� q
Law for the following redson{Sectlon 7031.5, Business and / �vT
Profeislons Code): __ _. _ BUILDING - _ 4 3 0,9 A
I, 6% owner of the property, or my employees with ADDRESS _
wages asThelr sale compensation,will do the work and �Qry S # • o o e •.1
the structure Is not Intended or offered for sale(Sectlon LOCALITY
7044, Business and-Professions Code). - - - MOVING TEL. -
oR NO. Yer �o�i.rll!/"� I-9 49. 88
.
I, as owner of the property, am exclusively coniroctlnq r --
with licensed-contractors to construct the project.(Sec ADDRESS Z OC r - o- 0 0 4 9. 8 8� . {
tion 7044, Business and Professions Coded
CONSTRUCTION LENDING AGENCI SET BACK YARD I PROP. LINE wIDTFI' j (bdel-WA ' - 0 2 7--- 6
I hereby affirm that there Is a construction lending ogency for FRONT ����•
the performance of the work for which this permit Is Issued P.L. - -
(Sec. 3097, Civ. C_). SIDE
L
L nders Name
;{ LD�MA W. f
$ _ P.C-Fee$ V Perm H Fee
- ndees Addrbss T/�
I ertify W'outhntatives
Iication and state that the — hsuancefe• - V (� LDNW P/C/
a Infto comply with all County Investigation Fee .
I c _to building constrvctlon, , . .
In ees of this County to enterTotal FeeLDMA perm.po t v for Inspectlon purposes( 3 2T SM R/VIMIII POR EXPLANATORY LANGUAGE '
Icon,or-Agent - -- -. Da,.
mr
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