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HomeMy Public PortalAbout6202 CAMELLIA AVE_Building__ WORKI3ZS' CO�YI NSAT,ON DECLAkATION �i�- oo a hereby affirm that 1 have a certificate of-consent to seoa APPLICATION . FSO R. BUILDING PERMIT' .-: - Inrocertificate su , or a of Workers' Compensation insurance,.-. or.-a cettli•led copy,thereof (Sec 3SM Lab.'C.) COUNTY OF LOS ANGELES- BUILDING AND SAFETY Policy NO. Company BUIWING ❑ Carttf' d copy.is hereby famished. •, -FOR APPLI TO FILL IN eDD ADDRESS Certtfied copy b fiMS led with the county building Irtspec= G tion deportment. Date Appllcarlt• CrrY' zip'. 7/ 7pa LOCALITY CEi T1FICATE OF E) AAPTION , �T WORKH2S„ SL7E OF I:OT NOW ON LOT 61065 ST. cOAAP44sxnoN INSURANCE ASSESSOIZ (Thh section need not be com Ibfed If the-permit Ls for'one TkACi BLOB LOT NO, hW BOOK PAGE PARCa hundred dollars ( 100)or IeM f l� USE ZONE AMP I'certlfy"that In the performance of the-�vork,f& which-this �•, - . SPECIAL permlt.is-Issued; shell pbtemploy any persgh In any mpnr�r, - V© { COPDITKX4 oo as to become'subl4cl.to tha,yyorkers'Con)ponsatlon Lav,s& 0U.. QTY ZJF _ Dqte iJOT10E TO.APPLICA MFfWafter making this CerfFNcate of ENGINEEnt ARCHrrECT OR R I TR GROUP TYPE FIRE PROCESSED BY Q Exption, you;should become, syblect to the .Workers'' CONST. ZONE ewl Compensation provisions of the,_Labor Code, yqb must forth ADDRESS. with comply with suo ProK,slons Pr flys.,permit shall be ds+emid n'voked. ' TOR SfATT"CAL CLASSIFICATK)N. AFT.. CONDO.. Z LICENSEb CONTRACTOR$DECLARATIONG CLASS NO. O� __DVVEIL llNLTS�L I hereby affirm that l am licensed ur;8w provisfohs,of Chapter 9ADDREM24 05 1)6 %xi SEWER hAAP (comn4enclnp with Sectlon.70b0)-0f Dlvt}ipri3.of the Bwlness CITY -7 LIC. i and Profeaaloro.Code,and my:llcensslsJn full force andaffact. f� - BK PG. TFON :; SQ. F19" NO. QF NO. OF. OiECK �y� y� License Number U4. Class StORlES FAMUk1E5 Of�E M .i4 VALUATFON 'Contractor; pgtd DESCRIPTION OF WORK r c NEW, i pt ��F El am'exempt under Sbc s- ADDV �TU� 2M�-�.2p i - -ALTER ❑ ►' � K2102 ._n B: P� fpi this reaso - REPAIR Q USE of ... ...._- . . DOST,NG BLDG. xAASQI ❑ Signature APPUCANT71L.,. Kq OWNER-BUILDER DECLARATION NO TE00W-"1+ 7129/96 I hereby affirm that I am exempt from the Contractors Ucgnsa - Law for the follow) ADDRESS ryN/LL;? _ , _ 770 1 PM12:22 nq.reasoo, (Sedlon:7031.5, Business-and _ Profemlons,Code): � - - - ❑ I, as owner of the property,.or:MY employees w,th BUILot N¢ wages as ihelr sole compensafion,will do the work and ' y•. th ytru re It not intended tOG LI-Ey " or for salb I � offered Sett on - 4� 7044, business and Professions God e. Tl ❑ I, as owner of the property, am excluslvely contracting CONTPACTOR NO. with licensed contractor+to con"ctto- he project (SeADDRESS _ tion 7044, Business pnd Professlons Code.) CONISTRUCTIION LEN-DING AGENCYBACK YARD HW \ I hereby affirm that there II a corotruatlon lending agency for FRONT the.perforrtance of the work for which kt permit Is Issued P.L (Sec. 3097, Clv: C.). r SIK. P.L. r Lenders Name UM LDAAA.Ref.- Lenders Address P. Fee /•r/.oPermh Fee I certifythat I have read Shia a Ilcatlon and stat+ that the tak,an Foo LDMA P/C above Information Is correct: I agree to comply with all County I rnrrlpanon.Fee f Ordinancds and State kr. f6lc tlnq tq building constrvctlon, Total Fee LAMA perm and hereby authorixq repres,entatives of thla-County to enter u n the abov ntlon Ion pu L SE INNI 1 FOR EXPLANATORY LANGMA¢i of I mor Date F c COMITY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT ! DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS NEW RESIDENTIAL BL 0508 9608120028 BUILDING .AND SAFETY / LAND DEVELOPMENT TEMPLE CITY C► PHONE: (818) 285-0488 EXT: �r TR: NO. OF CONST N E61 DING ADDRESS: LID: LT: 0001 SQ. FT STORIES TYPE OCCUP GROUP 6022 CWA ELLIA AV STRUCTURE: 3000 2 V NEAREST CROSS STREET: ASSES= INFORMATI GARAGE: 754 2 OTHER: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY 10/01/96 TC 08/12,/97 . CAMELLIA HOI L P (714) 9370433- 240,100 2100 Y ORANGEWOODOF FEES PAID DEMIPIICN WORK ORANGE; CA 92568 NEC SINGLE FAMILY RESIDENCE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: L APPLICANT: TEL. 140: AI_DMDER/CATANIA DEV. INC. (714) 937-0433- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION k I ,,.24010U.00 VAI 24.01 VEMAI CONDITIONS: 82 PERMIT Y/E]iER§` IL 26._ P700EE VAL Z 441,51 2,493.27 " T�.n7�r�� EES® GNAT UR .40, APPEVALS CONTRACTOR: TEL. NO: ALE ANDER/CATANIA DEVELOPMENT, INC. LOCATION AND S 2100 Y. "GEW00D AV.STE 110 LIC. NO !� (D`f7 ORANGE, CA 92668.1943 NOME / \ � \\ F0lUkDATJClk7TR09To LIC. NO: -� MAP NO: SEWER P SWK: PAGE: 153H267 E: 01 �USUC WORKS NO. OF FARILIES: DWELLT0 1ST LEVEL F[TIi%-9ffuTT-- F I �o NO 00 C� �` f � 2ND LEWL FLOOR SHEAlH AIR QUALITY: 10,010 FEET MATERIALS �. �\ ` DEPT. NO MO BLDG DEPT. E INSPECT TOTAL SETWK PRCM EXIST SET BACK- YARD: HWY: PROP LINE: WIDTH: SHEAR PANELS FRONT PL- �rvl c e �� Z SIDE PL- Tff§3JTr097MTHM1 STRIP INTERIOR LAT EXT ER I LAT H LOT DMI FIRE DEP)&T9*r-UfMW REPORT ID: DPR261 ROUTE T0: BS0508 r COUNTY OF LOS ANGELES TEMPLE tTTY + f 0508 BUILDING-REMIT ' DEPARTMENT OF PUBLIC WORKS 9071 LAE TUiAY RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPF9NT TEMPLE CITY CA BL 0508 971TO60018 PHONE: (818) 285-0488 EXT: LEGAL ID; NO. OF COUT NEW BUILDING TR: 50836 LT: 0001 SQ. FT STORIES TYPE OCCUP SMUP 6M CAMELLIA AV: STRUCTURE: 0 1 VN R3 'T EMP CA ASSESSOR INFORMATION NMER: GARAGE_ -NEAREST CROSS STREET: GARIBALDI OTHER: 330 1 THOMAS PAGE. GRID: LOCALITY: TEMPLE CITY MkNT. EXIST BLDGo USE! LME'ZON E:. WME0-ON: PROCESSED BY: EXPIRES y EXIST OCC GRP: 1/06 _ UT 11L06/98 FINAL DATE FINAL BY' E:,, LEE ALICE (426) M7-7866- 1 3,000 1 AT 620 .CAMELLIA . . . I `► TEMPLE CITY, CA . lim NEW PATIO 151 .X 221 ATTACHED PARTI COVERED OPEN PATIO FEE DESCRIPTION: ' . QUANTITY: UOM: AMOUNT: SAME AS aMER - AA BLDG PERMIT ISSUANCE 27. AC STRONG MOTION RESID 3000.00 VAL 0 30 SPECI� 556LTIONS; ' AX BUILDING REVI 2 PERMIT 4!/04 �67R1 VAL `99.15 . 9tRl 182.10. . CONTRACTOR: TELNO:- AP'17AL5 SAME AS 0WNER - LIC. NO i-OCATION AND SETBACKS ALARCH ITECTOREA I LIC_. N0: SLAB/MDER FLOOR D; PURL@C WORKSJ IST L.ML fLODR SHEATH NO 21 0 - G SCM WITHIN HAZARDOUSRWFTREATHING AIR QUALITY: 1000 FEET MATERIAL$ 00 ❑ NO N0 NO O� . BLDG DEPT. WE SET BACK YARD: HWY: PROP LLNE; 'WIDTH: cl FRONT PL- - ,PAN EL 9 SIDE PL- e /1CCINSL"TIONfWEATHER STRIP - EXTERIOR LATH ; LOT 5,UIKAGE__, DETECTION DEVICES FIRE 0PARIOU70POVE REPORT ID: DPR261 ROUTE TO: RSO508 I