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HomeMy Public PortalAbout6208 CAMELLIA AVE_Building__ WORKERSCOMPENSATION m('1ARAnofJ Insure,°� a'cotf cafe,a-have qQ�pe of o�'in:u*ror�, A P P L I C A . ION.-. FOR'. BUILDING, PERMIT or a cer}ified cgpy thereof(Set 300, Lab.C) BOUNTY OF LOS ANGELES-' SUJLQINO AND SAFETY Policy NO. Company` SO LNNG Certified copy Is h"by fymbhec�. FOR APPLICANT TO FILL IN ADDS ap� 8­,Cw1ffiec1 copy is fil,edwtth ttie<countybuilding fnspec- BUILDI Non deparh'nent. i AD9RESS V Date'- r�:A�p7!11� T ' CfRT1FlCAJE OF"E?CfflAPrldN 1�Vi3 RS' SIZE OrF LOT NOW ON LOT gJ - ~ CCIMPENSA11ON INSU , lisecflon heed not bA corn Wed 'r�nl)_is for one - (th p I� pe V awa LOT NO.' 1� A Q hundred dollars ($100)ar.,IQis NO MAP 9OOIC PAGE [PARCEL 1- - ,.• ^' USE 101kE F certfy that,ln the, pecforrngnce of fhe._dy {c.for•whlch this a• 1.P07 it is isiued,I shplingtpmpro.}ca6y.porsoh in ahymanner ADDRS$ W #o a},to r}ecome subl�ct to thn Wprkera Corrlperuallon Laws. Cbwm Q a �CITY C7 _ Z10, Date' .: Appllcgnf'•.,, i. f+RCI IfTECI CXY GROUP' TYPE RR) PROC BY O NQiIU,,TO-APN �f� gfibr'mpking.this,Certificate-'of - - - ENOIt�E--.. }lo. FIK .Exemption,. you •shpuld =�44[rte -iubjdct to the.Workers ,{ r ZONE Compensation proYAlorU of?he,Labor"Cod*;'yob-must.foith- ..-. ADDRESS - y©F with.comply.wlih such,plovlslo.ru or this permlt,sholl be SfATISTiCAL_C ,SSIRCAT1oN _ -.' W?L: CONDO. ¢oared rovpked•. . . _, :.. ,�/ — LICe4SED.CONTRAC'FOR$.DoARATION NO. 01455 NO. -IfJ DWELL UN US I !bY affirm that I am ilber zed undw-provlstpns of Charter 9 SENDER M&P (comrrHn4ing tivlth Sedlon 700Q)pf,Dlyition 3 of ffm 8winpY _ LIC ` addPtofeaslornCo4ie,and,my,lL n fc�If.J9r,44bnd.effect (� (]ASS �pT1/�LJPA7}ON r f _ 4 SD.Fr OF NO: OF.. +X7 cn Llcerg Number �, `. ,4 J . . 6 F U'ES ONE 1424 hJ - ' x^}� ! �----- --= o6CRIPnorl oF• t�N AWA Ufa - - : aQ � 1 ITS ❑I,am exempt Under :T�]TAI:. 14?0■50 ALIER B.$P.C.for this rQgsoD ;�- '' >- F ✓ f REPAIR 0 =. 1 14 . USE. 1, .00 SFgnaturo - I TEL NO. . t OVO4ER-BUILDER DECLAf2ATICNPA TE thereby afflrt -that I arts exempt from the Contractoesliconso — ,. 4000-0001 712I96. ,Law'fof the follt�In4 rcdbor-4, ,$ Iol 7031.5, �usln'' n and , ADDRESS �f`Iy �ofesslon£ode : - - �:.... ::ti.•,,. . I, gs gwnef.of the,"prgperty,.or rTty'er iployeas with BUILDING ' wages a:the Ir sole oom�bhsgtlon,'wllr69 the work and LOC�LffY , ' _ the structure is rptdntended or offered for�ol*,(Sec7lon , , BgsIneq and Profession Code.) > • NG TEL- '7044 4 ; LJ' yQR l, as er.gf*o property, am ekclusLvgly cbr}"cfing. r _With'Ilce,nsed,6ontrocto.q tg.cpn#ITUct thb proles'} (SetADD- - _ RIESS tlon 70441-BUlr n6we ar}d Prgfealons.Goc - YAIm Hwy - CONSMCnC�LEN0ING_gGFlJCY- SET t - I hereby afflrm ti-6t there Is a conitructlorl lominp,apen�y for FRONT l the performance.of-the work,for_Whf'h'thls permIt Is Issued P:L (Sec.-3097, CIv..C:),. c' SIDE . P.L _ Fenders'Name LDMA Ref. f Landoez.'Addref} 7Q P'C s Permit Fee I.certify that r have rood thli cIppllcatlon and state tfiat the hauancs FM• LDMA P/C I , - o _above iriformatlgn Is correct. I agree 10 coCnply with all County InvirttgsiHan f«_ prdihances and State. laws 4ratiW tg building cor*rrodign, - Total Fs4 LDMA Pam. arl hpfdby oath I;e lopresentattves of.}his Gounty to Anter _ h bEEove anti b Inapedloh urRosoa. -� i8 RtV�es!I'OR 7 Signature of or AQs �' . BUILDING PERMIT t ' J COUNTY OF LOS ANGELES TEMPLE CITY 0508 NEW kESIDENTIAI DEPARTMENT OF PUBLIC WORKS 9Q71 LAS TUNAS BL 0508 9608120030 BUILDING AND SAFETY / LAND DEVELOPMENT PEE( 8HON : 8)�-0488 EXT. TR: 50536 LT: 0002 W. OF CONST NEW ADDRE SO. FT STORIES TYPE OCCUP GROUP CAMELLIA AV• STRUCTURE: 3009 2 V a3 TEKP G ASSESSOR INFORKATION NUMB GARAGE: 754 2 = NEAREST CROSS STREET: OTHER: THOMAS PAGE; GRID: LOCALITY: TEMPLE CITY - . 10!01/96 TC 08/12/97 . MWER: TEL. NO: BLDGS. NOW ON.LOT: VALUATE*: FINAL WE CAMELLIA HOMES L P (714) 937-0433- 240,100 r. 2100 W ORANGEWOOD FEES PAID ORANGE, G FEE DESCRIPTIO: NEW Si GLE FAMILY RESIDENCE j O: QUTANT17Y: UOM: AMOUNT: APPLICANT: NO: ALE)(ANDER/GTANIA DEV., LNC. (714) 937-0433- AA BLDG PERMIT ISSUANCE 2�•� AC STRONG MOTION RESIQ x.. 40100.00 VAL 2 .01 SPEC6L CONDITIONS: B2 PERMIT 41/EN1100. 0 VAL 2,441.51 SE ® 2,493.27 TEL. NO: APPROVALS INSPECTOR SIGNATUT ALEXANDER/GTANIA DEVELOPMENT, INC. - 2100 Y. ORANGEWOOD AV.STE 110 LIC. NO r /�l /�j ORANGE, G 9668-1943 NOMEARCHITEtT 6R ENGINEER: _ \\ . �� LIC. N0: / Hili 1, kXIStp' F[O0R FRAMINGMAP NO: SEWER . 3: 0,PUBLIC 0R S UWDERFLOCIR INSULATION 153H267 1ST LEVEL FLUOR 5HEAIH ILIES: DWELLING LIMITS-WT/CMD:—VAT CLASS: No 00 AIR "LITY: 1000 FEET MATERIALS �. ,❑ DEPT. FR E INSPECT No No C, _ '� BLDG DEPT. FRAME TOTAL 9MWXX FROM EXIST Z 2 SET BACK YARD: HWY; PROP LINE: WIDTH: _��� FRONT PL- I SH SIDE PL- FIRE DEPARNMr-OMW INTERIOR LA EXTSHOR LATH 11 1 5 REPORT ID: DP9261 ROUTE TO: BSO508