HomeMy Public PortalAbout6228 CAMELLIA AVE_Building__ WORKERS' COMPENSAT10N DEd ARAIIOt
r hereby affirm that I have a fs'.C m e of con"
to'seff 'APPLICATION FOR RlJ I L D N G. .. E RAAI T '
Insure, a a certificate qi W9rken.CC,00mpensation Insurance,
4r p cerhfled copy-tfiereof (Sec- 38M,tab. C,) .. ..
1KY OF LOS ANGELES dUILDIHG AND SAFETY
ODl
'Policy Nor.- Compariy-
BULLPING -
❑ Cediffed copy.1i hereby furnished..' FOR A PU TO FILL IN s �+i2�lp- .
❑, Cert►fied copy Is filed with the tounty,bulldlpq lrfpet- BUILDING �2
Hors,deparlrnent. . ADD155
fltrte Appl.ltont zip 7//A LCCUJTY
'CERTIFICATE' F-DTJON aMJ? FROM WORta_R$': SIZE OF ON LOT _
COMPQJSATI ON 1 NSI kA1VC�• t ORO55 St.
(Tlal�Aectlorl abed n94 be'corn lefed ff the it Ts for orle T1fACJ Loci IAT No. MAP'bQCK PAGE PARCH
huhdr`ed dollari($TW0 or Igs1,j
TEL. c
I certify/}hat in.t116~performance•of Hie;Work for whlch'thb
• permit Is Issued,IAhaH hot employ any rl!n any'mgnner --
mtmrt,
r+b as to become subject to theMoiicbrsCompeosatlon_Lawrr_
. Crt _ - ,.ZIP MQ-
Appllcbnf.— i AR4IjfECf
y-NOTLCE TO APPUC Wi.If, after.-making,t61s•Certh96cte . INl�R• _ DI GROUP COMT. Z R� PROCESSED BY - .Q -
Exemption, .you.4hbuld,boqomd subject to. the•Workers' -
Comp6nsatlon proylslons of the Labor Code, you must.fgrth- - ADDRESS -
wlth' comply with iuch,.pr6,vlrrlons '9r Jhh.per{nit.shall be TEL
deemed.revoked, SfkTIST1CAL,CLti551FiG1TKNJ _ AAT.,.- Cbf�O,
LIC D CQ TRACTORSS�'b5(3ARAPIO } �� AUC r CLASS NO. �Q rw EL u
1 hereby affirm ff;&t I q licensed udder pro vIgIoni of ChdWer 9 .. u It
NO `
(comrLy—
rwicing,:w tj h 5 ctbr JOOOJ q{blvlslort 3 of the Business � t� �� Q.� ��� �GT�a
and Prdfeislon} rode,andrny I"nse Is In full forte and effect. . l� YJ�LIDA�76[� �1
SQ. FT NQ. qF NO. OF BK •. PG. M
'Llc�nse Num{�ef lic Class =r, Sr1€ 57bR16 FyUWUES ONE VALW4TfON ��'�'�f' r
+Contractor DESCIZIPTioN.OF NEW. _ *! - f'!-f"' - ~
- . .. AEX� ;o�i� ; poo' �, T17FAI, X33 :°4. .
LLI am exempt urger Sdc. ? - *,
El ..
-. ALTS
Date; � •4GE1'R'fCK
i(?r, his rP4son 7lL
. .. 13.31.&4
AF. REPAIR t�
.
EXISTING KtG. DEMOL
Signature APPLICA[JT. FJNAL ;:.'
OWNER-BUILDER pECI AI ATION I �' r�r�
I hereby affirm thot I,grrl exgr pt from the ContrpctQr't Ucense � - Li,Jili 7/29J96
Low for the followI0g-. onh,(Sdctlon 7031.5, Buslnea and ADDRESS FIW1J?' 1'; PM12:23
Profbsslons
Cod
w _.
W I LDi NG
❑ ,.as owder•df the pr�pgrty, "pr.my' employees.wlth Dp
wages as thelc iolicgmp6nsatlgn,wiN'drr.fhe work-and
thestructure-As n9Intended ofofifered for sale(Sedlon LoL4iny .
_ 744 BuNnest and Profb�L ns Co¢�.) - )v NG 'T 1Fh
LlI, a�owndr�i the Props, , ex duslveLyaontrndlpp o No .. '
wttF, IIopinsed-"ntFd0.ertYv c 'th4 prol r ADDRESS
tion 7044, Buslh4is pn Ptofesil4rls We,) _
CONSTRUCTION LENI)1(NG ACFNCY:- SET
YARD FtYVY fit. ;
I hereby gffinn;4at there Irtkcorutruction Iending�4P�Y For
.the performante,of the-wot'k for which this pa 9It Is Iitbed P.L.
(Sec 3097, CIV. C): $IDE.
tenders Name ,
LDMA Ref. f-
tenders D7d P_C FN ,/ /• d P� t Fee f ,
I certify thdt I have read ihls applloatlon gnd'state?hat the hsuance LDAkA P/C f
above Inforaxitjon.Is cared. I agree to comply withal I County Inwatlbrrtlori Fw -, "_ -- V r
ordinances and Stab laws"rolQtinq to-building cgnifrttdion, I Total F« LDh'A Perm.'
and hereby auHi9rizerepresentatives of ihI4 County to enter
-upon the above-mentloned'property fat IrvtpgdM
Ion purpg4t
$0 REVEIM#M MOILAIiATORY LANGUAGR c
' Slgrxitwe Appl{oarrrw Agent• � - .
diw- y �. COCITY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARTMQdT OF PUBLIC WORKS 9071 LAS TUNAS NEW RESIDENTIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY GA ! ' f/ BL 0508 9608120033
PHONE: (818) 285-0488 EXT: !. Of/
*0. OF CONST NEW BUILDING ADDRESS:
TR• 50836 LT: 0004 SQ. FT STORIES TYPE OCCUP GROUP b� CGELLIA AV
STRUCTURE: 2700 2 V R3
GARAGE: 809 2 NEAREST CROSS STREET:
ASSESiM INFORMATION NUMBER: OTHER. THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
USE ZONE: R-1 inum 6N: 7171BY:
• 19/01/96 TC 08/12/97
OWNER: TF-L. NO: BLDGS. NiOW ON LOT: VALUATION: BY:
CAMELLIA HOMES L P (714) 937-0433- 219,200
2140 Y ORANGEWOOD FEES PAID
ORANGE, G 92868
NEW SINGLE FAMILY RESIDENCE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: Tn. NO:
ALEWDEP/CATANIA DEV. INC. (714) 937-0433- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RES 1 00.00 VAL 21.92 -
B2 PERMIT W/ENR 0 QO VAL 2,289.05
��F�Es x,338.72
CONTRACTOR: TEL. VO: APNMP�Lb TE INSPECTOR STMU73M
ALEXANDEII/
GTANIA DEVELOPMENT, INC. ��
ON AND SETBACKS
2100 W. ORANGEWOOD AV.STE 110 LIC. NO �� /0
ORANGE, G 92664-194SOILS ENGINEER KM9RW
• _
SLAB/OMER FL
LIC. NO: 1 �i�}�
FIRE ZONE: rKp: c w or%[..r UNDERFLOOR IW9&ATION
153H267
,�1U �// cv
No 4 / 1�J
$GRW WITHIN ROOF SHEATHING
AIR QUALITY: IDDO FEET MAN iALS /. �`�`
NO NO ✓„/�
Tr97DEPT. FRAME-
t� BLDG DEPT. -FRAME-rRSPM 17'H
SET BACK YARD: HWY: PROP LINE: WIDTH: SHEAR PANELS
r `
FRONT PL- �' I!ice
SIDE PLINSUIATIONJWEATHER STRIP
-
EXTERIOR LATH
LOT DRAINAGE-
Zo
L�1
SHOM DETECTION DEVICES
FIRE DEPARTMENT MYNMAL
v
REPORT ID: OPR261 ROUTE TO: BS0508
I
' COUNTY OF LOS ANGELES TEMPLE CITY f 0508 ~ BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA I BL 0508 9$07070062
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW --nILDING
TR: 50836 LT: 0004 SQ. FT STORIES TYPE OCCUP GROUP 6228 CAMELLIA AV•
STRUCTURE: 0 2 VN R3 TEMP G
ASSESSOR I ER: GARAGE: NEAREST CROSS STREET: GARIBALDI
OTHER: 288 1 THOMAS PAGE: GRID: LOCALITY EPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: T99off-W.— PRC)CESSEU-gT-- RES ON:
E)(IST OCC GRP: 07/07/98 UT /07/99
06PNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE 0 COO E
KHAW;RICHARD (626) 286-5969- 1 3,900 „{
6228 CAMELLIA AVE GJ
TEMPLE CITY, G FEES PAID DESCRIPTION OF WORK'
288 S
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ATTACHED OPEN'WOOD PATIO - . FT.
APPLICANT: TEL. .
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC'STRONG MOTI E&'"--- �^^" .
.�—+„„,�w.00 VAL 0.50
D BUILDING. EY FA
115.80 '
� %p ���LLE�STO�E 198.75
APPROVALS DATE INSR&CTOR SIGXATURE
SAME AS OWNER .
LIC. NOCONTRACTOR. TEL. NO
ARCHITECT OR ENGINEER:
• :
LIC. NO: i FLOOR
—
I- FRAM M N G
MAP NO: SEWER PAGE: FIRE ZONE:MAP BOOK:
11I� 1 � 11 'r1 Ir; �C_1 ' �c
3 [01ST LEVEL FL55ff-9ffEkTF--
NO 21 1r' —�— L� USCHO011 WITHIN
AIR QUALITY: 1000 FEET MATERIALS ` _ _ FIRE DEPT. FORE—MPM
Ito
NO NO
}
BLDG DEPT. FORE-W=
SET BACK YARD: MY: PROP LINE: WIDTH:
FRONT PL-
SIDE PL-
INTERIOR LATH/DRYWALL
LOT DPAlkAGr
FIRE DEPARTffMr-AMyW7E
REPORT ID: DPR261 ROUTE TO: 830508