HomeMy Public PortalAbout6238 CAMELLIA AVE_Building__ WORIm2s' COMPBISA}lON 9c 110N:
I hereby affirm that I have a certlficgle of-"onsent to self
kn' Combrr -
Iruure, or a.certtFaafe ofwaurAPPLICATL� V F RB LV _ E -MIT
of gcertified copy the7eof (Sec:'11 . La,b,..'.) COUNTY OF 19S ANGEL -• 5UILPINQ.AND SAFETY
r
Policy{lo. Compahy;, BUILDING �t
Q, Certtfied,copy.Is.hefbby.furnwied: . .• FOR APPLI TO FILL IN ADDRESS
Certtfied.copy is filed with thwcounty,6t 11 ding Inspec
Ams '
tion department. -
ClTY r .ZIP -
Dat4 Appl ica rlt
CJaMHCATE 01=D(EN ft 'FROM WOR RS' Sig OF,GOT OPL LOT _ O SY.
COMPE]VSATI O w I NSU RANCf ' rr
ASSESSOR
(This section need not k?e-'coinrated ff the'permi U foP qne TRACE i� = LOT tab: MAN BOdC PAGE PAR-M
hundred dollars (SI'ob�or le1s. �
y- LtSE AARP
I'certlfy.that-in the-per#omtagce'of•the wolk for:which' this NSPOE} r
permit is Issyed, I ahgll not empIgy any person la any, nglnner " } ClAL
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so.as To becQm'e subLgct•to,the Wcxkers Compp4atlorilaws. ,00
} r.. ' QTYBP �J D /' U
bales--`Applicant '+ ARCHITECT IVA
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NOTICE.TO APPL}�41�: .If;.'crfteraRlnp tfila GrtJ4l�ah of INF�t No:
Di - _GRQUP. IRE. 0.
YJ Z
Fixetnptlon- you shopld be�rh •,*vbLect t6 -th6, orKirs' X
CompenWllon proylslons of-th gr.�od., yqo must.forth- - 7: -1.J'' i
with•c9mbly wtth;such p.pvi ons!;or. ,this;pprrplt shall be STATISTFCAC CLASSIFlUTION CO
ed revoked., •.• . f: - ' Z
LICEN.SEb CONTRAGTQRS:['6aARATIQN uC NO: uN �
O.
I hereby affirm that I am Ilcertsed urKW?rovfslortsof�C Ppter 9. � L C-
(cornmenclnq wifh'SgGtlom700b)af-Dlvlstorr3 of the Bustnws uC �
and Profpsslons.Crr e;gnd my Ilcenze F in f ilFfocce ands ffect. b� CtAss BK PG. A CT ATS
NO NO.-OF (BECK' BK.,
c�1
License Number, F14 tclOs+, STOWS FAMILIES ct'E 1420.•.0
Contractor- nT, t (�fw _ ' '7. PTION OF WORK ALUA
�JEy1t V TFbN. f � i
0I am c
exempt under Se - ' ADD, '� TU& 1420.'
ALIER �• y��r•-y
B.B PI-t for tMt 1XCK l;)easo n REPAIR 3 142aQ■50
UsE[3r.1w: PU NG - DEMOL C-I r'�reyys. M
t
APPLI
SI
G
NO. F
. N/1L.
fib
OWNP-BUILDER DECLARATION
DAn
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- J hereby affirrti•that I am exempt from the Confiractors}Jcene* 1 , ..
Lawfor the follgwlr�0 6etrson (S#ctlori 7031-,5,'Bwlness and Ab[5R15S. IN
FAi;,,,, . I•. �i r��
ProfesslonsCode): _ .. �l1�J f1t ,% �h
I, gs bwner�of;'th• property, of my 4e npl6y&m wlth MR&
' woperas thelr�ole comperudtlon;will do thaworkand
,the ttructure is riot Intended or offered for•ia (S
le ectloh L�l-fy
~
7Wa,J3}ulrieas'and Professlgns Cbde.) NCr_.~r
LJ 7, as'ow v of-the property,am exdwlvely cgotFottlnq NO.
with alcensed'con"ctors to constrt cl•th9 pro(e�.(Sec- Abb - ,
tion 7044,Bualnese and F?rofbrlsfons Coale.) `. ....:
t IYARD HWYEYJST
CO�JSfR(7CTION LENDING AGE-NCY
J hero by affirm that ttme els a constructIari lending agency`for FRONT
'•the perfortriance af'the work for whrth thIs-0ermlt is-1 Wed
(a 304�,'Cly:G). $IDE
P.L. _ -{
Lenders Nam tDAAA Rrf. #
Lenders Arlrlsess. -/- P.0 Fri Pvmit Fee
I certify that I have read iblslapplJcatlon and state that'the ^7 LDhW P/Ci Pool
S,
above informatloo is roar ct. I aqr"to cornply wlth_alk County Inv.stipatlFn
ordln6ncss and State lq�ys't'e'latlN to bulldlrlq conWucwor?, Total Fee LDMA Perm.
and hereby outhorize_representatives of thiel County to erl}er _
uport thq above-mentioned prdpgr`ty for-fnsooctlon.purposibm
Signahrri of Applkartt-,A w'7 Date
- •v! 0508
COATI' OF LOS ANGELES TEMPLE CITY BUILDING PERMIT
D
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS NEW RESIDENTIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL D508 9DOO50
PHONE: (818) 285-0488 EXT:NO. OF- CONST ov BUILDING
�
ADDRESS:
LE L ID: LT: 0005 SQ. FT STORIES TYPE OCCUP GROUP &2M CAMELLIA AV
STRUCTURE: 3000 2 V R3 TE}� CA
GARAGE: 754 z NEAREST CROSS STREET:
ASSESSOR INT'OWTION NUMBOTHER: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
11IN ON:
10/01/% TC 08/20/97
- CAMELLIA HOMES L P - 2¢0.100
2100 ORANGEWOOD FEES ( `
ORANGE, CA 921M NEW SINGLE FAMILY R ID CE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
ALD(ANDER/CATARIA DEV., INC. (714) 752-4009- AA BLDG PERJ4IT ISSUANCE 27.75
AC STRONG MOTION RESE:. „240100.00 VAL 24.01
B2 PERMIT W/EN� 1��,„,�_TT224010 VAL 2,441,51
��-` 2,493,27
DATE- INSPECTOR SIGKATLIRE
CWRACTOR: TEL. NO:
ALEXANDER/CATARIA DEV. INC. (714) 937-06433- LOCATI 5N AND SETBAW
2100 W. ORANGEWOOD f91b LIC. NO
Cb �\ /0
ORANGE, CA 92868 t'l
ARCHITECT OR ENGIN R: . I 0A
LIC. N0: j_iii�� ( / ,
f1
K �= PLAISED FM FRAMING
3' D; PUBLIC WORKS
153H269 lq.13
W. OF FAMILIES: DWELLING UNITS: APT/COND: STAT r-DNF".-- 0 co
WITHIN HAZARDOM �y
AIR QITY: 10FEET MATERIALS� � SFIRE
t.."
TOTAL SETRACK FROM E)(IST ;,',o
SET BACK YARD: HWY: PROP LINE: WIDTH: V er
FRONT PL- �/l Cj
SIDE PL-
_ �r
INTERIOR Lmac!��')
LOTPRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508