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Home My Public Portal About4515 CLOVERLY AVE_Building__ 40A� - APPLICATION FOR BUILDING PERMIT 1 IMG AND S1a1FFr+ Y D O� SUILDINo t t Of COnnt7 EiglnAW ADDRES.b . Co"Of Low Angeles LOCALITY JQHN A. LAMBIE, COurmr EkGIN� NE,ARES f c .ATT D.GRIFFIN, SurlT or BUILDING CROSS SIT DISTRG HHW c.�M�1AP FOR APPLICANT TO FILLfp CONST BK BUILDING ADDRESS STATIS•1•ICAL CLASS [CATION CLASS. NO DWELL: UN - LOT NO. � BLOCK MJ,P � �j•{y TY¢ NUMBRR - - YES O TRACTHR=0p1it SPECIAL NO.OF BLDGH. �/ CONDITIONS RIZ[OF LOT O 1 NOW ON LOT L USE OF _ i ds•.DoO ' M"'TIN O BUILDINGYARD HWY E EXIST. i SETBACK WIDTH OWN[R MAIL PFRO. L.NT ' ADDRESS SIDR P. L. - ARCH -;r O ++,►�++�+++ON-RECORD - ENGINEER ADDRESS CONTRACTOR NO i DFSCR PTION OF R% NEW ADD ALTER RRPAIR DEMOLISH Sq. FT, NO. OF NO.OF SIZE STORI[D FAMILIES ,/ US[OF STRUCTURE oP 'd Al PRbVALS - SIGNATUR[OF _ APPLICANT DAT[ INSPECTOR'S SIGAATURE ADDRESS FOUNDATION:LOCATION FORMS, MATERIALS s Q C. S FRAME: FIRE STOPS. T-r [Q BRACING. BOLTS CATION. , LVALUATION/ 1 O U FU AS VX-NT., .,DUCTS EE61►5 V[NT DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT. PLICATION AND STAT[THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH KXT. STATE LAWSULATING BUILDING NSTRUCTION. SIGNATURE OF HOUSE NUMB[R COR- PERMIT " RIIcT AND POSTED ADDR FINAL JOHN A.LAMBIE, COUNTY ENGINUM CLYDE N. DIRLAM PRINCIPAL STRUCTURAL ENGINKIER Pu= CHECg TAMAI u COL Y.O. CASH PZXMIIS V LMSTION Cx. Y.O. CAIH - Lto 3 4. 0 4 UST 2.0 0. � m 7esSaAC:10=L1� APPLICATION FOR BUILDING PERMIT 1 COUNTY OF IAS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINmm NEAR EBT CAI/ATT D.GRIFFIN,■urT of EUILDIMa CROSS DISTR!CT NO. GROUP I TYPE HEWER MAP F OR CANT TO FUl IN BK CO HY STATISTICAL CLASSIFICATION CLASS.NO UNIT BLOCK MAP STATSNUMBER HWY. YUSH E SP CNO.OF EI-MG5. CONDITIONS B NOW ON LOT USE OF 1ST BU alNG 1 _ SE�'BACK YARD -HWY Q WIDTH OWN FRONT MAIL- P.L' ADDRE" SIDE P.L ARCHITECT o o INSPECTION RECORD E GINEER ' O. ADDRW8 17L CONTRACTOR DD D OF RK / 2 NEW ADD ALTER HPAIR DEMOLISH BQ.FT, F NO.OF SIZE RIEIff ILIES. USE OF XTptutrur i 91GNA E OF APPROVALS APPLICANT DATE I"PECTOR'D EIGKATURE ADDRESS FOUNDATION: LOCATION FORME MATERIALS r FRAMEt FIRE STOPS. N FEE BRACINQ BO LTB VALUATION11 FURNACEi LOCATION. E GAS VENT.DUCTS 1 HERKUY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND E LAWS AWS RE NO BUIL D1 G UCTION. LA �. >iIGNANRE 0 l HOUSE NUMBER OR- PICR I R1iCT D P08iCED ADD FINAL CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL EN ER P7�CCE=VAL=gMOX CIL I,f-a CAAH VILLM TLOA CX. u O. aw><rl 4 0 0 .?' AUG 9 1 A Z.0 0 �9 q), 7.AOA-"Dµa,s•s� APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUMDING AND SAFETY ■Ua ADDRESRESi Deperbnwit of C4aat7 Enpinew Comity of Lon Angel" LOCALITY WM.J.IrOX,COUNTY ENommut [AR[aT CRSS TT D.GRIFFIN,SUT'T OF nummme - DISTJUCT NO. ORCA TY'[ AP f_ SEWER Y F OR APPLICANT TO F111 IN ATE mw 5 Cloverl' -v NUMim 'obi" / aTxNVY-7,S� O!- NLOCK uf[ Ns C D I Hf TRACT 129 9 8 NO. OF BIJ309. ///J SQ[OF LOT 57 o.5x101•5 NO ON OT Q ■zrBA92rLDI YARD HWY STREET NAY[ WIDTH fmwcx _ Uf[OF FRONT f 4 owNa Alvi e Walter SmallMAIL fl°[ DRESS942:15 Gi dl e , S t. O TRACT DWELL. I UNIT D INDUSTRIAL Rasemead +o -574 �- + uNlr . d PUSLIC BLDG. ARCHIT7<C'T OR Tpr Q DU>`LDC 1 UNIT 7 ADDN., ALT.. [TC. Qldl-Ntl� HO. 3 AFT. UNIT' B miscm- 41 COMMERCIAL CONTRACTOR R.L.Un d e rwo o d N t 6 INSPECTION RECORD. ° 6260 N Tem _ DESCRIPTION OF WORK NEw 1i' ADD ALTER REPAIR DEMOLISH 7-Y'ea . SG, FT, NO.OF NO.OF ¢ SE —f-5 `� STOMKS 1 FAMILIES USE�F ffi - reaiden & 2 -1 L double at ara e Vti 81CINATUP of . APFLICANT APPROVALS ADDRESS 6260 N.TempleCity Blvd.T. DATE INfF[CTW•Stlaluro¢E 'FOUNDATION: LOCATION FORYf YATKRIALS Pa /r�� PS= i E: FIR[STOM. VALUATION 1 f ■RACING BOLTS I S 4-1� FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS' GAS VENT DUCTS APPLICATIO?4 AND STATE THAT THE ABOVE If CORRECT � AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES- LATH INT. r AND STAT[ LAWS REGULATING BUILDING CONSTRUC- TION. LATH. ERT. SIGNATURE OF ..,� HOUSE NUMBER COR- E41 PERl11TTEE ERCT AND POSTED AD�R¢1S 6260 N.Temple City Blvd TZo VqNAL. u +� WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF DLDa: INSPECTOR a_5.;2::6j2:`0c 2 1 6 1 -O.O Q AID ? 1 2 d Q � - _ _.• .p;fir'-�..A� � -- WORKERS' COMPENSATION DECLARATION ! hereby affirm that I have a certificate of consent .elf APPLICATION FOR BUILDING PERMIT Insure, or a certificate of Workers'Compenstfon Insurance, or a cerrffled copy thereof (Sec. 3800, La .) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. -7 aompan El Certlfled copy Is hereby furnished. FOR APPLICANT TO FILL IN' ADD JWCertified copy Is filed with the county building Inspec- BUILDING tlon department. ADDRESS / LOCALITY NEAREST Date Applicant CITY CROSS ST. CERTIFICATE OF EXEMPTION-FROM WORKERS' NO. BLDGS. ASSESSOR COMPENSATION'INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be com leted If the permit Is for one �7 USE ZONE MAP S hundred dollars (;100)or less. TRACT BLOCK LOT NO. / tVO. U TEL / I SPECLAL t V d 1 certify that In the performance of the work for which this CYwtER NO. �� COfJDTT1C TYPE O permit Is Issued, I shall not employ any person In any manner DISTRICT GROUP TYPE FIRE BY U so as to become subject to the Workers'Compen I aws. ADDRESS �0� �2 CONST r / tz O X, Data`Z_ – AF` Applicant � T '— ZIP STA�yL�SSIFlCAT10N CONDO. rj NOTICE TO APPLICANT: If, after maklna this ertifl to of ARCENGINEER NO J W Exemption, you should become subject to the Worken' CLASS NO. DWELL UNTTS�L N Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Z with comply with such provisions or this Permit shall be ? deemed revoked. TEL 9J VALIDATION CONTRACTOR . � BK. PG, LICENSED CONTRACTORS DECLARATION- C I hereby afflrm that I am licensed under provisions of Chapter 9 ADDR NO. f VALUATION �p (commencing with Section 7000)of Division 3 of the Business and t LIC �j d Professlorcs Code, and my license Is In full force and effect. CITY S CLASS X Y SQ:FT. OF NO.OF CHECK License Number / Llc.CI SIZE' d STORIES FAMILIES .Ot1E NEW ❑ $ Contractor e �� –" !V _ DESCRIPTION C>f WORK lI pm exempt from the censing requirements as I am a ADD ❑ licensed architect or a registered professional engineer ALTER ❑ FINAL acting In my professional copoclty (Section 7051, REPAIR E:]] DATE Business and professions Code). USE OFFINAL r EXISTING BLDG. DEMOL By LIc.or Reg. No. Date TEL OWNER-BUILDER DECLARATION PRINT I hereby affirm that I am exempt from the Contractors License Law for the following reason (Section 7031.5, Business and Professions Code): ESE KT ro y employees BUILDING r,'"/J_ ,,..A� I, as owner of the property, or m em to ees with ADDRESS wages as their sole compensation,will do the work and $ 1 97.4A the structure Is not Intended or offered for sale(Section LOCALITY I'd 704, Business and Professfons Code). - MOVING 1, as owner of the ONTRAC`fOR NO 2 0 0 31.010 Q property, am exclusively controding with licensed contractors to construct the project (Sec- ADDRESS S � tion 7041, Business and Professions C(doj CONSTRUCTION LENDING AGENCY �UBACK YARD HWY TOT PRSETBACKOP. FROMWIDlS TH I hereby affirm that there Is a construction lending agency for FRONT �, 1 6-81 the performance of the work for which this permit is Issued P.L - (Sec. 3097, Civ. C.). SIDE P.L Lender's Name /► qq Lender's Address P.0 Fee S Permit Fee c.�– 1 certify that I have read this application and state that the Issuance Fee , above Information Is correct. I.agree to comply-wlth all County Investigation Fee ordinances and State laws relating to building construction, Total Fee and hereby authorizer resentatives of this County to enter / upon the +e-m ed property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LAN43,UA6! . ^ Signature of Appllc or Agent Date ms