HomeMy Public PortalAbout4520 CLOVERLY AVE_Building__ COUNTY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TLRIAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0411160017
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDREW'_
TR: 12998 LT: 62 SQ. FT STORIES TYPE 4520 CLOVERLY AV
STRUCTURE: 1800 VN TEMP CA 917804203
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWE3R.AZUSA
8592-002-065 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, C
TENANT: M9TTEM7ME: RESID -ME ZONE: 3 T99mm-W.- PROCESSED-U-. -EXPIRES ON:
EXIST OCC GRP: - 11/16/04 JK 11/11/05
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE:
CHIU ROBERT P;LAI L (626) 350-5388- 2,500
4520 CLOVERLY AV //;? 17 T
TEMP 917804203
REkOOF OVER EXISTING WITH COMPOSITION SHINGLES HOUSE i
FEE DESCRIPTION: Q"ITY: UOM: AMOUNT: GARAGE.
APPLICANT: TEL. W:
W NG-KAI (626) 284-6816- AA BLDG PERMIT ISSUANCE 27.75
429 N. OLIVE AVE AC STRONG MOTION RESID 2500.00 VAL 0.50 SPECIAL CONDITIONS-
ALKWBRA, CA 91801 D2 PERMIT W/O EN-HC 2500.00 VAL 99_00
TOTAL FEES 127.25
CONT�A OR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATW�
WANG-KAI CHUNG (626) 284-6816-
429 N. OLIVE AVENUE LIC. NO LDCATION AND SETBACKS
ALHAMBRA, CA 91801 672556B
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATICIN/TWUMMW
LIC. N0: SLABIU1NDER FLOOR
RAISED FLOOR FRAMING
UNDERFLOOR IN90DTrW-
144H269 3 01
FLOOR SHEATHING
NO. OF FAM UNITS: APT/
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR FANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOT FIRE SPRINKLOFTNUMM--
SET BACK YARD: HWY: PROP LINE: WIDTH:.
FRONT PL-
SIDE PL-
REPORT ID: DPR261 ROUTE TO: BSD508
CO= OF IAB ANGELES TM(PLR CITY / 0508 BUILDING PERMIT
DIPARTttaT OF PUBLIC WORXS 9701 LAS TVIAS ALTERATION/REPAIR
BUILDING ASID SAFETY / I,AIID DLVII,OPXMTT TEMPLE CITY CA 91780 BL 0508 0607180057
PHONZ, (676) 185-0488 RIS:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TRS 12998 LTA 62 SQ. FT STORIES TYPE 4570 CLOV[RLY AV
STRUCTURES VII TDD? CA 917804203
ASSESSOR INFORMATION 1IDSITY&s NIARIBS CROSS STRKETi
8592-007-065 THO}AS PAGEi 597 4YIDi A5 LOCALITY. TEMPLE QTS, C
TENANT. EXIST BLDG USE: REBID USE TONE. R-1 ISSUED OR: PROCESSED BYi EXPIRES ON:
EXIST OCC GRP: 07/18/06 JK 07/13/07
Olom l TEL. NO: BLDGS. NOW OK LOT: V3LLUIT ION. F IIVLL DATE F 1nI, BTI CODZ i
CHIU ROBERT PjL1I L (909) 637-8086- 4,150 /
4520 CLOVERLY AV V K
TDD? 917804203 FENS PAID DESCRIPTION OF WORK
REPLACM 17 W73mOWB (SAMM BIKE)
FEE DESCRIPTION: QUANTITY. UOMt AMOUNT:
APPLICANT: TEL. NO:
PRISTINE WINDOWS INC. (626) 339-5700- AA BLDG PERMIT ISSUANCE 27.75
555 M. EDNA PL. AC 87YONG FIOTION REBID 4150.00 VAL 0.50 SPECIAL CONDITIONS:
COVINA, CA 91723 D7 PERMIT W/O EN-HC 4150.00 VAL 132.60
TOTAL ISIS 160.85
CONTRACTORi TIL. TO APPROVALS DATE INSPECTOR SIGNATOR&
PRIST2IE WINDOWS INC. (676) 339-5700-
555 E. EDEA PL LIC. NO IoDCITION AND SETHACKS
COVIIA, CA 91723 836774 C17 .
SOILS NEGINMYR APPROVAL
ARCHITECT OR RSGINERR, TEL. NO, FOUNBITION TR=CH FORMS
LIC. NO: SLAB UIIIDIR FLOOR
R1SSID FLOOR FRAMING
FAP NO. SMWIR MAP BOOK: PAGN, FIRM MINE: CMPi UND3507"R INSIILATION
144H769 3 01
FLOOR SMUTHIIG
N0. OF FAMILIES: DWELLING WITS: APT COKDi STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FElP MATEYTALB
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SVTB1CL FROM EXIST FIRR spRaincLik HAl?GRRS
SAT BACK 7AR.D: HWY: PROP LINE: WIDTH.
IRONS PL- INgULATION WRATHYY STRIP
SIDE PL-
INTERIOR LATH DRYO
EXTERIOR LATH
RATED FI,OOY CEIL ASSEM.
RATED WALL ASSIOSBLIIS
RATED SHAFTS OPENINGS
T-BAR, CEILINGS
IAT D41I U21
REPORT IDS DPR261 ROUSE TOi B60508
WORKERS'COMPENSATIDECLARATION ellJI-5/ VS//
b
herey affirm that I have
DECLARATIONr certCome of tion Int to self APPLICATION FOR BUILDING PERMIT
Inco{e, or a certlflcate of Workers'Compensation Inwiance,
or a certified copy thereof (Sec. 3800, Lob. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
icy No. Company
Certified copy hlf enby furnished
policy . FOR APPLICANT TO FILL IN
ADD RE55
❑ Certified copy Is filed with the'county building Inspec- - BUILDING
tlon department: ADDRESS
Date Applicant CITY ffax ZIP LOCALITY
CERTIFICATE OF DEMPTKWFROM WORKERS'. h10.OF BLDGS NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ST.
(This section need not be completed If the permit Is for oneASSESSOR
hundred dollars($100).or Is=.) TRACT BLOCK LINO. ,HAP BOO( PAR(g
tJSE
I certify that Jnthe performance of the work for whlch,this UN ER l NO NO. }
permit Is Issued, I shall not employ tinynon In any manner ( SPECIAL p
so.as to�b�ecoom�e subject to the Workws Compensation Laws- ADDRESS Q
Date JcJ��Applicant l ca n t Cm Z1 P
.Z-[ C�
ARCHITC{i Ott TEL �
E NOTICE TO APPLICANT: If, after rhakln Is Cerflficate of lhgNEER NO DISTRICT TYPE R BY
Exemption, you should become subject to the Workers' CONST ZOPE
Compensation provision of the Labor Code, you muo forth- ADDRESS
with comply with such provislons or this permit shall be ?
deemed revoked. CONTRACTOR NO 3J STATISTICAL CLASSIFICATION APT. TCONIDO. I U)
Z
UCENSEO CONTRACTORS DECLARATION LIC.: CUSS NO. DWELL UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. d
(commenting with Section 7000)of Division 3 of the Euslnerss and SEWER MAP
Profealorn Code, and my IIcarue h In full affect.force and eect.. CITY /� CLASS — PG.-53
VALDA71ON
C-39 Sq FT OF No. of LJc 0"a
Ucen"Number If L 7v< an Uc.ClSIZE s�roRtES ONE
/r,, �` VALUATION
Cuntractor2dgg Lam!/SAS pate /d–31' L�QtIMON OF WORK A� CA4 Nom'
r ADD =
Q 1 am exempt under Sec. r '.-r.+
ALTER
B.BP.C. for this reawn / f REPAIR
USE OF
Date: IX INO BLDG. DEMOX
Signature APPLK/4NT TEL PINAL o . 0 4 9, 8 8 5
OWNER-BUILDER DECLARATION PRINT NO. DATI �J
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business .
usineand ADDRESS
� �'�' br 8 8
ss
Professions Code):
0 I, as owner of the property, or my employees with AJDDRRESSS
woges.as their sole compensation,will do the work and '
the structure Is not Intended or offend for sale(Section QTY
7044, Business and Professlons Code). MOVING TEL
I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the-project (Sec ADDRM
-
tlon 7044, Buslness and Professions Code). IOTA
WAa 910M
CONSTRUCTION LENDING AGENCY YARD HWY LPR LAE VA
I hereby affirm tbat there Is a construcHon lending agency for FRONT
mn
the.perforace of the work for which this permit Is issued
(Sec. 3097, CIv. C.) SIDE
P.L.
Lenders Name
LDMA Ref.
$ P.0 Fee f
Lenders Address
J certify that I have read this appllcatlon and state that the Ea. Fee LDW P/C/
o above Information Is correct. I ogre b comply with all County lnvastlgatlon Fee
ordinances and Stat lays relating to building construction, Total Fee LDW Perth. +f
and hereby authorize representatives of this County to enter
upon t above mentloned property for Inspection purposes.
W MMM POR D0tWT0RY LANOUAGA.
of Applicant or Agent Date