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Home My Public Portal About4824 CLOVERLY AVE_Building__' D15t 3 25 -BES 2_4 s - _ I)EPART:VIBUILDING N =' AP SON FOR P�_, - rl :� y COMI t OF LOS ANGELES BU I LD ING J j WM J FOX, CHIEF ENGINEER r FOR APPBUILDLICANT TO(�IFILL IN FOR OFFICE USE ONLY ADD RI88 LOCALITY RECEIVED BY DATE OF APPL DATE NG DISTRICT NO PLA=—C_K NO PERMIT NO , ter-d.��' c 188U NEAREST A� ' ��b CROBB ST BUILDING OWNER �S. v ��.Q..�., ADDRESSMAIL ADDRESS LOCALITY ` NEAREST v ' TEL \y CROSS 9T CITY NO - FIRE NO OF TYPE ORDUP ARCHITECT OR TEL ZONE PLANS Ci ENGINEER NO BLDG ORD NO ADDRESS SETBACK L E 1 APPROVE �-� TEL - CONTRACTOR i - NO BY DATE USE ,tPPROVED ADDRESS _ ZONE BY DATE LEGALI t ( I CORRECTIONS DESCRIPTION LOT NO BLOCK �.�— TRACT // y - !\�L�� C V 5 s //'�O"A (� ^, ��I NO OF BLOT '7 l/ SIZE OF LOT / f/ USE OFl,�� NOW ON /L�1I ..2 .... (,a�, CIF EXIST NG BLDG ►l�-i"C� I FAM B / ROOM9� SX t9q ,�; ��•,`d y , DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH O SIZFT N 13 OF z E ��U �� ROOMB STORIES / r WALL �O I ROOF COVERING •eY[�'�'t�G�� COVERING USE OF NEW BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION, _kLM PECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE` STOPS, 9 SIGNATURE OF BRACING, BOLTS OWNER A LATH, INT AUTHORIZED AOT �/ v LATH, EXT P C g; PLASTER, INT }� FEE / PLASTER, EXT VALUATION / V '� — V FEE e� FINAL t WORKERS' COMPENSATION DECLARATION insure,oraa•certif cate of Workers' Compensat on entInsuran of APPLICATION FOR, BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDINADDRESS C 10ae ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ((f / ❑ Certified copy is filed with the county building inspec- BUILDINGp A tion department. ADDRESS ®(AGK- CITY T E— �- ZIP LOCALITY Date Applicant NO. OF BLDGS. NEAREST // ' CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT O Y NOW ON LOT CROSS ST. ! P �} COMPENSATION INSURANCE ASSESSOR /� (This section need not be completed.if the permit is for one TRACT BLOCK LOT NO. MAP BOOK `v PAGE O 0 PARCEL ®� hundred dollars ($100) or less.) TEL OWNER 0A ' NO. USE ZONE NO, I certify that in the performance of the work fo is �� / SPECIAL >_ permit is issued, I shall not employ any pe13 in any mann'r ADDRESS CONDITIONS CL so as to become subject to the Workers' mpensati S. Q _ CITY ZIP U Date Applicant -- ARCHITECT,OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY CY NOTICE TO APPLICANT: If, a r ma rt of ENGINEER NO. CONST. ZONE Exemption, you should, come subjec to the W rkers' n�/ U Compensation provisions of the Labor de, you m st forth- ADDRESS !/O e a with comply with such provisions or this permit shall beEL STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR �}3 C-OV1 r�NO. -/Y7-197 Z_ LICENSED CONTRACTORS DECLARATION / LIC. CLASS NO.�DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 606!!5q LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business i4"��A" CLASS and Professions Code,and my license is in full force and effect. CITY BK./— PG. VALIDATION �G/ SQ. FT.1j,` NO. OF // NO. OF CHECK License Number 606 67Y7 7 Lic. Class SIZE /K3 STORIES A. FAMILIES ONE � f, ,j VALUATION ' Contract. Gl e 6-7`�� DESCRIPTION OF WORK i iJl�'f�bN p NEW ❑ S El am exempt under Sec. oYC�- it1 �(lIl� ADDmu POO,.B BP.C. for this reason D b C(h1L� ALTER ❑ �� REPAIR ❑ $ Date: USE OF AA EXISTING BL G. 6U-,.,Q JA& DEMOL ❑ Signature APPLICANT p TEL. (PRINT) �jM' No.yY7-�b'73 FINAL OWNER-BUILDER DECLARATION p DATE QZ I hereby affirm that I am exempt from the Contractor's License ��GI/ G �+� /fy Law for the following reason (Section 7031.5, Business and ADDRESS G v� 'L FINAL Professions Code): PRESENT ❑ BY BUILDINGI, as owner of the property, or my employees with ,. ADDRESS _ - wages as their sole compensation,will do the work and ?•71 7 the structure is not intended or offered for sale(Section LOCALITY - - 7044, Business and Professions Code.), MOVING TEL. 9 T. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. _ with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) " NEC:�; REQUIRED TOTAL SETBACK FROM EXI ST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE Wt -- I hereby affirm that there is a construction lending agency for FRONT £:i�ti (•-sem ,ll the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. - _ Lender's Name i IE tij_i'-':!i'; i l - DMA Ref. # '— 0P.C. Fee$ Permit Fee ' --• - - Lender's Address1 certify that I have read this application and state that the Issuance Fee DMA P/C#above information is correct. I agree to comply with all County Investigation Feeordinances and State 1 g to building construction, Total Fee s (JDMA Perm. # a and hereby out State representati es of this County to enter • upon the abov ention pr ty for i spection purposes. Q 9/ SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature l.. nYo7 Act Date WORKERS' COMPENSATION DECLARATION 'N I hereby'-affirm that I have a certificate .of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR .B U I L D I N PERMIT , or o'certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ied copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS �Certified copy is filed wit ilding inspec- BUILDING /O 'tion department. ADDRESS ` !/ Date //D AY'Appli CITY ,�i� r ZIP LOCALITY . CERTIFICATE OF EXEMPTION FR 'WORKERS' NO. OF BLDGS.•• NEAREST. COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100.)or,less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL �� N�g5_f Q USE ZONE MAP s� �, I certify that in the performance of the'work for which this OWNER NO. G permit is issued I shall not employ any person in any manner aL. �d��Gy �f SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS V CITY /�i� liG ZIP Date Applicant ARCHITECT OR TEL. NOTICE TO-APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP .TYPE. FIRE PROCESSED BY Exemption, you should become subject to the Workers' CONST. ` " ZO E W Compensation provisions of the Labor Code, you must forth- ADDRESS (� !!Y - d with comply with such provisions or this permit shall be TEL,' STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. ymvXO," 12wa4l �_ CONTRACTOR /A NO LICENSED CONTRACTORS DECLARATION �G�E L.�1 STU1 1a S LIC. atd ? CLASS NO. DWELL. UNITS I hereby affirm that i am licensed under provisions of Chapter 9 ADDRESS NO. pia ..7 (commencing with Section 7000)of Division 3 of the Business and LIC /� 9 SEWER MAP Professions Code, and my licensels in full force and effect. CITY SAS/ ��7�L CLASS 4 - / VALIDATION ,/ SQ. FT. NO. OF NO. OF CHECK BK. PG' License Number 798 ` 7.'3 1 Lic.Class G �,�� SIZE STORIES FAMILIES ONE L/ !! T,Q Q`� Q VALUATION Contract&&/W dM &06"IlDate Z-2 'l y1 DESCRIPTION OF WORK / NEW - a OO O ADD ❑ , ❑ I am exempt under Sec. f240 COQ LE T� tJSG ❑ �f _ �_��— ALTER B.&P.C. fort eason Z d,6s�-rLr4 EN �d2D REPAIR ❑ $ EXISTING BLDG. DEMOLU SE OF ❑ 1 9 1,8 A Sig t l APPLICANT f TEL. p Q.�/� FINAL o 0 0 0 0 (PRINT) 4, o H�NO.,P- /�"( ems' 1 ILDER E LA ATI DATE � s�y� •� t 1-hereby affirm that I.am exempt from the Contractor's License 2 a a 4 9.98 Law for the following reason '(Section 7031.5, Business and ADDRESS S- G .L 7-U hV A�� FINAL` , , , Professions Code):` PRESENT BY ` 0 0 o ❑ BUILDING t 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and - ' 0 6. 1 2—8 4 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. - ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project'(Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK FROM T. CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT -.the performance of the work for which this permit is issued P.L. - (Sec. 3097, Civ. C.). SIDE P.L.. Lender's Name o LDMA Ref. # m Lender's Address P.C. Fee$ Permit Fee certif t ve read this application.and state that.the Issuance Fee- Q. LDMA P/C# - a information correct. I agree to comply with all County Investigation Fee m ordinances a t . laws relating.to building construction, •_ Total Fee LDMA Perm. # and her or*� a represent 'ves of this County to enter up ove-rc(entioned p erty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Applicant or Agent Date �° APPLICATION I L e COUNTY OF LOS ANGELES A BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADD ESS WORKER'S COMPENSATION DECLARATION v� I hereby affirm that I have a certificate of consent to self insure, BUILDING A DRESS or a certificate of Workers' Compensation Insurance, or a certified 8 «U copy thereof (Sec.3800,Lab.C.) t-��./� CITY zIP 2ec. 800 Com s��"""D Vl790 LOCALITY /� Policy No. Pant SIZE OF LOT NO.OFJDGS.NOW ON LOT ❑ Certified copy is hereby furnished. I NEAREST CROSS ST. ❑ Certified copy is filed with the count build' insp ctio TRACT BLOCK LOT NO. depa tment. USE ZONE MAP NO. Date 7 Z3 47 Applicant ASS SOR 0 BOOK PAGEz-0 PARCELSPECIALSPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE L— -S&IAJ 17-8-i -7717 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS r/� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100) or less.) /� CITY ZIP I certify that in the performance of the work for which this permit L� 4 (` ��J �� •�� is issued, I shall not employ any person in any manner SO as t0 ARCHITECT OR ENGINEER TEL NO. ddd O become subject to the Workers'Compensation Laws. STATISTICAL CLAA SIF /LCATION APT CONDO Date Applicant ADDRESS CLASS DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become subject t0 the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith I&J7t1 gt41t:0s2- &4Z'? FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATIONkA-f- ,.t! 6119,73 SIDE CITY 6.4.&1 LIC. SS P L I hereby affirm that I am licensed underprovisions of Chapter 9IDIU-�4S• SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES I NO.OF FAMILIES Professions Code,and/may license is in full force and effect. NEW ❑ BK PG >' License Number l��lT�3 LiC. Class •3 DESCRIPTION OF WORK App X VALUATION Q Contractor Al-SRA N040W Date 7l!3l4 3• P 'zt� G0U l�iK ALTER 1:11 $ Z U [II am exempt under Sec. REPAIR El $ _ B.AP.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ �- Signature APPLICANT(PRINT) e�-»yTEL NO. LDMA Perm# '==r z ❑ I, as owner of the property, or my employees with wages as eu cs?z !ADDRESS ZO r''_'t S f n g -their sole compensation, will do the work and the structure is r, _ not intended or offered for sale (Section 7044, Business and 14 Qb~��rvkaf�� I� FINAL DATE !zi 50 cHi u•,.. Professions Code.) . (�)�� WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J ❑ 1, as owner of the property, am exclusive) contracting with ORA MIXTURE CONTAINING A HAZARDOUS MATERIAL INFORMATION TO OR GREATER THAN THE P P Y. Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY- ? 5 licensed contractors to construct the project (Section 7044, VES C1 NO 1:1C:? n'8'i" E t-I•-�• Business and Professions Code.) _ WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING .. .'�I_I�_ I IL,n i iC OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ._- -^ .- CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. 'y I hereby affirm that there is a construction lending agency for YES❑ No El • the performance of the work for which this permit is issued(Sec. I_i i �_ I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING I _ '•HL I ,.�' ® '— 3097,CIV.C.) CHECKLIST,I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS — 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. :.• �': �.�I• n moi,t o Lender's Address (_ lHJ`G-L n+ O OWNER OR AGENT o I certify that I have read this application and state under penalty P.C.FEE PERMIT FEE of perjury that the above information is correct. I agree to comply with all county ordinances and State laws relating to building • / 100?i16-0I (t S 1 15/ construction, and hereby auth rize representatives of this County ISSUANCE FEE f _ i n m to Ent po e v nti ned property for inspection p rpo es. I f'F i i Hf i 1 (__C , nm � ✓ Z (>Ij INVESTIGATION FEE TOTAL FEE s�nawre m Aaor m or Ae a Dale sC.� SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0309170032 PHONE: (626) 285-0488 EXT:• LEGAL D: NO. OF CONST NEW BUILDING ADDRESS: TR: 11454 LT: 26 SQ. FT STORIES TYPE OCCUP GROUP 4824 CLOVERLY AV STRUCTURE: 455 1 VN R3 TEMP CA 917803808 ASSESSOR INFORMATION-NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA 8590-020-009 OTHER: THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/19/03 VG 09/13/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE EL)T: CODE: JACKSON BELZORA TR BELZORA JACKSON (626) 285-9717- 45,000 EXHIH 4824 CLOVERLY AV TEMP 917803808 FEES PAID DESCRIPTION OF WORK ADD NEW MSTR BDROM AND CONVERT EXIST BDRM TO BATH & CLOSET FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SMITH (909) 605-6691- AA BLDG PERMIT ISSUANCE 27.75 4055 GUASTI RD.#106 AC STRONG MOTION RESID 45000.00 VAL 4.50 SPECIAL CONDITIONS: ONTARIO, CA 91761 B1 PLANCHECK W/ENERGY 45000.00 VAL 684.84 B2 PERMIT W/ENERGY" 45000.00 VAL 805.70 TOTAL-FEES 1,522.79 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ENTERPRISE BUILDERS (909) 621-7455- 4045 GUASTI RD., SUITE 203 LIC. NO ' �",� LOCATION AND SETBACKS ONTARIO, CA 91761 808254 B 4 ZS- 3 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH WRMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING /U /,0, MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 /v-/-a 3 ST LEVEL FLOOR SH ATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS \, ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO -r" FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST ` _ BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH / LOT DRAINAGE C. SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR B»I'DlNG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0311250021 PHONE: (626) 285-0488 EXT: LEGA7ID: NO. OF CONST BUILDING ADDRESS: TR: 11454 LT: 26 SQ. FT STORIES TYPE 4824 CLOVERLY AV STRUCTURE: VN TEMP CA 917803808 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8590-020-009 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C i---N::NT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/25/03 JK 11/19/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI A DAT FIN Y: CODE: iJACKSON BELZORA TR BELZORA JACKSON (626) 285-9717- 13,000 4824 CLOVERLY AV _ �� ;EMP 917803808 FEES PAID DESCRIPTION OF WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RAISE CEILING TO 8FT IN BEDROOM APPLICANT: TEL. NO: DOUG SMITH/AL GASS (909) 605-6691- AA BLDG PERMIT ISSUANCE 27.75 4055 GUASTI RD.#106 AC STRONG MOTION RESID 13000.00 VAL 1.30 SPECIAL CONDITIONS: ONTARIO, CA 91761 AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 13000.00 VAL 267.00 TOTAL FEES 350.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ENTERPRISE BUILDERS (909) 621-7455- 4045 GUASTI RD., SUITE 203 LIC. NO LOCATION AND SETBACKS ONTARIO, CA 91761 808254 8 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS i LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION X 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508