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HomeMy Public PortalAbout4831 CLOVERLY AVE_Building__ 76AB36A C E#80310 199 APPLICATION. FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES- BUILD[NG DEPARTMENT OF COUNTY ENGINEER ADOREss BUILDING AND SAFETY DIVISION LOCALITY b(n is JOHN A LAMBIE, COUNTY ENGINEER NEAREST _ CASSATT D GRIFFIN SUP T OF BUILDING - CROSS ST V W t-(L_ _DISTRICT NO GROUP TYPE CESSED BY ' FOR APPLICANT TO FILL IN- - ' s �1, CONST BUILDING �/r STATISTICAL CLASSIFICATION + t EWER MAP r ADDRESS "� CLASS NO DWELL UNITS ` Bt-. lopMAP ` LOT NO y BL NUMBER STATE a YESo- NIO�- TRACT / _ USE ZONE SPECIAL _t� CONDITIONS �y L I NO OF BLDGS SIZE OF LOT, f/I( NO ON LOT - Xam USE OF T` EXISTIN EXIST LDG r _ SETBACK YARD HWY STREET NAME WIDTH O x OWNER FRONT MAIL (L ADD S SIDE TEL P L\ c CITY WNO INSPECTION RECORD_' r ARCHITECT OR TEL ENGINEER NO ADD ESS - TEL 6-719 tf7"Cf��I¢ +1.�` / "T_- _ N Z � a• Z .i © its L S ADDRESS DESCRIPTION OF WORE /�p es'2 S T� S `� c A 7 NEW ADD ALTER REPAIR DEMOLISH .'- SQ FT t NO OF _ NO OF i.7�lS �W1.-Ltd V SIZE Q STORIES FAMILIES USE Opp .1 J F�&A-, - rl R'I (f . STRUCTURE SIGNATURE APPOre APPF VAL DATE INSPECTOR S SIGNATURE ADDRES FOUNDATIONLOC TION f V ^"�� FORMS MATHIAL 1 G � T FRAME O , BRACING,BOLTSS j ► FURNACE LOCATION, FEE $/ •6101 FEE $ GAS VENT,DUCTS 2 �� ��� L •+ �"J/ I HEREBY&CKNOWLEDGE THAT I HAVE READ THIS AP-. LATH INT PLICATION STATE AT THE ABOVE IS CORRECT AND AGREE TO O LY ALL OUNTY ORDINAN S AND STATE LA S R TING I G CO CTION LATH,EXT SIGNATUR HOUSE NUMBER COR- PERMITT RECT AND POSTED -e-,-r ADDREFL FINAL CLYDE N DIRLAM, PRINCIPAL ST R Oa'URAL ENGINEER - ' PLAN CHECK VALIDATION 0 M O CASH PERMIT VALIDATION CK4 M O CASH T LICO1 6 1 5 �AUG 2 4 2 3 A 1 6:5 O s hs OF L3J,p 2 7 1 6 u; SEP 16 l A 3 3.Q b ,�I� 4 76A638A CE 0803 1/71 APPLICATION FOR FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DMSION BUILDING ��/ y ADDRESS N COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY NEAREST / FOR APPLICANT TO FILL IN CROSS ST G(9 G'(��le 4 Z (f � v Print ort a only) DIS✓�TR;C® .GROUP PROCE CONST- %l SSEj BY ADDRESS 8 dY•-I" ,,'cam cam.-�.`_ STATISTICAL CLASSIFICATION SEWER MAP LOT NO BLOCK CLASS NO Z DWELL UNITS BK PG TRACT 5 ` USE �jONE MAP NO OF BLDGS / NO .2 SIZE OF LOT NOW ON LOT I� SPECIAL USE OF - (�_ CONDITIONS �,. EXISTING BLDG Y e N OWNERCpk2 6 NO BLDG SETBACK FROM LO V L y ADDRESS v �j FRONTPROP LINEOF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY nA (���f HIGHWAY WIDTH FROM C L ' ARCHITECT OR TEL 10(f-- 49745) + �v = z o 'ENGINEER NO BLDG SETBACK FROM ADDRESS SIDE PROP LINE OF (STREET) TEL TYPE OF EXISTING SETBACK H,IGHWAY + YARD = TOTAL a CONTRACTOR NO ' HIGHWAY WIDTH FROM C L O U ADDRESS LI + _ O LIC ^ F.- CITY CLASS i` CORNER CUTOFF YES E] NO ❑ w CONSTRUCTION LENDER ^ d NAME AND BRANCH s SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ FT NO OF NO OF NEW ❑ SIZE STORIES .-}- FAMILIES ❑ STRUUSE OCCTUREE 0 CL/-ti4op J 119 X/O'k/ ADD /C /(�'S 41V ALTER 141�110REPAIR El SIGNATURE OF APPLICANT DEMOL ❑ i VALUATION S O� APPROVALS PATE, INSPTOR's SIGNATURE r P C PMT GAS FOUNDATION LOCATION FEE S FEE $ / FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUCTIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMPENS TIO SU NCE LATH EXT - SIGNATURE OF HOUSE NUMBER COR- PERMITTEE s RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRINCIPAL STRUCTURAL ENNE,� PLAN CHECK VALIDATION CK M o ASH _ N PERMIT VALIDATION CK MO CASH �'�,O 9 9 8- AN22 , 1 0 .CON WORKERS'.COMPENSATION DECLARATION L I have a certificate of consent to sf insure, orairm afcertif carte of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.)� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N0.46 Company �rw t V AK4 BUILDING t QI Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS O / p ` Certified copy is filed with the county building inspec- BUILDING 7 ` /✓ L ADDRESS do de arvtment. � F _ .n,��y���N1� CITY 1 G r ZIP LOCALITY Date�� Applicant T�` / NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK I LOT NO. MAP BOOK I PAGE I PARCEL hundred dollars ($100) or less.) TEL OWNER NO. USE NE� MAP NO. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS /' ( CONDITIONS I SPECIALO so as to become subject to the Workers' Compensation Laws. U CITY / / ZIP Date Applicant ARCHITtCT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE Exemption, you should become subject to the Workers' nnd '/ Compensation provisions of the Labor Code, you must forth- ADDRESS v0 V a with comply with such provisions or this permit shall be A JJ /i TEL. ` STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. CONTRACTO )4 �A/ �^ NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.��DWELL. UNITS 1 hereby affirm that I am licensed under provisions of Chapter ADDRESS// NO' q SEWER MAP (commencing with Section 7000)of Division 3 of the BusinessLIC• G_3 and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION j �/ SQ. FT.' NO. OF NO. OF CHECK License Number/+'d. 04 Lic. Class c-3! SIZE STORIES FAMILIES ONE pp_ VALUATION Contractor ff 4 a " Date DESCRIPTION OF WORK — �, NEW ❑ ' ADD 10 $ El1 am exempt under Sec. N7 1 ► ALTER B.&P.C. for this reason REPAIR. ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ APPLICANT TEL. Signature (PRINT) NO. FINAL OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License b Law for the following reason (Section 7031.5, Business and ADDRESS FINAL T Professions Code): PRESENT BY -� BUILD _.=WING „ Wit .j , El 1, as owner of the property, or my employees with ADDRESS a wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY pool - - 7044, Business and Professions Code.) MOVING TEL. j - 'r- ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. .�•�, with licensed contractors to construct the project (Sec- ADDRESS " '� f F ' =''`"'�``-f tion 7044, Business and Professions Code.)'. REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 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 m f/ LDMA Ref. # +;'3 - s "t`;i P.C. Fee$ Permit Fee a - Lender's Address ( o I certify that I have read this application and state that the Issuance Fee LDMA P/C# 8 above information is correct. I agree to comply with all County Investigation Feb x Q N ordinances and State laws relating to building construction, Total Fee 11 ' O LDMA Perm. # a and hereby authorize representatives of this County to enter m u o the abov - oned property for inspection urpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ApFUcant or Agent Date COUNTY OF LOS 1kNGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT,,OF PQP.L'IC WORKS 9701 LAS TUNAS i * _ RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0011080053 -�` PHONE (626) 285-0488 EXT L 1NO OF CONST NEW BUILDING ADDRESS TR 11454 LT 4 SQ FT STORIES TYPE OCCUP GROUP 4831 CLOVERLY AV STRUCTURE 1251 1 VN R3 TEMP CA 917803809 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET LOWER AZUSA' 8590-021-005 OTHER THOMAS PAGE 596 GRID J5 LOCALITY\ TEMPLE CITY TENANT EXIST BLDG USE USE ZONE ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 01/02/01 UT 07/01/01 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL D E CODE VINH TA - 2 93,830 � /�! 4831 CLOVERLY ST i TEMPLE CITY, CA FEES PAID DESCRIPTION OF 0 ADDITION OF 1251 SF - FAMILY RM, 2 BEDRMS, STUDY, LAUNDRY FEE DESCRIPTION QUANTITY UOM AMOUNT AND 1 BATHRM APPLICANT TEL NO SAME AS OWNER - B1 PLANCHECK W/ENERGY 93830 00 VAL 1,156 08 AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS AC STRONG MOTION:fRESID X93830 00 VAL 9 38 B2 PERM IT�-W%ENERGY'—" 93830k00 VAL 1,360 10 CONT � ��TOTAL FEES 2,553 31 SAMERASTOWNER TEL NO �®`� APPROVALS DATE INSPECTOR SIGNATURE L I C NO � CATION AND SFTBACKS �,G] SOILS ENGINEER APPROVAL r. ARCHITECT OR ENGINEER TEL NO -q O1 FOUNDATION/TRENCH FORMS q�7 ( C, U?� cv 11 CCSIG Gni \ --7"— LIC NO rIF�st���j� I,Imo{ `1�S 1111 SLAB/UNDER FLOOR RAISED 0 FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP01 � `J D�(� n �� K C� UNDERFLOOR INSULATION ILI�ILJ{ -��1 S [EVEL FLOOR SHEATH NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 21 \� ND LEVEL FLOOR SHEATH SCHOOL WITHIN HA US -t ROOF SHEATHING _ AIR QUALITY 1000 FEET MATERIALS NO NO NO FIRE DEPT FRAME INSPECT a � '� TOTALREQUIRED FROM SET BACK YARD HWY PROP LINE WIDTH 49�OBL, �� � BL DEPT FRTRE-1 NSPEC FRONT PL- °��?V11c SHEAR PANELS SIDE PL- I A ON/ AT S R P L r INTERIOR LAT /DRYWAL i I r EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES a FIRE DEPARTMENT APPROVAL REPORT ID DPR261 ROUTE TO BS0508 r 1. r COUNTY OF LOS'ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PJJ9LIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0004040053 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS TR 11454 LT 4 SQ FT STORIES TYPE OCCUP GROUP 4831 CLOVERLY AV STRUCTURE 0 1 VN R3 TEMP CA 917803809 ASSESSOR INFORMATIO N MBER GARAGE 600 1 NEAREST CROSS STREET LOWER AZUSA 8590-021-005 OTHER THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY TENANT E S BLDG USE USE ZONEISSUED ON PROCESSED BY EXPIRES 0 EXIST OCC GRP 04/04/00 UT 10/01/00 OWNER TEL NO BLDGS NOW ON LOT VALUATION FIN TECWI BY CODE TA,VINH (626) 287-8832- 1 14,400 4831 CLOVERLY AVE TEMPLE CITY, CA FEES PAID DESCRIPTION OF YOW NEW RESIDENTIAL CA GARA FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 D2 PERMIT W/0 EN-HC 14400 00 VAL 300 60 SPECIAL CONDITIONS TOTAL FEES 328 35 P0GELES CC CONTRACTOR OWNER TEL NO �Q� ��A� APPROVALS DATE INSPECTOR SIGNATURE SAMELIC NO (-LOCATION AND SETBACK / AL ARCHITECT OR ENGINEER TEL NO E.9 DATION/TRENCH FOR LIC N0� lllllll AB/UNDER FLOOR } RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONCMP" UNDERFLOOR INSULATION3 \ RKS0UBLKjv ® ST LEVEL FLOOR HEATH NO OF FAMILIES DWELLING UNITS APT/COND STAT APT/CCLASS z NO 21�` ,q - � ��'� ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS �} S \\� O ROOF SHEATHING _OQ AIR QUALITY 1000 FEET MATERIALS \ n ' r NO NO NO u a ® �® FIRE DEPT FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT FRAME INSPE T SET BACK YARD HWY PROP LINE WIDTHFRON8/jC PL- 8epV�e'Th5'tvtlO SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP % INTERIOR LATH/DRYWALL EXTERIOR LAT LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID DPR261 ROUTE TO BS0508