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HomeMy Public PortalAbout4852 CLOVERLY AVE_Building__ j DIVISION OF BUIMING AND SAFETY U I L D I G Department of County Engmeer Cora1p of Los Angelee WM J FOX, COUNTY ENGINEER APPLICATION BU"iFOR APPLICANT TO FIM ADDRESS S tG`Q v(�r t �Q BUILDING /� , q ADDRESS �_ ��p LOCALITY C \ J YJ/ L _ �j NEAREST LOCALITY V CROSS ST NEAREST DISTRICT NO ! PLANCK OR REC NO PERMIT NO' CROSS ST A ��� J►PPS/^ OWNER �"/a,i �,.` RECEIVED BY DATE OF APPL DATEISSUED MAIL fg� �J� I -� ADDRESS �/ Q. US/E ZONE O OF TYPE GROUP FIRE ZONE TEDLAN�S CITY C.- , NOG / ARCHITECT OR V TEL � ��.� ZONING DATED ENGINEER ,NO ��+ �� JVQ APPROvEDBY- 'P>,lC.t_.4..r�1 � ' i r �J \\ O D N ADDRESS �/ C SETBACK LIN TEL APPROVED DATE CONTRACTOR NO By. HOUSE' NUMBERING + ADESLEGAL CRIPTION LOT NO .Z.Z BLOCK MAP NUMBER " & t NO ASSIGNED BY , S J DATE I + � CORRF,�',TIONS I INSPECTOR ' � �� TRACT 4 NO OF BLDG SIZE OF LOT NOW ON LOTS 2-_ ' I USE � �//Q� /�/ EX STOING BLDG +G7I�iG+`'��t//i�.+t-�-P� I F MIOLIE �-'(!��I {� Jen t ib DFSCREMON OF WORK J JL q�, z NEW ALTERATION Y ADDITION REPAIR DEMOLITION + SQ FT NO OF SIZE ROOMS 3 STORIES EXT WALL ROOF ` COVERING COVERING 6ri+44C1� US OF /�+R URE r CAPPROVALS INSPEM, OR-'S.SIGNATURE DATE FOUNDATION 10FORMS, MATERIALS f ,R Gt��!' ,// C�/� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPB,( � � %���� PLICATION AND STATE THAT THE INFORMATION GIVEN 18 CORRECT BRACING, BOLTS f� COUNTYI AGREE TO COMPLY WITH ALL AND STATE LAWS REGULAT NG BUILDING CONSTR ORDINANCES FURNACE LOCATION, / Fp GAS VENT, DUCTS SIGNATURE OF �/- -�+ LATH, INT PERMITTEE ✓-•! "` - , .- LATH, EXT ADDRESS PLASTER, INT AUTHORIZED AGT PLASTER. EXT ey O P C >8 _ 1 HOUSE NUMBER COR- c) FEE Od y RECT AND POSTED VALUATION FEE I FINAL 7GA638A DB88 2-88 WORKERS' COMPENSATION DECLARATION g, insureboraafcertif cafirm tharte of Worke srtComipensation eInsurancef APPLICATION FOR BUILDING f PERMIT or a certified copy thereof (Sec 3800, Lab C ) olCOUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING P❑cyNo 1046140 Company State Fund - Certified copy is hereby furnished FOR APPLICANT,TO FILL INADDRESS f Certified copy is filed with the county building inspec BUILDING "+" tion department ADDRESS 4852 No. Cloverl T.G . Date' 11.1S2R Applicant R&6Anl Rnnfnna CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM 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' r PAGE PARCEL OWNERJohn John Pals_ TE�89-8057 USE NE MAP -- I certify that in the performance of the work for which this N NO permit is issued I shall not employ any person in any manner ADDRESS, 845 So. Chapel SPECIAL so as to become subject to the Workers'Compensation Laws CONDITIONS, 0 12-13-88 Randol Roofing CITY Alhambra _Ca. ZIP 91801 J V Date Applicant v ; NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL DISTRICT G OUP TYPE FIRE PRO D BY O Exemptorn you should become subject to the Workers' ENGINEER NO CONSTI ,Z& E ° 1— Com Compensation provisions of the Labor Code, you must forth- W p p y ADDRESS �,/( � ,, with_comply with ,such provisions or this permit shall i be - TEL a deemed revoked _ „r CONTRACTOR NO STATISTICAL CLASSIFIC TION APT T NDO fn, Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 529 E• Valley BlvdLIC ` 451937 (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP , Professions Code and my license is in full force and effect CITY S.G. 91776 CLASS C-39 BK " VALIDATION SQ FT NO OF _ NO OF CHECK PG License Number 451937 Lc Class C-39 SIZE STORIES FAMILIES ' ONE VALUATION Contractor Randol Roofing Date 1-31-90 DESCRIPTION OF WORK — NEW E]^ ADD ❑ $ 5686.00 ❑ I am exempt under sec with fiber las shingles Class A. Roof. ALTER ❑ B&P C for this reasonREP AIR © $ - - Date USE of SFD DEMOL ❑ 1 352A EXISTING BLDG Signature APPLICANT TEL FINAL PRINT Randol Roofing NO 288-40&0 DATE,' OWNER-BUILDER DECLARATION _ � # o s o 0 0'1 I hereby affirm that I am exempt from the�Contractor.'s License ' Law for the following reason (Section 7031 5 Business and ADDRESS 529 E. Vallev Slvd.S.G. 91776 FINAe 8 V3 8 Profession`s Code) By ❑ BUILDING 0 0 0 8 7,3 8 v I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ® 1 2.1 6 8 8 7044, Business and Professions Code) I MOVING TEL ❑ 1, as owner of the property, am exclusively contracting E CONTRACTOR Y 4 - NO with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) REQUIRED YARD HWY TOTAL SETBACK 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, Gv C ) SIDE Lender's Name LDMA Ref # Lender s Address PC Fee E Permit Fee D D I certify that I have read this application and state that the Issuan LDMA P/C# above information is correct I agree to comply with all County Investigation Fee ��pp 0 ordinances and State laws relating to building construction, ,,, _ _ T al Fee Q` �9 LDMA Perm # R and hereby authonz presentatives of this County to enter upo a v -m t ned a rty for inspector purp ses r J 0 SEE REVERSE FOR EXPLANAT Signature of Applicant or Agent - ote i e t lam_ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9704220028 PHONE (818) 285-0488 EXT LEGAL D --,-BMLDING ADDRESS TR 11454 LT 22 SQ FT STORIES TYPE 4852 CLOVERLY AV STRUCTURE 1700 V TEMP CA 917803808 ASSESSOR INFORMA0 NEAREST CROSS STREET 8590-020-004 THOMAS PAGE 596 GRID J5 LOCALITY: TEMPLE CITY TENANT. EXIST G USE RESID USE ZONE R-1 ISSUED ON PROCESSED EXIST OCC GRP 04/22/97 TC 04/22/98 OWNER TEL NO BLDGS NOW ON LOT. VALUATION FINAL DATE FINAL CODE PALASCO JOHN H,MARJORIE R (818) 289-8057- 2 1,760 I 1845 CHAPEL AV 5-1 ALHM 918015453 FEES PAID MURTRION REMOVE 1/2 OF HOUSE ROOFING AN INSTALL NEW CLASS A GENSTAR FEE DESCRIPTION QUANTITY UOM AMOUNT SHINGLE 20 YR APPLICANT TEL NO RANDOL ROOFING (818) 288-4040- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1760 00 VAL 0 50 SPECIAL CONDITIONS- D2 PERMIT W/0 EN-HC- (� (��1, 00 VAL 20 C�\lei L�(NOTALL FEES 11010.45 CONTRACTOR TEL NO O� ^ APPROVALS DATE INSPECTOR SIGNATURE RANDOL ROOFING AND CONSTRUCTION (818) 288-4040 529 E VALLEY BLVD LIC NO �^ c%✓ ILS{TI D T CK SAN GABRIEL, CA 91776 451937/B SOILS ENGINEER APPROVAL ARCHITECT OR ENGiNrEp TEL NO • 14 O N A / S LIC NO SLABtUNDER FLOG llltll �5 E P NO SEWER MAP BOOK PAGE FIRE ZONECMP P(� Q L�� �� KS UNDERFLOOR INSUL�O� 144H269 3 U1 v _ FLU-OR SHEATHING NO F FAMILIES DWFL[ING UNITS APT/COND APT/COS S �n NO 21 O 0 ` ROOF -S RM H I N G GI IROS O 0 0 0 19 AR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO o ❑ �OTRUAME7NSPECTI� REQUIRED TOTAL SETBACK FROMEXIST ARE SP I KL R A S SET BACK YARD: HWY PROP LINE WIDTHj�4 FRONT PL- (�/�iln� `' INSULATION/WEATHER STRIP SIDE PL- INTI-RIOR EXT RIOR LATH RATED RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508