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HomeMy Public PortalAbout4900 CLOVERLY AVE_Building__ 76A638A CElv803 8-64 APPLICATION FOR BUIL NG PERM U COUNTY OF LOS ANGELES BUILDING A DEPARTMENT OF COUNTY ENGINEER ADDRESS (/ V BUILDING AND SAFETY DIVISION LOCALITY - JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP T of BUILDING CROSS ST DI�ICT N ,G TYPE R 5 FOR APPLICANT TO FILL IN _ CONST / C. BUILDING / _ _ STATISTICAL C CATION SEWER MAP - ADDRESS On L.Q1/C�� /f'I/�J��Y / CLASS NO DWELL UNITS BK C LOT NO P()QWj* �_Cj -USE ZONE MAP tr, NO TRACT 6,4 "jl SPECIAL np�`j� NO OF BLDGS CONDITIONS SIZE OF-LOT / 9� 0 �'' NOW ON LOT USE OF OMIT ` BLDG SETBACK FROM , TEL ��pQ� FRONT PROP LINE OF (STREET) OWNER p -l► N'� NO 00 �F JJ TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS- 4-//' VO C. _d L,) Q A- HIG HWAYWIDTHM C L c CITY �� /Cr + ARCHITECT OR TEL BLDG SETBACK FROM - - - - •� ENGINEER NO SIDE PROP LINE Of DTREET) TYPE Of EXISTING ISETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTHtOM C L } /- 0- CONTRACTOR r+L.1f C TO LCI 317'/S - - + - Ov wL 'y NO CORNER CUTOFF YES NO ADDRESS 1002 -40 0 CITY CA/4?0 r� ` SEE REVERSE SIDE FOR SPECIAL APPROVALS- Lu 'DESCRIPTION OF WORK ) Z_ NEW - ADD ALTER REPAIR EMOLISH SQ FT NO OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT L VALUATION$ / APPROVALS OAT jEINSPECTOR'S SIGNATURE FEE$ FEE$ t FOUNDATION, LOCATION FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ TH13 A PLICATION BRACING BOLT d AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS / f 9UILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY'ANY PERSON IN VIOLA LATH INT TION OF THE LABOR COD C OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT SIGNATURk OF,15a4'W[U � HOUSE NUMBER COR- V —.e -� PERMITTEE REC.T AND POSTED ADDRESS do FINAL PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL STRUCTURAL EN ER PERMIT VALIDATION CK M o CASH 4 3 73 2 ;,'JG 4 1 D 4.0 0-- LN �� 76A638AE#803 8V4APP' LICATION FO BU I LDI N6/PERMIT COUNTY OF LOS ANGELES BUILDING �/ DEPARTMENT OF COUNTY ENGINEER A D DRESS 1 -BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP 7 OF BUILDING CROSS ST DISTRICT NO GROUP TYP l PR SSED BY FOR APPLICANT TO FILL IN 5``' CONST ADDREISS 0 - STATISTICAL CLASSIFICATION SE _ER MAP CLASS NO DWELL UNITS _� BK/ PG ` LOT NO /� .. LC3C USE ZONE MAP �/ y TRACT "i � SPECIACONDITIONS NO4 �j OF BLDGS / SIZE OF LOT 8o NOW ON LOT USE OF n , 7 eXISTINO BLDG, BLDG SETBACK FROM TEL FRONT PROP LINE OF r (STREET) OWNER al. NO TYPE OF EXISTING SETBACK HIGHWAY / YARD = TOTAL ADDRESS dO IGH Y 'FROM C L S/ CITY BLDG SETBACK FROM ARCHITECT OR TEL ENGINEER NO SIDE PROP LINE OR (STREET) , TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL, ADDRESS HIGHWAY WIDTH FROM C L _ d TEL ��// + = O CONTRACTOR NO V v.� ADDRESS L 1&et&uja NO CORNER CUTOFF YES E] NO D O LlnSS SEE REVERSE SIDE FOR SPECIAL APPROVALS cJ W DESCRIPTION OF WORK Ir, h AND PARK Fc -Gr)I - Z NEW ADD ALTER REPAIR DEMOLISH T NO OF NO OF SIZE Gl4TORIES FAMILIES/ r cur gu"c-, sI cti•, 0, ,VOWa`f approach ikj USE OF ,t stallatlons shout be a V I P _ "! STRUCTURE �O Office, or T C Co Encineer's O `Ice Im-a;la oly In order to avo 04 me an Is no s a SIGNATURE OF ! ` unfll PermrF has been Issued A ! for arkw free APPLICANT L!� C G� � _� � y VALUATION}� _j�f d Ap PROVAL9 DAiTE INBPECTOR'8910N 7UR PEE$ TC1 r PMT �l FOUNDATION, LOCATION MATERIALS FEE$ o"O Y FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION IV WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDING CONSTRUCT I CER �YkRN DOING E WORK ` AUTHORIZED HEREBY I IL NO E�`'� PERSO N VIOLA LATH INT /Y, TION OF THE LABOR C DC OF H SALIFO IA RELAT ING TO WORKMEN S CO PEN IO FI LATH EXT 1Jr SIGNATURE OF ,HOUSE NUMBER COR- PERMITTEE RECT AND PQSTEQ ADDRESS14 F I NAL 9; JOHN F LEWIS PRINCIPAL STRU TURAL ENGINEER PLAN CHECK VALID TION oK MO CASH _ PERMIT VALIDATION cK M o CASH Lt:rt 0 2 G" APR 1 2 2 3-D 30.254 v LACo1860-0 MAY20 1 D 60.50N WORKERS' COMPENSATION DECLARATION �. ef insure bor afclerrttificatethatlof Workers'Compenstfon Insurahave a certificate oconsent nces olr APPLICATION FOR BUILDING -PERMIT a certified copy thereof (Sec 3800, Lab J COUNTY OF LOS ANGELES BUILDING AND SAFETY Company PohcyNo 730770 State Comp Certified copy is hereby furnished J __j _ `� FOR APPLICANT TO FILL IN BUILDING 6 ADDRESS r ® Certified copy is filed with the county wilding tnspec- BUILDING 14 tion department ADDRESS 4900 N Cloverly LOCALITY NEAREST Date 5/_14/82 ApplicantA 111 —Lo Pres* CITY Temple Cit ZIP CROSSST CERTIFICATE OF EXEMPTION FROM `R'llgr A NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BO K PAGE PARCEL (This section need not be completed if the permit is for one MAP , hundred dollars ($100)or less ) TRACT _ BLOCK LOT NO INO MA } TEL SPECIAL _ O I certify that in the performance of the work for which this OWNERRalph Spellman NO CONDITIONS permit is issued I shall not employ any person in any manner D RICT GROUP TYPE FIRE S D B V so as to become subject to the Workers Compensation,Laws ADDRESS 4900 N Cloverl CONST Z t CITY Temple Cit ZIP '� 0 Date Applicant _ STATISTICAL CLA ICATION PT JCONDO/' V NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TELj l DWELL UNITS a W / ExemENGINEER NO CLASS NO (�pTion you should become subject to the Workers N Compensation provisions of the Labor Code you must forth ADDRESS SEWER MAP Z ,with comply with such provisions or this permii shall be — deemed revoked CONTRACTORMontebello Rf NO 722-6975 , BK PG VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDREss868 Truck Way NO 248857 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC ' Professions Code and my license is in full force and effect CITY Montebello CLASS C-39 $ 1790,00 SQ FT NO OF NO OF CHECK License Number 246852 Lic Class 0-39 1 SIZE STORIES I FAMILIES ONE Contractor MonPhA I I n' Rfgate 5/1\41189_ DESCRIPTION OF WORK Reroof exis tin EW E) I am exempt from the licensing requirements as I am aq. rg ADD _ ❑ ` licensed architect or a registered professional engineer, ATER ❑ FINAL - acting in my professional capacity (Section 7051, shingles REPAIR DATE Business and Professions Code) - USE OF r EXISTING BLDG dwelling DEMOL FINAL ❑ e Lic or Reg No _Date APPLICANT TEL Y 9 4 0'6 1 A OWNER-BUILDER DECLARATION (PRINT) NO ' e I hereby affirm that I am exempt from the Contractor s License ruC]c Way # 0 0 0'o o $6$868 'T Law for the following reason (Section 7031 5, Business and ADDRESS y Professions Code) - PRESENT 2 34, 00 BUILDING o o' I, as owner0 3 4,0 0 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 0 Jam,2 0'—8,2 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 TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH 1 t I hereby affirm that there is a construction lending agency for FRONT - I the performance of the work for which this permit is issued P L (Sec' 3097 Civ C ) - SIDE LInvestigation Lender s Name m Lender s Address Permit Fee 2 7 00 w I certify that I have read this application and state that the Issuance Fee 7 00 aabove information is correct I agree to comply with all County, ee f - - 1. ordinances and State laws relating to building construction U and hereby authorize representatives of this County to enter a upon the ove mentioned property for inspection purposes- Pres. 5/14/82 SEE REVERSE FOR EXPLANATORY LANGUAGE ^ ` ignature of 14PRIfIx,or Agent Date _ _ ©s ,.3 _ WbRKERSF COMPEIUSATION{DECLARATION r nsureb�affirm that I have a cer,Come Compensation Itis toselfAPPLICATION�FOR BUILDING PERMIT ro insure or a certificate of Workers Compensohon Insurance or r,fled t peof (Sec 3800, L +C F (�J P Y f COUNTY OF LOS ANGELES BUILDING;AND SAFETY PoLc , a Com an - - - - - - - , 0 Certified copy is hereby+furnished '','e FOR APPLICANT TO FILL IN rA BUILDING l ADDRESS "Certified copy is`filed with the county Suilding'inspec- gUiLDING tion epartment + - / ADDRESS --�- - - Date, Applicant QZ'Int 1'�";^�"'r' CITY ZIP OCALITY , "CERTIFICATE OF EXEMPTION FROM WORKERS - -' "" - ` O-OF BLDGS - - NEAREST_ _` ,_ _ _. _ A COMPENSATION,INSURANCE' = ' ar SIZE OF LOT OW ON LOT CROSS ST i (This section need not,be completed if the permit is for one - z Y- -- - - ASSESSOR � - - hundred dollars ($100)or less ) - r l TRACT _ BLOCK LOT NO MAP BOOK y�i PAGE, PARCEL a,l'X Y r.I ` , OWNER" - — USE ZONE MAP I certify that in the performance of the work for which this NO permit isossued, I shall not employ any person in any manner - J SPEGIAL---_ d so as to bec` me subject to the'Nor er�ggfi a ADDRESS- `Q�' C/�' - - - - 1 rnl+ CONDITIONS 3 Date APPlicanfl CITY _ _i _ _ ..ZIP- - - - -- A - - - -i 1 Il ARCHITECT OR NO DISTRICT' _GROUP TYPE_ ' FIRE PROCESSED BY _ ;0 NOTICE T 'APPL CA T If, after making this Certificate of i Exemption,$, ENGINEER,your should' become subject-to the Workers, - CONST ZO s W Compensation provisions of the Labor Code, you must,forth- ` / JV with comply with such provisions or this ipermrt ADD shall be -. - - -- - EL STATISTICAL CLASSIFICATION APT NDOiy deemed revoked =' ?� ' r CONTRACTOR O it µ _I LICENSED CONTRACTORS DECLARATION i , - -LIC CLASS NO' y DWELLF UNITS I I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS,/ %22V_ - E NO - T (commenang with Section 7000)of Division 3 of the Business and _ _ _ _ _ LIC _ i SEWER MAP { "r, ` Professions Code, and my license is in full force ect Cl CLASS - ,* BK` PG -• VALIDATION- 4-1 FT NO OF O OF _ CHECK License Number c Class 5SIZE STORIES FAMILIES ONE VALUATION ��U J DESCRIPTION OF WORK `i��pm Ia NEW Contracto' Date $ CJ De� ADD ) I am exempt der Sec ALTER B&P or this~ n REPAIR_O $USE e D e - EXISTOING BLDG DEMOL- Q ' w _ 2 6 1 Q 2 A - Signature APPLICANT ` FINAL # o o e`of e 1 Othatl UILDER RATION PRINT v _ - O DATE Y I hereby affirmexempt rom the Contractor's License ,, /� f - ( o • 4(�Jr-07`7 Law for the following reason (Section 7031 5 Business and ADDRESS (o FIN' I - " �t � k ` Professions Code) PRESENT o 0-0 4 0.5-0' 77 ❑ BUILDING - - T _ i J i I as owner of the property or my employees with- ADDRESS i _ . L ' u ` as tlieir sole compensation,will do the work and - - - - 12-12- wages ~ 8 6 « TEL- the structure is not intended or offered for sale(Section LOCALITY 7044 Business and Professions Code) MOVING - __ , _ _ TEL ❑ CONTRACTOR i NO I as owner of the property am exclusively contracting » � with licensed contractors'to construct the project (Sec- tion 7044, Business and Professions Code) ADDRESS ri-CONSTRUCTION LENDING AGENCY SET-BACK YARDUIRED " HWY TOTAPROPLINE WIDTH, 1 f ereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit-is issued -- - - PL-- - * + - " - - - -- - ---- -- - - - -- --, `--- Y; F}_ (Sec 3097 Civ C ) SIDE tU -PL I Sit, ~Lender s Name LDMA Ref # _ - - - — — Lender s Address P C Fee$ - Permit Fee I certify that_I have read this a Itcation.and state that the _ y __- _ �' Y PP _ - � F Issuance Fee -/(f -�V-? ->LDMA,P/C-# Q above information is correct I agree to comply with all County Investigation Fee g ordmances_and State jaws relating to building construction, . __ _, r_ ._ u and hereby authorize representatives of this County to enter - Total Fee LD Perm upon a e-mentioned pr erty or inspection p {pose - t fi SEE REVERSE FOR EXPLANATORY LANGUAGE c Signature o ppl,cant or Ag Date" COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0504210005 PHONE: (626) 285-0488 EXT D NO OF CONST BUILDING ADDRESS: TR 11454 LT 21 SD FT STORIES TYPE 4900 CLOVERLY AV STRUCTURE 20 VN TEMP CA 917803810 ASSESSORNEAREST CROSS STREET LOWER AZUSA 8590-020-026 THOMAS'PAGE 596 GRID: J5 LOCALITY. TEMPLE CITY, C TENANT EXIST G USE. RESID USE ZONE. R-1ON- PROCESSED BY. EXPIRES ON EXIST OCC GRP 04/21/05 JK 04/16/06 OWNER. TEL NO BLD S. NOW ON LOT VALUATION- FI 9KE DAT NAL By CODE SPELLMAN RALPH,EVELYN TRS (626) 287-1268- 5,200 4900 CLOVERLY AV lio TEMP 917803810 FEES PAID MEMTION OF WORIW REROOF HOUSE, GARAGE REMOVING THE EXISTING APPLY 30 YR COMP FEE DESCRIPTION: QUANTITY UOM. AMOUNT: n the flat apply torch down APPLICANT: TEL NO DOUG DRADRIN (626) 287-0669- AA BLDG PERMIT ISSUANCE 27 75 4251 BALDWIN AVE AC STRONG MOTION RESID 5200 00 VAL 0 52 SPECIAL CONDITIONS. EL MONTE, CA 91731 D2 PERMIT W/0 EN-HC 5200.00 VAL 149.40 TOTAL FEES 177.67 CONTRACTOR: TEL NO: APPROVALS DATEINSPECTOR SIGNURE WEATHERGUARD ROOFING (626) 287-0669- 4251 BALDWIN AVE LIC. NO N AND SETBACKS EL MONTE, CA 91731 808888 C39 ' SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: —TEL NO FOUNUATION/TRENCH FORMS _ ,{ LIC. NO: SLAB/UNDER FLOOR FRAMINGRAISED FLOOR P NO MAP BOOK: PAGE FIRE UNDERFLOOR INSU 144H269 3 01 FLOOR SHEATHING NO OF FAMILIES. DWELLING UNITS APT/COND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN _HA7ARDOUS SHEAR PANELS AIR QUALITY• 1000 FEET MATERIALS NO NO NO FRAME INSPECTION SETBACKREQUIRED TOTAL R , NKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH FRONT PL- LA T SIDE PL- INTERIOR EXTERIOR LATH RATED R S . TED WALL ASS BLI RATED AF T-BAR CEILINGS • LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 r