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Home My Public Portal About5038 CLOVERLY AVE_Building__ - APPLICATION FOR 'BUILDING PERMIT- FOR APPLICANT TO FILL IN (Pnnt., type only)' I - BUILDING �J _ COUNTY-OF LOS ANGELES ADDRESS SD�d' /<�_�v ��/� - DEPARTMENT-OF COUNTY ENGINEER CITY � �� ZIP - BUILDING AND,SAFETY DIVISION _ NO OF BLDGS BUILDING ^� SIZE OF LOT 'x O NOW ON LOT 'I ADDRESS TRACT I�-� �"� BLOCK L NO -/- LOCALITY TEL ,Q NEAREST OWNER` /Q _ NO d -' ��J CROSS ST n ASSESSOR ADDRES oCT� MAP BOOK PAGE PARCEL DISTRICT - GROUP TYPE' FIRE CESSED BY `1 CONST NE CITY ZIP -�-- ARCHITECT O - TEL �' "�� ENGINEER NO STATISTICAL CLASSIFICATION y SEWER MAP ADDRESS !CLASS NO:y _� DWELL UNITS` BK PG EL. NO G� � CONTRACTOR � -TO TUSE ;ONE p '"" / LIC ADDRESSNp-11 SPECIAL CITY, CLICLASS [- « CONDITIONS ' ROA DUDE PARTMENT APPROVAL REQGIRED YES NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDGTBACK FROM ria -- FRONTIP ROP LINE OF (STREET)- C V ADDRESS 'CITY HIGHWA + YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING d' SO-FT NO OF NO OF _ CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE } - LL DESCRIPTION OF WORK G NEW ❑ I Z BLDG, qFTRA(r--- `J^ ADD ❑ SIDEPROP L NEOF ^� -(STREET) ALTER ❑ HIGHWAYy 11 }- YARD TOTA ETBACK OM TYPE OF EXISTING W REPAIR❑ ' C SIDE PROP LINE HIGHWAY IDTH USE OF t = EXISTING BLDG EMOL ❑ CORNER CUTOFF, YES Q NO APPLICANT EL _ (PRINT) �� 0 BY (SIGNATURE) IN OPEN SPACE YES NO- ' s IN COASTAL ZONE YES NO ❑ ' VALUATION Y V� D _ �. -T CATEGORI CAL"EXEMPTION YES[:] , NO I HEREBY ACK WLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY - IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- 6 STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE') HEREBY I WILL-NOT EMPLOY ANY PERSON IN VIOLATION OF THE c LABOR CODE OF THE STATE OF CALIFORNIA IN RELATIN TO ��,� WORKMEN S COMPENS ON INS AN SIGNATURE OF 7e> `06: A0-,0e00'/tt16:0N PERMITTEE ADDRESS FINAL BY TEL t CITY �� NO DATE M9Kr CHECKS PAYABLE TO P C Q PMT Q FEE $ FEE $ HARVEY T BRANDT COUNTY ENGINEER PLAN CHECK VALIDATION CK M D CASH _ PERMIT VALIDATION CK - M O CASH 6 2,N J �; 9 1 0, 2 8.5,C) e:Ls 76A638A CE#803 7/73 - + DIVISION OF BUILDING AND SAFETY Department of County Engmeer i '' County of Los Angeles APPLICATION WM. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY /� / ,,T /J ,` ` DISTRICT NO. PLANCK OR REc No /PERMIT NO BUILDINGADDRESS ,e A).c.LovE L` Vc • I � 4 O( �S� LOCALITY P 4 4= �[C�'Y� /�Eae1VE`O 9Y DATE OF APPL / DATE ISSUED CROSE BT D5 \!/k. ' C�. V E 1+ BUc'•IL,DlvNfa nn /n� / t ADDRESS 'sMAIL OWNER/1=�, /'�..PY I _/� LOCALITY ADDRES!! �� (t/. �rL..d��IKL�j L'I• 14 NEAREST CITY L C G/TY NO 'T -3Sf 3 Vi FIRE NO OF I TYPE , GROUP ARCHITECT OR NOL, r ZONE �� PLANB ENGINEER �.7 i BLDG SETBACK LINE C{ ADDRESS _ UBE APPROVED �v TEL. ZONE ( BY DATE CONTRACTOR ..7 L`f" NO HOUSE NUMBERING ADD ESB MAP NUMBER NO ASSIGNED BY LEGALAlp CORRECTIONS ' DESCRIPTION LOT NO BLOCK 1 a/L A-2. TRACT � t � No. or GB SIZE OF LOT / NOW ON LOT , 6G T G&Ao IT ob USE OF AI M O6EXSTNG BLDG FAMILIES ��'otJ.vd �uT�fiT9"� OvEv� �1 Co NC. �e!,48 DESCRIPTION OF WORK A i�v �o6A4 p NEW ALTERAT113N ADDITION C7 A4 40 REPAIR DEMOLITION No OF So ZE .9-9 —dl ROOMS STORIESEXT poor COVERINGL �/ I COVVERIN13 15A lNG L I7-S L ,o / USE OF STRUCTURE ( d 401—aj P S I .zap INSPECTION FOR APPROVALS OCCUPANCYAS INBPECTOR�9SIGNATURE D TE FOUNDATION LOCATION FORMS, MATERIALS J // Z I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAMEc FIRE BTOP Z.. CORRECT BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION ,GAS VENT, DUCTS SIGNATURE OF ��f�/� LATH, INT f PERMITTER < ADORES .7 v.3" �/L LATH, EXT. PLASTER, INT. AUTHORIZED AOT. PLASTER, EXT HOUSE NUMBER COR- 2 O (�C) FEE O o RECT AND POSTED VALUATION FEE FINAL /'Z 76A63BA D13S 3 1-52 -VEPkRTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT t4; COUNTY OF LOS ANGELES �� (� ® ® � a WM. J. FOX, CHIEF ENGINEER AR-6. ® i FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY d DIBTRICT NO y PLAN'CK NO PERMIT NO BUILDING �� ! Civ✓r✓/t�-y p ' ADDREBBSOL/rrAS/7' LOCALITY /G �f�,, /;yAL j,=, RECEIVED BY DATE OFAPPL~� DATE ISSUED ' NEAREST CROSS CLOl�Ei4�-Y 4N.D .L /J� n BUILDING �� OWNER J�/� �,5, �EDE{ICn �L��{�� ADDRE88 MAIL �^ A Q LOCALITY ADDRESS ^�/� Jp. �N r_�,N/Td "9k—E, r NEAREST S ' ,�RC An/A ! Jho 7 CROSSST CITY FIRE NO OF TYPE,�y GROUP CL ARCHITET OR TEZONE I PLANS U I 'ENGINEER SQL NO BLDG ORD NO ADDRESS SETBACK LINE 1-764, APPROVED �4 CONTRACTOR SE`s NO BY I DATE t , USE APPROVED ' d ADDRESS ZONE �'� BY .1 DATE 1 LEGAL __CORRECTIONS DESCRIPTION LOT HO.Q'-# g BLOCK 1 TRACT y7"" Ga N 13 OF SIZE OF LOT d -7 O /I NOW ON LOT /NONE ti USE OF I NO OFI NO OF EXISTING SLOG FAMILIEY 1 ROOMS DEySsCRIPTION OF WORK NEW /1 ALTERATION ADDITION O REPAIR MOVING DEMOLcl ISH so / Z SIZE / 3Oa ROOMS STORIES A t D WALL 2-it-47-41_-�K ROOFCOVERING 7-(JF-C 0 I COVVERING S//1N6LGUSE OF NE I ' BU LDIN13 W S, VWF_L L/IYCT_ , _ 72 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS, APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS > > AND STATE LAWS RE ULATING BUILDING COSTNUCTION J' Q FRAME F IRE STOPS, SIGNATURE OF - : _BRACING,BOLTS PERMITTEF. * LATH,INT. -,�lS/ AUTHORIZED AOT LATH,EXT C De5-3 50M SEr® 1-4e $ E 0= P C-S -o-of PLASTER,INT. FEE / PLABTER,EXT. VALUATION / FEE •= tet FINAL • +'IINORKeRS' COMPENSATION DECLARATION f insure,oraa certif carte of Worke srlCompensat oificate of n Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Po icy No. Company Certified copy is hereby furnished. (JPC� FOR APPLICANT TO FILL IN BUILDING u ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. . ADDRESS Date!�J Applicant CITY' t [ ZIP t� LOCALITY 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 LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. OWNER NO1 USE ZONE MAP G I certify that in the performance of the work for which this I NO. Ebk permit is issued, I shall not employ any person in.any manner ADDRESS (� / CONDITIONS so as to become subject to the Workers' Compensation PECIAL Laws. O CITYZIP U Date Applicant ARCHITECT OR . TEL. DISTRICT GROUP TYPE FIRE C SED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE 0 Exemption, you should become subject to the Workers' "'� !) U Compensation provisions of the Labor Code, you must forth- ADDRESS �� L' O3 a d with comply with such provisions or this permit shall be TEL.AOP2 STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. CONTRACTOR NO Z DWELL. UNITS LICENSED CONTRACTORS DECLARATION yy CLASS NO. I hereby affirm that I am licensed under provisions.of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my.license is in full force and effect. CITYsw CLASS BK L �� VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class_ SIZE STORIES FAMILIES ONE LA ❑ VALUATION Contractor pp Date DESCRIPTION OF WORKK,lrn-i4w NEW ❑I am xem t and e I " SFUME L ADD ❑ v ► ALTER B.&P.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. a D OL ❑ Signature APPLICANT ��C� rt FINAL OWNER-BUILDER DECLARATION PRINT W DATj I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESSL FIN Professions Code): PRESENT B BUILDING ❑ 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(SectionLOCALITY - --• -- 7044, Business and Professions Code.) 'MOVING TEL. , i TEN ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- i ..�:'4 Z-a....a ADDRESS tion 7044, Business and Professions Code.) - -•, _ ,_-_. REQIREDCONSTRUCTION LENDING AGENCY SET BACKK YARD HWY TOTA PREOTP ACINEFROM 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. i (Sec. 3097, Civ. C.). SIDE P.L. i I Lender's Name. ?1-1,-I `J1 LDMA'Ref. # P.C. Fee$ Permit Fee ,�:•'��f„_ _ 3 Lender's Address poll I 0 1 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 Fee R ordinances and State laws relating to building construction, 1 Total Fee Z' LDMA Perm. # a and hereby authorize representatives of this County to enter upon the above-mentioned rop ty fo inspection'purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Cate 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 0611210056 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 13329 LT 48 SQ FT STORIES TYPE 5038 CLOVERLY AV STRUCTURE 30 VN TEMP CA 917803812 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LA ROSA 8590-019-006 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 11/21/06 JK 11/16/07 OWNER TEL NO BLDGS NOW ON LOT - VALUATION FIN LL DATE )/. FZN BY - - CODE CHU CHEN - 9,000 �� 5038 CLOVERLY AV rp, TEMP 917803812 FEES PAID DESCRIPTION OF WORK TEAR OFF WOOD SHINGLE COVER UP OSB & 30 YRS ASPHALT SHINGLES FEE DESCRIPTION QUANTITY DOM AMOUNT PAINTING VENTS APPLICANT TEL NO FUNG'S CONSTRUCTION, CO (626) 319-5100- AA BLDG PERMIT ISSUANCE 27 75 437 W WELLS ST AC STRONG MOTION RESID 9000 00 VAL 0 90 SPECIAL CONDITIONS SAN GABRIEL CA 91776 D2 PERMIT W/O EN-RC 9000 00 VAL 199 80 TOTAL FEES 228 45 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE FUNG'S CONSTRUCTION (626) 625-7048- 439 W WELLS LIC NO LOCATION AND SETBACKS SAN GABRIEL CA 91775 753441 B SOILS ENGINEER APPROVAL F ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SLAB/UNDER FLOOR Y RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UND:RFLOOR INSULATION 144H269 3 01 _1 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 21 I ROOF SHEATHING f( n SCHOOL WITHIN HAZARDOUS i 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 r RATED FLOOR/CEIL ASSEM I RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS J T-LAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508