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Home My Public Portal About5335 CLOVERLY AVE_Building__ ;� i 76A638A CE7803 5-66 APPLICATION FOR BUILDIN _ PERM T -COUNTY OF LOS ANGELES BUILDING _ - DEPARTMENT OF COUNTY ENGINEER ADDRESS C 5 1 BUILDING AND SAFETY DIVISION LOC A Li T Y JOHN A LAMBIE COUNTY ENGINEER NEAREST - COLEMAN W JENKINS SUP T OF BUILDING CROSS ST DISTRICT IG RG>�P TYPE P B FOR APPLICANT TO FILL IN � 4 CONST BUILDINGSTATISTICAL C SSI FICATION SEWER MAP4 __ ADDRESS r,33 ,, G e CLASS NO DWELL UNITS BK _ PG',, LOT NO GTo�e 7 / ,z LOCK USE ZONE MAP -y... NO_ _ - TRACT f , S/ 1 �� / SPECIAL / NO OF BLDOS CONDITIONS= SIZE OF LOT Uf NOW ON LOT U SE O F /� - Y�"-- EXI NG B tJ �� e_ BLDG SETBACK FROM T /_r L FRONT PROP LINE OF (STREET) OWNER G a O & TYPE OF EX STI NG SETBACK _HIGHWAY + YARD = TOTAL ADDRESS f J -/ I/e- HIGHWAY WIDTH FROM C L CITY r + BLDG SETBACK FROM - - -- - - ARCHITECT TEL SIDE PROP LINE OF (STREET) ` ENGINEER NO _ TYPE OF E%ISTING SETBACK HIGHWAY + 'YARD - TOTAL ADDRESS HIGHWAY WIDTH FROM C L - I TEL - , + _ CONTRACTOR NO O I LIC CORNER CUTOFF YES NO V ADDRESS NO CC clTr LIC CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK NEW i ADD ALTER REPAIR DEMOLISH ` N s Z SQFT / -NO OF SIZE i ( STORIES FAMILIES - USE OF STRUCC TURE ' 1 I - SIGNATURE OF APPLICANT _ I V ALU)ATION$ �1--•Q APPROVALS DATEy, I NSPECTOR'S SI G NATURE P,C PMT FOUNDATION LOCATION_ ` FEE$ - FEE$ FORMS MATERIALS 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 f f WITH IALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK f y z AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT IJ 4 TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT i INC,TO WORKMEN S COMPENSATION INSURANCE LATH EXT 16 -\ v SIGNATURE F �.( L'.(�/, HOUSE NUMBER COR- 1 - PE,RMITTE �/� - �v RECT AND POSTED ADDRESS 5 '� FINAL , JOHN F LEWIS PRINCIFPAL ST URAL ENGIN ER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION cK M C _ „CASH i ACO 7 9 8 9 DEC 13 1 D 4.00' 'r r� 78A838A CE#803 8-64 APPLICATION FOR B LDI NC.-PE MIT k COUNTY OF LOS ANGELES BUILDINGC La ✓��Lo. AV,OF COUNTY ENGINEER, ADDRESS 7- - / BUILDING AND SAFETY DIVISION LOCALITY / 1 JOHN A LAMBIE COUNTY ENGINEER NEAREST ko*�/ COLEMAN W JENKINSS4/UP T OF BUILDING CROSS ST G.r DISTRI T 6 UP TYPE P E SED BY FOR APPLICANT TO FILL IN kCONST �n /� /��/� STATISTICAL CLASSIFICATION SEW R MAP ADDRESS 53 3S /.o � Q��•�� i"J��+ CLASS NO ) DWELL UNITS �� B PG LOT NO i� OCK US, E MAP ..> N O TRACT WJ SPECIAL tz h F BLDOS CONDITIONS SIZE OF LOT `� �NOON LOT ` USE OF - BLDG SETBACK FROM TEL NO FRONT PROP LINE OF (STREET) OWNER ` TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS �p mss^ L'� VZ A- HIGHWAY ID F M C L If CITY / �W BLDG SETBACK�MARCH + ENG NAR IEERT OR /I ,y,� ! NO 1g/-473� SIDE PROP LINE OF - (STREET) ��jj /''tea �/ TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS °�� 2i7 ig 4- 0 k- 6-c+tal AV HIGHWAY WIDTH FROM C L a CONTRACTOR /�Avi///��F/,JNNOL p^ _.c 73 + _ 0 ADDRESS S /y/ le 11,9)Ile R4 O 9 SJ CORNER CUTOFF YES NO O CITY ' LIC SEE REVERSE SIDE FOR SPECIAL APPROVjALS u DESCRIPTION OF WORK �/bC.-A-44,41,11— U �, •, 6.q Z_ NEW ADD ✓ ALTER REPAIR DEMOLISH .S � �t' �y// _ 'ft S Q F T NO OF N O O F / •t- '- k SIZE r� STORIES / FAMILIES USE OF p D 6/�'2R-7G�► ST(JfC O X S T R U C T U R E �,'/ />f Al TE/2/N'T' F /PLAT t SIGNATURE OF /, �A I l r •�� O do APPLICANT //�� VALUATION$ 09® ® V , / „slrfj,� p` FF.dd �I APPROVALS DATE INSPECTD?'S SIONAT RE �QFOUNDATION, LOCATION FEE$ �_ FEE$ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT pp(( AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS /4v 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S Cn 7N ION NSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR- ' PERMITTEE RECT AND POSTED ADDRESS -S3 ?' G ' FINAL � Mo cnsH — JOHN F LEWIS PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK PERMIT VALIDATION CK M o CASH t Ao 3 3 7 F 1 oUL 6 1 D 3 2.5 G 1 APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS /► V ESS £ L /SF I hereby,affirm that I have a certificate of consent BUILDI GADDR to self Insure, ,� or a Certificate of Workers'Compensation Insurance,or a certified CITY 33 GL"O Ly ZIP AV, 1 �E ��, �' 67l7 0 O copy thereof(Sec 3800 Lab C) TT&M (G G17'f 1 01790 LOCALITY Policy No Company SIZE OF LO NO OF BLDGS NOW ON LOT E] Certified copy Is hereby furnished �X( Z, y ' III NEAREST CROSS ST TRACT BLOCK LOT NO ❑ Certified copy Is filed with the county budcl ng_inspection v 2 ' . USE ZONE MAP NO department ASSESSOR MAP BOOK PAGE PARCEL gt Date—Applicant 0 I SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER — TEL NO YES NO COMPENSATION INSURANCE TAI 0115141WITHIN 1000 FT OF-SCHOOL? ADDRESS (This section need not be completed If the permit is for one hundred 32-9 w, HAI 9j T DISTRICT GROUP TYPE CONST FIRE ZONE OCES ED BY dollars($100)or less) CITY A/ �e - ZIP�y n ,�/ I certify that in the performance of the work for which this permit AbIAMF3RA . GQ // o 5,U P,3 v—N IS Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO VV 1 1 become subject to the Workers Compensation Laws STATISTICAL CLAIF ATION APT Date Applicant ADDRESS CLASS NO DWELL UNITS 1 NOTICE TO APPLICANT If after making this Certificate of CONTRACTOR TEL NO REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' SET BACK YARD HWY, PROP LINE WIDTH ' Compensation provisions of the Labor Code, you must forthwithFRONT r comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL 1 SIDE CL LICENSED CONTRACTORS DECLARATION CITY LIC CLASS PL c v I hereby affirm that,l am licensed under provisions of Chapter 9 SEWERAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF TORES NO OF FAMILIES O Professions Code,and my license Is in full force and effect NEW ❑ BK PG ® UJI DES RI T N OF WORK License Number Lic Class - O, ADD � �u TION �� ti Contractor Date ALTER ❑ Z ADD Q D REPAIR..1 am exempt under Sec _ - B SPC for this reason DEMOL ❑ LDMA P/ Date USE OF EXISTING BLDG URM ❑ D Signature APPLICANT(PRINT) TEL NO LDMA Pefin k _ Y -2,8/' z V JL 1, as owner of the property, or my employees with wages as — Z O t'`{ 1 °� _ their sole compensation,, will do the work and the structure is ADDRESS r f— J s j Q ' FINAL TE Q not intended or offered for sale (Section 7044, Business and C - r {{ a r dO_ Professions Code) I WILLTHE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL" ( 'j 3 DENS OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN _ I as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL Sni `aj 5 �P I contractors to construct the project (Section 7044, . i .' �l}!�i�' / m , YES❑ NO❑ '. t Business and Professions Code) f —; WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING �- , 5 +�II-I"IC v 1* "J7 a CIL OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH t CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST �MNG �I�1' \ FOR GUIDELINES , ti'-- I hereby affirm that there Is a construction lending agency for YES 1:1NO Elthe performance of the work for which this permit Is issued(Sec ' I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD c 3097,Civ C) PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES m COUNTYCODE TITLE2 CHAPTER 220 SECTIONS 2 20 100 THROUGH 220140 CONCERNING Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD 1 Irl ✓S SS Lender's Addressyti i owra-a OR A0errr 0 1 certify that I have read this application and state that the above R Information is correct I agree to comply with all county PC FEE PERMIT FEE / I 2zG ordinances and State laws relating to budding construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE '+ the above-mentioned property for inspection purposes �� ro LJ�J�� INVESTIGATION FEE TOTAL FEE n sprwr,awpryn« SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0209200003 PHONE (626) 285-0488 EXT -LEGALO OF CONST BURDINGADDRESS ON FILE SQ FT STORIES TYPE 5335 CLOVERLY AV STRUCTURE VN TEMP CA 917803106 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET OLIVE 8590-004-009 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY TENANTRUS-r-BETTUSE R5SID ISSUED PROCESSED BY EXPIRES ON EXIST OCC GRP 09/23/02 JK 03/22/03 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE CHIN,ELAIN (626) 281-9222- 10,000 /-; 3 6__ 5335 CLOVERLY AV TEMP 917803106 FEES PAID DESCRIPTION OF WORK INSTALL 12 PHOTOVOLTAIC PANELS ON SOUTH & WEST FACING SIDES FEE DESCRIPTION QUANTITY UOM AMOUNT OF HOUSE ROOF APPLICANT, L NO ECONO AIR (800) 503-2666- AA BLDG PERMIT ISSUANCE 27 75 3366 LA PALMA AVE AC STRONG MOTION RESID 10000 00 VAL 1 00 SPECIAL CONDITIONS ANAHEIM 92806 D1 PLANCHECK W/O-EN=HC_--�,10000 00 VAL 184 11 D2 PERMIT W/O:EN=HC- 10000 00 VAL 216 60 (s7-- -0 429 46 CONTRACTOR TEL NO APPROVALS DATE INSPEC OR IGNATURE / �% ECONO AIR (800) 503-2666 LOCATION BA 3366 E LA PALMA AVENUE LIC NO / ANAHEIM CA 92806 445220HIC ti \\ SOILS ENGINEER APPROVAL ENGINEER TEL NO FOUNDATION/TRENCH�� -"�� FORMS LIC NO / 1 --�� SLAB/UN ER FLOOR I111.1 RAISED FLOOR F—ffA—Friff— MAP NO SEWER MAP BOOK PAGE FIRE ZONE e� f�;� „ 1 1ri�1 ��11/7 \�� II UNDERFLOOR INSULATION 147H269 3 r 01 �;�� FL TH N NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 21 , - -- / n - - myi ROOF SHEATHING \ / n ! hpe SH S SCHOOL HAZARDOUS AIR QUALITY 1000 FEET MATERIALS NO NO NO - I s / FRAME INSPECTION i REQUIRED I S �� SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH \\ �� '��/ INSULATION W THER S P FROSIDE PL- INTERIOR LATR7n79ALL EXTERIOR LATH RATED LASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 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 0210230056 PHONE- (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING D ON FILE SQ FT STORIES TYPE 5335 CLOVERLY AV STRUCTURE VN TEMP CA 917803106 ASSESSOR INFOR14ATION NUMBER NEAREST CROSS STREET OLIVE 8590-004-009 THOMAS PAGE 596 GRID- J4 LOCALITY TEMPLE CITY TENANT EXIST D USE R-1 ISSUED ON PROCESS50P N EXIST OCC GRP 10/23/02 JK 04/21/03 OWNER TEL NO f BLYG—S—WN ON LOT VALUATION FINAL DATE FINAL BY CODE CHIN,ELAINE (626) 281-9222- 4,000 5335 CLOVERLY AV �f / � c7;;., IV TEMP 917803106 + FEES PAID DERRIPTION OF WORK REMOVE COMP,INSTALL 30YR COMP DIMENSIONAL ROOF OVER 30#PAPER FEE DESCRIPTION QUANTITY UOM AMOUNT AND EXISTING SHEATHING APPLICANT TEL N MITCH ATCHLEY (714) 985-1307- AA BLDG PERMIT ISSUANCE 27 75 3924 E MIRALOMA #A AC STRONG MOTION RESID 4000 00 VAL 0 50 SPECIAL CONDITIONS ANAHEIM 92806 D2 PERMIT W/OoEN= 000 00 VAL 115 80 T&AL�FEE\ 144 05 CONTRACTOR TEL NO Q%d'�� AP-,ROV LS DATE INSPECTOR SIGNATURE YORBA LINDA ROOFING (714) 985-1307-� 3924 E MIRALOMA AVE STE A LIC NO / /?.� LOCATION SETBACKS ANAHEIM 92806 549263 C391 .f J ! � SOILS ENGINE APPROVAL EC 0 TEL �� , , �� yr �� J ON CH FORMS LIC NOf� / _ 'Al }11�Ul lL' /' SLAB/UNDER FLOOR --- f _ -� RAISED FLOORFRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE P 1i� �� i , 1 �� '��(lf7 ( 1 UNDERFLOOR INSULATION 147H269 3 01 � J �� '/ _i!= FLOOR SHEATHING 0 OF FAMILIES DWELLING UN S /CON — — -- - - '— --- '- -—-- — -- NO 21V_ � -- — ROOF SHEATHING c"" SC HOOL WITHINA fv++ EA S AIR QUALITY 1000 FEET MATERIALS \ r, 1\ / NO NO NO � ; S�5.3 2.5t, SETS 8-44 , �.. ~^iT �I�� T yl ^`� R` . • DEOAATMENT OF BUILDING YAND SAFETY APPLICATION FOR PERMIT 77 "' a COUNTY OF LOS .ANGELES BUILDING UIL ® 1NG 7 WM. J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT NO PLAN CK NO PERMIT NO. BUILDING ADDRESS Z- 2 7 LOCALITY / �/ , RECEIVED BY DATE OFAPPL DATES ISSUED rY NEAREST /f r� � - g /�6 O 14e CROSS ST. ! _r/d ,l/`a2 i' BUILDING mi „ OWNER �/J'Y/ cS / �/�� G�l �-� �tr'Y ADDRESS v"L MAIL ADDRESSi LOCALITY NEAREST ��'''' TEL ,R 'CROSSST CITY / NO �/�t �/� / FIRE I NO OF I TYPE' I`// 11 GROUP / ARCHITECT OR _ TEL ZONE �" PLANS`_ // -ENGINEER---- --•-^']lT NO BLDG ORD NO SETBACK LINE ADDRESS L►� APPROVED r \I TEL BY DATE CONTRACTOR (/ /l, n/�V� NO ///' ADDRESS l / y \! ZONE`��/ By USEAPPROVED DATE f LEGAL ' CORRECTIONS DESCRIPTION � �LOOT NO (/- O I BLOCK TRACT J,`( /, ) O/Y7A[ T vWh Cr^' NO OF SLOGS SIZE OF LOT ��6 JC�r�/� NOW ON LOT USE OF �. NO OF NO OF EXISTING BLDG /S� �i� I FAMILI6H / ROOMS Leo DESCRIPTION OF WORK yp— E NEW ALTERATION I r' ADDITION �/' O REPAIR r MOVING DEMOLISH // w D u//7 'e�" }/�iJ iJ i3 /Y a' T 7'0 O Sq FT NO OF / �t '4 -,-P 3 - Z 3-�/ 9' rD SIZE ROOMS STORIES / WALL " "t ROOF /ydf COVERING y�'.�S.vwL,bJ I COVERING s / I USE O .y� , BUILDING r61 v/ in //C/'. st- APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 REGULATING BUILDING CONSTRUCTION FRAME FIRE STOPS, SIGNATURE OF / BRACING, BOLTS OWNER �„ -LATH, INT tr• AUTHORIZED AOT LATH, EXT $ \ , P C PLASTER, INT FEE PLASTER, EXT. VALUATION ` FINAL FEE