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HomeMy Public PortalAbout5605 CLOVERLY AVE_Building__ 76AS38A CE#809-6-57 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ABUILDING DDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRICT NO GROUP TYPE `�� SE R MAP PG FOR APPLICANT TO FILL IN S /C coNSTd� — / BUILDING /r' STATISTICAL CLASSIFICATION ADDRESS ` CLASS NO�DWELL UNITS 09 LOT NO BLOCK MAP �h g H ATE- NUMBER V YES NO TRACT USEZONE SPECIAL NO OF SLOGS CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG BUILDING YARD HWY STREET NAME EXIST SETBACK WIDTH OWNER DL FRONT MAIL P L ADDRESS SIDE TEL P L CITY NO INSPECTION RECORD ARCHITECT0 r , TEL ENGINEER C'/� NO ADDRESS TEL CONTRACTOR cC�LL�'�S NO —Z a ADDRESS C.RLI v DECRIPTION OF WORK _ NEW/v ADD/! ALTER REPAIR DEMOLISH SQ FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE IV Al r SIGNAT RE OF, }, L APPROVALS APPLICANT "� DATE INSPECTORS SI ATURE ADORES FOUNDATION LOCATION FORMS MATERIALS P C s FRAME FIRE STOPS _ © FEE BRACING BOLTS VALUATION J OQ S 00 FURNACE LOCATION FEE / �__ GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS R GU T GNG CONSTRUCTION LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITEERECT AND POSTED ADDRESS FINAL - JOHN A LAMBIE COUNTY ENG EER CLYDE N DIRLAM PRINCfPAL STR URZL,ENGIlNEER PLAN CHECK VALIDATION c M o CASH PERMIT VALIDATION K M o cAsH )'2-5 5'2 m APR 2 1 6 A 5.5 0 4 O LAP-2 5 5"3 S APR 2 l A 1 1 .0 0 vNIA 1■ 2 w L w N I95� 7BA638A E#803-8-87 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING EPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ' JOHN A LAMBIE,COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRIC NO GR UP TYPE SE MAP FOR APPLICANT TO FILL IN K PG " CONST Z BUILDING !^ STATISTICAL CLASSIFICATION ADDRESS W LO!/,6 L , CLASS NO DWELL UNITS LOT NO f BLOCK MAP - STATE YES NO V NUMBER HWY ,y TRACT ' USE ZONE SPECIAL NO OF BLDGS CONDITIONS d SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG BUILDING EXST\ I SETBACK YARD, HWY STREET NAME ,-,WIDTH OWNER OM C FRONT \ MAIL P L � D ADDRESS SIDE Z TEL P L Y CITY NO INSPECTION RECORD n ARCHITECT R z TEOL F- ADDRESS / Q ORZV dd �i TEL 6/ q } C /L> CONTRACTO ,A �ia�A .o NO i( !0 2 Z Y 4 ADDRESS D AC n' DESCRIPTION OF WORK 114 A 1/ p&/] '// (Fm ADD ALTER REPAIR DEMOLISH FT NO OFNO OF - /'( � (/ ,S T`/J - , �r w- SIZE STORIES FAMILIES US ST T R A/)7-Al('_7 1,24fJ1)y SIGNATURE OF APPFiOVALS , APPLICANT S Sd I DATE INSPECFOR'_S SIGNATURE ADDRES FOUNDATION LOCATION - ) FORMS MATERIALS / OO^ P C S (JG FRAME FIRE STOPS 0 ' FEE BRACING BOLTS , VALUATION $/ 0 FURNACE LOCATION FEE GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILD NG CONS1,tUCTION LATH EXT SIGNATURE OFXeo5o HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL f�G 7Y JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION mo CASH PERMIT VALIDATION _CK M o CASH - � r IJ'AC 5 4 4 1- DEC 3 0 1 6 6 3 0,0 1 1 9_,1 FEB 13 1 A 12 6`.0 0 a TEMPLE CITE' , 1 7SA030A CIE#002 I-s, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDINGs— �o ✓e,-/ R�dr r DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY L r" /e, JOHN A LAMBIE" COUNTY ENGINEER NEAREST r WILLIAM A JENSEN SUP T OF BUILDING CROSS ST FA-IC7 DISTRICT NO GROUP I TYPE PROCESSED BY FOR APPLICANT TO FILL IN 5, o J, CONST ? BUILDING^/� ui ` � STATISTICAL CLASSIFICATION WKRMAP G ADDRESS Oi ^ � CLASS NO! - DWELL UNITS _ /3 0 LOT NO BLOCK WATER � Q J CERTIFICATE NOT REQUIRED R RECEIVED TRACT /� / I MAP - HIGHWAY LJ NO OF BLDGS NO �- d IC IRC LE) STATE MAJOR SECOND LOCA SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF �J p // CONDITIONS Ad 1114014"o-t'4e-( G� e EXISTING BLDG ( /1 NO , . O tl OWNER BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS lq#Sl r wr' v FRONT ^ // ARCHITECT OR TEL P L �� C� �d✓nrll2(' (p O I ENGINEER NO SIDE P L ADDRESS TEL /INSPECTION RECORD a OCONTRACTOR NO ADDRESS fi 6 w DESCRIPTION OF WORK 10 P) CL " ILU NEW E ADD ' ALTER REPAIR DEMOLISH ,/ / ' N SQ`FT NO OF NO OF W,I ! ? IZE I - STORIES FAMILIES r+ USEJ � A I I STRUCTURE ((�7 '` vdie Y Y�F i ha"+ s e'h art SIGNATURE OF t , APPLICANT" �t ' VALUATION$'�° XG(fQ .� r-y\ APPROVALS- DATE INSPECTOR S SIGNATURE PMTFOUNDATION ON FEE $ + FEE $ FORMSMATERIALS % FRAME FIRE STOPS v 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS fr/ f7/I/ AND STATE THAT THE ABOVE,IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK //� AUTHORIZED HEREBY,I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT /�,./�� '////. / TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT r/ ING TO WORKMEN 5 MPE ATI INS ANCE LATH EXT /J SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECTAND POST ED _n // f/ 1 V ADDRESS FINAL CLYDE N DIRLAM )PRINCIPALSTRUCTURAL E R PLAN CHECK VALIDATION CK. M o CASH PERNIIT VALIDATION CK M o cASrl Ul9224IAR 6 1 D 6 00 �° t TEMPLE CITY pp ' Y 76AS38A CE#803 1­61APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUD ElsN �'( Q 3 [6 ! el-Ac DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE. COUNTY ENGINEER NEAREST WILLIAM-A JENSEN, SUP T OF BUILDING CROSS ST DISTRI J NO ' Oa1 TYPE PROCESSED BY FOR APPLICANT TO FILL IN 15 d' _ CONST �I o BUILDING//�, STATISTICAL!CL)ASSIFICATION WERAP ADDRESS./ fl r PG CLASS NO�DWELL UNITS K//M3O LOT NO a D D BLOCK WATER NOT REQUIRED © RECEIVED �_ CERTIFICATE TRACT MAPHIGHWAY 0 STATE MAJOR SECOND OCA NO OF BLDGS NO (CIRCLE) SIZE OF LOT 1^6 I NOW ON LOT USE ZONE SPECIAL Q USE OF CONDITIONS /C EXISTING BLDG /� ff TEL /r OWNER / NO -D�7 BUILDING YARD HWY STREET NAME EXIST ADDRESS '/'y 13/- W4_11 SETBACK WIDTH FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE ADDRESS P L TEL 1 J INSPECTION RECORD :��l/,, CONTRACTOR NO ��. ADDRESS w Y ex DESCRIPTION OF WORK C � I W a NEW ADD ALTER REPAIR - DEMOLISH ,. Z SQ FT NO OF NO OF _ IZE STORIES FAMILIES USE OF IQi I (Q/ /' O�P STRUCTURE !�'Y' _,t. 1 o,--L v 6o tr Is- !�n � SIGNATURE O - APPLICANTF 1 t GC L VALUATIONS JOC)0f i t APPROVALS DATE INSPECTOR SSIGNATURE PC FOUNDATION LOCATION FEE $ FEE $ G FORMS MATERIALS J .' 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORN RELAT ING TO WORKMEN S CO PENS ION SUR CF, LATH EXT SIGNATURE OF V HOUSE NUMBER COR- PERMITTEE ECT AND POSTED ADDRESS K - ` FINAL U� PLAN CHECK VALIDATION cK e p cwsH CLYDE p VALIDATION TR cK RNALp ENGINEER LAI 0 3 6 4 1 APR 3 1 D 6.0 0 r I r TEMPLE CITY 7GA638A CC#003 1-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ` ne� ` DEPARTMENT OF COUNTY-ENGINEER ADDRESS v VY BUILDING AND SAFETY DIVISIONLOCALITY 'Yi1 2 JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST 1,/Vre- DISTRIC N GROUP TYPE PR Y FOR APPLICANT TO FILL IN 1 j,, (� e coNsr11 BUILDING ( Q� �er ` (; STATISTICAL C SSIFICATION SE R MAP ADDRESS �J BK •PG CLASS NO DWELL UNITS �' LOT NO GQdd BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED 1 TRACT IS MAP /� /}' IGHWAY i NO OF BLDGS NO (•/ I (CIRCLE) TATE MAJOR SECOND LED SIZE OF LOT '/ I NOW ON LOT USE ZONE SPECIAL EXISTING BLDGUSE OF �Ga /T� �� n CONDITIONS /+ TEL ��y OWNER S - .�u L /' NO OT BUILDING YARD HWY STREET NAME EXIST SETBACK WIDTH ADDRESS j Wa FRONT _7 i) / ARCHITECT R TEL P L _x"' ENGINEER - NO SIDE v P L ADDRESS d TEL INSPECTION RECO 0 CONTRACTOR NO V I ADDRESS 0 DESCRIPTION OF WORK ' W IL NEW ADD AL E REPAIR DEMOLISH N SQ FT NO OF NO OF ? IZE STORIES FAMILIES USE OF STRUCTURE K C SIGNATURE OF APPLICANT VALUATION Y401 p 1 APPROVALS DATE INSPECTOR SSIGNATURE PC PMT FOUNDATION LOCATION FEE $ FEE $ r FORMS MATERIALS FRAME FIRE STOPS 1 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK n AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR ODE F THE STATE OF CALIFO IA RELAT ING TO WORKMEN C MP SA N IN N t /I)J�I / LATH EXT ( `�� SIGNATURE OF c- HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS PLAN CHECK VALIDATION CK.` M O CASH CLYDE P RERMIT VALIDATION . mSTRUCTURAL eN ASH R ��'i 2 ,8 5 ' IIAY 7 1 D 6 0C) �, 7GA638A CE#60811_37 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES - BUILDING - �- p DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY i JOHN A LAMBIE.COUNTY ENGINEER NEAREST CASSATT D GRIFFIN,SUP T OF BUILDING CROSS ST DISTRICT NO GROUP rvPE SEWER MAP FOR APPLICANT TO FILL IN BK PG C CONS T � r BUILDING L'� -�/ •/ Ov yI 70 STATISTICAL CLASSIFICATION ADDRESS .7 ,(� ,v• V �O BLOCK CLASS NO�DWELL UNITS LOT NO MAP NO2.-&DWELL YES N 51 NUMBER HWY - TRACT �(�/vW- !�-/s+�L. USS ZONE S CONDITIONS - NO OFBLDGS /f,J(�j CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG BUILDING YARD HWY STREET NAME EXIST /�/ SETBACK WIDTH OWNER A 1v FRONT MAIL ' �,�/ �T7f• P L ADDRESS YV ,/K SIDE TEL , P L CITY •A• NO INSPECTION RECORD ARCIi1TE. AV� ZED /r r7 �TE 2 ADDRESS T �� /�(,Ji>`.I�. O Z.A / CONTRACTOR W 1/ G/T��) ADDRESS C/�/ DESCRIPTION OF WORK NEW ADD ALTER REPAIR - DEMOLISH / SQ FT X NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE7e �+ A A i SIGNATURE APPROVALS APPLICANT i DATE INSPECTOR S SIGNATURE ADDRESS FOUNDATION LOCATION $ P C $ FORMS MATERIALS FRAME FIRE STOPS FEE • BRACING BOLTS y7 VALUATION ti FURNACE LOCATION FEE 4GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE-THAT*OE READ THIS AP- LATH INT t PLICATION AND ST TE H E ACORRECT AND AGREE TO CO W44 L,COUJNANSTATE LAWS R U A IN IBU [ISTRUCTION LATH EXT SIGNATURE O �{� �, HOUSE NUMBER COR PERMITTE RECT AND POSTED ------ Y ADDRESS Q FINAL CLYDE N DIRLAM PRINCIPAL STRUCTURA GINEER PLAN CHECK VALIDATION CK m o CASH PESMIT VALIDATION CK m D CASH [jG3247OR JLq- l A 2.00 �tDq ®� i k , 78A688A CIE#8032/60 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY C JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. G`°-- DISTRICT N . I GR UP I TYPE\ SSED BY FOR APPLICANT TO FILL IN CONST. BUILDING i/ /1'/oy/s yl � /fr� STATISTICAL CLASSIFICATION SOWER MAP ADDRESS �V Lam[ VG9�[ �" p / T CLASS.NO. DWELL.UNITS LOT NO.( /",, A ,G7i'J` u BLOCK MAP NUMBER STAT YES NO / � � TRACT /-YLA' 1!1-i,Citic (.e i ✓ �L�f h C n� USE ZONESPECIAL NO.OF BLDGS. /�,� CONDITIONS A SIZE OF LOT � � I NOW ON LOT USE OF EXISTING BLDG. - BUILDING YARD HWY STREET NAME EXIST. TEL ''^^�� [� SETBACK WIDTH OWNER`5T V NO /Of/� FRONT _l ^, /J P. L. 40 ADDRESS,6�V/�} (.LpV�1e y f/fr�• /���i�Y SIDE ARCHITECT OR TEL. P•L. ENGINEER NO. IN,S,PECTION RECO ADDRESS R�L• A �E AT' rTio' !//53n 0 CONTRALTO - - O ADDRESSU c'q V DESCRIPTION OF WORK NEW ADD ALTER 6EPAIR2 DEMOLISH �{ SQ.FT. 1,107� NO.OF Q1 SIZE STORIES FAMILIES N USEi I f/ p z STRUC JI/E�JT ? -TUR I-� (70 p i"AL iti`G t Si nd �o J� SIGNATURE OF� APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE S. FEE $�7 op FORMS, MATERIALS ' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING, BOLTS FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY' THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT. / WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COM EN A N LAWS OF CALIFOR A. LATH,EXT. SIGNATURE O //•J HOUSE NUMBER COR- PERMITTE " ECT AND POSTED ��fJ .n Glfl/� ADDRESS 5' -FINAL 1.;7 ' j CLYDE N. DIRL M, PRINCIPAL-STRUO URAL ENGINEER CK. PLAN CHECK VALIDATION CK. M.O. CASH PERIM�VALIDATION M.O. CASH U'' 07 5 5 4 F';1'( -)4 1 G 2 4 .0 0 OF WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent.to Self A P P L I C4T I O N. FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No: Company i Certified co is hereby furnished. FOR APPLICANT 'i'O FILL IN BUILDING 1 b 5 D���i Lv 1 copy y �j ADDRESS �, Certified copy is filed with the county building inspec- ADDRESS C) N o%)q V� �r C, tion department. (�/�^�y�/ � CA " I'Applicdnt �+ �� CITY' ZIP i v LOCALITY Date6 NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. pjy"aO-Aw3 COMPENSATION INSURANCEASSESSOR (This section need not be completed if The permit is for one TRACT BLOCK LOT NO. MAPBOOK "gQj PAGE�o� PARCEL hundred dollars ($100) or less.) D i EL. P TUSE ZONE MA OWNER Qb'w.aM `� Y`C NO. NO. 1 certify that in the performance of the work for which this 2 p", (� C permit is issued, I shall not employ any person,in any manner ADDRESS J w " ✓ SPECIAL CONDITIONS so as to become subject to the Workers' Compensation Laws. pp OO( 0 CITY 1� ' ZIP Date Applicant ARCHITECT OR Q ar 1 NiV NO y���D3� DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER rJ T ►int! CONST. ZONE Exemption, you should become subject to the Workers' !� e �r � ` Sylk2 D i aa w Compensation provisions of the Labor Code, you must forth- ADDRESS �3�1 :�� with comply with.such provisions or this permit shall be �� i TEL 14\A L 2,Jq STATISTICAL C SSIFICAT APS. CONDO. �Y deemed revoked. CONTRACTOR cty"IS'T NO LIC q,�� CLASS NO. D ELL. UNITS LICENSED CONTRACTORS DECLARATION �^ � 1 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 54i pzrS itMw.o� NO. ma LIC. I , SEWEf�MA��� (commencing with Section 7000)of Division 3 of the.Business �j fJ _ and Professions Code,and my license is in full force and effect. CITY CLASS BK,� PG/e2 •¢it j;JALIDATJ� SQ. FT. NO. OF NO. OF CHECK ° License Number 41% Lic. Class SIZE I STORIES FAMILIES ONE _ L VALUATION Contractor • S �^S T Date © 2l� k DESCRIPTION OF WORK ��"�^�+a�1 t NEW ❑ a �� ® F. �t� PS r [� °I';I ADD _❑ ► ❑I am exempt under Sec. `'� N"Qw ' 'c o-,� ALTER B.&P.C. for this reason d .: t-i1-11E'-'"t` E } t� REPAIR s _. _ Date: USE OF s; _'r` i EXISTING BLDG. DEMOL, Signature G • APPLICANT TEL. 8 OWNER-BUI�ER DECLARATION° (PRINT) P �, 4�y` UILG 1 NO. �Z- FINAL hf ; �a r I herebyaffirm that I am exempt from the Contractor's License r <— �, DATE 1 2I ! Law for the following reason (Section 7031.5,. Business and ADDRESS J� �� li s f V�/lo�1OV� r FINAL k� Professions Code): PRESENT By _ F721 - 3 '3- BUILDING At ❑ I, as owner of the property, or my employees with ADDRESS TI-I 1 HL 2 1 - `-t' 1 wages as their sole compensation,will do the work and pop.the structure is not.intended or offered for sole.(Section LOCALITY " CHECK ,2 °3i 7044, Business and Professions Code. - MOVING TEL. ❑ I;as owner of the property, am exclusively contracting CONTRACTOR NO. CHANGE °1€1 1 with licensed contractors to construct the project (Sec- ADDRESS ; tion 7044, Business and Professions Code.) 00011-000 �! r REQUIRED TOTAL SETBACK FROM EXIST. VV0LI-00 I1 11/1 1.2119,. CONSTRUCTION LENDING AGENCY SET BACK YARD. HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 6446 1 Ail G'°'? the performance of-the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name. LDMA Ref. #. P.C. Fee$ Permit Fee Lender's Address 0 1 certify that I have read this application and state that the Issuance Fee -7-7174- LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee 8 ordinances and State laws relating to building construction, Total Fee ` LDMA Perm. # a and hereby authorize representatives of this County to enter u o he above-mtinned property for inspection purposes. � , SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date WORKERS' COMPENSATION DECLARATION hereby affirm that I'havecertificate of consent to self APPLICATION FOR BUILDING P E RM I T insure, or o certificate of Workers' Compensation Insurance, - - .. or a.certified copy thereof (Sec. 3800, Lab. C.) 3 COUNTY�F LOS ANGELES BUILDING AND SAFETY PoliNWC+oe1�,�)qZompanY �N t- C BUILD ING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS (O Certified copy is filed with the cou nspec- BUILDING O V��` ADDRESS tion de ent.p ' "T`Go �? AL-L st CITY ZIP LOCALITY n Date Applican ` NO. OF BLDGS. NEAREST CERTIFICATE OF EXEM ION FR WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATIO SURANCE ASSESSOR (This section need not be complete i the permit is for one TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) OWNERS- �_ NO. USE ZONE MAP 1 certify that in the performance of the work for which this 1 NO. permit is issued, I shall not employ any person in any manner ADDRESS Q + 10LIaK1 SPECIALCONDITIONS d so as to become subject to the Workers'Compensation Laws. O CITY ZIP ���D/ Date Applicant i ARCHITECT OR TEL. M NOTICE TO APPLICANT: If,.after making .this Certificate of ENGINEER NO. DISTRICT GROUP CITYPE/7T ZONE �OCESSED BY Q Exemption, you should become. subject to the Workers' { Compensation provisions of the Labor Code, you must forth- ADDRESS �Au 3 t% a Z/ with comply with such provisions or this permit shall be rn TEL. STATISTICAL CLA SIFICATION APT. I CONDO. N deemed revoked. CONTRACTOR Q U-esa NO. S-WN Z LICENSED CONTRACTORS DECLARATION ADDRESS tIr~P`'4a'I .1 C_ CLASS NO. � DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 p�0 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC• 3 and Professions Code,and my license is in full force and effect. CITY -!?I�' AJ,R CLASS BK PG VALIDATION t- SO. FT. NO. OF n NO. OF CHECK License Number I�O J 7O tic. Class �� 3 � SIZE STORIES IFAMILIES ONE n �,)� _\rf�� 119— lo 3 Q �i� f VALUATION Contractor opt-fL 1L[Y t DESCRIPTION OF WORK ooh t NEW ❑ $ ❑1 am exempt under Sec. T�O A41 L t4 S ADD ❑ , nn __ (,009 ALTER' ❑ B.BP.C. for this reason ,[� u -C V REPAIR ❑ $ Date: USE OF EXISTING BLD DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. �- yy DATE -I I hereby affirm that 1 g r exempt from the Contractor's License ADDRESS 16 C") `L. T 1► 4C3+✓fa ja�9tV)o i t�'T° Law for the following reason (Section 7031.5, Business and FINAL n ITEMS Professions Code): PRESENT By &72� " tJ3� iTE1 ❑ 1, as owner of theproperty, or m em to employees with BUILDING TOTAL 226 � 5 Y P Y ADDRESS C -4-•�- °•�'-s wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. ' °'� ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. CHECK 2.r`r with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) ;s REQUIRED TOTAL SETBACK FROM EXIST. CHANGE ,)J� 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 i ,r P.L. 170Q 1 0/ c/'s b Lender's Name � � LDMA Ref. # P.C. Fee$ Permit Fee Lender's Address 1 certify that I have read this application'and state that the Issuance Fee �'' g v LDMA P/C# 110, 67''! 1 F`I'( 8 above information i rect. I agree to comply with all County Investigation Fee ' O. ordinances and St to I ws relating to building construction, Total Fee p�O< (o C3 LDMA Perm. # and hereby ou j'iF�s>�rfe4iue�of this County to enter Q upon th ve-me ti ned property r inspect' n urp es. SEE REVERSE FOR EXPLANATORY LANGUAGE S gna ure of Applicant or Agen Date p _ 'OUNTY OF LOS ANGEL Lc l"s vL, CiIY - '3568 FUILDING FERM", f �'-- DEFPRTNENT OF PUBLIC KS i7[,1 Ir:, TUOAS SIGN - BU'ILDIN'� AND SAFETY / LAND JEVELOPMENT T;.4PLE OITY CA 91780 BL 0508 04071090� tls .014E (62o) 285-0488 F - LEGAL ID UMBEROF=fi-: S�- -- CUILDIru ADORES - ON FILE SIGN DESCR,PTIC°v INSTALL CHURCH S.GN fO ImDICATE MASS 5605 CLOVERLY AV - -EMP CA '7802540 ASSESSOR IN°CrVATI '-NUMBER _ _ -- _ "EAREST CDCSS STREET ' 8583-704-C22 _ THOkIAS F,GE 596 GRID J4 C°.,- iTY TEMPLE CITY Oi ITENANT - S DG uS� —' u- SS E Ot PPOCES E 8-7--- Mi `ON EXIST OCC CRP 00/09/x" JK 09 04/05 OWNER IEL NO BLDGS NOW ;,U C, -LU JrON VSTAL�l _ FINAL - -- CO'DF ARCHDIOCESE CF L C_OJC (213) 388-L101- 5,300, 1531 9TH ST - LOSA 90015111' _ EES FAIL G- l:OQ; R h `_'tCN ' FEE DESC4IDTTC?. 'OUANTITv L'0" ,.AMOUNT ` APP LC!Nom— FCL ';, SAME AS OWNER AA BLDG 7c., 'T -;,Ui%NCE 27 75 , �- AC STRON,, rr,, fi )N RrSID D300 uj ,Ai_ 11 53 SPECI4L FUND, i xll)s -- 1 D2 PERM I' 1, Ek-HC t' 5300-00 149 0 J TOTAL FEE- 177 08 i C„r�tiCTOR lE I'J APDR(X _� '� 7Alc '� -i4ti�` d�IGNATUi2E I a4HE Oi','r- i LIC NO BACKS -,--- —` ° SOIL" ENGiNc7'2 ADPROVAL AfTR �Cl- vC,�rEF — E-'NO •v FOL4D iufv'- F,AP'I:C SE�rd'-'A?butfK ?AGE �I it ZONE Cllr 00 NO O�: FAM_.-1-�S—DWELLING UNITS AP /CONJ SrIT CL-IS-S-- I NO 20 SC400L WITHIN ' ^ A DUUS IAI� QUALITY 1000 FEET ;AIrZIALS NO NO ` I REPORT ID DPR261 ROUTE TO 650508 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 0307150030 PHONE (626) 285-0488 EXT GAL ID NO OF CONSTRES ON FILE SO FT STORIES TYPE 5605 CLOVERLY AV STRUCTURE VN TEMP CA 917802540 ASSESSORTIO NEAREST CROSS STREET BROADWAY 8588-004-022 THOMAS PAGE 596 GRID A LOCALITY TEMPLE CITY TENANT EXIST BLDG USE COMME USE ZONE R-1 TSSUED ON PROCESSEDXP R S ON EXIST OCC GRP 07/15/03 JK 07/09/04 OWNER TEL NO BL GS NOW ON LOT VALUATION FINA D T FINAL BY CODE ST LUKE THE EVANGELIST CHURCH - 15,860 7 /L / FEES P DE l gT6R� WORK T/0 & REROOF ADMINISTRATION BUILDING,INSTALL CLASS A BUILTUP FEE DESCRIPTION QUANTITY UOM AMOUNT 65SQ APPLICANT TEL NO RANDOL ROOFING (626) 288-4040- AA BLDG PERMIT ISSUANCE 27 75 2304 TROY AC STRONG MOTION RESID 15860 00 VAL 1 59 SPECIAL CONDITIONS S EL MONTE D2 PERMIT W/0 EN-HC 15860 00 VAL 317 40 TOTAL FEES 346 74 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATUR RANDOL ROOFING AND CONSTR CO INC (626) 288-8080- 2304 N TROY AVE LIC NO LOCATION AND SETBACKS S EL MONTE, CA 91733 451937BC39 - � � SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER 0 ' - FOUL LIC NO _ SLA1l/UNDeR FLOG RAKED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE MP UNDERFLOOR INSULATION 147H265 3 04 FL OOR SHEATHING NO OF FAMILIES DWELLING PT/C STAT CLXgr- NO 21 ROOF SHEATHING a SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION TOTALE FIR5 SPRINKLFR AWM SET BACK YARD HWY PROP LINE WIDTH FRONT PL INSULATION/WEATHER S RIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED L CE L ASSEM RATED WALL ASSEMBLIES RATEDFTS G -BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 •� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0606300039 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS ON FILE SQ FT STORIES TYPE OCCUP GROUP 5605 CLOVERLY AV STRUCTURE 0 1 VN B TEMP CA 917802540 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET - 8588-004-022 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE COMME USE ZONE ISSUED ON PROCESSED BY EXPIRES ON BMS COMMUNICATIONS EXIST OCC GRP B 09/12/06 JK 09/07/07 OWNER TEL NO BLDGS NOW ON LOT VALUATION ID DA E FIN — CODE BEATRIZ VELASQUEZ, (LA CATHOLIC) (213) 637-7270- 90,000 3424 WILSHIRE BLVD LOSA 900151112 FEES PAID D SCRIPT ON OF WORK CELL SITE IN CHURCH INCLUDI G UNMANNED EQUIPMENT & ANTENNAS FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO FLORES (805) 581-6529- Al PLANCHECK W/EN-HC 90000 00 VAL 1 169 92 4133 GUARDIAN ST AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS SIMI VALLEY 93063 A2 PERMIT W/ENERGY-HC 90000 00 VAL 1,376 38 TOTAL FEES 2,574 05 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE METROCELL CONSTRUCTION INC (562) 690-4625- 1210 LEMON TREE DR LIC NO ,. LOCATION AND SETBACKS LA HABRA CA 90631 829469 B - SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS WYF - 4424 SANTA ANITA AVE LIC NO SLAP/UNDER FLOO , / EL MONTE, CA NONE I RAIS^D FLOOR FRAMIN MAP NO SEWER MAP BOOK PAGE FIRfi ZONE CMP I UNDERFLOOR INSULATION 3 09 ,1 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS ^^^��� NO 22 I ROOF SHEATHING SCHOOL WITHIN HAZARDOUS e SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS AIi 11 ��hh/�"""{�11 I ,J��J _ NO NO NO �'SV"V tD • �0 FRAME INSPECTION by m�� 6K, tb(��j,� V FIRE SPRINKLER HANGERS `J "� INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL ..11 EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508