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Home My Public Portal About5708 CLOVERLY AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES 1 WM. J. FOX, CHIEF ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ON -5W DIBTRIC NO PLAN CK ❑R R No PERMIT NO BUILDING 7 ADDRESS `/' REEIVED BY bATEf OFAPPL DATE ISSUED LOCALITY ' 1 j- )— NEAREST NEAREST CRO83 ST BUILDING ADDRESS 0 1L OWNER MAILi LOCALITY f 1 ADDRESS tir - NEAREST TEL �,c1 CROSS BT CITY NO FIRE NO OF TYPE G ARCHITECT OW EL , ZONE PLANB-J,i ENGINEER NO ^ BLDG - O SETBACK LINE i ADDRESS ,1 USEAPPROVED _ TE ff ZONE BY DATE CONTRACTO NO 3 D,�' ,.� HOUSE NUMBERING . 1 �� MAP NUMBER NO ASSIGNED BY LEGAL �_ CORRECTIONS _DESCRIPTION LOT N O BLOCK` / �^JSl I 1 o G TRACT s _lcl� OF- Bu6Gs. SIZE OF LOT 6Jr/y l p 3 I NOW ON LOT y 2 EXISTIE OFN BLDG I NO FAM i�Es J DESCR IO WORK ^^ - D NEW ALTERATION ADDITION // Z La r REPAIR _ DEMOLITION Q FT L NO OF � 3 /�!/�' Ai�v?' o/>•> SIZE //�v ROOMS SSTORIES EXT WALL � I ROOF icv COVERING COVERING USE OF STRUCTUR r INSPECTION FOR APPROVALS OCLUPANCY AS I NSPECTORIS SIGNATURE DATE FOUNDATION LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME FIRE STOPB,� CORRECT BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT, DUCTS SIGNATURE OF �1.�_ C_ LATH, INT (/ n PERMITTE s l,LATH, EXT ADDRESSel PLASTER, INT AUTHORIZED ADT p PLASTER, EXT. .} $ P C $ FEE t-- HOUSE NUMBER COR- �' 2- - RECT AND POSTED �.- VALUATION FEE FINAL 76AG38A DB5 3 7-31 � r WORKERS COMPENSATION DECLARATION insure hereby oraafcertif cathat te of Workers certificate pensat on entito Insuran elf j APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec 3800 Lab 4C ) COUNTY OF LOS ANGELES ' BUILDING AND SAFETY Policy No tesV73;,_ Company 7£tJ BUILDING ElCertifiedcopy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS � 0 r} Certified copy is,filed with the county building spec BUILDING�� L(1L 'tion,department ADDRESS pLL Date ' Ap ant CITY /Li G V ZIP LOCALITY CERTIFICATE OF E N F M ORKERS' NO OF BLDGS NEAREST COMPENSATION I RANCE SIZE OF LOT ; NOW ON LOT" CROSS ST (This section need not be completed if the permit is for one ' r r ASSESSOR hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK ' PAGE PARCEL ` TEL q OWNER NO /`6 Q� U� NE MAP ,I certify that in the performance of the work for which this NO permit is issued I shall not employ any person in any manner 1- . SPECIAL so as to become subject to the Workers Compensation Laws ADDRESS S404-IL, CONDITIONS C] _ U CITY ZIP Date Applicant ARCHITECT OR TEL �r NOTICE TO APPLICANT If after making'this Certificate of DISTRICT GROUP TYPE FIRE PROCESSED BY 0 Exemption, you,should become, subject to, the Workers' ENGINEER `/ NO P CON`ST1 ZONE U Compensation provisions of the Labor Code,yyou must forth- ADDRESS with comply,with such provisions or this permit shall beTEL STATISTICALCLASSIFICAt ON APT C NDO Z deemed revoked y a_ CONTRACTOR` b�/J1t:tw.r ' NO � `� -� LICENSED CONTRACTORS DECLARATIONLIC CLASS NO �L DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS kj L NO 3 -111 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and r _ 3 LIC 1 ��!_ Professions Code and my'lcense is in full force and effect CITY (p CLASS CST BK- PG VALIDATION 1� SQ FT ST OF FA OF CHECK License Number Lc Class SIZE STORIES FAMILIES ONE � " VALUATION Y DESCRIPTION OF WORK NEW _ ❑ 3 Contractor Date /� ADD ❑ $ I am exempt under-Sec ALTER ❑ B&P C for this reason 3d REPAIRUSE OF ❑ $ z Dote — ,' EXISTING BLDG DEMOL ❑ Signatur APPLICANT TEL ' FINAL' ✓1 4 O BUI R DECL TION PRINT NO DATE I hereb affir am tempt from h ontractor's License ADDRESS FINAL ' Law for owing,reason (Sectio 31 5, Business and 0 5 2 A Professions Code) BY ❑ BU LDING # F F I, as owner of the property, or my employees with ADDRESS e s to • e}�, wages as their sole compensation,will do the work and LOCALITY ®` r U ,• • 5-9.2 5 the structure is not intended or offered for sale(Section 7044, Business and Professions Code) MOVING - - TEL _ CONTRACTOR NO o o e 5 9.2 5 y t I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS ' 2(� 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, Civ C ) SIDE PL Lender's Nameg ' LDMA Ref # m PC Fee$ Permit Fee t 75 t Lender's Address I certify that I have read this application and state that the Issuance Fee O� LDMA P/C# _ g above information is correct I agree to comply with all County Invesriga ton Fee o, ordinances and State la relating to building construct ion, Total Fee ..LDMA Perm # and her authoriser resentatives of this County to enter upThe enti inspection purposes SEE REVERSE FOR EXPLANATORY,LANGUAGE ignat o App t or Agent Date , I - - - I 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 0304100002 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS: TR 6561 LT 7 BL: 001 SQ FT STORIES TYPE 5708 CLOVERLY AV STRUCTURE VN TEMP CA 917802551 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LIVE OAK 8587-011-025 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY TENANT. EXIST G 0 EXIST OCC GRP 04/10/03 JK 04/04/04 OWNER- BLDGS NOW ON LOT VALUATION TrWFL_D_A7Y_ FINAL BY / COD DANYLEVSKY OLGA 5,372 9234 HECLA AV TEMP 917803120 FEES PAID DESCRIPTION T/0 3LAYERS OF COMP LEAVING 1,INSTALL 30# FELT, NEW PIPE —TEL NO FEE DESCRIPTION QUANTITY UOM AMOUNT: FLASHINGS,2WAY METAL,30YR OWENS CORNING COMP APPLICANT DON KRAGER ROOFING CO (626) 331-3677- AA BLDG PERMIT ISSUANCE 27 75 1103 E LOUISA AVENUE AC STRONG MOTION RESID 5372 00 VAL 0 54 SPECIAL CONDITIONS WEST COVINA 91790 D2 PERMIT W/O_EN=HC=__ 5372 00 VAL 149 40 T6TAL--FEES 177 69 CONTRACTOR TEL NO APPROVALSDATE INSPECTOR SIGNATURE DON KRAGER ROOFING (626) 331-3677- 1103 E LOUISA AVE LIC NO % / �� \\\n OCA D E B W COVINA, CA 91790 729377039 \ SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL NO -- t; ,VA\ N LIC NO �( --� ��, SLAB/UNDER FLOOR RAISED FL R FRAMING I f i MAP NO SEWER MAP BOOK PAGE FIRE ZONE ICMP -� - �� I �� U ERFLOOR INSULATION 150H265 3 01 ` FLOOR SHEATHING 0 OF FAMILIES DWELLING U NO 21 - - ROOF SHEATHING SCHOOL WITHIN HAZARDOUS �� // _ SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS FRAME INSPECTION NO NO NOEXISTFIRE SPRINKLER MGM— REQUIRED TOTAL SETBACK FROM SET BACK YARD. HWY PROP LINE: WIDTHFRONT PL- � - -- INSULATION/WEATHER STRIP SIDE PL- EXTERIOR LATH RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508