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Home My Public Portal About5729 CLOVERLY AVE_Building__ ;Iea'aewo .- , APPLICATION FOR BUILDING PERMIT DIVISION OF BUILDING AND SAFETY ADDRESS y Department of County Engineer County of Loa Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST �!`� CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST ax ' FOR APPLICANT,TO.FILL IN DISTRICT J_ GROUP TYPE 14 SEWER MA.TF PG CONST BUILDING /j-��Dter f /�•„n �ib, NUMAP MBER - 1 STATE ADDRESSSj, 7 (- /'i1'U�f' ( - YES NO LOT NO //• ' 7 BLOCK USE ZONE SPECIAL IC_ I CONDITIONS TRACT }' V (/p_ - �7- 0 # NO OF BLDGS. O.{ BUILDING WE SIZE OF LOT J b I NOW ON LOT d YARD HWY STREET NAME USE OF i SETBACK WIDTH I` EXISTING BLDG - S FRONT /Q OWNER 'I(- s(�q/C�Gy� , SIDE MAIL 17 P L ADDRESS i _ (Q O !TRACT DWELL. f UNIT 5 INDUSTRIAL CITY 199 �' • NO / FDWELL. * 1 UNIT 6 PUBLIC BLDG. ARCHITECT ORf TEL. 2 DUPLEX 2 UNITS p DDN ,ALT., ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. _ ADDRESS 4 COMMERCIAL TELCONTRACTOR � NO IN RE TIO RECORD ADDRESS DESCRIPTION WORK ' NEW ADD ALTER. REPAIR 00' DEMOLISH q ,I SO FT. • f NO OF O OF KJ 148 SIZE STORI NA ILI E OF STRUCTURE Lov SIGNATURE OF APPLICANT¢ F APPROVALS ADDRESS .7 !ILI"� i 4 t - DATE INSPECTOR'S SIGNATURE 01c FOUNDATION LOCATION P C $ FORMS. MATERIALS FEE FRAME FIRE STOPS, A VLUATION�� $ g� BRACING. BOLTS Ir S f f -r FEE FURNACE LOCATION, I HEREBY ACKNOWLEDGE THAT I HAVE-READ-THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT 4 i AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. \ r AND'STATE, LA S R GULATING BUILDING CONSTRUC- TION.Ij LATH. EXT. SI GNAITURE OF HOUSE NUMBER COR- PERM1T TEE RECT AND POSTED ADDRES FINAL JOHN A.�LAMBIE, COUNTY ENGINEER VALIDATI CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR �v �1• -CK MO SH , " t i l l 5.3 4 ;4CT 2 1 '6-b-0 m s TEMPLE -tRTY 7SAGSOA CIE#803 I-E, APPLICATION FOR ,-BUILDING PERMIT _ COUNTY OF LOS ANGELES BUILDING O i _� t DEPARTMENT_OF COUNTY ENGIIVEER ADDRESS L � BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAM BIE, COUNTY'ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING `CROSS ST I $ \ FOR APPLICANT TO FILL IN DIST�CT N GROUP TYPE P SSED BY ',j, CONST BUILDING l, �' �- STATISTICAL CLASSIFICATION _ SE ER MAP BK PG / 1 y CLASS NO DWELL UNITS BLACK WATER CERTIFICATE ,NOT REQUIRED RECEIVED TRACT - MAP ,// HIGHWAY STATE MAJOR SECOND, OCAL SIZE OF LOT _�d X lL� S I NO OF BLDGS .NO / (CIRCLE) f-f NOW ON LOT USE ZONE SPECIAL USE OF i CONDITIONS EXISTING BLDG BUILDING YARD HWY STREET NAME EXIST SETBACK Y ADDRESS ll'l}{ FRONT WIDTH ARCHITECT OR TEL P'L ' ENGINEER NO SIDE ' ADDRESS TEL INSPECTION RECORD O/ CONTRACTOR NO ADDRESS ,� 0 DESCRIPTION OF WORK W NEW ,ADD ALTER REPAIR DEMOLISH N SQZE T '�Q /� NO OF NO OF STORIES FAMILIES USE OF , STRUCTURE OO Q. AC I _ SIGNATURE-OF APPLICANT i �A Y VALUATION$ -�� _ APPROVALS DATE INSPECTORS SIGNATURE FEE $ l� FEE $ �G ''FOUNDATION LOCATION = FORMS, MATERIALS FRAME FIRE STOPS. _ I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION ^5 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 ., _ AUTHORIZED HEREBY I WILL NOT EMPLOY ANYJPERSON IN VIOLA- _ LATH, INT TION OF THE LABOR 0q E OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATSON INSURANCE - 1 ;p WOW ! LATH,EXT SIGNATURE OF - 17fi� I�:�JII HOUSE NUMBER COR- PERMITTEE v'.r�. 444/////,4441 „11Ho'Yy RECT AND POSTED / ADDRESS (Y-t14 FINAL CLYDE N DIRLAM, PRINCIPAL STRU URAL ENGI EER PLAN CHECK VALIDATION CK. 7�o. CASHPERNIIT VALIDATI' c M o. CLASH '32 75r2 APR 12 i D4. 101 r , � ' 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 9906020059 PHONE: (626) 285-0488 EXT: CONST BUILDINGADD TR: 6561 LT: 704 SQ. FT STORIES TYPE 5729 CLOVERLY AV STRUCTURE: 0 VN I TEMP CA 917802552 ASSESSOR B R: NEAREST CROSS STREET: 8587-010-006 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG : RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/02/99 UT 11/29/99 OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATION: FIV49q F BY: CODE: JEFFRE SAM;MADELINE TRS ( 1 500 5729 CLOVERLY AV ' TEMP 917802552 FEES DESCRIPTION REROOF BACK OF GUEST HOUS PI HED ROOF WITH CLASS A 25 YR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GS L. A QUALITY ROOFING CO. (818) 701-5037- AA BLDG PERMIT ISSUANCE 27.75 8617 YOLANDA AVE. AC STRONG MOTION RESID 500.00 VAL 0.50 SPECIAL CONDITIONS: NORTHRIDGE, CA D2 PERMIT W/O-EN!HC 500.00 VAL 43.50 ��IELE$T�T®FEES 71.75 A NTRA TORROOFING CO. TEL. N701-5037- APPROVALS DAT INSPECTOR SIG AT URE- 8617 YOLANDA AVE. LIC. NO LOCATION AND S NORTHRIDGE, CA. 91324 639330 C39 SOILS ENGINEER APPROVAF i ARCHITECT R E : FOUNDATION/TRENCH FORMS LIC. N0: 1111111 SLAB/UNDER FL R IS I ED FLOOR FRAMING MAP NO: SEWERMAP BOOK: PAGE: FIRE ZONE: CIMP. U n�]� -ME) UNDERFLOOR I S IO 150H265 3 OT v FLOOR S EA 0 G I PT COND: STAT C S : NO 21 p ROOF SHEATHING SCHOOL WITHIN HAZARDOUS ** PANELS - AIR QUALITY: 1000 FEET MATERIALS Q NO NO NO a FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST �/8 ' p1OFIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- Service lbs INSULATION/WEATHER SIP SIDE PL- INTERIOR LATH/DRYWALL 0 EXTERIOR LATH TED . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-B R CEILINGS LOT-DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 \ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS y BUILDING AD R�$S �� I hereby affirm that I have a certificate.of consent to self insure, R ) ® or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP v �L- %%i%• co h e (Sec.380Q Lab.CJ/1 ^1.�C — / NO. YES NO COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? ADDRESS- (This section need not be completed if the permit is for one hundred 1 DISTRICT GROUP TYPE CONST.' FIRE ZONE TCCESSEKBY dollars($100)or less.)p CITY LIP U ^, o�^/ I certify that in the performance of the work for which this permit - � % � � � �j�/6 (/X is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT C6NDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers C R CTOR T .NO. _ � SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith c]N FRONT comply with such provisions or this permit shall be deemed revoked. DESS �� nt;o��J PL L��L SIDE LICENSED CONTRACTORS DECLARATION CIT LIC.-CLASS PL 0 CD L I hereby affirm that I am licensed under provisions of Chapter 9 ` SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and S IZE NO.O STORES NO.OF AMILIES G Professions Code, n my license is in full force an effect. NEW ❑ BK PG D Ir TION OF WORK License NUm U LiC.CIeSS O �� - c-S ADD ❑ LUATI _�� , coli Contract bate ALTER ❑ z_ ElI am exempt under Sec. REPAIR BARC.for this reason LA — DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APP CANT PRIC) TEL.NO. LDMA Perm# IZ11 El 1, as owner of the property, or my employees with wages as O , their sole compensation, will do t)1a work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE a Professions Code.) 7 WILL THE OR FUTURES DING OCCUPANT HANDLE A HAZARDOUS MATERIAL —�% (/" J ❑ 1, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A H RDOUS MATERIAL EQUAL TO OR GREATER THAN P P Y Y g THE AMOUNTS SPECIFIED ON T1 AZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > j licensed contractors to construct the project.(Section 7044, YES 11 'NO C1 %m (4L 16 a `" Business and Professions Code.) -� WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST �j FOR GUIDELINES. `= �f�[j Ci��(J�` i_HANT n•••• I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the Work for which this permit Is Issued(.Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES m. COUNTY CODE,TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING .... .. •• "' '"" 3 Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. •{ s; •§ a Lender's Address y- QOWNER OR AGENT that I have read this application and state that the above g informatl is Corre Comply with all county P.C.FEE PERMIT FEE /� '7 N ordinances ate laws relating to b 'Iding construction,and t/�L-��° ¢- here ut rize repreStntatives of t ' County to enter on ISSUANCE FEE t bo men on ro y fo ctio Pose . INVESTIGATION FEE TOTAL FEE m Sig-tApyli nt ant Date SEE REVERSE FOR EXPLANATORY LANGUAGE.