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Home My Public Portal About5741 CLOVERLY AVE_Building__ r I d ` II 1 DIMION OF BUILDING AND SAFETY BUILDING Department of County Engineer j County of Los Angeles " WM J , FOX, COUNTY ENGINEER APPLICATION BUILDING FOR APPLICANT TO FILL IN ADDRESS -,7 r7 ,{ Kin Cv(P U 3 BUILDING ' LOCALITY ' ADDRESS NEAREST CROSS ST LOCALITY DISTRICT,NO -' PLAN CK OR Rice No PERMIT NO tc 068S 5 - x 171(:;,.413 OWNER 1[(RECEIVED BY DATE OF APPL DATE ISSUED MAIL3`761/ ADDRESS LC (' T U E ZONE 1 NO OFa I-7; YP I G� FIRE ZONE �� PLANS, ^�— ARCHITECT OA TEL , ZONING- ENGINEERNO r APPROVEBY- „�'; ADDRESS ” f -BUILDING �� ' 'RD NO � `J SETBACK LINE � _� '4 TEL / (] APPROVED + ,p I,DXTE CONTRACTOR NO �/�-5- BY _ I 1, ' ��, � �� ' HOUSE NUMBERING � ADDRESS W yw/ T i LEGAL �� MAP NUMBER �+� '--FNO ASSIGNED BY��+�� DESCRIPTION LOT NO V BLOCK i r } , f i DATE I CORRECTIONS «ifl� I' INSPECTOR TRACTNO OF �D "1��' I NOW ON LOT av m; , -72- �Le �, � rY--R L SIZE OF LOT USE OF S FA OF �,+��!I�' lici.�-m 9�'J�. �e-�. `A►�1 Td '�sle�4.1{I O EXISTING BLDG FAMILIES DESCRIPTION dF WORK QG 1(arX_ NEW ALTERATION v_ ADDITION . r,, REPAIR DEMOLITION s SQ FT / - NO OF SIZE b ROOMS STORIES ROOF COVERING EXT WALL r yD I COVERINGlr ,</Ej,�..,.Kr I + VV'"'►�'V°yam`` USE OF STRUCTURE ldf U i APPROV S INSPECTOR' SIGNATURE ATE ~ FOUNDATION LOCATION .. FORMS MATERIALS ,,�...,,,, �Z l I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- /r r PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME FIRE STOPS, CORRECT BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION,._ _ - AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT, DUCTS SIGNATURE O ��, �' LATH, INT ; PERMITTE LATH, EXT 1 ADDRESS n PLASTER, INT AUTHORIZED AGT , PLASTER, EXT ` - $ '�j �® FEE 'HOUSE NUMBER COR- _ v RECT AND POSTED s$ O m VALUATION -FEES FINAL 76A638A DBS 3 E-E3 tit , r t - ., _ I - .' DEPARTMENT OF COUNTY ENGINEER DIVISIONCOOT O OS SAND SAFETYGELES BUILDING WILLIAM J FOX, COUNTY ENGINEER ' APPLICATION CASSATT D GRIFFIN, SUP T OF BUILDING 1 l FOR APPLICANT TO FILL IN FOR OFFICE~ USE ONLY 1 BUILDING I DISTRICT NO PLANCK OR REc No PERMIT NO AD R S I 5 g > O LOCALITY RECEIVED BY DATE OF APPL DATE ISSUED NEAREST - ——L — 8 CROSS T BUILDING + ` ADDRESS OWNER MAILLOCALITY ADDRESS w I Al NEARESTI CITY TT -3 0 3 0 CROSS ST FIRE NO OF TYP GROUP4 ARCHITECT OR TEL ZONE I PLANS ' ' ENGIN R NO BLDG { I O ADDRESS C 11 SETBACKILINE { 2O . '— L 1 CONTRACTOR TEL (, F�� USE APPROVED I _ I ZONE —I BY CtI_C..cA f/� + DATE ' HOUSE NU PERING q ADDRESS gg 1 + LEGAL MAP NUMBER CSS i NO ASSIGNED BY- 1 DESCRIPTION LOT NO BLOCK _ CORRECTIONS TRACT µ` t190 OF BLDGS I to + SIZE OF LOT D I NOW ON LOT if USE OF ' + —1 NO OF EXISTING BLDG FAMILIE - ' DESCRIPTION dF WdRK f _ 0 RE AHDEMOLITION I�ALTERATIONADDITION IR r D SQ FT NO OF SIZE ROOMS STORIES EXT WALL I ROOF COVERING COVERING USE OF ST UCTURE IV 11II c L4ar � C �tnC IIP`ilt'I � , APPROVAZS ' + INSPECTO '8 SIGNATURE DATE FOUNDATION LOCATION FORMS, MATERIALS HEREBY ACKNOWLEDGE THAT I HAVE READ IA FRAME PLICATION AND STATE THAT THE INFOMATION G VENS BRACING RBOLTS � COI AE REE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATIO AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS Ja J SIGN ATURELATH, INT ' PER MITTEa 5 At4m� LATH EXT .s.. ADDRESS AUTHORIZED AGT 1ti1 �� PLASTER, INT PLASTER EXT FEE $ HOUSE NUMBER COR- f�! v RECT AND POSTED VALUATION !8 rJQ `Q FINAL FEE �r� f 76A898A DBS 3 9-6p APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS 37Y 1 ✓- G k 0Iff 11?IL I' I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Workers Compensation Insurance,or a certified 7 , L/ E /Er'{p� G Ct r- /7£r (7 copy thereof(Sec 3800 Lab C 17P_tf1*.Lr_ C,�I ' ZIP 71 LOCALITY PoliNo, SD9.1.d4�O O,fJ. SN i H ZEOTG r 9! ft'b Cy �K Company SIZE OF LOTNO OFI BLDGS NOW ON LOT_ ❑ Certified copy Is hereby furnished , 1 NEAREST CROSS ST ❑ Certified co Is fled with the county building Inspection TRACT BLOCK LOT NO C-1-OvAAW_'r I✓E K copy tY g USE ZONE MAP NO department NJ DateARCEL_ 07W Applicant ASSE VS-gr S P BOOK POE` O Pd09 1 f} SPECIAL CONDITIONS OWNER i- 6 TEL NO _ CERTIFICATE OF EXEMPTION FROM WORKERS' YES No COMPENSATION INSURANCE k 1 A4 '� A gS WITHIN 1000 FT OF SCHOOL? ADDRESS (This section need not be completed If the permit Is for one hundredz CLOY 2 L DISTRICT GROUP TYPE CONST' FIRE ZONE CESSED dollars($100)or less) Cox ZIP I certify that in the performance of the work for which this permit Ei'lP.Z F_ C I rY ` !7 6— 0 ro� P-3 is Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO become subject to the Workers'Compensation Laws STATISTICAL CLASSIFICATION APT C DO Date$-10-94 Applicant80TRI£ ADDRESS r CLASS NO DWELL UNITS 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 SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith M DA V P A/7 J� G /'/ 3 3 O 3 FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS C NO PL Ivy 5-Me CoAf Meow a; z- SIDE LICENSED CONTRACTORS DECLARATION CITY LIC CLASS PL U I hereby affirm that I am licensed under provisions of Chapter 9 ri/LA.C Oro>� 64, — SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO F STORES NO OF FAMILIES o Professions Code,and my license is in full force and effect NEW ❑ BK PG R License Number -5 77 9 7-7 Llc Class — DESCRIPTION OF WORK ADD ❑ VALUATION v fns V1 IV r L S AA $ 2,000, y Contractor )a 17i3VEA+Date P"1�"9d ^- ,Cc ALTER El _z U(, 5 REPAIR 19 ❑ 1 am exempt under Sec I B&PC for this reason P 0 /W r 1 DEMOL ❑ LDMA P/C# Date USE OF EXISTING BLDG G URM 1 ❑ 1 Signature APPLICANT(PRINT) a TEL NO LDMA Perm# E7RlC f T a 303 = At ❑ 1 as owner of the property, or my employees with wages as 17E �- O their sole compensation,will do the work and the structure Is ADDRESS � ) FINAL a j 17 not intended or offered for sale (Section 7044, Business and S .Co v E L f79.L b EN Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL c i l�Gi 11 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN E] I as owner of the property am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY � TOTAL(TIAL 32 . 00 licensed contractors to construct the project (Section 7044, Business and Professions Code) WIL ❑ No CHECK 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(SCAOMD)SEE PERMITTING CHECKLIST {NE FOR GUIDELINES I hereby affirm that there Is a construction lending agency for YES❑ NO 09 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 VIHJI_;};J_11 CJI Z-! COUNTYCODE TITLE2 CHAPTER 220 SECTIONS 2 20 100 THROUGH 220110 CONCERNING Lender's Name HHHrgggzzzCAAARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 1y j A�'� ":&t lal Lender's Address �� 12 G t/E,L C?JA Af E cif 71OWNER L _ C' I certify that I have read this application and state that the above PC FEE PERMIT FEE ,P Information Is correct I agree to comply with all county v ordinances and State laws relating to building construction and hereby authorize representatives of this County to enter upon ISSUANCE FEE 13. th ve-mentioned p operty for inspection purposes . 00 INVESTIGATION FEE TOTAL FEE t` Sip�d AXOCw Aper° O.W SEE REVERSE FOR EXPLANATORY LANGUAGE i COUNTY OF LOS ANGELES TEMPLE CITY j # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9610220027 PHONE (818) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 6561 LT 705 SQ FT STORIES TYPE 5741 CLOVERLY AV STRUCTURE 0 V TEMP CA 917802552 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8587-010-008 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE RESID USE ZONE R-1ED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 10/22/96 TC 10/22/97 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE MURPHY WILLIAM J,THELMA TRS (818) 285-8245- 1 1,740 41- 5741 CLOVERLY AV -� TEMP 917802552 FEES PAID DESCRIPTION OF WORK' ADD NEW SUPPORT BEAMS FOR LIVI ROOM FLOOR FEE DESCRIPTION ��NT��UOM�' 0q AMOUNT APPLICANT TEL 0 a/ BASHFORD ENTERPRISES (818) 443-4833- AA BLDG PERMIT ISSUANCES :76& 27 75 12155 PINEVILLE ST AC STRONG MOTION RESID' ,1740-00-VAL 'UT50 SPECIAL CONDITIONS EL MONTE, CA 91732 D2 PERMIT W/0 EN%HCv 1740-00'VAL )n(j = TOTAL FEES CONTRACTOR TEL NO \� 1 �o O qOPPROVALS DA INSPECTOR SIGNATURE BASHFORD ENTERPRISES (818) 443-4833- d O12155 PINEVILLE ST LIC NO UEL MONTE, CA 91732 319112B �� SOILS CNG NEER A ROVAL RC OR ENG TEL NO N 0 DA nFORMS LIC NO s SLAB/UNDER FLOORRAISED FLOOR FRAMING '/ tttttt o AP NO SEWER MAP BOOK PAGE FIRE ZONE CMP G DE FLOOR INS A 0 150H265 3 01 WS HEATHING NO OF FAMILIES DWELLING UNITS CLASS �S NO 21 ROOF SHEATHING SCHOOL WITHIN A \�\ SHEAR PANELS F AIR DUALITY 1000 FEET MATERIALS _ NO NO NO FRAME INSPECTION REQUIRED TOTASETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR EXTERIOR LATH RATED F IL ASSEM RATED WALL ASSEMBLIES RATED SH OP NGS T-BAR CEILINGS LOT DRAINAGE REPORT 1D DPR261 ROUTE TO BS0508