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HomeMy Public PortalAbout5838 - 3/8 - 3/4 -1/8 - 1/2 - 1/4 CLOVERLY AVE_Building__ � M DE_ Al TMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ;A��, �3 1952 WM. J. FOX, CHIEF ENGINEER APPLICATION --- _- FOR APPLICANT TO FILL IN C FOR OFFICE USE ONLY DISTRICT NO. PLANCK OR REc No 11 , PERMIT NO.` ADDRESS BUILDING�, 4 O ti _ RECEIVED BY DATE OF APPL. DATE ISSUED LOCALITY_0/--P;IPV N� ,/J� NEAREST /CROSS 9T. �� a lkP -� Y L,� V V BUILDING A��� •� ;�/ �/ '���77 �^ Cott ADDRESS J^�'� OWNERM 1'r I.+C� �MAIL �yE /y�,`L°�4 R 1—r1 �@ g `O�/ LOCALITY ADDRESS S� y ICQ 4ZeSg'4 gaRg �A6 NEARE9Tj J v r CROSS ST. �( TEL. CITY M / �`' C / C- C�-�i� O.A—f SrI FIRE NO. OF TYPE ROUP ZONE I PLANS _ ARCHITECT OR TEL ENGINEER NO. BLDG. / NO. SETBACK LINE ✓,: �'�-' /"'' 7r `�► ADDRESS USE APPROVED f� TEL. ZONE BY 1 I DATE t_: r CONTRACTOR S \ NO. ! HOUSE NUMBERING " _ t � ADDRESS / MAP NUMBERS! NO ASSIGNED,BY DESCRIPTION SLOT NO. �P BLOCK ,V_'Q CORRECTIONS t TRACT 13- 9 /`/� b OF BLDGS. T, ,!F SIZE.OF LOT y O (� / I NOW Np ON LOT /� , USE OF, FAMILIES�EB l }d't]/-' - R p• -y - •-_ _• •__ EXISTIN BLDG. i DESCRIPTION OF WORK ' NEW -ALTERATION I ADDITION G� i REPAIR DEMOLITION- I I Q r 1�l SIZE —ROOMS STORIES EXT WALL —f--L" ROOF n, p COVERING •� CC •p COVERING 0 A4 I USE, 1 STRUCTURE �s "4p rqc �_s I - - I A� '4 INSPECTION FOR APPROV/ALS OCCUPANCY AS - I INSPECTOR'S SIGNATURE DATE ` FOUNDATION: LOCATION �� � FORMS, MATERIALB t IHEREBY ACKNOWLEDGE THAT I HAVE_READ THIS AP­ -­AND P- i - PLICATION—AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, CORRECT; BRACING, BOLTS I :46REE.TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION (BAS VENT, DUCTS � SIGNATURE O �.C.0 S�'t Ml.�,5 L 0TH, INT. PERMITTE ATH, EXT. _ryO.�-J L/ '�•©-�'ti•� ADDRESS Z ' AGT. -V PLASTER, INT. AUTHORIZED , PLASTER, EXT.t V FEE HOUSE R RECT AND POSTED VALUATIO FEE V FINAL 76A630A DBS 3 7-51 / DEPARTMENT OF BUILDING AND SAFETY BUILDING� �' COUNTY OF LOS ANGELES / ! WM. J. FOX, CHIEF ENGINEER AUS 1 .1 1%2- APPLICATION - FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Q A/ //'� DISTRICT NO. PLANCK OR REC No., - PERMIT NO. BUILD ADD EISS S�.X! /Y0. (/'/f/PP'X., Xl/ :moi _ RECEIVED BY DATE OF APPL. DATE ISSUED LOCALITY x/77 .e ✓� `L �G �-J � ^ 2 NEAREST CROSS ST. IBUILDING �1 ADORE SBJ OWNER 'PL e C 11-ti Ll, r"i`Q S C MAIL /'� LOCALITY r77 % ADDRESS -5-2 4!q �O 1 r1� -ss�•1-/ f,'1 {/e NEAREST /As v��r �'I� �y�./ /C CROSS BT.L� CIT _M\tC,- G ��� N°• 6 1 6 FIRE „�- I NO.OF q TYPE V GROUP ARCHITECT OR p TEL. ZONE PLANS L ENGINEER M't"1'� NO. BLDG. �� / ORRD. N ` SETBACK(LINE lJ ^ ADDRESS USE1 APPROVED ©' I ' ' A TEL. ZONE BY DATE CONTRACTOR KJ Flt NO, HOUSE NUMBERING / ADDRESS MAP NUMBER NO ASSIGNE9iBY LEGAL CORRECTIONS DESCRIPTION // LOT NO. BLOCK TRACT � ,�(p ' a �CJ X I �� NO. OF BLDG SIZE OF LOT N OW ON LOT �0 Il�n s USE OF NO OF - EXISTIN BLDG. _ I FAMILIES DESCRIPTION OF WORK �I _ d ° -4eP- 000 A NEW ALTERATION ADDITION14/ - _ B O O i �� l `i t D r REPAIR DEMOLITION SIFT. S I �s N°.°F / SIZE 6 ROOMS / STORIES EXT WALL ROOF COVERIND S��C.C-4 COVERING ` M USE OF UCTUR e S .e►�c�� �" vN/r .�r� 7T Avse INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION :Z�' FORMS, MATERIAL13 A0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- \. PLICATION AND STATE THAT THE INFORMATION GIVEN I9 FRAME: FIRE STOPS, CORRECT BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION J ..► ` AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE O •e � C- + sec k!\ 1 l I-P 1 LATH, INT. PERMITTE //�� l �,d IQ 4i LATH, EXT. !y/ 14/'Q s"q kA l?a ADDRESS _ PLASTER, INT. AUTHORIZED AOT. -�' a PLABTER, EXT. 0 aO�/ P. FEE HOUSE NUMBER COR- RECT AND POSTED VALUATION FEE FINAL 76A63BA DBS 3 7-51 APPLICATION FOR -BUIL DING PERMIT COUNTY OF LOS ANGELES BUILDING'AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING BuD ADDR SS USS ele } I hereby"affirm,that I have a certrficate of consent to self Insure,, � �! l u r or a certificate of Workers' Compensation Insurance,or,a certified copy thereof (Sec,3800,Lab C) CI Y ZIP s ez LOCALITY Policy NO + Company SIZE O OT ; NO OF BLDG NOW ON LOT ElCertified copy Is hereby furnished NEAREST SS PT ' ElCertified copy Is'fi ed with the county building n Inspectioa TRACT BLOCK LOT NO ' r department ', • USE ZONE MAP NO 4 Date - App(icantASSESSOR MAP BOOK PAGE PARCEL 'SPECIAL CONDITIONS , CERTIFICATE OF'EXEMPTION FROM,WORKERS' 'r OWNER TEL NO YES`- NO COMPENSATION INSURANCE WITHINl000 Fr of scrfooL� t . ' A R SS - -- • ` ' (This section need not be'completed If the permit is for one hundred �2/ DISTRICT' GROUP TYPE CONST' FIRE ZONE PROCESSED BY, dollars($100)or'less) ,i CITY ZIP '!'certify that In the performance of the work for which this permit Is issued, I shall not employ any person In any'manner so as'to % V M become su ect o the Workers'Comp e sation Laws • ARCHITECT R ENGINEER' TEL N • A t STATISTICAL CLASSIFICATION AP CONDO tr t r f /? Date Applicant _ ADDRESS CLASS NO DWELL UNITS, O " ov- NOTICE TO APPLICANT, If,-after making this Certificate 'of REQUIRED TOTAL SETBACK FROM EXIST,.,, Exemption, you 'Should" become subject t0 the Workers' C TRAC R C TEL NO, SET BACK^ YARD HWY PROP LINE - WIDTH Compensation provisions of the Labor Code,tyou,must forthwith' FRONT u comply with such provisions or this permit shall be deemed revoked AD 'S • y C NO P_L, ; LICENSED CONTRACTORS DECLARATION d/ PILE CITY i/' ,• L CLA P L _ I hereby affirm that I'am licensed underprowsions of Chapter. 9� (� SEWER MAP (commencing with Section 7000)Of Division 3 Of the Business and = SO FT SIZE NO OF Sj IES No of FAMILIES Professions Code,and my license Is in full force an effect NEW ❑ BK PG } ' DESCRIPTION,OF W R • ADD ❑ VALUATION ' - ®'� I_4_ o Y t O License Number Llc Class Contractor Date ALTER ❑ __;iM i�i o �•= ❑51 am exempt under Seco REPAIR ❑ _ « • !i t t 1ti�- F- B&P C forpthis_reason ^ DEMOL El LDMA P/C#' US OF EXISG BI f L 12• 35,V ` Date L URM ❑ -` - { -`` t_` EZ Signature '♦4r�r7r� + APPL (PRINT) _ _ LDMA Perm ❑'I, as owner of the property,'or my employees with wages as �'� ' their sole.compensation,,will do.the work and the,structure Is ADDft� / a 3 not intended or offered for sale (Section 7044, Business and / FINAL DAT Professions Code) WILL THE,APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE,' _ El 1, as owner of, the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION'GUIDEI FINAL BY "J?— 1' y rS licensed contractors to construct the'project (Section 7044, ' a Business and Professions Code) ves No ` WILL THE INTENDED USE OF THE BUIDLING 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 FOR " - GUIDEJNES I hereby affirm that there Is a•construction lending agency for YES 1:1 INA" - - N the performance of the work for which this permit Is Issued(Sec IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THESCAQMDPERMITTING 3097, CIV C) _ CHECKUST I UNDERSTAND MV REQUIREMENTS UNDER•THE LOS-ANGELES COUNTY-CODE TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MAT OPTING AND FOR OBTAINING A PERMIT,FROM THE SCAQMD o Lender's Address 3 O ' rOAER OR AGENT _ o I certify that I have read this application and,state under penalty 9 of perjury that,the above Information Is correct I agree to comply PC FEE PERMIT FEE with all county ordinances and State laws relating to building I m ` construction, and hereby authorize representatives of this County v '" '- ISSUANCE FEE , to enter upon the above-mentioned property for Inspection purposes , ' ¢ INVESTIGATION FEE - TOTAL FE o �J� � sg—,e or Aaairam a Apem - o- `" � 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 0305160023 PHONE: (626) 285-0488 EXT: Al LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 688 SQ. FT STORIES TYPE 5836 CLOVERLY AV STRUCTURE: VN TEMP CA 917802129 AT9990T INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-012-022 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED B . EXIST OCC GRP: 05/16/03 JK 05/10/04 OWNER: TEL. NO: BLDGS. NOW ON ATION: FINA DA CODE: DINGALLO;GIOVANNI - 4,230 /O // �_ 5836 CLOVERLY AVE !2 TEMPLE CITY 91780 15T15 Ti )P WORK ' T/0 1LAYER COMP & 2ND ROCK;INSTALL 25YR 3TAB SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INSTALL VENTILATION;INSTALL ICE & WATER SHIELD APPLICANT: TEL. NO: BRANDON J LUDLOW (818) 590-1211- AA BLDG PERMIT ISSUANCE 27.75 142 VENETO AC STRONG MOTION RESID 4230.00 VAL 0.50 SPECIAL CONDITIONS: IRVINE 96214 D2 PERMIT W/O EN-HC - 4230.00 VAL 132.60 TOTAL- FEES 160.85 CONTRACTOR: L. 0: APPROVALS DATE INSPECTORSIGNATURE MODERN ROOFING (818) 590-2626- 2219 WEST OLIVE AVENUE LIC. NO �l. `� ���� ACKS SUITE# 282 B/L RHE BURBANK CA 91506 � �, N APPROVAL ARCHITECT OR E FORMS LIC. N0: ri" I I _, {, R FLOOR MAP NO: SEWER MAP B PAGE: FIRE UNDERFLOOR INSULATION 150H265 3 01 No. OF FAMILIES: DWELLING UNITS: AT CLASS: NO 21, ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED 10TAL SETBACK R ST FIRE SPRINKLEFFARTR-9-- SET BACK YARD: HWY: PROP LINE: WIDTH: T, FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIORLATH/DRYWALL p �^ EXTERIOR LATH O / RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508