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Home My Public Portal About5945 CLOVERLY AVE_Building__ TEMPLE CITY 76A638A CE#803162 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT NO I GROUP TYPE P C ED Y tg FOR APPLICANT TO FILL IN �!" coNsr BUILDING _ STATISTICAL CLAS IFICATION SEWER MAP ADDRESS ��/�� ( BK P CLASS NO DWELL UNITS LOT NO BLOCK WATER CERTIFICATE NOT REQUIREDRr RECEIVED TRACT6 -5-01 MAPHIGHWAY NO OF BLDGS NO v' Q (CIRCLE) STATE MAJOR SECOND OCA SIZE OF LOT NOW ON LOT USE ZONE SIPECIAL USE OF CONDITIONS EXISTING BLDG TEL OWNER NO BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS af]j[ Iffle? &ktl1Aj&444 FRONT O ARCHITECT OR TEL P L ENGINEER NO SIDE Pr a ADDRESS t O TEL ,./-` , /Vr 0 ., iPrl...e,aaa�is U CONTRACTOR V •"v NOV'l Low �J ADDRESS — O DESCRIPTION OF WORK --�Y �P fu`Y/tE.ror� /yoy,., v W vi a NEW ADD ALTER REPAIR DEMOLISHZ SO F NO OF NO OF _Z 1=-G J Ta,(Ir,- 70 Ah. b- L✓ �` A SIZE STO R•IE F LIES USE C STIR Q��✓/ SIGNATURE OF APPLICANT VALUATION $ APPROVALS DATE INSPECTOR S SIGNATURE PC PMT `}—/ FOUNDATION LOCATION _ FEE $ FEE $ 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 AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIF RNIA RELAT ING TO WORKMEN S C 't R CE LATH EXT SIGNATU E O HOUSE NUMBER COR PERMITTE RECT AND POSTED ADDRES FINAL JOFi PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION MO r V, URAL NGINEER CASH Lrl�,o 0 9 2 1'S 1"E� 1 4 2 D 4.00- { D DEPT PE IS R F ' Y ta, L S(O. GE Gh WO 'DONE IN THE ROAD RIGHT OF WAq. 7U1538A Ca#410412/410 „IAPFL.ICATION FOR BUILDING PERMIT �1 1. ^+- COUNTY OF LOS ANGELES ABUILDING DDRESS .�� ` •� o v' _ c. DEPARTMENT OF COUNTY ENGINEER r BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRIC O G OUP TYPE OCESSED B FOR APPLICANT TO FILL IN coNST BUILDING s,j STATISTICAL CLASSIFICATION SE ER MAP T 'Z: / ADDRESS r CLASS NC(2LDWELL UNITS LOT NO BLOCK MAP - STATE �, NUMBER HWY ' TRACT �- USE ZONE SPECIAL NO OF SLOGS CONDITIONS SIZE OF LOT fl AI NOW ON LOT 3 - / USE OF` EXISTING BLDG BUILDINGY'a' f EXIST TEL SETBACK R� HWY TREET NAME _ WIDTH OWNER NO FRONT P L Is ADDRESS SIDE ARCHITECT OR E P L ENGINEER INSPECTION RECORD' ' ADDRESS —V -C+� TEL 04 CONTRACTO NO/ O ADDRES / DESCRIPTION OF WORK 0 O E+ NEW ADD ALTER- REPAIR DEMOLISH SQ FTr'`�( O NO OF NO OF W SIZE `F'l tl STORIES FAMILIES _ y USE OF `& STRUCTURE SIGNATURE OF �� APPLICANT - " VALUATION$ C APPROVALS �i®G DATE/ INSPECTOR S SIGNATURE P CO(� _ PMT � UNDAT _�- FOFORMSION MATER ALS LOCATION O FEE S FEE $ , FRAME FIRE STOPS, ' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- BRACING BOLTS - t' PLICATION AND STATE THAT THE ABOVE IS CORRECT AND 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 COMP KSATION LAWS F CALIFORNIA LATH EXT SIGNATURE OF HOUSE RECT AND POS EDER R PERMITTE _ ADDRESS FINAL ? CLYDE ��- PLAN CHECK VALIDATION CK M O CASH REIT VALIDATION INCIPAL TRucKTURm E STRUCTURAL �H L.jI Uo 3 0 2 9, Jif 3 0 2 3 D 3.0 V ®, L1,co 3 0 3 0 X14 30 1 b 121 .0 0 0 A ROAD DEPT PF'',,,,f 15 Krlk+. ,REI� FOR ANY Nv1Tr it! S10'4G: C?„ Vr,;�„K DONE IN ThE ROAD RIGF(T OF WAY 76AE38ACH,/803039 APPLICATION FOR BUILDINGPERMIT COUNTY OF LOS ANGELES ADDRESS BUILDING _ DEPARTMENT OF COUNTY ENGINEER DDRES BUILDING AND SAFETY DIVISIONLOCALITY r JOHN A LAMBIE COUNTY ENGINEER- NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRICT NO GROaC YPE= S D BY FOR APPLICANT TO FILL IN ONsr ,Z . BUILDING J STATISTICAL CLASS ICATIONy SE ER MAP ADDRESS y ' /1 BK I Pj a CLASS NO DWELL UNITS �� 7 S ,LOT NO'+ :� LOCK MAP STATE YES' NO NUMBER ' r HWY TRACT + USC ZONE SPECIAL NO OF BLDGS 1/�•L73 CONDITIONS s _ SIZE OF LOT O I NOW ON LOT USE OF An EXISTING BLDG BUILD NG YARD HWY STREET NAME - EXIST SETBACK .. WIDTH OWNER C, n Wmm, FRONT MAIL �i�� r P L .ALL SIDE ADDRES , ` TEL 2= P L CITY _ NO INSPECTION RECORD ARCHITECT OR _ TEL ENGINEER NO ` ADDRESSTEL , CONTRACTOR NO LJ' G ADDRESS 1 ' DESCRIPTION OF WORK '�� JTi 41r-,7 R,=_ Al 1= ,err NEW ADD ALTER REPAIR EMOLIS 1 �q /��/��1 - ,/ SQ FT .NO OF Cs�0/L*,ryY SFr �Po P� Tl' SIZE STORIES FAMILIES USE OF - + STRUCTURE If SIGNATURE OF APPLICANT �' I APPROVALS DATE INSPECTOR SSIGNATURE ADDRESS °' �GC.L [ r U1 YlFOUNDATION LOCATION _ FORMS MATERIALS VALUATION ON $ I :FRAME FIRE STOPS BRACING BOLTS, �I _ FURNACE LOCATION i FEE $"��- FEE PMT $ _ GAS VENT DUCTS I 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 ORDINA CES AND STATE LAWS REGU TIN BUIL G- CONS UCTION LATH EXT _ SIGNATURE OF r[+n HOUSE NUMBER COR- - RECT AND POSTED PERMITTE C ADDRESS FINAL 3 CLYDE N DIRLAM, PRINCIPAL STRUCTURAL ENpRteliqi PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK MO CASH ` Xo 7`170` M , 2 1A 2.0 0 ® �ggp A ROAD DEBT PFRMIT ,IS RE J{RE15 - p� 2 FOR-Ah f MA-EPlm. SrOPf GE-OR WORK' `�r� pp - DONE IN I HE' ROAD RrC-rn f OF WAY, 141 76AGGBA CE#803 8 e9 APPLICATION FOR BUILDING PERMIT - 1; COUNTY OF LOS ANGELES ' BUILDING ?DDRESS DEPARTMENT OF COUNTY ENGINEER U BUILDING AND SAFETY DIVISION LOCALITY r e JOHN A LAMBIE, COUNTY ENGINEER NEAREST Y CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST ,. DISTRICT NO GROUP' TYPE `P ESSED BY FOR APPLICANT TO FILL IN i, CONST,` {� BUILDING .J / �r^ STATISTICAL CLASSIFICATION SEWER MAP P ADDRESS JJc4g441 11 CLASS NO DWELL UNITS LOT NO • BLOCK MAP STATE YES NO NUMBER HWY TRACT USE ZONE SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOTS OO/1. I NOW ON LOT >� USE OF ' ry 4°r ` / -L-II-i--1 EXISTING BLDG BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH OWNER , %-.Q FRONT MAILP L ADDRESS 2 ems(! SIDE P L CITY s uj yk TTo�D -/ INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO ADDRESS � 6� CONTRACTOR.4-I e elylt n NO O & ADDRESS oZ-D cvAvof/eA✓� �idUlvl4 /ZTty}(r DESCRIPTION OF WORK NEW �DD ALTER ' REPAIR DEMOLISH I, SQ FT NO OF NO OF LL-'��S I' II6�'T' SIZE 3 (�D L STORIES �' FAMILIES USE O F ¢ //}��r'-• STRUCTURE, SIGNATURE OF �� •'� APPLICANT APPROVALS DATE INSPECTOR S SIGNATURE ADDRESS 2 fJ�. FOUNDATION f"ORMSMATERIALS ION VALUATION $ %� '� FPAME FIRE STOPS -!'1�lry� BRACING BOLTS C.� .� qi P C.�j(�� a� PMT ,� FURNACE LOCATION FEE $ `-- I FEE $ GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT i(�-!J PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINAN ES AND A STATE LAWS REGU T! BUIL CONST UCTION LATH EXT t ,'✓/ Co SIGNATU>RE OF / HRECT AND POSBERTEDR L -20 SLI OUSENU PERMITTE _ /_ }p� _/ g� ADDRESS FINAL D Z!tr-;b9 m� cK M o cAsrl - CLYDE N DIRLAM PRINCIPAL'ST l i�I Ro ENGINEER PLAN CHECK VALIDATION PERMIT VALIDATION cic r , t;�r 7.1, 0 2 a FAR ' � 2 3 A 1 1 4.2 5 A I ACO -3 3S � MAR 2 5 2 3. A - �.�d e r i •x LFCo _3 3 9 t Ip,tt 2 5 1 fA 2 44.50 76A638A CE #803 4/72 APPLICATI N FORiBUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS - 5]AKE CHECKS PA}ABLE 10 - HARVEY T BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or t e only) CROSS ST BUILDING DISTRICTNO GROUP CONST TYPE �;ESSED BY ADDRESS i 8 STATISTICAL CLASSIFICATION SEWER MAPr LOT NO - BL K CLASS NO DWELL UNITS BK/,L P�S TRACT USE ZONE, MAP �j �) NO OF E3LDGS SIZE OF LOT (J �(` yt/ NOW ON LOT }�' SPECIAL USE OF �� CONDITIONS ' EXISTING BLDG STEL r - OWNER , 71 BLDG SETBACK FROM ADDRESS 7S— FRONT PROP_LINE OF (STREET) iJTY9t OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CIT HI HWAY WIDTH FROM C L -- ARCHITECT OR TEL _ } _ ENGINEER NO SLVG SETBACK FROM _ADDRESS a SID ROP LINEOF - (STREET) p V �y �-y, TYPE OF �%� } YARD _= TOTAL CONTRACTOR 'NOLi.//ClfC HIGHWAY WIDTH � i— ADDRESS�Q, ' �3 NO } - a LIC N CIT CLASS - CORNER CUTOFF s YES ❑ NO CONSTRUCTION LENDER -' NAME AND BRANCH - SEE REVERSE SIDE FOR SPECIAL APPRQVAL ADDRESS SQ FT NO OF u NO OF' " NEW ❑ SIZE IES FAMILIES ❑ USE OF ADD STRUCTUR ALTER ❑ REPAIRi SIGNATURE O APPLICA DEMOL ❑ VALUATION $ y- APPROVALS - DATE INSPECTOR'S SIGNATURE P C P T FOUNDATION LOCATION FEE $ FEES 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 WITHALL ORDINANCES' AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUC TI ON I CERTIFY THAT IN DOING THE.WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT ` LABOR -CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENS ION INSURANCE_ LATH EXT - SIGNATURE O } HOUSE NUMBER COR- PERMITTEE--- J RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION CK M O CASH [`+10„ 1 0 0 8?3 MAY 8 1- D 21..7-5- =` WORKERS COMPENSATION DECLARATION nt to se insure boraafcertif cafirm tharte off Wo ke srtComtpensat on eInsuran elf A■p PLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec 3800 Lab ) Pal y No W C�P-5 'trtfmpany COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with th cou buil g i pec BUILDING —t ion depart Qent ADDRESS / Ll Date ( v O " �ApI cont CITY ZIP ( LOCALITY t -CER IFICATE OF EXEMPTION FROM WORKERS, NO OF BLDG _ NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit,is,for one / ASSESSOR hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK P G PARCEL TEL USE Z E MAP I certify that in the performance of the work for which this OWNER O 4 NO permit is issued, I shall not employ any person it any manner ADDRESS �f snf SPECIAL R i 'so as to become subject to the Workers Compensation Laws /� CONDITIONS 0 Date Applicant` CITY ZIP NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PROCESSED BY 0 ENGINEER NO � e n CONST ZO E- U Exemption, you should become subject to the. Workers' - - (,'b(` / Compensation provisions of the Labor Code, you.must forth- ADDRESS r V W with comply with such provisions or this permit shall be _ - D.. deemed revoked TEL STATISTICAL CLASSIFICATION APT CO Cn CONTRACTOR l NO �& � / Z LICENSED CONTRACTORS DECLARATION j S� v// �5 CLASS NO DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS LIC 7 b SEWER MAP (commencing with Section 7000)of Division 3 of the Business and nn LIC Professions Code, and my license is in full force and effect CITY (/Gvli 0,4 CLASS VALIDATION /,� �( ?� SQ FT NO OF O OF CHECK BK PG License Number `' � Lc Class J� SIZE STORIES FAMILIES ONE //►/�� O r VALUATION Contractor t M Date "' a DESCRIPTION OF WORK NEW s G X 0 9 314 A ' ADD El I am exempt under Sec o -Q,o • o 11 ` ALTER - ❑ B 8P C for this re son REPAIR $ �1 •,l 4 3.6 3 USE OF Dae EXISTING BLDG DEMO' ) '�� 1 ,43,63, Signature APPLICANT TEL FINAL G OWNER- IL RDE AR TION PRINT NO DATE j--_ 1 8 8 8 I hereby affirm that I am exempt from the Contractor's License ' Law for the following reason (Section 7031 5, Business and ADDRESS FIN X. Professions Code) - R By BUILDING 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation will do the work and the structure is not intended or offered for sole(Section LOCALITYc� 7044, Business and Professions Code) MOVING - _TEL " 1, as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec-- ADDRESS G / tion 704'4, Business and Professions Code) CK FROM CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY RQEDTOTAPROP AL NE 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 Name ` LDMA Ref # " Lender's Address PC Fee$ Permit Fee _ I certify that I have read this application and state that the Issuance Fee J V, kLDkP/C# above information is correct I agree to comply with all County Investigation Fee ordinances and State jaws relating to building construction, - Total Fee LDMA Perm N QmR and hereby outhonznepresentotrves of this County to enter - t cJ d 4 up the me ti ecl property f nspection purp ses m r /�� (✓ C9 8 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Ap licont or Agent Dote