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Home My Public Portal About5950 CLOVERLY AVE_Building__ APPLICATION,FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADD�,E,S� WORKER'S COMPENSATION DECLARATION �� I hereby affirm that I have a certificate of consent to self Insure BUILDING ADDRESS or a certificate of Workers Compensation Insurance or a certified 'r S� `"O /r copy thereof(Sec 3800 Lab C) CITY f ZIP ys� LOC LITY Policy NO oa G 4 Company`� e ~ SIZE OF LCT 1 NO OF BLDGS NOW ON LOT �❑/Certified copy Is hereby furnished Jr NEAREST CROSS 90r e/1 &RrCertified copy Is filed with the county budding Inspection TRACT BLOCK LOT NO department 1 /" USE ZONE MAP No Date 7-1-950 Applicant ' /VOTCC Ld/ryM, ASSESSOR MAP BOOK PAGE PARCEL t SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER .}� r TEL NO COMPENSATION INSURANCE J-`/ !^ —, WITHIN 1000 FT OF SCHOOL? YES No This section need not be completed if the permit Is for one hundred ADDRE ( P DISTRICT GROUP T FIRE ZONE PROCESSED BY dollars($100) or less) CITY " ZIP - 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner s0 as t0 ARCHITECT OR ENGINEER TEL NO D� ` become subject to the Workers Compensation Laws STATISTICAL C ASSIFICATION APT CONDO 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 t0 the Workers CONTRACTOR TEL r// SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith C h o FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATION /`'f I 'r' WGr s—.79." SIDE CITY LIC C S P L I hereby affirm that I am licensed underprovisions of,Chapter 9 �0�/` V1er, SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SI NO OF STORIES NO OF FAMILIES 11 Professions Code and my license Is in full force and effect ,� � f NEW 11 BK PG O License Number�� LIC Class C / DESCRIP ION OF WORK , ADD IJ VALUATION ContractorrL�"roy /�44� . .T��9y O ~_ �G�� r ALTER ❑ $ ❑ I'am exempt under Sec Ze REPAIR ❑ B&PC for this reason' efC�f� N DEMOL ❑ DMA P/C# W CL Date USE OF EXISTIN LDG URM ❑ CO ' F g Z Signature APPLICANT(PRIN ) �1 NO q LDMA Perm# i-�- OY _ ❑ I as owner of the property or my employees with wages as /Cd A N �� '�if OZ ��7 1-1-75 their sole compensation will do the work and the structure Is ADMESS - _ not intended or offered for sale (Section 7044 Business and f FINAL DATE Q 1 1TEMS Professions Code) 1 A3 –a WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL "i J � �E OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE TOTAL 1�.. 1 ❑ 1 as owner of the property am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE1 FINAL BY tti�c t q licensed contractors to construct the project (Section 7044 YES El No Eli_HE r Business and Professions Code) _ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING LSF'�j {r� °j It- r OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH E[T{71 �C CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCACMD)SEE PERMITTING CHECKUST FOR GUIDELINES I I hereby affirm that there Is a construction lending agency for YES 1:1y NO❑ the performance of the work for which this permit Is Issued(Sec I HAVE READ THE HAZARS ATERIALS INFORMATION 7, ti 3097 CIV C) CHECKLIST I UNDE S AND MY REQUIREMENTS UNDER THDE LOS ANGE ES COUNE AND THE SCAMD RMICODE TTING -�_(- ,I_I i N TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender s Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD Lenders Address ' OWNER OR AGENT o I certify that I have read this application and state under penalty O of perjury that the above information Is correct I agree to comply PC FEE PERMIT FEE N with all county ordinances and State laws relating to building construction and ereb authorize representatives of this County ISSUANCE FEE m t t r pon t abov mEnt ed p erty for Inspection purposes INVESTIGATION FEE TOTAL FEE fayinNre of b � m Dale SEE REVERSE FOR EXPLANATORY LANGUAGE DEPARTMENT OF BUILDING ANDS YS � q�q 9 APPLICATION FOR PERMIT COUNTY OF LOS ANGEL I 1 4 � � � ` ® I WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN Y FOR OFFICE USE ONLY BUILDING n/ J�I � ov� L 4 DISTRICT�10- PLANCK N��Orr PERMIT NO ADDRESS L /{I (� / 1� LOCALITY E �.E' (/ RECEIVED+BY DATE OF APPL DATEISSUED CNEAREST ROSS 9T D U�'F_ / Z--2-e-1- BUILDING OWNER DBC RT' TI L L 6-P-- i ADDRESS ADDRESS L D V E �- LOCALITY / Q �J TEL NEAREST CITY M PLE �1TU NO FIRRESS ST �PLA ❑ OF TY GROUP ARCHITECT OR TEL ZONE NS ENGINEER NO \\ / NO ADDRESS SETDBACK LINE APPROVED / TEL BY DATE CONTRACTOR r. /1}/I/�(_ _ NO USE APPROVEDyam• ,�.//jQ, ADDRESS ZONE (� BY (" V DATELEAL DESCRGPr1ON LOT NO BLOCK / Q CORRECTIONS i t ``! C r-,-, I TRACT 6 'T61 l G J GLS�� SIZE OF LOT t C S O I NO OF BLDGS /Z �� / "( .5 ''',,,{{{�� NOW ON LOT USE OFfJ � NO OF I NO OF EXISTING BLDG �',S'/.�. . -I FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR /y MOVING DEMOLISH �f "14 4-SSQ F NO SIZE T / / 6 ROOMS 9 STORIES WALL ROOFM {I r COVERING PLA STEL. II COVERING, /-Co/nOS,USE OF g BUILDINGW QA SFT M I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT , FOUNDATION+ LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION /// f�/��I`�v FRAME FIRE SIGNATURE OF BRACING,BOLTS OLTS PERMITTEE LATH, INT AUTHORIZED AGT LATH, EXT 76A638A a as PLASTER, INT UBS-3 6OM SETS P C III _ FEE /b�o f v�� (/{,/ PLASTER,EXT VALUATION ) w�FEE FI NAL 76A 638A CE#803 8-63 APPLICATION FOR BUILDING PERMIT v COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST J WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP I TYPE PROCESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ,,.. -,_ -- - CLASS. NO. � DWELL. UNITS PG LOT NO. - BLOCK WATER CERTIFICATE: tr .I NOT REQUIRED I X I RECEIVED ❑ _ MAP HWAY TRACT �.. _ NO s (CIRCLE) STAT$CMAJOR'PECOND. COCALf NO. OF BLDGS. ""` - SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. -- TEL. ` OWNER ;:-w..J NO. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS' FRONT d� ARCHITECT OR TEL. P. L. - ENGINEER NO. SIDE P. L d ADDRESS O TEL. ,y. �.1 V c6NTRACTOfy r„ -:'t` , ,7 .;�• NO. -! LLI Lel r - I J ADDRESS - - ,E'7'! U. DESCRIPTION OF WORK 99 NEW ADD ALTER REPAIR DEMOLISH 0 SQ. FT! NO. OF NO. OF SIZE STORIES FAMILIES USE OF F STRUCTURE f. SIGNATURE OF APPLICANT 'r,.... VALUATION $ '✓ APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT FOUNDATION: LOCATION FEE $ - FEE $ ��- -..+.--- FORMS, MATERIALS FRAME: FIRE STOPS. I 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 CODE- OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF 'r ` HOUSE NUMBER COR- PERMITTEE - °j"""" RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STffR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION h CK. M.O. CASH . ,a 7 .7 2 " 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 0505090006 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 6561 LT 300 SQ FT STORIES TYPE 5950 CLOVERLY AV STRUCTURE 18 VN TEMP CA 917802018 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8587-013-025 THOMAS PAGE 596 CALITY TEMPLE CITY, C TENANT EXIST BLDG USE RESID USE ZONE R-3 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 05/09/05 JK 05/04/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL D T _ FINAL BY CODE NABOR (818) 286-8676- 5,000 5950 CLOVERLY AV 111 TEMP 917802018 FEES PAID DESCRIPTION OF WORK REMOVE EXISITING COMPOSITION INTALL 30 YR COMPOSITION FEE DESCRIPTION QUANTITY UOM AMOUNT APPARTMENTS ROOF IN REAR ONLY APPLICANT TEL NO TOP NOTCH ROOFING (626) 305-1122- AA BLDG PERMIT ISSUANCE 27 75 1615 SO MAYFLOWER AC STRONG MOTION RESID 5000 00 VAL 0 50 SPECIAL CONDITIONS MONROVIA CA 91016 D2 PERMIT W/O EN-HC 5000 00 VAL 132 60 TOTAL FEES 160 85 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE TOP NOTCH ROOFING (626) 305-1122- 1615 S MAYFLOWER LIC NO LOCATION AND SETBACKS _ MONROVIA CA 91016 635825HIC SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 150H265 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 21 ROOF SHEATHING Q 0 SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 ,(� ''" 9 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 __- BUILDING PERMIT- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 " BL 0508 9903250004 PHONE (626) 285-0488 EXT --UGAL ID NEW L N ADDRESS TR 6561 LT- 300 SQ FT STORIES TYPE OCCUP GROUP 5950 CLOVERLY AV STRUCTURE 87 1 VN R3 TEMP-CA 917802018 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET WOODRUFF 8587-013-025 OTHER 36 1 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE USE ZONE ISSJED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 03/25/99 UT 03/25/ OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DAT INAL BY ODE MILLER ROBERT I (818) 286-8676- 1 9,100 5950 CLOVERLY AV TEMP 917802018 FEES PAID DESCRIPTION0 ADDITION OF NEW B THROOM, LAUNDRY, CLOSET AND EXTEND BEDROOM FEE DESCRIPTION QUANTITY UOM AMOUNT AND NEW FRONT PORCH APPLICANT SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 9100 00 VAL 0 91 SPECIAL CONDITIONS AX BUILDING ,REVIEW'FEE 54 70 B2 PERM IT�lW/ENERGY ELES r9,1OO.O0 VAL 238 26 � OT EES 321 62 CONTRACTOR TEL NO �� l1A� APPROVALS DATE INSPECTOR SIGNATURE AOWNER LIC NO LOCATION AND SETBACKS / SOILS ENGINEER APPROVAL i t- ARCHITECT OR ENGINEER TEL NO FO FORMS LIC L NO 1111111 SLAB/UNDER FLOOR 2 L R 00R FRAMING MAP NO. SEWERMAP BOOK G FIRE ZONEE CMP�01 D U E ��C W O� 3 UNDERFLOOR INSULATION LEVEL FLOOR / NO OF FAMILfES P STAT CLASS NO 21 D LEVEL FLOOR SHEATH 0\ Q D 0 SCHOOL * SHEATHING AIR QUALITY 1000 FEET MATERIALS NO NO NO � O ® � ®� FIRE DEPT FRAME INSPECT REQUIRED AC 4�j paw G FRAME I ET BACK YARD HWY PROP LINE WIDTHFROT PL- ' SerVae l 1 SHEAR PANELS ,2 SIDE PL- INSULATION/WEATHER L- S AT R STRIP INTERIOR LATH/DRYWALL XTERIOR ATH j LOT DRAINAG SMOKE DETECTIONDEVICES FIRE DEPARTMENT APPROVAL REPORT ID DPR261 ROUTE TO BSO5O8