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Home My Public Portal About6027 CLOVERLY AVE_Building__ 76A638A C'«B03 8-..-APPLICATION FOR BUILDI G PERMIT 1 COUNTY OF LOS ANGELES BUILDING 602 Cloverl A DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP T OF BUILDING CROSS ST Woodruff - - DISTRICT N IG TYPE B FOR APPLICANT TO FILL IN CONST` BUILDING Ave , STATISTICAL C IFICATION - SEWER MAP „r ADDRESS 602 Cloverl ACLASS NO DWELL UNITS - BK `PG LOT NO 311 BLOCK USE ZONE MAP NO TRACT ' _ SPECIAL t NO OF BLDGS CONDITIONS SIZE OF LOT 50 X1$5 NOW ON LOT Two - I USE OF Ingle Fam. Res & Gar. 4' C a�'''2' `- , `�• E N BLDG SETBACK FROM TEL FRONT PROP 'LINE OF (STREET) OWNER NO rBl XISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS WIDTH 'FROM C L -ly CITY Tem le City, Calif. - + OZZ ARCHITECT OR TEL K FROM ENGINEER NO INE OF (STREET) XISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESSIDTH FROM C L TE + = O CONTRACTOFJG wn�86-5580 LIC �j.8} V ADDRESS5 /15 Oak Ave NO 121200 CORNER CUTOFF YES NO O CITY Temple City CCI` SS B 1 SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK NEW ADD [ ALTER_ X REPAIR DEMOLISH SQ FT -'-`----N O-O F NO OF s� vIYA �tr'�1C SIZE STORIES 3FAMILIESUSE OFL)add to bedrooms & �f,� STRUCTURE }. r SIGNATURE OF APPLICANT VALUATIO �/J�/� APPROVALS' ATE INSPECTOR'S SIGNATURE FEE$ r- $ f✓ `� FOUNDATION LOCATION FEE 13/0 ' FORMS, MATERIALS FRAME, FIRE STOPS, / Q' � I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT y�� ICT �� o AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION _ Fj { I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS V 'SUILD ING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK ,,��arr e�� AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT —^1�,1� AA , TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ll//``�� _ ING TO WORKMEN OMPENSATION INSURANCE ' LATH EXT SIGNATURE OF f� HOUSE NUMBER COR- PERMITTEE RECT AND POSTED �7 ADDRESS . .r ® � + Fl NAL4�I��, PLAN CHECK VALIDATION CK M o cnsH _ JOHN F LEWIS PRINCIPAL STR RAL ENGINEER PERMIT VALIDATION CK M 0 CASH LALo3 4 5 2 JUL 8 1 D 1 1.50- Q 76A638ACE48,038-64 APPLICATION FOR BUILDI NG PERMI COUNTY OF LOS ANGELES BUILDING ADDRESS atILCIZ DEPARTMENT OF COUNTY ENGINEER QZ CJ BUILDING AND SAFETY DIVISION LOCALITY )G JOHN A LAMBIE COUNTY ENGINEER NEAREST 0pW"� � COLEMAN W JENKINS SUP TIOF BUILDING CROSS ST O o-o w DISTRICT NO ,GROUP TYPE? -- PR SED BY / FA-DRE R APPLICANT TO FILL IN , og Z CONST /� I STATISTICAL CLASSIFICATION SEW R MAP 027 („ lod I u CLASS NO DWELL UNITS' �^ BK PG 311 BLOCK USE ZONE MAP NO ��-7 e&1-4,1 „ SPECIALxa > NO OF SLDGS CONDI I NST JC7( f�J NOWON LOTEXISTINo BLng. ' r PA/2 BLDG SETBACK FROM TEL 1, FRONT PROP LINE OF C' �G1 a� ' (9TREET) •/� �LGk NO '�T3 TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADOR ESS S(�00Z ` HIGHWAY p F M C L CITY F ��,Yrf �a - ILGGAI. .60 d + r�•C3 = Z�j � ARCHITECT OR TEL BLDG SETBACK FROM ENGINEER NO BIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = 'TOTAL ADDRESS HIGHWAY WIDTH FROM C L - d T TEL + = O CONTRACTOS - ` k NO .9,.G d V ADDRESS5* /- eq A tie , NIC O 1 Z IL [3 CORNER CUTOFF YES [ NO 0 CITY T LIc a-- SEE REVERSE SIDE FOR SPECIAL APPROVALS w -DESCRIPTI N OF WORK ) Z NEW ADD ALTER A REPAIR DEMOLISH SQ FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE 'r SIGNATURE O , APPLICANT VALUATION$ /OSP APPROVALS DATE INSP ECTOR'931GNATURE P C PMT FOUNDATION, LOCATION FEE$ SFEE$ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT5T 'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION {T)j WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9U ILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK y AUTHORIZE ID HEREBY i WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TON OF THE LABOR COD OF THE STATE OF C/ALIFA R AT INC TO WORKMEN S COMPENSATION INSU RANCE r LATH EXT 1M1 SIGNATURE 'l HOUSE NUMBER COR- PERMITTEE RE T AND POSTED jW ADDRESS 7/S FI NAL " JOHN F LEWIS PRINCIPAL STRPAaTU.RAL ENGINEER PLAN CHECK VALIDATION CK MO CASH _ PERMIT VALIDATION CH M O CASH 3 6 1 1'JG 5 1 D .00- El 76A638ACE#8038-64 APPLICATION FOR BUILDIN PERMIT C9UNTY OF LOS ANGELES BUILDING bEPARTMENT OF COUNTY ENGINEER ADDRESS C7 C L OV'L (Z_L BUILDING AND SAFETY DMSION LOCALITY VLA 0 fl ` T JOHN A LAMBIE COUNTY ENGINEER NEAREST , O COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST FDRESDISTRICT N � /��/Rp UP �' TYPE P E BY S OR APPLICANT TO FILL IN V CONST G STATISTICAL CL SSI,FIC TION S WER)MAP OZ r t vEQL- CLASS NO DWELL UNITS SK / PG 3� N 0BLOCK USE ZONE MAP -+NO � / SPECIALNO OF BLDGS CONDITIONS LOT O NOW ON LOT /^��'��iV I�i� BLDG SETBACK FROM FyeTEL FRONT PROP LINE OF (STREET) yk NO - TYPE OF EXISTING SETBACK HIGHWAY + - ARD = TOTAL zA � HIGHWAY I F OMCL BLDG 9 BACK FROM O ARCHITECT R TEL SIDE PROP LINE OF (STREET) ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS ` MCr HIGHWAY WIDTH FROM C L a O= CONTRACT. J} O L TEL �' 0 ADDRESS C- (VL- NO Z V,L'W CORNER CUTOFF YES NO O CITY �a..�r�1 LI`A S SGry SEE REVERSE SIDE FOR,SPECIAL APPROVALS DESCRIPTION OF WORK a NEW ADD ALTER REPAIR DEMOLISH , `' SQ SIZE T "C_�r, N O O F N O O F �I '♦,GY'J_.A P, .�df �� USE `'C 0 cSTORIES FAMILIES X71 y /y� v//'s_`��[/(,(/ / S T R UOC T U R E c J IM +� ' d Q kt Il/ �1 A 7 �� /'f!V'i. IIE.O ff, SIGNATURE O F APPLICANT VALUATION$2 �j�(J �� APPROVALS ` BATE INSPECTOR'S SIGN TORE FOFORMS,IMA'TERIIALSON //T�/4+'`,.L., , FEE$ �.�� FEE$ FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTt AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS ` SUILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK ' o AUTHORIZED HEREBY i WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN OMPENS ION INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS �� Fl NALt� JOHN F LEWIS PRINCIPAr PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION TRCK RM o ENGINEER LF CO 3 0 3 3 ,Jt1�d 2 4 2 7.5 0- - r 0 3 ol,N2 4 1 D 1 5.00- LAW - -_ - 76A638A OE48038-64 APPLICATION FOR BUILDI G PERMIT COUNTY OF LOS ANGELESBUILDING . DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DrICT GROUP , TYPE P C p Y �� CONST , BUILDING `� STATISTICAL SSIFICA'TION SEWER MAP , ADDRESS �r L� CLASS NO DWELL UNITSF BK PG1S LOT NCj/, BLOCK USE ZONE MAP D /( }� NO TRACT ,f�� p/� I SPECIAL _ / / NO OF SLOGS - SIZE OF LOT jG Q NOW CONDITIONS ON LOT _ USE OF - _ e $ NG dll� BLDG SETBACK FROM �_ ' FRONT PROP LINE OF (STREET) OWNERS 4& TYPE OF E%ISTING- SETBACK I HIGHWAY + YARD = TOTAL ADDRESSt HIGHWAY WIDTH FROM C L CITY BLDG SE ACK FROM A TEL SIDE PROP LINE OF Y (STREET) ENGINEER NO TYPE OF E%ISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 0 HIGHWAY WIDTH FROM C L d TEL + = 0 CONTRACTOR ,q. QQ O f (J �j IC CORNER CUTOFF YES NO ADORES � O � O LIC, CITY SEE REVERSE SIDE FOR SPECIAL APPROVALS 04 iu DESCRIPTION OF WORK Iz �r /cam: " �_ ''� , NEW ADD ALTER REPAIR DEMOLISH SQ FT �i NO OF NO OF , �� -� �• � 't �`� ' �� SIZE �°� STORIES FAMILIES USE OF STRUCTURE 1014 SIGNATURE OFo,7 APPLICANT V ALUATIO APPROVALS DATE I NSP ECTOR'SSIG NATURE FEE$ FOFORMS I MA�TERIALSON FRAME, FIRE STOPS, / t I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION j WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS F ] 9UILOING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK a AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT f TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ,ING TO WORKMEN MPENSATION INSURANCE LATH EXT ! 4 SIGNATURE O HOUSE NUMBER COR- PESRMITTEE RE AND POSTED t r. _ ADDRESS F] NAL _ PLAN CHECK VALIDATION CK M O cnsH JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PERMIT VALIDATION CK mo CASH Imo( 1 D � O0,1 �1 '.�_ ! — V lwOR ERAS COI iPENSATION DECLARATION ^�, .ffirn!*�%natiI have a certificate of,consent r self APPLICATION_ FOR B U I L D I N G' P E RMI T insure or a certificate of Workers Compensation Insurance , or,a certified copy thereof (Sec 3800, lab C ) COUNTY OF LOS ANGELES V 2 "~BUILDING�AND SAFETY_ 4_ j y Q -,Company F'"ma-r - Polic No - -- BU LDING 'c, Certified copy is hereby furnished ti FOR APPLICANT TO FILL IN ADDRESS (� Certified copy is filed``with the county building inspec- BUILDING / ►A( 'tion department ADDRESS ? �L el v Date .5 ?14X-1e2`7 Applican�( lJ�� CITY / 1V � ZIP - LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS -z NO OF BLDGS 1 - NEAREST I ?,' COMPENSATION INSURANCE CR, k SIZE OF LOT NOW ON LOT / OSS ST .. . , (This section need not be'completed if the permit is for-one - -�- - ASSESSOR s �• hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL TELy J > OWNER- L /� NO � %_ ��I� USE ZONE MAP I acertify that in`the'performance of the work for which this NO peimit�s issued I shall not employ any person m any manner - SPECIAL/6 PECIAL 0 so os'to become subject to the Workers Compensation Laws ADDRESS d CONDITIONS �_ CITY __ G �� _ ZIP Date Applicant a ARCHITECT OR _TEL O IIX NOTICE-TO'APPLICANT If,'after making this'Certificate of _ DISTRICT GROUP,. TYPE r _ _ FIRE � PROCESSED BY ENGINEER �' NO L Exemption'"You should becomes subject to The Workers '- CONST V- -permit / ZO E Compensation provisions of the Labor Code you must forth- ADDRESS = 7� J.D 6 -/ _ _V. with comply with such provisions or ihisypermit shall be - - - TEL - N deemed revoked vj t CONTRACTOR LC/SON- G `�LNO _ STATISTICAL CLASSIFIC TION APT • C DO Z LICENSED CONTRACTORS DECLARATION - - jC CLASS NO DWELL UNITS 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS r 2 • /-! ,.s /—OCJ O S66-sMMEEW (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP ) ' '' I , Professions'Code and my license is in full force and effect CITY 62e.A442 CLASS BK PG - VALIDATION- " SQ- FT _ NO OF NO OF _CHECK License Number,�W•s(4 Lir Class'_ SIZE STORIES FAMILIES ONE �t DESCRIPTION OF WORK - T� ❑ VALUATION— G4 ALUATION .• _ ControctoL '(� .C^+ Date �e,: l 2 NEW s n - ADD ❑ e 4� , ❑ I am exempt under Sec -- T ALTER z B&P C for this reason $ 2 6.7 4,5-A'- _ REPAIR -'- Date `_ USE GING BLDG DEMOL ❑ # 0 0 0 0 0;1EXI - Signature APPLICANT / TEL FINAL {1,- -- 8738 OWNER-BUILDER DECLARATION PRINT) ` �- QL` NO - 7 DATE-- - - , . I hereby affirm that 1 am exempt from the Contractor s License _ - _ y r 0 o - 87,3 8 5 Law for the following reason'(Section 7031 5 Business and ADDRESS I�L ^I T!V C� F- 'Professions Code) r PRE ENT Zz BUILDING �- t 2 6 8 7 I asownerof the property or my employees with ADDRESS { 7 "wages as their sole compensation will do the work and _ ' ' the structure is not intended or offered for sale(Section LOCALITY 7044 Business and Professions Code) MOVING ' TEL I ❑ as owner of the CONTRACTO NO e property, am exclusively contracting �r with licensed contractors to construct the project (Sec- - - --- - tion 7044 Business and Professions Code) ADDRESS REQUIRED_ YARD HWY TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY - SET BACK PROP LINE WIDTH , - - I^hereby affirm that there is a construction lending agency for FRONT N -the performance of the work for which this permit is issued P L - - - - - - --- " v' - - . � - -'•- -- ,_. -:. -� r - --- , (Sec 3097, Civ C ) SIDE P L v' Q Lenders Name '7 - PC Fee$ - Permit Fee- LDMA Ref # 7 •+' Lenders Address --�) -- I certrfy_that.j_have read this application and state that the - -_ _ y Issuance Fee Lj (/ - kLDtaA-P/C,#-- M. above information is correct I agree to comply with all County Investigation Fee R ordinances and State laws;relating to building construction M _ - , u and hereby authorize representatives of this County to enter Total Fee LDMA Perm # a upon the above-mentioned property for inspection purposes R L/� �-2 6--i SEE REVERSE FOR EXPLANATORY LANGUAGE { w _( Signature gazure of Applicant;r Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPOTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0101160078 PHONE (626) 285-0488 EXT LEGAL0 D G ADDRESS TR 6561 LT 311 SQ FT STORIES TYPE 6027 CLOVERLY AV STRUCTURE 0 VN TEMP CA 917802026 ASSESSOR INFORMATION R NEAREST CROSS STREET WOODRUFF 5385-006-008 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY TENANT IST BLDG USE S ZONE R-1 ISSUED ON PROCESSEDEXPIRES ON EXIST OCC GRP 01/16/01 UT 07/15/01 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DA FINA CODE 6027ECLOALFRED AV,ADELA (626) 287-4718- 1 5,000 JE 0d TEMP 917802026 FEES PAID DESCRIPTION OF WO REMODEL EXISTING BATH (N NEW SQUARE FOOTAGE) TO MAKE TWO FEE DESCRIPTION QUANTITY UOM AMOUNT BATHROOMS APPLICANT TEL NO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 5000 00 VAL 0 50 SPECIAL CONDITIONS AX BUILDING REVIEW"FEE—:L�-_ 54 70 D2 PERM IT--W/O-EN-HC —5000-00 VAL 132 60 �' `=�TOTAL' FEES 215 55 CONTRACTOR TEL NO , ,`��6��\\\ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC NO f / 9 \� LOCATiON AND SETBACKS / v ' SOILS ENGINEER APPROVAL ti J ARCHITECT R ENGINEER TEL NO FOU AT I 0 0 MS LIC NO�/rr� _ 1111111', 1 SLAB UNDER LOOR Gll RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP, f �` r� r ; UNDERFLOOR INSULATION 150H265 3 01 �� ]/�� I (—L C�2 �'! u z FLOOR SHEATHING 0 OF FAMILIES D ELL N S AP CLASS — - —-— ---—--- -- - CO Q NO 21'\\� --, , ROOF SHEATHING SHEA AIR QUALITY 1000 FEET MATERIALS SCHOOL R PANELS NO NO NO FRAME INSPECTION J A ��!=�✓s9 1 REQUIRED TOTAL SETBACK EXIST— Qy rl � �.�C�/ E PRINKLER ANGERS SET BACK YARD HWY PROP LINE WIDTH \\4� c-_ FRONT PL- �\ INSULATION/WEATHER STRIP SIDE PL- I RI S i EXTERIOR LATH is RATED RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS-- T-BAR ENINGT-B R CEILINGS OT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 r i