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HomeMy Public PortalAbout6028 CLOVERLY AVE_Building__ J - , BUILDING }- BUILDING ADDRESS v 1 APPLICATION • Locnu7 7 T C DIVISION OF BUILDING AND SAFETY NEAREST CROB9 BT i (J Department of 09unty Engineer DISTRI T NO RECEIPT NO. PWkT NO Ooumty of I" Angeles S 5-1757 T=:O -a t. — — WM. j175- WM. J. FOX, COUNTY ENGINEER ROUP 7DATE RECE ED DATE IBB ED .. CABSATT D GRIFFIN, SUP-T OP BUILDIHU N i / FOR APPLICANT TO FILL IN TYPE o F:�M NER MAP qTFi;;&aTATwIL NUMBER 2 O ♦ yyYYES NO DRESS USE ZONE SPECIAL TEL R ` ' CONDITIONS Y n ARCHITECT OR TEL ENGINEER NO I BUILDING YARD HWtY STREET NAME EXIST ' SETBACK I WIDTH FRONT CONTRACTOR PCHIDE 1 P L ADDRESS DATE CORRECTIONS INSPECTOR BUILDING .{ ADDRESS d� LOT NO T BLOCK TRACT /} /� ,,. n r .. D _/� SIZE OF LOT L�'D /f /�J I N13 DF BLOTS. / / Q�rJ AC , AIDAlf " NOW ON LOT .� USEOF � E I TIN DESCRIPTION OF WORK "" ° NEW k' ADDALTER REPAIR DEMOLISH f� �� L-�G' D BO FT. NO OF NO OF /o{JCtJ /V r SIZE STORIEY FAMILIES - y� USE OF STRUCTURE / M T I /�/r�n�,�/l21/1✓6.OnC NO OF MP OY 1HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP- C�C?r7FC�°'G�h PLICATION AND STATE THAT THE IN GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT /�•�,//,�//�,� r1� J IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATIONS LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS FRAME FIRE STOPS. SIGNATURE OF ` lopBRACING,BOLTS PERMIT'rEr FURNACE LOCATION, / IN I •' ! -Z o ADORES GAB VENT,DUCTS < LATH, INT �/✓/I!,�"�/I AUTHORIZED/ AOT /u, $ v y C9 G FEE LATH, EXT. �l ( v -1 $ HOUSE NUMBER COR- RECT AND POSTED VALUATION Q FEE � � ,®a FINAL ��jf�f/ � /2-J 76A638A D89 3 4-b4 I 76A638A C E#80310-68 APPLICATION FOR BUILDING PERKIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS /` BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. r DISTRICT NO. GROU -HYPE P SSED BY FOR APPLICANT TO FILL IN CONST: BUILDING f� / �I L SE ER MAP ADDRES�S��°° DZ C//,e�(/ laii , .0 f STATISTICAL BK P LOT NOA107 1--TS-/V/- N f �~ BLOCK CL^ASP.NQeSz+ZDWELL. UNITS STATE f�� NUMBER HWY. YES TRACT" USEZONE SPECIAL V yr NO.OF BLOGS. 7 CONDITIONS SIZE OF LOT J V /► �'� NOW ON LOT USE OF /� y� `` EX STING BLDG. /�L-SiD�7+-'LE C/.ieatpp BUILDING EXIST. �T /jam eco �'J // C SETBACK YARD HWY STREET NAME WIDTH OWNER CA9 • I /lne h° 0�JZell FRONT MAIL P.L. ADDRESS (p�2 C�C..U�/��f- .SIDE CITY lL '�Lc� .l NO. P L ARCHITECT OR TEL, INSPECTION RECORD ENGINEER NO. ADDRESS TEL CONTRACTOR /�- V NO. , ADDRESS 2l j I J J / DESCRIPTION OF WORK NEW!" ADD ALTER REPAIR DEMOLISH NO OF NO.OF SIZE T j O i STORIES FAMILIES USE OF STRUCTURE CUo2 SIGNATURE OFAPPROVALS APPLICANT ` �I.S� DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS,MATERIALS $ P. $ FRAME: FIRE STOPS. FEE BRACING, BOLTS VALUATION FEE $!9 FURNACE: LOCATION. GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAV READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOV IS CORRECT AND AGREE TO COM ITH ALL C UNTY .RDINANCES AND STATE LAWS EG U TING BLDIN CONSTRUCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- `-�,�„ PERMITTE �! RECT AND POSTED r /� �} ADDRES FINAL I S 5;q 7 tG CLYDE N.DIRLAM;PRINCIPAL ST RAL ENGINEER p CFIE VALIDATION cK. m.o. cnstl PERMIT VALIDATION cK. M.O. casR l I ACO 4 5 3 0 u; APR 3 1 A 6.00 �P r . APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRES BUILpIN�ADDRESS h � ! � "Z vz� � p- bukl I hereby affirm that I have a certificate of consent to self insure, 6 f'�d�- NV or a certificate of Workers' Compensation Insurance,or a certified copy thereof (Sec.3800,Lab..C.) CITYT-P, ,' ^ C ZIP / �O LOCALITY Policy No. Company SIZE OF LOT ` 0 NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. (/y 2 NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL Date Applicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM.WORKERS' OWNER Ak� TEL NO R / YES NO COMPENSATION INSURANCE /V' oL �i WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS D.).& U©V a L /.l` \)� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100) or less.) V !3) CITY�- C �T ZIP ^. .l I certify that in the performance of the work for which this permit t�•� (-� NL ? xn Il.1 1 ! is issued, I shall not employ any person in any manner So as to ARCHITECT OR ENGINEER TEL NO. ��O v ' ` become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CON O 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 to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �� _ FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZ NO.OF TORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. ` Q. � NEW ❑ VA PG , a License Number Lic.Class DES RIPTION OF WORK ADD ❑ VALUATION Q Contractor Date _,,tt�� LF +F 7�- ALTER El $ O 0 D cc V V I 1 o � KIx REPAIR ❑ $ O ❑ 1 am exempt under Sec. l• - BAP.C.for this reason SVI.D DEMOL ❑ LDMA P/C'# V W Date: USE OF EXISTING BLD URM ❑ Signature APPLICANT(PRINT) TEL NO. / LDMA Perm# '"`-' z Mj�1 A', as owner of the property, or my employees with wages as k�1 o ZO - - their sole compensation, will do the work and the structure isADDRESS -- " not intended Or offered for sale (Section 7044, Business and ^�h U FINAL DATE Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ' OR A MIXTURE CO AINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q 'i ❑ I, as owner Of the property, am exclusively contracting with AMOUNTS SPECIFI ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? ' - licensed contractors to construct the project (Section 7044, FINA ////��//�� > L:f "oa VES❑ NOE6 Tr Business and Professions Code.) i'i"7 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING � _•..7'��.! OCCUPANT REQUIRE PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - CONSTRUCTION LENDING AGENCY COAST AIR QUALITY ANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKL ST FOR -- i i I ' GUIDELINES. �CJV/'�{,(.(N I hereby affirm that there is a construction lending agency for YES❑ No y}�t /// 12-1 s I_;`A - `�wE �i a the performance Of the work for Which this permit IS Issued(Sec. HAVEREAD THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING / • !NEC"' :^ •^ - •• 3097, CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, t.i"IE;_i. 1_!•?a t.i'•.S N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 T OUGH 2.20.140 CONCERNING HAZARDOUS a Lender's Name MATERIALS REPORTING ANQFOR I NG ERMIT F�ROMM THE SCVMD. IL Lender's Address c OWNER OR AGENT O o I certify that I have read this application and state under penalty ) .., i , o P.C.FEE PERMIT FEE !1(sl i •-j,j j t'� 1�: of perjury that the above information is correct.I agree to comply �'D f C? o with all county ordinances and State laws relating to building co construct�tandereb authorize representatives of this County ISSUANCE FEE �`�D k_ 3 `3' '= to enter uov entioned property for inspec/ton purposes( INVESTIGATION FEE TOTAL FEESy,'{alpre of ApDate (f 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 0804070013 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 6561 LT: 304 SQ. FT STORIES TYPE 6028 CLOVERLY AV I I ISTRUCTURE: 28 V-B TEMP CA 917802025 1 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: I 15385-007-019 1 1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXPIRES ON: 1 EXIST OCC GRP: 104/07/08 SR 10/04/08 OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI� Y: CODE: IYU, BANNY (626) 242-5837- 1 5,800 ) 1 16028 CLOVERLY AV 1 1 TEMP 917802025 FEES PAID 1DE RIPTION OF WORK TEAR. OFF & REROOF HOUSE & GARAGE INSTALL OSB PLYWOOD & 30 YRI IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICOMPOSITION SHINGLE 1 (APPLICANT: TEL. NO: I I1 ISUNSHINE ROOFING INC. (626) 581-7688- IAA BLDG PERMIT ISSUANCE 27.75 1 1 1516 N. DIAMOND BAR IAC STRONG MOTION RESID 5800.00 VAL 0.58 ISPECIAL CONDITIONS: I IDIAMOND BAR CA 91765 ID2 PERMIT W/O EN-HC 5800.00 VAL 149.40 1 I I 1 TOTAL FEES 177.73 1 1 (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I ISUNSHINE ROOFING, INC. (626) 581-7688- 1 I 1 1516 N DIAMOND BAR BLVD #183 LIC. NO I ILOCATION AND SETBACKS 1 1 IDIAMOND BAR CA 91765 755126 C39 I I I I I I ISOILS ENGINEER APPROVAL 1 1 I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I I LIC. NO: I 1SLAB/UNDER FLOOR I I I I IRAISED FLOOR FRAMING I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( �f1I/ t� � vi 1UNDERFLOOR INSULATION I I 1 1150H265 3 Oil C")l� "`�" �� I I , 1 1 I I JJJ IFLOOR SHEATHING Iz 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I i. 1 I '' I NO 21 ��G�,,L- - t1 v �'1�-d1 i ROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUSI I t1 ISHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS NO NO NO JFRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I 1 1 ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I IFRONT PL- I (INSULATION/WEATHER STRIP( I I 1 SIDE PL- 1- 1-1 I (INTERIOR LATH/DRYWALL I I I I I I I I I I 1 1EXTERIOR LATH I 1 1 I I I I I I I IRATED FLOOR/CEIL ASSEM. 1 I I I I I I I IRATED WALL ASSEMBLIES I I I I I I I I I IRATED SHAFTS/OPENINGS I I I I I I I I I 1 IT-BAR CEILINGS I I I I I I I ILOT DRAINAGE I I I I IREPORT ID: DPR261 ROUTE TO: BSO508 I I I I I I I I I I r 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 0710010027 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: ITR: 6561 LT: 304 I SQ. FT STORIES TYPE 6028 CLOVERLY AV I ISTRUCTURE: VN TEMP CA 917802025 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LAS TUNAS I 15385-007-019 I I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1 (EXIST OCC GRP: 110/01/07 SR 03/29/08 I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINALA j/� ��/ ✓T I AL BY: CODE: 1 TRUONG/YU, THOMAS/BANNY (626) 285-8138- 2,400 �IJ� 16028 CLOVERLY AV I I / / '� 'f� 1 ITEMP 917802025 1 FEES PAID 16ESCRIPTION OF WORK I' IREPLACE 13 WINDOWS (SAME SIZE) 1 I _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I (APPLICANT: TEL. NO: I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 I_ 1 IAC STRONG MOTION RESID 2400.00 VAL 0.50 ISPECIAL CONDITIONS: 1 ID2 PERMIT W/O EN-HC 2400.00 VAL 99.00 1 I 1 I TOTAL FEES 127.25 1 I I I I I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I 1- I ,-I LIC. NO I ILOCyTION AND SETBACKS I � ISOILS ENGINEER APPROVAL I I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIC. NO: I (SLAP./UNDER FLOOR I I I I I I I I I I IRAISED FLOOR FRAMING I I I i I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I I 1150H265 3 0'I I_" 1-1 I 1 "I _ IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I - I I I NO 21 I IROOF SHEATHING I II 1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NO 1 (FRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I SIDE PL- I I I I _ IINTFRIOR LATH/DRYWALL I I I I I I IEXTERIOR LATH I I I I I IRATED FLOOR/CEIL ASSEM. I I I I I I I I I IRATED WALL ASSEMBLIES I 1 IRATED SHAFTS/OPENINGS I 1 I IT-BAR CEILINGS 1 I I ILOT DRAINAGE I I I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I