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Home My Public Portal About6032 CLOVERLY AVE_Building__ rf 76A638A CEu8038-64 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY G t JOHN A. LAMBIE. COUNTY ENGINEER NEAREST / COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISTRICT. GROUP TYPE P p ESSED BY FOR APPLICANT TO FILL IN CONST. ( - <{ BUILDING STATISTICAL CLASSIFICATION SE ER MAP ADDRESS b 2 CLASS NO. DWELL UNITS BK Jj PG � L LOT NO. -! BLOCK USE ZONE MAP /- TRACT 6561 SPECNO. AL NO. OF BL DGS. CONDITIONS SIZE OF LOT60 X / NOW ON LOT / USE OF EXI �yG7�BLDG. BLDG. SETBACK FROM OWNER�'Y4 W+YV•h }�Ql7iJc)12 NOL FRONT PROP. LINE OF ��- - (STREET) /,` Ave, ? TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS 6O No. kVelzl Av HIGHWAY WIDTH FROM C.L. l e� Le + _ CITY BLDG. SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER nvrte NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROM C.L. 0- '4 ADDRESS ��// //�'�� O CONTRACTOR,'y�I�C_^.'+T��7D �Cl.L NO G - 22 + = U ADDRESS / / �ll_(.1/Uc NO �/ CORNER CUTOFF YES NO O CITY Ski LLC b/ / SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK ) Z NEW ADD ALTER X REPAIR DEMOLISH T O SIZE / STORIES / FAMILIFS/ U S E OF _ _ _/eaCe STRUCTURE �LP/1UZ Na&Dna.l 4 LLca 4o" vt '9ac. QQ SIGNATURE OF 0 APPLICANT ^� c/ VALUATION$ Z, APPROVALS DATE INSPECTOR'SSIGNATURE FOUNDATION, LOCATION FEE S 4 FEE S 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 WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG 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 Co PRELAT- t4RM G P WORK EN,S ENSATION INSURANCE. SIGNA �4v1aLHOUSE NUMBER LATH. EXT. IS ITTE ��yt�.�t/ /�(-( O COR- RECT AND POSTED ADDRESS /3/35 Ver2ftuuz 4.L S ./� ( .f1/ FINAL i PLAN CHECK VALIDATION CK MO. CASH JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER PERMIT VALIDATION CK. M.O CASH L-t 9i4 8 8 ;x,; 11 1 D 1 1 .50 76A638ACE*8038-64 APPLICATION FOR BUILING PERMIT - COUNTY E MIT - COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER f BUILDING AND SAFETY DMSION LOCALITY 4, JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST DISTRICT NO GROUP ITYPE PR C SSED B FOR APPLICANT TO FILL IN 9 CONST BUILDING / ,I STATISTICA L,C-ASSI FICATION SEW R MAP ADDRESS r PIyI O DWELL UNITS BK PG LOT NO �� Id5,1 BLOCK USE ZONE MAP NO TRACT , SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT NOW ON LOT USE OF S ? EX NG p BLDG SETBACK FROM I /�j� NO6�7 �o (FRONT PROP LINE OF OWNER L j — (STREET) / J% (TYPE OF EXISTING SETBACK HIGHWAY + Y D — TOTAL ADDRESS O Zr' C?7' (bit WA*UOAY I 1 F OM C L CITY e ,2-l: e T .- BLDG SETBACK FROM _ ARCHITECT OR TEL 'SIDE PROP LINE OF (STREET) ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L d CONTRACTOR N t' ,/ /r DIOL C� /2 _�lv + = Ou LIC ADDRESS ll'- / L NO 7y)7I Je ( CORNER CUTOFF YES NO 0 O CITY S LI` SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK f N l Z NEW ADD ALTER REPAIR DEMOLISH ' SQ FT NO OF NO OF SIZE STORIES FAMILIES USE OF 5`& L r� ST AJCTURE e Z4 SINT N A T U O F r % APP LI / O ! VALUATION$ o ��. APPROVALS - DATE INSPECTOR'SSIONATURE P C - PMT Q O FOUNDATION, LOCATION - FEE$ FEE$ I FORMS, MATERIALS FRAME, FIRE STOPS, 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT1 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 / p 9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I L NOT EMPLOY ANY ERSONN I LIA LATH INT TION OF THE LABOR C DC F T ST T OF ALIFORN ELAT ING TO WORKMEN S C NSATI INA LATH EXT SIGNATURE OF {{{{{{�� ) HOUSE NUMBER COR- PERMITTEE �A�4A A10 / REC AND POSTED V _ ADDRESS F I N A L JOHN F LEWIS PRINCIPAL`STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATIONcK M O CASH A 0 G 55 U SPR 1- 5 i D 4.L}�' `t t WORKER850373%.SB>S COMPENSATION DECLARATION _ B I hereby affirm that I have,a certificate of consent to self -� insure APPLI or a certificate of Workers Compensation Insurance CATION YF O R UILDING PERMI _ T 1 or'a certrfied copy thereof (Sec 3800, Lab C ) �' COUNTY OF LOS ANGELES r r BUILDINGAND SAFETY Y �# Policy No I V85 r22510mpany Fremont IndemnityBUILDING Certified copy is'hereby furnished ,' ' r' FOR APPLICANT TO FILL IN ADDRESS �✓ r i EVCertified copy is filed with the county buildiAg inspec- BUILDING ` tion department` '' ADDRESS 6032 C 1 ove r 1 y 1 `, Date' 08i/85 ' Applicant V,Inrg i n Roof' Co. CITY Temple City ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS NO-OF BLDGS ro - M NEAREST COMPENSATION INSURANCEtf SIZE OF LOT NOW ON LOT CROSS ST j (This section need not be completed if+the permit is for one -- - - - ASSESSOR hundred,dollars ($100)or less ) r f,'_ TRACT BLOCK LOT NO MAP BOOK a'� PAGE PARCEL t _ TEL USE Z NE MAP t F OWNER Mr Hansen NO NO I certify that ,n the performance of'the work for which this I permit is issudd, I shall not em to� an ` e'rson in an manner �1 - SPECIAL, - - O p a p y Y p y ADDRESS 6032 C l ove r l -�` - CONDITIONS h so,as to become subject to the Workers'Compensation Laws t Tempt ' Cit �a 4 v Date s r'Applicant •'` ° - . CITY r P__ _City Y_ -ZIP _ _ _ ,_ _ _ t,- __ oe NOTICE'TO APPLICANT``Ifp'after'"making this'Certificate of ARCHITECT OR TEL _ ^ DISTRICT GROUP TYPE FIRE PROCE ED BY _ G , _ ENGINEER NO CONST , ZOAIE Exemption, ,you should become subject to'the Workers' Y //(//1 `/) - Compensation provisions of the Labor Code, you must forth- ADDRESS I �• /\� W a with comply with such provisions or this,permit shall be - _ _ _ _ V1 deemed revoked ;q ,'w ,ta s TEL STATISTICAL CLASSIFICATION APT NDO Z CONTRACTOR Virgin r I n Roof' CO. NO 2g7-050i {� �_ __ 2 I LICENSED CONTRACTORS DECLARATION, I - - •-r'- - • - LIC - CLASS 1`6 ` DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX J NO 160650' 4 (commencing CvilhSection 7000)of Division "effect 3 of the Business and LIC - _. , SEWER MAP m , Professions Code and�my license is full force and ect CITY San Gabriel CLASS - r BK �" - VALIDATION -" I " _SQ FT NO OF NO OF CHECK J 6censeNumbe' ��n S� Lic'Class' C39 SIZE STORIES 1FAMILIES ONE 1` s p p ° VALUATION ' ''V I rg I n``Roof 'CO�' 9/8/85 v DESCRIPTION OF,WORITear of f and re-'roo NE`M- ❑ 4000.00 Contractor ` � Dat ADD ❑ � r -, I am exempt under Sec - With .0 l ass A fiberglass COMPi. ' f 1,,Y ALTER ❑ t '. B&P C for this reason ❑ $ _ _ - REPAIR USE OF i ` DateUSE BLDG DEMOI ❑ I _ _, APPLICANT TEL 'Signature A - J AL t OWNER-BUILDER DECLARATION (PRINT) NO FINDATE f ? 9 A r --,1 hereby affirm that I am exempt from the Contractor s License � - �t # e o 0 o e 1 Law for the following'reason (Section 7031 5, Business and ADDRESS FIN t t' _ i Profes-sions Code) "' PRESENT - By - • °-6a6 3 V❑ BUILDING _ I, as owner of the property, or my employees with ADDRESS i r Neu wages as them sole compensation,will do the work and • 6 6 3�';' the structure is not intended or offered for sale(Section LOCALITY t ° °�- _ -a 7044-, Business-and Professions Code) MOVING -TEL- i - - �,� 1, as owner of the property, am exclusively contracting CONTRACTOR - T - 4 NO- - L 08,22-8 5 with-licensed-contractors to construct the project (Sec- tion 7044, Business and Professions Code) ADDRESS REQUIRED - -YARD - HWY TOTAL SETBACK 2 _ " CONSTRUCTION LENDING AGENCY - SET BACK PROP UNE WIDTH' " hereby affirm that there is a construction lending agency for [Investigation NT the performance of the`work for which this permit is issued L-- (Sec --- Y- (Sec 3097, Civ C ) ' E P _ ,Q Lender's Name ^ r r 5 p.1 3 LDMA Ref # Lender s^Address ~~ ee$ Permit Fee J O - - - 10 50 (_certify that.l have read this application and-state that the - - - - - Issuance Fee • - LDMA-P/C# above information is correct I agree to comply with all County Fee g ordinanc#anState jaws relating to buildmg'construct,on, _ _ Total Fee -68.63 LDMA palm and herehonze representatives of this C unty to enterupon the -7nentiorfed property f i spec urposes Q'{ w - SEE REVERSE FOR EXPLANATORY LANGUAGE d - Signature of hcant or Agent ate WOq..KERS',COMPENSATION DECLARATION \ � • Thereby•d 'n thdi I have a certificate of consent to self APPLICATION FOR BUILDING P E RM I T insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob. C:) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ' DCertified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING i �D V e ADDRESS 6 D Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 0 3 C , E✓a LV Date Applicant CITY T ZIP v LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' 90.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. q (This section need not-be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. /�TEL- MAP BOOK PAGE PARCEL OWNER /- � r NO. 3 U % S USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner / SPECIAL t so as to become subject to the Workers'Compensation Laws. ADDRESS C-4 CONDITIONS // yy CITY. Ie, 0J) ZIP Date U y ��Applicant w NOTICE TO APPLICANT: If, after making/this Certificate of ARCHITECT OR TEL• DISTRICT G UP TYPE FIRE PROCESSED BY O t Exemption, you should become subj to the Workers' ENGINEER NO. CONST. ZONE V Compensation provisions of the Labor Code, you must forth- ADDRESS ✓t W with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFIC TION I A ONDO. fn deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION - LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and UC. Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT, 1 NO.OF NO.OF CHECK License Number Lic.Class SIZE �/ STORIES FAMILIES ONE NEW VALUATION � Contractor Date DESCRIPTION OF WORK ADD ® $ 1 am exempt under Sec. ALTER C , B.BP.C. for this reason REPAIR E] $ Date: USE OF a EXISTING BLDG. DEMOL Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE �9r�� I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By BUILDING 9 3 4,7 A I, as owner of the property, or my employees with ADDRESS � 0 � ��V-e_ +1 �. wages as their sole compensation,will do the work and LOCALITY (i. �. " I• , # 0 0 0 010;1 the structure is not intended or offered for sole(Section a ] 2 4 8 8 7044, Business and Professions Code). MOVING TEL. -. _ I, as owner of the property, am exclusively contracting CONTRACTOR NO. a a 12 4,8 8 5 with licensed contractors to construct the project (Sec- ADDRESS 0 8 '8 8 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE 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 P.L. Lender's Name LLDAAAPerm. P.C. Fee$ Permit Fee ' Lender's Address I certify that I have read this application and state that the Issuance Fee (J above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter upon the above-mentio d property for inspection purposes. /n .I/Z/ SEE REVERSE FOR EXPLANATORY LANGUAGE Si notu,e o Applicant or Agent Date 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 0310170030 PHONE (626) 285-0488 EXT: -BUILDINGLEGAL ID - NO. OF CONST ADDRESS TR 6561 LT 305 SG FT STORIES TYPE 6032 CLOVERLY AV STRUCTURE. VN TEMP CA 917802025 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET WOODRUFF 5385-007-020 THOMAS PAGE 596 GRID J2 LOCALITY TEMOPKE CITY TENANTEXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES EXIST OCC GRP 10/17/03 JK 10/11/04 OWNER TEL NO BLDGS. NOW ON LOT VALUATION FINAL A E FINAL BY CODE KIDD MARY LOU 2,000 / r 6032 CLOVERLY AV 913 TEMPLE CITY 91780 S P/ INSTALL NEW METAL F AND BOND BEAM (EXISTING FIREPLACE & FEE DESCRIPTION QUANTITY UOM AMOUNT CHIMNEY) APPLICANT CUTTING EDGE CONSTRUCTION (626) 398-9550- AA BLDG PERMIT ISSUANCE 27 75 1602 N HARDING AC STRONG MOTION RESID 2000 00 VAL 0 50 SPEETTE SPECCONDI ONS PASADENA 91104 D2 PERMIT W/O,EN=HC--=--,---,-2000 00 VAL 82 20 �� CoT L�FEES 110 45 CUTTCONTING EDGE CONSTRUCTION (626) 398-9550-TEL NO ® �J�1Y APPROVAL DA INSPECTOR S GNA 1602 N. HARDING AV LIC NO LOCATION AND SETBACKS PASADENA CA 91104 779532BHI Y //N SOILS ENGINEER APPROVAL ARCHITECTOR ENGINEER0 FOUNDATION/TRENCH FORMS LIC NO: 1111111 SLAB/ FLOOR IIJ u RAISED FLOOR FRAMING 150H265 P NO SEWER MAP 00 PAGE FIRE ZONE MP01�U D L C `�l v KX�l NDERFLO ILOOR NSULATION NO OF FAMILIES L NITS A CL SS - NO 211 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS �� , SH AR PANELSr� AIR QNAOLITY 10NOO FEET MANOERIALS p\ OFRAME INSPECTION SPRINKLERREQUIRED ®� FIRE H SET BACK YARD HWY TOTALPROP LINE WIDTH 4��e�, �PL- �lrb0�� vv INSU ION/WE ER S R FROSIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED EIL D WALL ASSEMBLIES RATED SHAFTS/OPENINGS CEILINGS LOT DRAINAGE REPORT ID. DPR261 ROUTE TO BS0508