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HomeMy Public PortalAbout6042 CLOVERLY AVE_Building__ 5 TEMPLE CITY 79A66eIIcd$803 1-61 APPLICATION FOR BUIL/DING PERMIT y� COUNTY OF LOS ANGELES ADD BUILDING ISS( 6/ � DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST FOR,APPLICANT TO FILL IN FOR, NO GROUP TYPE CES B Q �� CONS BUILDING j�2 J STATISTICALCLAIFICATION SEWER MAP ADDRESS (Y ! � 1/ ;r PG am ! CLASS NO DWELL UNITS / (' LOT NO � -yo f0 BLOCK WATER NOT REQUIRED ISI RECEIVED CERTIFICATE TRACT SIZE OF LOT / O �D NO OF BLDGS NOP ({CGHWAYRC LLEI STATE MAJOR SECOND OCAL NOW ON LOT / USE ZONE SPECIAL USE OF \� CONDITIONS EXISTING BLD \ g /- OWNER \ NO �? 6 r BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS b.1Z FRONT n / ARCHITECT OR \ TEL P LCL(. ENGINEER NO SIDE \ P L ADDRESS AL TEL INSP(t/fECTION R,,E/�C/OR.{(D �//may 0 CONTRACTOR NO rI/I S 6 Y lt�,�i�ai.r �,!) _ !'�� ��/�,( �M/,/�/ �1rF``' ADDRESS _ ' ` l v ) �� /b�V`04 O DESCRIPTION OF WORK L, NEW ;aO7 ALTER REPAIR DEMOLISH SQ FT NO OF NO OF IZE STORIES FAMILIES USE OF STRUCTUR SIGNATURE OF APPLICANT VALUATION S CJ�-�CJ APPROVALS DATE INSPECTOR S SIGNATURE P C PMT SCJ FOUNDATION LOCATION FEE FEE S _ FORMS MATERIALS FRAME FIRE STOPS 1HEREBY 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 INC TO WORKMENfCPENSATION INSURANCE LATH EXT �) SIGNATURE OF HOUSE NUMBER COR-' / PERMITTE RECT AND POSTED / - ADDRESS 6(9 INAL +� CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENEfi PLAN CHECK VALIDATION CK. m o CASH PERMIT VALIDATION CK M o CASR 5067; Ot:T 2 1 D 6.00- } i TEMPLE COT? 79AeaeAc[8e03 ,_sl 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 SUPT OP BUILDING CROSS ST DISTRICT NO G OUP TYPE SED Y FOR APPLICANT TO FILL IN 0 CONST71' 2:;; BUILDING O�t� STATISTICAL CLASSIFICATION SE ER MAP ADDRESS f� B P CLASS NO DWELL UNITS — LOT N — a BLOCK WATER " J CERTIFICATE NOT REQUIRED RECEIVED TRACT / MAPS ' HIGHWAY STATE MAJOR SECOND L CA • NO OF BLDGS NO / (CIRCLE) SIZE OF LOT I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG J 'JJdf OWNER 1ql'q.geye BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS�ODvZ G r7V<Rlt FRONT �L ARCHITECT OR 'TEL P L ENGINEER O SIDE P L42 ADDRESS TEL 1 ,S / INSPECTIONS RECOlb 0 CONTRACADDRESS TOR NO �{/6 7/ A� / ��dh � / ix DESCRIPTION OF WORK /��j/�/����// /���� •�/� / - I N NEW ' ADD ALTER REPAIR DEMOLISH Z SQ FT NO OF NO OF USE OF STORIES –FAMILIES STRUCTURE GVj/ .( AQp SIGNATURE OF APPLICANT I VALUATION$ � ' APPROVALS r fDAfTiE/�f INSPlE,CCTTfORRSS'SSII,GyNATURE PC PMT FOU14DATION ALS LOCATION FEE $ � FEE $i� FRAME FIRE STOPS 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION //( WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK LATH INT • J�///p �j � f '� AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA TION OF THE LABOR CODE OF THE,STATE OF CALIFORNIA RELAT ING TO WORKMEN S COI.QPEN SATION INSURANCE LATH EXT SIGNATURE O I/ HOUSE NUMBER COR- I PERMITTEE _ RECT AND POSTED r �(�J���d ADDRESS'/'o � v I y /I/ 8/ FINAL CLYDE N DIRLAM• PRINCIPAL STRUCTURAL E TgEERR PLAN CHECK VALIDATION cK. M o cAsH PERNIIT,•VALIDATION cK. m o cash 3-00 J TEMPLE CITY" 79ASSBACE#e03 APPLICATION R B R FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS (C/ BUILDING AND SAFETY DMSION LOCALITY el, JOHN NEAREST WILILt MIA ENNSEN SuP T OF BUMBIE, COUNTY DING ENGINEER CROSS ST Gv1-9.2 DISTRICT o-- DISTRICT NO TYPE SSED BY FOR APPLICANT TO`FILL IN :J, O P +.F^�� CONST STATISTICAL CLA§SIFICATION SAVER MAP BUILDING aQ� BK PG ADDRESS © Z CLASS NO DWELL UNITS !� LOT NO / BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED TRACTMAP_/7J HIGHWAY NO OF BLDGS NO o� (CIRCLE) STATE MAJOR SECOND OC SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF �/ CONDITIONS EXISTING BLDG 'TEL OWNER 21 4aNO UILDINGEXIST { SETBACK YARD ;HWY STREET NAME WIDTH ' ADDRESS L'1 / FRONT O� ARCHITECT OR TEL '; P L ENGINEER NO 11SIDE, P L �- ADDRESS TEL INSPECTION RECORD CONTRACTOR NO {/ r r ADDRESSAp DESCRIPTION OF WORK . l' 14s N NEW ALTER REPAIR DEMOLISH - Z SQ FT NO OF NO OF ,I - IZE STORWES FAMILIES - USE OF STRUCTURE 1 - SIGNATURE OF - APPLICANT- VALUATION PPLICANT VALUATION$ x APPROVALS DATE INSPECTOR S SIGNATURE ' _ IFOUNDATION LOCATION PMTa FEE $ FEE $ �!' FORMS MATERIALS I FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION11 URACING 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 d 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 J{ING To WORKMEN S COMPENSAry1� ING TO WORKMEN S COMPENSATION INS'RANC LATH EXT'' 11/ SIGNATURE OF HOUSE NUMBER COR- PERMITTEE '1 RECT AND POSTED "/ n ADDRESS 0 &<A= FINAL I CLYDE PLAN CHECK VALIDATION CK o o CASH P REMIT VALIDATIONrR STRUCTURAL ENH R 1 TEMPLE CITY - 78A838ACE,#8051- 1 ,APPLICATION FOR BUILDING PERMIT . COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ' JOHN A LAMBIE, COUNTY ENGINEER NEAREST / WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRIX N 1 GR U TYPE CESSED BY FOR APPLICANT TO FILL IN CONST BUILDING '/ STATISTICAL CLASSIFICATION EWER MAP ADDRESS Q yZ C/U;/Gr�JBK PG // CLASS NO DWELL UNITS - LOT'NO pl�f-<!/» ���j BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE , _ _ TRACTil0 5 k'i MAP HIGHWAY r� NO OFBLDGS NO (CIRCLE) STATE�MAJOR SECOND OCAL SIZE OF LOT�3�X10� �'S`rX�01 NOW ON LOT Z' USF ZONE SPECIAL USE OFa / CONDITIONS EXISTING BLDG U 'ejr - TEL - OWNER61/ . �/{� / NO BUILDING YARD HWY STREET NAME EXIST ADDRESS 60,9;?- el�JY��`q 7,C� SETBACK WIDTH FRONT p� ARCHITECT OR TEL f P L ENGINEER NO SIDE ' P L �- ADDRESS CL /VB `w� nG TEL INSPECTION RECORD O CONTR CTOR NCO /+ s� V ADDRES L�lN �J y�i LO FSI "�� 0 DESCRIPTION OF WORK ` �� V O NEW ADD ALTER REPAIR DEMOLISH Z SQ FT NO OF NO OF IZE 2 STORIES �� FA MILIES STRUCTURE Z GOI�Y SIGNATURE OF APPLICANT J , VALUATION APPROVALStt DAATTE INSPECTOR SISIGNATURE PMT C FEE FEE $ FOUNDATION MATERIALS LOCATION lI FRAME FIRE STOPS i I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS (n h1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION I V WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS t 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 1 n II PERNUMBER TURE OF HOUSE RECT AND POSTEDR ADDRESS'-6-&6d �t_ ' `��2C+e S - FINAL '1 � (n�I >//�' K ` CLYDE N DIRLAM PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION CK M O CASH ' PERM VALIDATION /CK H O CASH I L o 8 7 6 Z mAe 17 //�' PLICATION FO BUIL PERM- ` 76A 638A CE-&03 'TS C UN OF LOS ANGELES BUILDING DEPA TMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ~__ JOHN A LAMBIE COUNTY ENGINEER NEAREST -/^ --- COLEMAN W JENKINS SUP T OF BUILDING 'CROSS ST DISTRI T NO GROUP - TYPE P SSED`BY, - FOR APPLICANT TO FILL IN CONST BUILDING ��// STATISTICAL CLASSIFICATION' SE ER MAP" - ADDRESS oZ N 1��1erl I CLASS NO DWELL UNITS rLOT N01_5�� � 3CJ BLOCK USIE ZONE MAP NO b� TRACT SPECIAL NO OF BLDGS CONDITIONS ` SIZE OF LOT NOW ON LOT 19, 1 ' USE OF ISTING 5 BLDG SETBACK FROM u TEL _ FRONT PROP LINE OF (STREET)jlj OWNER - e1"� NO ^�' TYPE OF EXISTING SETBACK -HIGHWAY + ARD = - TOTAL' ADDRESS 60-yaZ V✓e�I /� HI WAY WIDTH FROM C L ' _ O + CITY ARCHITECT R TEL BLDG SETBACK FROM ENGINEER NO SIDE PROP LINE OF (STREET), TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS �- HIGHWAY WIDTH FROM C L _ TEL , r + - 4 CONTRACTOR HIJAI NO �O LIC CORNER CUTOFF' YES NO ADDRESS NO CITY CL s SEE REVERSE SIDE FOR SPECIAL �APPROVAL S DESCRIPTIONJQF WORK NEW ADD LTER REPAIR DEMOLISH SQ FT O OF NO OF /tll��L _ _ a '"' �? SIZE S W RIES FAMI LI ES T USE OF STRUCTURE SIGNATURE OF- APPLICANT O VALUATION 1 O� • �+O 1 APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION, LOCATION FEE$ .��lt FEE$ 'J FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9U ILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK n 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 S COMPENSATION INSURANCEV, LATH EXT SIGNATURE OF 1 - � HOUSE NUMBER COR- PERMITTEE ��11 eA �^ Y d �d RECT AND POSTED B 1. ADDRESS 04/0 S10f 140 rO�"' Are ZH� IFINAL PLAN CHECK VALIDATION CK Mo CASH _ I JOHN F' LEWIS PRINCIPAL STORAL ENGINEER PERMIT VALIDATIONM o CASH AO 8 0 1'3 u.3 DEC 13 1 D ` 8,0 0~ `V WORKERS COMPENSATION DECLARATION S 44PPLICATION FORZUILDING PERMIT I hereby affirm=that I have a certificate of consent b self _ , insure, or'a certificate of Workers' Compensation Irt„uiance U ' or a certified copy thereof (Sec 3800, LaB C ) ��'�_ ,,�/��,,� 1 _ COUNTY OF LOS ANGELES � BUILDIN_ G AND SAFETY Policy No��C�,�t-'� Company '� ' FaCertifiedcopy is hereby furnished _ FOR.APPLICANLTO FILL IN, _ "_ BUILDING ADDRESS Certified copy is filed with y buil i mspec- BUILDING Tion department ADDRESS A LOCALITY' t� NEAREST t Date c6kApplican CITY ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR COMPENSATION,INSU RANCE SIZE OF LOT NOW ON LOT MAP BOOK IPAGE` PARCEL' (This`section need not be completed if the permit is for one w USE ZONE MAP yam,o hundred dollars ($100)or less`) TRACT BLOCK LOT NO NO sI ti 'nA - TEL SPECIAL I certify that in the performance of the work for which this OWNER Y1` NO CONDITIONS % permit is issued, I shall not em to an person in an manner• - �' - DISTRICT GROUP CONTYPEFIRE PRO SSED BY O ' p p y` y p y ADDRESS CONST ZONE V so as to become subject to the Workers Compensation Laws ; _ Date Applicant CITY r1� ZIP F STATISTICLASSIFICATION APT JCOND0 O NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR - TEL N -y n ENGINEER NO- u 4 CLASS NO DWELL UNITS W Exemption, you should become subject to the Workers' � - AL Compensation provisions of the Labor Code, you must fortk- a ADDRESS r y a SEWER MAP e 1 H with comply with such provisions or,This permit`shall be ' z deemed revoked �' /� TEL VALIDATION CONTRACTOR _ NO BK PG LICENSED CONTRACTORS DECLARATION LIC _ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS � NO ATION ' « ` (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect, ; CITY CLASS ► SQ FT NO OF ° NO OF" '- CHECK _ SIZE STORIES , FAMILIES ONE ' License a Lic Class= 6? - J S M Contract Dare t DESCRIPTION OF WORK +'~ NEW § Y 4 f ADD ❑ I am exempt under Sec �Y > g ALTER Low FINA B 8P C for This reason - REPAIR DATEo USE OF CC7'� FIN T Date EXISTING BLDG �4L�- r DEMOL E] By Signature ° T APPLICANT �^ TEL OWNER-BUILDER DECLARATION ,. PRINT r` O _ ., , I hereby affirm that I am exempt from the Contractor's License ADDRESS Lbw f Law for the following reason (Section 7031 5, Business and. ♦ ' Professions Code) y TRESENT �" ❑ BUILDING • a j, as owner of the property; or my employees with { ADDRESS wages as their sole compensation,,will do the work and _ the structure is not i6tended or offered for sale(Section LOCALITY f� ;RA 2,7,6 AA 7044, Business and Professions Code) 'MOVING �^-� TEL i #f o, CONTRACTOR NO ❑ j, as owner of the property,'am exclusively contracting �fo'1 OZ6,111,3 with licensed contractors to construct the project (Sec- M w ADDRESS fo4ocl Z y ' tion 7044, Business and Professions Code) � _ � Q� � v REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY , PROP LIN WIDTH Q 9, 8 4 ' hereby affirm that there is a construction lending agency for FRONT _ _ s , i- �+ k ,A the performance of the work for which this permit is issued P L + ' (Sec 3097, Civ C ) SIDE - P L' 'o Lender s Name l P C Fee E f Permit Fee Lender's Address r I cern at I have read this application and state that the - Issuance Fee Nbinfor on i correct I agree to comply with all County Investigation Fee e laws relating To building construction, Total Fee �dh n presentatives of this County to enter e io ed property for inspecti'n purpo� SEE REVERSE FOR EXPLANATORY LANGUAGE inaureof Applicant or Agent v Date ®_ �l > r COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 BL 0508 0003230068 PHONE (626) 285-0488 EXT LEGAL 10 NO OF CONST BUILDING ADDRESS TR 6561 LT 306 SQ FT STORIES TYPE 6042 CLOVERLY AV STRUCTURE 0 VN TEMP CA 917802025 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GARIBALDI 5385-007-022 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY TENANT EX ST BLDG USE RESID USE ZONE R-1 ISSUED, ON PROCESSED BY EXPIRES ON EXIST OCC GRP 03/23/00 UT 09/19/00 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATEFINAL BY CODE MITTS WILLIAM R,DEANNA C (626) 286-0963- 1 2,800 6042 CLOVERLY AV �0 TEMP 917802025 FEES PAID GRIP IO K RECOVER OVER EXISTING R00IN WITH FI EHA T CERTAINTED APPLICANT TEL FEE DESCRIPTION QUANTITY UOM AMOUNT 25 YR COMP SHINGLE 0 SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 2800 00 VAL 0 50 SPECIAL CONDITIONS D2 PERMIT W/O EN;HC`�2800 00 VAL 99 00 G��EsTO`ALL`�EEES 127 25 CONTRACTOR TEL NO �OCj APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO / FOUNDATION/TRENCH FORMS LIC NO f SLAB/UNDER FLOOR L RAISED FLOOR FRAMING MAP NO. SEWER MAP BOOK. PAGE FIRE ZONE CFU"U(C UNDERFLOOR INSULATION 150H265 3 WORKFLO SHEATHING 0 0 FAMILI DWEL G UNIT APT/C ST CLAS - NO 21�( 0 ROOF SHEATHING AIR QUALITY 10000FEET WITHIN MATERIALS \ Q Q '** SHEA PANELS NO NO NO El ® ®y FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST p oFIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL �e PVIC a TO I INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEIL19-GS- LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508