HomeMy Public PortalAbout4828 CLOVERLY AVE_Building__ 76A6 8A CE 803162 APPLICATION FOR BUILDING DING PER T IJ
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESSClover
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST `Law Azusa Rd,
DISTRICT Nfd,,/ G P TYPE D BY
FOR APPLICANT TO FILL IN CONST
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS loverly CLASS NO DWELL UNITS BK
LOT NO BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT 114.54 MAP D HIGHWAY
1
80 X 8 NOW ON LOTS NO (CIRCLE) STATE MAJOR SECON LOCAL
SIZE OF LOT 1 US ZONE tPECIAL
USE OFT'w .tomn CONDITIONS t
EXISTING BLDG Duelling
TENL� -
OWNER a ie BUILDING YARD WY STREET NAME EXIST
ADDRESS 5616 Pal Mal Temple City
SETBACK WIDTHFRONT
ARCHITECT OR TEL P L _
ENGINEER NO SIDE
P L _ d
ADDRESS `
TEL J A V�
CONTRACTOR Scott NO
ADDRESS 10313 Lower Azusa-Rd, El Monte �- - O
DESCRIPTION OF WORK9 Y � �y1 �� ui
H-
NEW XX ADD ALTER REPAIR DEMOLISH /!' • q �^ ��' Z_
SQ FT NO OF NO OF
SIZE U30 STORIES 1 FAMILIES
USE OFi
STRUCTUREAttached 20x2O GarageI 1 �-
Std. Plan 17980 Dwelling
SIGNATURE OF — /I LIG / A4, .PGiI •t/ /•!�
APPLICANT �` ♦ � � r. /f „�
VALUATION $ / I ` •' � ,7 - - j
APPROVALS ATE INSPECTOR S SIGN E
PC �<t�' PMT FOUNDATION LOCATION
FEES vN i FEE $ i9 FORMS MATERIALS / ((
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS J/
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 Y/
TION OF THE LABOR CODC OF THE STATE OF C IFORNIA RELAT
ING TO WORKMEN S COMPEN O SURAN r
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS 1031 3 Lower Azusa Rd Fl Monts FINAL
{ JOHN F LEWIS PRINCIPAL STRU RAL ENGINEER
PLAN CHECK VALIDATION M O CASH _ PERMIT VALIDATION CK M O CASH
CK
4 9,0,2:o SEP 2"7 2 3 D 2 5.0,0�
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