HomeMy Public PortalAbout5003 CLOVERLY AVE_Building__ TEMPLE CITY
76A638A CE #803 3-69 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER
a.
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP'T.,OF BUILDING NEAREST
CROSS ST.
F
OR APPLICANT TO .FILL IN DISTB NO. GF Or TYPE OKST. PRO
(PRINT OR TYRE ONLY) •y
STATISTICAL C S IFICATION SEWLR JMAP J��
CLASS N0. DWELL.UNITS BK j , PG/0
BLOCK USE ZONE MAP
N0. .
- - SPECIAL
N0. OF BLDGS. CONDITIONS
NOW ON LOT _
DG. BLDG. SETBACK FROMohn W . Green TE.L. 286-61:9 FRONT PROP.'LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 5003 No . Cloverl - HIGHWAY WIDTH FROM C.L.
.. + _
CITY
ARCHITECT OR TEL. SDE PROP. LIN ROM (STREET)
ENGINEER NO.
JH�l
YPE OF EXISTING SETBACK YARD = TOTAL
ADDRESS GHWAY WIDTH FROM C.L.
•TEL. - + - }
CONTRACTOR' NO. d
ADDRESSLI CORNER CUTOFF YES F] NO El L
CITY.', San Gabriel , Cal:i f- CLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS C
CONSTRUCTION LENDER L
NAME AND BRANCH a
tf
ADDRESS Z
SQ. FT. NO. OF NO. OF ,;'i❑
SIZE STORIES FAMILIES NEW
USE OFD ADD ❑
STRUCTURE - ALTER ❑
with tG Comp . REPAIR R]
SIGNATURE OF DEMOL ❑
APPLICANT
VALUATION $ 600 . 00 APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ FEE $ 9 . 00 FOUNDATION: LOCATION
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,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE RK AUTHORIZED HEREBY I -
WILL NOT EMPLOY ANY PE SON IN 10 AT ON OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIF IN RE AT G WORKMEN'S COM-
PENSATION INSUR LATH, EXT.
SIGNATUR OF s HOUSE NUMBER CORRECT
PERMITTE � AND POSTED
ADDRESS-- Bl' FINAL f
JOHN F. LEWIS, PRINCIPAL STR TURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.0. CASH
4 6 6 OR f� Y 11 s o .O O N ,a
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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 1203010013
PHONE: (626) 285-0488 EXT:
(LEGAL ID: 1 NO. OF CONST 1 BUILDING ADDRESS:
ITR: 13329 LT: 43 SQ. FT STORIES TYPE 1 5003 CLOVERLY AV
STRUCTURE: 2580 V-B I TEMP CA 917803813
(ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: 1
18590-022-021 1 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: 1
1 EXIST OCC GRP: 103/01/12 SR J
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: FIN DATE FIN CODE: 1
IPATRIC - 1 9,500 1. 1
15003 CLOVERLY AVE I / v I
(TEMPLE CITY CA 91780 1 FEES PAID JDESC4PTION OF WORK I
i (REMOVE ALL LAYERS, INSTALL 1/2" PLYWOOD AND INSTALL 30 YRS I
J IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICOMP SHINGLE I
(APPLICANT: TEL. NO: I I I
IPRO ROOFING CO. (213) 663-8812- JAA BLDG PERMIT ISSUANCE 27.80 I
1 JAB STATE GREEN BLDG FEE 9500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
I IAC STRONG MOTION RESID 9500.00 VAL 1.00 1
I ID2 PERMIT W/O EN-HC 9500.00 VAL 216.60 I
I TOTAL FEES 246.40
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IPRO ROOFING CO. (213) 663-8812- I 1 1
14219 S. ALAMEDA ST LIC. NO ILOCATION AND SETBACKS 1 1 I
ILOS ANGELES, CA 90058 956975C39- I I I 1 I
I ISOILS ENGINEER APPROVAL I 1 I
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I
J LIC. NO: 1 1SLAB/UNDER FLOOR I I I
I I I I I I
J IRAISED FLOOR FRAMING I
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J 1UNDERFLOOR INSULATION I I I
1144H269 3 001 1 1-1 I
I I (FLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: i ��-��"�'\ /''I 1
1 0 NO 21 I IROOF SHEATHING 'I 1 1
1 SCHOOL WITHIN HAZARDOUS (SHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS 1 1 1 1
1 NO NO NO 1 (FRAME INSPECTION I I J
I J I I I I
I I (FIRE SPRINKLER HANGERS I I I
I i I I t I
I 1 11NSULATION/WEATHER STRIP) I I
I 1 11 I
I 1 JINTERIOR LATH/DRYWALL I I I
I I I I I I
1 1EXTERIOR LATH 1 I 1
I = I I I I
I ( (RATED FLOOR/CEIL ASSEM. J 1 1
I I I I I I
I I IRATED WALL ASSEMBLIES I I I
I I I I I I
1 (RATED SHAFTS/OPENINGS I I I
I I I I I
IT-BAR CEILINGS 1 1 1
I ! I I I I
1 ILOT DRAINAGE I I 1
I I I I I i
1 !REPORT ID: DPR261 ROUTE TO: BS0508 1 1 I 1
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