HomeMy Public PortalAbout5010 CLOVERLY AVE_Building__ 3 1 TEMR ALCUTY
7GA039A CH#6492/60 APPLICATION FOR BUILDING PERMIT - •� 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY _p
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRI Nq _ GROUP TY PE P CSS
'PE BY
FOR APPLICANT TO FILL IN vY CONST L
BUILDING /�/ / / r STATISTICAL CLASSIFICATION WER MAP
ADDRESS ,V (1 L L BK PG
_ CLASS NO DWELL UNITS �r r
LOT NO B MAP / STATE YES O
NUMBER .1✓ HWY
TRACT USE ZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT 'S� I NOW ON LOT k /
USE OF
EXISTING BLDG BUILDING `EXIST
y�,/I-�] � TEL SETBACK YARD HWY STREET NAME WIDTH' 1
OWNER /�! NO FRONT 1l
P L t2&_j
ADDRESS •Avl4 L C SIDE 1
ARCHITECT OR TEL P L
ENGINEER NO S INSPECTION RECORD �`f j�
ADDRESS TEL ?5_; S TEP b/GE ; !` / Y�/3'
CONTRACTOR -NO / QI
ADDRESS �' � /•' U
DESCRIPTION OF WORK
NEW ADD LT REPAIR DEMOLISH
SQ FT NO OF NO OF I / ..i✓ a
SIZE 930 STMORIIE+S FAMILIES ��rsy
STRUCTUREUSE OF 2v,4,;v
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SIGNATURE OF • �T/��T�'Of
APPLICANT - -
VALUATION$ y
APPROVALS DATE INSPECTOR S SIGNATURE
PC PMT
FOUNDATION
FORMSMATERIALSON
FEE $ FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS,
BRACING BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE LOCATION
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS -
STATE LAWS REGULATING BUILDING CONSTRUCTION
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH INT
WILL NOT EMPLOY ANY PERSON IN VIOLokTION OF THE
WORKMENS CO SATIONILAWS OF FORNIA LATH EXT
SIGNATURE F HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS - C� �� FINAL
v CLYDE N DIRLAM, PRINCIPAL STRUCTURAL EOE
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK MO cASH
e t,1i 1500 ®P
,
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DMSION OF BUILDING AND SAFE"I'Y
Departme
{{nt of County Engmeer BuILDINNG
WM J
County
yyFOX,ofCOUNTY ENGINEER APPLICATION
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
BUILDING �' ,�j Q '` LOCALITY
ADDRESS ���/r L V
NEAREST
LOCALITY
/� CROSS ST
NEAREST DISTRICT NO PLAN CK OR REc No PERMIT NO
CROSS ST
OWNER MAIL /� � RECEIVED BY DATE OF APPL DATE ISSUED
ADDRESS 61plQ �, 4'L' P4:;QL� �'! I
U8E ZONE NO OF TYPE I GRO P I FIRE-ZONE
^'� TEL PLANS _/
CITY L � t/ NO i r
ARCHITECT OR TEL` " ZONING - } DATED
ENGINEER NO AAPPROVED BY-
ADDRESS
BUILDING '� v Z! 4R�
SETBACK LINE
TEL APPROVED ' DATE
CONTRACTOR NO BY
HOUSE NUMBERING
ADDRESS
LEGAL MAP NUMBER fes` IQ -NO ASSIGNED BY
BLOCK
DESCRIPTION LOT NO _
/� DATE `ORR 'MTIONS' I INSPECTOR
A
TRACT a� (
SIZE OF LOT +.�./ t I NO OF SLOGS
NOW ON LOTUSE OF NO
f�
EXISTING BLDG I F MIOLIES
DESCRIPTION OF WORE
NEWALTERATION ADDITION rv
REPAIR /� DEMOLITION I 1
S NO OF
ZEA T(/ o ROOMS STORIESEXT WALL ROOF
CC I 1
COVERING �� /��I"COVERING S joV/�'e
USE OF STRUCTU;A000 00p 4
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION LOCATION
FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, STOPS,
CORRECT
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT, DUCTS
SIGNATURE OF- f LATH, INT
PERMITTER
ADDRESS '1 1 �" / STH, EXT
/A�/�
AUTHORIZED AGT
Y PLASTER, INT
PLASTER, EXT
FEE- HOUSE NUMBER COR-
(/ V V RECT AND POSTED
VALUATION FEE FINAL
76ASSSA DBS 3 2-88 _
APPLICATION FOR -BUILDING PERMIT `
FOR APPLICANT TO FILL IN, (Print or type only) TEMPLE CITY
COUNTY OF LOS ANGELES,
Bio ESS •5010 DEPARTMENT OF COUNTY ENGINEER
CITY T e 6p 1 e Cit ZIP ' BUILDING AND SAFETY DIVISION -
OF SLOGS BUILDING
SIZE OF LOT ` OW ON LOT ADDRESS �D. (/ i r14 ,�Lv
TRACT/33o BLOCK LOT NO LOCALITY
r
TEL NEAREST
OWNER Ermino Margari NO CROSS ST "
h�
ASSESSOR a
ADDRESS 5010 N . C 1 o v e r 1 _ MAP BOOK PAGE PARCEL
DISTRICT- GROUP TYPE FIRE ESSED BY
CITY Templp City .CalIP CONST Z�E
ARCHITECT OR I TEL �a a
ENGINEER -NO r
STATISTICAL CLASSIFICATION f , SEWER,4AP
ADDRESS L� q p CLASS NO DWELL(UNITS �BG,
CONTRACTOR H L . Randol NOL288-404 USEZONEMAP
p O
ADDRES5529 E . Valle B O y SPECIAL ,
I TV LIC CONDITIONS- .` h
CITY San Gabri el CLASS - ROA DEPARTMENT APPROVAL REQUIRED AYES❑ NO ❑ v
CONSTRUCTION LENDER
NAME AND BRANCH BLDG SETB CK FROM
FRONT PRO LINE OF - (STREET)
ADDRESS CITY - (TOFRONT PROP LINE TAL SETBACK FROM TYPE OF,. EXISTING
SO FT NO OF NO OF - CHECK HIGHWAY } YARD - HIGHWAY WIDTH
i,
SIZE STORIES FAMILIES ONE
- CL
❑ s
DESCRIPTION OF WORK Re- NEW O
E:] BLDG SETBACK FROM V
-and Garage with H . D . Com roof Dw ADD SIDEPROP LINEOF (STREET) =
s i ng eS 2OO7r
CD
ALTER ❑ = TOTAL SETBACK FROM YPE OF EXISTING I�
HIGHWAY } YARD IGHWAY WIDTH C-')REPAIR SIDE PROP LINE W
CL
USE _ N
EXISOT NG BLDG EMOL ❑ �} , Z
APPLICANT TEL CORNER CUTOFF r AYES,❑ _ NO ❑ A
(PRINT) H NO _ U . y
BY (SIGNATU I IN OPEN SPACE- - ' YES,❑ NO ❑
IN COASTAL�PERMIT-ZONE YES ❑ 'NOS ❑ 5
VALUATION,$ 0 / / a
I HEREBY ACKNOWLEDGE•THAT I HAVE READ THIS APPLICATION /`� +�.7 Jjr�`✓ri CJ ,Q�`,,ST '' N
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING' BUILDING CON-
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED '`
HEREBY I DE NOT EMPLOY ANY PERSON IN°VIOLATION OF THE
LABOR CODE OF THE S T OF CAL F IN LAT( G TO
WORKMEN'S CO MPE N SURA _ J
SIGNATURE �" '%=Z:i
i
PERMITTEE
ADDRESS 529 E V a 1
/ FINAL //y BY
San Gabriel •Ca l`'.NO DATE
CITY —
i11AhE CHLCRS PAS ABLE 10 FEE' $ y � FEE � 21 75 -
LHARVEY T BRANDT, COUNTY ENGINEER
PLAN CHECK VALIDATION , ' CK M 0 CASH PERMIT VALIDA ON {cK.` M 0 CASH'
6-8"3�1dUy -ti ,U
2;1Jc
.7 ® "
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76A638A CE#803 5/74 r— -h
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7- -
JDEPART'�tENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
r ' t COUNTY OF LOS ANGELES
WMA J FOX, CHIEF ENGINEER '
BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO I PLAN CK NO PERMIT NO
BUILDING hh �j '�y��
ADDRESBJ-4040 �L! C L D VEiPL �_ ,sir d�7�"b,
�� RECEI BY DATE OF ADPL` DATE ISSUED
LOCALITY L C T /3 , .s���� ��
NEAREST 7 v' v
CROSS ST C L,V 4V_C,4406 ,4AD BUILDING110 IY- Q yF../�� r
Al
ADDRESS 1`
OWNER E � /
MAIL LOCALITY
ADDRESS EE 7- CNEAREST
ROSS ST
TEL V
CITY NO AV -ZFIRE NO OF ')001 ONE I PLANS TYPE I GROUP
ARCHITECT OR TEL '
ENGINEER 1-100= NO BLDG ' v ,y O
K LINE
SETBACK r La i
ADDRESS APPROVED
TEL BY DATE
CONTRACTOR ic-L F NO USE PPROVED
, ZONE , Y DATE
ADDRESS '-' O SE NUMBERING
LEGAL
DESCRIPTION LOT NO BLOCK MAP NUMBER FIELD CHECK BY
TRACT 3 3a2 9 NO ASSIGNED BYA oAT \
NO OF BLDGSp CORRECTIONS
SIZE OF LOT ���X 5 , I NOW ON LOT 4 �+
X SITING BLDG _ I FAMIUSEOF No LIES
ES
DESCRIPTION OF WORK
1
NEW I V-1ALTERATION I iI ADDITION
REPAIR I I DEMOLITIONSQ FT NO OF
G-Y,- y Lam 5 rIFS,i*c.2 e5 ✓ �_._.we Q
SIZE �e2� ROOMS STORIES Z
EXT WALL ROOF yyZ D'
I
COVERING ��✓� ( COVERING '
USE OF STRUCTU E
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRESTOPS,
HERRON AND WITHg
L COUNTY ORDINANCES AND STATE BRACING, BOLTS y�l+a,f� Ei.,,�.. -�/
LAWS REGULATINU LDING CONSTRUCTION FURNACE LOCATION,
SIGNATURE OF / /�
�i' GAS VENT, DUCTS
PERMITTEE
/ J J
ADDRESS-A03 5� / .T. LATH, INT
LATH, EXT /
AUTHORIZED AGT V
PLASTER, INT
76ASSBA 0886 10-60
PLASTER, EXT
VALUATION FEE 8�� FINAL ��/SZ
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1010280034
PHONE (626) 285-0488 EXT
ILEGAL ID I NO OF CONST NEW BUILDING ADDRESS I
ITR 13329 LT 45 SQ FT STORIES TYPE OCCUP GROUP 5010 CLOVERLY AV I
STRUCTURE 0 1 V-B R3 I TEMP CA 917803812
(ASSESSOR INFORMATION NUMBER GARAGE 900 1 V-B U NEAREST CROSS STREET LA ROSA 1
18590-019-002 OTHER THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY Cl
TENANT (EXIST BLDG USE USE ZONE 11SSUED ON PROCESSED BY
EXIST OCC GRP 112/16/10 SR I
I I I I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION 1FI z QATE FICODE I
IKUMASHINO STANLEY (626) 221-3095- 1 41,420
15010 CLOVERLY AV
(TEMP 917803812 FEES PAID ID�� RIPT1cTN�OF WORK 1
IDEMO EXISTING GARAGE BUILD NEW DETACHED 2 CAR GARAGE I
IFEE DESCRIPTION QUANTITY DOM AMOUNT I 1
(APPLICANT TEL NO
IKUMASHINO, STANLEY (626) 221-3095- ID1 PLANCHECK W/O EN-HC 41420 00 VAL 588 30
I IAA BLDG PERMIT ISSUANCE 27 60 1SPECIAL CONDITIONS I
I IAB STATE GREEN BLDG FEE 41420 00 VAL 2 00 1
1 JAC STRONG MOTION RESID 41420 00 VAL 4 10
1 ID2 PERMIT W/O EN-HC 41420 00 VAL 692 20 _
ICONTRACTOR TEL NO I TOTAL FEES 1 314 40 IAPFROVALS DATE INSPECTOR SIGNATURE 1
IKUMASHINO, STANLEY (626) 221-3095 1
IHIROKO KUMASHIRO LIC NO 1 (LOCATION AND SETBACKS I
15010 CLOVERLY AVENUE NONE I_ 1 I 1
(TEMPLE CITY CA 91780 ISOTLS ENGINEER APPROVAL I 1
I I I I I I
1ARCHITECT OR ENGINEER TEL NO IFOLI7DATION/TRENCH FORMS I I I
IMCGINNIS AND ASSOCIATES CONSULT ENG (314) 469-6460
11110 WESTMARK DR LIC NO 1 1SLe:B/UNDER FLOOR I 1
IST LOUIS MO 63131 10315
IRA13ED FLOOR FRAMING
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I IUNDaRFLOOR INSULATION I I
I I ,r �` 11SI LEVEL FLOOR SHEATH 1
1NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I � `-Yl:��� I
NO 21 1 12ND LEVEL FLOOR SHEATH 1
I _1 I
1 SCHOOL WITHIN HAZARDOUS 1 , (ROOF SHEATHING 1
(AIR QUALITY 1000 FEET MATERIALS 1 ( I 1
1 NO NO NO 3 ` 1 1_3 (FIRE DEPT FRAME INSPECT( I
z—zx iowL I_ 1
1 lK/ of iBLDG DEPT FRAME INSPECT(
xTT�L 1SHEAR PANELS I
_ � 1
I 11NSULATION/WEATHER STRIP I 1
(INTERIOR LATH/DRYWALL 1 1
(EXTERIOR LATH
ILOT DRAINAGE
I SMO,'E DETECTION DEVICES 1
I (FIRE, DEPARTMENT APPROVAL( I I
I I I I I I
1 IREPORT ID DPR261 ROUTE TO BS0508