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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 • / ^ 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 , . 1I 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 ® " ° 76A638A CE#803 5/74 r— -h 7=z_ i 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