HomeMy Public PortalAbout5025 CLOVERLY AVE_Building__ 76AeS8A CE#809 1 O 56 A P P L I G A T I O ISI FOR R BUIL®IISIG PER■o e I T
BUILDING AND SAFETY DIVISION BUILDING
Department of County Engmeer ADDRESS l
' County of Los Angeles LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OR BUILDING CROSS ST
DISTRICT NO i GROUPTYpE SEWER MAP
FOR APPLICANT T FILL CONST / BK PGS
BUILDING �. STATISTICAL CLASSIFICATION I r
ADDRESS
CLASS Noc.2L _DWELL UNITS
LOT NO 40 - BLOCK MAP STATE YES
r . NUMBER HWY
TRACT 13329 USE Z NE SPECIAL
NO OF BLDGS 1 CONDITIONS -
SIZE OF LOT 85 x -205 I NOW ON LOT 2USE -
`
EXISTING BLDG •Dvelli & G BUILDINGf EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER Ray J. Bottorff FRONT
MAIL P L
ADDRESS 5031 Cloverly Ave SIDE _
Tem le Cit P L
CITY_ P Y N
TEL
AT 7.2604 INSPECTION RECORD
ARCHITECT'OR TEL
ENGINEER NO
ADDRESS
CONTRACTOR NOC0NZ:7.r11UUTj0N UV
8••011
ADDRESS 274 F,--&Qt j pZt nn DC, Mnre � +
Y DESCRIPTION OF WORK
R e
NEW ADD ALTER REPAIR DEMOLISH _
SQ FT �I�O OF NO OF -
SIZE 360 ft. Carpo i* rOR1ES 1 FAMILIES - ..
USE OF STRUCTURE
Carport
APPROVALS
SIGNATURE OF
APPLICANT DATEr INSPEC SIGNPATURE
FOUNDATION LOCATION
ADDRESS w FORMS MATERIALS �� l
C SFRAME FIRE STOPS _
�/Q� FEE ~� BRACING BOLTS
VALUATION �v vim' s .g `— FURNACE LOCATION
FEE c!' GAS VENT DUCTS
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT
STATE LAWS EGU TI ILDING STRUCTION
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED / 1
ADDRESS FINAL
JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM. PRINCIPAL STRUCTURAL ENGLN6ER
PLAN CHECK VALIDATION CK M 0, CASH PERMIT VALIDATION M o CASH
_ACO 5' 4 0`4„ DEG30 1 � - 2-00 0 ,
i '
I . _
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76A638A CE lt803 10511 APPLICATION FOR BUILDING P RMIT
BUDING AND SAFETY DIVISION BUILDING
IL
ADDRESS
Department of County Engmeer `
County of Los Angeles LOCALITY Y '
JOHN A LAMBIE, COUNTY ENGINEER NEAREST /
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST 3
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ^TYPE TSEWBK MAPPG"J`/
CONST Zi
BUILDING STATISTICAL CLASSIFICATION s-
ADDRESS G(dd
CLASS / DWELL UNITS
LOT NO BLOCK- MAP STATE '
TRACT 13329 NUMBER SPECIAL
_ HWY YES =
G MC NO OF BLDGS U NE COND TIONS /� ✓
SIZE OF LOT 85 Z 205 I NOW ON LOT 2USE
aBQ
EX STOING BLDG Dwelling & Garage _ BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER Pay J. Bottorff FRONT /
MAILP L
ADDRESS 5031 Cloyerly Ave. .SIDE _
CITY Temple City -TN0 P L
AT 7-26
' INSPECTION RECORD
ARCHITECT ORTEL
ENGINEER NO I I (� J'\ np
ADDRESS
CONTRACTOrOONSTRUC� NO EL 8-.011
_
ADDRESS 274 E. Huntington Dr...MOIIr09i&
DESCRIPTION OF WORK
NEW g ADD ALTER REPAIR DEMOLISHSO FT
O 0NO OF
SIZE 882 4 TORI17 ES 1 FAMIILIES
USE OF STRUCTURE � ��0./ A n
Dwelling
APPROVALS
SIGNATURE O
APPLICAN - DATE INSPECTOR_S.SLGNATURE
ADDRESS FOUNDATION LOCATION
FORMS MATERIALS
p r7 FRAME FIRE STOPS
i
FEE
,t�� BRACING BOLTS
VALUATION ; szo FURNACE LOCATION
FEE GAS VENT DUCTS 1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
t AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT
STATE LAWS REGU G UI 1 CON %%$`'UUCC/TTION
SIGNATURE OF !r/ ��� -! HOUSE NUMBER COR- T/
PERMITTEE RECT AND POSTED A /
ADDRESS - FINAL
JOHN A LAMBIE, COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUCTURAL�ENGINEER
PLAN CHECK VALIDATION n+o CASH PERMIT VALIDATION ® mo cASH
a
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