HomeMy Public PortalAbout5027 CLOVERLY AVE_Building__ 76A638A CE*803 IO 56 APPLICATION F®R BUILDING PEF3MIT �.
MUDING AND SAFETY DIVISION BUILDING
ADDRESS
Deportment of County Engineer
County of Los Angeles LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN, SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP SEWER MAP
FOR APPLICANT T FILL I TYPE CONST BK PGS
BUILDING �4 h�
ADDRESS STATISTICAL CLASSIFICATION
CLASS NO DWELL UN
LOT
SOT NO 40 BLOCKS
rpt[ MAP .. STATE YES O� ,
TRACT 133 .9 NUMBER HWY
USE ZO E SPE IA
CG e� _ NO OF BLDGS CONDITIONS
S5 I f
SIZE OF LOT R 205 I NOW ON LOT 2
EX STUSE
OING BLDG Dwelling & Garage BUILDINGEXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER Bay J. Bottorff FRONT
MAIL ADDRESS 5031 Cl overly Ave. SIDE
TEL AT 7-26 P L
CITY , Temple City NO INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO � �
ADDRESS
CONTRACTOR - NO AT X011
ADDRESS 274 E. Huntington Dr Monrovia
DESCRIPTION OF WORK
NEW X ADD ALTER REPAIR DEMOLISH
NO OF
ZE
S B82 4 �p "$TOR ES 1 FAMILIES
USE OF STRUCTURE
� 1
" `Dwelling
APPROVALS' /
SIGNATURE
APPLICAN ' DATE INSPECTOR-S-Si NATURE
ADDRESS FOUNDATION LOCATION_
FORMS MATERIALS 'rg jL
p g FRAME FIRE STOPS
/ U FEEE BRACING BOLTS
$ FURNACE LOCATION t ,
VALUATION FEE GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT O
PLICATION AND STATE THAT THE ABOVE'IS CORRECT AND
AGREE TO COMPLY WIT A CO ORDINANC AND LATH EXT 71
STATE LAWS REGU 1 B LD CONST TON
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED ^ "� l
ADDRESS FINAL
JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM, PF6NCIP,& STRUCTURAL E 8INEER
PLAN CHECK VALIDATION Mo CASH PERMIT VALIDATION M o CASH
'
5 3 5 5 Sul DEC 261 6 11 .75AM
_' 2 3.50 05'4 0 2 DEC30 On