HomeMy Public PortalAbout5031 CLOVERLY AVE_Building__ 7GAG88A DBS 9 12 54 it
APPLICATION FOR BUILDING PERMIT ],
DMSION OF BUILDING AND SAFETY BUILDING41
Deportment of County EngineerADDRESS
J
County of Los Angeles LOCALITY
WM J FOX COUNTY ENGINEER -- — l
CASSATT D GRIFFIN SUP T OF BUILDING NEARESTcme CROSS ST
DISTRICT NO I GROUP I
`_, SEWER MAP
FOR BUILDINGAPPLICANT TO FILL IN � % TYPECONST Y BK D
ADDRESS SO J I /V CIO t,e- t 1
MAP // STATE YES NO
NUMBER HWY
LOT NO Y"a BLOCK USF,,ZOpE SPECIAL
/:r- CONDITIONS
TRACT 13 �_?_4 OCO
�v Z� NO OF BLDGS
SIZE OF LOT �5 NOW ON LOT BUILDING - EXIST
SETBACK YARD HWY STREET NAME WIDTH
USE OF 1�.
EXISTING BLDG )2 Y -�i L°.i FRONT
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— P L
OWNER 1► 6 -0-r F SIDE
MAIL P L
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ADDRESS GI 0
TEL D 1 DWELL I UNIT 5 INDUSTRIAL
e_ O -
CITY N
2 DUPLEX UNIT— 6 PUBLIC BLDG
ARCHITECT4611 TEL
ENGINEER NO 3 APT UNITS 7 ADDN ALT ETC
ADDRESS 4 COMMERCIAL 8 MISCEL
CONTRACTOR �� w Yi et�
TEL
INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK
NEW ADD Y ALTER REPAIR DEMOLISH
SO FT NO OF - NO OF
SIZE �� 7 STORIES FAMILIES
USE OF STRUCTURE f� C�
ej God //.7% t O C i,v I
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SIGNATURE OF APPROVALS
APPLICANT
ADDRESS _D.3/ DATE INSPECTOR S SIGNATURE
$ P C S FFORMS-MAT FORMSOUNDATION-MATERIALS
FEE FRAME FIRE STOPS
VALUATION aj 8 Q BRACING BOLTS i
B92 illFEE FURNACE LOCATION
2WLMMGAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS -
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS REGULATING BUILDING CONSTRUCT
TION LATH EXT
SIGNATURE OF 000 HOUSE NUMBER COR-
PERMITTEE /E.vJ .c.t�o _RECT AND POSTED
ADDRESS �� ,!� FINAL Y
wM. J. FOX. CcuNTY ENGINEER l/ VALIDATION
B-Y
- - - Jti(`6uo 4�_,FES 16 1
- DEPUTY - DEPUTY
'BY BY
6 _ DEPUTY DEPUTY
I 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 0612080005
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
TR 13329 LT 40 SQ FT STORIES TYPE 5031 CLOVERLY AV
STRUCTURE 2800 VN TEMP CA 917803813
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
8590-022-018 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE RESID USE ZONE R-1 ISS ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 12/08/06 JK 12/03/07
OWNER TEL NO BLDGS NOW ON LOT VALUATION FI AL TE ».,..FII�j BY CODE
MICHAEL SU (626) 237-0782- 2 800 ``f1YY1l
5031 CLOVERLY AV
TEMP 917803813 FEES PAID DE CRI- IP IOlrOF WORK
STORAGE ADDITION 140 S F
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 2800 00 VAL 0 50 SPECIAL CONDITIONS
AX BUILDING REVIEW FEE 54 70
D2 PERMIT W/O EN-HC 2800 00 VAL 99 00
' TOTAL FEES 181 95
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - r
LIC NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS
LIC NO SLAB/UNDER FLOOR
3
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
144H269 3 01
FLOOR SHfiATHING
NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO - ) ° �� Q. �. FRAME INSPECTION
e
� UUU
REQUIRED TOTAL SETBACR FROM EXIST � e, � � �(' t FIRE SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL— C�,i \�� INSULATION WEATHER STRIP
\J CC//M� ` / !!//
SIDE PL—
INTERIOR LATH/DRYWALL
EXTERIOR LATH `
6 �
^ / RATED FLOOR/CEIVASSEM
RAZED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
Noi 1�0 T-BAR CEILINGS
T o � � v�
LOT DRAINAGE
SREPORT ID DPR261 ROUTE TO BS0508