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HomeMy Public PortalAbout5423 CLOVERLY AVE_Building__ DIVISION OF BUILDING AND SAFETY 013h mumI L D 11410 Department of County Engineer County of Los Angeles i WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY i y` DIBTRIC Q PLAN CK'�DR/Ry�[a No /`PERMIT N/Oj.,!'� BUILDING 3 ADDRESS �� R EI BY DATE OF APPL. DATE ISSUED LOCALI �{/ i( NEAREST a ROSS ST BUILDING r /1 �f O � I \ y� � ADDRESS S �/ �� O 1/� OL f►Vi 1 OWNER MAILJ rfy�'�" -— LOCALITY J r ADORE S�j jj NEAREST CROSS ST f! V CITY T _PO V,/ NO. FIRE NO OFU P��' ZONE I PLANE �� i� ARCHITECT OR � TEl_ ENGINEER a NO. BLDG SETBACK LINE ADD ESS USE AP D Tal- ZONE BY DATE CONTRACTOR .�N,,OHOURffe NUMBERING ADDRESS �bva� M P NUMBE NO ASSIGNED B LEGAL 14 DESCRIPON LOT NQ BLOCK V �) RECTION�S TI SIZE OF LOT X [� I ND DF BLDMS NQW ON LOT V USE OF NO OF EXISTING BLDG FAMILIC® J 041Z DESCRIPTION OF WORK Com^ c�-„i/�}—/3 Lc� � Ery✓ o NEW ALTERATION ADDITION fJ�(�/-SY D r REPAIR DEMOLITION N O OF SIZE v f�” p.�I.000MB STORIES / EXT WALL �r/C/(I I ROOF COVERING OQVEVERING USE OF STRUCTURE INSPECTION FOR 3 �VROYALS OCCUPANCY AS 'NRPFr-TDFVB SIGNATURE DATE FOUNDAT ON' LOCATION _ FARMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAME FIRE STOPS, CORRECT BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT,DUCTS �l --z SIGNATURE OF -'Y LATH, INT. PERMITTE _ - / //�I/1✓�� LATH, EXTb�/�(J ADDRERR PLASTER, INT AUTHORIZED AMT. _ PLASTER, EXT. p F/J 7► FEE HOUSE NUMBER COR- RECT AND POSTED �J VALUATION FEE I FINAL V`�7—,(1- �76A63BA DBS 3 1-52 v i 76A638A CE #80312/6APPLICATION FOR BUILDING PER COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARC L BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST Print or tvoe only) BUILDING DISTRICT NO P I TYPE PRO SE BY CONST ADDRESS 5423 N. Cloverly "t . 0 STATISTICAL CLASSIFICATION SEWER MAP LOT NO BLOCK CLASS NO smij DWELL UNITS G TRACT USE ZONE MAP p� NO OF BLDGS NO L,/ SIZE OF LOT NOW ON LOTI SPECIAL USE OF CONDITIONS EXISTING BLDG OWNER Mr. $ Mrs• H. LichtcnbT6er BLDG SETBACK FROM ADDRESS 5423 N. Cloverly FRONTPROP LINEOF (STREET) ,TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY Temple City, California HIGHWAY WIDTH FROM C L ARCHITECT OR TEL + _ ENGINEER - NO BLDG SETBACK FROM ADDRESS SIDE PROP LINE OF (STREET) TEL TYPE OF EXISTING SETBACK HIGHW + YARD = TOTAL CONTRACTOR Rigid Mf • Com NO 263-5181 HIGHWAY WIDTH FROM C L LIC ADDRESS' NO 159496 + = a LIC CITY Los Angeles, Calif CLASS 5917 CORNER CUTOFF YES ❑ NO ❑ U CONSTRUCTION LENDER c:) NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS � L; W ADDRESS CCL. SQ FT NO OF NO OF NEW ] Z SIZE STORIES FAMILIES USE OF ADD ❑ - STRUCTURE Residence ALTER ❑ Re-Roof Entire Home & Garage REPAIR❑ SIGNATURE OF APPLICANT JOEMOL ❑ VALUATION $ � APPROVALS DATE INSPECTOR'S SIGNATURE FEES ON FEE$ 12.00 FOUNDATION I MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR CODE OF HE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM HE S' IN UR NCE � LATH EXT SIGNATURE O �`� - / l1Apany HOUSE NUMBER COR- PERMITTEE --- J`� RECT AND POSTED ADDRESS 337 So. Woods Ave. LOS Angeles_ ,FINAL 7� JOHN F LEWIS PRINCIPAL SUl�, ENGINEER PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATIONCASH r2 2 , 2.00- G 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 0503090018 PHONE (626) 285-0488 EXT CONSTLEGAL ID: NO OF L G ADDRESS ON FILE SQ FT STORIES TYPE 5423 CLOVERLY AV STRUCTURE: 20 VN TEMP CA 917803108 ASSESSOR INFOR14ATION NUMBER NEAREST CROSS STREET OLIVE 8588-028-019 _ THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, C EXISTTENANT D USE ZONE R-1PROCESSED EXIST OCC GRP- 03/09/05 JK 03/04/06 OWNER TEL NO BLDGS NOW ON LOT. VALUATION I ATE INA By. CODE: LEE KYU-CHUNG;YOUNG JA (626) 445-6205- 4,000 _� 5423 CLOVERLY AV TEMP 917803108 FEES PAID n%Z7TPTT5W-6F WORK T/0 AND REROOF WITH COMPOSITION SHINGLES HOUSE AND GARAGE FEE DESCRIPTION QUANTITY UOM AMOUNT. APPLICANT JAMES TSAI (626) 483-2857- AA BLDG PERMIT ISSUANCE 27 75 79 W. MAGNA VISTA AC STRONG MOTION RESID 4000 00 VAL 0 50 SPECIAL CONDITIONS ARCADIA, CA 91007 D2 PERMIT W/O EN-HC 4000 00 VAL 115 80 TOTAL FEES 144 05 CONTRACTOR TEL NO APPROVALS DATE INSPECTORSIGNATURE JAMES TSAI CONSTRUCTION, INC. (626) 445-8786- 79 W MAGNA VISTA LIC NO LOCATION AND SETBACKS ARCADIA, CA 91007 701042 B SOIL ENGINEER APPROVAL- ARCHITECT OR ENGINEER: TEL NO FOUNDATION/TRENCH FORMS LIC NO AB/UNDER FLOOR RAISEDL FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE. FIRE ZONE CMP UNDERFLOOR S CATION 147H269 3 01 FLOOR DWELLINGNO OF FAMILIES: STAT CLT9'9- NO 21 kXOT-S ATHING WITHINSCHOOL SHENR PANELS AIR QUALITY• 1000 FEET MATERIALS NO NO NO VRAMF INSPECTION REQUIREDp gTU R SET BACK YARD HWY. PROP LINE. WIDTH FRONT PL- INSULATION/WEATHER STRIP SIDE PL- M AT Y E-XYZ O LATH RATED FLOOR/CEIL SSE RATED WAE-L 'AgSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE Uf DRAINAGE REPORT ID: DPR261 ROUTE TO' SS0508