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
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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
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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
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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