HomeMy Public PortalAbout5442 CLOVERLY AVE_Building__ TEMPLE CITY TEMPLE CITY
76A638A CE #80312/69 1
APPLICATION FOR BUILDING PERMIT'
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING `
ADDRESS , Ci 'v L.
JOHN A LAMBIE, COUNTY ENGINEER A
COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY n /'� G 1•
FOR APPLICANT'TO FILL IN NEAREST
CROSS ST
(Print or tvDe onl
BUILDING DISTRICT NO GROUP CTYPE ONST PROCESSED BY
ADDRESS 5442 Cloverly Avenue I
r. STATISTICAL CLASSIFICATION SEWER MAP '
LOT NO (J �� Q' BLOCK
CLASS NO DWELL UNITS BK PG
TRACT USE ZONE MAP
NO OF BLOGS _ NO
SIZE OF LOT NOW ON LOT SPECT L
USE OF ` CONDITIONS
EXISTING BLDG Dwelq lgarage�7
OWNER Edward S •S NOL 6^ BLDG SETBACK FROM
FRONTPROP LINEOF (STREET)
ADDRESS
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY Temple City
.y ,HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL } _
ENGINEER NO
BLDG SETBA ROM
ADDRESS SIDE PROP LINE (STREET)
TEL TYPE OF EXISTING SETS HIGHWAY } YARD = TOTAL
CONTRACTOR NO HIGHWAY WIDTH FROM C L
ADDRESS 529
E . Val 1 ey NO 7180 } CD
LIC C=
CITY San Gabriel C ASS CORNER CUTOFF YES ❑ El
CONSTRUCTION LENDER CD
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPRO- LS L~LLI
d
ADDRESS � Z
SQ FT NO OF NO OF NEW ❑
SIZE STORIES FAMILIES
USE
STRUOCTURE Dw 1 a ra e _ LT AjJ ❑
A"LTER ❑
w/ Im erial 40 comp .
REPAIR
SIGNATURE OF
APPLICANT ` ,, DEMOL ❑
VALUATION S 700 . 00 APPROVALS DATE INSPECTOR'S SIGNATURE
PIVIT
FEE S FEE $ 12 . 00x rOON FORMS I MATERIAAL ION
PC
(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
STRUCTIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE ILATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S CO MPENN ATION SURAN �
` �� � LATH EXT
SIGNATURE OF 'HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS 529 E . Valley , SanGabrje+_ ;FINAL
JOHN F LEWIS PRINC P ST URAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALID I CK' M o CASH
II '
lid o,;6:Q 5 --' ROY IS 1 D 12.0 0-
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