HomeMy Public PortalAbout5508 CLOVERLY AVE_Building__ 76 A638A CE #803 4/72 ��
APPLICATIC �FOR ILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS 1-63
< T
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
Print or type only)
BUILDING
DISTRICT NO GROUP CONST TYPE PR €SSE BY
^
ADDRESS g, 4, d 6 —
STATISTICAL CLASSIFICATION SEWER M
LOT NO BLOCK -
\ CLASS NO�LDWELL UNITS BK �PG
TRACT IUSE ZONE MAP Q�
NO OF SLOGS tNO adp
SIZE OF LOT (f l7 NOW ON LOT I SPECIAL
USE OF I CONDITIONS
EXISTING BLDG
TEL � -
OWNER NO 'BLDG SETBACK FROM
ADDRESS IFRONTPROP LINEOF (STREET)
STYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY y,Q�/J/L 'HIGHWAY WIDTH FROM C L
ARCHITECT OR EL +
ENGINEER O
'BLD
ADDRESS SIDE PROP LIN (STREET) p
GJ0
TEL TYPE OF EXISTINd SETBACK HIGHWAY + YARD - .. TOTAL
CONTRACTOR y NO -33 HIGHWAY WIDTH FROM C L G
LIC _
ADDRESS NO + - W
LIC
CITY r uo CLASS CORNER CUTOFF YES ❑ - NO10
Z
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APP V_ALS
ADDRESS
SQ FT NO OF NO OF NEW ❑ -
SIZE STORIES FAMILIES
USE OF ADD
STRU TUR
- ALTER ❑ _
SIGNATURE OF REPAIR❑
APPLICANT DEMOL ❑ _
VALUATION $
APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT FOUNDATION LOCATION '
FEE $ FEES FORMS 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
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUCTI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE i LATH INT -
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPE Nl3AT1 INSU ANCE _ -
/.`1/'// LATH EXT
SIGNATURE OF N HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL !�
t )
PLAN CHECK VALIDATION CK M 0 CASH _ PERMIT VALIDAT O � CK M 0 CASH
A�- 0 9 9 113 MAY 7 1 D 2 1 .75--5v
DMSIDei OF BUII.DING AND SAF 12 r� g
J Deportment of County Engineer LDING
1 R J
+ Coca�p of Los Angeles
WM��:1_'�i�'OX, COUNTY ENGINEER + 7A�PPUCATION
1FOR APPLIC/A1NT TO F= IN ADD
BUILDING
BUILDING' , O LOCALITY
ADDRESS
77;_
v CR S8ST
LOCALITY
! (-7
D18TRICT�NO PUN CK oR REc No PERMIT NO
NEAREST
V _
CROSS ST
OWNER /-� �Q RECEIVED BY
�r [DATE OF APPLG,L ,DQA�TE ISSU`E'D
MAIL r ((�� `
ADDRESS-® so C��R1"'/D { �` /1 fJC USE ZONE NO OF TYPE, GROUP FIRE ZONE I
OL O`� I PLANS 1
CITV SdI� CfyQ �� / /L,�^
ARCHITECT OR // yL TEL /�{ ZONING �Iy/ // DATED
ENGINEER d O@i%C G NO !I � 1 APPROVED BYy--
r BUILDING t �� %�
ADDRESS SETBACK LINE /TEL APPROVED DATE,
CONTRACTOR jCr-4C1_oM4 - NO BY:
HOUSE NUMBERING '
ADDRESS �} I
LEGALMAP NUMBER NO ASSIGNED BY
DESCRIPTION I LOT NO BLO
TRACT M!' p
®�e'" DATE I CORRECTIONS I INSPECTOR
SIZE OF LOT G_s-I( /a{Q I NOBLDGS
USE OF " NO OF
EXISTING BLDG uFAMILIES
DFSCRIPTION OF WORK-
NEW ALTERATIONADDITION I I r
r
REPAIR DEMOLITION
SQ �.�
ZEA
NO OF
S ?i4ROOMS +7 STORIES
EXT WA ROOF
CERIN
� S �]Ll.� I COVERING�BA s
USE OF STRUCTU&IE NY
m rl4p
�Y s�eve�,��t✓s APPROVALS
STA GS INSPECT 'S SIGNATURE DATE
FOUNDATION ATION
FORMS, MATE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT
1 AGREE TO`COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT, DUCTS
SIGNATURE OF ' LATH, INT
PERMITTE f ` /
F LATH. EXT n� �f
PLASTER, INT
AUTHORIZED AGT _ i
D C O PLASTER, EXT
FEE HOUSE NUMBER COR- /) /
RECT AND POSTED
VALUATION FEE fr FINAL _
7ewe3aw DBS 3 1-53
- _
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 0708080039
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS !'
ON FILE SQ FT STORIES TYPE 5508 CLOVERLY AV (p'
1 STRUCTURE 29 VN I TEMP CA 917802547
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BROADWAY 1
18588-005-013 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
TENANT IEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY EXPIRES ON I
IEXIST OCC GRP 108/08/07 SR 02/04/08 I
TOWNER TEL 5- iBLDGS NOW ON LOT VALUATION �ATFj/ /1 if CODE
WONG WILSON W,LORRAINE (626) 285-1977- 7,000 ��i1(/
5508 CLOVERLY AV
ITEMP 917602547 FEES PAID IMSCRIPTION OF WORK I
1 IT/O OLD ROOF INSTALL OSB PLYWOOD INSTALL 30 YR COMP SHINGLE
I IFEE DESCRIPTION QUANTITY UOM AMOUNT ICLASS A I
APPLICANT TEL NO I I I
ALFRED LAU (626) 285-9016- IAA BLDG PERMIT ISSUANCE 27 75 I 1
14533 SHIRLY AVE IAC STRONG MOTION RESID 7000 00 VAL 0 70 ISPECIAL CONDITIONS 1
IEL MONTE CA 91731 CD2 PERMIT W/0 EN-HC 7000 00 VAL 166 20 I 1
I 1 TOTAL FEES 194 65 1 1
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
IGOLDEN KEY INC (626) 285-9016- I I 1
IDEA NEVADA GOLDEN KEY LIC NO 1 ILOCATION AND SETBACKS I I I
14533 SHIRLEY AVENUE 775115 C39 I 1 1 1
JEL MONTE, CA 91731 I ISOILS ENGINEER APPROVAL 1 1 1
I I I I I I
(ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS 1 I I
1 LIC NO 1 ISLAB/UNDER FLOOR 1 1 1
I I 1 I I I
1 1 IRAISED FLOOR FRAMING I 1 1
I I I I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP (UNDERFLOOR INSULATION I 1 I
1147H265 3 O11 1 1
1 1 IFLOOR SHEATHING / 1
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS 1 I I
I NO 21 I IROOF�SHEATHING 1
I I I I I
1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I
(AIR QUALITY 1000 FEET MATERIALS 1 1 1 1 1
1 NO NO NO I IFRAME INSPECTION 1 1 1
IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS I I
ISET BACK YARD HWY PROP LINE WIDTH I I I I
IFRONT PL- (INSULATION/WEATHER STRIPI I 1
I SIDE PL- I 1 1-1 I
1 1 IINTERIOR LATH/DRYWALL I 1
I I (EXTERIOR LATH I 1 1
I I I I I I
I I IRATED FLOOR/CEIL ASSEM I I I
I I I I I I
I IRATED WALL ASSEMBLIES I I
I I I I I
IRATED SHAFTS/OPENINGS I 1
1 I IT-BAR CEILINGS
ILOT DRAINAGE I I I
IREPORT ID DPR261 ROUTE TO BS0508 1 1 1 1
I I I I I I