HomeMy Public PortalAbout5510 CLOVERLY AVE_Building__ 76A638A CE#803 1 62APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS-ST
DI�RI T, ..._-.GRO P-TYPE— —P OCE Y
FOR APPLICANT TO FILL IN CONsr
BUILDING ..� STATISTICAL CLASSIFICATION SEWE MAP
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OWNER /`O��I7� NO -�� BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
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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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK � 1 ,
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT 1/
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN 5 CO ENSATION INSURANCE LATH EXTSIGNATURE 1
PERMITTEE O HOUSE NUMBER RECT AND POSTED R 2�'fLL-6N3
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ADDRESS 4 FINAL
PLAN CHECK VALIDATION cK i M O cnsH _ JOHN F LEWIS PRINCIPAL STR � RAL ENGINEER
PLAN CHECK VALIDATIONO .0 CASH VALIDATION cKM O /CASH
Lko 46741 SEP 21 23 D 28.50A
LA(' 49721 SEP28 1 D 57.00- q
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 91760 BL 0508 0511040030
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 5510 CLOVERLY AV
STRUCTURE 1260 VN TEMP CA 917802547
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY
8588-005-026 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, C
TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 11/04/05 JK 10/30/06
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE
NG MANDY (626) 616-6684- 5,000 //�,
5510 CLOVERLY AV
TEMP 917602547 FEES PAID DESCRIPTION OF WORK
TEAR OFF AND REROOF WITH 30 YR COMPOSITION SHINGLES HOUSE
FEE DESCRIPTION QUANTITY UOM AMOUNT AND GARAGE
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 5000 00 VAL 0 50 SPECIAL CONDITIONS
D2 PERMIT W/O EN-HC 5000 00 VAL 132 60
TOTAL FEES 160 85
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
LIC NO SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
-- MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
147H269 3 01
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ASSEM
PATEL WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAF CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
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 0511140012
PHONE (626) 285-0488 EXT
A
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 5510 CLOVERLY AV
STRUCTURE 1260 VN TEMP CA 917802547
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY
8588-005-026 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY C
TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 11/14/05 JK 11/09/06
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE
NG, MANDY (626) 616-6684- 2,000 _
5510 CLOVERLY AV
TEMP 917802547 FEES PAID DESCRIPTION OF WORK
ADD BATHROOM TO EXISTING BEDROOM
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO S
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 2000 00 VAL 0 50 SPECIAL CONDITIONS
AX BUILDING REVIEW FEE 54 70
B2 PERMIT W/ENERGY 2000 00 VAL 90 42
TOTAL FEES 173 37
CONTRACTOR TEL NO ArPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
LIC NO SLAB/UNDER FLOOR
RAISED FLOOR FRAMING-
MAP NO SEWER MAP BOOK PAGE FIRE ZONE _CMP_ f a UNDERFLOOR INSULATION
147H269 - - 3 01 A
- FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
NO 21 r ROOF SHEATHING
d
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS i .
NO NO NO -' FRAME INSPECTION
l
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
G
..,.r. EXTERIOR LATH
Fah RATED FLOOR/CEIL ASSEM
+� RATED WALL ASSEMBLIES
a's
RATED SHAFTS/OPENINGS
x
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
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 0908310021
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 5510 CLOVERLY AV
(STRUCTURE V-B TEMP CA 917802547
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY
18588-005-026 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
TENANT JEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY
EXIST OCC GRP 108/31/09 SR
OWNER TEL NO 1BLDGS NOW ON LOT VALUATION IFINAL DATE F;q BY CODE
KHAN/MACKENZIE, POH LIN/IAN (626) 309-2807- 1 1 500 +I�/7 .�1
15510 CLOVERLY AV I _/�/�''
TEMP 917802547 FEES PAID ID SC (PTI N OF WORK
I (1) ADD TWO NEW WINDOWS AND ONE NEW DOOR TO EXISTING GARAGE
IFEE DESCRIPTION QUANTITY UOM AMOUNT I (2) ADD ONE SKYLIGHT IN MASTER BATHROOM
(APPLICANT TEL NO I I
(SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 I
IAB STATE GREEN BLDG FEE 1500 00 VAL 1 00 (SPECIAL CONDITIONS
1AC STRONG MOTION RESID 1500 00 VAL 0 50 I
IAX BUILDING REVIEW FEE 54 70 I
ID2 PERMIT W/O EN-HC 1500 00 VAL 82 20 I
ICONTRACTOR TEL NO TOTAL FEES 166 15 IAPPP:VALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER - I
I LIC NO ILOCP'T'ION AND SETBACKS I I
(SOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER TEL NO I i << (FOUNDATION/TRENCH—FORMS
LIC NO - - - - t e I SLAB/UNDER FLOOR I I
IRAIf ED FLOOR FRAMING I I
I (
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I IUNDERFLOOR INSULATIONI I
I147H269 3 001 I
FLOOR SHEATHING I I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I I
NO 21 I (ROOF SHEATHING
SCHOOL WITHIN HAZARDOUSI SHEAR PANELS I I
(AIR QUALITY 1000 FEET MATERIALS I
NO NO NO I FRAME INSPECTION
(REQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS
I i �
ISET BACK YARD HWY PROP LINE WIDTH I I I I
IFRONT PL- I (INSULATION/WEATHER STRIPI I
I SIDE PL- I I I I
(INTERIOR LATH/DRYWALL I I
(EXTERIOR LATH I I
I I I I
(RATED FLOOR/CEIL ASSEM I I
(RATED WALL ASSEMBLIES I
I
I I I I
(RATED SHAFTS/OPE2dING5 I I
IT-BAR CEILINGS I I
ILOT DRAINAGE i I
IREPORT ID DPR261 ROUTE TO BS0508 I
I I I I I 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 0910050026
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 5510 CLOVERLY_AV
)STRUCTURE 0 V-B TEMP CA 917802547
ASSESSOR INFORMATION NUMBER 1 NEAREST CROSS STREET BROADWAY 1
18588-005-026 1 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
ITENANT IEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY
(EXIST OCC GRP 110/05/09 SR 1
I I I I
TOWNER TEL NO JBLDGS NOW ON LOT VALUATION i FIIN� DISE FINAL BY CODE
KHAN/MACKENZIE, POH LIN/IAN (626) 309-2807- 2,700 3'(�I
5510 CLOVERLY AV I /
ITEMP 917802547 1 FEES PAID D CRIPTI N OF WORK )
I 1 (REPLACE 3 WINDOWS ON (BEDROOMS) TO DOUBLE PANE WINDOWS 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I
)APPLICANT TEL NO
)SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 I
1 IAB STATE GREEN BLDG FEE 2700 00 VAL 1 00 ISPECIAL CONDITIONS
IAC STRONG MOTION RESID 2700 00 VAL 0 50
1 ID2 PERMIT W/O EN-HC 2700 00 VAL 99 00
I I TOTAL FEES 128 25 ) 1
ICONTRACTOR TEL NO I )APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I
I LIC NO ILOCATION AND SETBACKS
I I I I I I
ISOILS ENGINEER APPROVAL
I I I I I I
(ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I
1 LIC NO I ISLAB/UNDER FLOOR I 1 I
I I I I I I
IRAISED FLOOR FRAMING
I I I I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 (UNDERFLOOR INSULATION I I
I147H269 3 001 1 11
I I IFLOOR SHEATHING I I I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I 1 11 I
NO 21 1 IROOF SHEATHING I
I I I I f I
1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I
)AIR QUALITY 1000 FEET MATERIALS I II I
1 NO NO NO 1 FRA[9E INSPECTION I I
IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS 1 1
ISET BACK YARD HWY PROP LINE WIDTH I I
)FRONT PL- IINSULATION/WEATHER STRIPI I 1
I SIDE PL- I 1 1
I IINTERIOR LATH/DRYWALL I I
I I I I I I
I I 1EXTERIOR LATH
I I I
1 IRATED FLOOR/CEIL ASSEM I 1
I I I
1 IRATED WALL ASSEMBLIES
I I I
1 IRATED SHAFTS/OPENINGS 1 )
I IT-BAR CEILINGS
ILOT DRAINAGE 1
IREPORT ID DPR261 ROUTE TO BS0508 1
I I I I I I