HomeMy Public PortalAbout5702 CLOVERLY AVE_Building__ �
76A638A CE#803 9-68 APPLICATION FOR BUILD'ING ERMIT
COUNTY QF LOS ANGELES BUILDING "� O / OV`Q�L j)J)n-
DEPARTMENT `OF COUNTY ENGINEER ADDRESS L ` �/0a
BUILDING AND-SAFETY DIVISION LOCALITY 1 m l-4
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W JENKI,NS, SUP T OF BUILDING CROSS ST Q
FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE PROCESSED BY
CONST
(Print or type only) --I�
jir
BUILDINGo- ) STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS (/ Olov' 6 �� CLASS NO _DWELL UNITS BK I,— PG 2
LOT NO 'Q BLOCK USE ZONE MAP -OeNO
TRACT J SPECIAL
p� NO OF BLDGS / CONDITIONS
SIZE OF LOT V O NOW ON LOT
USE OF wP ��"
EXISTING BLDG BLDG SETBACK FROM
OWNER C) e TENOL �{ (,� FRONT PROP LINE OF f o'Ve+gly (STREET)
YrJ' s TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
�/
ADDRESS p LUu e A if- HIGHWAY WIDTH FROM C L
CITY � G.2 Li C-L 4 0 J � _?e +
BLDG SETBACK FROM ilp (VI
ARCHITECT OR TEL SIDE PROP LINE OF L (STREET)
ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
ve) _ CL
CONTRACTOR W1f/�C NOL L D v + Q - C
LIC C;
ADDRESS 5/'T M - NO CORNER CUTOFF YES NO ❑
C
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTFfLICTION LENDER a
NAME AND BRANCH u
ADDRESS i cam/ �q} y /�
SO FT NO OF NO OF NEN, ❑ NOT `'APS/ - "" 2" , -
-
SIZE STORIES FAMILIES q
USE OFADD
STRUCTURE EeAw p
ALTER ❑ � I _ _ _
REPAIR❑
SIGNATURE OF r DEMOL ❑ /D rA
APPLICANT A,
1
VAL7ALL
aD APPROVALS DAT INSPECTOR' T
J— IP C PMTS ++yy FOUNDATION LOCATION
FEE FEE $..p{pC J FORMS MATERIALS G -�
FRAME FIRE STOPS,
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS /{' �(„ �✓
lv,
ANHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WIRDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STR UC TION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT 1),VV"1 j
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO _
WORKMEN'S COMPEN TION I RA LATH EXT
SIGNATURE OF
� HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED oe
ADDRESS O 0�1
FINAL b
PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL STRU URAL ENGINEER
PERMIT VALIDATION cK M o CASH
.
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 1201310089
PHONE (626) 285-0488 EXT DUPLICATE
1
(LEGAy
L ID I NO OF CONST I BUILDING ADDRESS f
ITR 6561 LT '01 I SQ FT STORIES TYPE 1 5702 CLOVERLY AV
STRUCTURE 2600 V-B I TEMP CA 917802551
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LIVE OAK
18587-011-026 1 I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl
ITENANT (EXIST BLDG USE RESID USE ZONE R-1 11SSUED CN PROCESSED BY I
(EXIST OCC GRP 101/31/12 SR 1
I I I I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL IQATE FINAL BY CODE 1
1ARRIGHI, DAN (626) 786-1806- 1 6,300 11
15702 CLOVERLY AV 1 I -j v 1
ITEMP 917802551 I FEES PAID JIMSCRVPTION OF WORK Q1
I IREMOVE EXISTING ROOFS & INSTALL 30 YR SHINGLES 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT
1APPLICANT TEL NO I 1 I
ISBR INC (818) 843-0544- IAA BLDG PERMIT ISSUANCE 27 80
I IAB STATE GREEN BLDG FEE 6300 00 VAL 1 00 ISPECIAL C014DITIONS
IAC STRONG MOTION RESID 6300 00 VAL 0 60 I
ID2 PERMIT W/O EN-HC 6300 00 VAL 166 60 I
I 1 TOTAL FEES 196 00 I
ICONTRACTOR TEL NO I IPPPROVAuS DATE INSPECTOR SIGNATURE 1
(SBR INC (818) 843-0544 I - 1— _
1801 S FLOWER LIC NO I ILOCAfION AND SETBACKS 1
IBURBANK, CA 91502 802575-C39 I I I 1 I
I v I ISOILS ENGINEER APPROVAL 1 1
I I I I I I
1ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I
1 LIC NO 1 ISLAB/UNDER FLOOR I I
I I I I I I
I I IRAISED FLOOR FRAMING I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFIOOR INSULATION I I I
1147H265 3 001 1— 11 1
I ' I IFLOCR SHEATHING I I 1
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I_ I I I
1 0 NO 21 1 I ROOF SIiEATHING
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS
(AIR QUALITY 1000 FEET MATERIALS I I I
NO NO NO I IFRAME INSPECTION I I I
I I IFIRE SPRINKLER HANGERS 1 1
1 11NSL'LATION/WEATHER STRIPI I I
I— I I I
I I IINTERIOD LATH/DRYWALL 1 I
I 1 1EXTERIOR LATH I I 1
I IRATED FLOOR/CEIL ASSEM I I I
I I IRATED WALL ASSEMBLIES I I I
I I I I I I
IRATED SnAFTS/OPENINGS I I I
I I I I I I
I IT-BAR CEILINGS I
I 1 ILOT DRAINAGE 1 1 1
I I I I I I
1 IREPORT ID DPR261 ROUTE TO BS0508 1 I I I
.r