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HomeMy Public PortalAbout5754 CLOVERLY AVE_Building__ 76A638A CE #80312/69 - TEMPLE CITY APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING 1 JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. Print ort a only) BUILDING DISTyRrIC'T O. GF?O TYPE R BY ADDRESS 5 7 5 4 E . C l o v e r l Ave T . C _ CONST. STATISTICAL CLASSIFICATION: SEWER M LOT NO. BLOCK ,/ CLASS NO.CPU OWELL•UNITS L—BK j P TRACT USE ZONE MAP NO.OF BLOGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG. OWNER Harr Thompson NO. 285-839 BLDG.SETBACK FROM ADDRESSFRONT PROP.LINE OF (STREET) 5754 ' E Cloverly Ave TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY Temple City , Ca 1 i.f HIGHWAY WIDTH -FROM C.L. ARCHITECT OR TEL. } _ ENGINEER NO. BLDG;SETBACK FM ADDRESS SIDE'PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK AY } YARD = TOTAL CONTRACTOR NO, HIGHWAY WIDTH FROM C.L. LIC, ADDRESS NO, } _ LIC. CD CIT` San Gabriel Cal . CLASS C-39 CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS wa SQ, FT. NO. OF NO. OF NEW ❑ z SIZE STORIES FAMILIES USE STRUOCTURE re-ro.of Dwl g with ADD ❑ ALTER ❑ FIG Comp D SIGNATURE OF REPAIR APPLICANT DEMOL ❑ lv0 a- VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT, i �� FOUNDATION:'LOCATION FEE S FEE S— FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I 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 I WILL NOT EMPLOY ANY PERSOh VIOL TION OF THE LATH, INT. LABOR CODE OF THE STA E 0 -CAL OR IA I RELATI G TO WORKMEN'S COMPE NS 10 INS NC LATH, EXT. SIGNATURE F HOUSE NUMBER COR- PERMITTEE RECT AND POSTED of ADDRESS 529 FINAL JOHN F. LEWIS. PRIM IPAL STR T RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALID TION CK. M.O. CASH L)' . 2'.? 0: FIEB 4 1 D 1 2.0 0 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER IS U FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.NO. PERMIT NO. > ADDRESS� - �A�� FUtr '�--�fi~�"✓'l�[=f'� �, � e G' LOCALITY �L'r � � �_- RECEtVED�BYDATE,OFAPPL. DATEISSUED NEAREST Y CROSS BT. .� Y/)H&kyL",till" A"P BUILD NG OWNER Yt ! '�,-Lrr:n1�=F'./•'='-LN<'ftjj' ADDRESSMAIL T• ,s ADDRE58 ✓ njA �,.���,�&' L' �j� .7 e; LOCALITY ' S NEAREST 6 ' CITY O�'7J' ,.'a�r= � �f/ NO CROSSST. d % .v,...�. ... FIRE, NO.OFTYPE GROUP ARCHITECT OR TEL. ZONE PLANS f� ,J�, ?� A .k,,., ;/:' ENGINEER NO. BLDG. ORD.NO. ADDRESS SETBACK LINE �J APPROVED CONTRACTOR -•�-� tii-lx el1G NO L. BY DATE USE APPROVED 'ADORE99fd 0 .."Ate;` .�''✓'�"8�"�k ��.:t�'F:c'1,��� � ZONE �'d ® BY DATE LEGAL DESCRIPTION LOT NO. I BLOCK r CORRECTIONS ' TRACT NO.OF SLOGS. SIZE OF LOT NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH GI SQ.FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOF r COVERING COVERING USE OF NEW BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS. APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION): LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. r - FRAME: FIRE STOPS, SIGNATURE OF / ^`" /o/ BRACING,BOLTS PERMITTEE* r� .�l.. —rkuta�Y�t"I'f✓ }I � LATH, INT. AUTHORIZED AOT '`�;,pg, Y LATH, EXT. 76A638A-3 7-49 !� 0. P.C.18 PLASTER, INT, n - FEE00 PLASTER,EXT. / VALUATION FEE j FINAL VA "' .f X3/-r/ APPLICATION FO BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING A RE c or a certificate of Workers' Compensation Insurance, or a certified `'��� cop�(t�h #Df(Sec.3p8800,Lab.C.1, I CITY �,r. ZIP LOCALITY P "Tl �� /p�' �L! 2rfia�Cs� 11 l� Icy O._ Comp SIZE OF LOT NO.OF BLDGS�IOW ON LOT 'I El Certified copy is hereby furnished. �,�., NEAREST CROSS ST. i- TRAC _ BLOCK LOT N6 yY L I Certified copy is filed with the county building inspection 9- 0 department. _ L. r USE ZONE MAP NO. Date Applican V1�1�"_`�v ASSESSOR MALI PAG PAFE�Q SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER T BIC �g COMPENSATION INSURANCE NO, Ul WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS " �' DISTRICT GROUP. TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) I certify that in the performance of the work for which this permit CITY ZIP q l-1 is issued, I shall not employ any person in any manner so as to ARCHIT CTOR NGINEER o. become subject to the Workers'Compensation Laws. I T L,� STATISTICAL CLASSIFICATION APT CONDO - (� CLASS NO. DWELL UNITS Date Applicant ADDRESS 1 NOTICE TO APPLICANT.' If, after making this Certificate Of 4 REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR �` �, _ T4 NO. SET BACK YARD HWY PROP LINE WIDTH //�� Compensation provisions of the Labor Code, you must forthwith b L"`+T � Z—��1p FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS;1 a! t LICe I�¢,lop,t, P L `'t1 '� `..`'` a{' SIDE LICENSED CONTRACTORS DECLARATION CITY 6 i 1c. LIC.CIL P L I hereby affirm that I am licensed underprovisions of Chapter 9 N SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF TORIES NO.OF�FAMILIES Professions Code,and my license is in full force and effe t. NEW El BK PG License Number 411, Lic.Class v� DESQRIPTION OF WORK ADD ❑ VALUA ON , O Contractor �0, ��5� Date "�� ALTER $ 00 O El REPAIR 1:1I am exempt under Sec. $ I— BAP.C.for this reason �a tir�u DEMOL 1:1 LDMA P/C# W Da USE OF EXISTING BLDG. URM ❑ a Signature LrA K Le- APP CANT(PRI ) T O. LDMA Perm# '-� _ z ❑ I, as owner of the property, or my employees with wages as " -2� ZO AVCT.e a ADDRESS their sole compensation, will do the work and the structure is �- mss. not intended or offered for sale (Section 7044, Business and l�SLWI O� FINAL DATE tL6,.f_S Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ 1, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE v Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY A•r.f pp- p' licensed contractors to construct -the project (Section 7044, VES El NO !tti�•! e s Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING -,^���•+ 312 a'5 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH a tifa ^� CONSTRUCTION LENDING AGENCY GOAST AIR QUALITY MANAGEMENT DISTRICT(SCACMD)SEE PERMITTING CHECKLIST FOR :� ITEMS GUIDELINES. i I hereby affirm that there is a construction lending agency for YES❑. NO(� N the performance of the work for which this permit is issued(Sec. TOTAL 363 - 35 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING _. . 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, -67 -q TIT 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS -HECK K �'_s j Lender's Name E LS REPORTI GAN RnOBTAIr�INC A PERMIT FROM THE SCAQMD. !� [ o Lender's Address t-riliii� OWNER OR AGENT - O o I certify that I have read this application and state under penalty P.C.FEE PERMIT FEE of perjury that the above information is correct.I agree to comply n t -, f•i ,O_ N with all county ordinances and State laws, relating to building D'� /��'� 0000-000i •:1 I s_ a construction, and hereby authorize representatives of this County ISSUANCE FEE �f - '� ; i : n•'t ter upon the above-mentioned property for insp Ctio purrpposes. t� © �`` °L`* a f*11w� r 7 I INVESTIGATION FEE TOTAL FEE 77of Applicant or Agent On e SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a c2rtified c%py thereof (Sec. 3800, Lob. C.) �,� Q '�p�'--10 � COUNTY OF LOS ANGELES BUILDING AND SAFETY Pal No. ompany Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ^-1 �` ADDRESS t ❑ Certified copy is filed with the county building inspec- BUILDING 5,-T L10 �� ` tion department. f/^�J ^A\ ADDRESSp �^ Date Applicant 0 T�vH .� CITY T. �. ZIP t o� LOCALITY fi� l.. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. L (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. �• USE ZONE MAP , I certify that in the performance of the work for which this OWNER W No " J NO. permit is issued, I shall not employ any person in any manner�Lt �*�VC �/. SPECIALt so as to become subject to the ers'Compensation Laws. ADDRESS -1 1 CONDITIONS 0. 9ft � � CITY ��� ZIP Date 2- � D Applican ��f NOTICE TO APPLI ANT; If, after making this Certificate of ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PROCESSED BY 0 Exemption, you should become subject to the Workers' ENGINEER e/! NO. ��-�F° 1 CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS K-31 f) W with comply with such provisions or this permit shall be 0- deemed revoked. TEL. r STATISTICAL CLASSIFICATION APT. COCAI CONTRACTOR L NO. �- 1Z LICENSED CONTRACTORS DECLARATION LIC. L,] k) p CLASS NO. DWELL. UNITS —� I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �� Lw1�CwNO. [ V`�� (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code, and my license is in full force and effect. CITY T� CLASS �` BK PG VALIDATION 4�1 Q ' 1 SQ. 1(-20STORIIES F MILOF 11 LIIE CHECK License Number �6 Lic.Class_ SIZE NEW El VALUATION Contractor PO--VQ— ��\ " 2� DESCRIPTION OF WORK = ADD , .❑ I am exempt under Sec. ❑ ALTER B.BP.C. for this reason ,1117`"". REPAIR ❑ $ Date: EXISTING BLDG. DEMO[ ❑ Signatur APPLICANT TEL. i1]t+� �� FINAL OWNER-BUILD DECLARATION PRINT) NO. L`l�1 DATE 'j� I hereby affirm that I am exempt from the Contractor.'s License Lk r t � Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRESENT BY ❑ BUILDING I, as owner of the property,.or my employees withADDRESS orz p 3 2 7 A wages as their sole compensation, will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. .#.o 0 0 0 • ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO'. o!o with licensed contractors to construct the project (Sec-. ADDRESS �, ° "tI 7 8 O tion 7044, Business and Professions Code). �`;' :. bx CONSTRUCTION LENDING AGENCY REQUISET RED YARD HWY TOTAL SETPROBACK FROM LINE WIDTH N - 7 G•0 I hereby affirm that there is a construction lending agency for FRONT 1 !m 8 8 the performance of the work for which this permit is issued P.L. 0 Q (Sec. 3097, Civ. C.). SIDE P.I. Lender's Name k m P.C. Fee$ Permit fee LDMA Ref.'# Lender's Address g I certify that I have read this application and state that the Issuance Fee �� LDMA P,/C M'r o above information is correct. I agree to comply with all County Investigation Fee s 0 ordinances and State laws relating to building construction, Total Fee R and hereby authorize representatives of this County to enter r LDMA Perm. N the above-mfed property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent tate WORKERS' COMPENSATION,DECLARATION self insurebor afclertificaterm thatlof Workers'tolmpensstlonolnsuranace, or APPLICATION F O BUILD-I N G PERMIT a certified copy thereof (Sec. 3800, Lab. C.) . COUNTY OF LOS ANG ES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. "FOR,APPLICANT TO FILL IN aooRRESS 5 _ ❑ Certified copy is filed with the county building inspec- BUILDINGr ` /mfr tion department. ADDRESS J /e9 AJ LOCALITY l NEAREST. Date Applicant CITY /• 1Q L e, ZIP [ 7�� CROSS ST. ° CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR ' . - COMPENSATION INSURANCE SIZE OF LOT . NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit.is for one US ZONE MAP hundred dollars ($100) or less.) TRACT BLOCK LOT NO. . - NO. t TEL. S�p�E^ SPECIAL I certify that in the performance of the work for which this OWNER L J4VkC �NO.� olc7 CONDITIONS ,V ` P TRICT GROUP TYPE ��ZA ED BY, permit is issued, I shall not employ any person in any manner r(J d V so as to become subject to The Workers'Compensafio Laws. ADDRESS 7 ��� CONST 19 CITY �.[/N /C ZIP o ! 0 Date el--9 —� Applican • �� STATISTICAL CLAS SI RATION APT. CONDO. ARCHITECT O TEL. Lrc -- LJ NOTICE TO APPLICANT: If, aft r making this Certificate of Lae ENGINEER NO. CLASS NO. DWELL. UNITS 0. Exemption, you should beco e subject to the Workers' 44 with provisions of the Labor Code, you must forth- ADDRESS SEWER MAP 44 with comply with such provisions or this permit shall be deemed revoked. TEL CONTRACTOR NO. B1/—PG.. VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. c 2 0 11 1,5 A Professions Code, and my'license is in full force and effect. CITY CLASS. $ SQ. FT.6 VY NO. OF NO. OF CHECK # oto'o o 2 3 License Number Lic.Class SIZE GS'L Q STORIES FAMILIES ONE /�// Contractor Date DESCRIPTION OF WORK NEW ❑ $�- ` � ® � •2 °'o,1 8' 00 ❑ 1 am exempt from the licensing requirements as I am a tiv/Tl�, KJ�I�i C f ADD o l0*0 1 8,0 d55 licensed architect or a registered professional engineer ALTER ❑ FINAL q REPAIR acting in my professional capacity (Section 7051, � ... ❑ DATE `3 M�CJ O t 06,09 0.9—8 1 Business and Professions Code). _ USE OF I FINAL EXISTING BLDG. e-,s DEMOL ❑ By e d + Lic. or Reg. No. Date APPLICANT M� � TEL:2�j G-,�-^ OWNER-BUILDER DECLARATION PRINT) AC IV4S �C' NO,.g6--S' 7+� �+ I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS.7'76 0,�,e r Professions Code): PRESENT2.0;1 1.6A BUIMING ❑ I, as owner of the property, or my employees with ADDRESS #•o o,o o o 1 wages as their sole compensation,will do the work and , z • the structure is not intended or offered for sale(Section LOCALITY . 7044, Business and Professions Code). MOVING TEL. / mss/ 2 ° 2,6 3.5 0 CONTRACTOR NO. / mac+ ❑ I, as owner of the property, am exclusively contracting 2 6 3.5 0 c�i with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 0 6. 0 9-8 1 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH • I hereby affirm that there is a construction lending agency for FRONT the performance of the.work for which this permit is issued P.L. (Sec. 3097, Civ. C.-). SIDE P.L Lender's Name .� o� �•^ P U Lender's Address P.C. Fee$ / Permit Fee �!p >( I certify that I have read this application and state that the Issuance Fee ! a 0 above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, �tJ Total Fee and hereby authorize representatives of this County to enter Q upon the above-mentioned property for inspection purposes. a SEE REVERSE FOR-EXPLANATORY LANGUAGE ignature of Applicant or Ag+t Dote - ©s .f 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 1105020035 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 6561 LT: 696 UN: .003 I SQ. FT STORIES TYPE 5754 CLOVERLY AV 1 I (STRUCTURE: V-B TEMP CA 917802551 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18587-011-016 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 105/02/11 SR OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFI AL DATE FINAL BY: CODE: IDEMARCO, TOMAS - 1 6,000 1 1 15754 CLOVERLY AV I 1 ITEMP 917802551 1 FEES PAID ItYtSCRiPTION OF WORK 1 1 1 IKITCHEN REMODEL I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 I 1APPLICANT: TEL. NO: I I I IBROTMAN IFET (818) 987-7277- 1AA BLDG PERMIT ISSUANCE 27.80 1 I IAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IAC STRONG MOTION RESID 6000.00 VAL 0.60 1 IB2 PERMIT W/ENERGY 6000.00 VAL 164.70 TOTAL FEES 194.10 CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE MILLENNIA CONSTRUCTION (600) 994-5843- I 14570 VAN NUYS #424 - LIC. NO 1 ILOCA' ION AND SETBACKS I 1 ISHERMAN OAKS CA 91403 * LOMITA * 1 I 1 ISOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I LIC. NO: I ISLAB/UNDER FLOOR I I I I RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I I 1150H265 3 OOI I 11 I I _I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 1 1 NO 21 I IROOF SHEATHING I I I I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I (AIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NO IFRAME INSPECTION I IFIRE SPRINKLER HANGERS I I I I I I I 11NSULATION/WEATHER STRIPI I I 1 _1 1INTERIOR LATH/DRYWALL 1 I I I F � I 1 (EXTERIOR LATH I I I I I I I IRATED FLOOR/CEIL ASSEM. I I I I I I IRATED WALL ASSEMBLIES 1 I IRATED SHAFTS/OPENINGS I I I I I I IT-BAR CEILINGS * ADDITIONAL DATA ON FILE 1 1-1 I ILOT DRAINAGE I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 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 0912150049 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. OF CONST BUILDING ADDRESS: ITR: 6561 LT: 696 UN: .003 SQ. FT STORIES TYPE ( 5754 CLOVERLY AV I (STRUCTURE: V-B TEMP CA 917802551 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 18587-011-016 1 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXIST OCC GRP: 02/1.0/10 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: IDEMARCO, THOMAS (626) 286-5875- 1 25,000 �� 15754 CLOVERLY AV 1 (TEMP 917802551 FEES PAID IDESCRIPTION OF WORK V I ISOLAR ELECTRIC INSTALL 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 APPLICANT: TEL. NO: IFERGUSON (949) 248-9728- ID7 ADDNL PLANCHECK FEE 1.00 HOU 109.35 I 1 133171 PASEO CERVEZA IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: 1SAN JUAN CAPISTRANO IAB STATE GREEN BLDG FEE 25000.00 VAL 1.00 1 ID2 PERMIT W/O EN-HC 25000.00 VAL 92.50 1 1 TOTAL FEES 230.60 1CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 1SOLAR-TEC SYSTEMS (949) 248-9728- 1 133171 PASEO CERVEZA #224 LIC. NO 1 ILOCATION AND SETBACKS 1 1SAN JUAN CAPISTRANO, CA 92675 752181 C46 *1 1 1 1 ISOILS ENGINEER APPROVAL i ARCHITECT OR ENGINEER: TEL. NO: 1 1FOUNDATION/TRENCH FORMS 1 1 1 LIC. NO: 1 1SLAB/UNDER FLOOR 1 - 1 1RAISED FLOOR FRAMING 1 I 1 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION 1 I 1 1150H265 3 001 1 _1 1FLOOR SHEATHING 1 INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 NO 21 1 1ROOF SHEATHING 1 . SCHOOL WITHIN HAZARDOUS ISHEAR PANELS , (AIR QUALITY: 1000 FEET MATERIALS NO NO NO I FRAIiE INSPECTION 1 1 1REQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS I I 1SET BACK YARD: HWY: PROP LINE: WIDTH: 1FRONT PL- 1 - 11NSULATION/WEATHER STRIPI 1 1 I SIDE PL- 1 1 11NTERIOR LATH/DRYWALL 1 1 1 1 1 1EXTERIOR LATH 1 1 1 1 IRATED FLOOR/CEIL ASSEM. 1 1 1 (RATED WALL ASSEMBLIES 1 1 1 1 1RATED SHAFTS/OPENINGS 1 1 1 *1 ADDITIONALDATAON FILE 1T-BAR CEILINGS 1 1 ILOT DRAINAGE I I I 1 1REPORT ID: DPR261 ROUTE TO: BS0508 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 0405140013 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 696 UN: .003- SQ. FT STORIES TYPE 5754 CLOVERLY AV STRUCTURE: VN TEMP CA 917802551 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-011-016 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/14/04 VG 05/09/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEY: CODE: DEMARCO THOMAS G CO TR (626) 286-5875- 11,000 5754 CLOVERLY AV .�. TEMP 917802551 FEES PAID DESCRIPTION OF WORK BATHROOM REMODEL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: P S CONSTRUCTION (626) 442-2764- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 11000.00 VAL 1.10 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 11000.00 VAL 233.40 TOTAL FEES 262.25 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE^ P S CONSTRUCTION (626) 442-2764- 5415 PERSIMMON AVE LIC. NO LOCATION AND SETB CKS TEMPLE CITY CA 91780 431044 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS- LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING i MAN NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION �- XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: 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. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508