HomeMy Public PortalAbout5802 CLOVERLY AVE_Building__ .APPLICATION FOR ' '
`BUILDING PERMIT
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'NO OF BLDGS` j ASSESSORr
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ENGINEER NO / { _ SPECIAL _
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ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED-r YES ❑ NO'a
CONTRACTOR M/" —�/ /f ��NEL
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ADDRESS /Vi h�� � NO ; 6W Y FRO TPROP LINE OF i —(STREET) r
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CLASS / FRONT PROP LINE HIGHWAY WIDTH
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NAME AND BRANCH BLDG SETBACK FROM UO
ADDRESS CITY SIDE PROP LINE OF '(STREET) F O
SQ FT NO OF NO OF s CHECK HIGHWAY + YARD = TOTAL SETB FRO TYPE OF EXISTING
SIZE STORIES FAMILIES ONE SIDE PROP LINE IGHWA� WIDTH Q_
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DESCRIPTION OF WORK p/—',l NEW ❑
` ADD CORNER CUTOFF ',YES ❑' NO ❑
y ALTER ❑
REPAIR El
IN OPEN SPACE- YES ❑ NO [3 USE OF
V0 ,7;_-17 ' ii "_ ty V IN COASTAL PERMIT ZONE YES ❑ NO
EXISTING BLD ❑
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APPLICANT„t r "�} .r ""TEL w i rert r b -
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BY(SIGNATURE)
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I HEREBY ACKNOWLEDGE'THAT+I HAVE^REAMTH IS`APPLI CATION,,AN D STATE,
THAT THE ABOVE IS CORRECT«ANDpAGREE LTO COMPLY WITH'ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK
-
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY+PERSON INIVIOLATION OFfi
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATINGATO WORKMENyi COM 1"
PENSATION INSURANCE ,
9
SIGNATURE OF �� �, �� FINAL �� BY
PERMITTEE^ y ' �'!'`I�- DATE 17
ADDRESS _
7 5^
Z TEL (/`/� PC Fee$ Permit Fee
CITY 6� O! " NO /7
Issuance Fee
VALU TIO ����
�N,�• .ti%{�r;��� ;�i f��1 y �� { r `
r Total Fee ` S
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION, < cK M o CASH
2- 1.75
®S 76A638B CE 98038 6/76
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 0712070012
PHONE (626) 285-0488 EXT
ILEGAL ID NO OF CONST BUILDING ADDRESS
ITR 45817 LT 1 UN 7 ( SQ FT STORIES TYPE 5802 CLOVERLY AV
I `STRUCTURE VN TEMP CA 917802128 1
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET _ I
18587-012-038 ' THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl
TENANT JEXIST BLDG USE RESID USE ZONE R-2 JISSUED ON PROCESSED BY EXPIRES ON
IEXIST OCC GRP 112/07/07 SR 06/04/08
t
1OWNER TEL NO IBLDGS NOW ON LOT J VALUATION (FINAL DATE FINAL BY CODE
(BENSON, FREDERICK (626) 301-0107- 3,350 r
14105 E LIVE OAK AVE
IARCADIA, CA 91006 FEES PAID IDESCRIPTION OF WORK I
VOLUNTARY FOUNDATION BOLTING AND BRACING WITH STANDARD PLANSI
(FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO I I '
JOHNSON (626) 791-2300- IAA BLDG PERMIT ISSUANCE 27 75_ I
11410 N LAKE AVE IAC STRONG MOTION RESID 3350 00 VAL 0 5( ISPECIAL CONDITIONS
PASADENA, CA 91104 jAX BUILDING REVIEW FEE 54 70 I , I
ID2 PERMIT W/O EN-HC 3350 00 VAL 115 80
I TOTAL FEES 198 75 1
CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE
SEISMIC SAFETY (626) 791-2300- 1 r
11410 N LAKE AVE LIC NO ILOCATION AND SETBACKS I
(PASADENA CA 662926B * �1
I ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
LIC NO > ��SLAB/UNDER FLOOR
ti
1 1 IRAISED FLOOR FRAMING 1
,MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP (UNDERFLOOR INSULATION
1150H265 3 Oil 1 - -1-1
I I IFLOOR SHEATHING I I 1
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I - ' 11
NO 21 I , IROOF SHEATHING I I I
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I `(/ I I
1AIR QUALITY 1000 FEET MATERIALS I I
1 NO NO NO I IFRAME INSPECTION I 1 I
IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I
ISET BACK YARD HWY PROP LINE WIDTH I I I
IFRONT PL- I (INSULATION/WEATHER STRIPI I I
I SIDE PL- I I ? 1-1 I
11NTERIOR LATH/DRYWALL I
I 1 (EXTERIOR LATH 1 I 1
IRATED FLOOR/CEIL ASSEM I I
t I I I
IRATED WALL ASSEMBLIES I I
IRATED SHAFTS/OPENINGS
- IT-BAR CEILINGS I
I 1* ADDITIONAL DATA ON FILE I I 1 I I
1 1 ILOT DRAINAGE I 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 0712200031
PHONE (626) 285-0488 EXT
f
ILEGAL ID NO OF CONST BUILDING ADDRESS I
ITR 6561 LT 695 I SQ FT STORIES TYPE I 5802 CLOVERLY AV I
ISTRUCTURE VN I TEMP CA-917802115 _
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET i
18587-012-029 I THOMAS PAGE 596 GRID J3 ~LOCALITY TEMPLE CITY, CI
I
ITENANT -� IEXIST BLDG USE RESID USE ZONE R-2 (ISSUED ON PROCESSED BY EXPIRES ON 1
' IEXIST OCC GRP 112/20/07 SR 06/17/08 I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DAT FI AL BY CODE 1
IROSA (626) 379-6666- 1 6,0000 - 1
15802 CLOVERLY AV CCCiii
ITEMP 917802129 I FEES PAID DDISCRIPTION OF WORK
REPLACE 20 WINDOWS
1
IFEE DESCRIPTION QUANTITY UOM AMOUNT I
(APPLICANT TEL NO 1 1
IWONG (626) 272-6406- IAA BLDG PERMIT ISSUANCE 27 75 1 I
17752 GARVEY AVE 1AC STRONG MOTION RESID 6000 00 VAL 0 60 ISPECIAL CONDITIONS I
IROSEMEAD CA 91770 'D2 PERMIT W/O EN-HC 6000 00 VAL 149 40 1 1
TOTAL FEES 177 75 I
ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IHENRY WONG CONSTRUCTION (626) 272-6406 1 I I 1
17752 GARVEY AVE LIC NO ` ILOCATION AND SETBACKS
IROSEMEAD, CA 91770 _781401 B 1 I
I ISOILS ENGINEER APPROVAL I 1
J
(ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I
LIC NO ISLAB/UNDER FLOOR
I I I
1 I IRAISED FLOOR FRAMING I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP (UNDERFLOOR INSULATION I I I
1150H265 3 011 1 f 1 1
I I IFLOOR,SHEATHING 1 1 1
INC, OF FAMILIES DWELLING UNITS APT/COND STAT CLASS II I
1 NO 21 1 1ROOF CHEATHING
1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I I
1AIR QUALITY 1000 FEET MATERIALS
1 NO NO NO I 1FRAME,INSPECTION I 1
IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I
ISET BACK YARD HWY PROP LINE WIDTH 1 I 1 1 I
IFRONT PL- 11NSULATION/WEATHER STRIPI I I
I SIDE PL- I 1 1-1 1
I 1 IINTERIOR LATH/DRYWALL 1 I 1
1 I IEXTERIOR LATH
IRATED FLOOR/CEIL ASSEM 1 ( I
1 IRATED WALL ASSEMBLIES I
I
I
IRATED SHAFTS/OPENINGS
1 IT-BAR CEILINGS 1
1 ILOT DRAINAGE I
I
1 1 7
;REPORT ID DPR261 ROUTE TO BS0508
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 0801150021
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 6561 LT 695 SQ FT STORIES TYPE 5802 CLOVERLY AV
(STRUCTURE V-B TEMP CA 917802115
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18587-012-029THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY CI
TENANT ^` 1EXIST BLDG USE RESID USE ZONE R-2 JISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 101/15/08 SR 07/13/08
OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL)if CODE
IROSA (626) 379-6666- 1 3 000f7
15802 CLOVERLY AV 1 I
TEMP 917802129 _ 1 FEES PAID IDE CRIPTION OF WORK
REPLACE THE LIVING ROOM CEILING DRYWALL REMODEL THE (E) BATH
I IFEE DESCRIPTION QUANTITY UOM AMOUNT IROOM & CONVER (E) CLOSET TO HALF BATHROOM & KITCHEN REMODEL I
(APPLICANT TEL NO I I
ISONG (626) 246-8384- IAA BLDG PERMIT ISSUANCE 27 75 1
1506 N LINCOLN AVE IAC STRONG MOTION RESID 3000 00 VAL 0 50 ISPECIAL CONDITIONS
IMONTEREY PARK 91755 B2 PERMIT W/ENERGY 3000 00 VAL 108 90
TOTAL FEES 137 15
ICONTRACTOR - TEL NO I r (APPROVALS DATE INSPECTOR SIGNATURE
ISHIPING SONG (626) 246-8384- 1 1
1506 N LINCOLN AVE #A LIC NO- I ILOCATION AND SETBACKS
IMONTEREY PARK, CA 91755 889656 B
I I ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER TEL NO 1 IFOMMkTION/TRENCH FORMS
LIC NO ISLAB/UNDER FLOOR
IRAISED FLOOR FRAMING
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP (UNDERFLOOR INSULATION I r I
1150H265 3 Oil I I - 1-1
1
(FLOOR SHEATHING I 1
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS 1 I
NO 21 1 IROOF SHEATHING
f I I I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
(AIR QUALITY 1000 FEET MATERIALS I _ I E
NO NO NO I IFRAM,E INSPECTION 1
i
IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I
ISET BACK YARD HWY PROP LINE WIDTH I I I 1
IFRONT PL- 11NSLLATION/WEATHER STRIPI �( I I
SIDE PL- I I I I ,.YI I
IINTERIOR LATH/DRYWALL I / I 1
1EXTERIOR LATH
IRATED FLOOR/CEIL ASSEM
IRATED WALL ASSEMBLIES I 1 I
IRATED SHAFTS/OPENINGS
I I
IT-BAR CEILINGS I 1
/ I ILOT DRAINAGE
1
r I IREPORT ID DPR261 ROUTE TO BS0508
1