Loading...
HomeMy Public PortalAbout5830 CLOVERLY AVE_Building__ CE#803(REV.11/78) APPLICATIO O UILD G PER COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING FOR APPLICANTfTO FILL IN ADDRESSC/ Al. �/w ADILDING DRESS. Q t.( ©.L� �. LOCALITY NEAREST CITY r6lV7 t E C .:(DZIP CROSS ST. c� NO.OF BLDGS. ASSESSOR SIZE OF LOT ! NOW ON LOT MAP BOOK PAGE 1 . . .1 DISTRICT GROUP TYPE FIRE TRACT BLOCK LOT NO._ COBS r� TEL. -L - OWNER _. NO< STATISTICAL CLASSIFICATION SEWER AP ADDRESS �[ I ? �1d CLASS NO. DWELL.UNITS �BK P CITY ZIP �3 a ARCHITECT OR TEL. VALUATION / y �r ENGINEER NO. �V O� v ADDRESS BLDG.SETBACK FROM TEL L/ HIGHWAY + YARD FRONT PROP.LINE OF (STREET) CONTRACTOR ' NC Lf `'�� = TOTAL SETBACK FROM TYPE OF EXISTING . / LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESSG =�, A" O. LIC' + _ ! CITY -�. ,� �' CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF (STREET) NAME AND BRANCH )VpIVZ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING @b ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH, w SO.FT. NO.OF NO.OF CHECK + _ 29 SIZE STORIES FAMILIES ONE i USE ZONE MAP DESCRIPTION OF WORK NEW JI`yl NO. l/C/ SPECIAL i6I , l: DD 13 � CONDITIONS r y) ALTER ❑ FINAL '9 BY d r V REPAIR ❑ DATE .� ' ` _elf USE OF � L / L� EXISTING BLDG. ✓\ lQ&7 DEMOL ❑ . �� ® o 191 3 2,0 A APPLICANT TEI� (PRINTlf,t loev 0— �N .- 4_& c o o,o 0 23' :9777A? 2 . 21. 0,00 BY(SIGNATURE( ' / �' 7 -7 >. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE �/ /� V - - 21,0.00 U THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES u+ AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE /Y _ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF .Q 7, .1 -7-80 THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM._ Z PENSATION INSURANCE.' 8 1 3 2 1 A SIGNATURE O PERMITTEy� # 0 0 0 0 0 ' E _ ADDRESS 1. L ZC 2 - 991.-00 J TEIL/ �__ _,.. CITY - N [ G 0 991.00 �/ Q 07, 1 .7- 0 , P.C. Fee$ 77&'X61 Permit Fee Q i > t 0/' Issuance Fee / W v Total Fee [ / 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 0704300002 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: ITR: 6561 LT: 689 I SQ. FT STORIES TYPE 1 5830 CLOVERLY AV I (STRUCTURE: 43 VN I TEMP CA 917802123 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS I 8587-012-023 I I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-2 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1 (EXIST OCC GRP: 104/30/07 JK 04/24/08 1 I 1 OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DA MY: CODE: 1 ISUMITHASORN, SAM (626) 355-3141- 1 9,100 1�.�,, . 11701 OAKWOOD I I, IARCADIA, CA 91006 I FEES PAID IDESCRIPTI N OF WORK 1 I I IREROOF BU LD/ING COMPLETE REPLACE DRY ROT APPLY 30 YR GAF 1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 IaYt�iy)�F, Gd S�/rI/J��,S, 1 1APPLICANT: TEL. NO: 'I V I IVASQUEZ (626) 571-1565- IAA BLDG PERMIT ISSUANCE 27.75 1 I 14635 FENDYKE AVE. IAC STRONG MOTION RESID 9100.00 VAL 0.91 ISPECIAL CONDITIONS: 1 IROSEMEAD, CA 91770 ID2 PERMIT W/O EN-HC 9100.00 VAL 216.60 ( 1 1 TOTAL FEES 245.26 1 I I I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 1OTILIO GONZALEZ (626) 571-1565- 1 1 I 14635 FENDYKE AVE LIC. NO I ILOCATION AND SETBACKS I I I 1ROSEMEAD CA 91770 729291 C39 I I I I SOILS ENGINEER APPROVAL 1 I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I LIC. NO: I (SLAB/UNDER FLOOR 1 I I I IRAISED FLOOR FRAMING I I I I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMp: l 1UNDERFLOOR INSULATION I 1 I 1150H265 3 011 I I I I I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 NO 21 IROOF SHEATHING I 1 SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I I 1AIR QUALITY: 1000 FEET MATERIALS I I I I 1 NO NO NO 1 IFRAME INSPECTION 1 I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS 1 ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I SIDE PL- I I I I 11NTERIOR LATH/DRYWALL 1 I I 1EXTERIOR LATH I I I I I IRATED FLOOR/CEIL ASSEM. 1 1 I i I I I I I IRATED WALL ASSEMBLIES 1 1 I I IRATED SHAFTS/OPENINGS 1 1 I I I �T-BAR CEILINGS I I I I I I I I I I I ILOT DRAINAGE I I I I I I I I I 1 (REPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I I I I I