HomeMy Public PortalAbout5946 CLOVERLY AVE_Building__ 76A638A CE9B03 5 65 APPLICATION FOR ILDING, PERMIT
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF- COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY C
JOHN A LAMBIE COUNTY ENGINEER ` - NEAREST-
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
DISTRICT NO'_'I GROUP, TYPE P SSED-BY a
FOR APPLICANT TO FILL IN C� CONST,
BUILDING - STATISTICAL�SSIFICATION h -SE ER MA°P
ADDRESS CLASS NO DWELL UNITS �� * B _IPG
LOT NO B OCK USE ZONE MAP _
- NO
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/� NO OF-.LDGS CONDITIONS
,SIZ E'OF LOT �!/ I NOW ON LOTUSE OF '�
EXI INC BLDG SETBACK FROM -
. TEL FRONT PROP LINE OF r (STREET)
OWNER GG O 1� TY P OF EXISTING SETBACK HIGHWAY- +6<-YARD ' TOTAL
ADDRE $ 7� HI WAY IDTH FROM C L
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ARCHITECT O TEL BLDG SETBACK FROM-
ENGINEER ANO - SIDE PROP LINE OF (STREET)
TYPE OFEXISTING SETBACK HIGHWAY + YA'RD = TOTAL
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CONTRACTOR NO
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DESCRIPTION'OF WORK
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SIGNATURE OF
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E APROVALS DATE IN SPECTOR'SS IGNATURE
P C PMT FOUNDATION LOCATION �- A -
FEE$'- FEE$ ^� ' FORMS MATERIALS .
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION E BRACING BOLTS ( I 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9U ILDI NG CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK ,
AUTHORIZED HEREBY I WILL NOT EMPLOY ANYPERSONIN VIOLA LATH INT j\
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATI ON,[NSU RANCE - LATH EXT
SIGNATURE OF i1/�� � ' HOUSE NUMBER COR-
PERMITTEE (.�V� 000��' RECT AND POSTED
ADDRESS FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENrA�
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PLAN CHECK VALIDATION CK _ M O CASH i PERMIT VALIDATION CK M c
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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 1phs U 1 L D 1 N
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FIL IN FOR OFFICE USE ONLY
DISTRICT NO PLANCK NO PERMIT NO
BUILDING / 'i.
ADDRESS JeO(p Q
11411
LOCALITY �'EyfD BY DATFe OF ApidL DAT 19 ED
NEAREST
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ILDING
OWNER ADDRESS o V
MAIL LOCALITY
ADDRESS NEAREST /A�♦j d �
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FIRE NO OF TYPE GRO�
ARCHITECT OR TEL ZONE �� PLANS -
ENGINEER NO
{ BLDG / / ORD NO
ADDRESS SETBACK LINE 34
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CONTRACTOR 0C R N❑ (,{� / 1 BY DATE
! USE APPROVED
A DRESS 1 + s , L® ZONE BY DATE
LEGAL �fq I �O CORRECTIONS
DESCRIPTION LOT ND BLOCK
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NO OF BLOB
SIZE OF LOZ 17J- I NOW ON LOTS 'Z
USE OF ��* NO OF NO OF O JA
EXISTING BLDG FAMILIES ROOMS
DESCRIP ION OF WORK
NEW ALTERATION ADDITION
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WAIL ROOF
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USE OF NEW
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1 HEREBY ACKNOWLEDGE THAT 1_ HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSFieCTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATIN ILDING CONSTRUCTION
• EFRAME FIRE STOPS,
SIGNATURE OF , BRACING,BOLTS
PERMITTEE
LATH,INT
AUTHORIZED AGT LATH,EXT
DBS-3 sores SETS 7-47 $ P C III PLASTER,INT
_/O O FEE ��' PLASTER,EXT
VALUATION p` FINAL 1 L�`
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DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �T'�J TI���T�
WM J FOX, CHIEF ENGINEER 11 '�I
NO OF,. BLDG ORD NO DISTRICT PLAN CK NO PERMIT NO
PLANS I SETBACK LINE
FIREAPPROVED
ZONE BY DATEr
//���/� RE�fCEIVED BY DATE OF APPL DATE ISSUED
USEZONE4/ / BY PROVED DATE /�
APPLICANT FILL IN HEAVILY OU rLINED PORTION ONLY
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O E NAME ADDRESS Z r j
W Z ADDRESS LOCALITY
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= Z NEAREST /fA�
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LICENSE NO �/� E NAME
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U O TEL
Q ADDRESS � CITY NO
C
F1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
Z CITY
O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE_NO
NO AND STATE LAWS REGULATING BUILDING CONSTRUCTION
O LOT NO / SIZE OF LOT / SIGNATURE—SIZEOF
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NO OF BLDGS / � w
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DESCRIPTION OF WORK
USE OF
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NEW v TYPE GROUP,- +'
NO OF / NO OF /
ALIERATION _ ROOMS ( FAMILIES
ADDITION, SIZE r
REPAIR " " STORIES
MOVING WALL COVERING
DEMOLISH ROOF COVERING
$ er" P,G S FINAL APPROVAL
�61� C
FEE
/ $ /�f 1 11 INSPECTO
NAME
R'S
VALUATION FEE G� DATE
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 0306120006
PHONE (626) 285-0488 EXT:
BUILDINGLEGAL ID NO. OF CONST
TR 6561 LT 299 SO FT STORIES TYPE 5946 CLOVERLY AV
STRUCTURE VN TEMP CA 917802018
ASSESSOR INFORMATION NEAREST CROSS STREET LAS TUNAS
8587-013-024 THOMAS PAGE: 596 GRID J3 LOCALITY TEMPLE CITY
TENANT. EXIST BLDG USES - ED
-W PROCESSED BY EXPIRES ON
EXIST OCC GRP 06/12/03 JK 06/06/04
OWNEREL NO 8LDGS NOW ON LOT VALUATION INAL D FINAL BY CODE
DAY JAMES L,MARY E 3,000
9729 LIVE OAK BLVD
TEMPLE CITY 91780 FEES PAID DESCRIPTION OF WORK
T/0, SHEATH OVER SPACED SHEATHING & REROOF W/ASPHALT SHINGLE
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO
WILLIAM T NELSON ROOFING (626) 857-5558- AA BLDG PERMIT ISSUANCE 27 75
1325 E RUDDOCK ST AC STRONG MOTION RESID 3000 00 VAL 0 50 SPECIAL CONDITIONS:
COVINA 91724 D2 PERMIT W/O EN-HC 3000 00 VAL 99 00
TOTAL-FEES 127 25
CONTRACTOR: TEL NO APPROVALS DATE INSPECTOR SIGNATURE
WILLIAM T NELSON ROOF CONTRACTOR (626) 303-0524-
1325 RUDDOCK ST LIC NO LOCATION
COVINA CA 91724 648085 C39
" SOILS ENGINEER APPROVA_r
ARCHITECT OR ENGINEER0FOUNDATION/TRENCH FORMS
LIC NO _ SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER P BOOK- PAGE FIREONE CMP UOMLOOR INSULATION
150H265 3 01 FLOOR
NG
DWELLINGNO. OF FAMILIES- D STAT CITW_
NO 21 ROOF SHEATHING &-/3- 3
SCROOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FR SPECTION
REQUIREDEX I ST_ FIRE SPRINKLER
SET BACK YARD HWY PROP LINE WIDTH-
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
0 LATH/DRYWALL
EXTERIOR LATH
RATED WALL
RATED SHAFTS/OPENINGS'-
T-BA +C IN S
�NAGE
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REPORT ID: DPR261 ROUTE TO BS0508
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