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HomeMy Public PortalAbout6047 CLOVERLY AVE_Building__ ' , 'APPLICATION FOR - F ` tt 12!"UILDING PERMIT ^ BUILDING � BUILDING// FOR APPLICANT TO FILL IN ADDRESS (, 04 72-7 ADDRESS }�O� LOCALITY 't (®� NEAREST ?• CITY C, ZIP CROSSST - ,,// c N6 OF BLDGSASSESSOR � SIZE OF LOT �., A NOW ON LOT 24 MAP BOOK PAGE PARCEL ya DISTRICT GROUP TYPE FIRE R ED BY TRACT 'S BLOCK LO LNOp 0 -�� CON STq /t Z�E OWNER W(��Y� I Z NO l0 ✓ / STATISTICAL CLASSIFICATION V` SEWER MAP L ADDRESS ' N �V✓��ia� CLASS NO '� DWELL UNITS BK ¢s PG r CITY I ZIP USE ZONE NOP :L,:5 Q' ARCHITECT OR TEL �j/ SPECIAL ' ENGINEER NO CONDITIONS ADDRESS �/ ROAD DEPARTMENT APPROVAL REQUIRED 'AYES ❑ NO ❑ CONTRACTOR 1<vS iVr' �`1V�- ► �Np BLDG SETBACK FROM �f� —(STREET) LIC FRONT PROP LINE OF ADDRESS NO ! ZZ� HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH CITY OvW CLASS � A' r CONSTRUCTION LENDER + O NAME AND BRANCH BLDG SETBACK FROM V SIDE PROP LINE OF (STREET) ADDRESS CITY 0 SQ FT NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING nn y SIDE PROP, LINE - HIGHWAY WIDTH a SIZE lJ STORIES FAMILIES - ONE , DESCRIPTION OF WORK NEW 1 A S., n ADD CORNER CUTOFF YES ❑ NO ❑ I_fi'Py'Y, X 'p-&-P 1 ALTER IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ USE OF � ❑ IN COASTAL PERMIT ZONE YES�❑ —fti0❑ - EXISTINGBLDGr 1P�7-� �pLICANT /� �,, _ fDEMOLL APP(PR (PRINT) i�V a \V 0�`t 11��NO �G � 4e BY(SIGNATURE) IHEREBY ACKNOWLEDGE THAT I HA E READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND`AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE Ctk, J WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF - AA ' THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM fa PENSATION INSURANCE SIGNATURE OF FINA BY S PERMITTEEj? � 4 DATE ADDRESS^ //,, ) 'l , r s TEL �6�`-f j PCF $ / 8'� CJ CITY NO Permit ee lhl�r Q _ o o No :rt , Issuance Fee VALUATION$ Z� U 00 0 0 0NoL N o O Total , PLAN CHECK VALIDATION - IK- Mo CASH _ ERM _ ON - CK mo CASH " 6 2 ��A11 3.z 18 7 "+ ms s o o + 00 0 0 t _ .. CH t, I ©S 76A638B CE#803B 8/77 I 78A 638A CE#33 B8 D 3 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDISNG S (Uo I , ��V L DEPARTMENT OF COUNTY ENGINEER ADDRE (=-=-(\-A � BUILDING AND SAFETY DIVISION LOCALITY `^/L JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST 7A� � �� DISTRICT NO GROUP TYPE PROCESSED Y FOR APPLICANT TO FILL IN , © CONST BUILDING O STATISTICAL CLASSIFICATION S ER MAP ADDRESS / BK P y� + CLASS NO DWELL UNITS (,� LOT NO \��(OI.� e�e BCK WATER NOT REQUIRED © RECEIVED ❑ , CERTIFICATE TRACT MAPHIGHWAY NO OF BLDGS NO , ©p (CIRCLE) STATE MAJOR SECON LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG9-/ / 1 TEL '\ OWNER'eftz. NO Q BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT �/ ARCHITECT OR T P L CCl_o,I eE�P L 7 6 ENGINEER oKb SIDE P L } ADDRESS d L O CONTRACTO V A D D R E S :. OC p DESCRIPTION,06F WORK ri A d NEW ADD ALTER REPAIR DEMOLISH H FT NO OF NO OF -. .CGI'.fvf.,�,,vw ? SIZE ST RIES FAMILIES L r/ USE OF �� STRUCTURE f SIGNATURE OF ' APPLICANT VALUATION $ I • "' �' ` APPROVALS DATE ` INSPECTOR S SIGNATURE PC PMT �(]�T FOUNDATION LOCATION FEE $ FEE $ (J(J FORMS MATERIALS r FRAME FIRE STOPS / I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ! AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS ` BUILDING CONSTRUCTION I CERTIFY THAT SIN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT / ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR V PERMITTEE RECT AND POSTED ADDRESS FINAL /&/8 Ila .i?Z& JOHN F LEWIS PRiINCIPALIs PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATIONORA-L-ENG-IN-EER M O CASH L&O 4 6 7 1 OCT 8 1 D 6.00- 14 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 0908120033 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST BUILDING ADDRESS ITR 6561 LT 309 SQ FT STORIES TYPE 6047 CLOVERLY AV I ISTRUCTURE V-B TEMP CA 917802026 1 (ASSESSOR INFORMATION NUMBER - 1 NEAREST CROSS STREET ROSEMEAD 1 15385-006-004 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl i (TENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY 1 IEXIST OCC GRP 108/12/09 SR 1 (OWNER TEL NO IBLDGS NOW ON LOT VALUATION (FINAL DATE FINAL BY CODE IWOODARD, MARGARET (626) 287-7583- 1 1,100 1 I 16047 CLOVERLY AV I I ITEMP 917802026 FEES PAID (DESCRIPTION OF WORK 1 I I IREPLACE (3) WINDOWS SAME SIZE SAME LOCATION 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT I (APPLICANT TEL NO I IBATIOFF (213) 276-6334- IAA BLDG PERMIT ISSUANCE 27 75 1 I IAB STATE GREEN BLDG FEE 1100 00 VAL 1 00 ISPECIAL CONDITIONS IAC STRONG MOTION RESID 1100 00 VAL 0 50 ID2 PERMIT W/O EN-HC 1100 00 VAL 82 20 I TOTAL FEES 111 45 I I ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 ITHD AT HOME SERVICES, INC (562) 981-1600- 1 1 112774 E FLORENCE AVE LIC NO 1 ILOCATION AND SETBACKS I I I (SANTA FE SPRINGS CA 90670 836021 B I I I I (SOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS I I I LIC NO (SLAB/UNDER FLOOR (RAISED FLOOR FRAMING I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I '} (UNDERFLOOR INSULATION I I I 1150H265 3 001 1- 11 I I I -- IFLOOR SHEATHING I I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS ' 1 I I I I 1 NO 21 1 (ROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS EXPIRED - ISHEAR PANELS I I I (AIR QUALITY 1000 FEET MATERIALS I_ I I I NO NO NO 1 IFRANIE INSPECTION I I I (REQUIRED TOTAL SETBACK FROM EXIST v (FIRE SPRINKLER HANGERS 1 I 1 ISET BACK YARD HWY PROP LINE WIDTH I- I I I (FRONT PL- 1 (INSULATION/WEATHER STRIPI I I I SIDE PL- I I I I I (INTERIOR LATH/DRYWALL I I (EXTERIOR LATH I _ I I 1 (RATED FLOOR/CEIL ASSEM I I I IRATED WALL ASSEMBLIES I I I y (RATED SHAFTS/OPENINGS I I IT-BAR CEILINGS 1 1 I I I I I I ILOT DRAINAGE I I (REPORT ID DPR261 ROUTE TO BS0508