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Home My Public Portal About6213 CLOVERLY AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILD ING COUNTY OF LOS ANGELES ADDRESS 6213. N Cloverly DEPARTMENT OF COUNTY ENGINEER CITY ' zIP BUILDING AND SAFETY DIVISION _ NO OF BLDGS BUILDING SIZE OF LOT NOW ON LOT ADDRESS TRACT 17179 BLOCK LOT NO LOCALITY TE OWNER WM Mabb NO 286-645 CRO SEST ST ASSESSOR ADDRESS 6213 N Cloverly MAP BOOK P GE PARCEL DISTRICT_ G PE FIRE SED BY CITYTernple City ZIP .--. C ZONE ARCHITECT OR Haussler NO 997-040 19 ENGINEER STATISTICAL CLASSIFICATION SEWER MAP ADD�S42 Van Nuys Van Nuys CLASS NO,p22/_DWELL UNITS BK PG CONTRACTORVent-Kool NEOL 787-0 ISE ZONE NO 1,2 C) 0 3 ADDRES15004 Oxnard NO 252000 SPECIAL LICCONDITIONS CITY Van Nuys CLASS C -61 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH none BLDG SETBACK-FROM ` FRO T PROP LINE OF (STREET) off.. ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING CD SO FY18'L NO OF NO OF CHECK HIG AY } YARD - FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE 01- DESCRIPTION OF WORK NEW ❑ } - O 13 'x11 '-6 '6"x6 • as one ADHD RR E] SIDEPROP LINEOF (STREET)BI DG, SEz a to Cover Screened /Z" tl(1Ji HIGHWAY } YARD = TOTAL SETBAC OM TYPE OF EXISTING 1'- SIDE PROP LINE HIGHWAY WIDTH REPAIR USE OF } _ EXISTING BLDG Residence DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ Q Q IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ !300• CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY IW, NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO (��-,tj� �,s�� /�,•6,��6 WORKMEN'S COMPS NSATI N INS C V�/ b SIGNATURE OF n AA 11 P. " PERMITTEE ADDRESS I• �� 5( i�V� FINAL /, CITYLa Puente 91744 TEL 968-47 4ATEQ I m10PMT�l Y✓Q�> ll I kh ( 11LC KS I' 1} 1131-L- I U FEE + I FEE I HARVEY T BRANDT, COUNTY ENGINEER 0 PLAN CHECK VALI 'TION CK M O CASH PERMI RETORTION cK M O CASH 3 4 1 17 1 0 - 7.2()A 76A638A CE#803 12/72 '3 - � A;'., 3 1 273 OCT 1 1 D 12.0 0a —DEPART NT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ,'COUNTY OF LOS ANGELES � ' ® f WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLAN CK.NO PERMIT NO. BUILDING / ADDRESS �/3 Cloverly Ave. (® 3 70-2 / / -5-6O Z O LOCALITY RECEIVED BY DATE OF APPL DATE ISSUED NEAREST Flaherty St. , Temple City 'CROSSOT OWNER Meeker Land Company ADDREISS C, --s Al, vE MAIL LOCALITY 11236 E. Live Oak Ave. ,C ADDRESS NEAREST C, Arcadia To DO-72151 CROSS ST FIRE ND.OF TYPEOROU ARCHITECT O TEL. ZONE PLANS 7� S- ENGINEER NO �� BLDG � ^ ORD NO ADDRESS SETBACK LINE ! ` APPROVED CONTRACTOR NO. BY DATE y USEAPPROVED ADDRESSZONE / BY DATE LEGAL 0 CORRECTIONS DEBCRIPTION I LOT NO 16 BLOCK TRACT 17179 SIZE OF LOT 5NO OF SLOGS 0 .1{.x107.76 NOW ON LOT none 5 , P, 3 USE OF NO.OFNO OF -L EXISTING BLDG none FAMILIEa ROOMS V DESCRIPTION OF WORK NEW I XT ALTERATION ADDITION D�dy� `V/I/1 ✓,W,y AV� "'�� O REPAIR MOVING (., DEMOLISH O I l N�S Ilt'�{� NO OF SIZE SO FT 1106 ROOMS `� STORIES 1 r WALL ROOF COVERING Plaster I COVERING W •Shgles• USE OF NEW BUILDING Residence Plan 3-A Garage 18 x 20 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT INSPECTOR DATE, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION' LOCATION d1 , I AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS,MATERIALS 7�N FRAME FIRE STOPS, U SIGNATRE OF ER LAND AlY1 BRACING.BOLTS v /� v PERM ITTE LATH, INT. AUTHORIZE ' X� n g LATH, EXT. �l 7GA63BA-3 7-49 s � P C $ PLASTER, INT. 7 ` FEE (� .�— PLASTER.EXT. VALUATION FEE c8�� i Y� FINAL MA ` 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 1211140009 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST I BUILDING ADDRESS J ITR 17179 LT 16 I SQ FT STORIES TYPE I 6213 CLOVERLY AV J I (STRUCTURE V-B I TEMP CA 917801602 1 (ASSESSOR INFORMATION NUMBER J I NEAREST CROSS STREET LONGDEN 1 15365-010-016 I I THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl ITENANT IEXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY 1 IEXIST OCC GRP 111/14/12 SR (OWNER TEL NO IBLDGS NOW ON LOT VALUATION JFI'AL DATE FINALQY CODE J JZHU, BAOZHONG (626) 698-2011- 1 5,000 I \) `1 I 16213 CLOVERLY AV I I TISIi 6 yI ITEMP 917801602 1 FEES PAID IDESCRIPTION OF WORK J JBAT4ROOM REMODEL J IFEE DESCRIPTION QUANTITY UOM AMOUNT I I (APPLICANT TEL NO I J ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 80 J IAB STATE GREEN BLDG FEE 5000 00 VAL 1 00 (SPECIAL CONDITIONS IAC STRONG MOTION RESID 5000 00 VAL 0 50 JB2 PERMIT W/ENERGY 5000 00 VAL 145 90 I __JFR INV WORK W/O PERMIT 339 60 DOL 339 60 ICONTRACTOR _ TEL NO I TOTAL FEES 514 80 (APPROVALS DATE INSPECTOR SIGNATURE 1 I SAME AS OWNER - I - I LIC NO I CZOCATAAND SETBACKS I ISOILS ENGINEER APPROVAL 4, y J yf % 1ARCHITECT OR ENGINEER TEL NO J IFOUNDATION/TRENCH FORMS 1 LIC NO 1 1 SLAB/UNDER FLOOR I I I I IRAISED FLOOR FRAMING I J JMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION 1153H265 3 OOJ I I FLOOR SHEATHING J I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS J I I 0 NO 21 JROCF SHEATHING J SCHOOL WITHIN HAZARDOUS I ISHFAR PANELS J I I JAIR QUALITY 1000 FEET MATERIALS 1 I I I NO NO NO 1 IFRAN,E INSPECTION I I IFIRE SPRINKLER HANGERS J I 1 I 11NSULATION/WEATHER STRIPI I 11NTERIOR LATH/DRYWALL I I I I I I 1 JEXTERIOR LATH J J I 1 IRATED FLOOR/CEIL ASSEM I I I I I I IPATED WALL ASSEMBLIES I 1 (RATED SHAFTS/OPENINGS I J I ( I I I IT-BAR CEILINGS J JLOT DRAINAGE I J IREPORT ID DPR261 ROUTE TO BS0508 J J I J I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1205240027 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST NEW BUILDING ADDRESS ITR 17179 LT 16 I SQ FT STORIES TYPE OCCUP GROUPI 6213 CLOVERLY AV 1 ISTRUCTURE 296 V-B R-3 I TEMP CA 917801602 (ASSESSOR INFORMATION NUMBER I GARAGE NEAREST CROSS STREET 1 15385-010-016 OTiiER THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl ITENANT IEXIST BLDG USE USE ZONE 11SSUED ON PROCESSED BY 1 IEXIST OCC GRP 106/26/12 SR I (OWNER TEL NO IBLDGS NOW ON LOT VALUATION FINAL DATE FINZL BY CODE ZHU, BAOZHONG (626) 698-2011- 43,580 1] 16213 CLOVERLY AV ITEMP 917801602 1 FEES PAID IDESCRIPTION OF WORK J I (ADD ONE MASTER BEDROOM, BATHROOM AND W I C J IFEE DESCRIPTION QUANTITY UOM AMOUNT I J JAPPLICANT TEL NO I I I ISAME AS OWNER - JB1 PLANCHECK W/ENERGY 43580 00 VAL 673 50 1 1 I JAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS 1 i JAB STATE GREEN BLDG FEE 43580 00 VAL 2 00 ICOVENANT RECORDED I JAC STRONG MOTION RESID 43580 00 VAL 4 40 1 1 1 _JB2 PERMIT W/ENERGY 43580 00 VAL 792 40 J_ 1 ICONTRACTOR TEL NO 108 CERTIF OF OCCUPANCY 101 40 JAPPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I TOTAL FEES 1,601 50 1 1 I LIC NO I ILOCATION AND SETBACKS I I I JSO;,S ENGINEER APPROVAL J 1 JARCHITECT OR ENGINEER TEL NO 1 JFOJNDATION/TRENCH FORMS J / 1 I J LIC NO 1 SLAB/UNDER FLOOR �I I 1 ( VA !RAISED FLOOR FRAMING 1 I 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CVP I + JUN)ERFLOOR INSULATION I I 1 3 001 1-1 I -I JIST LEVEL FLOOR SHEATH 1, " ^ N0 OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS J �{_-1� 1 1 0 NO 21 1 12NO LEVEL FLOOR SHEATH I I I I I I 1 SCHOOL WITHIN HAZARDOUS 1 JROJr SHEATHING 1 1 J 1AIR QUALITY 1000 FEET MATERIALS 1 NO NO NO 1 IFIRE DEPT FRAME INSPECTI I I I \ I_ I 1 1 I I I BLDG DEPT FRAME INSPECT(-/T\�J �lz 1 I I SHEAR PANELS t1 �1'�� 1 1 INSULATION/WEATHER STRIP( -� L I 1 1 I _ JINTERIOR LATH/DRYWALL I 1 .! I IEXTERIOR LATH J I JLO^_ DRAINAGE J J I J I ISMOKE DETECTION DEVICES 1 J 1 I IFIRE DEPARTMENT APPROVAL( I I I REPORT ID DPR261 ROUTE TO SS0508 J J I 1 I _I IT 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 1003180054 PHONE (626) 285-0488 EXT DUPLICATE ILEGAL ID I NO OF CONST I BUILDING ADDRESS ITR 17179 LT 16 SQ FT STORIES TYPE I 6213 CLOVERLY AV I ISTRUCTURE V-B I TEMP CA 917801602 J (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LONGDEN J 15385-010-016 I THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl ITENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY J 1 JEXIST OCC GRP 103/23/10 SR 1 (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAI,BY CODE I JHUA, XUE YU (626) 283-8237- 1 12,000 1 '�/F 16213 CLOVERLY AV D J ITEMP 917801602 FEES PAID IDESCRIPTION OF WORK J IKITCHEN REMODEL, CONVERT THE (E) LAUNDRY RM INTO BATHROOM J J IFEE DESCRIPTION QUANTITY UOM AMOUNT IRELOCATE WASHER & DRYER INTO SUNROOM & REPLACE 14 WINDOWS I (APPLICANT TEL NO I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 I I J IAB STATE GREEN BLDG FEE 12000 00 VAL 1 00 ISPECIAL CONDITIONS I J IAC STRONG MOTION RESID 12000 00 VAL 1 20 I JB2 PERMIT W/ENERGY 12000 00 VAL 275 22 J J JFR INV WORK W/O PERMIT 257 00 DOL 257 00 J J ICONTRACTOR TEL NO I TOTAL FEES 562 17 JAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I , I LIC NO I JLOCT.TTON AND SETBACKS 1 J 1 I I JSOILS ENGINEER APPROVAL J I JARCHITECT OR ENGINEER TEL NO J IFOUNDATION/TRENCH FORMS I J I J LIC NO (SLAB/UNDER FLOOR J J J I I IRAISED FLOOR FRAMING I J I J I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDERFLOOR INSULATION I I I 1153H265 3 001 1 11 1 I I IFLOOR SHEATHING J J I INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I J I NO 21 1 IROOF gHFATHING J J SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I I JAIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION J J I IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS J J I ISET BACK YARD HWY PROP LINE WIDTH I I I I IFRONT PL- JINSULATION/WEATHER STRIPI I I I SIDE PL- I I I I J IINTERIOR LATH/DRYWALL J J I I I I I I I J J 1EXTERIOR LATH I I I I IRATED FLOOR/CEIL ASSEM J J J I I J I I I J J IRATED WALL ASSEMBLIES J I J IRATED SHAFTS/OPENINGS IT-BAR CEILINGS I I I I I I I I ILOT DRAINAGE J I I I I I I I (REPORT ID DPR261 ROUTE TO BS0508 I I I I J I I I