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Home My Public Portal About6233 CLOVERLY AVE_Building__ 76A638A.CE#'803.7.56 A P P L,I C A T I O N FOR BUILDING PERMIT � BUILDING AND SAFETY DIVISION BUILDING y P �O e� ' Department of County Engineer ADDRESS —1-� Count of Los Angeles .Y--' Y g LOCALITY �a.�... to le JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /f`u11- CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. e V4- r DISTRICT NO. GROUP I TYPE SEWER MAP FOR APPLICANT TO FILL IN BK Pc CONST.- BUILDING /-.'9 3 STATISTICAL�ASSIFICAT]ON ADDRESS Vr /'" . LOT NO. ® BLOCK CLASS. NO. DWELL. UNITS MAP q q y STATE YES NO NUMBER V it HWY TRACT. / 7/ 7 USEZONE SPECIAL NO. OF If,.I�- I NOW ON LOTS • 7`—� CONDITIONS SIZE OF LOT541 X ? USE OF EXISTING BLDG. BUILDING EXIST. YARD HWY STREET NAME SETBACK .. WIDTH OWNMAILER VV ^^�` - FRONT ADDRESS(f1/O' �, `�� - P. L. _V! SIDE �° r �j7'y P. L. CITY7-(f l' NO./'%i /y ARCHITECT OR TEL, _ INSPECTION RECORD ENGINEER NO. - ADDRESS �(y 3119-10 Q ,O // /� g+'�r vV k4 `TEL�r;-,e?.1 / .] N-a E �7 Q Q .f". D f"1 � CONTRALTO/ [y � NO. /� A/ �,/-sr �y (�'' ,p� �+ ADDRESS/H86 d'd � �"" 4-L,', C.. 1� D AYhr 5 /,FJS. SQ S:F- COR DESCRIPTION OF WORK �� ,�� 0_ A10�''� /' NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF / NO. OF SIZE �. STORIES ` (" FAMILIES _ ..,a per+ �p USE OF STRUCTURE ./ f IF'aG/? !'!" t,"J Al 'I G /nl d /` If l"�L SIGNATURE DATE INSPECTOR'S SIGNATURE O J,,/ , �,, p �„ �j�,� APPROVALS RE A APPLICN/T ADDRESS/. /F�(� �O �f' � �• -FONDATI MATERIALS 2—) FORMS, 6 ,li. /'{ J J1 $ - P. C. S C�� FRAME: FIRE STOPS. O� FEE �f -� BRACING. BOLTS VALUATION �v �G S FURNACE: LOCATION, _ FEE GAS VENT. DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH: INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS EGULATING BUILDING CONSTRUCTION. SIGNATURE O /)��/,/, ;��s HOUSE NUMBER COR- _ PERMIT/T"E / ~ RECT AND POSTED ADDRESS`i�d a INC e�' `t'C�G'�v`'/,"`` FINAL JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH E 46a5c IAR15 1 6.00 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' L I G WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY /--y DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS GIG.-3-5 Cloverl Ave. 3 70 7/ .LOCALITY , C- , RECEIVED BY DATE OF APPL. DATE ISSUED ORAARES v�endon Street, Temple CiOSSty 13 UILDING OWNER Meeker Land Company ADDRESS MAIL 11236 E. Live Oak Ave• LOCALITY �r C ADDRESS NEAREST TEL -K CROSS ST. CITY Arcadia NO. DO-72151 FIRE No.OF �� TYP ARCHITECT ll TEZONE PANS ENGINEER Geo.A•BisseDFL-74420 GROUP'S ---��- BLDG. / ORD``.,,NO. ADDRESS SETBACK LINE t APPROVED TEL CONTRACTOR NO.. BY DATE USE APPROVED ADDREBB ZONE w BY DATE LEGAL20 CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT 17179NO.OF BLOB - SIZE OF LOT 56x-100, I NOW ON LOTS none d Q USE OFnone NO.OF I NO.OF 6 EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK p v NEW x /t. ALTERATION ADDITION /1 �b�� 1 1LY tia U �/Y p 1 '& alw REPAIR I MOVING I I DEMOLISH Al G-r r11V 0 SQ.FT. 1106 NO.OF 6 l D SIZE .ROOMS STORIES .� I. WALL ROOF COVERING Plaster COVERING w•S- les• ,Zrj_ 5--� 7,L1 /��R/f?L YF -7�' NE BUILDIUSE O .NGW Residence < �A.2 )W -p j3e , W,6 lid Plan 3-C Garage 13x20 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ��y�/,\� FRAME:BRACING,BOLTS (1 I!t VIM SIGNATURE or g LAND C _. PERMITTE LATH, INT. AUTHORIZED G LATH, EXT. 7GA63GA-3 7-49 s 0,:5) P C. / G1Q PLASTER, INT. FEE .fGJ PLASTER,EXT. VALUATIONJ "� FEE .�'� FINAL WORKERS'COMPENSATION DECLARATION hereby affirm that I have r certificate of cion I n uta self ' ArP P L I CATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereofec. 3800,.Lab. C.) 22 COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.1 `./t..,1 ompany F -a Xf ftuf.�SYS BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ? Certified copy is filed with the county building inspec- BUILDING r L tion de artmenT. ADDRESS t n LOCALITY ' r ` NEAREST Date Applicant. CITY �L' A ZIP CROSS ST. ✓�V �tERTIFICATE OF EXEMPTION FROM 46 KERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE`-", SIZE OF LOT NOW ON LOT MAP.BOOK PAGE PARCEL (This section need not be completed.if.the permit is for one TRACT 1 l BLOCK LOT NO.O—V O. O� USE ZONE. MAP hundred dollars ($100)or less:) TEL Q(� / , '. SPECIAL I certify that in the performance of the work;for which this OWNER b NOI>' `7 CONDITIONS �- �. permit is issued, I shall not employ any person in any manner i DISTRICT GROUP TYPE FIRE PROCESSED BY 0 so as to become subject to the.Workers'Compensation Laws. ADDRESS C G\G` r CONST. ZONE 1 6J CITY _T� Q_ ZIP Date Applicant STATISTICAL CLAS IFICATION APT. CONDO. �. ARCHITECT OR� TEL. NOTICE TO APPLICANT: If, after making this Certificate of , CLASS NO. —.2 UNITS Exemption, you should become subject to the Workers' ENGINEER NO. f� Compensation provisions of the Labor Code,.you must forth- ADDRESS SEWER MAP N with comply with such provisions or..this permit shall be Z deemed revoked. TEL(J �,3s VALIDATION CONTRACTOR BK(�� ,la. NO.�-lL� [�' LICENSED CONTRACTORS DECLARATION I (�+ LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS , I [� L NO. �" (7 VALUATION (commencing with Section 7000)of Division 3 of the Business and LI.C. r� l /� Professions Code, and my.license is in full force-and effect. CITY ?� CLASS `� $ ( (�75 ' `! �} � SQ. FT._ f NO`OF NO. OF i ONE , License Number ` Lic.Glass +!�' SIZE STORIES FAMILIES CfX� NEW $ Contractor{ Date DESCRIPTION OF WORK l ADD REPAIR I am exe p under Sec. 'A� (.Y1 L--* CO P_� t ALTER E] FINAL B.&P.C. for this reason T ' 182 J LA s X0,12 O DATE k1+ USE OF - FINAL Date: fL 1 � EXISTING BLDG. C c C 1✓' � By ��3 ��;► \i Signature V APPLICANT TEL. 1 7.�.3 A OWNER-BUILDER DECLARATION \ PRINT 1 NO. 91 I hereby affirm that I am exempt from the Contractor's License f 1 i J. ® i # o o o o 2 Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT Z o 0,3 T5.0' BUILDING I, as owner of the property, or my employees with ADDRESS o 0 0 3; wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 0 1,03-83- 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project'(Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY YARD HWY a 8 7 3 4'A SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 4 0 0 0 0 0 1 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE ED P.L. 2 ° ° [�9,8 7- Lender's Name A a'a a 49,8 Tz P.C. Fee$ ��v Permit Fee .3 ' Lender's Address 0 t03-83 U > I certify that I have read this application and state that the Issuance Fee a above information is correct. I agree to comply with.all County Investigation Fee p $ ordinances and'State laws relating to building construction, Total Fee �/1 d and hereby authorize representatives of this County to enter upon the above-menti6Aed property for inspection purposes,. - � d SEE REVERSE FOR EXPLANATORY LANGUAGE Signe6ure o plicant or Agent l Date ®s APPLICATION FOR �BURWING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADORES/$�/ BUILDING ADDV) 2 `�� AAO 1 hereby affirm that I have a certificate of consent to self insure, J or a certificate of Workers' Compensation Insurance,or a certified J copy thereof Sec 3 0 Lab.C.) CI Y ZIP /7 rj _ ( ® LOCALITY Policy No._ Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. rtifiedfcopy is filed with the county building insp ction TRACT BLOCK LOT NO. depart end USE ZONE MAP NO. /`/ ASSESSOR MAP BOOK PAGE PARCEL Date f �J Applicant v� 1 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WOR RS' OWNER TEL NO. YES NO COMPENSATION INSURANCE WITHIN 1000 FT.OF.SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS -:� > ®{J DISTRICT GROUP TYP CONST. FIRE ZONE PROCESSED BY dollars ($100) or less.) ✓ v CITY ZIP I certify that in the performance of the for which this permit. is issued, I shall not employ any son in any manner so as to � � become subject to the Worke Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO DateZionprovisions Cant ADDRESS CLASS NO. _ DWELL UNITS NOTICT.� If, after .making this' Certificate of REQUIRED TOTAL SETBACK FROM EXIST - Exemld become subject to the WOrkers'l CONT CT TEL O SET BACK YARD HWY PROP LINE WIDTH Comps of the Labor Code, you must forthwith FRONT complions or this permit shall be deemed revoked. DDLR�F�S� 1 t/� P L A76 9' - �7 .G SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASB� P'L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES I NO.OF FAMILIES ' Professions Code,and m� li.� s� is in full force and effe t. NEW ❑ BK PG License Number - Lic.Class DESCRIPTION OF WORK /ADD ❑ VALUATION �_ O Contractor Date _� ' ALTER ❑ $ �t/ U REPAIRs ❑ 1 am exempt under Sec _, $ r. B.&P.C. for-this reason L/m// DEMOL ❑ ;.•° V LDMA P/C# LLJ Date: USE OF EXISTING BLDG. URM ❑ Signature APPLIC (PRIN ' TEL NO. LDMA Perm Z ❑"I, as owner of the property, or my employees with wages as Z : ..•O j i''� CH °_ their sole compensation, will do the work and the structure is = = : ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE r ,l Ln Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ;� J. OR.A MIXTURE C NTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE (•I•,� "' ❑ I, as owner of the property, am exclusively contracting With AMOUNTS SPECIE ED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ISI a licensed contractors to construct the project (Section 7044, Yes❑ No Business and Professions Code.) WILL THE INT DED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT RE UIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION L DING AGENCY COAST AIR QU UTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR - —•• - GUIDELINES. - --• f ' I hereby affirm that there is construction lending agency for YES El ❑ ` ' :-Is`�'='" iJ a the performance of the work Or which this permit IS Issued(Sec. IHAVEREADTH HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST.I U ERSTAND MY REQUIREME UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTE 2.20 SECTIONS 2.20. T OUGH 2.20.140 CONCERNING HAZARDOUS 3 Lender's Name MAT I S R A N D FOR OBT ING A PERMIT FROM THE SCAQMD. IL Lender's Address OWNER O AGENT O o I certify that I have read this application and state under penalty O of perjury that the above information is correct.I agree to Comply P.C.FEE PERMIT FEE with all county ordinances and State laws relating to building 00 _cQnnstruction, and hereby authorize representatives of thkupou ty ISSUANCE FEE / to ell er upon the above-men ne property for inspe ti se� (� " � INVESTIGATION FEE TOTAL FEE ^ s 0 m 2P.C.!p,Agem opr / SEE REVERSE FOR EXPLANATORY LANGUAGE r APPLICATIOMFOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of onsent to self insure, BUILDIN ADDRESS —g or a certificate of Workers' Compensation Insurance,or a certified I Copy thereof(Sec.3800,Lab.C.) / CITY ZIP LOCALITY Policy No. 1Company SIZE F LOT <7 NO.OF BLDGS.NOW ON LOT �L ❑ Certified copy is hereby furnished. / NEAREST CROSS ST. ❑ Certified copy is filed 'with the county buil g Inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL � - SPECIAL CONDITIONS CERTIFICATE OF EXEMP ON FROM WORKERS' VVNE TEL NO. YES NO / COMPENSAT N INSURANCE &,4 3 WITHIN 1000 FT.OF SCHOOL? (This section need not be co pleted if the permit is for one hundred ADgEtE�SS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) Goo / CITY ZIP J I certify that in the pe ormance of the work for w ' h this permit qh:?6 ^� is iss ed, I shall Vemploy any person in any anner so as to V ARCHITECT OR ENGINEER TEL NO. �become Su eCt t0 fhe yworkers'C pensati0 a S. - STATISTICAL CLASSIFICATION APT CONDO ✓Dat(y�� o Applicant ADDRESS CLASS NO.. '21, DWELL UNITS NOTICE TO APPLICANT.' If, fter aking this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should becom Subject t0 the Workers' COW VACTOR j 6 �EL NO. / SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the abor Code, you must forthwith C CCyI/`//'LwrL r FRONT comply with such provisions or is permit shall be deemed revoked. ADD ESS LIC.NQ. P L LICENSED CO RACTORS DECLARATION 6<2 2 SIDE C Y LIC.CL S PL I hereby affirm that I m licensed underprovisions of Chapter 9 SEWER MAP >- (commencing with Section 7000)of Division 3 of the Business and SQ.FT, 1ZE NO.OF STO NO.OF FAMILIES a Professions Code,and my license is in full force and effect. NEW ❑ BK PG v License Nu r 4162.22 Lic.Class G DESCRIPTION OF WORK ADD ❑ VALUATION Contractor Date ? ALTER ❑ $ U� v W a y El REPAIR I am exempt under Sec. $ Z_ BAP.C.for this reason DEMOL ❑ LDMA P/C# - Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# F a ❑.I„as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS O 7 - �- f�j not intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code.) _ WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL JJJ J �.Ai �,;:> _� '25 ORA MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE .c j-) _ ❑ I, as owner of the property, am exclusively contracting WITH AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY j I oti licensed contractors to construct the project (Section 7044, YES❑ No❑ Business and Professions Code.) WILL THE INTENDED USEOF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ No❑ N the performance Of the WOfk for Wt11Ch this permit IS ISSUed(Sec. (HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING i-Sr1q if I—I i 3�,5 3097, CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, r TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS - Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. - o Lender's Address O OWNER OR AGENT o I certify that I have read this application and state under penalty O of perjury that the above information is correct.I agree to comply 77.FEE PERMIT FEE /� p� N with all county ordinances and State laws relating to building 1p rJ m construction, and hereby authorize representatives of this County ISSUANCE FEE / �/O a to e t upon the above- ntf ned roperty for inspecti purposes. (p 7 (D v/ INVESTIGATION FEE TOTAL FEE s7 .m Aodlcam or.” 9 m Dale l� O� SEE REVERSE FOR EXPLANATORY LANGUAGE 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 SL 0508 0207250032 PHONE: (626) 285-0488 EXT: LEGA D: NO. OF CONST BUILDING ADDRESS: TR: 17179 LT: 20 SQ. FT STORIES TYPE 6233 CLOVERLY AV STRUCTURE: VN TEMP CA 917801602 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PRIMROSE 5385-010-020 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: R SID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/25/02 JK 01/21/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI A DA E FINAL BY: CODE: OZER;JOE (626) 287-0554- 5,488 2� j/2- 6233 CLOVERLY AV U TEMP 917801602 FEES PAID -CRI TION OF WORK T/0 HOUSE & GARAGE; INSTALL OSB & 30YR CLASS A FIBERGLASS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: RANDOL ROOFING & CONSTRUCTION CO (626) 288-4040- AA BLDG PERMIT ISSUANCE 27.75 2304 TORY AVENUE AC STRONG MOTION RESID 5488.00 VAL 0.55 SPECIAL CONDITIONS: S EL MONTE 91733 D2 PERMIT W/O EN-HC 5488.00 VAL 149.40 TOTAL FEES 177.70 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE RANDOL ROOFING AND CONSTRUCTION (626) 288-0140- 2304 N. TROY AVE. LIC. YO LOCkTION AND SETBACKS SOUTH EL MONTE, CA 91733 451937C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FAUKDAT ON/TRENCH ORMS LIC. NO: SLAE/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 153H265 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING r1 SCHOOL WITHIN HAZARDOUS SHEER PANELS 6 AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE. SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: . FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LAT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP ' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1112120056 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: ITR: 17179 LT: 20 SQ. FT STORIES TYPE OCCUP GROUPI 6233 CLOVERLY AV (STRUCTURE: 0 1 V-B. R-3 I TEMP CA 917801602 ' (ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LONGDEN 1 15385-010-020 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl (TENANT: 1EXIST BLDG USE: - USE ZONE: `� `, (ISSUED ON: PROCESSED BY: 1 I IEXIST OCC GRP: 101/30/12 SR 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF AL DATE FIN BY: CODE: 1 IOZEZ, JOE/CAROL . (626) 643-0823- 1 65,000 1 7 1 16233 CLOVERLY AV v ITEMP 917801602 - FEES PAID IDESCR PTION OF WORK I I (INTERIOR REMODEL, KITCHE , CONVERT BEDROOM INTO OFFICE AND 1 I .,(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IADD ONE BATHROOM 1 1APPLICANT: TEL. NO: IREUBEN WOOTON (626) 590-4187- IB1 PLANCHECK W/ENERGY 65000.00 VAL 886.9^ 1 1710 W. COLORADO BLVD IAA BLDG PERMIT ISSUANCE 27.80 ISPECTAL CONDITIONS: IMONROVIA, CA 91016 IAB STATE GREEN BLDG FEE, 65000.00 VAL 3.00 1 I IAC STRONG MOTION RESID 65000.00 VAL 6.50 1 1 __1B2 PERMIT W/ENERGY 65000.00 VAL 1,043.40 ICONTRACTOR: TEL. NO: TOTAL FEES 1,967.60 (APPROVALS DATE INSPECTOR SIGNATURE IJOHN MYERS CONSTRUCTION (626) 590-4187- 1715 W. COLORADO BLVD. LIC. NO ILOCATION AND SETBACKS IMONROVIA, CA 91016 868221-B 1 ( I I - ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL- NO: 1 IFOUNDATION/TRENCH FORMS I 1 1 IWOOTON, REUBEN (626) 590-4187- 1 I 1710 W. COLORADO BLVD. LIC. NO: ISLAB/UNDER FLOOR I I I IMONROVIA, CA 91016 NONE 1 1 —_ I .I IRAISc'il FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 _ - - 1UNDER,FLOCR INSULATION 1 3 C,9 11ST LEVEL FLOOR SHEATH 1 INO. OF FAMILIES: DWELLING UNIT'S: APT/GOND: STAT CLASS: 1 0 NO 21 1 !2ND LEVEL FLOOR SHEATH I 1 SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I (AIR QUALITY: 1000 FEET MATERIALS NO NO NO I (FIRE DEPT. FRAME INSPECTI i I I i I I I j (BLDG DEPT. FRAME 1NSPECTI 11 �� p . .". SHEAR PANELS 1 1 I I I _ (INSULATION/WEATHER STRIPI I i 1NTEPIOR LATH/DRYWALL f IEXTERIOR LATH I • I I I I I _ ILOT DRAINAGE I 1 1SMOKE DETECTION DEVICES 1 IFIRE DEPARTMENT APPROVALI I 1* ADDITIONAL DATA ON FILE n 1 1 1 1 . (REPORT ID: DPR261 '-ROUTE TO: BS0508�