HomeMy Public PortalAbout6639 CLOVERLY AVE_Building__ 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 0103150039
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6639 CLOVERLY AV
STRUCTURE: 370 1 VN R3 ARCD CA 910077716
ASSESSOR-INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: CAMINO REAL
5382-010-030 OTHER: THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 03/15/01 UT 09/11/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
ANDERSON, THOMAS E (626) 447-3923- 27,750
6639 CLOVERLY AVENUE
TEMP 917803504 FEES PAID DESCRIPTION OF [WORK
ADDITION OF FAMILYRM AND MASTER SUITE
APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RES.ID-_- ,__27750.00 VAL 2.78 SPECIAL CONDITIONS:
B1 PLANCHECK—W/ENERGY_ - -277-50.00 VAL 477.40
B2 PERMIT,/ENERGY^ -27-7,50-00-VAL 561.66
TO.TA'L�FEES�� 1,069.59
�
CONTRACTOR: TEL. NO: �� ��� � APPROVALS DATE INSPE OR SIGNATURE
SAME AS OWNER
LIC. NO �"� �`�v\ LOCATION AND SETBACKS 3�3
SOILS ENGINEER� APPROVAL N A �� a
ARCHITECT OR ENGINEER: TEL. NO: I , J \• FOUNDATION/TRENCH FORMS 23
_- �
, 11111 ] LUNDEFLLIC. NO `
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP UNDERFLOOR INSULATION
i
ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS
NO 21L - NOEL FLOOR SHEATH
ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS \
pp
AIR QUALITY.: 1000 FEET MATERIALS � � ��
NO NO NO � � FIRE DEFT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: _
FRONT PPL-L - SHEAR PANELSSIDE
4
INSULATION/WEATHER STRIP,
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE •1
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
76A.638A,
APPUCATI®N FOR BUILDING PEERKAQT . � .
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS- 19
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY'ENGINEER
COLEMAN W. JENKINS, SUPT OF Bu1LDING NEAREST
CROSS ST. _
FOR APPLICANT TO FILL IN DISNo GR ' TYPE -PR BY
CONST.
(Print or type only) � �
BUILDING ` �- STATISTICAL:CLA-S -ICATION - SIEWER MAP.
ADDRESS CLASS NO. WELLUNITSBK PG
LOT NO. BLOCK USE'ZONE MAP C /� /J
TRACT - - �I / 'SPECIAL
1 �Y NO.OFBLDGS. - CONDITIONS.
SIZE OF LOT - �" J �" -NOW ON LOT
USE OF
EXISTING.BLDG. .t t.. BLDG.SETBACK'FROM -
TEL. - FRONT'PROP.LINEOF -_ - (ST_REET).
OWNER ��� �� NO. ' �'A -
.TYPE.OF EXISTING 'SETBACK HIGHWAY "+ YARD - TOTAL
ADDRESS-&& HIGHWAY WIDTH FROM C.L. >
CITY BLDG,SETB CK FROM -
ARCHIT CT OR SEL.. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE-OF-EXISTING -SETBACK- HIGHWAY + YARD = -TOTAL
ADDRESS - HIGHWAY WIDTH I FROM C.L.
+ - r
CON TRACTO4NO.
L'IC
ADORES r�1ji CORNER CUTOFF YES ❑ NO .❑ V
-: Z! l[7
Iq. �
city - _ CLASS _ SEE REVERSE SIDE.FOR'SPECIAL APPROVALS
CD
ESCRIPTI OF WORK. Ia
/- 3 al ! /1 i n Ta 4!Z ,c -c-- z
NEW /1'ADD_,*1 ALTER REPAIR DEMOLISH 1 - q,.�� 1 —
SQ. F NO. OF NO. OF O /Vl -� + /^A V �/� // A-
SIZE - STORIES FAMILIES -
USE OF
STRUCTURE Livjo- - C - -
SIGNATURE OF
` APPLICANT
VALUATION $ � APPROVALS DATE INf CTOR'S SIc ATURE '
E FORMS, MATERIALS
PMT. _„ FOUNDATION:
F 9
FEE$ FEE$' � �'CJ _
FRAME: FISTOPS;
I HEREBY ACKNOWLEDGE THAT I.HAVE READ THIS APPLICATION BRACIRE NG, 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. 1 CERTIFY THAT IN DOING THE WORK _
AUTHORIZED HEREBY i WILL.NOT EMPLOY ANY PERSONAN VIOLA-
TION OF TME LABOR CODE OF THE.STAT ��O'F� CALIFORNIA RELAT: LATH, INT.
•ING TO WORKMEN' COMPE NSATION.INS ANCE.
LATH, EXT.
SIGNATURE OFA ti= HOUSE NUMBER COR-
PERMIT TE- G RECT AND.POSTED s/
ADDRESS�`7 �- FINAL Gr''
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH
6 ' :' c 1 p D �,1.G 0 M '