HomeMy Public PortalAbout5125 BALDWIN AVE_Building__ (2) 70A938A CE#80311 57 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS --5 J
BUILDING AND SAFETY DIVISION LOCALITX
JOHN A LAMBIE COUNTY ENGINEER NEAREST �y
CASSATT D GRIFFIN SUP T of BUILDING CROSS ST 0 /
DISTRICT NO],GROUPPE SEWER MAP
FOR APPLICANT TO FILL IN -- BKBUILD
Il2 BalLdNG win Tem le Cit STATISTICAL SSINST
CATION
ADDRESS
CLASS NO DWELL UNITS
LOT NO / T BLOI
MAPA�
NUM
BE19, O t7 HWYSTATE YES— O
TRACT /1 USE ZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER Mrs* Edre a GroesbeckFRONT
MAIL 512 Baldwin 'P L `2 (3 d ,
ADDRESS SIDE
CITYTem le Cit NEST P L
ARCHITECT OR TEL INSPECTION RECORD
ENGINEER NO 2'114-411,4-1,17
, //a /,4-1,17
l
CONRE �ton Termite TNo AT2661
ADDRESJ-112 E. Main,Alhambra -
DESCRIPTION OF WORK
NEW ADD ALTER R541R DEMOLISH
SQ FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE Residential
Repair of Leaking stall shove
/
SIGNATURE // , APPROVALS
C
APPL I CA
DATE INSPECTOR S SIGNATURE
AD DRE � > > FOUNDATION LOCATION
$ P C $ FORMS MATERIALS
FRAME FIRE STOPS
12.00 FEE BRACING BOLTS
VALUATION i '— -- FGAS VENTLDUCTS N
FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULrypTING BUILDING CONSTRUCTION I LATH EXT
SIGPNATUF O JtO r tee & Pest 0QQ CN MBERCOR
to9CT AND POSTED
C
ADDRESAJ�S&13a rq FINAL
CLYDE N DIRLAM PRINCIPAL STR URAL ENGINEER
PLAN CHECX VALIDATION cK M o CASH PERMIT VPDATION cK , M o cash
e �
� Co 7 4 1 2 MJ 2 1 A 3 00 '0
1
I
DEPARTMENT OF BUILDING AND SAFETY / C. .� APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING
DISTRICT NO PLANCK NO PERMIT NO
l �/ n
ADDRESS ! J 6 J
LOCALITY
CEIVED BY DATE OF APPL DATE ISSUED
� Q
NEAREST
CROSS ST BUILDING f/
OWNER ADDRESS
MADIL LOCALITY �.
ADR 8 - NEAREST
TEL CROSS ST h
CITY NO �� FIRE NO OF TYPE I GROUP
ARCH ECT OR TEL ZONE PLANS r`
ENGINEER
SETBACK LINE Z O /,�j' / �RD NO
ADDRESS `� —
APPROVED
- +TEL BY DATE
CONTRACTOR �L,fr NO '',;) O USE APPROVED
ZONE� �� BY
ADDRESS ?-a0 Q ca►��� HOUSE NUMBERING DATE
LEGAL /2-OI b FIELD CHECK BY
DESCRIPTION L T NO BLOCK MAP NUMBER
TRACT NO ASSIGNED BY nATE
NO OF BLDGS / CORRECTIONS
SIZE OF LOT ✓R /� Q NOW ON LOT / I
USE OF t NO OF
EXISTING BLDG FAMILIES -
DESCRIPTION OF W
NEW I ALTERATION I ADDITION
REPAIR I I DEMOLITION I I --- - -- - - _0
SQ FT NO OF G1
BIZE ROOMS STORIES Z
EXT WALL1
ROOF , �'
COVERING G' C� ( COVE NG
USE OF STR CT RE
APPROVALS
INSPECTORS SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FOUNDATION LOCATION /
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS MATERIALS J� _/J"
CORRECT
I AGREIS TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS
HERQON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS
LAWS REGULATING BUIL NG CONSTRUCTION FURNACE LOCATION
SIGNATURE OF
GAS VENT DUCTS
PER] IS
LATH INT
ADDRESS
a
000, ��G/ L�
AUTHORIZED AGT TH EXT �A -4Z
PLASTER INT
76A698A DBSS t0 $ P C
FEE PLASTER EXT
VALUATION FEE FINAL I)
I
'6A630ACE #803369APPLICATION FOR BUILDING PERMIT
COUNTY OF. LOS ANGELES BUILDING �AC.C/(.�/ - vC
DEPARTMENT OF COUNTY ENGINEER ADDRESS G, /vr 111��J
BUILDING AND SAFETY DIVISION LOCALITY I
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE CONST P SSED BY
(PRINT OR TYPE ONLY) So
BUILDING -- STATISTICAL CLAS IFICATION SEWER MAP
��
ADDRESS -7
L� CLASS NO -::;`LDWELL UNITS BK PG�
LOT NO � ' `QT� BLOCK U E ZONE MAP /
No
TRACTSPECIAL
NO OF BLDGS 2Dd CONDIT ONS
SIZE OF LOT J NOW ON LOT
USE OF
EXISTING BLDG BLDG SEKBACK FROM
T FRONT PR LINE OF (STREET)
OWNER NO TYPE OF EXISTI SETBACK HIGHWAY + YARD = TOTAL
ADDRESS�� a,�l.`/ HIGHWAY WIDTH ROM C L -
+ _
CITY
ARCHITECT OR TEL BLDG SETBACK FROM (STREET)
ENGINEER NO SIDE PROP LINE OF
AHIGHWAY
E OF EXISTING SETBACK HIG AY + YARD = TOTAL
ADDRESS WIDTH FROM C L
TEL _CONTRACTOR -
}
LIC
ADDRESS 3 NO CORNER CUTOFF - YES ❑ NO ❑ C
7��
LICIII-
y�
CITY CLASS/ SEE REVERSE SIDE F R tECIA APPR S 09
CONSTRUCTION LENDER �j C
II-
NAME AND BRANCH jI.�C.f)' � v G U
L
LL
ADDRESS n
V
SQ FT NO OF NO OF
SIZE STORIES FAMILIES �- NEW El
USE _ /J' a / ADD
STRUCTURE U,�f(oy('/vOLc'-'v ❑
ALTER
REPAIR ❑ /
SIGNATURE OF DEMOL ❑
uv
APPLICANT
VALUATION $ APPROVALS DATE INSPECTOR S SIGNATURE
FEE $ FEE $ FOUNDATFORMSO MATERALOCALSN %!J � ,G � �I/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GAS VENT DUCTS
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH INT
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANC ( t
LATH EXT
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEE AND '46/70 W-wvvf
POSTED
ADORES O FINAL
JOHN F LEWIS PRINCIP L STR -URAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH - PERMIT VALIDATION CK M O CASH '
3390rc-7' FEB 4 1 D 2250 ,
41to4mell'I'tl
DEPARTMENT OF BUYLDING AN6-s --APPMI ATIFUN FOR PERMIT
w COUNTY OF LOS "qC qxS 11
WM J FOX CHIEF ENGIPtEER �UBUILDING
FOR APPLICANT TO F I, FOR OFFICE USE ONLY
IN
BUILDING l � DISTRICT NO PLANCK NO PERMIT NO
ADDRESS s�sW ��' L O /100
If - ` V
LOCALITY �{�/j� `�1 RECEIVED BY +DATE FAPPL/'� -nSDATE ISSUED
CROSHST ol — �. r+! G - ?-7 �� V
ADDREBUILDISS OWNER
ADDRESS �jJ �pL yam(/� /7
ADDRESS V _ , LOCALITY T MAIL _/-//)LL C /! Y
c�TMO ' r TE i NEAREST
ROBB ST L
FIRE NO OF 2 S-.TYPEa GROUP,7
ARCHITECT OR TEL ZONE —� PLANS ,,,.�/
EN [NEER / NO/ LOG
ADDRESS / I 9ETBACKLINE D / RD
-/y/t/rr+9 CL �9[Parrn/O
APPROVED
CONTRACTOR TEBY DATE
USE APPROVED + L
ADDRESS ZONE / BY DATE
DESCRIPTION LOT NOF/ BLOCK \ _� CORRECTIONS
n �
TRACT Ab&Pltllr llri- 662/U S �\
NO OF BLDG9
SIZE OF LOT NOW ON LOT
USE OF NO I FAMIOF N13 13F
L Es I ROOMS
EXI9TITING BLDD
DESCRIPTION OF WORK
NEW +ALTERATION ADDITION
REPAIR MOVING DEMOLISH f7, A;� ,K ,p Qdp� p
SO FT / NO OF Z
SIZE 7 /¢ ROOMS Z STORIES ® SFGii.BL� .�� 9d ��RoLwT _ D
WALL OOF ( Q� 7�" \r
COVERING COVERING
USE OF NEW
BUILDING
I _ t
/ J
eSI&AIF-D ,
I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THEABOVE IB CORRECT+ FOUNDATION LOCATION IASPECTOR D TE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS {��
AND'-STATE
EpLAWS REGULATING BUILDING CONSTRUCTION ION
FRAME FIRE STOPS. "L
SIGNATURE De i BRACING BOLTS , D l/ L
PERMITTEE/ , f ./l �...�Ji
�'Tj � LATH INT
AUTHORIZED AOT- �,J/�����i�i/�../"�� ✓
'] LATH, EXT
76A638A 3 7 49 -s �� {�.. �0 P C $ PLASTER INT /V
((( �V'� / n
� PLASTER EXT
VALUATION cEE([)�r�
FEE /'�� FINAL
. nPPUCA a Fo� o i o n e
COUNTY OF LO!eANGQs ES tfUILDING AND SAFETY
=WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS _ . 8I?.q. V&,Ib.L0VJ".4 r6wP
or a certificate of Workers' Compensation Insurance, or a certified Z IL-30�VV =x'Tv! '1'alld17�$ exTY
CITY ZIP
copy thereof (Sec. 3800 Lab.C.) •���� �'' _ ' •> 1 LOCALITY
Policy No. Company �/�¢ - i7 ,. i.
SIZE OF LOT NO.OF BLDGS.-NOW ON SOT_
Certified copy is hereby furnished. L� NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection TRACT BLOCK "LUT NO.
department. .;,;`e , USE ZONE MAP NO. -7
Date Applicant ASSESSOR MAP BOO�y,, PAGE PARCEL 1.4
H 40qdJlV 06 7 d O / var� SPECIAL CONDITIONS
Uqf
CERTIFICATE OF EXEMPTION FROM WOR RS' OWNER TEL NO.
COMPENSATION INSURANCE 121044149A— `���� WITHIN 1000 FT OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred ADDRESS
dollars ($100)or less.) Z'Sr✓VIA Vir-4 10y1.iVb DISTRICT GROUP TYPE CONST, FIRE ZONE PROCESSED BY
` O
I certify that in the performance of the work for which this permit CITY 'Z$I.�rL$ Gl , ZIP
is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER G0004NOL TEL NO.
become subject to the Workers'Compensation Laws. G pr W •fid a` STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS �y ��p„aet�ga0 CLASS NO. DWELL UNITS
NOTICE TO APPLICANT If, after making this Certificate of &atO fit+• cbe'V I ^VA q+ 3o'S'14N "!y REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become Subject t0 the Workers' CONTRA O i o iEL1J-�i SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith Jpf1U[Y
FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRE S LIC.NO. P L
•�.t•��`� •�•���
LICENSED CONTRACTORS DECLARATION CITY L�� LIC.CLASS P L
SIDE +}-,,
1 hereby affirm that I am licensed underprovisions of Chapter 9 Z7
(commencing with Section 7000)of Division 3 of the Business and NO.OF STORIES NO.OF FAMILIES SEWER MAP ••��7,(
r'1_1•� eV
Professions Code,and my license is in full force and ct. / NEW ❑ BK•�� PG � `� tl� _ a
1126.4_L
DESCRIPTION OF WORK VALUATION
License Number Lic.Class 7 ADD
,svr� a.�v. w'.t• �.Y� ¢�..RM4,� $ 1 ITEMS v
Contractor .iVl,>� i{�ll� � Date ALTER ❑, -
,do p A. Pow1D 6Us. RSA %M
REPAIR ❑ TOTAL 1126.916
❑ I am exempt under Sec. $ / ,-C:HECK 11.2 9
B.&P.C.for this reason DEMOL ❑ LDMA P/C# '" " 4, y`.
�4,_. . ► b{s
Date: USE OF EXISTING BLDG. ' q, URM�� L_I , , .4t ,LIPID..
1 AkA- C0
Signature v , t ".-,-,
APP IC NT(PRINT) TEL NO.' LDMA Perm# _
❑ I, as owner of the property, or my employees with wages as d •' .a 3. T+ Z. 5 1 -l�j i 1 16,'��9,7
their sole compensation, will do the work and the structure is A D Oj
not intended or offered for sale (Section 7044, Business and , tS Z/V �E FINAL DATE Q 1,a4z 1 F'N1�:1?
Professions Code.) 0' hi=•%.•�.s
WILL THE APPLICANT OR FUTURE BUILDI G OCCUPA T HANDLE;A HAZARDOUS MATERIAL ;���'� ,S� _
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THcr•' ^ J •y,w' J �•�
❑ I, as owner of the property, am exclusively contracting with Q '7 /p ('y
AMOUNTS'�SPECIF,IED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 330 1'fYT e-
licensed contractors to construct the project (Section 7044, YES❑ NO/1�G{� � � '•
Business and Professions Code.) ,�_ ITEM_.
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION.OR-MODIFICATION FROM THE SOUTH 1 - i 7
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR TOTAL TLI1+'<j AL 1C1 .6T
GUIDELINES.
I hereby affirm that there is a construction lending agency for YES❑ C CHECK 1517.61h
I N the performance of the work for which this permit is issued(Sec. E
IHAVE READ THNo/HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
3097,Civ.C.) CHECKLIST.I UNDERSTA MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
TITLE 2,CHAPTER 2.20 _CTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS
Lender's Name MATERIALS REPORTIN ND F R OBTAINI PERMIT FROM THE SCAQMD.
o Lender's Address OO 0 0 ()n
) O OWNER OR AGENT I.��IQ�.I-���i 1 •mit �9/y:r
0 1 certify that I have read this application and state under penalty r
Oof perjury that the above information is correct.I agree t0 comply P.C.FEE ./ �,r PERMIT FEE / 'Ji1! 1 AN 11e'8
N with all county ordinances and State laws relating to,building `' /
m Construction and hereby authorize representatives of this County / �/`L ISSUANCE FEE
to
enter up the above-mentioned property for inspection purposes. (p �f 7
a
I CO �"-y � INVESTIGATION FEE TOTAL FEE //1
� sig�wre of�t oa,e
{ SEE REVERSE FOR EXPLANATORY LANGUAGE
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate consent to self APPLICATION F:O R B U i L D I N G PERMIT �.
insure, or a certificate of Workers' Compensation
ation Insurance, •
or a certified copy thereof (Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY .
Policy No. Company. .
Certified.copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING i
ADDRESS 1,5LY
( Certified copy is filed with the county'building inspec- BOIIDING , i /f
LJ tion department. ADDRESS / 1 =•(..ice(. i✓i
Date Applicant. CITY k8j%4I , `" 1` ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO:OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(This section need not+be completed if the permit is for oneASSESSOR
.hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
` MAP
OWNER TEL. USE ZONE
lr 151 SL'v NO. NO.
I certify that in the performance of the work for which this e� _ i
permit is issued,'I shall not employ any person in any manner ADDRESS. ,ae� A�ditJiY► >O SPECIAL 9116
CONDITIONS O
so as to become subject to'tHe Workers'Compensation Laws. ii U
r— CITY. ( �L! ZIP
Date Applicant ARCHITECT 0R TEL. 0
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT GROUP, TYPE FIRE - PRO ESSED BY
Exemption, you' should become subject to the Workers' CONST.; J Z E u
Compensation provisions of the Labor Code,-you must-forth-
ADDRESS (!'/ LU LU
fA
with comply,with such provisions or this permit shall be C, - s TEL. STATISTICAL CLAS IFICATION APT. CONDO.
deemed revoked.
CONTRACTOR'S.n NO. Tr—(�mr
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS '� (� c �• r_ NO, ��
(commencing with Section 7000)of Division 3 of the Business and SEWER MAP
-LIC.
Professions Code, and my license is in full force and effect. CITY �L l�h�c"+f_ 0:; c CLASS G°-3 BK PG VALIDATION
v_/ SQ. FT. NO. OF NO. OF. CHECK
License Number 3 160�C Lic.Classy— SIZE STORIES FAMMIILIES ONE
Contractor �S� tiff_. •' Date fet ON
DESCRIPTION OF WORK rC' V ADD
D [:] a A X Ftp dF3
NEW U W
❑ I am exempt under Sec. 1.� . P E " " - ❑ ,
.( p ALTER
B.BP.C. for this reason .0 i�I� l Go L REPAIR El S
Date: Z V EXISTOING BLDG:SE I _R_f:_ DEMOL ❑
APPLICANT TEL.
Signature t FINAL �]
OWNER-BUILDER DECLARATION PRINT NO. DATE /' G �•. •- -• - • •
I-hereby affirm that I am exempt from the Contractor's License �
Low for the following reason —.(Section 7031.5, Business and ADDRESS FINAL 2 2.8. 4 A
Professions Code): PRESENT' BY oe
❑ BUILDING // � # 0 0 0 0 0
I, as owner of the property, or my employees with ADDRESS � f
wages as their sole compensation,will do the work and ; l `� ! ��� 2 o a 6$,6 3
the structure is not intended or offered for sale(Section LOCALITY /` /
7044;-Business and Professions Code). - - MOVING - TEL. '' 0.-o o 6 8,6 3 6
CONTRACTOR NO. �'
❑ I, as owner of the property, am exclusively contracting _ T -,06-2
t_
with licensed contractors'to construct the project (Sec- ADDRESS 0 6 2 7-84
tion 7044, Business and Professions Code).
REQUIRED YARD" HWY" TOTAL SETBACK FROM T.
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the.performance of the work for which this permit is issued P.L. --- -
(Sec. 3097, Civ. C.). SIDE
m P.L.
Lender's Name
a LID Ref. #
m P.C. Fee$ Permit Fee ..
— Lender's Address ,
I certify that I_have read this application and state that the i
Issuance Fee LDMA•P/C#-
a above information is correct. I agree to comply with all County Inv estigation Fee
ordinances and State laws relating to building construction, _ _ TotakFee LDMA Perm. #
v and hereby authorize representatives of this County to enter
upon t b eentioneproperty for inspection purposes.
0 }
a / l SEE REVERSE FOR EXPLANATORY LANGUAGE
-Signature of Apeplipefrit or Agent - 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 1106070033
PHONE (626) 285 0488 EXT
ILEGAL ID NO OF CONST BUILDING ADDRESS i
ITR 9481 LT 1 SQ FT STORIES TYPE 5125 BALDWIN AV I
I ISTRUCTURE V B TEMP CA 917803902
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18589 007 001 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
ITENANT 1EXIST BLDG USE RESID USE ZONE R 1 (ISSUED ON PROCESSED BY 1
IEXIST OCC GRP 106/07/11 SR
10WNER TEL NO IBLDGS NOW ON LOT VALUATION IFI AL DATE FIN BY CODE
ISCHRANS THOMAS (626) 443 4808 1 4 000 _I�XJj�`Ij I
15125 BALDWIN AV 1 J7
ITEMP 917803902 FEES PAID ID SCRIPTION OF WORK 1
IDRY WALL RAPAIR AS NEEDED & NEW TILE IN TWO BATHROOMS 1
IFEE DESCRIPTION QUANTITY UOM AMOUNT IREMODEL 1
1APPLICANT TEL NO I I1
RAZ ARINBAUM (818) 448 1355 IAA BLDG PERMIT ISSUANCE 27 80 1 1
14759 KESTER AVE IAB STATE GREEN BLDG FEE 4000 00 VAL 1 00 ISPECIAL CONDITIONS 1
ISHERMAN OAKS 1AC STRONG MOTION RESID 4000 00 VAL 0 50 1 1
IB2 PERMIT W/ENERGY 4000 00 VAL 127 60 1
TOTAL FEES 156 90 1
ICONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE
(UNIVERSAL REMODELING (888) 343 9111
1545 WEST AVENUE 26 SUITE 201 LIC NO ILOCATION AND SETBACKS
ILOS ANGELES CA 90065 617830/B * I-
I
I ISOIL. ENGINEER APPROVAL I
(ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I
1 LIC NO (SLAB/UNDER FLOOR
RAISID FLOOR FRAMING
I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1UNDERFLOOR INSULATION I
1147H269 3 001 f 1
I I \ IFLOO 'rgFATHING 1 1
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 I I I
0 NO 21 IROOF SHEATHING 1 1
SCHOOL WITHIN HAZARDOUS ISHEAP PANELS I
1AIR QUALITY 1000 FEET MATERIALS
1 NO NO NO IFRAME INSPECTION
I I I
IFIRE SPRINKLER HANGERS 1
I ( I
w 11NSULATION/WEATHER STRIPI
I I
INTERIOR LATH/
IEXTERIOR LATH 1 1
1 RATED FLOOR/CEIL ASSEM
1 IRATED WALL ASSEMBLIES 1
1 RATED SHAFTS/OPENINGS I 1
I IT BAR CEILINGS 1 I 1
1 * ADDITIONAL DATA ON FILE I 1 I 1
LOT DRAINAGE
I I I
IREPORT ID DPR261 ROUTE TO BS0508
I I I I I I