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HomeMy Public PortalAbout5556 BALDWIN AVE_Building__ (3) - 7U63dAc11#003.2/00 APPLICATION FOR BUILDING,.. PEI MI'T" COUNTY OF LOS ANGELES BUILDING �� CLQ j DEPARTMENT. OF .COUNTY MGM= ADDRESS BUII.DII�iG AND SAFETY DIVISION LOCALI JOHN A. LmE. COUNTY ENGINEER NEAREST. WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. - DISTRICT O. OUPTypE PRO ESSED BY - FOR-APPLICANT TO ML W � � CONST. BUILDING / STATfSTICALCLASSIFICATION, EWER.MAP� ADDRESS W e C3 CLASS:NDDWELL.UN1T8 Z3I B �.$ LOT'NO. • � BLOCK MAP- STATE Y NO' NUMBER HWY. TRACT /lvUSEAONX8PECIAL NO.OF BLDGS. CONDITIONS.. SIZE OF LOT NOW ON LOT F: USE OF. EXISTING B DG. BUILDINGEXIST. TEL. SETBACK YARD HWY • STREET NAME , WIDTH OWNER NO. FRONT'• ® �� / - _ P.L. ADDRESS 011fell, SIDE • / ARCHITECT OR t TEL, P.L. r15, ENGINEER � NO. •� INSPECT09 RECORD ADDRESS 6 TEL. Z r r z a C z, x-nR" a CONTRACTOR NO. ADDRESS DESCRIPTION OF WOHK Z �. ' t �... o N ADD - ALTER REPAIR -DEMOLISH _ C� SQ.FT. [� NO.OF NO.OF SIZE 9t7 STORIES FAMILIES USE OF STRUCTURE lir SIGNATURE OF - APPLICANT VALUATION aca oo ��ff APPROVALS DATE :INSPECT R'S SIGNATURE FP.c PMTE FEE $ /.C„� FOUNDATION:LOCATION FORMS MATERIALS /2' / o n. FRAME:FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APR BRACING BOLTS PLICATION AND STATE THAT TAFURNACE:LOCATION. ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACE: VENT DUCTS STATE•LAWS REGULATING ,.BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING'THE WORK AUTHORIZED 1 LATH,INT. OL WILL NOT EMPLOY ANY PERSON IN VIATION OF THE WORKMEN'S COMPEN TION LAWS OF CALIFORNIA LATH,EXT. SIGNATUREOF HOUSE NUMBER COR • PERMITTE _ Q RECT AND POSTED ADDRES91 FINAL ,fl(%,,/' E. .`�-�'�Al.1���..e�.^., CLYDE.N. DIRLAM, PRINCIPAL STR AL ENGINEER PLAN-CI;ECS VALIDATION:. c M.O. CASH PERMIT VALIDATION ctL MID. Cass LAC,o s .6 2 3�B- -DI. F 2 3-T. 6.0.0 ..tun, ; 0 9 6 2 4.%D' -EC -1:2.10 0 _. . r _ TEMPLE CHTY7. 76ANiA C6#0032/BO APPLICATION FOR' BUILDING .PERMIT -.:,•:�., COUNTY OF LOS ANGELES BUILDING - -DEPART1v M OF COUNTY ENGD=R ADDRESS $-, r 4 ,i//� BUILDING AND SAFETY DIVISION' . LOCALITY !'�isjol C. JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ''•�f WILLIAM A.JENSEN SUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUP' TypE P OCESSED BY FOR APPLICANT TO FILL Ilii �'-{� =, CONST.: BUILDINGd/ !►/' AMP /� STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 44D Ny // G2 '-BIC' = . . CLASS.NO. DWELL.UNITS • LOT NO. '� •BLOCK MAP STATE YES ``-NO NUMBERHWY. TRACT USE ZONE• SPECIAL 'No OF SIZE OF LOT (/ 0 0 I NOW ON LOTS I CONDITIONS' 'USE OF '- � EXISTING BLDG. BUILDINGANIE EXIST.'_ YARD HY STREET'N EI, SETBACK W - WIDTH _ .OWNE (C� O e FRONT ! y P.L. ADDRESS BACQ i.0 4y, SP.L.IDE 1 g. ARCH ITECTOR TEL. L`� �JC� C�� %✓ ENGINEER No: 'INSPECTION RECORD, ADDRESS TEL. CONTRACTOR NO. . O ADDRESS U DESCRIPTION OF WORK 0 N. NEW ADD ALTER REPAIR DEMOLISH SO.FT—.NO.OF NO.OF ' SIZE 1O: STORIIEES FAMILIES STRUCTURE IV E SIGNATURE OF P APPLICANT ' VALUATION$ /00 I APPROVALS 4_-'I0ATEI11,.SP.EC;0R-q SIGNATURE //JJ FOUNDATION:LOCATION FEE $ FEE $ sG. QO FORMS,MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- F RACING,BOLTSRE S,ME ., PLICATION AND STATE THAT THE ABOVE IS CORRECT AND . FURNACE:LOCATION. ' . AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT 1N DOING THE WORK, AUTHORIZED I LATH,INT. WILL NOT EMPLOY ANY PERSON IN VIOLAITION OFT E WORKMEN'S COMPEN TION WS-OF IF.. LATH,EXT. HOUSE NUMBER COR- PERMITTE SIGNATURE OF RECT AND POSTED -.��11��ff ADDRES FINAL .�—S I., is CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E PLAN CMCK VALIDATION C.K. M..0. CASH PEn%IT VALIDATION ax: M.O. CASH 2 9 5 5 FEB 2 3 1' D ':0 ®. DEPARTNT OF BUILDING AND SAFETY + APPLICATION FOR PERMIT '4 COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER BUILDING c FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �,, DISTRICT NO. PLAN CK.NO. PERMIT NO. ADD EBB �1(�LBalftin Arenue - =rlo LOCALITY Lob Anaeles County RECEIVED DAT OF APP DATE ISSUED CROSS sr. Live Oak Avenue Linde Finance & Development �/ BUILDING ?y OWNER Opment C ADDRESS MAIL 232 So. Beverly Drive LOCALITY C ADDRESS NEAREST A /�•r, CITY Beverly Hills, Calif® Nc CR 5-1,55 CROSS ST. FIRE NO.OR� TYPE GROUP ARCHITECT OR, TEL ZONE PLANS .�.� :ENGINEER aaik@ as above ,I y BLDG. / /)Y ADDRESS SETBACK LIN APPROVED r IF CONTRACTOR Same as above EL. BY A DATE USE ZONE �f ABYPROVED/ `.- DATE J ADDRESS f� _ LEGAL •1 CORRECTIONS DESCRIPTION LOT NO. 13 BLOCK TRACT Q 116+9pNO.OF BLOB MOW ON L Tnone 57 68x105 I SS SIZE OF LOT ri�.aEGT�Q L� iO / G leiJ'7r' UHEOF NO. NO.OF FAM �T.� , lDSA.✓� C EXISTING BLDG. FAMILIES I ROOMS DESCRIPTION OF WORK NEW 7C I ALTERATION I ADDITION /E .1-Q -- �� f - r z�l4 CA D REPAIR MOVING DEMOLI5H ,t/ T JI//G•1 G G ¢l cr'�/TG OF Z 51ZERCOMB 6 STORIES •L ou GG,r To si!/w/. o P Camel .lP, � WALL StuccoI ROOF ngl . COVERING COVERING11Yood shie p USE o�'"' Dwelling and detached garage Ig0e.- P*jlaan 110-L I s �.'SD z� T Eip S�.aACIA T'/d naf A-11d A,1 ,mow+• �/�/j / 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT LOCATINSPECTOR OAT j AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: AND V`/'-�, /� „� 1 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /z ` FRAME: FIRE STOPS. 11 / f� 1 SIGNATURE OF @ an @ eIIt BRACING.BOLTS ���.._ PERMITTE G� /r I � L . INT. �l•+' �I AUTHORIZED_AST wl ori .+s• t� G CZ' 11CpLATH, EXT. �' 17 • S liOII . • 76A63BA-3 7-49P.C,� ` �J4.. PLASTER.INT. FEE �f[J '"r�� PLASTER.EXT. J VALUATION $ 00.0 <F�;�J + FEE -FINAL 76A636� E #80"36- APPLICATION FOR BUILDING PERMP, • COUNTY OF LOS ANGELES BUILDING -� I DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST / CROSS ST. DISTRICT N0. GRO �TYP C R C Y FOR APPLICANT TO FILL IN �� ,(� L (PRINT OR TYPE ONLY) it yyyFFF VkR MAP ADDRESS SYS(;(; 6,41-04- Ave CLASSS STATISTICAL CL DWELL. SEBK PG >� LOT NO. BLOCK USE ZONE MAP 'J /j/f j NO. V(J TRACT SPECIAL NO. OF SLOGS. CONDITIONS SIZE OF LOT ® NOW ON LOT USE O EX STING BLDG. I o/V. - C AP, G::' BLDG. SETBACK FROM OWNER /JC�{�/QL. r ```` TEL. _ f FRONT PROP. LINE OF /Xf�. /�n.�f/1N (STREET) j2J 0 (Cf`_(9C� N0./i feG I TYPE OFEXISTING SETBACK HIGHWAY + YARD = TOTAL rf- ' p�q���L "1� HIGHWAY WIDTH FROM C.L. ADDRESS,) .7 CITY [+ F�1 L� 4� ' "� C 7- + '-w L ARCHITECT ORTEL. BLDG.SETBACK FROM STREET) ENGINEER NO. SIDE PROP. LINE OF TYPE OF EXISTING SETBACK HIG AY + RD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. ,py TEL, V + I CONTRACTOR W/•Ve-K0 NO. V - } LIC. zo ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ O LIC. V CITY CLASS SEE REVERSE.SIDE FOR SPEC.1 L A RO ALS CONSTRUCTION LENDERf 0 NAME AND BRANCH .il /� �' V Lu ADDRESS _ N SQ. FT. NO. OF N0. OF Z SUSE OF IZE STORIES �p FAMILIES NEW El STRUCTURE f'AAAlJ.y ',QAfj, ILO•I`Y ADD ®" ALTERAt I REPAIR ❑ SIGNATURE OF y r DEMOL ❑ APPLICANT - VALUATION $ ?.� APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. "1 �y� FOUNDION: LOCATION FEE $ FEE $ rJ (i� F0,A'S MATERIALS 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 WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION, 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 W�ORLRLL<MEN'S COM- PENSATION INSURANCE LATH, i�f. LATH, EXT. - C SIGNATURE OF PERMITTEE HOUSE NUMBER CORRECT AND POSTED ' ADDRESS - �`'�% �'��y�`�/ ! f FINAL / �. JOHN F., LEWIS, P INCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CAS. - PERMIT VALIDATION CK. M.o. CAS. r ',:z6 o N�v12 1 D 2 2.50,., ' .I APPLICATION FOR BUILDING PERMIT 1. COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS 1 BUILDING ADDRESS � � �� �R�U�-%��► f I hereby affirm that I have a certificate of consent to self insure, copy ( ec Workers' .Compensation Insurance,or a certified CITY ZIP / co thereof Sec.3800,Lab.C. 7& LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ BLOCK LOT No. Certified copy is filed with the county building inspection TRACT J© department. USEZONE MAPNO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL - - 1 SPECIAL CONDITIONS OWNER I TE .NO. 1 CERTIFICATE OF EXEMPTION FROM WORKERS' � YES NO COMPENSATION INSURANCE '� Ell—���� WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP , certify that in the performance of the work for which this permit J ais issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'C mpensation Laws. /Oy STATISTICAL CLAJ���SSS'IFICATION. P D Date�pliY �° ADDRESS. CLASS NO. `1 DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption', y 1 you should become subject to the Workers' CONTRACTOR TEL.N P _ Compensation provisions of the Labor Code,you must forthwith SETBACK YARD HWY PROP LINE WIDTH�' � � FRONT comply with such provisions or this permit shall be deemed revoked. AD RESS LIC. O. PL SIDE LICENSED CONTRACTORS DECLARATION CITY U LIC.CLASS PL o I hereby affirm that I am licensed under provisions of Chapter 9 SQFT SIZE NO. STORES NO.OF FAMILIES SEWER MAP C=(commencing with Section 70 .00)of Division 3 of the Business and NEW ❑ BK PG , v= \ Professions Code,and my license is in full force and elle t 1 License Number j� Lic.Class n DESCRIPTION OF WORK ADD ❑ VALUATION �+I \ CL Contractor,/ Date ?` ALTER ❑ $ ����� z REPAIR ❑ ❑ I am exempt under Sec. B.BP.C.for this reason DEMOL ❑ LDMA P/C# USE OF EXISTING BLDG. Date: URM. ❑ s j '•.�: Signature APPLICANT(PRINT). TEL.NO. LDMA Perm# W Z El I, as owner of the property, or my employees with wages as �i � � O their sole compensation,will do the work and the structure is AD �;.1 not intended or offered for sale (Section 7044, Business and FINAL DATE < -- _.:'� '`._I`".°' PTOfeSSIOf1S Code.) WILLTHE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIALCSI iF'S1'•�< i:.. OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ❑ 1, as owner of the property; am exclusively contracting with THEAMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINA B ( L 9 licensed contractors to construct the project.(Section 7044, YES❑ NO❑ Business and Professions Code.) _ s .»i , ,•. WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING ^-..r_ ---... .. - OCCUPANT REQUIRE APERMIT FOR CONSTRUCTION ORMODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST iLur?xr j 't FOR GUIDELINES. ,�� r ` •-' - •.. _ __ I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the Work for which this permit is issued(.Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). - PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES Lenders Name COUNTY CODE,TITLE2,CHAPTER 2.20 SECTIONS 2.20.100THROUGH 2.20.140 CONCERNING HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. a .Lender's Address G• OWNER OR AGENT o' I certify that I have read this application and state that the above $ information is correct. I agree to comply with all county P.C.FEE PERMIT FEE Q N ordinances and State laws relating to building construction,and 1 J i ¢. hereby authorize representatives of this County to enter upon ISSUANCE FEE the ove mentd prop rtr pec' purpose 2 INVESTIGATION FEE TOTAL FEE —r Signature of APPII torA t Dote 1 Z, SEE REVERSE FOR EXPLANATORY LANGUAGE, -TIM 7 WORKERS'COMPENSATION DECLARATION hereby affirm That. I have a certiompe stion Insurance, to c self• ' APPLICATION FOR B t)I L D I N G PERMIT u insure, or.a certificate of Workers'Compenstion 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 54 !zzy ADDRESS J Certified copy is filed with the county building inspec_. BUILDING ❑ tion department. ADDRESS y� p 77��pp LOCALITY �% C Date Applicant CITY !� ZIP 1 CROSSSST. CERTIFICATE OF EXEMPTION FROM WORKERS' 7 Q / NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE" SIZE OF LOT 0 NOW ON LOT MAP BOOK PAGE PARCEL (This'section'need not be completed if the permit is for one 8 USE ZONE, MAP TRACT BLOCK LOT NO. 1_J NO. hundred dollars ($100)or.lesa) SPECIAL ,-��TEL. o j:•" /C I certify'that in the performanc The wo k f hich t is OWNER. TE:L. CONDITIONS permiT,is issued, I•shall note oy any per n ny man p•— DISTRICT GROUP TYPE FIRE PROC SSED BY CJ ADDRESS �,}`g�a— ; C/ CONST. ZONE 99 'so as to become'subjecT To the-Workers' r. � ❑tion S. � 2 r / O / CITY m ZIP. 0: STATISTICAL CLASSIFICATION 1� APT. CONDO. �J Date It- Applicant MAI NOTICE O APPLICANT: If, aft making this . ertificate r TEL. y CLASS NO. DWELL. UNITS Exemption, you:should b ome subject To the Wor rs' ENGINEER q y°° NO. l �� 'Compensation provisions of the Labor Code, you must f�Orth- ADDRESS 2JC) ) (�I � � �� �/ SEWER MAP with comply with such 'provisions or this permit shall be TEL. VALIDATION deemed revoked. CONTRACTOR NO. BK. I PG, T LICENSED CONTRACTORS DECLARATION. LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION - (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS $ O�v SQ. FT. NO. OF NO.OF CHECK License Number Lic.Class SIZE&_ STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK ,,p NEW ❑ $ ❑ t ADD, I am exempt from the licensing requirements as I am a �� (p licensed architect or a registered professional engineer ALTER ❑ FINAL' acting in my professional capacity (Section 7051; 1 �y [E:]] DATE Business anREPAIR d Professions Code). USE OF . EXISTING BLDG. DE�OL Q By AL Lic.or Reg.No. _Date APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License J Law for the.following reason (Section 7031.5, Business and ADDRESS Professions Code):. PRESENT y ElI,,- I,_as owner of the property, or my employees with ADDRESS 22.0 2 5,'4 A wages as their sole compensation;will do the work and t structure is not intended or offered for sale(Section LOCALITY o`o l o o o 1 044, Business and Professions Code).. MOVING TEL. I, as owner of the.property, am exclusively contracting CONTRACTOR NO: 2 -,,l 2 k 0 0 with.licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). ti o'o,1 2.4,0 0 5_1 REQUIRED TOTAL SETBACKTROM EXIST. CONSTRUCTION LENDING•AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 0 7,10 8.-7 8 1 the performance of The work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE ` P.L.. Lender's Name n/ m Lender's Address P.C'. Fee$ Permit Fee ? I certify that Irhave read this application and state that the Issuance fee / ab mation is correct..I agree to comply with all County Investigation Fee o rdinance a tate s re a ' g To uil ng construction, and her authori represent o iv of �s County to enter Total Fee aupon e abov ntioned pr rty fo ection urposes. ' ~ f SEE REVERSE FOR EXPLANATORY LANGUAGE ^ . Signature of App icant or Agent D to ©S, 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 1109280078 PHONE: (626) 285-0468 EXT: LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 ITR: 16957 LT: 13 SQ. FT STORIES TYPE 5556 BALDWIN AV 1 I (STRUCTURE: 2000 V-B I TEMP CA 917802627 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BOGUE 18586-022-013 I I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl (TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: _ 1 1 JEXIST OCC GRP: 109/28/11 SR 1 JOWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: 1 '_QAL DATE {' W: I L CODE: 1 INUNEZ, OSCAR - 1 3,500 / a®I 1 15556 BALDWIN AV 1 1 TEMP 917802627 1 FEES PAID (DESCRIPTION OF WORK 1 I 1 IREROOF OVERLAY EXISTING WI H COMPOSITION SHINGLES 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (APPLICANT: TEL. NO: I ISAME AS OWNER - JAA BLDG PERMIT ISSUANCE 27.80 1 1 JAB STATE GREEN BLDG FEE 3500.00 VAL 1.00 ISPF.CIAL CONDITIONS: 1 ID2 PERMIT W/O EN-HC 3500.00 VAL 116.00 1 1 1 TOTAL FEES 144.80 1 ICONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER _ 1 I LIC. NO 1 ILOCATION AND SETBACKS I I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIC. NO: 1 JSLAB/UNDER FLOOR 1 1 1 I I I 1 IRA SED FLOOR FRAMING 1 I I � IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM'=:J JUNDERFLOOR INSULATION I I I 1147H269 3 001 1 1-1 1 1 I IFLOOR SHEATHING 1 INO: OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I 1 0 NO 21 1 IROOF SHEATHING I I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I JAIR QUALITY: 1000 FEET MATERIALS 1 I— NO NO NO 1FRAME INSPECTION I I I 1 1 IFIRE SPRINKLER HANGERS 1 1 1 I I I (INSULATION/WEATHER STRIPJ 1 1 (INTERIOR LATH/DRYWALL 1 1 I I I 1 1 1EXTERIOR LATH I I I IRATED FLOOR/CEIL ASSEM. 1 I I 1 IRATED WALL ASSEMBLIES 1 1 1 I I I 1 IRATED SHAFTS/OPENINGS 1 1 1 I I I IT-BAR CEILINGS 1 I ILOT DRAINAGE 1 I I I 1 IREPORT ID: DPR261 ROUTE TO: SS0508 1 1 1 1 I I I I I I