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HomeMy Public PortalAbout5305 ARDEN DR_Building__ APPLIC I-ON FOR ILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING n BUILDING ADDRESS / V / •V �n ADDRESS CITY L -1,KIIP / A�/v i P OF BL GS. LOCALITY- SIZE OF LOT � OW ON LOT NEARES CROSS ST. TRACT'w ASS/ 9 BLOCK LOT NO. �f y MAPE y/� t4SSOR BOOK PAGE PARCEL OWNER S. F NOL ADDRESS U 5 F _33� DISTRICT GROUP CONST._ FIRE/-I PR SSED BY ITYPE r, ARCHITECT O �� STATISTICAL CLASSIFICATION EWER AP CITY C Y�ZIP GLASS NO. _DWELL,UNITS BF� PG TEL. ENGINEER NO. USE ZONE MAP NO. ADDRESS -- ,,,,�f SPECIAL TEL. CONDITIONS CONTRACTOR �{�[/ NO ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ LIC. ADDRESS NO. BOG.SETBACK FROM (STREET) CITY — LIC' F NT PROP.LINE OF CLASS HI HWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING NAME AND BRANCH CONSTRUCTION LENDER FRONT PROP. LINE HIGHWAY WIDTH ADDRESS - CITY - SQ. NO. OF NO. OF ) CHECK BLDG.SETBACK FROM d SIZE V STORIES FAMILIES l ONE SIDE PROP, LINE OF (STREET) V DESCRIPTION OF WORK NEW _ TOTAL SETBACK FROM E OF EXISTING � ❑ HIGHWAY } YARD /f SIDE PROP: LINE HIG AY WIDTH CD_ 05A 4- C,QADDER ❑ } _ ,41 11 CORNER CUTOFF YES ❑ NO ❑. Z .` REPAIRUSE ❑ EXISOT NG BLDG.,5f/y /� L"s DEMOL ❑ IN OPEN SPACE. YES ❑ NO ❑ APPLICANT TEL IN COASTAL ZONE YES ❑ NO ❑ (PRINT) NO. BY (SIGNATURE) ENVIRONMENTAL CATEGORICAL EXEMPTION YES❑ NO ❑ Q IMPACT - EXEMPTION DECLARATION SIGNED (DATE) VALUATION s �U D IMPACT REPORT PROCESSED (DATE) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH' ALLORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NO-T EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO ' WORKMEN'S COMPENSATION INSUR NCE. SIGNATURE OF FINAL BY��jjffII PERMITTEE DATE ADDRESS P.C. O,, t PMT.$ FEE FEE H TE L. CITY NO. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK, M.O. CASH 787V'-'FEB i4 1 0 .1 5Ju •" 76A638B CEN803A 5/73 v% TEMPLE CITY 76A638A CE 9803 2-63APPLICATION FOR BUILDINGPERMIT COUNTY OF LOS ANGELES BUILDINGS DEPARTMENT OF COUNTY ENGINEER ADDRESS ._ BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST // g WILLIAM A. JENSEN, SUP'T OF BUILDING CROSS ST. DISTRICT N GROUP TYPE P SSED BY FOR APPLICANT TO FILL IN �'� coNsr. /�'-/J;Lem, C BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS Q,� _ j'- �' ��� - CLASS. NO.: 'S DWELL. UNITS --- al< LOT NO, 46 BLOCK 4 [WATER CERTIFICATE: NOT REQUIRED RECEIVED ❑ TRACT , MAP`�'.. HIGHWAY NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND, OCAL� SIZE OF LOT NOW-ON LOT USE ZONE SPECIAL - USE OF CONDITIONS EXISTING BLDG. / . i OWNER (--S, ,-(/ ,D v- TEL.NO. BU L ING EXIST. -Zb`' '� e, �/ SETBACK YARD HWY STRE i NAME WIDTH ADDRESS FRONT - / } ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE }' P. L. a ADDRESS O TEL. V. CONTRACTORNO. ix ADDRESS - 0 DESCRIPTION OF WORK W a I H NEW ADD ALTER REPAIR DEMOLISH 'SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE 6 SIGNATURE OF APPLICANT VALUATION,$ APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ "'"'^^ _ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANYPERSONIN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALF ORNIA RELAT- ING TO WORKMEN'S COMPENSAT ON INSURANC - LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS "'� t -�/ INAL JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Lt't+ v FO'R APPLICANT APPLICATION FILL Irint o, type onFO R. BUILDING P RM� BUILDING �,. r� - 'COUN OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY Vii' ziP BUILDING AND SAFETY DIVISION PLC9I NO. BLOGS. BUILDING SIZE OF LOT � Y "NOW ON LOT ADDRESS ef,_5 J TRACT BLOCK LOT NO LOCALITY Ma TEL. NEAREST OWNER Z NO. CROSS ST. Ag „�. ASSESSOR ADDRESSMAP BOOK PAGE PARCEL �+ DISTRICT GROUP TYPE FIRESSED BY CITY ', V ZIP CONST. ZONE ARCHITECT OR 'TEL. ^© J 1 -:31671 ENGINEER ��' NO. STATISTICAL CLASSIFICATION k7l ER MAP ADDRESS CLASS N �.DWELL,UNITS K PG CONTRACTOR NEOL. USE ZONE MAP 210/ J C,.J��yy LIC. NO. 'C_ /'✓ ADDRESS. NO. SPECIAL . . LIC. CONDITIONS CITY CONSTRUCTION LENDER �PCLASS ' ROAD D ARTM ENT APPROVAL REQUIRED YES[:] NO [:] . - NAME AND BRANCH, BLDG. ETBACK FROM FRON PROP.LINEOF (STREET) ADDRESS - CITY - - HIGHWA } YARD = ITOTAL SETBACK FROM TYPE OF EXISTING SQ. F NO. OF NO OF CHECK FRONT PROP..LINE HIGHWAY WIDTH SIZE 40 STORIES ' FAMILIES ONE DEB"C RI PTION OF WORK NEW ❑ } 0 �' ADD BLDG.SETB KFROM ' C7 i „O -23L SIDE PROP.LI (STREET) L. ® ALTER ❑ HIGHWAY .} YAR - K FROM TYPE OF EXISTING V ` REPAIR❑ SIDE PR LI HIGHWAY WIDTH LLI USE �M1/ _ CIO \ Z EXISTING NG BLDG. 41� - '� DEMOL ❑ } _ APPLICANT � TELloM, CORNER CUTOFF YES ❑ ANO (PRINT) t!(// {` _ O BY (S LG NATURE) IN OPEN SPACE. YES ❑ NO � _ IN COASTAL PERMIT ZONE YES NO VALUATION$ MAIM" I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - WITHALL ORDINANCES AND LAWS REGULATING, BUILDING CON- ` STR UC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED - .. HEREBY I WILL NOT EMPLOY ANY P SOH IN .VIOLA N OF THE ' LABOR CODE OFTHE ATZ.OF LN ATING TO WORKMEN'S COMPENSI . - SIGNATURE OF PERMITTEE ADDRESS" 1^, TE IA CITY [ YD1� NO. DTE 2�? .r 7/ BY -l7 b1AKE-CHECKS PAYABLE TO r P.C. $ v /(� P/M�T".;$ TTf FEE' FEE HARVEY T: BRA'NDT, COUNTY ENGINEER PLAN'CHECK VALIDATION CK.- M.O. CASH PERMIT VALIDATION CK. M:0. CASH m�G 76A638A CE#803 5/74 I TEMPLE CITE' 78A688A CE#808.1-61 APPLICATION FOR BUILDING PERMIT 1 •\ COUNTY OF LOS ANGELES BUILDING ADDRESS � SJ .�� 1i1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO._,, G TYPE P FOR APPLICANT TO FILL IN , 0, CONST. BUILDING0,, L STATISTICAL CLASSIFICATION SEWER MAP ADDRESS � P" L� � /' , BK , G CLASS. NO. DWELL.UNITS— LOT NO. BLOCK WATER NOT REQUIREDElRECEIVED ❑ f���+. CERTIFICATE: TRACT / `rye� MAP HIGHWA STATE MAJOR SECONDNO.OF , LOC-A SIZE OF LOT, 7L �/ I NOW ON LOTS USE ZO E/ SPECIAL USE OF ^ . / CONDITIONS EXISTING BLDG. r//J TEL. OWNER .F, � [' cV + N0. R l ; BUILDING EXIST. YARD HWY _STREET NAME ADDRESS ',S- Qe- )& N I SFRONTK WIDTH' ARCHITECT OR TE4C P. L. �C✓ -.r�/j/C�C.��-1 �� ENGINEER NO. .SIDE P.L. } ADDRESS TEL. INSPECTION RECORD p CONTRACTOR !kl 444 NO. _ U ADDRESS � - �_ W r. Q OW tut41, :)dwV. 0 DESCRIPTION OF WORK q) 3'l-l� �'i�i�t�C�� � 'A QSa- h NEW ADD ALTER REPAIR DEMOLISH Z SQ.FT. NO.OF NO.OF JLQ'A1\ P A w n — �IZE STORIES FAMILIES ( 1 USE OF / y�r� V STRUCTURE SIGNATUR OF - APPLICANT c VALUATION APPROVALS PATE) INSPECTOR'S SIGNAT.QRE FEE $ I FEE $ �`� FOUNDATION: LOCATION FORMS,MATERIALS 4! FRAME:.FIRE STOPS, ` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, 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. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE ST TE CALIFOR IA RELAT ING TO WORKMEN'S C E SATION SU NCE. LATH,EXT. SIGNATURE OF / _ HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STR I� RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERNIIT VALIDATION CK. M.O. CASH Li too 4 8 0 5 JA � (_- 3 1 D 4.0 0 "t WORKERS' COMPENSATION DECLARATION insuk or afcertif cirm arte of Workers' Comtpensat e of on Insurancto ef APPLICATION FOR: BUILDING PERMIT i�� ce d copy th reof (Sec. 3300 Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Polity No. �- �� Company BUILDING F-1Certified copy-is hereby furE45r ep'. ' ��. FOR APPLICANT TO FILL IN ADDRESS ,�_30,J ertified copy is filed with theing inspec- BUILDING tion department. ADDRESS ' �, Date,5-9-01 1. Applicant—_:XCITY ' ZIP LOCALITY NO: OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FRO RKERS' SIZE OF LOT. NOW ON LOT CROSS ST. COMPENSATION INSURAN ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGEdb PARCEL hundred dollars ($100) or less.) TEL. L/ OWNER J j> SS�- NO. / �Z C� USE ZONE OP 1417— 4 — — 7 g •1 certify that in the performance of the work for which this I SPECIAL J permit is issued, I shall not employ any person in'any manner ADDRESS Q�d lei VVV CONDITIONS so as to become subject to the Workers'ComOpensation Laws. V CITY ZIP Date Applicant ARCHITECT OR TEL. � NOTICE TO APPLICANT: If, after making' this Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE CESSED BY CONST. ZONE 0 Exemption, you should become subject_ to The Workers' w Compensation provisions of the Labor Code, you must forth- ADDRESS .J��() /" n.. with comply with such provisions or this permit shall be TELA �2 70 STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRALTO ' G NO. W�3/. - LICENSED CONTRACTORS DECLARATION // ,/ LIC. -�J CLASS NO. �( DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS`CO 2J NO,! 3 --s SEWER MAP (commencing with Section-7000)of Division 3.of:the Business LIC. s CITY ),(1 c Ce e— CLASS C-3 and Professions Code,and my license is in full force and effect. BK APG VALIDATION SQ. FT. NO. OF / NO. OF CHECK . License Number Lic. Cldss C 3 SIZE � �D STORIES C FAMILIES ONE !� j�� `� b VALUATION Contractor Date DESCRIPTION OF WORK +� NEW ❑ S � 0 '14" ADD ❑ ► ❑I am'exempt under Sec. C$•SCCS' �S i�pd _ ALTER BAP.C. for this reason REPAIR $ Date: USE OF EXISTING BLDG..S I Z_Z) DEMOL ❑ Signature APPLICANT TEL.4� Z FINAL / (PRINT)See G ?►y�Sa NO.l� 3.2 OWNER-BUILDER DECLARATION DATE I herebyaffirm that I am exempt from the Contractor' ense Law fothe following reason(Section 7031.5, iness and ADDRESS / .r/yYO� -+ FINAL _ Professions Code): PRESENT By !� BUILDING :'_•! ❑ I, as owner of the property, o y employees with ADDRESS �•� _ � , wages as theirsole compens 'on,will do the work and _ _ the structure is.not intend or offered for sale(Section LOCALITY 7044,Business and Pr essions Code.) MOVING TEL y s CONTRACTOR NO. ❑ 1, as owner of the operty, am'exclusively contracting with licensed tractors to the project (Sec- (=```'•- k ADDRESS tion 7044, iness and Professions Code:) REQUIRED TOTALSETBACK FROM EXIST. STRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby of' m that there is a construct'on,lending agency for FRONT `li'i+ the perf mance.of the work for wIn h this permit is issued P.L. (Sec-2 97, Civ. C.). SIDE P.L. Lender's Name IJ1 F IJ,'-1- - LDMA Ref. # - r - � P.C. Fee$ Permit Fee a5; 3 Lender's Address , 0 1 certify that I have read t is application and state that the Issuance Fee d LDMA P/C# 8 above information is correc I agree to comply with all County Investigation Fee R ordinances and State law relating To building construction, Total Fee 3 LDMA Perm. # a and hereby authorizer esentatives of this County to enter aupon the above-me o d property for inspection poses. J !' SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of A I' ant or Agent Date 1 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES 4, w BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN�GLAbDRE`SS L_ I hereby affirm that I have a certificate of consent to self insure, BUILDI ADDRESS OG or a certificate of Workers' Compensation Insurance,or a certified t /� copy thereof(Sec.3800,Lab.C.) CITY ZIP /� - �/ LOCALIT Policy No. Company SZE OF OT NO.OF B-DGS.rW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ❑ Certified copy is filed with the county building inspection TRACT BLOCK LO NO. department. I I USE ZONE MAP NO. Date Applicant AS MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWWN R �f� /TTELL NO. f L '7, COMPENSATION INSURANCE kq- ` �z, '7 I Z r� WITHIN 1000 FT.OF SCHOOL? YES NOIo (This section need not be completed if the permit is for one hundred A KESS ` r� D�' I�r \ DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED B dollars ($100) or less.) TY 0 Zp/ I certify that in the performance of the work for which this permit is issued, I shall not employ any e soa�in ,y maanlner so as to ARC ECT OR ENGIN R TEL NO. become subject to the Worker 11p�rr5:a7ti9rrs-[�canr8r. C© STATISTICAL CLASSIFICATION APT CONDO Date •��� Applicant -/[/�e� r/Tl7L c- ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the WorkersCON RA=R/� , TEL �NO. - SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith • / (Q!�}✓r�(Girj �G� a p �aOr� FRONT comply with such provisions or this permit shall be deemed revoked. lRE /,� LIC�C2,�7,/3 P L LICENSED CONTRACTORS DECLARATION -J �J / SIDE .UIY LIC.CLAS P L I hereby affirm that I am licensed underprovisions of Chapter 9 e 4 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.;JE NO.AF STORIES NO.OF FAMILIES Professions Code,and my is in full force and effect. NEW ❑ BK PG a License Number y��!// L/� Lic.Class� Q CRIB IpN OF WORK C ��� / ADD ❑ VALUATION /�!�� , 0 Contractor/-/-(C2!$ , 6O Date T �/r/ / ALTER $ J '�/� - iccM T ❑i am exempt under Sec. REPAIR ❑ 4`r' 'a Y 0 B.&P.C. for this reason DEMOL ❑ LDMA P/C# -- - W USE OF EXISTING BLDG. Date: URM ❑ Signature APPLICANT(PRINT) NO. LDMA Perm# [�':I RL. �`f `p- 45Z— TEL ❑ I, as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESSC •• ---`=-f-`• o EI'_r: FINAL r ~ not intended or offered for sale (Section 7044, Business and �2 Professions(Ode.} ,7—,C,7 in WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ElI, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section'7044, �j.� Business and Professions Code.) ves F-1 N INTENDEDWILL THE USE OF THE BUDLING BY THE APPLICANT OR FUTURE U OCCUPANTREQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH •�_'�'` I-i e'i CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR U GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NoA N the performance of the work for which this permit is issued(Sec. rn 1 HAVE READ THE HA 55D,US ATELEN MATION IDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECK UNDE ND R UND THE LOS ANGELES COUNTY CODE, TITLE PTE 0 TIORO H 2.20.140 CONCERNING HAZARDOUS 3 Lender's Name MM MIT FROM THE SCAQMD. o Lender's Address NT I O oI certify that I have read this application and state under penalty 6 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE / with all county ordinance and State laws relating to building constructio n here au orize r esentatives of this County ISSUANCE FEE co t er n ab - tioned perty for inspection purposes. < ff-9y INVESTIGATION FEE TOTAL FEEco /� siq�awre orAOW���i o�Age Dace �s 7 I SEE REVERSE FOR EXPLANATORY LANGUAGE 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 1112130012 PHONE: (626) 285-0488 EXT: {LEGAL ID: { NO. OF CONST NEW BUILDING ADDRESS: ITR: 11699 LT: 4 BL: .001 SQ. FT STORIES TYPE OCCUP GROUPI 5305 ARDEN DR I {STRUCTURE: 0 1 V-B R-3 I TEMP CA 917803320 (ASSESSOR INFORMATION NUMBER: GARAGE: { NEAREST CROSS STREET: 18585-004-044 OTHER: { THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl TENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 112/13/11 SR (OWNER: TEL. NO: {BLDGS. NOW ON LOT: VALUATION: {FINAL DATE FINAL BY: CODE: { (WANG JINTING (626) 823-3360- { 8,000 1ii /(�� 15305 ARDEN DR { { 'z1� N ITEMP 917803320 1 FEES PAID (DESCRIPTION OF WORK I (1) RELOCATE BEARING WALL & REFRAME CEILING JOINTS AT BEDROO{ IFEE DESCRIPTION: QUANTITY: DOM: AM0UNT: 1M #3 (2) RELOCATE EXISTING BATHROOM {APPLICANT: TEL. NO: I I {ZHANG, KEVIN (626) 823-3360- IB1 PLANCHECK W/ENERGY 8000.00 VAL 171.50 { { 11105 SUNNY SLONE AVE {AA BLDG PERMIT ISSUANCE 27.80 {SPECIAL CONDITIONS: {PADADENA, CA JAB STATE GREEN BLDG FEE 8000.00 VAL 1.00 {AC STRONG MOTION RESID 8000.00 VAL 0.80 { IB2 PERMIT W/ENERGY 8000.00 VAL 201.80 {CONTRACTOR: TEL. NO: I TOTAL FEES 402.90 (APPROVALS DATE INSPECTOR SIGNATURE 1 {WANG, JINTING (626) 823-3360- { {_. { 15305 ARDEN DRIVE LIC. NO 1 {LOCATION AND SETBACKS ITEMPLE CITY, CA 91780 NONE { { { { { ISOILS ENGINEER APPROVAL { {ARCHITECT OR ENGINEER: TEL. NO: { IFOUNDATION/TRENCH FORMS I { { { LIC. NO: (SLAB/UNDER FLOOR { IRAISED FLOOR FRAMING { 1, IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: { {UNDERFLOOR INSULATION { { { { 3 001 {^_ { I 11ST LEVEL FLOOR SHEATH INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I - { 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH { 1 I { I { I I { SCHOOL WITHIN HAZARDOUS { {ROOF SHEATHING { { { {AIR QUALITY: 1000 FEET MATERIALS I NO NO NO IFIRE DEPT. FRAME INSPECTI { { I 11 ' IBLDC DEPT. FRAME INSPECT( { { { {SHEAR PANELS { { (INSULATION/WEATHER STRIP{ (INTERIOR LATH/DRYWALL I I { { { 1 { { { {EXTERIOR LATH { (LOT DRAINAGE { 1SMORE DETECTION DEVICES { IFIRE DEPARTMENT APPROVALI I I I I I I I { IREPORT 1D: DPR261 ROUTE TO: 9S0508 { {