HomeMy Public PortalAbout5522 BALDWIN AVE_Building__ APPLICATION FOR BUILDING. PERMIT t
'FOR.APPLICANT-TO FILL IN (Print or type'only)
F
Q COUNTY OF LOS ANGELES
�$`�", .CJ•�'��} bV . DEPARTMENT .OF COUNTY ENGINEER
�e �� , ZIP 6� BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING �.
-, f
(O�,T�^- � �� NOW ON LOT / ADDRESS iAQ W_zzjZA
7J BLOCK'' LOT NO. LOCALITYTEL. NEAREST
. /118A) NOl/29IV7J CROSS ST-. - � od
-ASSESSOR -04
5 � �} W ( aJ MAP BOOK' I ' PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROCESSED BY'
� �� L1 / ZIP �G7 -CONST J/ ZONE ` e
ARCHITECT TEL. t7 Co
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER_ MAP
ADDRESS CLASS NO. DWELL,UNITS SK PG
L.
TE
CONTRACTOR" NO, USE ZONEFMAPCLIC.ADDRESS NO, I',� IAL
LIC. DITIONS
CITY C LASS '
ROAD DEPARTMENT APPROVAL REQUIRED YES� NO
CONSTRUCTION LENDER y}.
NAME AND BRANCH BLDG.SETBACK FROM 3
FRONT PROP.LINE OF (STREET) v
ADDRESS CITY HIG Ay •F YARD = TOTAL SETBACK FROM TYPE OF EXISTING I=
SQ. FT.- HIGHWAY WIDTH
PROP.FRONT . CD
SIZE STORIES FAMILIES ONE FU
W
DESCRIPTION OF WORK NEW y
ADD BLDG.SETBACKNSOM- (STREET) Z
Z24 SIDE PROP.LINED
ALTER ❑ AL HIGHWAY + YARD SETBACK FROM TYPE OF EXISTING
. HIGHWAY WIDTH
REPP,IRQ s^SIDE PROP. LINE
USE OF
EXISTING BLDG. DEMOL ❑
APPLICAPRINT)NT /,0/ //'ta v TEL Cl�-o'+�7 CORNER CUTOFF ❑ NO
A IN OPEN'SPACE YES NO, ❑ � -
BY (SIGNATURE) ���,� _ '
IN COASTAL ZONE YES NO .
VALUATION W a r� - CATEGORICAL EXEMPTION Y c] -NO`[:]
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL _
AND STATE THAT THE ABOVE IS CORRECT ANO.AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- '
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACTS' PROCESSED —(DATE),
HEREBY IWILL NOT EMPLOY'-ANY PERSON IN'VIOLATION OF THE �1,
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO i - . rr f c' •:
WORKMEN'S COMPEN TI O Nom,IN`SUR.AeNC_.EE. ai
SIGNATURE OF P 1 p
PERMITTEE �o'
ADDRESS
FINAtL
_.. TEL. '
CITYNO. DATIE ( -
MAKE CHECKS 7'AYABLE TO: P.0;f=� SMT:HARVEY
HARVEY T. BRANDY, COUNTY"ENGINEER FEET FEE P
PLAN 'CHECK VALIDATION cK..- M.O. CASH PERMIT VALIDATION CK. M.O. CASH
2 8.5 0
7GA638A CE#803 7/73 J, -
tAP`RLICATioN' FCR BUILDING. PERMIT
FOR APPLICAi* TO FILL IN (Print or t0is on)v) .
BUI DING COUNTY OF LOS ANGELES
ADCINESS DEPARTMM.OF COUNTY.ENGINEER
CITY ZIP BUILDING AND-SAFETY DIVISION
NO.OF SILO? BUILDING
SIZE OF LOT �� NOW ON LOTS' Z ADDRESS 2-2.. r
TRACT BLOCK LOT Nd. LOCALITY
. TELNEAREST
OWNER NO, . CROSS ST.
dd • - ASSESSOR
ADDRESS' Z /Q MAP BOOK PAGE PARCEL.
DISTRICT GROUP TYPE FIRE P SSED BY
CITY T ZIP' 07f a � a �ONST. ZONE
ARCHITECT TEL
ENGINEER NO.
_ STATISTICAL CLASSIFICATION. WE P
ADDRESS GLASS NO DWELL,UNITS BK I
CONTRACTOR TEL. ZONE MAP
LIC NO.ADDRESS-NO. �' ' SPECIAL
CITY LIC. CONDITION&
CONSTRUCTION LENDER
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NOE]
NAME AND BRANCH BLDG.S CK FROM
FRONT ROP.LINE OF (STREET)
ADDRESS CITY HIGNWA } YARD o TOTAL SETBACK FROM TYPE OF DUSTING
SQ. FT. - NO. OF NO. OF CHECK
SIZE STORIES FAMILIES ONE FRdNT PROP. LINE HIGHWAY WIDTH
DESICRI TION OF WORK - NEW '❑
DD ❑ BLDG.SETBACK ' ....
_ SIDE PROP.LINE OF (STREET)
LTER ❑ HIGHWAY + YARD TOTAL•SETBACK FROM F EXISTING
EPAIR _ SIDE PROP. LINE HIGXW WIDTH
E(IPTING BLDG. �+� /• EMOL +
APl RIN))r i LLO A TEL
j.,� '' CORNER CUTOFF YES ❑ NO ❑
BY
•(SIGNATURE)
E' IN OPEI{SPACE YES ❑' No Q
t Ik COASTAL ZONE YES [:]. NO ❑
VALUATION$. - CATEGORICAL rXEMPTION - YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND BTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLA)tATION SISHED (DATE)
WITH ALL oepINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCRSNED (DATE)
'HEREBY 1 WILL NOT EMPLOY ANY PERB011 IN VIOLATION OF THE
LABOR CODE OF THE BTATE.OF CALIFORNIA IN tRELATING TO
WORKMEN'S COMPENSATION INSURANCE. -
i SIGNg/�TORE OF
PERMI.�TEE
a_ A.��&m±nf
ADDRESS
FINAL !I
CITY NpL� DATE r I ��. •{,` 1 .
MAKE CHECKS PA YA BLE TO: FEE FEES
HARVEY T. BRANDT. COUNTY ENGINEER'
PLAN CE= VALIDATION CR.' M.O. CASH .p MEW VALIDATION cm. M.O. CASH
7 19NAY 14• 1 0 3.0 Q esu
'.TSASSSA CEGGOE 7173
j-76AG38A CE#6081,-97 APPLICATIO FOR BUILDING PERMIT" 1
COUNTY OF LOS ANGELES BU LDISNs 22 No. Baldwin Ave.
'DEPARTMENT OF COUNTY ENGINEER
-BUILDING AND SAFETY DIVISION LOCALITY Temple Cit
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN SUPT of Bu CRO /CTr •
• ILoIND SS ST.
DISTRICT NO. GROUPTypE SEWER MAP
FOR APPLICANT. TO FILL IN g flj I oNs I MBK SPG
BUILDING 5522 NO. Baldwin Ave. STATISTICAL CLASSIFICATION
� ADDRESS
CLASS.NO. DWELL.UNIT
LOT NO.•, f BLOCK MAP STATE
NUMBER HWY. YE5
TRACT 16 USE ZONE SPECIAL
NO,OF BLDGS. i CONDITIONS
SIZE OF COT 55i115 NOW ON.LOT 2 I
USEOF dw & `dr
EXISTING BLDG. ' g BUILDING YARD HWY STREET NAME EXIST.
SETBACK A. WIDTH
OWNER ViCtOr Fie Schmidt' �FRONT
MAIL
ADDRESS 22. NO. Baldwin Ave.- - SIDE
CITY Temple ' City - N pi8-080 P.L.
INSPECTION RECORD
.
ENGINEER Ohn B.Fer uson NO`ST 88 6
ADDRESS 1LL606 Victor .. Van. Nus
CONTRACTOR
Roman Fools TNO.ELaT1-161
ADDRESS 6120 Se ul'veda Van Nus
DESCRIPTION OF WORK
NEWX ADD - "ALTER REPAIR DEMOLISH
S ZE 15X
,0 STORIES FAMILIES 1
USE OF RUCTUREming
i
SIGNATURE O APPROVALS
APPLICANT
D TE INSPECTOR'S.SIGNATURE
ADDRESS 4 f � V FOUNDATION: LOCATION
FORMS,MATERIALS
P.C. S FRAME: FIRE STOPS,
FEE � BRACING,BOLTS
VALUATION $ (9 FURNACE: LOCATION.
FEE ' GAS VENT,DUCTS
I•HERE•BY 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
STATE LAWS G TING BUILDING .AONST UCTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
' PERMITTE RECT AND POSTED
ADDRES FINAL 7 cos0
CLYDE•N.DIRLAM, FfRiN61PAL-I CT.0 L ENGINEER,,
PLAN CHECK VALIDATION cK. M.O. CASFI PEMET VALIDATION cK, M,o. _ CASH
f';o :L 1 9 SEP: 82 5 D 6.C.
OF
L 2 0 1.
Si:P .L D '�
.. - .• �I:ViI i.a • 4.. ��..
6A638AQCF:803 9-67APPLICATI �/ R BUIL NG PERMIT
COUNTY OF LOS ANGELES BUILDING y
DEPARTMENT Of! COUNTY ENGINEER ADDRESS 1�J `
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER7
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST. 7
FOR APPLICANT TO FILL IN DISTRICT NO. GR UP TYPE PR CESSED BY
�j ` O p� - CONST Z.�/l
(Print or type only) Q ///��� {
BUILDING i STATISTICALC SI FICA TI ON SEWER MAP
ADDRESS CLASS NO. DWELL,UNITS
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT H � SPECIAL
CONDIT ONS
NO.OF BLDGS.
SIZE OF LOT c.s NOW ON LOT
USE OF /�
EXISTING BLDG. ' J BLDG.SETBACK FROM [�{. TREE T)
FRONT PROP.LI NE OF
OWNER TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
ADDRESS P '7'
CITY - � + �
BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS
HIGHWAY WIDTH FROM C.L.
T L } _
CONTRAC ORcl-
F /L O
ADDRESS ~ NO. CORNER CUTOFF YES ❑ NO V
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS o
uj
DESCRIPTION OF WORK 'z RB,G D APP A z
NEW ADD LTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES Note: Permits for c...I, a••" - - - ' r"11.-Vi�,y epproacR TIF
USE OF
STRUCTURE sfaliallons shouliI." :77ATTaTins
Office, or T. C. C:, id
fZ,LAZ4 - a lengthy de!=y, i y Casic'. c'nd✓is notr stared
SIGNAT OF: V
APPLIC NT C H$�..
VALUATION $
APPROVALS DATE INs ECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE F _ FORMS, MATERIALS
$ EE $
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—
VA
OMPLY 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.
TION OF TME LABOR CODE OF THE STATE OF CALIFORNI RELAT- LATH, INT.
INC TO WORKMEN'S COMPENSAT INSURANCE.
(2t LATH, EXT.
SIGNATURE O� �J i HOUSE NUMBER COR-
PERMITTEE ,u CT AN POST
ADDRESS - "L
JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK, M.O. CASH _ PERMIT VALIDATION CK, M.O. ASH
Lic
3 e> 5:o i�uR 2 Q l fl 1 7.2 J
pw-n�u
WORKERS' COMPENSATION DECLARATION
insure,hereby
a certificaaffirm tI have a certificate of e of Workers' Compensation��5�ro�cef APPLICATION FOR BUILDING PERMIT
or a certified copy thereof (Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No.
1039547 Cmpany State Compensation
o
ngurance unBUILDING
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN
Certified copy is filed with the ounty b 'ding ins - ADDRESS 5522 Baldwin Ave.
tion department.
Date 8-1-89 Applicant CITY . Tem le City ZIP 91780 LOCALITY
NO. OF BLDGS. NEAREST
CERTIFICATE OF.EXEMPTION F M WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION IN RANCE ASSESSOR
-(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) TEL.
OWNER Tom Pillen NO.442-0471 USE ZONE MAP V-7 72—&P I certify that in the performance of the work for which This NO.
permit is issued, I shall not employ any person in any manner ADDRESS 5522 Baldwin Ave. SPECIAL o}
VVV��� CONDITIONS
so as to become subject to the Workers'Compensation Laws. O
CITY . Temple City ZIP - 91780 u
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE CESSED BY Q
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER - None NO. CONST. ZONE 0
Exemption, you should become' subject-to the Workers' �piI \ w
Compensation provisions of the Labor Code, you must forth- ADDRESS ' 0 I'
with comply with. such provisions or this permits hall be TEL.
deemed revoked. CONTRACTOR United RoofingCo No. 223-4081 STATISTICAL CLASSIFICATION APT. CONDO. Z
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL.UNITS
I hereby affirm that I am licensed under provisions of Chapter ADDRESS 1821 Daly St. NO. 137650
C-39 Angeles CLASS SEWER MAP
(commencing with Section license
of Division 3 of the Business VALIDATION
and Professions Code,and myy lic ffLIC.
cense is in full force-and effect. CITY LOS An BK. PG
"37650 .. C-39 SQ. FT. NO. OF NO. OF CHECK
License Number Lir. Class SIZE STORIES FAMILIES ONE
Rem pQve existing VALUATION
Contractor % Date 8_1-89. DESCRIPTION OF WORKroo? NEW. ❑ $
3000.o0
'19 sqs: '3-tab fiberglass ADD ❑ pop
am exempt u er Sec.
ng ALTER [E]
B.&P.C. for this reasonS
REPAIR .
Date: USE OF
EXISTING BLDG. H011Se DEMOL ❑
Signature APPLICANT TEL
OWNER-BUILDER DECLARATION. (PRINT) United Roofing Co. No223=4081 FINAL
I hereby affirm that I am exempt from the Contractor's LicenseADDRES51821 Daly St. DATE
,
Law for the following reason (Section 7031.5, Business and Los Angeles.- 90031 FINAL
Professions Code): PRESENT By
BUILDING
, ACCT
El I, as owner of the property, or my employees with �T
ADDRESS �
wages as their sole compensation,will do the work and ' ) 3 r 51 ..2.5
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code.) . MOVING TEL. 1 , ITEMS
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. TOTAL 5-9. 25
ADDRESS
with licensed contractors to construct-the project (Sec- 'CHECK T 59 i
ga
tion 7044, Business and Professions Code.)
REQUIRED TOTAL SETBACK FROM EXIST. r
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CH*4GE .011
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
P.L. .tf /839
j Lender's'Name
490. $ �11.:a?
m 48.75 LDMA Ref:#
P.C. Fee$ Permit Fee °
3 Lender's Address ..
a I certify that I have read this application and state that the Issuance Fee 10.50 LDMA P/C# ,
8 '
above information is correct. I agree to comply with all County Investigation-Fee
R kandhpreby
ces Z�S s relating to building construction, Total Fee 59.25 LDMA Perm. #
a epresent tfves of this County to enter
e abned perty for inspection purposes.
0 8-1-89 SEE REVERSE FOR EXPLANATORY LANGUAGE
n
Si lure of Ap "cant or Agent Date
APPLICATION FOR BUILDING PERMT
FOR APPLICANT TO FILL IN (Print or type only)-
COUNTY OF LOS ANGELES
BUILDING d5 9 DEPARTMENT OF COUNTY ENGINEER
CITY R KIP-41 7 `7 ZIP BUILDING AND SAFETY DIVISION
NO.OF BLDGS. J'' BUILDING ��✓
SIZE OF LOT `9�C/A NOW ON LOT p ADDRESS
TRA C �� BLOCK LOT NO. LOCALITY L..
TEL. NEAREST r _
OWNER . NO. CROSS ST.
�• ASSESSOR
ADDRESS _S _ MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE, -PR=&fESSED BY
CITY .d _ CONST. ZON 4
ARCHITECT OR ZIP TEL. '
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
s�
ADDRESS CLASS N0=9L—DWELL.UNITS
v' �/y TEL•
CONTRACTOR >rK� NG ® USE ZONE MAP
_ �� NO. r
ADRESS C,/ A 9 E NIi"erLlti� -CONDI
DIT ONS
_
�, y.
CITY,, ® /I/� 7-E CI LASS ® ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP,LINE OF (STREET)
ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT. NO. OF NO. OF CHECK HIGHW Y + YARD - FR ON T.PR OP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
' DES'C RIPTION OF WORK NEW ED] '
ADD ❑ SETBACKTR
b •� � �� � ' SIDE PROP.LINE0 (STREET)
ALTER ❑ HIGHWAY + YARD = TOT-AL ETEACK FR TYPE OF EXISTING
REPAIR SIDE PROP. LINE HIGHWAY WIDTH
USE OF ❑ +
DEMOL
EXISTING BLDG. �" ,
APPLICANT TEL CORNER CUTOFF YES ❑ NO
(PRINT) N0.
IN OPEN SPACE YES ❑ NO ❑
3Y (SIGNATURE) '
IN COASTAL ZONE YES ❑ NO ❑
ALUATION (J�G�.� CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
9 STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY `IMPACT EXEMPTION DECLARATION SIGNED (DATE)
TH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
•tUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED_ (DATE)
REBY 1, WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
)OR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
iKMEN'S COMPEN5 TION INSURANCE.
NATURE OF
MITTEE
KESS. f
FINAL BY J
15 N E DATE r.°^' °°l' j'. •c�J•.�r..-`'4.,.QYy""r•.J
MAKE CHECKS PAYABLE TO: F E FEE I
-HARVEY T. BRANDT, COUNTY ENGINEER ® '
,AN CHECK VALIDATION CK. M.O. CA5H ® PERMIT VALIDATION CK. M.O. CASH
2 I-a`- 5
'6A638A CE#803 7/73 _
1
. r •
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 0606130057
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 16957 LT: 7 SQ. FT STORIES TYPE 5522 BALDWIN AV
STRUCTURE: 20 VN TEMP CA 917802627
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8586-022-007 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/13/06 JK 06/08/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAIy,D7.TE FINAL BY: CODE:
ENG, RICHARD - 4,000 jr/5`
5522 BALDWIN AV
TEMP 917802627 FEES PAID DESCRIPTION OF WORK
TEAR OFF AND RE-ROOF COMPITION SHINGLES
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
GARVEY ROOFING (626) 358-9208- AA BLDG PERMIT ISSUANCE 27.75
174 W. FOOTHILL BLVD AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS:
MONROVIA, CA 91016 D2 PERMIT W/O EN-HC 4000.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
GARVEY ROOFING (626) 358-9208-
174 W. FOOTHILL BL. LIC. NO LOCATION AND SETBACKS
MONROVIA, CA 91016 692839-C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
NAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H269 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOF SHEATHING
G
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
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
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508