HomeMy Public PortalAbout6414 BARELA AVE_Building__ DEPARTMENT OF HIIILDIlfG AND SAFETY . APPLICATION FOR PERBU '
COUNTY OF DLO$FANGELES BUILDING '� 1 � D
mc, rNMINICIER
FOR APPLICANT TO FILL IN FO H OFFICE USE ONLY
oUILDINO DICTRiUTNO.
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FIRT m.or M OROUP
ARDHITTOT 1311 IV TTL ZON[ PLANS
ENOIN[[R NO.
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TTL APPROViD r
DONTRAIITOR - `L' Nm O BY DATZ
s. US[ APPROVED
ADDR11MIIIII '}.� b ,�� ZON[ �- ■Y, DATT
DdOR[ I�P'TLION LOT NO. ■L.ODK 2 CORHEClTONS
TRADT ---
NIL OF SLDmu. .
SIZ[ O
OF LOT NW ON LOT
UB[OF NO.OF / NO.OF
EXISTINO SIDO. FAMILICM RDOMgas 2' --- - - --- f
DESCRIPTION OF WORK
N[W ALTK ATIDN ADDITION O
REPAIR MOVING DEMOURH D
iq.FT. N0.OF .... _
71Z[ ROOMS STORINM "-7 ,l
WALL ROEW r�
OOVERINO 00160'[R1N13
UO[OF NEW
BUILDIN13
-`- I H[RESY ADKNDWL[DOE THAT I HAVE R[AD THIS APPROVALS
APPLIOATION AND STAT[ THAT TH[ ABOV[ IS ODRR[OT
SAND AGREE TD ROMP WITH ALL OOUNTY DRDINANDEA FDORNIM, MATERIALSONS LODATION I R DATT j
ANDTATT LAWS R[ LATINO BUILDING DONWTRUOTION. �~ A
�
SIONATU .DF ��,QC�f � SRAOINO, ROLT7
PY RM ITT
LATH, INT. .
AUTHORIZZD ADT
LATH, EXT.
7■•63Z•y TU-M P.D.0 PLAMT[R, INT.
F[E PLABT[R, EXT.
o o
VALUATION B �[ FINAL
I ..
DEPARTM[ENT OF BUILDINQ AND SAFETY APPLICATION FOR PE 1NIIT
• ' COUNTY OF LOS ANGELES BUILDING
WM. J. FOX. OHI[F [NDINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
oU1LDIN11 � /y 1- D115TN tRICIT NO. 9PLAOK.NO. PERMIT N0.
ADDR[YS
LOCALITY r_t-_ O[IVEDBY DATE OrAPPL. 1 nDATE IIMUED
N EAR[.T '
NU1LDIN0
OWNER ADDREB■
MAIL -nr
ADDRERS `rr r` LO-LOCALITY-- 7-
OCALITY l ! r
NEAREST
�, T❑ / CROBH HT. C/
o FIR[ NO.OF TYPFt�r13ROUP
ARCHITECT OR TEL. ZONE PLANS
ENGIN[[R NO.
ALDG. ORD.NO.
ADPREIGI ■ETBACK LINE
APPROVED
/_ m _ ! oy DATE
13ONTRADTOR r h NO. p
��� US[ APPR D �Q`
C ZO E SY DA
LEGAL CORRECTIONS
DEACRIPTION LOT NO. ALOOK
TAT 5 D - sm
NO.OF OLDOA.
RIZ[OF LOT NOW ON LOT
UAE OF NO.OF NO.OF
D
DESCRIPTION OF WORK i 4.1R P026' f ,y
NIrw ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH C h• O A_
EIP•FT• NO.OF ,Q =
AIZE ROOMS /TORIES G
WALL ROOF r
OOV[RING COVERING r
UAE OF NEW h
BUILDING P S . t,
1 H[R[AY AOKHOWLEDGE THAT I HAVE ROAD THI• APPROVALS
APPLICATION AND STATE THAT TH[ ASOV[ IPJ CORRECT FOUNDATIOIit LOCATION INir6CTOR DAT[
AND ACR[[ TO COMPLY WITH ALL COUNTY ORDINANC[1 FORMA.MAT[RIAL1
AND STATE LAWS REGULATING BUILDING CONWM ION.
■IGNATUR[OF j f�ry�/ FBRADING ■OLTE '
FKAMITTEM F,' �, /"
q 17 LATH, INT.
AUTHORIZED ADT
c J�LATHr IXT.
7&AA3i A-3 Mf O 0 P.0.IIIQ PL1T[Rr IMT.
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PtJ1A'T[R,tJCT.
VALUATION
9 L� FE[
APPLICATION FOR BUILDING PERMIT
�. COUNTY OF LOS ANGELES BUILDING 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
or a certificate of Workers' Compensation Insurance,or a certified
copy thereof(Sec.3800,Lab.C.) CITY ZIP
LOCALITY
Policy No. Company SIZE OF LCT NO.OF BLDGS'NOW ON LOT
❑ Certified copy is hereby furnished.
NEAREST CROSS ST
❑ Certified Copy is filed with the county building inspection TRACT BLOCK LOT NO.
department. USE ZONE MAP NO.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO.
COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? Y No
(This section need not be completed if the permit is for one hundred ADDRESS 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
is issued, I shall not employ any person in any manner so as to
become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO.
STATISTICAL CLASSIFICATION APT CONDO
Date Applicant 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 Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH }
Compensation provisions of the Labor Code, you must forthwith
FRONT CL
Comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L 0
SIDE U
LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L w
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP J
(commencing with Section 7000)of Division 3 of the Business and S .FT.SjZI?, NO.OF STORIES NO.OF FAMILIES LL
Professions Code,and my license is in full force and effect. .F.10 NEW ❑ BK PG Poo. >_
License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION Q
Contractor Date M�+r ALTER ❑ $ O
l,` t REPAIR 11O..
El am exempt under Sec. $ 2F—
LU W
—
BAP.C. for this reason DEMOL 1:1LDMA P/C# F
Date: USE OF EXISTING BLDG. URM ❑
Signature •�'
#
El 1,
(PRINT) TEL NO. LDMA Perm I, as owner of the property, or my employees with wages as Z �-�
their sole compensation, will do the work and the structure is ADDRESS 0
not intended or offered for sale (Section 7044, Business and FINAL DATE Q
Professions Code.)
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE, FINAL BY § �ay R t ti4
licensed contractors to construct the project (Section 7044, YES 11 NO El 330.3 .•FCt.<.
y•�•���
Business and Professions Code.) ! IT�l7
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING •i
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAQMD)SEE PERMITTING CHECKLIST FOR TOTAL
q w
GUIDELINES. 1 OTA 3+'6- <
I hereby affirm that there is a construction lending agency for YES El No El � 4F� ?7 �
the performance of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
79
3097,CIV.C.) CHECKLIST I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, rltfl �]
TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20 140 CONCERNING HAZARDOUS s, ent t
m Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD
m
Lender's Address
Cr OWNER OR AGENT int i
3 1 certify that I have read this application and state under penalty (01,10400 L 3/1.8/96
a P.C.FEE - - PERMIT FEE �•}
p of perjury that the above information is correct.I agree to comply �-34C.' 1 AN 9:,.-Q
rn with:all county ordinances and State laws relating to building
m construction, and hereby authorize representatives of this County ISSUANCE FEE
to enter upon the above-mentioned property for inspection purposes.
g i a, -'. = �" INVESTIGATION FEE TOTAL FEE
N ure of ARW,canl a Agent Date
SEE REVERSE FOR EXPLANATORY LANGUAGE
APPLICATION Fes_ U LDING PERMIT . .
\\ COUNTY OF LOS ANGELES 4 -{•UILD114G AND SAFETY
WOHKER'S COMPENSATION DECLARATION FOR APPLICANT FlLL IN
I hereby a fftm that I.here a certikate d ooroerd to 9-M inure, Cv
or a certificate of-V*xksrs'Corpemat.In Irmranc•e,or A ow"od
copy thereof(Sea.3800,Lab.C.) ZAP
ic tZ .
Pdry No Corrpary
❑ SZE OF P40.OF BWDaS.NOW ON LOT
Ce 5W oopy is hereby furnoved. r t NEAREST CROSS ST67 m.
❑ certined copy in fled wCtt the county buUng lrmpedion TRACT 13tocx LOT No.
k USE ZONE . MAP NO,
. oe>se ApplJtaiM ' ' ASSE8301R.VAP BOOK P013 E ', PARCEL.
- SPECIAL CONCM048
CERiIhCATE OF EXEMPYION'FROM LWORKERS' R '^
COMPENSATION INSURRAAfNCCE YATHIN 1000 Fri OF SCHOOL?
YES NO
(This eectbn need not be corrpldted d the permit In roc one hun*ed D6TRICT OROUP TYPE CONST. FRE ZONE PROCE SY
(Jdlam(6-100)or.lam.)
I certify }that in the perkmlar".of the work for whish thIs permit ZIP Ll
Is Waned, I &hall not ernploy arry person rty m 1-7196 ' .
in any So an to OR ENOfJ£EA TEL o
becomb drb)ed b a the Workers'Corr atlon Lowe ARCt-WTIECTggTlgTlCdL APT
Date AppBwrrt - ADDRESS CLASS NO. DVI£LL lXiTB
NOTK;E Tb ApFLK'4Nr- ff, after making t& CArMcate c.f. REOL1RED TOTAL 8E7BACK FROM EXST
r
EmrFiptbrl You ato id becorne au*ct to the V*X* ' CONTRACTOR TEL NO. SET BAC}(
PROP IJfJE WUTH
Coape malbn'provhlorb d the Labor,Cade, you must 4orthwfttl FFIDW
+ivvY
conVyt wkh Koch provlaione or this permft ahafl be deemed revoked. ADDRESS LIC.40. Pt }
LICENSED CONTRACTORS DECLA cnoN a-y Lr-cuss PSL p
U
I hereby &Mrm that f sm.fioeneed um rprovhbrb of ChapterQ SEWER MAP
(Commencing with Section 7000)d DMaion 3 of the.Buslrmm and. NO-OF STORES i a NEW ❑ BK PG O
Proleeabrn Code,and my keret.is in furl foroe and effect.
Lberae fJlrnber Lb Ciaea DE9CAPTION OF 3AORi( AM ❑ MLWTpN U
C.OntractDr ALTER ❑ 3 00 0;C1 D E
D i am exarrpt under$ec. REPAIR ❑ S Z.
B.&P,C.for thie reason DEMOL ❑ LOAM P/C f
7�
T USE OF E)37M DDQ URM ❑84ymW re -.� ,� .
1
. � APPt1cJV1T rPFiv-rJ TE3_No_ _ LD►.,A Pert,,. _ � ;� .,+. �F1C:CIT.1r
*I, as Owner d.the property:or my errpbySmM with wepee pe 50.5
their Sole oorpenaakn, wEl do the worts and the abucture is ADDRESS . .
riot Intended or offered for sale (Section 7044, BUeineu'and ACCT..
/+r r `
Rnme6one Cock.) �THE AAPLr-w OR FUTLFE WILDING OCCIIMNT HVDLE A FYS}FDOU$I QUWL tM4T.t
❑ I, an owner d the property, am -cdudvefy contDoting with OR A A0 URE CON M049 A HAZARDOUS EOUAL TO dh MEC-ER-THAN THE r
AMOUNTS BPECFED ON THE FIAZARDOLE A �']3jjj �-,r,�
fberned oontradiors b oonefirof the protect {Secriofl 7044, �❑ No❑ rFora�oloN«Iles+ •�-,. � ,7.]11,] � O.
Bu�Mleia end Profeeebru Code-) w11.THE NTE)o®um OF THE w.xm av TF} APPLK'. u OR myrum mA-D*p J? I -..
OCCUPANT a�A'PFSilr FOR C.ONIHTA.ICTION OR MOOFT('.�41ON FFIOM THE SOUTH - -
CONSTRUCTION LENDING AGENCY �T QQUALrry LLMAGE INT DraTFacT Or-AC l eff PSiLTTHO a-Ed W FOR TOTAL
.396 - 79
I hereby affirm ttlat there Is a Construction lend agency for YEn❑ NO Cl
the perlormerrce of the work for which thIs permit Is W ued(Sea CKCK 396.79
I HVE FEAD THE HAZARDOUS A6QFFML8 FFOFilQlpl OUNDE AFD
p 3097,Ctv.C,) C .I UMXRff Fp WYREaFEMENTa UNDER THE L � CCO ,
ME 2,CHAPTER 220 � 140 FAzu
Lerdr6 JenE.
L r .
.6-V
wPOMYFROATFE SCJQD.
Larders Ad¢ase
a.F.,a AdMkT. 0000-0001 3/18/96
I certfiy That I have read this eppfbaflon and elate under perleRy
Of PoJry that the above WOrrnatlgn b oorrsa I Wee to COnloy P.C. n p
g w+tf1 county and Stale hews relating to buldhg FEE v� FEE 1 AN 9:27
di end euthortre repreeer#at}vee d fhi� Cautty te3LL4"FEE
R� " �the rtlertbned property for o� ,�� .
Z hdq� KVEBTxvnON FEF TOTAL FEE
SEE REVERSE FOR EXPLANATORY LANGUAGE
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have ecertificate of Consent sell APPLICATION F OR BUILDING P E RM I.
Insur , or a certificate of Workers' Compensation Insurr ance,
or a certified copy thereof (Sec. 3800, Lob.'C. COUNTY OF LOS ANGELES BUILDING Aid! SA!
Policy No. 230770 Company_ State. Come Ina.
❑ Certified copy Is hereby furnished. . FOR APPLICANT TO FILL IN BU D
® Certlfled copy Is filed with th county building Inspec- BUILDING
tion department. ADDRESS 6414 Barela Ave
De 1/1/88 ^'Appilca Pres'.. Crry Temple City Z1P ` 91780 L ffY
CERTIFICATE OF EXEMPTION F RS' NO. OF BLDGS. NEAREST
COMPENl ATION INSURANCE SIZE OF LOT NOW ON LOT ST." r
(This&action need.ngqt be completed If the permit.Is for.one
hundred dollars (=100)'or less.) TRACT BLOCK LO NO, MAP DOCK,. PAGE PARCH..
G. Fields_. ,. ; 46-1.287 USE ZOtLE
I cgrtlfy that In the performance of.the work for which this Owt� CVO.
permit Is Issued, I shall not employ any person In any manner 6414 Barely Ave.. ' �s1
so as to become subject to the Workers'Compensation Laws. ri-tom
Temple City zip 91780 .
Date App l i ca n 1-
F, NOTICE TO APPLICANT: If, after making this, Certlfloote of ARCHITECT OR TEL DISTRICT UP TYPE RREPROCESSED
Exemption, you should become, subject to the Workers NO. n CONST. ZONE
Compensation provlslorts of the Labor Code, yoy must forth- ADDRESS K ✓ N
with comply with such provisions or thA parmit shall be STATISTICAL 010551,\FK T10N ADT. Z
deemed revoked. CONTRACTOR Mo Rf ro.722-697 —
LICENSED CONTRACTORS DECLARATION
I hereby affirm.that I am licensed under provisions of Chaptw9 A868 Truck Way 'NO 248862 CLASS D UNITS
b
(commencing with Section 7600)of Dtvislon 3 of the Business and UC SEWER MAP
Professions Code, and my license is In fun force and effect. CITY Montebello a -C-39 . VALIDATION
FZ EK PG. �•
License bar 248852 'Lic.Mass C-39 SIZE &Toa a FANUUES o�
ContraPresDate 8/31/89 DEsmpnoNoFwoRrc 1 existing roofou NEW VALUATION
S
garage reroof w 7 sq �l$sa t' 1964.00 ;R 1 32.1•A�D ,
I am exempt VrIdIr Sec. VTC # • o.'• e o:1'
B.BP.C. for this reason mooit tt $ I
Date: UM EXISTING 8 8
G 13LDC. g r& e a patio i o DEMOL ° °
Signature, APPUCAM TEL .e 4 9, 8 8
OWNEI4-BUILDER DtCILARATION INT Montebello'Rfg. CoNO 722-6975 DATE
ogre �— I :2 � 4.;�8 8 - J
I hereby off Inil that I am exempt from the Contractor's License 868 Trudk 'Way
Law for the following reason (Sectlop 703T.5,'Buslnam and ADDR755 �y R
Professions Code):
1, as owner of theo � BUILDING
pr party, or my employee" with ADDRESS
W0902 as their sole compensation;will do the work and
the structure Is not Intended or offered for sale(Section LOCALITY
7041, Business and Professions Code). _ MOVING T1�
1,-as owner of the property,.orrr exclusively tontrocting QQt4TRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
f
.CONSTRUCTION-LENDING AGENCY SFr BACKYARD HWY PROP. UKE WIDTH -
.1 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, Clv. C.). DE
P.L.
Lenders Nome
g LDMA Ref. •
Lenders Address P.C. F« Perms Fee 39.38
I certify that I have rood this application and state that the I.aance Fee 10.50 LDMA P/C IF
3 above ihformatlon Is correct. I agree to cornpiy with all County
1nvartgatlon Fee
ordinances and State flaws relating to building consWuttlon,
Total Fee 4 9 . gy m.
}Z and hereby authorize rapresentative".of this County to enter
WMA,Pw
upon thea a-mentioned property for Inspectionpurposes.
"4z Prpq 10/31/88 M irf's 7 POR KXPLAHATORY L ANKNJAGE
Signature of Aunt Dare
COUNTY OF LOS ANGELES =e LE CITY 9 0508 BUILDING PERMIT
DEPAR'D•ffi6TT OF PUBLIC WORKS. 9701 LAS TUNAS - RESIDENTIAL ADD
BUILDING AND SAFE'T'Y / LAND DEVELOPHEarr TEMPLE CITY CA 91780 BL 0508 1304160080
PHONE: (626) 285-0488 'EST: -
IJDGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 16867 LT: 9 SQ. FT STORIES TYPE OCCUP GROUP 6414 BARELA AV
STRUCTURE: 403 1 V-B R-3 TEMP CA. 917801405
ASSESSOR INFORMATION NUMBER: .GARAGE: NEAREST CROSS STREET: VAL �
5383-017-003 _ OTHER: THOMAS PAGE: 596 GRID: Tl LOCALITY: TEMPLE CITY CA
T 2OLNI': EXIST BLDG USE: tJBE ZONE: ISSUED ON: PROCESSED BY:
E=IST OCC GRP: 04/16/13 SR
OWNER: TEL. NO: BLDGS. NOW ON LOT: VAIDATION: F BATE - FTWLL 2y: CODE:
HOFSTAD STEVEN;VERGO CARA (626) 627-0301- 59,740
6414 BARELA AV
TENP 917801405 FEES PAID DRSCRIPTION OF WORK
FAMILY ROOM ADDITION
F'EE DES CRI FTI ON: QUANTITY: U004: AMOUNT:
APPLICANT: TEL. NO: .
SAME AS OWNER - AA BLDG PRRMIT ISSUANCE 27.80
AB STATE GREEN BLDG FEE 59740.00 VAL 3.00 SPECIAL COMMONS: .
AC STRONG MOTION RESID 59740.00 VAL 6.00
B1 PLANCHECK W/ENER.GY 59740.00 VAL 841.40
B2 PERMIT W/ENERGY 59740.00 VAL 989.90
CONTRACTOR: TEL. NO: 08 CERTIF OF OCCUPANCY 101.40 APPROVALS DATE INSPECTOR SIGNATURB
SAME AS OTAIER - TOTAL FEES 1,969.50
LSC. NO LC,=ON AND SETBACKSZIA
SOILS ENGII=Rt APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNIIATION TRENCH FORMS
LIC. NO: sLA57ERDERFIAOR
f RAISED FLOOR FRAMING
i
MAP NO: SEWER KAP BOOR: PAGE: FIRE ZONE: CMP: UNDWLFoQOR.INSUL.ATION
3 00
IST LEVEL FLOOR SHEATH
NO. OF FAMILIRS: DMELLS2iG UNTTS: APT/CONO: STAT CLASS:
0 NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHFATHIFG
AIR QUAL.I'L'Y: 1000 FEST MOaTLZIALS .
NO 190 NO FIRE DEPT. FRAME INSPECT
BLDG D PT. FRAME I SPE
- SHEAR PANELS I
INSUTATIO*/ P
.. U?FERIOR LATH/DRYWALLkm 4�
111
. - EXTERIOR LATH -
LOT DRAINAGE
SMOKE DETECTION DEV2
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR.261 ROUTE TO: BS0508
1
COUNTY OF LOS AKGIMES TWOLE CITY # 0508 BUILDING PER)QT
DEPARTMENT OF PUBLIC WORKS 9701 LAB TUNAS - ALTERATION/R-SPAIH
BUILDIRG AND BAIYTY / LAIII1 DEVELOPMENT TZKPLY CITY CA 91780 BL 0508 0607260052
PHONE, (626) 285-0488 EXT.
LEGAL ID: NO. OF CONST BUILDI2FG XnTyl2zQS:
TRS 16867 LT: 9 SQ. FT STORIES =1 6414 aRREMA AV
STRUCTURNt 1600 VN TEMP CA 917601405
ASSESSOR INFORMATION NUMM"s NXARZST CROSS STREET: VAL
5383-017-003 THOMAS PAGEz 596 Op : J1 LOCALITTi TEMPLE CITY, C
TESANTI EXIST BLDG USE: RESID USz EO1Z. R-1 ISSUED OF. PROCYSSID BY. XKPIAEB ONI
XXIST OCC GRD: 07/26/06 JK 07/21/07
t
OMNER, TEL. NO. BLDGS. NOW ON LOT. VALUATION: F FINAL BYi CODEa
ROVSTAD BTRV=;VZRDO CARA - 4,500
6414 BARILLA AV _
TEMP 917801405 FEES PAID DISCYIPTION 0Y WORK
REROOF GARAGE. L HOUSE GOING OVER ONE LAYER OF 20 TRAR
GEE DESCRIPTION: QUANTITYz DOM: AMOUNT.
APPLICANT. TEL. NO:
E13113 G HOOFING (626) 359-8706- AA BLDG PER T ISSLANCE 27.75
714 WILDROSI AVE AC STRONG MOTION RXSID 4500.00 VAL 0.50 SPECLiL CONDITIONST
MONROVIA, CA 91016 D2 PERJQT W/O EN-HC 4500.00 VAL 132.60
FR IHV WORK W/O PERMIT 257.00 DOL 257.00
TOTAL YE1B 417.85
CONTRACTOR. TEL. NOS APPROVALS DATE INSPECTOR SIGNATURE
HEIBERG ROOFING (626) 359-8706-
714 WILDROSE AVENUR LIC. Na LOCATION AND SETBACKS
MONROVIA, CA 91016 748854C39
SOILS ENGINSYR APPROVAL
ARCHITECT OR ENGINEER: TEL. 110: FOUNDAT IOiN TRENCH FORME
LIC. NOt BLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: smam MAP BOOKI PAGE. FIRE LONE: CMPI UXD29FLAOR INSULATION
153H269 3 01
FLOOR SHEATEING
10. OF FAMSLIESs DWELLING UXITSz APT CONDI STAT CLABSt
NO 23, ROOF SHEATHING
SCHOOL WITHIN AAf.ARDOUS SHEAR PANELS
AIR QUALITYI 1000 YEET MATERLALB
NO NO NO FRAME INSPECTION
nygUTRZD TOTAL SETBACK FROM EXIST FIRE SPRINII,ZR HANGERB
SET BACK YARD: HWY, PROP LINE, WIDTHI
FRONT PL- IYS1EFL1TIO3irWEATHER STRIP
BIDE PL-
TrT-zorOR LATH DRYWALL
ztT�_rOR LATE
RATED YLOOY CEIL ABSRM.
RATED MALL ASSMC3LIES
RATED HID►FTS OPENINGS
T-BAR CHILINGS
IAT DRAINAGE
REPORT IDM DPI261 ROLTPE TOS BBOS08