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HomeMy Public PortalAbout10776 BLACKLEY ST_Building__ 76A638A C E#803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ,L BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. C LL Q� 4- DISTRICT NO. I GROUP I TYPE PROCESSED BY FOR APPLICANT TO FILL IN -!7 p, coNsr_I BUILDING 0 f� STATISTICAL CLASSIFICATION ER MAP 7,76 BK PG ADDRESS �J / CLASS NO DWELL UNITS b LOT NO BLOCK WATER CERTIFICATE: NOT REQUIRED ElRECEIVED ❑ TRACT •' NOP �ZQ j� ({CIRCVLE) STATE MAJOR SECOND LOCAL SIZE OF LOT .T X 66 A166 NOW ON LOTS , USE ZONE SPECIAL USE OFI CONDITIONS EXISTING BLDG. _ �/✓ E L. OWNER BUI ING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS ' FRONT 1 ,� A ARCHITECT OR TE P L d-'�/ C L 7— ENGINEER NO. SIDE P L ADDRESSTEL per, CONTRACTOR Jr —NO. U - AND PARKWAY'TREE REQUIRED ADDRESS OC DESCRIPTION OF WORK ". s{a8stions should be taken ou+'at {hn L. A. C:o. Road Dept., Al+adel a d NEW DD ALTER REPAIR DEMOLISH O'rfico, or T. C. Co. Engineer's Onice isn-r,e:aatoly in order to avo d Z SQ FT. /]fjNO OF NO OF Ity, —ey ..n I , d SIZE • (I V'STORIES FAMILIES USE OFun;il Permit has been issued. Apply for parkway tree permit at T. PAY-/ 4�p Q S Ark) o aCZ5152F 1440,477,94) O 15 O 7 G J SIGNATURE OF ,� _ APPLICANT '�,-..-1 6–G� VALUATION $ OQO ,�— �� a-w�d''�K�• .«� �� APPROVALS DATE INSPECTOR'S SIGNATURE P.c PMT � ! FOUNDATION• LOCATION FEE $ FEE $ /0.J 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. 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 STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE LATH. EXT SIGNATURE OFHOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL Z-3 a�G•�. JOHN F. LEWIS, PRINCIPAL ST ) RAL ENGINEER PLAN CHECK VALIDATION ' CK. M o CASH PERMIT VALIDATION CK. M O CASH / LI-�vl 1 '4 ,5 DEC 2 9 1 0 1 1 .50- A ROAD DEPT. PER\AIT,: I cQU;RED• FOR ANY MAiEZ $;i ;'' \'.VvRi(• -•'DONE IN THE ROAD RlUnf• OF WAS . .76AGe8A.CE#`36.eo; APPLICATIONFOR BUILDING''PERMIT �.1 COUNTY OF LOS ANGELES BUILDING ADDRESS DEPARTMENT.'OF COUNTY ENGINEER. - r "-BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE'COUNTY ENGINEER,_' NEAREST /3 CASSATT.D. GRIFFIN, SUP'T'OF BUILDING. CROSS ST ' (./ DISTRICT.NO. GROUP TYPE- P SSED BY FOR APPLICANT TO`FILL IN , CON'ST.' 'BUILDING �/)� - STATISTICAL CLASSIFICATION.- SE KR MAPP ADDRESS �/� rp -�4Cx: -' _CLASS NO. DWELL.UNITS ' LOT NO. - - BLOCK MAP _ 'STATE•- YES O ` _ NUMBER HWY +� USE,ZONE *. TRACT �' 7 - • - i- SPECIAL- - e / NO.'OF BLDGS.•-�`• CONDITIONS' _ - SIZE OF LOT �QO I '•NOW ON LOT USE OF EXISTING BLDG: F � '4_//V BUILDING - - EXIST. - e )5i SETBACK' YARD 'HWY .STREET A - WIDTH _ ,OWNER -/7 i- - - FRONT MAI L, P.�L ADDRESS I D 7 7• �o- I3Z-NGKrL� SIDE CITY J—k in C —r - No 323 F 77. - -- ,INSPECTION-RECORD'. -_ - 'ARCHITECT OR " ' TEL. ' .. .ENGINEER- NO. - - - ADDRESS - TEL.; L CONTRACTOR NOC. 7 - - ADDRESS G E D /A N' DESCRIPTION OF WORK NEW' " ADD ALTER' REPAIR DEMOLISH _ - SQ. FT. `, /, NO•OF I NO. OF.- SIZE A - 'K-"-C , STORIES' '' FAMILIES USE'OF- - • STRUCTURE SIGNATURE OF APPLICANT = ' g - 'APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS J FOUNDATION: LOCATION •, - - _FORMS,MATERIALS VALUATION.,$ ,!� I FRAME: FIRE STOPS, J BRACING,BOLTS '�J t9� I� �"'i"�^•---:-. P.C.' PMT. FURNACE:-LOCATION,, GAS VENT,DUCTS FEE $ [FEE $, _ I HEREBY ACKNOWLEDGTHAT 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 REGULATIL4G• BUILDING CONS RUCTION. LATH,EXT. ' ' HOUSE NUMBER COR- SIGNATURE OF RECT AND POSTED -PERMITTEE. ADDRESS IM �- •�" FINAL — CLYDE N. DIRLAM, PRINCIPAL'ST C RAL ENGINEER' -PLAM CHECK VALIDATION% CK. M.O. CASH : •. PERMIT VALIDATION CK. M•O• ;CASH i ' '8�9, 3 7• laPR �; .,a AP P L I CAT'I O N FOR t-' COUIOTYOFLOSANG5LES DEPARTMENT OF COUNTY ENGINEER BUILDING"P E•R M IT BUILDING AND SAFETY DIVISION BUILDING • •• FOR APPLICANT T ILL•IN ADDRESS BUILDING ��''�� ADDRESS LOCALITY' ' NEAREST CITY CROSS ST NO QF BLDG&• ASSESSOR SIZE OF LOT NI ON LOT MAP BOOK PAGE- PARCEL DISTRICT GROUP TYPE FIRE PRO SSED BY TRACT 'BLOCK LOT NO Q CON ZONE L ©CJ J OWNER TENO - _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASSNOUNITS BK PG CITY ZIP USE ZONE MAP AJ ARCHITECT TEL' (`f SPECIAL ENGINEEp O _ CONDITIONS ADDRESS ROAD DEPARTMENT'APPROVAL REQUIRED YES ❑ NO ❑ CONTR T BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRES _ �_ TING HIGHWAY +.. YARD. = TOTAL 'f KL FROM HIGHWAY EXIT LIC CITY . l.Wi'-cam CLASS _ CONSTRUCTION LENDER } } NAME AND BRANCH O BLDG SETBACK FROM V ADDRESS CITY SIDE PROP LINE OF (STREET) � ' TOTAL SETBACK FROM TYPE OF EXISTING SQ FT' NO OF N OF CHECK HIGHWAY } YAR = SIZE STORIES AM LIES ONE SIDE'PROP LINE HIGHWAY WIDTH N DESCRIPTION WORK NEW ADD CORNER CUTOFF YES ❑' NO ❑ ' ' ALTER ❑ IN OPEN SPACE YES ❑ IJO ❑ REPAIR ❑ USEOF BLDG DEMOL ❑ IN COASTAL PERMIT ZONE -YES '❑ - NO ❑ APPLICANT TEL _ (PRINT) NO fB, �- l774 BY(SIGNATURE( - - I HEREBY ACKNOWLED HAT I HAVE D THIS APPLICATION AND STATE THAT THE ABOVE�IS CT' D�AGRE TO COMPLY WITH ALL ORDINANCES AND LAWS REGUL G BUILDIN CONS UCT N tI CERTIFY THAT IN DOING THE WORK AUTHOR( D HEREBY,I• L<NOT' M Y�ANY(PERSON IN VIOLATION OF THE LABOR CODE F THE STA OF CALIF IN RELATING TO WORKMEN S COM- PENSATION INS ANICE ` SIGNA OF \ /[��t FINAL J� �y BY PERM (/, `� DATE AD ESS TEL- - P.0 Fee$ Permit Fee d A CITY NO _ Issuance Fee X VALUATION$ .Q+? VVVo6c�V Total Fee ';PLAN CHECK VALIDATION CK. M o. cnsH PERMIT VALIDATION CK. M.O. CASH ' 0 7 6-'AUG 2.2,1 �• 4 S.3' 5 o,17- y: ; ;. S 76A638A CE#803A 8/77 O r AUG � C w 76A638A CE#803 8.63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUUIL ISNs o `7'7 6 ,(.�C/�Lt 7 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY / � /' `C <j ! 7—,Y'• JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST DISTRICT NO P TYPE PROCESSED B FOR APPLICANT TO FILL IN T; ©� CONST BUILDING -•. - STATISTICAL CLASSIFICATION �5 WER-MAP " ADDRESS,�, (% !C CLASS NO DWELL UNITS � PG � LOT NO BL CK' WATER ' CERTIFICATE. NOT REQUIRED LL I •RECEIVEDF TRACT STATMAP HIGHWAY AT _ E MAJOR NO OF BLDGS / NODS (CIRCLE) SECOND OCAL SIZE OF LOT /,0OX I NOW ON LOT ( USONE SPECIAL - USE OF ss w/ K -CONDITIONS EXISTING BLDG IlYc % OWNER NO qa Lv,7. BUI DING " EXIST. - SETBACK YARD HWY STREET.NAME WIDTH .ADDRESS 6 FRONT ARCHITECT OR F -TEL P L ENGINEER NO SIDE _ P L ADDRESS TEL O CONTRACTOR NO V ADDRESS .. OG O DESCRIPTION OF WORK G W NEW ADD ALTER / REPAIR DEMOLISH - y SO FT J V y'/ I NO OF NO OF _ SIZE �(/ /� a� V STORIES FAMILIES"' - USE OF / �-' o STRUCTURE ( � 1 CJ-6;5� - SIGNATURE OF APPLICANT y 00 = VALUATION-$ APPROVALS DATE INSPECTOR'S SIGNATURE PC PMTf - r FOUNDATION LOCATION 0 FEE $ FEE $ d• FORMS, MATERIALS •FRAME FIRE STOPS. _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE 15 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 ANY PERSON IN VIOLA- LATH. INT. ` TION OF,THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION IN ANCE. LATH. EXT SIGNATURE O Y HOUSE NUMBER COR- - PERMITTEE C• _ RECT AND POSTED ADDRESS ` FINALCA A,30 JOHN F LEWIS,PRINCIPAL ST C RAL ENGINEER` PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK Mo CASH 0 9 0 DEC 2 4 1 D -4.0 0 WORKERS' COMPENSATION DECLARATION ,1 hereby affirm that I have a certificate.of consent to self' -APPLICATION FOR` .�U I L'DING, PERMIT nsure, or a certificate of.Workers' Compensation Insurance, or a certified copy thereof (Sec.'3800;L'ab. C ) �`' ; L�j, •_ ;tt', .,gyp ( COUNTY OF,•LOS ANGELES BUILDING AND SAFETY Policy No. •.F S L y_ 3 1C6mpany +�✓Q/'h d ^T - BUILDING �y - / ❑; Certified copy is hereby.furnished, FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy�is filed""wrth''tFie;courity'building inspec-' BUILDING tion department :' '' " ADDRESS Date �Q h� 1 r'f �` J2 I0 -,," Applicant°. • d�lw'L CITY ZIP- LOCALITY CERTIFICATE OF EXEMPTION'FROM WORKERS' "- ' N OF-BLDGS - - NEAREST COMPENSATION 1INSU RANCE +' "?' SIZE OF LOT NOW ON LOT ' CROSS.ST (This 'section need.not.be+completed if the'permit is-for one - -'- - -• ASSESSOR hundred dollars ($1.00)or less..),., TRACT BLOCK LOT NO MAP.BOOK PAGE PARCEL :' I ' �J S'e I TEL USE ZONE -MAP , /,c` certify that in the performance of the work for which-this OWNER` /tit+ ' O'-' _ NO permit is issued,'I'sRall not e'rnploy any person in any mariner / - SPECIAL d so as to become siiblect to the Workers"Compensation'Ldws ADDRESS-1 --7 -2 �1C4C 2` ' CONDITIONS - r,- ~ t CITY k _ -'ZIP ��-7 � Date` APPlicant - i 0' +, ARCHITECT OR ' TEL DISTRICT„ GROUP-'T,YPE + FIRE VC(E� ED,BY NOTICE TO APPLICANT: If, after rnakin this Certificate of ENGINEERExemption;'.you-should become sLblect to the• Workers' NO CONST.J/ t`ZONEWCompensation provisions•of•the Labor Code„you must forth ADDRESS � = ✓ _..._.• y' with comply, with such:provisions or;this permit,shall be TE; _ STATISTICAL CLASSIFICATION APT C NDO••'. Z deemed rrev%oked. . ,_, . , '•, -, . (' ( yl�CC3 Ung NO CONTRACTOR U `E J / r LICENSED CONTRACTORS DECLARATION LIC ,c,_ CLASS NO. z► r DWELL UNITS I I hereby affirm that I am licensed under.provisions of Chapter 9 ADDRESS y NO.�•�1��/ (commencing with Section 7000)of Division 3 of the Business and //_ -LIC SEWER MAP ) "• Pr,ofes'sions,Code, arid'my license is m'full force and effect CITY C.l (� / CLASS C _L9 BK "I VALIDATION - e::... ) c ;:i z, , t^/ SQ. FT- _ NO OF _ NO OF _ _CHECK i License Number, �J /' Lic Class-2 C�Q SIZE STORIES FAMILIES ONE i VALUATION ;i DESCRIPTION OF-WORK L �r r t 0.0 NEW ConiractorI Ski�U Date $ Z Q Q - D ADD ❑ I am exempt under Sec. ALTER ❑ B.BP.C. S for this reason REPAIR. ❑ 'Date, USE OF DEMOL ❑ ,3 b 3 4 A - -•' EXISTING BLDG , SignatureAPPLICANT TEL. FINAL ,� o 0 0 0 0 OWNER-BUILDER DECLARATION - PRINT) NO DAT j # -- -1 hereby affirm-that I am ezempt,from.the Contractor's License Law for'the'followingrreason (Section 7031.5, Business and ADDRESS FI t ° °'4 9.'8 8 'Professibns'Code): ”" PRESENT $o m o 4 9,$. BUILDING , v 1, as owner. of the'property, or my employees'with ADDRESS wages as their sole compensation,will do the work and ' L Q 8 ; the structure is not intended or offered for sale(Section LOCALITY 2,� 'S -7042l, Business-and.Professions-Code). - MOVING -'TEL' + 1, as owner of the property,am exclusively contracting CONTRACTOR NO "f ' with licensed contractors,to-construct the project-(Sec- tion 7044; Business and Professions Code): ADDRESS :REQUIRED-. HWY TOTAL.SETBACK FROM XIST. CONSTRUCTION LENDING AGENCY' SET BACK YARD PROP LINE WIDTH, + ' I hereby affirm that there is a construction lending agency for FRONT 1 the,performance-of the-work for which this permit is issued PL (Sec. 3097;Civ. C.).•,• f SIDE '* m P L _. ) Q Lender's Name , - _ _ 'DMA Ref. ti is P C- Fee•$ • Permit Fee•` :.,: , 3 9 Lender's Address t., = --I-certify that I,have,read-this application and.state that,the _ _ - Issuance Fee- - �U t•J v - + LDMA-P/C# '- •- - - a above information is correct. I agree to comply wiih all County Investigation Fee' - r m ordinances and State laws'relating to building construction, _ Total Fee LDMA-Perm u and hereby authorize representatives of this County to enter ' upon the above-mentione property for inspection purposes. .- /7�C��: 12- -�Q �� SEE REVERSE•FOR EXPLANATORY LANGUAGE Y _ Silgnature of Applicant-or•Agent - Date O' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING- PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD 'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - BL 0508 0902050002 PHONE: (626) 285-0488 EXT: LEGAL ID: NO OF CONST NEW BUILDING ADDRESS: ITR: 13613 LT: 56 SQ. FT STORIES TYPE OCCUP GROUP 10776 BLACKLEY ST STRUCTURE: 960 1 V-B R3 I TEMP CA 917803501 (ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET: PARMERTON J 18573-006-010 OTHER. I THOMAS PAGE- 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl TENANT: IEXIST BLDG USE. USE ZONE: (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 107/15/09 SR (OWNER: TEL. NO: IBLDGS NOW ON LOT: VALUATION: IFINAL DATE FIN BY: CODE: J IROSENBLUM MARK I;LUPE M (626) 453-8890- 1 129,020 1 =f O 1 110776 BLACKLEY ST I 1 — l ITEMP 917803501 1 FEES PAID IDESCRIP ION OF WORK 1 )ADD MASTER BEDROOM, BATHROOM AND FAMILY ROOM 960 S.F. J I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ) JAPPLICANT: TEL. NO: I I - - IROSEMBLUM (626) 453-8890- JB1 PLANCHECK W/ENERGY 129020.00 VAL 1,390.16 1 ' 110776 BLAKCLEY ST. JAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 JAB STATE GREEN BLDG FEE 129020.00 VAL 6:00 - 1 J IAC STRONG MOTION RESID 129020.00 VAL 12.90 J 1 1 _JB2 PERMIT W/ENERGY 129020.00 VAL 1,635.48 J 1 )CONTRACTOR: TEL. NO: TOTAL FEES 3,072.29 JAPPROVALS DATE INSPECTOR SIGNATURE J ICAMINO REAL BUILDERS (626) 447-0715- 1 a 1 12671 FAIRGREEN AVENUE LIC. NO ILOCATION AND SETBACKS 1 JARCADIA, CA 91006 240278 B J I 1 ISOILS ENGINEER APPROVAL J I JARCHITECT OR ENGINEER: TEL. NO: J IFOUNDATION/TRENCH FORMS J LIC. NO: 1 JSLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING i )MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (UNDERFLOOR INSULATION I I J 3 ; COJ 115T LEVEL FLOOR SHEATH I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: J I I I NO 21 12ND LEVEL FLOOR SHEATH 'J J SCHOOL WITHIN HAZARDOUS IROOF SHEATHING I JAIR QUALITY: 1000 FEET MATERIALS II 1 NO NO NO J IFIRE DEPT. FRAME INSPECT( IREQUIRED TOTAL SETBACK FROM EXIST J (BLDG DEPT. FRAME INSPECT( ISET BACK YARD: HWY: PROP LINE- WIDTH: I IFRONT PL- J ISHEAR PANELS I 1 I SIDE PL- J 1 1 INSULATION/WEATHER STRIP _ 1 l (INTERIOR LATH/DRYWALL / Imo'►/» J (EXTERIOR LATH J J Y I I J ILOT DRAINAGE J I ISMOKE DETECTION DEVICES IFIRE DEPARTMENT APPROVAL) J i I 1 IREPORT ID: DPR261 ROUTE TO: SS0508 I 1 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 0908310022 PHONE: (626) 285-0488 EXT' LEGAL ID NO. OF CONST BUILDING ADDRESS: ITR. 13613 LT: 56 SQ. FT STORIES TYPE 10776 BLACKLEY ST I (STRUCTURE. 1150 V-B TEMP CA 917803501 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PARMERTON 18573-006-010 THOMAS PAGE. 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: (EXIST OCC GRP: 108/31/09 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAI. DATE FINAL Y: CODE: IROSENBLUM MARK I,LUPE M (626) 453-8890- 1 2,200 1 110776 BLACKLEY ST TEMP 917803501 1 FEES PAID IDESCRI TION OF WORK I I IREROOF EXISTING PORTION OF HOUSE WITH COMPOSITION SHINGLES I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ITO MATCH NEW ADDITION (APPLICANT: TEL. NO: I I IMINICK (626) 447-0715- IAA BLDG PERMIT ISSUANCE 27.75 1 12671 FAIRGREEN AVE. JAB STATE GREEN BLDG FEE 2200.00 VAL 1.00 ISPECIAL CONDITIONS: 1ARCADIA, CA 91006 1AC STRONG MOTION RESID 2200.00 VAL 0.50 I ID2 PERMIT W/O EN-HC 2200.00 VAL 99.00 1 TOTAL FEES 128.25 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ICAMINO REAL BUILDERS (626) 447-0715- 1 12671 FAIRGREEN AVENUE LIC NO ILOCATION AND SETBACKS IARCADIA, CA 91006 240278 B I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIC. NO: I (SLAB,"UNDER FLOOR I I 1 I I I IRAISED FLOOR FRAMING I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I147H277 3 OOI I 0_,___�I I I IFLOOR SHEATHING II INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I 1 NO 21 I IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS I I-SHEAR PANELS 1 (AIR QUALITY: 1000 FEET MATERIALS I I NO NO NO I IFRAME INSPECTION IREQUIRED TOTAL SETBACK FROM EXIST , I IFIRE,SPRINKLER HANGERS I I ISET BACK YARD: HWY: PROP LINE: WIDTH. I I I I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I SIDE PL- I (INTERIOR LATH/DRYWALL I I I (EXTERIOR LATH I I IRATED FLOOR/CEIL ASSEM I I IRATEL WALL ASSEMBLIES IRATED SHAFTS/OPENINGS I 1 IT-BAR CEILINGS I I I ILOT DRAINAGE IREPORT ID: DPR261 ROUTE TO- BS0508 I I I I I I I I I I