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HomeMy Public PortalAbout9452 BLACKLEY ST_Building__ APPLICATION FOFf BUILDING PERMIT FOR-APPLICANT TO FILL IN (Print or type only) FRE COUNTY OF LOS ANGELES _ CI'Y 5-Z DEPARTMENT OF COUNTY ENGINEER E, Ci � ZIP BUILDING AND SAFETY- DIVISION n NO OF BLDGS BUILDING f, /.,S NOW ON LOT '' ADDRESS TRACT ?2-. BLOCK LOT NO LOCALITY TEL NEAREST OWNER?0N 0&) pO NO CROSS ST , ASSESSOR ADDRES ,S� L£ MAP BOOK PAGE PARCEL f DISTRICTGROUP TYPE F1REtj_PROCV7SED BY CITY ZIP � �D� 7rCONST ZONE ARCHITECT OR T ENGINEER O STATISTICAL CLASSIFICATION SEWER MAP ADD �2 CLASS NODWELL UNITS BK PG CONTRACTOR NEOL 3Go US ZONE MAP NO LIC ADDRESS 2,0 `_Q B q,AMNO 7-2`r i If SPECIAL CONDITIONS CITY �, - A- CLASS '�� ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LEND r NAME AND BRANCH Q 1 BLDG SETBACK FROM Q ,p�` FRONT PROP LINE OF (STREET) V ADORES U C CITY �I 1`r+'�'L' HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING d' SO FT O OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE V El } DESCRIPTION OF WORK NEW BLDG SETBACK FROM ` Z + r ADD SIDE PROP LINE OF (STREET) ALTER [I TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH USE 1` EXIISOT NG BLDG �- %��y L ac DEMOL 1-1 + APPLICANT y�t.� �;{�) C ,` TELA] CORNER CUTOFF YES ❑ NO ❑ (PRINT) ^/�� N V Z_V NO 17J-3 3 BY (SIGNA_T_UR IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ Q� © _ - CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNO LEDGE THAT I HAVE READ'THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK T'IORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VI ION OF THE LABOR CODE OF THE S E OF CA fORNIA RELATING TO ,�? `,! r^ WORKMEN $ COMPEN S URA �.�C 3f 7'514C/44./C'n /*/X 0t5C fi f2 n/, 11/01'_f?XA 01/, s SIGNATURE O PERMITTEE ADDRESS 2-Q V FINAL BY EL t�7i 7 CITY � r NO /�/-�+ J DATE � �, MAKE_ CHECKS PAYABLE TO FE $ FFPmT EE $ HARVEY T BRANDT COUNTY ENGINEER I c;2_ , PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK M o CASH 3 R _ 4 , 1 U 2 1.75 e9�� 76A638A CE9803 7/73 76A63�1A N33'3 12 64 ` �� APPLICATION FOR BUILDING PERMIT 1 DMSION OF BUILDING AND SAFETY aB,00 EI N �� Department of County Engmeer , County of Los Angeles LOCALITY WM J FOX, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, SUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE E SK MA PG BUILDING �/j t_� I// i.._ "fes. "m7 CONST IV + _c ADDRESS Y J + /1/�t2 /I(„' MAP �,/ STATE .NES "+ I NUMBER HWY �J LOT NO J tBLOCK USE ZONE SPECIAL TRACT' '�7Z CONDITIONS SIZE OF LOT 5//Y x /Z3 I NOW ON LOTS / — LDING - BUILDING YARD HWY STREET NAME EXIST USE OF SETBACK WIDTH EXISTING /BLDG T(/tr (J'�/1L FRONT OWNER (/L� -/ + (J'�Q'✓ SIDE MAIL P L ADDRESS d VM /��� / '' Tr , TEL 1 DWELL 1 UNIT 5INDUSTRIAL CITY /�y `� 2 DUPLEX UNIT— 6 PUBLIC BLDG ARCHITECT OR TEL + ENGINEER NO 3 APT UNITS 7 ADDN ,ALT , ETC ADDRESS 4 COMMERCIAL 8 MISCEL CONTRACTOR 41:21LF—V tjI�T4 TEL 1 1% ,E 92- INSPECTION RECORD ADDRESS A./ .&W _ Havleovl � C-1-e,S' �c mm_ G.a� 5 :)' 4 T ,DESCRIPTION OF WORK NEW ADD ALTER ✓ REPAIR DEMOLISH J' O iCM,05— NO SI FT� � �/a� OF FA OF - SIZE JQ STORIES FAMILIES ` USE 9F�TRUCTURE SIGNATURE OF APPLICANT APPROVALS ADDRESS 0 DATE INSPIIECTOR S SIGNATURE P C S FOUNDATION FORMS, MATERIALSION _ (i�?I S 5 FEE ,. G= FRAME FIRE STOPS 1 VALUATION /*-C? 0 SiJQ BRACING BOLTS FEE FURNACE LOCATION, GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT AND STATE LAWS REGULA NG BUILDING CONSTRUC- �,��. Ole G TION , LATH, EXT SIGNATURE OF HOUSE NUMBER COR- v PERMITTEE RECT AND POSTED ADDRESS ^� FINAL a "t- n WM. J. FOX. COUNTY ENGINEER VALIDATION BY _ACO:5 7B6 4 MAY 16 1 8.0 0 tr) .Y DEPUTY - � � DEPUTY r BY BY ® DEPUTY DEPUTY 7.p.A 838A CE9803 9-87 APPLICATI N OR BUILDINGI CQUNTY OF LOS ANGELES BUILDING DEPARTMENT-.,OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUP T OF BUILDING NEAREST CROSS ST FBNG OR APPLICANT TO FILL IN DISTRICT NO GROUP CONST PROCESSED BY (Print ort a only) IVA � STATISTICAL CLASSIFICATION SEWER AP CLASS NO __DWELLUNITSBK PG OCK USE ZONE MANO 2 SPECIAL NO OF BLDGS CONDITIONS T NLOT BLDG BLDG SETBACK FROM TEL FRONT PROP LINEOF (STREET) NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROM C L "�f + = 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 TEL + CONTRACTOR CD IC ADDRESS � J NO CORNER CUTOFF YES ❑ NO ❑ w CITY CLASS SEE REVERSE SIDE FOR SP CIAL AP ROVALS DESCRIP N OF WORK � /q= G z NEW ADD LT REPAIR DEMOLISH SO FT NO OF NO OF SIZE STORIES FAMI ES USE OF UCTURE SIGNATURE OF t �i�/ APPLICANT - VALUATION $ o O APPROVALS DATE INSPECTORS SIGNATURE P C PMT O FOUNDATION LOCATION FEE $ FEE $ FORMS MATERIALS FRAME FIRE STOPS I HE ACKNOWLEDGE THAT 1 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 ANY PERSON IN VIOLA TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT LATH, INT ING TO WORKMEN S COMPENSATION INSURANCE (N SIGNATURE LATH EXT HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS Ad9.gp FINAL A� JOHN F LEWIS PRINCIPAL STOCK RAL ENGINEER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION M O CASH _ LAC-0 5 3 4 31 ,im 3 1 D 12.0 a r APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) s BUI Lt1'IiJ.3 r . COUNTY OF LOS ANGELES ADDRESS S"2... �--A�;IC,cmc: DEPARTMENT OF ,COUNTY `ENGINEER CITY _ '� c�&//�7G51�'' ZIP �J ` BUILDI�NG AND SAFETY/ 'DIVISION_' - BUILDING SIZE OF LOT 15Z 5/y GNOWOON LOTS [rte ADDRESS `' 9 ✓ y(q C'� TRACT /4572 BLOCK LOT NO SJ LOCALITY 1,Ae - TEL NEAREST OWNER A -14 - NO' /1L CROSS ST �° ASSESSOR ADDRESS _ J' —0-7 - - MAP BOOK PAGE' PARC L DISTRICT GROUP TYPE FIRE PRO SSE Y ' S o� 6S Z, CITY - ZIP r _ ARCHITECT O TEL ENGINEER NO II�3 ^ / STA`TISTICAL CLASSIFICATION - �S EtR MAP � ADDRESS ° �'I ILS � CLASS NO �_DWELL UNITS �— 6 BK 90PG CONTRACTOR )� aEEL _2 USE.ZONE MAP s ,' NO ADDRESS44i �• (� & NO • SPECIAL LIC CONDITIONS CITY t/1}�f� CLAS��-)I ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONSTAUCTION LENDER Mel, � w NAME AND BRANCH y LOG SETBACK FROM FRONT PROP LINE OF (SEET,) _ ADDRESS CITY I I HIGHWAY "� + YARD —"TOTAL SETBACK FROM T E OF EXISTING SQ FT NO OF NO OF CHECK - FRONT PROP, LINE IGHWAY WIDTH SIZE STORIES 'FAMILIES`, ONE- ' + = a DESCRIPTION OF WORK NEW 11 U ADD BLOG'SETBACKFROM 'SIDE PROP ALINE OF - (STREET) LTER ❑ TO AL SETB C FR TYPE OF EXISTING HIGHWAY + YARD = U REPAIR❑ SIDE PRO 'L NE HIGHWAY WIDTH w USE OF t^ _ Z EXISTING BLDG „ EMO'L'❑ APPLICANT TEL -C CORNER CU OFF^ YES NO ❑ (PRINT) NO E „` I BY (SIGNA T,URE) OPEN''SPACE' YES,[:] NO ❑ `` IN COASTAL,PER IT ZONE YES ❑ NO ❑ I HEREBY ACKNOWLEDGE THAT,[ HAVE READ THIS,APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS'REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING-THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY_ PERSON IN VIOLATION.OF'THE` LABOR CODE OF T 5 OF CALIFORNIA IN RELATING TO '� D WORKMEN.S,COMP T N INS RANCE SIGNATURE OF \J PERMITTEE 'ADDRESS a _ _ ` , FINAL _ BY , t .,TEL DATE - CITY NO PMT MAKE CHECI\S PAI ABLE FO MFEE FEE ' HARVEY T BRANDT, COUNTY ENGINEER / !1 —�—° PLAN CHECK VALIDATION Q M o CASH _ e PERMIT VALIDATIO (EEK� -o CASH, 65. 3Pmnv 7 � 3 �L 12.60 • 64,9�'"+ V 7 1 : _ 4'2. 5- 76A838A CE#803 5/74 , ' ,b 76A638A CE#803162 APPLICATION FOR BUILDI G PERMIT COUNTY OF LOS ANGELES 30ILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS L 1 BUILDING AND SAFETY DIVISION LOCALITY r JOHN A LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST rr DISTRICTN GROUP TYPE PR CES BY FOR APPLICANT TO FILL IN ��/� ONST BUILDING �7 STATISTICALCLAS IFICATION SEWER MAP ADDRESS (, 13�L�C �L=l B P CLASS NO DWELL UNITTSSj� LOT NO BLOCK WATER NOT REQUIRED IJi I RECEIVED CERTIFICATE -Lll TRACT r� MAP HIGHWAY STATE MAJOR SECOND OCAL, NO OF SLOGS NO (CIRCLE) SIZE OF LOT d NOW IN LOT pe--w USE ZONE SPECIAL USE OF ,CONDITIONS EXISTING BLDG TEL -t e l OWNER t7 NO 1 'IS 176BUILDING EXIST YARD HWY STREET NAME 1 -1 , SETBACK WIDTH ADDRESS Z I(A yrE�j ( FRONT ARCHITECT OR It TEL P L ENGINEER NO SIDE P L d ADDRESS O - CTELu �A CONTRACTOR Lt7 1 NO F'l'��3 Z I ,/ ge ADDRESS t r J b LL F IV CftVVV,,6M0/ �-�. r DESCRIPTION OF WORK r 1 P -.Ili.l u W CL t!f NEW ADD ALTER REPAIR DEMOLISH z SQ FT NO OF NO OF SIZE STORIES FAMILIES USE OF m STRUCTURE yr SIGNATURE OF rj�,,,, APPLICANT VALUATION $ SQQWo APPROVALS /BATE] INSPECTOR S SIGNATU e vllJJ �/ FOUNDAT FORMSI MATERI ��� CA LSON �,lp P C PMT FE FEE $ _ FRAME FIRE STOPS I ` 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 \j TION OF THE LABOR COD C OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT j SIGNATURE O , HOUSE NUMBER COR- 4. _)�.', PERMITTEE RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK M O CASH JOHN F LEWIS PRINCIPAL STRUCTURAL EnCASH R PERMIT VALIDATION CK M D LAL:O, 3 0, 8`- AUG 21 ib 6.00- a 7 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 1011030054 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS ITR 14572 LT 53 SQ FT STORIES TYPE OCCUP GROUP 9452 BLACKLEY ST I (STRUCTURE 0 1 V-B R-3 I TEMP CA 917803140 1 ASSESSOR INFORMATION NUMBER GARAGE _ NEAREST CROSS STREET 18590-008-020 OTHER y ' THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl TENANT JEXIST BLDG USE USE ZONE ' IISSUED ON PROCESSED BY (EXIST OCC GRP 111/23/10 SR 1 OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINA, JZTE FINAL BY CODE 1 ICAVELERI, JOSEPH (818) 438-7736- 1 20,000 1 _ 19452 BLACKLEY ST O 1TEMPLE CITY CA 91780 1 FEES PAID I RIPTION OF WORK 1 1 1ROOF MOUNTED SOLAR INSTALLATION IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 1 (APPLICANT TEL NO I 1 ILARIOS, LUIS A (951) 347-3855- ID7 ADDNL PLANCHECK FEE 1 00 HOU 109 40 19415 BELLEGRAVE AVE IAA BLDG PERMIT ISSUANCE 27 80 1SPECIAL CONDITIONS 1 1RIVERSIDE CA, 92509 JAB STATE GREEN BLDG FEE 20000 00 VAL 1 00 I 1 1 CD2 PERMIT W/O EN-HC 20000 00 VAL 109 40 1 TOTAL FEES 247 60 1 1 1CONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 (ELITE ELECTRIC (951) 681-5811- I I 19415 BELLEGRAVE AVENUE LIC NO 1 (LOCATION AND SETBACKS 1 1 RIVERSIDE CA 92509 418242 C10 1 I I ISOILS ENGINEER APPROVAL 1 1 1 (ARCHITECT OR ENGINEER TEL NO I 1FOUNDATION/TRENCH FORMS LIC NO 1 (SLAB/UNDER FLOOR I I I I I I I I 1 (RAISED FLOOR FRAMING 1 1 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 (UNDERFLOOR INSULATION I I 1 I 3 00; I I 1 11ST LEVEL FLOOR SHEATH I I 1NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I 1 NO 21 12ND LEVEL FLOOR SHEATH I I I 1 SCHOOL WITHIN HAZARDOUS 1 (ROOF SHEATHING I I I I (AIR QUALITY 1000 FEET MATERIALS Ir I I I NO NO NO IFIRE DEPT FRAME INSPECTI II I (BLDG DEPT FRAME INSPECTI I I 1 1 r 1SHEAR PANELS 1 I I I .(INSULATION/WEATHER STRIPI I I I I (INTERIOR LATH/DRYWALL I 1 I I I I I (EXTERIOR LATH I I 1 I I I y ILOT DRAINAGE I I I I I ISMOKE DETECTION DEVICES 1 (FIRE DEPARTMENT APPROVAL( I I - IPEPORT ID DPR261 ROUTE TO BS0508 I I 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 0301170072 PHONE: (626) 285-0488 EXT: LEGAL ID. NO. OF CONST BUILDING ADDRESS: TR: 14572 LT: 53 S0. FT STORIES TYPE 9452 BLACKLEY ST STRUCTURE: VN TEMP CA 917803140 ASSESSORNEAREST CROSS STREET: ENCINITA 8590-008-020 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY T5NANT- D - ON EXIST OCC GRP: 03/14/03 JK 03/08/04 OWNER: TEL. NO: BLOGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY. E: CAVALERI, JOSEPH (626) 286-0085- 8,0003 t/ L 9452 BLACKLEY ST �j �-O TEMPLE CITY 91780 FEES PAID D SIff1'fflUN OF WORK MASTER BATH/CLOSET REMODEL W/IN EXISTING SO FOOTAGE FEE DESCRIPTION: QUANTITY UOM: AMOUNT- APPLICANT:: T L. NO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 8000.00 VAL 0.80 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 B2 PERMIT W/ENERGY 8000.00 VAL 201 30 TOTAL FEES 284.55 CONTRACTOR: TEL NO. APPROVALS DATE INSPECTOR SIGNATUR SAME AS OWNER LIC NO LOCATION T A SOILS ENGINEER APPROV L ARCHITECT G TO-995AT+ C H LIC NO SLAB RAISED FLOOR AP NO ER MAP BOOK: FIRE ZONE. TH-V UNDERFLOOR I SULATIO X 3 01 FLOOR SHEATHING NO OF FAMILIE9. T/CON . NO 21 ROOF SHE ING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR DUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIREDCSPRINKLER-WARN-GYff SET BACK YARD: HWY: PROP LINE WIDTH- FSIDE PL-IINSULATION/WEATHER STRIP l l OR / - ERTERIOR LATH RATEDIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO- BS0508 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 0607060019 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 14572 LT 53 SQ FT STORIES TYPE 9452 BLACKLEY ST STRUCTURE VN TEMP CA 917803140 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET CLOVERLY 8590-008-020 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE RESID USE ZONE R1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 10/09/06 JK 10/04/07 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE E P MEHY CODE CAVALERI, JOSEPH (626) 286-0085- 27,500 9452 BLACKLEY ST TEMPLE CITY CA 91780 FEES PAID DESCRIPTIO R oP DEMO (E) PORTIOIIJ OF ROOF (ROOF & STRUCTURE) OVER KITCHEN & FEE DESCRIPTION QUANTITY UOM AMOUNT FMLY RM & PROVICE NEW GABLE FRAMING & ROOFING REMODEL (E) APPLICANT TEL NO HAMNER (626) 572-2724- B1 PLANCHECK W/ENERGY 27500 00 VAL 477 40 1131 KENTON DR AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS MONTEREY PARK 91775 AC STRONG MOTION RESID 27500 00 VAL 2 75 B2 PERMIT W/ENERGY 27500 00 VAL 561 66 TOTAL FEES 1,069 56 _ CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE CAVALERI, JOSEPH 9452 BLACKLEY LIC NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 NONE SCILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS HAMNER, MICHAEL (626) 572-2724- 1131 KENTON DR LIC NO SIAB/UNDER FLOOR MONTEREY PARK CA 91755 NONE R;,-SED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 147H265 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SFEAR 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- _ IPISULATION WEATHER STRIP - SIDE PL- INTERIOR LA /TH DRYWA J EXTERIOR LATH - l RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOI' DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 _