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Home My Public Portal About9416 BROADWAY_Building__ APPLICATION FOR xBUi DING PERMIT FOR APPLICANT TO-FILL IN AY) BUILD' - COUNTY OF LOS GELES AooREssG DEPARTMENT OF COU Y ENGINEER clrr mit( (� �/ ZIP BUILDING AND SAFETY DIVISION NO.OF SLOGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS �7 TRACT BLOCK LOT NO. LOCALITY n_ TEL. NEAREST NOCROSS ST. �( 1 J ASSESSOR A DOR ESL/ MAP BOOK PAGE PARCEL CITY Zea G/ DISTRICT GROUP TYPE )FIRE P�O�CC�J�$ED BY ZIP �. �� .CONST 'ZpSE ARCHITECT OR ��eTEL. J7 .�/ ENGINEER C��11�C0J . _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. / DWELL UNITS BK� P43 TEL. CONTRACTOR NO USE ZONE MAP 2 �6 LIC. NO. G ADDRESS NO. SPECIAL CIT LIC. ///CCCiii CONDITIONS . CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NOJZ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF �A�o.nc «p ISTREE TI 0 ADDRESS CITY SO. RE NO. OF NO. OF CHECK HIGHWAY } YARD o TOTAL SETBACK FROM TYPE OFFXI'S.TolNG U FRONT PROP. LINE HIGHWAYH DESCRIPTION RIPTION OFTWORKRIES FAMILIES ONE Com, + v = y� !J NEW / W C/ ADD ❑ B LOG.SETBACK FROM - h SIDE PROP.LINE OF (STREET) Z ALTER ❑ HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING /j REPAIR❑ 51DE PROP. LINE HIGHWAY WIDTH E XEOF ST NG BLDG. 910 i DEMOL ❑ + APPLICAN �,,,5 TEL CORNER CUTOFF YES ❑ NO (PRINT) T 14 � NO. BY (SIGNATURE) IN OPEN SPACE _ YES Cl NO VALUATION$ Q Ofl - IN COASTAL ZONE YES [:] NO CATEGORICAL EXEMPTION - YES[] N HEREBY THAT TH LEDGE THAT HAVE READ THIS TG APPLICATION ENV IMPNMENTAL AND STAT ALL THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED-(DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCT( I_<ERTI FY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEfl EBY I LL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CGO THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S INSURANCE. SIGNAT E PERM( J� Epi ADORE l COY /r / AL I B CITY[�(/ [ /f�F'Ci NO. ATE / - JL1I:F :111dCKS.P.0ABLI: 10: F E $ FEE $ HARVEY T. BRANDT, COUNTY ENGINEER �� — � /D• 5 a' 'PLAN CHECK VALIDATION GM.O. GASH PERMITDPA TION �H. M.p. C.S. ;( 2 7 6 073 ALIG 2 1 0.5K. A Q n(XJ� i - �( AUG ]. 5 1 D 5 5.254 76 g638q CE"03 12/7 J14 'APPLICATION=FOR BUILDING PERMIT', . . „.• — COUNTY OF LOS ANGYctF.S .f/ BUILDING AND SAFETY NNORKER'S COMPENSATION DECLARATION ' \ FOR APPLICANT TO FILL IN, y BUILD G ADDRESS. . , BUILDING AAAADDRESS . (: .- I Hereby affirm that have a certificate of Insurance, o self insure, �, !D' or a certificate of Workers Compensation Insurance,or a certified copy'thereof(Sec.3800,Lab.C.) - - CITY zlP�y. p Policy No. Company _ M'�L / 7o 0 - LOCALITy� - 9 SIZE��OO1F.LOT. r NO.OF BLDGS..NOW ON LOT ❑ Certified copy is hereby furnished. oy i d y 63 1 1) NEAR ST CROSS St �O.(-U Uri/2 �-- - ' ❑ Certifietl copy is filed with the county building'inspection - TRACT �^1 BLOCK LOT NO:/ department. - L�d S y-3USE ZONE - MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE 'PARCEL r - ,j e,T� Q 7 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' - OWNER 14 . TEL No .. COMPENSATION INSURANCE - GF-az� �I�9�R£P,+ sa /rY--2*5"1SJ WITHIN 1000 FT.OF SCHOOL? YIES NO ADDRES IT section need not be completed if the permit is for one hundred /fig ''// / " dollars($100)Or less.) % ]`--�� y2 'Cz - DISTRICT GROUP TYPE CONST. FIRE ZONEaPROGESSED BY CITY. - ZIP I certify that in the performance of the Work for which this permit, TMF7F C/T`f OJ 1`7 8d �` '9d Y /1G�-L/�' is issued, I shall not employ any person in any manner so as to RRC ITECT OR ENGINEER TEL NO. ie become Subject t0 the Workers'Compensation Laws STATISTICAL CLASSIFICq�T,I,p(N APT CONDO Date Applicant ADDRESS CLASS NO., �•-DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of REOUIREDTOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers" CON62A-CTOR ., TEL NO SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith (�40Ko FROM comply withspchprovisions or this permit shall be deemed revoked. ADDRESS . . LIC.NO. - - P L ' LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC.CLASS P L 1 hereby affirm that I am licensed underprovlsions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and SO .SIZE NO.OF STORIES N0.OF FAMILIES SEWER MAP , Professions Code,and'my license is in full force and effect. Q NEW BK PG ® - License Number Lia Class DESCRIPTION OF WORK ADD .❑ VALUAT10NCD C Contractor DateALTER ❑. $ / 1— ' � co r W ❑ 1 am exempt under Sec. _ _ - REPAIR ❑ $ 00 BSP.C.for this-reason - - - DEMOL ❑ LDMA P/C• - ' " Date: USE OF EXISTING BLDG. - - URM - ...., . Signature APPLICANT(PRINT) - TEL NO. . . LDMA Perm.# ❑.I..as-Ownerof the property;or my employees with wages as' OZ yr.«•E their sole compensation, will ado the Work and the structure is ADDRESS - - _ not intended or offered for sale (Section 7044, BusineSS antl FINAL DA EJ Q Professions Code.) . WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE q HAZARDOUS MATERIAL J[-� J LZ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL.EQUAL TO OR GREATER THAN THE - —1 _ .' ❑ 1, as Owner Of the property, am exclusively contracting with AMOUNTS SPECIFIED ON ME HAZARMUS MATERIALS INFORMATION GUM? FINAL BY 1, - •licensed contractors to construct the project (Section .7044, YES❑ NOJ4 `T Business and Professions Code.) WILL THE INTENDED USE OF THE SUIDUNG BY THE APPLICANT OR FUTURE BUILDING _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH (- - 1 --NJ _ CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT ISCAOMDI SEE PERMITTING CHECKLIST FOR " GUIDEUNEa. I hereby affirm that there isa construction lending agency,for VES❑ No the performance of the work for which this permit is issued(Sec. { ; i�) ) �'iDc pf' IHMEREADTHEHAZMW0.MATERLILlWI MATKNGUIDE AND ME SCAOMDPERMITTING T, •+ \ Lender's CIV.Gh CHECKLIST. UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE.. - 3097 p W ` - TITLE 2,CHAPTER 220 SECTIONS 2,20.100 THROUGH 2.20.140 CONCERNING HAZARWUS" �p L �� - r s Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMO. o' Lender's Address C, EP M IGENi .. ,o I certify that I have read this application and state under penalty 4of perjury that the above information is correct.I agree to comply P.C.FEE ['' PERMIT FEE R, with all count ordinances. aril State laws relating to building --I 11 i_Aj I'6j1� ? am construction, and hereby authorize representatives of this County ISSUANCE FEEpov J !.t - m t0 ent Pon the abs entionetl operty for inspection purposes. �f A •�- 56-001 1"t L -- GINVESTIGATION FEE TOTAL FEE -J� ,• / - - SEE REVERSE FOR EXPLANATORY LANGUAGE PLICATION FOR BUI:LDI:N.G PERMIT AP D COUNTY OF LOS ANGELES'- *• b BUILDING AND.'SAFETV ° WORKERS COMPENSATION DECLARATION { FOR APPLICANT TO FILL IN - BUILDING ADDRESS " - . : BUILDING ADDRESS.•./J I hereby,;affirm that i�have•a certihcate'of'consent to self Insure, _ or a certificate-of Workers'Compensation Irtturance,or a certified CITY ZIP copy thereof,(Sec 3800,1Lab.•C.I . A. , LOCALITY - - , I O Policy No. Company SIZE OF LCT - NO.-OF BLDGS'�NOW ON LOT ` - ❑.Cert ie copy i5 hereby fumlahetl. a - .. - NEAREST CROSS 9T. TRACT 'BLOCK' LOT NO - _ -'r'•G '/9 LF�SPRN'aR o. - �.• ❑ department, e filiedartm copy is filed.with the County building inspection - - USE ZONE MAP NO, department.'_ - 'Data � ASSESSOR MAP BOOK PAGE PARCEL`. - ' Applicant. � " '.. ,. - - - - SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ':- TEL No. COMPENSATION INSURANCE r�c�irc6F W 1h119 E'r;: s� �18,1857`)Sc7 WITHIN 1000 FT.OF SCHOOL' YES,* - NO (This section need not tie completed if the permit is far one hundred ADDREESSS. dollars ($100)Or less.) 1 _/ /f lel,q•D'A 1,41 -. - DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY I certify'that'in the Performance of the Work for which This permit 1 CITY " - vzs C'y ZIPr I 780 is issued,Issuetl, I Shall not employ any person in any manner s0'as t0 c�np become.Subje6t tO4the,Workers Compensation Laws.,,. ARCHITECT OR ENGINEER TEL NO. _ - B 7H✓ STATISTICAL CLASSIF19ATION APT CONDO Dat¢ Applicant ADDRESS - CLASS NO. � DWELL UNnI ' NOTICE TO APPLICANT_' I[ after making Ihis C¢rtilicate of r REQUIRED • ' -TOTAL SETBACK FROM EXIST Exemption, you shOUld •become subl¢ct 10 the Wbrkens' : - CONTRACTOR •TEL NO, SET BACK YARD HWV _ PROP LINE WIDTH Compensation provision-Of the Labor Code, you must forthwith W- - FRONT 'comply with Such provisions or this permit shall be deemed revoked_- ADDRESS LIG NO. 'P L - - } LICENSED CONTRACTORS DECLARATIONSIDE ^; rpa y affirm that CITY . . LIC.CLASS P,L ..,V 1 hereby I am licensed underprbvisions of Chapter 9 •r - - SEWER MAP (commenci rg,with Section 7000)Of Division 3 of the Business and SO.FT.SIZE NO,OF STORIES NO.OF FAMILIES � Professions Code and my license Is in full force and effect.. Q(J- NEW. ❑ ek - 'pG u License Number -• Lic.Class •DESCRIPTION OF WORK - - ADD ❑ VALUATION Contractor, Date - e '1 < df ALTER Z• ' — /a �a F $ Q�d 6-f7 . .. - U) G RxG L✓r I am exempt N740W REPAIR ❑ $. - - Z ❑ Lunderec.a � - - - , BBP C.,forahls reason' DEMOL ❑F`A'TE /f7iy t� Je�r"l LDMA P/Gr. - - :Date: USE OF EXISTING BLDG. - URM ❑. $I nature - '- APPLICANT(PRINT) •.. TEL NO. ., „ �LOMA Per I s owner of the property, or my,employees with wages as - Z r JL - their sole compensation will'do^the work End! the structure is '-ADDRESS; O A .4 rlet intended or offered for.-sale-(Sectiori,7044, Business and r.. - - - - n•' FINAL DATE - 'Q 3'CTJQ.r � 92.25 Professions Code.) .. - /O✓/z /J� p KILL THE APPLICPM OR FUTURE BUILDING CLGUMNT HANDLE A NAL1Rpg15 M4TERIAL.. V( y ry{(+ '❑ 1, as owner'of the property, am,exclusively contracting With OR A.MIXTURE CONTAINING A HAZARDOUS MATERIAL EOUAL.TO.OR GREATER THAN THE Q y ITEMS , licensed'contractors t0 construct the 'AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDBI FINAL BY �j _ project (Section 7044. .YES❑ NO❑' - - I I - "mac . -. Business.and Professions Code.) T TAL �� m ' WILL THE INTENDED USE OF THE BUIDUNG BY THE APF(CANT OR FUTURE BUILDING, Lt '] �C, . OCCUPANT REOUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH' _ L-HEC 92.25- CONSTRUCTION e 5I CONSTRUCTION LENDING AGENCY - .COAST AIR OUAUTY MANAGEMENT DISTRICT ISCAOMDI SEE PERMITTING CHECKUST FOR lip-1 :8 . - '• 1 I hereby affirm that.there is a construction lending agency for, GUIDELINESCHANGE" -.00 GUIDELINES No El a 11r the performance of the work for which this permit is issued(Sec `„� HAVE READ THE HAZARDOUS MATERIALSINFORMATK)NGNDE AND THE aCAOMOPERMITTWG _ t /'-rt �,�� 3097;CIV.C.) CHECKLIST,I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 000!1 0001 4/?7I QS.. _TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.100 CONCERNING IT us U / VUV,J {.! V 1 P: �' Lend¢r 5'Name MATERIALS REPORTING AND FOR OBTAININGA PERMIT FROM THESCAOMD y 1,�...+•• - - - •d] Lender's Address .. - 5994. 11 Ail 8 e.5 OMNEA ON INN certify'that I have'read this application and state under penally PO FEE PERMIT FEE • p 'DI perjury )hal the above information is Correct.I agree to comply�, m with all county ordinances and State laws relating to tiullding m construction, and hereby authorize representatives of this County - - - ISSUANCE FEE - $O$ to^enter upon the above--mmentyio^ned pmpe y for inspection purposes. r 36 N jIA 2.o0/tv�_ - \/+ �^ q'ZI.D-FIINVESTIGATION FEE - TOTAL FEE - - - 1 - SEE REVERSE FOR EXPLANATORY LANGUAGE - APPLICATION FOR BUILDING PERMIT ' , • - COUNTY OF:LOS'ANGELES _ BUILDING AND�SAFETY "-WORKER'S COMPENSATION DECLARATION - FOR'APPLICANT TO FILL IN Buut ING/A DRESS p BUILDINGA D ESS - / V' �`L/T /eco Lhereby,athrm that'I have a certificate of consent to self insure, , or a certificate of Workers' Compensation Insurance,or.a certified - - - copyLCt/7o/f(Sec.3800,Lab. LOCALITY G) ITC -_ ZI ` - Policy'N ,SIZE OF LOT - •, NO.OF SLDGS.NOW ON LOT;. Qei G �Certifiedcopy is hereby furnishetl. G zQ� Z NEAREST CROSS T. _ ❑Certllled copy 15 filed with th building pe ion' TRACT BLOCK LOT NO. - depart nt. ' " ' USE ZONE "MAP NO - Data APPlican ASSESSOR MAP BOOK '^� PAGE ,)e7 PARCEL I •• - C1D O( SPECIAL CONDITIONS 4V - CERTIFICATE OF EXEMP ION FRO WORKERS' OWNER � � TEL N( p C` /' , COMPENSATION INSURANCE E / , Z6�o—Ic�`37 WfTHIN 1000 FT.OF SCHOOL? YES NO .ADD ES - " .. (This section not be Completed if the permit iS.foLone hundred // /��.9�� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) - L� 'CITY •QIP i certify that h the performance of the work for which this permitt �D x_ is issued Shall not employ any person in any manner s0 as,t0I ARCHITECT ORENGINEER -TEL NO. o J become subject to'the'Workers Compensation Laws 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' CONT CTOR /' _ TEL NO SETBACK YARD HWY PROP LINE WIDTH., I Compensation provisions of the Labor-Code, you must forthwith, ( LYJjIs, FRONT comply with such provisions or this permit shall.be deemed revoked. ADDRESP UC.NO — PL ' LICENSED CONTRACTORS DECLARATION SIDE - CIT � - LIC.CLASS PL hereby alfirm that am licensed underprovisions of Chapter 9 SEWER MAP - - (commencing with Section.7000)of Division 3 of the Business avid SO FT.SIZE' NO.OF STORIES NO.OF FAMILIES . Professions Code, •ntl m 'license is In.full force ffect. / NEW ❑ BK PG , d License Number Lie.Class DESCRIPTION OF WORK ADD Fa VALUATION Q Contractor �� as Cy✓C �' 7�d h' dDd �= v A P✓� Date ___JL!� _ ALTER ❑- A _ ir ❑ bam.exempt un er Sec. REPAIR ❑ $ 0 B.BP.C. for this reason DEMOL '❑ - U LDMA PIG# •�• ll.l Date: USE OS'IST G BJ.QG. URM .. ❑ _ i _ d Signature 23 Cl) AP NT/(PR�I/LT _ TEL O. _ LDMA Perm♦ _ Z Cl I, as owner of the property, or my employees'with wages as "�'-�t/"'�� I ZACCT,i their sole compensation, will do the Work and the.structure is. ADDRESS _ O - not,intended or offered for sale (Section 7044, Business and FINAL DATE •Q 3303 87.73 �2- -,I 1 1, as ownionser Code.)fthe - WILL THE APPLICANT OR G A HA BUILDING MATERIAL HANDLE A HAZARDOUS MATERIAL, J ❑ as OWOCr Of the property, am exclusively contracting Wltfl OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE, - /�p AMOUNTS SPECIFIED ON THEiMRPADOUS MATERIALS INFORMATION GUIDES FINAL BY ACCT.A licensed contractors t0 construct the project (Section,7044, YES El NO El ble •T • Business antlProfessions Code.) ,'}''}}(�'} WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING �T{J,] 175.65 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH I _ �I❑ _ CONSTRUCTION.LENDING AGENCY '- COAST:AIq OUAUTV'MANAGEMENLOISTgILF SLACM01 5EEPERMITTING CHECHUST FOR _ 2 ITEMS - ..GUIDEIINES. - - - - 1 Gt,.] .e I hereby affirm thatthere is a construction lending agency for YES NO - - - - the performance of the work for which this permit is issued(Sec-L TOTAL 76313�,f TOT '}(� 0' I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCACMD PERMITTING CHECK 263.30 3DB?,CIV.Ci.) _ CHECKLST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. ry Lendef 5 Name TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2,20.140 CONCERNING HAZARDOUS - - ' 3 MATERIALS REPORTING AND FOR OBTAINING PERMIT FROM THE SCACMD CHANGE . .00 o Lender's Address - - 0 .EA Ca AGENT o I certify that'( have read this application avid state under penalty _ - N P.C.FEE - 71 PERMIT FEE 0000-0001 10/ 5/95 of perjury that the above information is correct.Iagree to comply X/� /.J ,(� With all county ordinances and State laws relating to building r/ �� m ruction, and h eby�uthorize representatives of this County - - - ISSUANCE'FEE �^ 2636' '1 AM 8%03 to enter a ve- entioned property for inspecti�p�'u�(/s�.es. ✓YJ INVESTIGATION FEE -TOTAL FEE 61 b '51 4� 46 SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0]1022002] PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9416 BROADWAY 1 STROCTURE: 25 VN TEMP CA 917802445 (ASSESSOR INFORMATION NUMBER: NEAAEST_CROSS STREET: 10588-027-019 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 TISSUED ON: PROCESSED BY: EXPIRES ON: (EXIST OCC GRP: 110/22/07 SR 04/19/08 TOWNER: TEL. N0: 12LDGS. NOW ON LOT: -' VALUATION: FINAL DATEXPIRED V 'p�r�rgiwf,BY: CODE: (ELIZABETH DE CLOE - 9,500 i-i E x PI R r U 19416 BROADWAY _ OF 6 TEMP 917802445 - FEES PAID IDESCRIPTOF WORK REMOVE EXISTING TING ROOFING INSTALL 30 YEAR COMPOSITION HOUSE ]FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IAND GARAGE APPLICANT: TEL. NO: I I JANR CROWN ROOFING INC. (323) 982-9505- IAA BLDG PERMIT ISSUANCE 27.75 1 ] 2161 COLORADO BLVD. JAC STRONG MOTION REBID 4500.00 VAL 0.50 (SPECIAL CONDITIONS: JUDE ANGELES CA 90041 ID2 PERMIT W/O EN-HC 4500.00 VAL 132.60 1 TOTAL FEES 160.85 1 ]CONTRACTOR: TEL. NO: _ (APPROVALS DATE INSPECTOR SIGNATURE IA N R CROWN ROOFING INC. (323) 982-9505- LOG,TZON AND SETBACKS 12161 COLORADO BLVD. STE 203 LIC. NO JUDE ANGELES CA 90041 874964 C39 ISOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUVDATION/TRENCH FORMS LIC. NO: SLAP/UNDER FLOOR F( RAISED FLOOR FRAMING (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION ] 1147H265 3 Oil I I FLOOR SHEATHING - INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I NO 21 1 1 ROOF,SHEATHINO i 1 —� �/v? SCHOOL WITHIN HAZARDOUS T SHEER PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION (REQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: (FRONT PL- INSD:aTION/WEATHER STRIP( I I SIDE PL- L (INTERIOR LATH/DRYWALL IEXTERIOR LATH RATED FLOOR/CEIL ASSEM. T T RATED WALL ASSEMBLIES T (RATED SHAFTS/OPENINGS I 11 I I I T-BAR CEILINGS ] i LOT DRAINAGE ' IREPORT ID: DPR261 ROUTE TO: BS0508