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HomeMy Public PortalAbout9427 BROADWAY_Building__ C � 7GA638A CE; 8036-62APPLICATION FOR BUILDING PERMIT ` COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION ( LOCALITY JOHN A. LAMBIE, COUNTY ENGINcER NEAREST WILLIAM A. JENSEN, SUP T OF BUILDING CROSS ST. DISTR CT NO GR, TYPE P ESSED BY FOR APPLICANT TO FILL IN U. ' CONST. BUILDING STATISTICAL CLASSIFICATION S WER MAP ADp KESS SK PG�_ CLASS. NO. OWE". UNITS �� LOT NO.VV �y1<3'a BLOCK WATER NOT REQUIRED bd RECEIVED CERTIFICATE: TRACT MAPHIGHWAv STATE MAJOR SECOND, CA NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF �� CONDITIONS EXISTING BLDG. TEL. OWNER NO T (/- / BUILDING YARD HWY STREET NAME EXIST. 6 y SETBACK WIDTH ADOREU FRP.ONT ARCHITECT OR TEL. L. ENGINEER NO. SIDE P. L 1 d ADDRESS GRADING PERMIT REQUIRED Ou CONTRAC �L I NEL. -O lp Y KUUUM UHADINU APPROVEDi p ADDRESS/,S( �[�. O DESCRIPbOrf OF WORK u W 0- NEW NEW ADD ALTER REPAIR DEMOLISH ®/'� Sq. FT. NO.OF NO. OF ? SIZE STORIES FAMILIES -- UISE OF TC / S R�E 11 APPLICANT , VALUATION S APPROVALS DATE INSPECTORS SIGNATURE P.C. PMT. CQjD FOUNDATION: LOCATION FEE S FEE $ a FORMS, MATERIALS FRAME: FIRE STOPS, HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AN 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 C ATI N INSURANCE. LATH. EXT. _ SIGNATURE _ HOUSE NUMBER COR- PERMITTEE LLL O REST AND POSTED / ADDRESS - , "✓ � FINAL n•'' �lJ JOHN F. LEWIS. PRINCIPAL STIWCTURAL ENGIN ER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK M.D. CASH 0 2 7 4 G*SEP.17 ...tom.. ._ - -- a % ¢ r/ City 0£ TAmnIA C,tv APPLICATION FOR BUILDING PERMIT . . FOR APPLICANT TO FILL IN, (Print or type only) COUNTY OF LOS ANGELES BUILDING ' ADDRESS Qh27'Broadwav - • DEPARTMENT OF COUNTY.ENGINEER _ SITY mP,,,,, 1 r•+., zip QI;An BUILDING AND SAFETY DIVISION ` NO.OF BLDGS. ' BUILDING SIZE OF LOT NOW ON LOT ADDRESS Z TRAC 63 Z–I 4VIUM I LOT NO/PeA fl LOCALITY 'OWNER Mr. P66bles No. 689=2567 cRE`ossst Cdp ASSESSOR ADDRESS' 9427 Broadway MAPBOOKPA67 PARCEL DISTRICT GROUP TYPE FIRE ESSED BY tlrr a n l- Cit - z(P' 91780 !!��^ p –, CONST. ZONE ARCHITECT OR TEL. - _ _ UD �/ _�_ J•'I ENGINEER - NO. STATISTICAL CLASSIFICATIONSEWER EP ADDRESS _ -. _ _ CLASS NO.�DWELL.UNITS - BK PG CONTRACTORAlhallbra Roofing N0L..689-2567 U ZONE NM CAP OO . (7 ADDRESS 712 ,Si MarFrn80 NO. 7 IAZ i, .1 SPECIAL - LIC - - CONDITIONS CITY A 7, m nn '('n1 i+' CLASS _. CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES E] NO ❑ NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF ISTREETI ADDRESS — - CITY '- - ' TOTAL SETBACK FROM TYPE OF EXISTING' SQ.FT. NO.OF NO.OF. CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE y DESCRIPTION OF WORK Re_roof Flat & NEW ❑ + O Shingle Flat W 3 S & 9 ❑ BLDG.SETBACK FROM ADD SIDE PROP.LINE OF (STREET) G CS & Hot• ing e5 ALTER �❑p HIGHWAY + YARD. = TOTALSETBK FROM TYPE OF EXISTING USEOF ' - _ _ SIDE AC PROP.LINE HIGHWAY WIDTH REPAIR Z EXISTING BLDG. DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINTI NO. ' - - INOPENSPACE - 'YES ❑ NO ❑ BY(SIGNATURE) - Q) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION -P TIT-. 1111 JD - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THELABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'SCOM. / q �,/'J�'I�- /� j ✓l PENSATION INSURANCE. Frank Foula F� J / Y�/QYpK C-_a, A,c�� k SIGNATURE OF - e w/o /NS' — A��J 729 W-1 PERMITTEE rr�- ) _`^4 ADDRESS ' -71S P..7 (ATPO Ave. �,{-^ C:-_06 FINAL CITY Alhambra, Cal—if.. No, 282-1958 DA ES BY MAKE CHECKS PAYABLE TO, - FEE $ T V� FET HARVEY T. B RANDT,COUNTY ENGINEER PLAN CHECK VALIDATION cK: cM.o. CASH PERMIT VALIDATION GK, M.O. GASH N CHECK VALIDA vJ�FAL L� .T:_�9= POLICY HOLLD.ES�o 2 5 4.i tdOV' 21 :1 U 1 2.O O 6 u ®R 7EAb3BA CE#8033.Z.TEp� S VLRA,,.Y. Ltl uAn6�E,Y0o: :. - itG,'.,�•.0 "� �i ADDRESS 4J Y 2 7 �i L ® ® PJ tl V APPLICATION LOCALITY' �. ��: ..DIVISION OF BUILDING AND SAFETY CNRCOOST. Department of County Engineer DISTRICT NO. RECEIPT NO. 'PERMIT NO.. County of US Angeles . . ._ . . . --� WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED TDATEIBHUEDt- CASSAT D. DRIrrIM. SUPT OF BuiwrNR. FOR APPLICANT TO FIILL IN / TYPE ODM RECEIVED BY OWNER. .�A�i✓ ��,d rn•f Y��i< !] PP P. h��a.< MAPQ+ MAIL /� �/ NUMBER ��O Q' 6HyAjTyEYEB N�{ ADDRESS 7�' / �. RYO/].� VVL7 LI USE ZONE SPECIAL Q TEL. %2-/_4-7/� _� CONDITIONS i CITU �e /Yld�O. tni f'� NO, fi' ARCHITECT OR TEL. ENGINEER NO. BUILDING YARD HWY STREET NAME EXIST. ADDRESS SETBACK �/ /WIDTH TEL FRONP. CONTRACTOR NO. BIDE ADDRESS P.L BUILDING' - - DATE CORRECTIONS INSPECTOR ADDRESS 9�l:�7 E, tnei/I-dati < ym��.n.✓ LOT NO. BLOCK - TRACT �nZVSO 7..J NO.OF SLOGS. �j ./'�L/ .- •F./'L(: SIZE OF LOT A/LOV I NOW ON LOT UBE OF DESCRIPTION OF WORK °a NEW 'ADD ✓ ALTER REPAIR DEMOLISH SD.FT.E NO.OF NO.OF D SIZSTORIES FAMILIES f UBE OF STRUCTURE To eQ�-csT NO.OF MP OYE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORME.MATERIALS /-SI4 FRAME: FIRE STOPS. ° SIGNATURE Dry / �_�� BRACING.BOLTS / _ 7 2 PERMITTEE ADDRESS ~ -�it3C- FURNACE: VENT DUCTS LOCATION' C'. p �I U LATH. INT. AUTHORIZED AMT. IS �V © � P. C. S _ LATH. EXT. HOUSE NUMBER COR- FEE / RECT AND POSTED VALUATION / / FEE ® 00 FINAL nL! Vin/;.I. 16/` 10/,6T' 76AG38A OBS3 4-94 l �DEPIS,RTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ' CbUNTY OF L-ANGELES I �Xl3 luJ p p g 4� ® a pip @��o WM. J. FOX, CHIEF ENGINEER ®`O FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. 1' 'PLAN'CK:ND.- PERMITNO: - BUILDING 1'?01 ADDRESS LOCALITY REC1�ElIVED BY DATE OF APP/L.. DATEISSUED - NEAREST �O CROBH ST. /y ! OWNER CITY LOCALITY ! V ADDRESS r��J �•. ISG♦ ,g��A/� hol*l/ CITYG //�SLG ./ NO. / CROHBHT. (�(/, FIRE HOOF TYPE C ARCHITECT OR TEL- ZONE PLANS V ENGINEER NO. _ BLD H. / (. /� ORD.NW ADDRESS SETBACK LINE / T'L• ` CONTRACTOR � .LL/2/I NE BY - i DATE V USEAPPROVED ADDRESS -15-// cIle Mow ZONE/]-/ BY '-DATE LEGAL ' DESCRIPTION LOTN`D. .J gaP�coCK-A- I '�O Loo �" CORRECTIONS: DTRACT.U)I �• E /� �In/1 (/ /, I lI 7 NO.OF BLOGH. 7 SIZE OF LOT / -I NOW ON LOT / USE ISTI IPS/LIEA4,i�FAry�le:e� I RODMB S 'EXISTING BLDG. IIIIll1ri1 DESCRIPTION OF WORK NEW `. ,...- ALTERATION ADDITION - -�- - �- - - - O A REPAIR i MOVING DEMOLISH � • p Sq.FT. NO.OF SIZE 90 ROOMS. STORIES - D WALL ROOFI�, _ r COVERINGSTl��G I COVERING�J��9MA;0. - U9E OF NEW "• T BUILDING �-r /o En/�'c S�N6'L� f — 9 O O -� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION FORMS,MATERIALS It 40-S e7- 0' AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, D SIGNATURE OF BRACING,BOLTS 11 /�� '1- PERMITTE '_ % LATH, INT.: AUTHORIZED AOT LATH,EXT.: -[ oes-s soN SETS 1-48 $ T ,yp� ? C.A � PLASTER,INT. i /O P. .J� �J�O ve FEE PLASTER,EXT. 8/ S�/� cw VALUATION FEEVV'/ FINAL ✓�/l.� 7- 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 0809100040 PHONE: (626( 285-0488 EXT: LEG ONIPILE N0. OF CONST I BUILDING ADDRESS: SQ. FT STORIES TYPE 9427 BROADWAY STRUCTURE: 1700 V-B TEMP CA 917802446 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18588-003-021 1 THOMAS PAGE: 596 GRID: S4 LOCALITY: TEMPLE CITY, C (TENANT: IEXIST BLDG USE: REBID USE SOME R-1 11SSUED ON: PROCESSED BY: EXPIRES ON: 1 IEXIST OCC GRP: 109/10/08 SR 03/09/09 f (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IINAL DATE FINAL BY- CODE: 1IFRED 199279427 BROADWAY ADWAY ITEMP 917802446 FEES PAID SDRC (PTI IN OF WOOF WOR APPLY NEW 30 YR DIMENSIONAL SHINGLES OVER EXISTING SINGLE IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 LAYER OF 3 TAB SHINGLES 1 APPLICANT: TEL. NO: NICKELL (626) 890-9415- IAA BLDG PERMIT ISSUANCE 27.75 1 540 N. YALETEN QAC STRONG MOTION REBID 3500.00 VAI, 0.50 ISPECIAL CONDITIONS: IWEST COVINA CA 91709 ID2 PERMIT W/O EN-HC 3500.00 VAI, 115.80 1 IFA INV WORK W/O PERMIT 257.00 DOL 257.00 TOTAL FEES 401.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE (STORM TIGHT ROOFING (626) 890-9415- ] 1 1540 N AVE LIC. NO LOCATION AND SETBACKS I I I WEST COVINA OVINA C CA 91790 790524-C39 ISOILS ENGINEER APPROVAL ] jARCHITECT OR ENGINEER: TEL. NO: i (FOUNDATION/TRENCH FORMS LIC. N0: ISLAB/UNDER FLOOR RAISED FLOOR FRAMING i I I IMP NO: SEWER MAP B00%: PAGE: FIRE ZONE: CMP: 1UNDERFLOOR INSULATION ' 119]H255 3 O1] ] '1 1 FLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: .I NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUSSHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS j NO NO NO FRAME INSPECTION IREQUIRED TOTAL SETBACK FROM EXISTIFIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP( SIDE PL- 1NTEFIOR LATH/DRYWALL ]EXTERIOR LATH I (RATED FLOOR/CEIL ASSEM. I iRATED, WALL ASSEMBLIES RATED.SHAFTS/OPENINGS ' T-BAR CEILINGS I I I LOT DRAINAGE RE PORT ID: DPR261 ROUTE T0: HSO508 I I I I I COUNTY OF IAS 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 SL 0508 1107210004 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST 1 BUILDING ADDRESS: ON FILE SQ.,FT STORIES TYPE 942 BROADWAY STRUCTURE: V-B TEMP CA 917802446 (ASSESSOR INFORMATION NUN®ER: .� - -� I I NEAREST CROSS STREET: 18588-003-021 1 THOMAS PAGE: 596 GRID: C4 LOCALITY: TEMPLE CITY, Cl TENANT: \` ` I (EXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1EXIST OCC GRP: 107/21/11 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF NAL ATJ FZ A CODE: PEEBLES, VIA IAN - 1,897 19427 BROADWAY (TEMP 917802446 FEES PAID SCRIPTION OF WORK 1 IREMOVE AND REPLACE 3 WINDOWS, LIKE SIZE FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 I (APPLICANT: TEL. NO: THAN & DELL CONSTRUCTION INC. (562) 810-0045- IAA BLDG PERMIT ISSUANCE 27.80 11116 E. 10TH ST. IAB STATE GREEN BLDG FEE 1847.00 VAL 1.00 SPECIAL CONDITIONS: ILONG BEACH, CA 90813 IAC STRONG MOTION RESID 1847.00 VAL 0.50 I ID2 PERMIT W/0 EN-HC 1847.00 VAL 82.20 1 1 1 TOTAL FEES 111.50 1 1 ICONTRACTOR: TEL, NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE THAN AND BELL CONSTRUCTION INC. (562) 810-0095- 11116 E. 10TH STREET LIC. NO LDGA+ION AND SETBACKS (LONG BEACH CA 90815 929980 B 11 1 1 ISOILS ENGINEER APPROVAL _I (ARCHITECT OR ENGINEER: TEL. N0: (FOUNDATION/TRENCH FORMS 1 LIC NO: i (SLAB/..NDER FLOOR (RAISED FLOOR FRAMING 1 (MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: GMT: 1 (UNDER FLOOR INSULATION 1147x265 3 001 I I1 I1 Ii I IFLOOR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/CONDI CLASS:STAT I 1 0 NO 21 1 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR PANELS 1 1 1 LAIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION I (FIRE SPRINKLER HANGERS (INSULATION/WEATHER STRIPII I 1 , (INTERIOR LATH/DRYWALL (EXTERIOR LATH i I I 1 1RATED FLOOR/CEIL ASSEM. I (RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS I � I ITT-axa cemlNcs 'I I I I I I ILOT DRAINAGE _ .REPORT ID: pPR261 ROUTE T0: BS 0508 1 ! I I 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 91980 HL 0508 1011040099 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST ON FILE I SQ. FT STORIES TYPE BUILDING BROADWAY DW ISTRUCTURE: V-B C91780ARESSv 942] ASSESSOR INFORMATION NUMBER: TEMP CA 91]802446 I - NEAREST CROSS STREET: I 18588-003-021 THOMAS PAGE: 596 GRID: S9 LOCALITY: TEMPLE CITY, C I I I (TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 111/08/10 SR IOWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FIN BY: CODE: PEEH LES, JOHN (626) 699-3812- 1 9,780 19427 BROADWAY I 11 TEMP 917802446 FEES PAID D CRIPTION.IF WORK I I INSTALL 14 RETRO FIT REPLACEMENT WINDOWS IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( (APPLICANT: TEL. NO: ICHERE, PATRICK (951) 697-0158- IAA BLDG PERMIT ISSUANCE 27.80 I I 6260 RIVER CREST DR. I AB STATE GREEN BLDG FEE 9780.00 VAL 1.00 (SPECIAL CONDITIONS: IRIVERSIDE, CA 92509 IAC STRONG MOTION REBID 9980.00 VAL 1.00 I Y ID2 PERMIT W/O EN-HC 9780.00 VAI, 217.10 I 1e �' TOTAL FEES 246.90 .�1�1 1(y \O ���C J.1 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE OUTBACK PATIO AND SUNROOMS (951) 697-0158- 16260 RIVERCREST DR STE 5E LIC. NO I VACATION AND SETBACKS IRIVERSIDE, CA 92507 483069 B ISOILS ENGINEER APPROVAL ARCHITECT OR,ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS I LIC. NO: (SLAB/UNDER FLOOR (RAISED FLOOR FRAMING I (MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( ,. .\ ,�\,1 UNDERFLOOR INSULATION I147H265 3 OOI `( V�J��l7- �� Q` t q FLOOR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 i (\tf9 G� �d cok IROOF SHEATHING I SCHOOL WITHIN HAZARDOUS /L� ISHEAR PANELS w(AIR QUALITY: 1000 FEET MATERIALS (� I NO NO NO 1FRAME INSPECTION ''`` I FIRE SPRINKLER HANGERS y\ 'INSULATION/WEATHER STRIPI IINTERIOR LATH/DRYWALL IEXTERIOR LATH (RATED FLOOR/CEIL ASSEM. I 61rC w` (RATED WALL ABSEMHLIES iRATED SHAFTS/OPENINGS IT-BAR CEILINGS {� 6`\� %��2C ILOT DRAINAGE �DPR2 1`� y I (REPORT ID: OPR261 ROUTE T0: BSO5;8 \ pI ` ( - t�_ , - , N�f; a 'Ke wX, 1vv j _-..11 , 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 1107200062 PHONE: (626) 265-0488 EXT: ILEGAL ID: NO. OF CONST 1 BUILDING ADDRESS: I ON FILE SQ. FT STORIES TYPE 1 9427 BROADWAY I (STRUCTURE: V-B I TEMP CA 917802446 TASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18588-003-021 THOMAS PAGE: 596 GRID: S4 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST GCC GRP: 107/20/11 SR TOWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FI B CODE: PEEN LES, VIVIAN - 12,000 1�( 19427 BROADWAY �� I TEMP 917802446 T FEES PAID DESCRIPTION OF WORK IKITCHEN REMODEL IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I (APPLICANT: TEL. NO: I I IMOCK ON WOOD CONSTRUCTION (626) 376-2516- IAA BLDG PERMIT ISSUANCE 27.80 1 1125 E. SANTA CLARA IAB STATE GREEN BLDG FEE 12000.00 VAL 1.00 SPECIAL CONDITIONS: 1ARCADIA, CA 91006 IAC STRONG MOTION RESID 12000.00 VAL 1.20 1 I IB2 PERMIT W/ENERGY 12000.00 VAL 276.00 1 1 TOTAL FEES 306.00 CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE IMOCK ON WOOD CONSTRUCTION, INC. (626) 376-2516- 1 1125 E SANTA CLARA AVE. #IB LIC. NO (LOCATION AND SETBACKS 1ARCADIA CA 91006 7144868 I ISMI.S ENGINEER APPROVAL T ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I - LIC. NO: (SLAB/UNDER FLOOR _ (RAISED FLOOR FRAMING I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: cmp:l JUNDERFLOOR INSULATION 1147H265 3 001 1 11 I I IFLOOR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 0 NO 21 1 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS TSHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO (FRAME INSPECTION I IFIRE'EPRINKLER HANGERS I I I (INSULATION/WEATHER STRIPI (INTERIOR LATH/DRYWALL I EXTERIQR LATH (RATED FLOOR/CEIL ASSEM. (RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS I I I ILDT DRAINAGE I I I I IRE PORT ID: DPR261 ROUTE T0: 850508 I I I I