Loading...
HomeMy Public PortalAbout5428 CAMBURY AVE_Building__ WORKERS'COMPENSATION DECLARATION li hereby affirm that I havecertificate of consent to self APPLICATION FOR BUILDING PERMIT .-- insure, or a certificate of Workers'Compensation Insurance, or o certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company- ❑ BUILDING Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING - tior$department. ADDRESS LOCALITY NEAREST Date Applicant CITY ZIP CROSS ST. T CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS, ASSESSOR 1 COMPENSATION INSURANCE 51ZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL O (This section need not be completed if the permit is for one USE ZONE MAP V hundred dollars ($100)or less.) TRACT BLOCK LOT NO. ! NO. TEL SPECIAL W I certify that in the performance of the work for which this OWNER - NO. CONDITIONS LL TYPE FIRE PROCESSED BY >.C9 is issued, DISTRICT GROUP shall not employ any person in any manner ADDRESS CONST. ZONE C9so as to become subject to the Workers'Compensation Laws. Q Date Applicant CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO. O NOTICE TO APPLICANT: if, after making this Certificate of ARCHITECT OR TEL d ENGINEER NO. CLASS NO. DWELL. UNIT5 Exemption, you should become subject to the Workers' W Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP F— with comply with such provisions or this permit shall be deemed revoked. TEL' BK. PG, - VALIDATION CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect. CITY CLASS S , SQ. FT. NO.OF NO. OF CHECK License Number Y Lic.Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW ❑ $ ADD Q I am exempt under Sec. P < Y O ALTER ❑ FINAL B.BP.C. for this reasonL] DATE REPAIR Dote: USE OF - DEMOL ❑ FINAL EXISTING BLDG. By Signature APPLICANT TEL ' OWNER-BUILDER DECLARATION (PRINT) - NO. I hereby affirm that I am exempt from the Contractor's License , for the following reason Section 7031.5 Business and ADDRESS Law o e ( , Professions Code): PRESENT El I, as owner of the property, or my employees with BUILDING ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code), MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LME WIDTH , I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.I. (Sec 3097, Civ. C.). SIDE - P.L. Lender's Name P.C. Fee$ — Lender's Address Permit Fee I certifythat 1 have read this application and state that the PP Issuance Fee a above information is correct. I agree to comply with all County Investigation fee g ordinances and State lows relotin,¢.?o building construction, Toml Fee u and hereby author,. rep[eSehJyTlvas o4 this County to enter m upon the above-mentioneyl'p(dperty for inspection purposes. o > / SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of APPIIcanf or Agent Date en DEPARTMENT OF-BUILDING AND SAFETY APPLICATION FOR PERMIT y COUNTY OF LOS ANGELES W R n (� 1• _ WM. J. FOX. CHIEF ENGINEER CEJ L5 �,I FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �i U ,/,p DISTRICT NO. 1PLAN'CK.NO. PERMITNO. BUILDING /��- -5- A . tL( �I l / L. V ✓o���� Z ����0 — � DDREBB // LOCALITY �''J''J p RECEIVEDByDATE OF APPL. DATE ISSUED NEARESST,T �{lL ill]/ IE s "��� L p` // L _ �' (, ADDREBUILDSS Q O OWNER /y 15. MAIL 7?L �' / •G Ak LOCALITY ADO REBS ,fly' L11 /''� NEAREST _ \� cIn S?h U4Di/ B� rTiv�/Y/—/ y�'�T(// CR0389T. ARCHITECT TEL NS ZONE PLAN OF TYPE GROUP/ ENGINEER NO. ADDRESS / 6ETBACK LINE CONTRACTOR NO., T ��b APPROVED �7 ,BY GATE /•� _S ,JIJ ,e USE APPROVED ADDRESSHI / - ZONE ✓ BY DATE LEGAL DESCRIPTION LOT NO. T BLOCK CORRECTCIONS TRACT 1706 Z �y -6, c/ Fv ZF // NO. LDOS., /N� SIZE OF LOT f! /f 4� NOWDWONCN LOT 4/ TF0E%SING BLDG. A [s ROOMS a ,4 clYPS' C C J DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH O / y� 2 9 ZE I(/ RO M5 STORIES D// D WALL �11 cow r COVERING 6L L% o I COVERING v USE or BUILDINGW I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT NBPECTOR DATE FOUNDATION: LOCATION .. AND AGREE TO REGULATING WITH ALL DING C ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION: ' —' A FRAME: FIRE STOPS, SIGNATURE O /` BRACING,BOLTS PERMITTEE— /( - LATH, INT. AUTHORIZED AGT.SJ LATH, EXT. 76n63Bn-3 9-49 $/T/� 0 Q P.C.G 0 S PLASTER.INT. / PLASTER,EXT. VALUATION FINAL {O V 663aa nao3zs, -APPLICATION 'FOR BUILDING PERMIT COUNTY OF LOS ANGELES' BUILDING $ ��� Cc.,�i h J✓ DEPARTMENT OF COUNTY:.ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. R P ,TYPE PoCESSED BY FOR APPLICANT TO FILL IN s O� CONST. C74r er_ BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS - BK ',j PG CLASS. NO DWELL. UNITS (J LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ❑ CERTIFICATE: TRACT OO Z. MAP ZooHIGHWAY . D4' Lp NOOF SLOGSNO. (CIRCLE> STATE MAJOR SECON SIZE OFLOT 70 NOW ON LOT USE ZONE SPECIAL USE 'T�� CONDITIONS EXISTING BLDG. ✓ CJ P / TEL T� OWNER (;. NO. BUILDINSETBACK G YARD HWY STREET NAME EXIST. ,p _ WIDTH AODRESS,SI )- suw) FRONT ARCHITECT OR TEL. P. L. Za7 �✓✓ / ENGINEER - NO'. SIDE .4 P. L. 1 ADDRESS 'O . TEL. CONTRACTOR ,e /c j/< O. ` v K ADDRESS pS'oIJ- .PC6.PLS/ �� O DESCRIPTION OF WORK ! N' a w NEW ADD ALTER REPAIR DEMOLISH Z SO. FT. NO. OF NO. OF --_ SIZE STORIES FAMILIES USE OF .TR UCTURE SIGNATURE OF ' APPLICANT II VALUATION S Il C1lL ' J APPROVALS DATE \ IN5PECTOR'BSIGNATURE _ FOUNDATION` LOCATION \ / FEE FEE S �J I FORMS, MATERIALS • - i FRAME: FIRE STOPS. 'I HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION BRACING. BOLTS 1 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 HEREMY 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 CCgeJPENSATION INSURAN ( LATH. EXT. I I J \ SIGNATURE OF/i HOUSE NUMBER COR= \._. PERMITTEE N ' .RECT AND POSTED ADDRESS JD t'—,�-J://S EIiIL S/ Ci ' FINAL JOHN F. LEWIS. PRINCIPAL STR TURGL ENGINEER PLAN CHECK VALIDATION CK, M.D. GASH _ ,I PERMIT VALIDATION cK. M.o. case 3:8 7JUN 23 1 'D 5.©'0- �2� 78A836A CE 80911-9T APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY "EjlY JOHN A. LAM BI E.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT DF BUILDING CROSS ST. DISTRICT NO. GROUP .HPE ,• SEWER MAP FOR APPLICANT TO FILL IN tpAfL �I'�K lu,PG �` p n fr�v CONST ADDRESS JJ /ti U �/y�//UC�.zC' STATISTICAL ADDRESS / �! BLOCK J/� CLASS.NQ�L.-L_DWELL. UNITS JJ MAP STATE YES O TRACT Y/G1G� NUMBER OPV LJ HWY. �0 USEZONE SPECIAL NO,OF BLDGS. CONDITIONS SIZE OF LOT ' X 1Z1? NOW ONLOT USE OF EX STING BLDG. OGr�F /N� UHL.SCC 6 gUl NG EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER le-Ecl FRONT MAIL ADDRESS 9GG2 � (�/G/Y� S/, P.L: _ SIDE' CITY �'E/✓ISL ✓T TEL. P.L `�� f.-v� No. J /G��S INSPECTION RECORD -ENGIiNEERTO p`p �/�r/�O /�>ravi/C NO.. T/7L+-� - CONTRACTOR ADDRESS Kf/Q EIL7 57&'010 Cil DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO.OF SIZE / Jtj 1�J STORIES FAMILIES USE OF STRUCTURE - - T cc' SIGNATURE01`-541 .��) APPROVALS APPLICANT DATE INSPEL SIG(ATURE ADDRESS FOUNDATION: LOCATION FORMS.MATERIALS .5 P.-0. S. ^�+3� FRAME: FIRE STOPS. FEE J �1 BRACING. BOLTS VALUATION $ FURNACE: LOCATION. fEE �� GAS VENT, DUCTS 'L HEREBY ACKNOWLEDGE THAT 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 REGULATING BUILDING CONSTR Ti N. .LATH. SIGNATURE O // i HOUSE NUMBER R- PERMITTF !NS/_-/ U G' • RECTA NO POSTED ADDRESS FINAL I CLYDE IN DIRLAM, PR NCI L STRUCTURAOENGIAER PLAN CNECB VALIDATION c M.O. CwSH - PERMIT VALIDATION K, m.o. CASH 3 6'8'2'3R: AUG' 8. 2 '3 A 3.3"8 in ,ACL -6 3„m AUG 8 1 a 1350 0 M 7BA55eA DBS-3 APPLICATION FOR BUILDING PERMIT, 1135 DIVISION OF BUMDING AND SAFETY BUILDING O Deportment o4 County Engine., ADDRESS County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FIL IN DISTRICT NO. GR_O-UePq TYPE SEW,R MAP a UL �/ q / �YLcx coNST. ADO EISS J 7'2cNUMB �) LLG�L�, MAP STATE YES NO ER HWY AT U . SPECIAL - LOT NO. pL y BL CK ZONE J CONDITIONS TRACT 174 07— I� SIZE OF LOT Q- NO. OF BLOTS. L BUILDING EXIST. NOW N LOT YARD HWY STREET AME SETBACK WIDTH USEM � ✓ EXISTING BLDG. FRONT L.A'� P L OWNER C V( SIDE . MAIL P.L. - ADDRESSr O TRACT DWELL. IUNIT 5 INDUSTRIAL EL. t DWELL. 1 UNIT CITY lil O. S p� 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX O"/ 2 UNITS ENGINEER NO. 7 ADDN.,ALT., ETC. 3 APT. _UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL TEL' CONTRACTOR TNO.EL INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUC RE SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE $ �- FOUNDATION: LOCATION P. C. $ FORMS.MATERIALS FEE FRAME: FIRE STOPS, VALUATION $ d- BRACING. BOLTS FEE FURNACE: LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ITN ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REG EATING BUILQjLqG UC. TION. ( / LATH. EXT. SIGNATURE OF / HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN A.LAMBIE. COUNTY ENGINEER 1_UAI.IDATION CLYDE N. DIftLA(M, CHIEF BLDG--m- OR DK MO CASH LG4 23;-9'29 ass 26 1 A 2.0.0 ]fi A63bA CE #803-I/71 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT.OF COUNTY ENGINEER MAP BOOK P AST, PARCEL BUILDING AND SAFETY DIVISION ADDR SG Q ADDRESS V _ f-✓�C COLEMAN W. JENKINS; BUP'T OF BUILDING `LOCA LITV-- - FOR APPLICANT TO FILL INNEAREST Print ort a onl" DROSS-$T,• r BUILDING � 4 /� //�w�p �/J t /y DISTRICT NOT '-• GROUP TYPE PROC SE -BY! �CJ ADDRESS aJ (�yj///O!•Yr I/G , (ice r' v Y,44COAf STATISTICAL CLASSIFICATION SEWER-MA LOT NO. p?. BLOCK - TCLASS NO.,,2 IG OWELL.UNITS 'B� PG�� TRACT / gg' US ZONE 512E OF LOT pVa /,,J6 NOW ON LOT NO.OF 9. MAP. eL / _ SPEC AL ©� USE OT CONDITIONS NG BLDG. - E%S - 'OWNERQ�J? ��11 BLDG.SEeFROM ADDRESS a> TMJ (.'V•• E FRONT P (STREET) o�E /� TYPE A EgCK HIGHWAY } ARD = OTgL CITY HIG WAY QLARCHITECT OR - 'TEL ENGINEER NO. BLDG,SE _ADDRESS SIDEPRO . (STREET) } TEL / TYPE'OP EXISTING 'SETBACK HIGHWAY }.,, YARD = TOTAL . CONTRACTOR NO.g7 7B HIGHWAY WIDTH FROMC.L. p /1 ! U ADDRESS r Fi�Au6 NO. + C _ o r CITY /vJ L /JE ✓/ CLASS CORNER CUTOFF YES ❑ NO ❑ ' W CONSTRUCTION LENDER p .•ti NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z ADDRESS SIZE T STORIES I FAA IOLFES I NEW El USE OF _ L�"'- IACD - -' STRUCTURE - - ALTER ❑ REPA IR❑ - - ,SIGNATURE OF, -' APPLICANT OEMOL ❑ t VALUATION $ f3')ZOo _ l ` APPROVALS DATE INSPEc oP•E Sw A uRE P.C. - MT. FOUN DATI ON:TLOC A T IO FEES FEES 9r�v FORMS, AMATERIALS FRAME:(FIRE STOPS, - r I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING_BUILDING CON- GAS VENT, DUCTS - STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED , HEREBY I .WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE. LATH, INT. ' -° LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING 'To _ WORKMEN'S COMPENSATION INSURANCE' InLg7H, EXT. SIGNATURE HOUSE NUMBER COR-".. r RECT AND POSTED • ' ADDRESS _ FINAL - - f JOHN F>LEW19)PRINCIPAL STRUCTURAL ENGINESR PLAN CHECK VALIDATION OR. M.O. CASH _ PERMIT' ALIDATION cK. mo CAse L:1Go r0 A ' 7 W Ml 4 � D 9.00~ .'. . APPLICATION FOR BUILDING. PERMIT P012^APP Ifi ANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELESBUILDING `I ADDRESS yS �• .10.1--i ii L; DEPARTMENT OF COUNTY ENGINEER CITY' Qf C 4�' ZIP BUILDING AND SAFETY DIVISION ` / LL °} NO.OF BLDGS. ' BUILDING �4'a('a /• - { SIZE OF LOT tG I T� 7,^ NOW ON LOT ADDRESS "T C.7 �Z TRACT � � BLOCK LOT NOLOCALITY ""�,� TEL„//// . it -NEAREST - OWNER C1uy0Wi,� N(f7Z7E•" 2. CROSS ST. ADDRESS-51-� �/•�"M L. ASSESSOMAPBOORK PAGE _._ '�;ry " �..� PARCEL CITY/�(, L I C C DISTRICT GROUP TYPE jj FIRE �-•PR SSED BY ZIP U 0� . CONST,/ ( ZONE, J 'ARCHITECT OR may,. � � 'TEL. � V �l ENGINEER /r--(":/LAJ`• - NO. STATISTICAL CLASSIFICATION WR MAP. ADDRESS I�j CLASS NO. �-/. DWELL.UNITS ✓ BK /C6 PG CONTRACTOR/ '. ^7/lam No / USE ZONE . NMA O, '�o 6 ADDRESSA . / N��/OJ^� � I. SPECIAL LIC. jj CONDITIONS 1 CITY CLASS (-il'/ ROAD DEPARTMENT APPROVAL REQUIREDYES E) NO C]CONSTRUCTION LENDER / NAME AND BRANCH p'���'��+ BLDG.SETBACK FROM FRONT PROP.LINE OF l (STREET) FT ADDRESS- CITY - _ TOTAL SETBACK FROM TYPEOF EXISTING 50. . NO.OF / NO.OF CHECK _ FRONT PROP.LINE HIGHWAY WIDTH 512E STORIES I FAMILIES HIGHWAY + YARD ONE _ y A�..�� J DESCRIPTION OF WORK 7 NEW Cl + a 11, O ,.: ADD . % BLDG.SETBACK FROM _ SIDE PROP.LINE OF -(STREET, O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXIST' w 'REPAIR ❑ HIGHWAY , + YARD = SIDE PROP.LINE HIGHWAY WIDTH „d USE OF - / ` / + _ Z EXISTING BLDG. �h1 ` /i�(J, DEMOL ❑ APPLICANTTEL / ., CORNER CUTOFF VES ❑ NO ❑ IPRINTI LTT77 (G IN OPEN SPACE YES ❑ NO ❑ BY'SIGNATURE' / �"'►! IN COASTAL PERMIT ZONE YES C] NO 1:1VALUATION I(, B 2—)-79 ...A 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 THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN SCOM PENSATION INSURANCE. SIGNATURE O PERMITTEE' � �-7 FINA TEL. //^ K O CITY/yam A-C-F�i� ' NO. DATE 6- '-�" BY/ MAKE CHECKS PAYABLE TO:' FEE $ FET $ HARVEY T. B RANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION cK. M.O. CASH ®s 7dA638ACEp803375 / [. ` 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 9905210GD8 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRE S: TR: 17002 LT: 24 SO. FT STORIES TYPE OCCUP GROUP 5428 CAMBURY AV STRUCTURE: 0 1 VN R3 TEMP CA 917802619 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: OLIVE 8588-019-007 OTHER: 654 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST DG USE: USE ZONE: SSUED ON: PROCESSED BY. EXPIRES ON: EXIST OCC GRP: 05/21/99 UT 11/17/99 OWNER:. TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL Y: CODE: POZZEBON LEWIS J;KAROL A (818) 286-4948- 1 7,000n q/� 5428 CAMBURY AV - 4'8""L� TEMP 917802619 FEES PAID DESCRIPTION OF WOR NEW WOOD LATTICE PATIO COVER ATTACHED TO HOUSE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEF NO: WOOD BUILDERS - (909) 735-7617- AA BLDG PERMIT ISSUANCE 27.75 7191 SARSAPRILLA AC STRONGMOTIONRESID-7000.00 VAL 0.70 SPECIAL CONDITIONS: CORONA,.CA AX BUILDING REVIEW-FEE �` 54.70 D2 PERMIT W/O'EN=HC'E LE c 17000:00 VAL 166.20 N1" TOTAOFEES 249.35 i CONTRACTOR: TEL. N0: / OS "NT APPROVALS DATE INSPECTOR SIGNAT WOOD BUILDERS CONSTRUCTION (909) 735-7617- /// 7191 SARSAPRILLA DRIVE LIC. NO LOCATION-AND CORONA, CA 91719 376902 81 L ARCHITE CT OR ENGINEER: TEL. N FOUNDA 0 TRENCH FORMS LIC. N0: 11�I11� SLAB/UNDER FLOOR RAISED FENOR FRAMING i MAP N0: SEWER MAP BOOK: PAGE: FIRE ZON3: CMP: n O �� 0"K ST LEVEL FLOG SHEATH UNDERFLOOR INSULATION v NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAY CLASS: NO 21 ND LEVEL FLOOR SHEATH Q Q _ SCHOOLI HIN HAZARDOUS >� Q 7; **. ROOF- SHEATHING AIR QUALITY: 1000 FEET MATERIALS L/ - . NO NO NO Q �� FIREDEPT. FRAME INSPECT REQUIRED TOTAL.SE BALK R EXIST V(j�. El 0K� BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: 7C `S�' FRONT PL- - rVICSHEAR PANELS SIDE PL- INSULATION/W S P INTERIOR LAT /DRYWALL EXTERIOR LAT LOT DRAINAGE SMOKE DET C ION DEVICES FIRE DEPARTMENT APPROVAL REPORT 10; DPR261 ROUTE TO: BS0508