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Home My Public Portal About5205 DOREEN AVE_Building__ TEMPLE CITY 7...,`�.s,o,.lbl A,PPLIGATION FOR BUILDING PERMIT _jCOUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAM BI E, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUP•TOP BUILDING CROSS ST. DISTBjCF0:nGRr I TYPE FOR APPLICANT TO FILL IN J CONST. BUILDING //`` /J STATISTICAL CFICATION S ER MAP, ADDRESS D `VO�PP �i\ BK P CLASS. NO. DWELL. UNITS _LOT NO. !%0/•"7.'L ` i-O7 � BLOCK ` WATER , l NOT REQUIRED RECEIVED CERTIFICATE: TRACT MAP /'� HIGHWAY STATE MAJOR SECON D. FOCAL /�L� NO.OF BLDGS. NO. ICIRCLE) - SIZE OF LOtF/ J NOW ON LOT USE ZONE SPEL I' I_ USE OF ^ PDITI ONS ' EXISTING BLDG. PS: (j I} OWNER''�� OW NOLJ BUIL RD HWY STREET NAME EXIST. SzcSoot!2-r le /PJgip/� SET WIDTH ADDRESS (/ y L 7/cOb 'FRO 0 ARCHITECT OR TEL P!L. _ ENGINEER NO. SIDE P.L. } ADDRESS a /� TEL, INSPECTION RECORD O CONTRACTOR ItN NO. ADDRESS � -P .� � / DESCRIPTION OF WORK v f 2 NEW ADD ALTER REPAIR DEMOLISH - SQ.FT. NO.OF NO.OF IZE0 STORIES FAMILIES USEOF STRUCTURE 1.4 /�` max* i1t/LFLo-�� 7u til/.�J,//lt SIGNATURE OF Y >• J 1110 APPLICANT ""' /li /��'7 ML[Y✓+r. u�l�c�Y I'Y/1w1�MIQII .�Ob VALUATION S •/ -__ aA APPROVALS v (DATE INSPECTD R'SSIGI!ATUAE �.{J FOU,t,(1�JATION: LOCATION FEE S FEE $ (lV F(efa MS, MATERIALS 9/✓/F'J �_ �j, FRAME:FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION BRACING, BOLT$- 1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GA.S VENT, ENT DUCTS AUT BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA �L•ATF:' INT. TION OF THE LABOR CODE OF THE STATE CALIFOKNIA RELAT- - `` //�� _ A' ING TO WORK MEN'S�COMPENSATION INSURANCE./nItmTH,EXT.. IM/N( I`ry� / SIGNATURE O� ` 1 s� HOUSE NUMBER COR- PERM]TTEI �F6 �l A14 RECT AND POSTED ADDRESS _ _ FINAL �I/7 Pr�i r7Tr CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION l.o. cAex PERMIT VALIDATION L L03 7 4 8G nPR2 3 1 D 6.00- 1 9A99aADEry6041,-57 APPLICATIONS FOR BUILDING PERMIT COUNTY OF LOS ANGELES aoILDIN"Iss S Z ✓� DEPARTMENT'OF'COUNTY ENGINEER -BUILDING AND SAFETY DIVISION LOCALITY" Tit wa, " i " JOHN A.LAMBIE,COUNTY ENGINEER NEAREST . CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. �19DISTRICT NO. GROUP .HPE SEWER MAP FOR •APPLICANT TO FILL IN. . S I SK PG .H CONST. S BUILDING. OS V _ ADDRESS - STATISTICAL CLASSIFICATION - CLASS.NO. DWELL.UNITS _ 1 f LOT"NO. FA '/ ;1 , BLOCK MAP �_ Cl) /, STATE NUMBER - / V HWy, `YES NO TRACT U USEZONE . SPECIAL NO OF BLDGS. CONDITIONS SIZE OF'LOT •I I NOW ON LOT /T' • J_ I USEOF / L/// / EXISTING BLDG. -��J / �/-`7/ �� BUIlO1NGYARD HWY STREET NAME. EXIST. - OWNER'_--7-, C • K / SETBACK `-' .) _ WIDTH MAIL -' p P.L:' V- - V-I��G LI. (/•� ADDRESS ' O'LS SIDE Y _. P.L. crcY �'/ TELINSPECTION RECORD" ' ARCHITECT OR TEL. ENGINEER %I NO.. e " 9�,�5� •/i/Ti�,,��) !J 1`teial-,:�r�Ye ADDRESS o TEL. CONTRACTOR ADDRESS y/w- 6u - DESCRIPTION OF WOAB ' NEW ". ADD ALTER REPAIR DEMOLISH p • SO..FT. NO.OF 10-11 SIZE STORIES 'FAMILIES _ USE OF STRUCTURE - SIGNATURE OF /.W"7• - APPROVALS APPLICA 7�' /�•y.. •tW p A DATE' INSPECTOR'S SIGNATURE ODRESSi FOUNDATION: CATION FORMS.MATRIALS ' IF FRAME: FIRE STOPS. �/ • 'O � FEE. BRACING. BOLTS ' D(J L�Gfi1/YL(�Mwi� VALUATION S FURNACE: LOCATION. - - FEE- /" j V V GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLI GREE ON AND STATEWITH THE ABOVE ORDINANECTCES AND •.AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND. STATE LAWS: REGU - TI BUIL G CONSTRUCTION. HODS ENU SIGNATUREOF HOUSE NUMBER COR- S OR - . - PERMITT ./ RECT AND POSTED iJ ,. ADDRESS - • , FINAL Th-,q CLYDE N. DIRLAM„PRINCIPAL STRUCTURAL ENGINEER .PLAN CHECK VALIDATION CK. M.O. .. e - PERMIT VALIDATION DK. M.O. C m _ L&4 5 94T .SEP g IA SATION DECLARATION tv p�} ��( LS W q celtificate.of consent to self //p�� O O �rs O inSut. 'Orkers' Compensation lnsuranco, QPFUCA QOM' FOR, BUKDONG 0 tSRMir dr'oc rtifiec. 3800, Lab. C.) - - y COUNTY,OF LOS ANGELES. BUILDING AND SAFETY Policy No. 'Company -'' - Certified copy is hereby furnished. ,. - ' .'FOR APPLICANT,TO FILL IN v BUILDING ADDRESS Certified copy is filed with the county building in,spec- BUILDING tion deport ADDRESS CG '/.f•r� � LOCALITY Date NEAREST Applicant t I CITY ZIP CROSS ST. , ' .CERTIFICATE OF EXEMPTIO FROM WORKERS' NO. OF BLDGS. , ASSESSOR COMPENSATION INSURANCE SIZE OF LOT (/ liCl.V. NOW ON LOT - MAP BOOK PAGE PARCEL ,(This section need not be completed.if the permit is for one' . O - 'I USE ZONE;a : MAP 7 ? hundred dollars ($100)on less.) TRA BLOCK LOT N0^((• l > NO. ( , � 1' TEL ''I/`(' /)L/. SPECIAL I certify that in the performance of the work for whichthisOWNER vl NO"1`'TI d' !v� CONDITIONS d [ _ P qq permit�is issued, I'shall not employ any person in`any manner s DISTRICT .GROUP TYPE 'FIRE OCESSED BY O CONST.j - ZONE -.so as to become subject to the Workers'Compensation Laws ADDRESS V Date' ' ' Applicani4 CITY + ZIP { •• STATISTICAL CLASSIFICATION _ APT CONDO. .r•0 NOTICE TO'APPLICANT. If, after making this Certificate of ARCHITECT OR TEL. ENGINEER NO. CLASS NOa 1 . •DWELL,UNITS_ W :'Exemption, you should become subject, to the Workers'' . d 'Compensation provisions of the.Lobar Code,'you must forth. ADDRESS - c^' SEWER MAP Z with:comily with such provisions*or this permit shall be tEL. I / ilk p� L L�/) VALIDATION ' deemed revoked CONTRACTOR NO. L•L 7( -BK. I'G, t - LICENSED CONTRACTORS DECLARATION / _ ' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS,V 240 L7 _S�A_,A 7>4'4�`JIOVO, 91?S 'VALUATION - (commencing with Section 7000)of Division 3 of the Business and LIC. •�— - Professions Code, and my license is in full and affect. CITY - On CLASSE.3L� •' D _ - . , �J ,,`/ 1 SO. FT. IND.OF - NO.OF CHECK ' Li cense Nu m be g' 1 Lia Class ^'` SIZE STORIES FAMILIES ONE. _ E j��p� s�t,.,� DESCRIPTION OF WORK: NEW ❑ Contractor L Rk- �`-T'T Date /�-F 4 . ' - ` ❑ in I.am exempt under Sec. I ' ' ' -`- ��/ ALTER FINAL - 27 1 Q 7 A ❑ DATE B.BP.C. for this reason - ' - L REPAIR' ❑ J -/ # *'* ° °2 3 - Date: USE OF // / - ' EXISTING BLDG I!) /{1 I Sx=- DEMOL ❑ By 'I • 2 5'8,'83 Signature APPLICT /1 TEL _ OWNER-BUILDER DECLARATION PRwTANQlcb•F. _NO/. U, • ° 2 5 Q 8.3 0 , I hereby affirm that I am exempt from the Contractor's License � � ` ryGvT"�_ Q,(T 0'Z,t 8'� ' Law for the following reason (Section 7031.5, Business and ADDRESS rir�r'D - - - - Professions Code): - PRESENT - M4 ❑ I, BUILDING as owner of the.property,'6rmY employees with - - - _ ADDRESS wages as as their sole compensation,will do the work and the structure is not intended or offered for solaSection LOCALITY ' ( { ; X757„9 A= 7044, Business and Professions Code). MOVING _TEL. 1_• j �Y` ❑ 1, as owner,of the property, am exclusively contracting CONTRACTOR NO. ', # °'•.•' ° ••1 - With licensed contractors to construct the project (Sec- 'tion 7044, Business and Professions Code). ADDRESS -REQUIRED TOTAL SETBACK FROM EXIST. - o -31 S_.00 CONSTRUCTION LENDING AGENCY SET BACK YARD Hwv PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for .FROM - •- - - o 7.3"1 `87 t performance of the work for which this permit is issued P.L. D (Seo. 3097, Civ. C.). SIDE_ Lender's Name Lender's Address - P.C. Fee E , v �J Permit Fee (�V7 I certify that 1 have'read this application and state that the - Issaance Fee I .1 (J _ t - gabove information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relatin to buildin construction, S 9 9' Tobl Fee - D and he eb out 'zit representatives of this County to enter ' upon a ov - entioned.property for inspection purposes. _ q - _ f 7� EEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent _, Dote ®s COUNTY OF LOS ANGELES - TEMPLE CITY 0 0508 .BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9608130007 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 11290 LT: 21 BL: C SQ. FT STORIES TYPE 5205 DOREEN AV STRUCTURE: 2500 V TEMP CA 917803441 ASSESSOR INFORMATION NUMB . NEAREST CROSS STREET: , 8585-023-035 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: R SID ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/13/96 TC 08/13/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI L�DlyjED FINAL BY: CODE: BURK JAMES P;GLORIA M' - 1 3,000 }NSA(' 5205 DOREEN'AV - O TEMP 917803441 FEES PAID DESCRIPTION OF WOR TEAR OFF 1/2 OF HOUSE AND ALL OF GARAGE 1/2" CDX AND CLASS A FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: LIU, CHRISTINE (NEW OWNER) (818) 579-2969- AA BLDG PERMIT ISSUANCE 27:75 5205 DOREEN AVE. - AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS: TEMPLE CITY D2 PERMIT W/O EN-HC' 1 (3000,00 VAL 99.15 VL TOTAL FSS 127.40 CONTRACTOR: TEL. NO: �\ ' O� APPROVALS DATE INSPECTOR SIGNATURE HYUNYONG CO. (213) 733-0011- �A1 2661 W PICO BLVD LIC. NO O� �/� LOLAT SETBACKS LOS ANGELES CA 692052 C29 ";,J (V� SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: T 0: FODNDA !0 RE C ORMS LIC.' NO: In m SLAB//UNDER FLOOR py� Dp.�� p/�_ /p�� pL-��,yr/^O RAISED FLOOR- RAMI MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: tl U ICJ LI V WORK O A Itl OV UNDERFLOOR INSULATION 147H273 3 01 1 N0. OF A LIE D EL ING UNITS: APNOCON C AO SS: -� O FLOOR SH HING O Q '1. o _�J ROOF SHEATHING v,/,/)i SCHOOL WITHIN HAZARDOUS - / O O` SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO O FRAM F. INSPECTION REQUIRED TOTAL SETBACK OM EX ST (�� FIRE-S RI KL EP ITR HA I SET BACK YARD: HWY: PROP LINE: WIDTH: S��I C 2 .�l�a FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRY ALL EXTERIOR LATH - RATC FLO /�Uk/C IL ASS Mme. _ RATED WALL ASSEMBLIES ' RATED SHAFTS/OPENINGS T-BAF CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0606010064 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW, BUILDING ADDRESS: TR: 11290 LT: 21 BL: C SQ. FT STORIES TYPE OCCUP GROUP 5205 DOREEN AV STRUCTURE: 640 1 VN R3 TEMP CA 917803441 ASSESSOR INFORMATION NUMBER: GARAGE: 431 1 VN U1 NEAREST CROSS,STREET: FREER 8585-023-035 OTHER: THOMAS-PAGE: 597 GRID: C4 ' LOCALITY: TEMPLE CITY, C TENANT: USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: 09/11/06 JK FINAL SK 09/06/07 PH", PETER (6261 L215-7114- BLDGS. NOW ON LOT: VALUATION. 100,000 r��',/' BY: CODE: $205 DOREEN AV ,I TEMP 917803441 FEES PAID DESCRIPTION OF WORK NEW 2ND: UNIT IBR/1BA AND ATTTACHED 2 CAR GARAGE FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: NINE XA (626) 625-8793- B1 PLANCHECK W/ENERGY 100000.00 VAL 1,211.62 9423 GUESS ST. AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: - ROSEMEAD CA 91770 AC STRONG MOTION REBID 100000.00 VAL 10.00 B2 PERMIT W/ENERGY 100000.00 VAL 1,425.44 TOTAL FEES 2,674.81 . CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DING'S CONSTRUCTION SERVICE (626) 705-7246- 5917 OAK AVENUE #365 LIC. NO , LOCATION AND SETBACKS TEMPLE CITY, CA 91780 615066 B y y i SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS MENG HSIEN WANG (626) 255-8595- 8748 VALLEY BLVD., F LIC. NO: SLAH UNDER FLOOR f L ROSEMEAD, CA 91770 C 043146 RAISD FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 14711273 L 40 3 O1 IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 01 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING n AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT y SET BACK YARD: RWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION WEATHER STRIP AV � INTERIOR LATH DRYWALL Y!/ EXTERIOR LATE LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 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 0606010062 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 11290 LT': 21 BL: C SQ. FT STORIES TYPE OCCUP GROUP 5205 DOREENAV STRUCTURE: 1533 2 VN R3 TEMP CA 917803441 ASSESSOR INFORMATION NUMBER: GARAGE: 641 _ 1 VN U1 NEAREST CROSS STREET: FREER 8585-023-035 OTHER: 258 1 VN U1 THOMAS,PAGE: 599 GRID: C4 -'LOCALITY: TEMPLE CITY,.0 TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY J EXPIRES ON: EXIST OCC GRP: 09/11/06 JK 09/06/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA FI A BY: CODE: PHAN, PETER (626) 215-7114- 180,000 i 5205 DOREEN AV kl TEMP 917803441 FEES PAID SCRIPTS N OF WORK ADD: 2ND-STORY NEW FMLY RM, LDRY RM, MASTER BEDROOM, 2 .BATHS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DEMO (E) GARAGE & BUILD ATTACHAED 3 CAR GARAGE TRELLIS APPLICANT: TEL. NO: HINH XA (626) 625-8793- B1 PLANCHECK W/ENERGY 180000.00 VAL 1,698.71 9423 GUESS ST. AA BLDG PERMIT,ISSUANCE 27.75 SPECIAL CONDITIONS: ROSEMEAD CA 91770 AC STRONG MOTION RESID 180000.00 VAL 18.00 B2 PERMIT W/ENERGY 180000.00 VAL 1,998.48 ' TOTAL FEES 3,742.94 CONTRACTOR: TEL. NO: APPRO"ALS DATE INSPECTOR SIGNATURE DING'S CONSTRUCTION SERVICE (626) 705-7246- 5917 OAK AVENUE #365 LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 615068 B - ., - _ ,SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: - TEL. NO: FOUNDATION/TRENCH FORMS MENG HSIEN WANG (626) 255-8595- 8748 VALLEY BLVD., F LIC. NO: SLAB/UNDER FLOOR t ROSEMEAD, CA 91770 C 043146 - Q� RAIS£D,FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS NO 21 2ND' "'EL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS - ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST - BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL A)D u �irkD '. EXTERIOR LATH TZ {� 1 au LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 TJ _ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 _ BUILDING PERMIT - DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS _ •,[ - (ALTERATION/REPAIR _ BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA { BL 0508 9609040017 PHONE: (818) 285,f0488 EXT: LEGAL ID: 90. OF CONST. BUILDING-ADDRESS: _ TR: 11290 LT: 21 BE: C SQ. FT STORIES TYPE 5205,DOREEN.'AVI STRUCTURE: 0 V TEMP`CA-917803441 ' ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET: FREER 8585-023-035 - - THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY TENANT: - EXIST BLDG USE: RESID - ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/04!96: -. . _ TC __ - . x^09/04/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: - VALUATION: FINggqL,DATg �( FI NAL,BY: ,.COD LIU, MIN C. (818) 579-2969- i 4,000 5205 -k! 5205 DOREEN AV VVV !/ TEMP 917803441 FEES PAID DESCRIPTION OF WORK ° CREATE BATHROOM IN EXISTING SO. FOOTAGE - 57.5 SQ- FT. _ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: I - - . SAME AS OWNER - AA BLDG PERMIT ISSUANCE _ 27.75 AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REV,IEW'FEE '54.70 B2 PERMIT W/ENERGY.L-E L4000.00,VAL 127.71 _ V' TOTAL TF.EES 1 210.66 CONTRACTOR: TEL. NO: `" APPRCVALS DATE INSPECTOR .SIGNATURE SAME AS OWNER - - _ LIC. NO ri�� I(i LOCATION AND SETBACKS SOILS ENG]NEE APPROVAL ARCHITECT OR ENGINEER: - TEL. NO: �� FOUNUATION/TRENCH FORMS LIC. N0: liim SLAB%`INDER FLOOR RATED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: - FIRE,ZONE: CMP: PUBLIC �® �V - UNDEFFLOOR INSULATION 147H273 - . 3 01 fLOOF SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS �L O $ - M ' !^ - _ NO 21 !J O 0 co ROOF SHEATHING SCHOOL WITHIN HAZARDOUS — / O _O�. � SHEAF. PANELS AIR QUALITY.: 1000 FEET--. - MATERIALS _ NO NO NO I� O FRAMEINSPECTION u �} REQUIRED TOTAL SETBACK FROM EXIST ,`. ��, FI NKLER HANGERS SET BACK YARD: HWY:' PROP LINE: WIDTH: FRONT PL- INSULA.TIO /WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. - RATEU WALL ASSEMBLIES RATEU SHAFTS/OPENINGS " T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 I ROUTE TO: BSO508