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HomeMy Public PortalAbout8817 ELM AVE_Building__ A ROADDEPT. PERMIT IS REQUIRED: FOR • ANY MATERI,4L SFORA. GE OR WORK DONE IN THE ROAD RIGHT. OF WAY,7BA688A CE pp808 200 A P \ ATIO ' OR BUILDING PEW T - COUNTY OF IAS ANGELES ' BUILDING �1! DEPARTMENT OF COUNTY ENGINADDRESS EER ` . BUILDING AND SAFETY DIVISION LOCALITY JOHN A..LAMBIE, COUNTY ENGINEER NEAREST ' WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. -.. ,,., r... �. ,.,....,;.... ,w:. . . a „ate . - DISTRICT NO. GROUPAITYPE PR SSED BY • FOR APPLICANT TO FILL IN CONST ' STATISTICAL CLASSIFICATION SE ER MAP BUILDING y � �� V4 pleo ADDRESS Lr t L �!r L— CLASS.NO 9- �,DWELL.`UNITS - - - LOT NO. ��' J CK ' NUMBER HWYSTATE YES O TRACT USE:ZONE SPECIAL NO.OF BLDGS. CONDITIONS a SIZE OF LOT. I-NOW ON LOT USE OF EXISTING'BLDG. i BUILDING, YARD HWY STREET NAME ' EXIST. / TEL. SETBACK" WIDTH n OWNER' ' ` Q ' . 'C/fIL NO. FRONT A �' P.L. L r ADDRESS ap/1 SIDE ARCHITECT OR TEL. P.L. ENGINEER oz /A.1,No. Q INSPECTION RECORD, ;., ADDRESS TEL. . a CONTRACTOR �/� P TAC / GG4NO• Q ADDRESS-• S'�'B y iVr �`"$tai�"A17 - - y _ V DESCRIPTION OF WORK' NEW r• ADD ALTER REPAIR DEMOLISH .. W ' SQ.FT. NO.OF NO.OF - a SIZE '/ STORIES—_ FAMILIES .a USE OF \ .. .. - STRUCT E vs SIGNATURE O ^' -APPLICANT - - - - - VALUATION$ p +a APPROVALS —L oDATE INSPECTOR'S SIGNATURE P...,>F E$ , CJS''p.I ' PMT. N FOUNDATION: LOCATIONS (�_ -' FEE $ _FORMS,MATERIAL'S / /fY� .Jei -S FRAME: FIRE STOPS; I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING, BOLTS - PLICATION AND STATE THAT THE ABOVE'IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND -:3AS VENT,DUCTS - STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT. - WILLNOTEMPLOY ANY ER O IN IOLATION OF THE WORKMEN'S COMPENS 1 CALIFORNIA. LATH,EXT.- SIGNATURE OF - HOUSE NUMBER COR- PERMITTEP RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN 'CHECK VALIDATION CK. Wo. CASH " PERMIT VALIDATION M.O.• CASH. Ll- 3-382 JUI 82 3 A jr, 1 �� y or tti, 3 3 3 91 A 76 A63F&A CE.4893 --,APPLI CATION FOR BUILDING -PERMIT -•-COUNTY OF-LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION ' BUILDING MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY P- /_ NEAREST FOR APPLICANT TO FILL IN Print ort a onl CROSS ST. "' v DISTRICT NO. GROUP TYPE PROCESSED BY BUILDING CONST. , ADDRESS110 AVE,8817 '1 STATISTICAL CLASSIFICATION SEWER MAP _ LOT NO. �� 1.(� �J� BLOCK CLASS No-.2u.4 BK PG TRACT '034 3 USE ZONE MAP NO.OF BLDGS. NO. 4700,6 SIZE OF LOT NOW ON LOT SPECIAL USE OF ^ CONDITIONS EXISTING BLDG. OWNER Eugene GreaneyNo.'285-5958 O BLDG.SETBACK FROM = ADDRESS" 88'17 ELN( -AVE'. FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY Tpmple Ci ty HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. 40 } ENGINEER.'' NO, o. BLDG.SETBACK FROM p ADDRESS /T SIDE PROP.LINE OF (STREET) v Construction CLa. 285-2131 TYPE A EXISTING SETBACK HIGHWAY } YARD = TOTAL CONTRACTOR HIGHWAY WIDTH FROM C.L. ADDRESS 425 So. San Gabriel LI 13- + _ a LIC.- N CITY Sau ,rlahripl CLASS CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDER NAME AND BRANCH none SEE REVERSE SIDE FOR SPECIAL APPRO ALS ADDRESS 90 -7.�r. . SQ. NO. OF IZ FT. /® STORIES---F•AJvI. F (/ES NEW ❑ ��,� USE EOF (� AD;O i d=sY STRUCTURE / ALTER ❑ REPAIR❑ SIGNATURE O APPLICANT J21EMOL ❑ a. VALUATION $ 1600 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT, �7e� FOUNDATION: LOCATION r„9Z FEE $ FEE $ (v FORMS, MATERIALS /T� /++✓✓ FRAME: FIRE STOPS, /?3 I HEREBY ACKNOWLEDGE THAT I 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 ' STRUC TION. 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. _ ^ LATH• EXT• SIGNATURE O 1(`/) HOUSE NUMBER CO - PERMITTEE R RECT AND POSTED ADDRESS 425 FINAL San Gabriel PLAN CHECK VALIDATION CK. M.O. CASH _ P MIT VALIDATION CK. M.O. CASH - 4C'„ 2 0 7 ,0113 JUL 6 1 .D 2 1,7 5 6 c 76A 838A CE#803 8-63 Al PLICATION i F®R BUILDING PERMIT . • COUNTY OF LOS ANGELES BUILDING � DEPARTMENT OF COUNTY ENGINEER ADDRESS ` /;r i BUILDING AND SAFETY DIVISION LOCALITY J JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. / DISTRICT O. GROG TYPE ? OCE QED BY FOR APPLICANT TO FILL IN �fT_— CONST. BUILDING r J STATISTICAL CL IFICATION SEWER MAP ADDRESS [� K_ P L CLASS. NO. DWELL. UNITS—_ -�/ LOT NO. 99 OW/ r, WATER NOT REQUIRED I\/I RECEIVED ❑ CEkTIFICATE: Ld! TRACT-e,3r A 3 MAP // HIGHWAY f r NO. OF BLDGS. NO. (�/`J (CIRCLE) STATE MAJOR SECOND, CAL SIZE OF LOT (�Or /� I(O(n NOW ON LOT USE ZONE SPECIAL USE OF - n CONDITIONS EXISTING BLDG. �E.�EGe/'�-L`j�+ q� - ' EL OWNER�ryQY'IeS � !( NO �G! B LDING - EXIST. SETBACK YARD .. HWY STREET NAME WIDTH ADDRESS '59j? C, .FRONT ARCHITECT OR TEL. P. L. ENGINEER ,- 1^ NO. SIDE P. L n i7 A ADDRESS Sle/l?e_ i li �"" Rb.� ?,Q- are, re' a ]L� j F TEL. a .l ,� 3 %d.slf..a#'�.' .,C$o'ZF.L aY "'�i t. O CONTRACTOR e)'W it i+` ba 1 dE NO. f ° - 1 djGa U 'ADDRESS Ei (✓7/Lrr+i /'fJ[, .k"5 .O'R`V.•`'" %��3+w-_d"+s�-^py,. ✓ " O DESCRIPTION OF WORK v NEW ADD ALTER REPAIR DEMOLISH , r /f ,/ ff>,/ y� Vf SQ. FT. NO. OF NO. OF �. et! A /p +(/i�"-. Sd f_ r'°+�!.. sa SIZE if'� 5'f6R4E FAMILIES U S E OF STRUCT REDe h ter- SIGNATURE APPLICANT / Y VALUATION $ - APPROVALS �D E INSPECTOR'S SIGNATURE PMT. ! �'* /S"'� FOUNDATION: LOCATION 42/1 FEE $ FEE $ "� FORMS, MATERIALS ,rR``®;�/LF'id FRAME: FIRE STOPS,_, ° I H BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. I �'- 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. �� J TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. ,, - l/-_ / LATH. EXT. SIGNATURE OF ./� - HOUSE NUMBER COR- PERMITTEE _ RECT AND POSTED ADDRESS FINAL _-/j > •-t.�,•,, JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGI ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Ut' ;o8 0 0 1 > JAN28 1 A 2 2.00N 76A638A DSS-3 12-54 q. -ING PERMIT APPLICATION FOR, BUILD '. DIVISION OF BUILDINGAND SAFETY UILDNG ' ADDRESS 7 /= -' Deportment of`Couniy Engineer_ ' - . County of-Los Angeles LOCALITY WM.J. FOX, COUNTYENGINEER NEAREST CASSATTD. GRIFFIN, SUPT OF BUILDING .CROSSST:. 6 C r • .DISTRICT N_ O. +GROUP - SEWER MAP FOR APPLICANT TO FILL IN 1 LtON� ST' .TYPE. BK• _PG BUILDING - ADDRESS ��00 �' .0 s �(a� e r - .. .MAP -, �'�UMBER, , 4* - STAT LOT NO.��% J f�' HWY /--r- �/-�OCK � U E ZONE SPECIAL • y 'CONDITIONS'. TRACT - ��.� � .. .NO. OF BLDGS. SIZE OF'LOT - - I NOW ON LOT - BUILDING -YARD •HWY •STREET NAMEEX1STr USE OF - - _SETBACK - Wi DTH EXISTING BLDG. • le /V.0 Cr FRONT c P. L: OWNER Q g Iy /y� �: SIDE MAIL ADDRESS' (+f 1Y/ / 1• 17-m, P. L. ��:- �� _ TEL:i�'p�. DWELL.- i.,UNIT 5 INDUSTRIAL CITYTC NO. ' DUPLEX'-UNIT- ..6 PUBLIC BLDG. ARCHITECT OR FEL. - - ENGINEER NO. 3 APT. UNITS' "7 ADON.,ALT., ETC. ,ADDRESS4 COMMERCIAL 8 MISCEL.' . CONTRACTOR TNEL. - _. - /y E � �' o•' -INSPECTION. RECORD ADDRESSI . - _ �,F,>��ta to -aA DESCRIPTION OF WORK NEW' ADD ALTER REPAIR � DEMOLISH SO. FT. b.O NO. OF NO:OF SIZE STORIES FAMILIES _- USE OF T UCTURE- SIG'NATURE46F - APPLICANT1 ,7. '1 APPROVALS l4 ADDRESSQY! .' � - DATE 'INSPECTOR'S SIGNATURE FOUNDATION:,LOCATION' $ ,c"' P. C. S FORMS, MATERIALS FEE _ " �t��•. FRAME: FIRE STOPS, VAtU.4TION.. BRACING, BOLTS �. 6�/a1Gs� .r � 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 COUNT-Y ORDINANCES LATH, INT. AND STATE LAWS REGULATING--BUILDING CONSRUC- TION. 74 , •, - - LATH, EXT. r SIGNATURE OF ��• G HOUSE NUMBER COR- .. PERMITTEE �+ RECT.AND POSTED - ADDRESS FINAL f '�s� ' V1/M:' J. FOX, COUNTY ENGINEER VALIDATION BY . . BY DEPUTY X0.2 �5,,.2 1.:.�. ..APR 1:.�.. '. :1 _'1.•O.00 �. DEPUTY", q. BY ...r' BY © UTY .DEPUTY - DEP 76 A638)* LSE 48D3 4/72 APPLICATION F®R BUILDING PE MIT � COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PACE PARCEL BUILDING AND SAFETY DIVISION BUILDING � MAKE CHECKS PAI'ABLE TO: ADOREss HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or-t a on CROSS ST. DISTRICT NO, GRO P TYPE---- PRO SSED BY BUILDING .� --- CONST. ADDRESS � _ f_ �� STATISTIC-AL CLyS IFICATION SEWER MAP LOT NO. C e BLOCK - �i7 CLASS NO. OWELL.UNITS �if>=� = TRACT US ZONE MAP NO.OF BLDGS. NO. G SIZE OF LOT •�J NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG. � EL. OWNER J BLDG.SETBACK.FROM ADDRESS FRONT PROP.LINE OF (STREET) � TYPE JYF6F4ISTING SETBACK HIGHWAY } YARD -= TOTAL CITY - - HIGHWAY ROM L.L. ARCHITECT OR TEL. \, } _ ENGINEER NO. BLDG.SETBACK FROM Com_ ADDRESS SIDE PROP.LINE OF (STREET) O V. TEL. TYPE OF-EXISTING SETBACK HIGHWAY } YARD - TOTAL CONTRACTOR J 1 NO. HIGHWAY WIDTH FROM C.L. ADDRESSLIC. VV NO. } - W LIC. cn _ a CITY _ CLASS CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD- ❑ STRUCTURE. V YC C 'V ALTER REPAIR SIGNATURE F. APPLICAN EMOL ❑ rIALUATION $ -�� APPROVALS - DA-TE INSPECTOR'S SIGNATURE �°9 FOUNDATION: LOCATION FEE $ FEE $ ���✓ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I 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 CERT HAT IN DOING THE WORK AUTHORIZED HEREBY I WILL N E CLOY ANY PERSO IN IOLATION OF THE LATH, INT. LABOR CODE OF STATE OF 'CALIF N IN RELATING TO q WORKMEN'S CO TION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS �- ILI FINAL PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION_�. CASH �- �,^ 10 .5414-3 FEB 15 1 -D 6.0,0- 76A638A CE rv80�4/72 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE 7'0: ADDRESS -P/7,.-5p HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print ort a only) CROSS ST. j BUILDING y%� ,G 7 DISTRICT NO. GROUP TYPE PR ESS BY ADDRESS CJ L V .lam- t0U ��.. CONST.. STATISTICAL CLASSIFICATION SEWER MAFY LOT NO. —�" BLOCK CLASS NOf��// DWELL,UNITS BFSI� PG op TRACT E ZONE MAP NO.OF,BLDGS. NO. SIZE OF LOT NOW ON LOT _2, SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER a co _hjti� ' NO s C BLDG.SETBACK FROM ADDRESS C ` FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY r HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. 6-7) } C _ � ENGINEER NO. BLDG.SETBACK FROM � ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL V CONTRACTOR / NO. HIGHWAY WIDTH FROM C.L. O + LIG - -- = U ADDRESS NO,\ W LIC. 1 CITY - CLASS \ CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SO. FT. NO. OF NO. OF NEW SIZE STORIES FAMILIES USE OF �- ADD STRUCTURE ALTER -'' %'✓ i.P.�....+.. IGNATURE OF REPAIR❑ - APPLICANT DEMOL ❑ - VALUATION $ � � APPROVALS - DATE INS 51f..-5 .. ATV RE FOUNDATION: LOCATION FEE S FEE $ .i 6 FORMS, MATERIALS IS7 3 FRAME: FIRE STOPS, r� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC TION. 1 CER Y6THAT IN DOING E W RK AUTHORIZED _ HEREBY I WILL OT E PLOY ANY PERSO IN OLATION OF THE LABOR CODE STATE OF -CALI ORNI IN RELATING TO LATH, INT. -, 'O•�� WORKMEN'S C ATION INSURANCE. LATH, EXT. - 2—�?-41' SIGNATURE F HOUSE NUMBER COR- PERMITTEE - RECT AND POSTED - ADDRESS FINAL / i PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION K/ M.O. CASH?. C� i 'r c.is 1 D 217 APPLICATION FOR BUILDING PERMIT FO P.,PLICANT TO FILL IN '(Print rvae"onlY) BUI,�rxrIGCOUNTY OF LOS ANGELES A 'DREz Z' DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION C� ZIP SIZE OF LOTVOx//66 y NO.OF BLDGS.- BUILDING � NOW ON LOT" ADDRESS Q 8 J(J/ TRACT. BLOCK LOT NO. - p' LOCALITY TENEARST -0WNE '.� Qc NOL. -S`�5� CROSS EST. - ASSESSOR - ADDRESS ~ _ :MAP BOOK PAGE - CEL DISTRICT GROUP TYPE FIRE PROC tSED BY CITYL ZIP Q CONST. -ZONE ARCHITEC-C R TEL: �`O(/ " ENGINEER NO. L - __ STATISTICAL CLASSIFICATION - SEWER MAP ADDRESS 'CLASS NO.�_DWELL.UNITS BK PG -_ TEL. U ZONE MAP CONTRACTOR NO LIC. NO. UD _ ADDRESS NO. •"L SPECIAL p LIC, CONDITIONS .t➢v wc,ck, - �'1.1+ /.�:h(.ts ' CITY CLASS ROAD DEP-ARTMENT APPROVAL REQUIRED YES[] NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG. ETBACK FROM FRON PROP,LINEOF (STREET) ADDRESS CITY HIGHWA } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING U SQ. FT.- NO. OF NO. OF - CHECK - FRONT PROP. LINE HIGHWAY WIDTH _ SIZE STORIES FAMILIES . ,ONE - + CD DESCRIPTIO / W RK NEWtiJ ADD ❑ BLDG.SET KFROM - - SIDEPROP. LI (STREET,) Z ALTER ❑ HIGHWAY } YARD TOTAL SETBACK FROM OF EXISTING - = REPAIR❑ SIDE PROP. LINE I HIGHW`N WIDTH USE OF DEMOL ❑ } EXISTING BLDG. _ APP .CANT TE• -CORNER CUTOFF YES ❑ NO ❑ . BY (SIGNA TU E) "IN OPEN SPACE YES ❑ NO"❑ . Q _ IN COASTAL ZONE YES ❑ NO E].VALUATION$ - CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL ANO 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 E WORK AUTHORIZED ..IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NO PLOY ANY PEI RS N VIOLATION OF THE LABOR CODE OF STATE OF CAL. OR A IN RE"TING TO , WORKMEN'S CO ATION INSURANCE J �� 3 I v SIGNATURE F ' PERMITTEE ADDRESS ' FINAL BY /�/Cf TE��((��✓' DATE CITY �(' NO/'�Q"V v / '. FE CHI_'C 'S P:1)'1 HLA 7'U: FEE '� FEE HARVEY T. BRANDT, COUNTY ENGINEER 'PLAN CHECK VALIDATION cK. M.O: CASH a PERMIT VALIDATIO CK. M.O. CASH J _ .; AUG A Cti 76A638A CE 9803 12/72 ul p 0. ��L _.._.i APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS � DEPARTMENT .OF COUNTY ENGINEER - CITY — zLP9z a b BUILDING AND SAFETY DIVISION / / NO.OF BLDGS. BUILDING SIZE OF LOT GX J6.6 NOW ON LO ADDRESS -. TRACT, -2 BLOCK L O-� LOCALITY L- I/ TEL* r NEAREST OWN5E6�, 140. y CROSS ST.. ASSESSOR ADDRESS ] MAP BOOK ..PAGE. -" PARCEL CITY /` ZIP /� /�� DISTRICT G TYPE Z LRE ROC SED-BY " C ZONE ARCHITECT OR TEL. U r ENGINEER NO. STA'TISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS N _DWELL,UNITS BK PG ::: TEL. 0 'ZONE AP CONTRACTOR NO - 2 b /r - LIC. O. iX-L� b ADDRESS _ -- - NO. -- _ PECIAL I L ONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME-AND BRANCH BLDG.SETBACK FROM - - FR ANT PROP.LINE OF - (STREET) a- ADDRESS CITY C) TOTAL SETBACK FROM TYPE OF EXISTING U SQ: FT. NO. OF NO. OF CHECK HIG AY } YARD - FRONT PR-0P. LINE HIGHWAY WIDTH pC SIZE STORIES FAMILIES ONE O 'DESCRIP'TION 0 RK EW ❑ - W O. � ADD BLDG.SETBACK FROM N -.Ci U SIDE PROP. LINEOF -(STREET) Z ALTER ❑ HIGHWAY } YARD _ TOTAL SETBACK FRO TYPE OF EXISTING /REPAIR❑ SIDE PROP.. LINE H WAY WIDTH USE OF EXISTING BL ❑ - } _ DEMOL APP AYCANT i TEL CORNER CUTOFF YES ❑, NO ❑ -BY ( GNAT U.RE) IN OPEN SPACE 'YES ❑ NO ❑ IN COASTAL ZONE YES,[] NO ❑ VALUATION CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE 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 T - WORK AUTHORIZED._ - IMPACT REPORT PROCESSED (DATE) HEREBY I WIL�01` NO EMPLOY ANY PERS. N VIOLATION OF THE LABOR CODE THE STATEOCALIF I N RELATING TOWORKMEN'S COATION INSURANCE.. _ SIGNATURE F _ PE RMITTE _ ADDRESS FINAL BY /TE CITY N� DATE R.C. - PMT. 7tKE CHECK PAYABLE"' 'I'Ur FEE FEE �. �` Q HARVEY T. BRANDY; COUNTY .ENGINEER PLANCHECK VALIDATION cK. M.O. CASH a PERMIT VALIDATION CK. M.O. CASH G Al- 14 773 JUL 1 1 1 D 6.0 0- 76A63 8 A ~76g638A CE9303 12/72 APPLICATION FOR BUILDING PERMIT FQF AWLICANT TO FILL IN (Print or type only) BUILOI NG {� - COUNTY OF LOS ANGELES ADDRESS Jc 17 �� •�.� f/ f= DEPARTMENT OF COUNTY ENGINEER - - CITY !1 TV ZIP 21s 71F&_ BUILDING-AND SAFETY DIVISION 72k IV .-OF BLDGS. BUILDING SIZE OF L04m- .1_z111 NOW ON 'LOT - ADDRESSe9c5 h TRACT' BLOCK LOT NO. LOCALIT ' TEL _ NEAREST OWNER ! ( O CROSS ST. ASSESSOR ADDRESS d /y MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SSED BY CITY ' / •'' ZIP ,.� d CONST, ZONE ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS N0. 0WELLL..UNITS BK PG CONTRACTOR - r i No.UL. SE ZONE NOP Up LIC. ADDRESS NO. g—;,— SPECIAL LIC. CONDITIONS ' CITY. � � CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM --- - F ONT PROP.-LINE OF _ (STREET) >_ ADDRESS CITY 0- H GHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING O SQ. FT. NO. OF NO. OF CHECK - FRONT PROP. LINE HIGHWAY WIDTH- V SIZE STORIES FAMILIES ONE + _ F- DESCRIPTION OF WORK NEW LU LU ADD E] BLDG.SETBACKFROM (STREET) t� ry - SIDEPROP. LINEOF Z ALTER HIGHWAY + YARD _TOTAL.SETBACK FROM TYPE EXISTING REPAIR❑ SIDE PROP. LINE. HIGHWAY WIDTH USE OF - DEMOL-❑ + ~ EXISTING BLDG" APPLICA TEL CORNER CUTOFF YES-_❑ NO ❑ .(PRINT _ IN OPEN SPACE y YES ❑.. NO .❑ BY (SI GNA URE) -' ' IN COASTAL-ZONE YES ❑ NO ❑ VALUATION EGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL CAT '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 AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY -I WILL MPLOY ANY PERSO I'N VIOLATION OF THE - - LABOR CODE O T STATE OF CAL N IN RELATING TO WORKMEN'S CO ATION INSURANC E. - - SIGNATURE F PERMITTEE ADDRESS --*-- FINAL CITY/ NE, V" v/S DATE P.C. .r - 'PMT. - - tiIA KE CHLCKS P.A YA BLE 7T)r FEE FEE HARVEY T. BRANDT, COUNTY ENGINEER I PLAN CHECK VALIDATION CK. M.O. CASH a PERMIT VALIDATION 'CK. _ M.p. CASH' :_, 3 5 9 4 73 OCT '- 5 1 D "I_ 2.0 0 A 76A638A CE#803 12/72 WORKERS' COMPENSATION DECLARATION ' I hereby affirm that I have a certificate of consent to self O O D b D .insure, or a certificate of Workers' Compensation Insurance, p p d D CAU 00 N M' Q U d D N C� P E RM D U u or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY ; Policy No. Company ❑ . Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING / M tion department. ADDRESS �L/7.t A/167. Date Applicant CITY IE C� ZIP LOCALITY _ CERTIFICATE OF EXEMPTION FROM WORKERS' Y_ll /�� NO..OF BLDGS. NEAREST •COMPENSATION INSURANCE SIZE OF LOT �OVV ! NOW OrLOT*O CROSS S7. (This'section need not'be completed if the permit is for one ASSESSOR hundred'dollars ($100)or less.) - TRACT BLOCK MAP BOOK,_ PAGE PARCEL }— TEL. USE ZONE MAP I certify that in the performance of the work for'which this OWNER c NO: — NO. permit is issued, I shall not employ any person in any manner ,�/ /J CONDITIONS i so,as to become subject'to the Workers'Compen ati Law ADDRESS r (/ CONDITIONS T U CITY / ZIP 7 Date' Applicant NOTICE O AP (CANT: If, after making T is Certifi of ARCHITECT OR. TEL. / DISTRICT. GROUP TYPE FIREi_1K Exemption, you `should become subjec to the W kers' ENGINEER N (O CONST, ZONE Compensation provisions of the Labor'Code, you must forth ADDRESS ✓with comply with.such provisions or.this permit shall be (/ o.. deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. CONDO. N CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION. LIC, CLASS"NO. DWELL:', NITS ' 1 hereby affirm that I am:licensed under provisions of Chapter 9 ADDRESS NO. " (commencing with Section 7000)of Division 3 of the Business andLIC. SEWER MAP - Professions Code, and my license is in full force ond.effect: CITY CLASS BK PG VALIDATION SQ. FT. NO.*OF NO. OF CHECK License Number Lic.Class SIZE _ STORIES FAMILIES ONE c�+ VALUATION Contractor" Date DESCRIPTION OF WORK 5S ° NEW E] $ ❑;I am exempt under Sec. r ALTER L3D' B.BP.C'for this reasonREPAIR $ Date: USE,00 DEMOL EXISTING BLDG. ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE $ 9 5 A I hereby affirm that l am exempt fram'the Contractor's'License Law for the following reason (Section 7031.5, Business and ADDRESS FINA Profes ' Code): PRESENT By �; �' �. 'o a 4 Q 5,0 BUILDING I, as owner of the property, or my employees with ADDRESS 00 0 4 Q Jr 0 U wages as their sole compensation,will do the work and the structure'is not intended or offered for sale(Section LOCALITY I 1.0,'2 6 8 7 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 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE 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.L. (Sec. 3097, Civ. C.). 7 SIDE P.L. Lender's Name LDMA Ref. # P.C. Fee$ Permit Fee, O Lender's Address D 0 1 certify that.I have read this application and state that the Issuance Fee o LDMA P/C# g above information is correct. I agree to comply with all County Investigation Fee. °o ordinances and State laws relating to building construction, Total Fee - - 6 and hereby authorize representatives of this County to enter LDMA Perm. # m upon the above-menti ed erty for inspection purposes. a D SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur Applicant or D e WORKERS' COMPENSATION DECLARATION •' I hereby affirm that I have a certificate of consent to.selfL _/1ti LI V_S0.10 UU U�O LI V �O�- DO insure, or a certificate of Workers,-Compensation Insurance, L/11LI L�dJ LI V LI LI�ILIIJLI or}a,certifie'd.copy thereof (Sec. 3800;,�Lab. C:.) - y I - �t r ,p y COUNTY OF LOS ANGELES BUILDING'AND SAFETY Policy No.• LI Com an ) C,��C, i'{r�. i ❑ Certified co is hereb furnished. FOR APPLICANT TOFILLIN - BUILDING s�.�w\ aAJ-4 PY Y ADDRESS �. C1 1 ❑' Certified copy.is filed wBUILDING tion department. ith'the county building inspec- ' �x / f ADDRESS . Gj G1 Ll4{'. . .,• - .Date G .1 Applicant {il tr �.lJ it CITY l t /`t I�� t1 ZIP LOCALITY �M te, - J• NO. OF'BLDGS_ NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF'LOT NOW ON LOT CROSS ST. ' COMPENSATION 1NSORANCE + ASSESSOR / (This section need not be-completed-if the permit is for one TRACT BLGCK• LOT NO:; / MAP BOOKPAGE ! v PARCEL hundred dollars ($100)or less:) TEL. OWNER .'U L"r �G' i { NO�� (a USE-ZONE MAP. I certify that in the. performance of the work for which this •,! NO. SPECIAL permits issued, I shall not employ.any�person in any manner - ADDRESS .J � * .� ° 'Q a CONDITIONS O so as to become'subject to.the Workers Compensation Laws.. t CITY. P, V r �.j f".'�' ZIP U. DateApplicant ARCHITECT:OR `�.' TEL. NOTICE TO. APPLICANT: If,..after•making this Certificate of ENGINEER NO. DISTRICT GROUP` TYPE CONS ZONE FIRE PR CESSED BY O Exemption,' you.,should,become..subject to the Workers' �'" .. U Compensation provisions of the Labor Code, you must forth- ADDRESS `/ R a with.comply with such provisions;or t this permit shall be {! / TEL ,: STATISTICAL CLASSIFICATION- AP . CONQO. to deemed revoked. CONTRACTORA! t,Irk •lx' `• .INO.// l. Jlh I �j' t Z_ LICENSED CONTRACTORS DECLARATION: / rC'' t'1N0.LIC. �'� CLASS NO. i� DWELL. UNITS I hereby affirm that'l am licensed under provisions of Chapter 9 ... ADDRES (j .rig )!,n,•5:_r' (commencing with Section 7000)of Division 3 of the Business { J LIC. SEWER MAP CITY. 1i ty y-.: CLASS and Professions Code a y Licepse is in full force,7d effect. BK. PG VALIDATION (�\ / !l SQ. FT. NO. OF ' NO. OF .CHECK License Number j Lic. Class ^` SIZE STORIES �,^Q FAMrIILIES ONE /�-l:�U I/ O �CX I, � '` �, �7 2, DESCRIPTION OF WORK / \e-L ! h) Q. NEW '.' ❑ rn VALU ION Contractor ate f� 1{(J 1r $ V ❑1 am exempt under Sec. ADD ,.ALTER _Ek D. B.&P.C. for This reason U t f.l 1 REPAIR El $ Date: USE'OF EXISTING BLDG. DE MOL ❑ 9 OWNS APPLICANT /' / ,TEL. Si nature (PRINT) _ {� ;� � ' LGI Y y, NO.�O4. ,�? FINAL (� OWNER-BUILDER DECLARATION DATE - I hereby affirm that lam exempt from the Contractor's LicenseGiltj,k !•l' ' !kG' ^"C }A1 /i fir^ Law for the following reason (Section 7031:5, Business and ADDRESS _ / /4 t (teFINAL Professions Code): PRESENT +••• By t BUILDING I ! ? ": ❑ - I, as:owner of the 'property, or'my,employees with -ADDRESS wages as their sole compensation,will do the work and t"-r' _ the structure is not intended or:offered LOCALITY for sale'(Section 4.1 7044, Business and Professions Code.) MOVING TEL.. T.E ElI„as owner.of the.pro.perty, qm.exclusively contracting CONTRACTOR NO. with licensed contractors to roect PI (. ADDRESS construct`the Sec- ”' ` ! \ I. tion 7044, Business and Professions Code.) REQUIRED YARD NVJY, TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING.AGENCY SET BACK PROP. LINE . 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.L. (Sec. 3097, Civ. C.). SIDE Lender's Name. m2 P:C. Fee$ Permit Fee QJ <6 LDMA Ref. # 9 3 Lender's Address. a I certify that I have read this application and state.that the Issuance Fee 2`f 5 LDMA P/C# 0 above information is correct. I agree to comply with all County Investigation Fee i _•s i 6 ordinances and State laws relating to building construction, `(V-�S Total Fee Z Z>•IU�J LDMA Perm. Q.' and hereby authorize representatives of this County.to enter up the abovef entione prope4ly for,inspection purposes. �' 1 t � tIti " J✓�/ ���/ SEE REVERSE FOR EXPLANATORY LANGUAGE �(�� ' _ �.a�. = a:.,r,3 Signature of Applicant or Agent ;Z 'Date '' /�,.: - '��'{ -}c v•• ✓"� ttt.__,. ( APPUCAMON F0a_ ,W.LMNQ PERMIT ' COUNTY OF LOS ANGELES :'\ , BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION i',FOR APPLICANT,T_O_FILL IN ;. BUILDING ADDRESS " BU IN ADDRES -. x 1 1� L AVC I hereby affirm that'I have a certificate of.consent to self insure, or a certificate,of Workers' Compensationilnsurance,or a certified �� o copy there f S c. b C.) n CI �Y 'z1P/ &>O `� �(J LOCALITY Policy NQ Company .. h SjZE QF T I_75- NO.OF BLDG$.NOW ON LOT L 1 Certified copy is hereby furnished. l/Y•/V\ J( NEAREST CROSS ST. ❑ ❑ Certified copy-S filed with the county building inspe tion TRACT - BLOCK LOT NO. NO.- de t o��/• 3�Z 3 _ USE ZONE MAP N_O n- U L V I) ASSESSOR MAP B PARCEL Date ! plicant �� �°',. iJ' ••- �.; b Off. �_ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION'FROM WORKERS' OWNER l T _ A COMPENSATION INSURANCE I o v' WITHIN 1000 FT.OF SCHOOL? YES NO (This,section need not be completed if the permit is for one hundred AD +/�"/ ! ',;,y� `� G(. I. r DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY. dollars($100j or less.) VVV / ' CITY f ZInQy�r�, P I certify that in the performance of the work for which this permit'. ,� e• (R!•.• �0 -3 //4/ f is issued,.l.shall not employ any person in any manner.so as t0 ARCHITECT' R EN (NEER - become subject to the Workers'Compensation Laws. / ,��✓• STATISTICAL CLASSIFICATION - APT CONDO. Date Applicant ADDRESS • - 'CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of - � ' �� 1 _REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' C NTRACT TEL NQ. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,,you must forthwith L e l 1 / FRONT comply with such provisions or this permit shall be deemed revoked. gppRES NO. PL Of I. LICENSED CONTRACTORS DECLARATION C ..Or J SIDE CIJY LIC. ST PL I hereby affirm that I am licensed underprovisions of Chapter 9 0. r., SMAP (commencing with Section 7000)of Division 3 of the-Business an S SCJq"_SIZE - NO.OF STORIES NO.OF FAMILIES • EW Professions Code,a is in full force a�gO effect. NEW BI —01 PG /0 License Number Lic.Class J DE CRIPTION OF WORK , ADD ❑ VAL TION a ✓1 r c �1 O Contractor to `� p► ALTER ❑ •$ UV0 ❑ I am exempt under Sea �L 'cQ S1/c.�[ �hL.+ REPAIR .�. BAP.C.for this reason DEMOL ❑ Date: u �:%6 G BLDG. URM ❑ a �` 0) Signature - "'APPLICANT(PRINT) TEL NO. LDMA;Perm# z ❑ I, as owner of the property, or my employees'with wages as ZI — ADDRESS .. -+303" . •-f ., _ their sole compensation, will do the work and the structure is l =�'- FINAL DATE .. -" _° not intended or offered for sale (Section 7044, Business and Q 3 b -q4' i `� r . PfOfeSSIORS Code.) .WILL THE APPLICANT.OR FUTURE BUILDING OCCUPANT-HANDLE A HAZARDOUS MATERIAL J + ORA MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ""' -• y El 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL)3y 45 (I TOT AL 996 y� 95 licensed contractors to construct the-project (Section 7044, VES❑ NO❑ • Business'and Professions Code.) i E-jCs_ = WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - '11�� 3•L -nils CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR 3 - !/ /Y Q •:f-!S'li9y GUIDELINES. - `•/ � l/ l.�I a..'V lJ I hereby affirm that there is a construction lending agency for YES❑ NO❑ ' N. the performance Of the Work for which this permit IS ISSUed(Sec.m I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY COQE N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS - Lenders Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. �;� /`� �,� 1 AM OL Lender's Address L/ 7 '0 - OWNER OR AGENT o I certify that l have read;this application and state under penalty ¢ o Of perjury that the above information is correct.I agree t0 comply P.0 FEE q� PERMIT FEE with all county ordinances and State laws relating to building m con truction, and hereby Wd ' a representatives of this County "1 - 1 yj�� ISSUANCE FEE � to nter pon th abov m pro rty for inspection pu J�;,� `�q\..az.-, TOTAL FEE ^ SgmtumofApWficem 1 - Owe , S E REVERSE FOR EXPLANATORY LANGUAGE 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 1010250003 PHONE: (626) 285-0488 EXT: ILEGAL ID: - NO. OF CONST I BUILDING ADDRESS: ITR: 3623 . LT: 50 UN: .002 SQ. FT STORIES TYPE J 8817 ELM AV 1 I ISTRUCTURE: 2700 V-B I TEMP CA 917801807 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: MUSCATEL J 15387-010-005 J I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-3 IISSUED ON: PROCESSED BY: i (EXIST OCC GRP: 110/25/10 SR I (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1 IMERCADO, JOSE&ALEJANDRA (626) 703-9278- 1 6,000 18817 ELM AV IQJ ITEMP 917801807 J FEES PAID IDE CRIPTION OF WORK 1 J ITEAR OFF REMOVE EXISTING SHINGLE, REPLACE DAMAGE PLYWOOD, _JFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ILIGHTWEIGHT EAGLELITE I JAPPLICANT: TEL" NO: I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 1 JAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS: JAC STRONG MOTION RESID 6000.00 VAL 0.60 1 ID2 PERMIT W/O EN-HC 6000.00 VAL 149.70 _J TOTAL FEES 179.10 (CONTRACTOR: TEL. NO: - (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I- I LIC. NO J ILOCATION.AND SETBACKS J I I J ISOILS ENGINEER APPROVAL J I I I _I •I"�F I I I JARCHITECT OR ENGINEER: TEL. NO: J IFOULDATION/TRENCH FORMS I J I I - - I I • = I I i I LIC. NO: I ISLAB!UNDER FLOOR I I I I I I I I I I I IRAISED FLOOR FRAMING 1 I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION I I I 1150H261 3 001 I I I I IFLOOR SHEATHING I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I _ I I I I NO 21 I I ROOF SHEATHING I SCHOOL WITHIN HAZARDOUS J ISHEAR PANELS I w XJ (AIR QUALITY: 1000 FEET MATERIALS .J I NO NO NO 1 (FRAME INSPECTION 1 IFIRE SPRINKLER HANGERS I I I I 1• I' 1 JINSULATION/WEATHER STRIPI I I I I I I IINTERIOR LATH/DRYWALL J 1 I I I I 1 I 1EXTERIOR LATH I I I I I I I . (RATED FLOOR/CEIL ASSEM. IRATED WALL ASSEMBLIES I I. I I I I I I I I IRATED SHAFTS/OPENINGS 1 I I I I I I _ IT-BAR CEILINGS I 1 I I I 1-1 I I I ILOT DRAINAGE I I I I I I 11 I IREPORT ID: ,DPR261 ROUTE TO: 2S0508 I I I I I I I