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Home My Public Portal About5609 ENCINITA AVE_Building__ T°^°°°°°°_° 7.99 APPLICATION FOR BUILDING PERMIT ], DIVISION OF BUILDING AND SAFETY BUILDING Q ADDRESS Department of County Engineer County of Los Angeles LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRIGTyO. GROUP TYPE SEWER MAP 5 // CONST. ISS J�/OQ9� A� �• MAP �l QO / O STATE YES ADDRESS 66 NUMBER O'� (O HWY TAT LOT NO.5.50 `. /44S` LOTIS^ BLOCK USEZ NE SPECIAL II' LTJ CONDITIONS TRACT•SGC/Yt /YU nE SIZE p ��f S" I NOW ON LOTS O BUILDING YARD HWY STREET NAME EXIST. USEOF 1' SETBACK WIDTH EXISTING BLDG. FRONT 60, I P. L. OWNER SIDE MAIL ADDRESS t//) C('�iJ '[�. O TRACT DWELL. I UNIT TEL. Q/ / aa 5 INDUSTRIAL CIT NO, V 5p 1 DWELL. G 7 UNIT 6 PUBLIC BLDG. ARCHI ECT O TEL. Z DUPLEX o 2 UNITS 7ADDN.,ALT., ETC. ENGINEER NO. 3 APT. _UNITS e 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTOR /[�a/i J NE ' INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW ��//ADDX ALTER REPAIR DEMOLISH SSO IZE .A.2 NO. OF NO. OF / STORIES FAMILIES USE OF STRU CTU SIGNATURE OF APPLICANT APPROVALS, ADDRESS O PG S-• • l/ D E INSPECTORSSI ATURE FOUNDATION: LOCATION y C. $ FORMS. MATERIALS FEE FRAME: FIRE STOPS. VALUATION $ BRACING. BOLTS FEE FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUIL G CONSTRUC- TION. //.' LATH. EXT. SIGNATURE OF/ �{q.9if� �� HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FIN��nArrr��TTTL II IV SG JOHN A.LAMBIE, COUNTY ENGINEER VALMATIf�K- CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR CK Mo �e✓ i�o9 3 7 6 AUG 20 1 8.0 0 ". 7BAS38A CE9003 S-63 APPLICATION FOR BUILD NG PERMIT COUNTY OF LOS ANGELES BUILDISSNG E/VC1r� DEPARTMENT OF COUNTY ENGINEER ADORE p BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMSIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DI ST FICT N GROUP TYPE PjRDp S ABY FOR APPLICANT TO FILL IN L CONST. BUILDING 6 � C�N T/T S STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ✓1 / BK P,[- CLASS. NO._ULi_(_OW ELL.UNITS L LOT NO. BERT FICATE:ATER NOT REQUIRED & RECEIVED TRACT 4YNN � W VMAP HIGHWAY STATE MAJOR SECOND OCAL NO.OF BLDGS.�j NO. ICIRCLEI SIZE OF LOT [� NOW ON LOT Z. USE ZONE SPECIAL USE OF LL nlJ CONDITIONS EXISTING BLDG. h� G'f.Q- TEL., �(� / 1 OWNER (..E.IAY., NO �S/ BUILDING - EXIST. //�� Y�w SETBACK YARD HWY STREET NAME WIDTH ADDRESS'S II-IVT IU FRONT / / ARCHITECT OR TEL. P. L ENGINEER Q�IZL E' NO. SIDE P. L. ADDRESS / } CONTRACTORAVTOLAY4TICrN NE%&;ZDCZv� I- �J 3je,_� �rj V ADDRES S Z Fps ri- kAA k)' VZO IM ..tie Le O DESCRIPTION OF WORK u N�154 W ALTER REPAIR DEMOLISH B" �ISTORIES NO. OFAMILIESy � 11 ,./ `J' Ls.7km ?CCI`l 4FFlUN (n APPROVALS ,DATE- INSPECTOR'S SIGNAT AE FEE $ 0 PMT. DATIONLO ATIONFEE $ FORMS. MATERIALSFRAME: FIRE STOPS.1 HEREBYACKNOWLEDGE THAT I HAVE REwD THIS APPLIBRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. 1 WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK 1 / 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 CON PEN$ATION INSURANCE. LATH. EXT. SIGNATURE OF L HOUSE NUMBER COR- PERM ITTE E ��& ^ - RECT AND POSTED ADDRESS-9: C FINAL (I NA \ JOHN F. LEWIS. PRI-NCIPAL'STRUCTURAL ENGINEER PLAN CHECKJ7�ATION EK M.G. CASH PERMIT VALIDATION <cK: M.D. CASH U I.U0 7 2 1 7 c,- A?R 1 2 _, D 7.5 0, a %� �� UCo 7 5 6 2- APR 10 1 D 1 5.0 0- APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING BUILDING ADDRESS ✓ ADDRESS GIT AewZIP LOCALITY �a 0 'LOGS. NEAREST SIZE OF LOT !/ /11/,MO ON LOT 7 CROSS ST:. ASSESSOR TRACT BLOCK LOT NO MAP BOOK PAGE P RCEL TEL. TRICT TYPE FIRE P CESSED BY OWNER 1 N I CONST. E /� STATISTICAL SSI F ICATION SEWER MAP C17 ZIP / '^' CLASS NO.a/'a-+1��—DWELL.UNITS BK PG ARCHITECT TEL, ENGINEER NO. S ZONE MAP NO. ADDRESS , SPE CIA( TEL CONDI TIONS CONTRACTO NO ROAD DEPARTMENT APPROVAL REQUIRED YESE] NO ❑ LIG. ADDRESS NO. BLDG.SETBACK FROM CITY - LIC. FRONT PROP,LINEOF (STREET' CLASS CONSTRUCTION LENDER �s'Y _� y HIGHWAY } YARD = TOTAL SETBACK FROM TYPEOFEXISTING /GQ�.�<„� FRONT PROP. LINE NAME AND BRANCH ADDRESS CITY } Sq. FT. NO. OF NO. OF CHECK BLDG.SETBACK FROM SIZE STORIES FAMILIES ONE SIDE PROP. LINE OF (STREET( CD U NEW ❑ HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING O SC RIPTION OF WORK SIDE PROP. LINE HIGHWAY WIDTH �-YYJJ.ss /pJ ❑ U ALTER ❑ T!/�J ' FF ❑ CORNER CUTOFF - YES ❑ NO Z USE TI �f ,n..i1�s EMOL EXISTING BLDG, nC:.t%c”- r�Q�J ` IN OPEN SPACE YES ❑ NO A PPL IPRINTINT NOLdf9/��/� - IN COASTAL ZONE YES NO E] BY (SIGNATURE( t ENVIRONMENTAL CATEGORICAL EXEMPTION YES[] NO ❑ Q IMPACT EXEMPTION DECLARATION SIGNED (DATE) VALUATION Y[7/(p�/ IMPACT REPORT PROCESSED IRATE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED ^� ^�j HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIF NIA IN RELATING TO WORKMEN'S CO-PPHSATTION I SURAN C SIGNATURE / FINAL BY PERMITTEE rT DATE ADDRES L' p,C. PMT,it FEE FEE TE 1 VY CITY NO PLAN CHECIf VALIDATION CK. M.D. CASH PERMIT VA DATION CX. M.D. CASH 49 5i;APR 3 l U 1 2,� Am, 76A638B CE4603A 5/73 Ill WORKERS'COMPENSATION DECLARATION A*lurebs�'ao certificate hove r ce' CmtPofconsent toself APPLICATION FOR BUILDING PERMIT T�sure, a�o certificate of Workers' Compensation Insurance, or o certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 6U 4�L ADDRESS iz 04L6 Certified copy is filed with the county.building inspec- BwLDING p� tion department. ADDRESS (70//,,..-- Date Applicant CITY 144 1,G 1 ` ZIP YJa LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT SO S NOW ONNO.OF LDGS LOT Z NEARESCROSS ST. CL �✓ COMPENSATION INSURANCE _ (This section need not be completed if the permit is for one S.S� uT ASSESSOR hundred dollars ($100)or less.) TRACT y ULL BLOCK LOT NO.Of MAP BOOK PAGE PARCEL TEL. USE Z E MAP certify that in the performance of the work for which this OWNER i / NO.� "J /J$�J NO. permit is issued, I shall noSPECIAL t employ any arson in any ner �Q �" ��LT " ' ' CONDITIONS so as to become subject to the Wor ' Co a sada aws. ADDRESS �^L ,L •f't� �j Date_ Applicant - CITY 1' l/Lsi ZIP L. �� O '.NOTICE TO APPLICANT: If, after making this rificate of ARCHITECT OR / TEL DISTRICT GROUP TYPE FIRE PRO ES BY O ENGINEER( Kll/K/ NO.. - Sao CT CONST. ZONE U Exemption, you should become subject to Workers' `� �` V 4 Compensation provisions of the Labor Code, you must forth- ADDRESS L 'Lc - �f D (j W ith comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. ONDO. N eemed revoked. . LICENSED CONTRACTORS DECLARATION CONTRACTOR NO. CLASS NO.---2� ZDWELL. UNITS_ hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS SEWER,�4 P ommencing with Section 7000)of Division 3 of the Business and UC / rofessions Code, and my license is in full force and effect. CITY CLASS BK 1) PG. /. 2�- VALIDATION SO.FT. ��11 NO.OF INC. OF CHECK icense Number Lic.Class SIZE 4'S STORIES FAMILIES ONE DESCRIPTION OF WORK . b OL! S NEW ❑ VAL TION b 99 8.4 A contractor Date /��,,� / ADD $ # • • • e lJ I am exempt under Sec. `c/�e�d p ALTER ❑ -I '- - 6a63 B.&P.C. for this reason O REPAIR ❑ $ • 'o o 6 a 6 3,5 Date: USE OF DEMOL ❑ EXISTING BLDG. _ 0 624-88 Signature APPLICANT // e�� + ♦� TEL L I FINAL PRINT [.C� C 1 (.C)YL- NO. �� W OWNER-BUILDER DECLARATION Q DAT I hereby affirm that I am exempt from the Contractor's License ADDRESS ��Q ( �� L Ary- -T—'� Law for the following reason (Section 7031.5, Business and `� ` FIN Professions Code): PRESENT6 r I, as owner of the property, or my employees with BUILDINGADDRESS t " wages as their sola compensation,will do the work and the structure is not intended or offered for sole(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I . �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). CONSTRUCTION LENDING AGENCY SETTUIRED BACK YARD HWY TOTA PROP .ACK LNE 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 Nome - LDMA Ref. N Lender's Address P.C. Fee$ Permit Fee 01y, JJLL o I certify that I have read this application and state that the Issuance Fee SC./ LDN P/C M above information is correct. I agree to comply with all County Invevigaiion Fee - ordinances and State laws relating to building construction, ' total Fee LDMA Perm. M and ereby authorizer resentatives of this County to enter •. ,':1 �`, '•�-.... m p the a menti r d property,for inspection purposes,, 1 �s.�,, \. - 'D, des, a` N. e SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Ap cam or Agent Dote ,r •) - s \ 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 9710280042 PHONE: (818) 285-0488 EXT: LEGAL O: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 5609 ENCINITA AV STRUCTURE: 0 VN TEMP CA 917802416 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5387-019-008 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES . EXIST OCC GRP: 10/28/97 UT 107 0 28/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: TAYLOR LEE E - 1 7,800 233 6AV S SI ER 910241758 FEES PAID DESCRIP11UN Of WUNK RECOVER WITH CLASS A 3 TAB GENSTAR DMP. SHINGLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: N0: TOTAL CONTROL (626) 358-4472- . AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1800.00 VAL 0.50 SPECIAL CONDITIONS: 02 PERMIT W/O EN-HC- ;.1800.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. N0: � -.. -. ` � APPROVALS DATE INSPECTOR SIGNATURE TOTAL CONTROL CONSTRUCTION (818) 358-4472- 103 E. LEMON AVE. LIC. NO �� LOCATION AND SETBACKS MONROVIA, CA 723789B �- / 1✓'p ��ta A SOILS ENGINEER APPROVAL i ARCHITECT OR ENGIN TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0: - I� SLAB/UNDER FLOOR ' RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H265 3 01 FLOOR SHEATHING N0. 0 MILIES: DWELLING UNITS: APT/GOND: STAT CLASS: , NO 21 � � `'� ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO - FRAME INSPECTION REQUIRED TOTAL SETBACK FRO IST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULAIION/WEATHER STREP SIDE PL- _ INTERIOR LATH/DRYWALL EXTERIOR LATH RATED Fl R/CEIL SS M. RATED WALL ASSEMBLIES RATED SHAFTS/OPENING T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508 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 0911240070 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 5609 ENCINITA AV STRUCTURE: 500 V-H TEMP CA 917802416 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 115387-019-008THOMAS PAGE: 596 GRID: S4 LOCALITY: TEMPLE CITY 1 I I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXIST OCC GRP: 111/24/09 SR II I I OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATIONS oO (FIN DATE FINAL BY: CODE: 1D - 156095609 ENCINITA AVE. [TEMPLE CITY CA 91780 FEES PAID ID S RIP TIO OF WORK I I [REMOVE COMP ROOF INSTALL 3 TAB COMP. (GARAGE ONLY) 1 _[FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: [ (APPLICANT: TEL. NO: I GRATER (626) 926-1091- IAA BLDG PERMIT ISSUANCE 27.75 1 I 1407 FOOTHILL BLVD. AB STATE GREEN BLDG FEE 900.00 VAL 1.00 [SPECIAL CONDITIONS: LA VERNE, CA 91750 1AC STRONG MOTION REBID 900.00 VAL 0.50 iD2 PERMIT W/O EN-HC 900.00 VAL 65.40 TOTAL FEES 94.65 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ID AND G ROOFING (909) 593-4982- 11407 FOOTHILL BLVD #307 LIC. NO ILOCATION AND SETBACKS [ LA VERNE, CA 91750 534986/C39 ISOILS ENGINEER APPROVAL [ARCHITECT OR ENGINEER: TEL, NO: IFOUNDATION/TRENCH FORMS I LIC. NO: (SLAB/UNDER FLOOR [ X11 [RAISED FLOOR FRAMING I I I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: [ (UNDERFLOOR INSULATION 1147H265 3 0011 IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: [I 1I��/�/ NO 21 IROOF SHEATHING '� 11 SCHOOL WITHIN HAZARDOUS SHEAR PANELS /1Y'Ii [AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION [REQUIRED TOTAL SETBACK FROM EXIST [ IFIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: IFRONT PL- [INSULATION/WEATHER STRIPI I SIDE PL- 1 j [INTERIOR LATH/DRYWALL IEXTERIOR LATH [ [RATED FLOOR/CEIL ASSEM. [ I I i iRAxeD WALL ASSEMBLIES I I I III (RATED SHAFTS/OPENINGS T-BAR CEILINGS [LOT DRAINAGE RE PORT ID: DPR261 ROUTE T0: HSO508 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 91780 BL 0508 0502180003 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SO. FT STORIES TYPE 5609 ENCINITA AV STRUCTURE: - VN TEMP CA 917802416 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 5387-019-008 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: R S D USE ZO-NT-.-R-I- SUE PROCESSED Y: EXP MES DN: EXIST OCC GRP: 02/18/05 JK 02/13/06 OWNER: TEL. NO: B DGS. NOW ON LOT: VALUATION: FINAL DATBY: ODE: WEILAND, MONIQUE (626) 286-4221- 9,000 3�XPIR '� 5609 ENCINITA AVE TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK REPLACE 14 WINDOWNS (SAME SIZE) WITH VINYL DOUBLE HUNG. FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 9000.00 VAL 0.90 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 9000.00 VAL 199.80 TOTAL FEES 228.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: FOUNDATIONITRENCH FORMS LIC. NO: SLAB/UNDER FLOOR 1 RAISEDFLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION % XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: PT COND: STAT CLAM-- NO S:NO 21 ROOF SHEATHING SCHOOL WITHIN OUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK ROM EXIST-- E SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATHIDRYWALL EXTERIOR LATH RATED F 0 EIL ASSEM. RATED WALL ASSEMBLIES RATED FTS S T-BAR 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 ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0308070044 PHONE: (626) 285-0488 EXT: EGA NO. OF CONST _ BUILDING ADDRESS- ON FILE SQ. FT STORIES TYPE 5609 ENCINITA AV STRUCTURE: VN TEMP CA 917802416 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 5387-019-008 THOMAS PAGE: 596 GRID--J4 LOCALITY: TEMPLE CITY EXIST BLDG : RESID USE ZONEISSUED N: PROCESSED BEXPIRES N: EXIST OCC GRP: 08/08/03 JK 08/02/04 NN TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE S/FgI BY: CODE: WETLALAND MONIQUE C (626) 537-2712-WK 16,270 Xf6J 5609 ENCINITA AVENUE TEMPLE CITY 91780 FEES PAID DAF TUN U� WOR REPLACE POOL DECK, TILE, COVE TILE; PLASTER, REPLUMB & REO APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ELECTRICAL AND MOVE POOL EQUIPMENT JEFF KERBER POOL & PLASTER (909) 465-0677- AA BLDG PERMIT ISSUANCE 27.75 10841 FREMONT AVENUE AC STRONG MOTION RESID 16270.00 VAL 1.63 SPECIAL CONDITIONS: ONTARIO 91762 02 PERMIT W/0 EN-HC 16270.00 VAL 334.20 TOTAL FEES 363.58 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE JEFF KERBER POOL PLASTERING INC (909) 465-0677- 10841 FREMONT AVENUE LIC. NO LOCATION AND SETBACKS ONTARIO, CA 91762 571304 C53 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION X 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: AP ND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS HEAR PANEL AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TO ACK FROM E ST FIRE SPRINKLER A RS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- 0 LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSE . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS 0T DRAINAGE / REPORT 10: DPR261 ROUTE TO: SS0508