Loading...
HomeMy Public PortalAbout9843 ESTRELLA AVE_Building__ DEPARTMENT OF BUILDING AND SAF � ib dAPPLICATION FOA FXWA1Tmn COUNTY OF LOS ANGELES ®g WM. .J. FAX. CHIEF ElIOIp EER I " OLD ING e-rE FOR APPLICANT TO FELL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.NO. PERMIT NO. ADOREBH 2. 99 LOCALITYbY7�1// RECEIVED BY LDAT[OF1A[PPLG �DATE IHSU/lD NEARESTV CROBB ST. d ti�� T /� OWNER MAIL ,f,J->J��yi �i'��K��l�33LLL�/�/�"/�® ADD EISS 7-�Ll- 1Q�L(.I,�.. ADDRESS v/ -6y� �C.✓�.e_'I /!y[/LY LOCALITY y TEL �`L (? w/[ CROBB ST. CITY �l �� i YNO.Liei'/ /ll//."P FIRE NO,OF TYP� GROUP ARCHITECT OR TEL. - ZONE PLANE 1. ENGINEER No. ADDRESS BLDG. ORD.NO. T SETBACK LINE � � 1 APPROVED CONTRACTOR ` I BY WATE UBE APPROVED 1 ADDRESS - \,,, ZONE — BY �e DATE LEGAL - '�B� CORRECTIONS DESCRIPTION LOT NO. / /I� BLOCK TRACT SIZE OF LOT ^� /�L/ I NOW ON LOTS USE OF I NO.OF I NO.OF / EXISTING BLOB. �� FAM,L.E. RDOMB DESCRIPTION OF WORK NEW ALTERATION O » A_ REPAIR { MOVING DEMOLISH � -�R �' 1 ����++� p 9 ZE // G 11 RO MS STORIES_ I 7 T IP�"� ���/(�� ,C ;.. n- 4x _. , �, z WALL COVER,NBr/ /�I P.&^ I COVOERINP-1,4 -1119�_ UBE OF NEW BUILDING a O r/Wn-cc F PTgaeF -r,oLp �- X-o o WA/froP . F kr r-r,R �f hui 'I "4 04 E IRF—t-1522P1wi— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS' d)L6, 'Py APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES- FOUNDATION: LOCATION FORME,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /wry/ FRAME: FIRE STOPS, p SIGNATURE OFF ( d/_ J'. /f�J- / BRACING,B OLTB PERMITTEE Xl /f7/r�/I/`L{ tt V LATH. INT. AUTHORIZED AST1 vY - LATH, EXT. > .. 7,6A538A-3 2-150 wSw ' P.C.B, �i PLASTER.INT. J / N 9) FEE FEE ' L+ �� PLASTER,EXT. Q VALUATION E f, O FEE g3CD FINAL. ,�t 7Q\,+:t ✓�I T `�J s WORKERS' COMPENSATION DECLARATION I :sure', affirm that I have r certificate of consent to self - APP11 CAAMON FOR B 11 -11 DONG P•ER(,L T 1 � insure', or o certificate of Workers' Compensation Insurance, L.aL u u� �LJJ L.uL u� OGS L_f ora certified copy thereof (Sec 3800; Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnishedFOR APPLICANT TO FILL IN ADDRESS ADDRESS Certified copy is filed with the county building inspec- BUILDING - - tion department. ADDRESS 9843 Estrella Avenue Date Applicant CITY Ta_mDle Citv zip Q1780 LOCALITY Tic , CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF SIZE OF LO7 7S t D V 11 t NOW ONLDGS LOT - 2 NEARESST. COMPENSATION INSURANCE - CROSS (This section need not be completed if the permit is for one - TRA-CT !6712-12 BLOCKLOT NO. 11 MAP BOOK PAGE - ASSESSOR - hundred dollars ($100)or less.) - ' PARCEL OWNER Ernest pan -Renee JOhn Tsmn - '289-302USE ZONE I certify that'in the performance of the work for which this NO, permit is Issued, I shall not employ any person in any manner 5s SPECIAL -- ADDRESS 84' Estrella Avenue CONDITIONS so as'to become subject to the Workers'Compensation Laws. U SI�J ` = " ..! R CITY Temple Cit _ZIP 91780 Date/ Applica D= NOTICE TO APPLICANT: If, after maklni is Cartifi ate of ARCHITECT OR TEL. DISTRICT G�tgUP TYPE FIRE P CESSED BY O Exemption, you should become subject to the orkers' ENGINEER Charles Lear No. 8-8218 ,,II f/ CONST. ZONE U Compensation provisions of the Labor Code, you must forth- ADDRESS 61 Cloverleaf Drive Monrovia 6 U f —� 'W with comply with such provisions or this permit shall- be - .� - - D-' deemed revoked. -' Tel. 1' STATISTICAL CLASS C TION APT. CONDO. N CONTRACTOR,-OWI12r�bui_lder JNO.EL, 85.35323• A S'Fj /p z - LICENSED CONTRACTORS DECLARATION .^ LIC: CLASS NO.J�DWELL: UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 9843 Estrella Avenue NO. SEWER MAP (commencing.with Section 7000)of Division 3 of the Business and ' - LIC, Professions Code, and my license is in fullforce and effect. CITY�Temple City CLASS eK VALIDATION • / SO. FT. NO. OF NO. OF CHECK License Number Lic.Class SIZ STORIES FAMILIES. 1 ONE /. VAL TION Contractor Date DESCRIPTION OF WORK Extend back of NEW ® $ s5 I am exempt under Sec. house 6-..feet to add 'bathroom ADD. ti D s ' 11 ALTER and. e lose COV re- - tl0 4 B.BP.C. for this reason REPAIR) ❑ $USE OF ❑ Date: EXISTING BLDG. home o£ owner DFMOL 8 O,Q 7 A Signature APPLICANT TEL FINAL PRINTI Ernest P ohnso NOi H — 2 Z � � 'g . •.•11 OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS 984'3 Estrella Avenue, .0. - FIN e Law for the following reason (Section 7031.5, Business and / „1,1. 118 1'1 3 OProfessions Code): - PRESENT - BY 18 1,,1 3 BUILDING - "e,e I, as owner of the property, or my employees with ADDRESS / wages as their sole compensation, will do the work and' LOCALITY D r O 9.2 8,-8 7 the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. , 1, 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 ffFRONT 'YARD HWY IOTA PROP.I LICK NE WIDTH ' I hereby affirm that there iso construction lending agency for the'performance of thework for which this permit is-issued(Sec. 3097, Civ. C.). Lender's Name - LDMA Ref. A ` m Lender's Address fflnvestigolion - Permit Fee � •- I certify that I have read this application and state.that the Issuance Fee •�(/ LDM4 P/C N - above information is correct. I agree to comply with all County' - - .. ordinances and State laws relating to building construction, Total Fee tt and hereby authorize representatives of this County to enter f '„� • LDM4 Perm. g._ upon the above-mentioned property for inspection purposes. - -,,,,,..c�,� z Y J SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Appl"'l icon r Agent Data - - COUNTY OF LOS ANGELES - -TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY j LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0506 0507140074 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 16712 LT: 11 SQ. FT STORIES TYPE 9043 ESTRELLA AV STRUCTURE: 400 VN TEMP CA 917801417 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5363-023-011 - THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/14/05 SK 07/09/06 OWNER: TEL. N0: - SLUGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CHEWS CHING L;SHU L - 1,000 9 _ 169 LEROY AV ARCD 910014070 FEES PAID DESCRIPTION OF WORK TEAR-OFF AND RE-ROOFING 30 YEAR COMPOSITION GARAGE ONLY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL, NO: YUK LIN KWAN (626) 780-8133- AA BLDG PERMIT ISSUANCE 27.75 9034 NEWBY ST. AC STRONG MOTION RESID 1000.00 VAL 0.50 SPECIAL CONDITIONS: ROSEMEAD, CA 91770 D2 PERMIT W/0 EN-HC 1000.00 VAL 65.40 TOTAL FEES 93.65 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE YUK LIN KHAN (626) 780-5133- 9034 NEWBY STREET LIC. NO LOCATION AND SETBACKS ROSEMEAD, CA 91770 739485BC39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAP/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 153H269 3 01 FLOOR SHEATHING N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000'FEET NATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAN CEILINGS LOT DRAINAGE (REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY i # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760 BE 0508 1111040032 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST ITR: 16712 LT: 11 SQ. FT STORIES TYPE TEMP CA 91780 90I 98433 EST AV ADDRESS: 1 RELLA I _ISTRUCTURE: 1306 V-B CA 91780 1 1417 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15383-023-011 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY CA 1 _I I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 111;04/11 SR OWNER: TEL NO: BLDGB. NOW ON LOT: VALUATION: IFIT!AL�DJE / f FINAL BY: CODE: IYU LI, TAM (626) 203-6362- 1 1 3,200 19843 ESTRELLA ITEMPLE CITY CA 91780 FEES PAID 1DSC IPTION OF WORK REPLACE (10) TEN WINDOWS AND ON PATIO DOOR _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (APPLICANT: TEL. NO: I ILEE, RAYMOND (626) 825-2614- AA BLDG PERMIT ISSUANCE 27.80 19322 KLINGERMAN ST C IAB STATE GREEN BLDG FEE 3200.00 VAL 1.00 ISPECIAL CONDITIONS: ISOUTH EL MONTE 91733 1AC STRONG MOTION REBID 3200.00 VAL 0.50 1 ID2 PERMIT W/O EN-HC 3200.00 VAL 116.00 TOTAL FEES 145.30 CONTRACTOR: TEL. N0: I IAPFROVALS DATE INSPECTOR SIGNATURE IRAY LEE CONSTRUCTION, INC. (626) 825-2614- 1 1_ 1 19322 KLINGERMAN STREET 4C LTC. NO I ILOCATION AND SETBACKS ISOUTH EL MONTE, CA 91733 729516 B `I I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: FOUDATION/TRENCH FORMS I ' LIC. N0: SLFB/DNDER FLOOR I I RA:GED FLOOR FRAMING I I I (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( IUNCERFLOOR INSULATION 153H269 3 001 1FLOOR SHEATHING INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 0 NO 22 ROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION I I I IFIRE SPRINKLER HANGERS I I I i INSULATION/WEATHER STRIP( 1 1 1N=IOR LATH/DRYWALL I I EXTERIOR LATH I � IRATEp FLOOR/CEIL ASSEM. I I IRATED WALL ASSEMBLIES , I RATED SHAFTS/OPENINGS I I I I IT-B CEILINGS I II I I I I ILOT DRAINAGE 1 (REPORT ZD: DPR261 ROUTE T0: BSO508 1 I I I 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 1111160026 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: JTR: 16912 LT: 11 SQ. FT STORIES TYPE OCCUP GROUP] 9843 ESTRELLA AV I ISTRUCTURE: 200 1 V-B - U I TEMP CA 917801419 �. IASSESSOR INFORMATION NUMBER: I GARAGE: NEAREST CROSS STREET: 15383-023-011 1 OTHER: THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY CAI TENANT: (EXIST BLDG USE: USE ZONE: 1SSOED ON: PROCESSED BY: I IEXIST OCC GRP: 101/25/12 SR I I I I__ I OWNER: TEL. NO: �BLDGS. NOW ON LOT: - VALUATION: (FINA-L ttDATE FINAL BY: CODE: TAN, GUO/YU LI (626) 825-2614- 4,000 yy 19843 ESTRELLA �= '�/ ,/ 1TEMPLE CITY CA 91980 1 FEES PAID 1DESC'RIPTION OF WORK 1 I 1ADD 200 S.F. OPEN PATIO TO REAR OF HOUSE 1 I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 j 1APPLICANT: TEL. NO: JFUNG, ALISON (626) 320-2815- D1 PLANCHECK W/O EN-HC 4000.00 VAL 98.60 1 1 IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I AB STATE GREEN BLDG FEE 4000.00 VAL 1.00 I IAC STRONG MOTION RESID 4000.00 VAL 0.50 1 1 jD2 PERMIT W/O EN-HC 4000.00 VAL 116.00 CONTRACTOR: TEL. N0: TOTAL FEES 243.90 1APPROVALS DATE INSPECTOR SIGNATURE RAY LEE CONSTRUCTION, INC. (626) 825-2614- 1 - 19322 KLINGERMAN STREET #C LIC. NO 1 1LOCATION Al SETBACKS SOUTH EL MONTE, CA 91733 729516D f _. ISOILS ENGINEER APPROVAL I ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR I 1_ RAIS ED FLOOR FRAMING NAP NO: SEWER NAP BOOK: PAGE: FIRE ZONE: CMP: • .. ` :, UNDE RFLOOR INSULATION 1 3 001 I_ --- 11 I i (1ST LEVEL FLOOR SHEATH IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 1� 1 1 0 NO 21 2ND LEVEL FLOOR SHEATH I SCHOOL WITHIN HAZARDOUS ROOF, SHEATHING AIR QUALITY: 1000 FEET MATERIALS I NO NO NO (FIRE DEPT. FRAME INSPECT I I 18LDG DEPT. FRAME INS PECTI I-- SHEAR PANELS I I I 1 11 11NSU:J+TION/WEATHER STRIP( 1 1 1 1 (INTERIOR LATH/DRYWALL I 1 I 1 1, 1EXTERIDR LATH I 1 I I (Lox DRAINAGE I I I �. SMOK)i DETECTION DEVICES I I (FIRE DEPARTMENT APPROVALI I I 1`7 ADDITIONAL DATA ON FILE I II I I I I REPORT ID: DPR261 ROUTE TO: SS0509 I U I I I II 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 " HL 0508 1111210067 PHONE: (626) 285-0488 EXT: (LEGAL ID: N0. OF CONST BUILDING ADDRESS: ITR: 16912 LT: 11 1 SQ. FT STORIES TYPE 9843 ESTRELLA AV 1 __(STRUCTURE: V-B I TEMP CA 917801417 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 1 15383-023-011 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY CAI ITENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 111/21/11 SR 1 IIOWNER: TEL. N0: 1HLOGH. NOW ON LOT: VALUATION: IFINAI. DATE FINAL BY: CODE: 1 YU LI, TAM (626) 203-6362- 1 15,000 119843 ESTRELLA 1 11 HT-0- 1TEMPLE CITY CA 91780 1 FEES PAID 1DESCR PTION OF WORK 1 (REMODELING TWO BATHROOMS AND KITCHEN EEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I I (APPLICANT: TEL. NO: I LEE, RAYMOND (626) 825-2614- IAA BLDG PERMIT ISSUANCE 27.80 1 4 19322 KLINGERMAN ST C JAB STATE GREEN BLDG FEE 15000.00 VAL 1.00 ISPECIAL CONDITIONS: ISOUTH EL MONTE 91733 (IAC STRONG MOTION REBID 15000.00 VAL 1.50 1 1 E2 PERMIT W/ENERGY 15000.00 VAL 331.60 1 IFR INV WORK W/O PERMIT 257.00 DOL 257.00 1_ CONTRACTOR: TEL. NO: TOTAL FEES 618.90 (APPROVALS DATE INSPECTOR SIGNATURE IPAY LEE CONSTRUCTION, INC. (626) 825-2614- 1__ 19322 KLINGERMAN STREET 4C LIC. NO ILOCATION AND SETBACKS ISOUTH EL MONTE, CA 91733 729516D _ - I (SOILS ENGINEER APPROVAL I__ I ARCHITECT OR ENGINEER: TE L. •N0: 1FODNDAT ION/TRENCH FORMS 'LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING I I I II III MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: IUNDURFLOOR INSULATION 153H269 3 001 - ' I I i IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 0 NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS 1 1 1 1 NO NO NO 1 iFRP.ME INSPECTION (FIR^ SPRINKLER HANGERS J INSULATION/WEATHER STRIPI 17 i 111 IINl'EA IDR LATH/DRYWALL, ^l IEXTERICR LATH Fy I I I 1RATF.D FLOOR/CEIL ASSEM. I I RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS I 1T-BAR ceILlNcs I I I IIS ADDITIONAL DATA ON FILE LG'1' DRAINAGE REPORT ID: DPR251 ROUTE T0: BS0508 . 1 • 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 1201040069 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITS: 16712 LT: 11 SQ. FT STORIES TYPE 9843 ESTRELLA AV III STRUCTURE: V-B TEMP CA 917801417 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15363-023-011 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY CAI TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: I EXIST OCC GRP: 1101/04/12 SR I OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION; ,FINAL OA E FIN CODE: 1YU LI, TAM (626) 203-6362- 1 1 900 9843 ESTRELLA I rI I ITEMPLE CITY CA 91780 FEES PAID 1DETRIP ON OF WORK I IMAKE EXIT DOOR FROM KITCHEN TO BACK YARD I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( (APPLICANT: TEL. N0: I I ILEE, RAYMOND (626) 825-2614- IAA BLDG PERMIT ISSUANCE 27.80 1 1 9322 KLINGERMAN ST C JAG STATE GREEN BLDG FEE 900.00 VAL 1.00 (SPECIAL CONDITIONS: ISOUTH EL MONTE 91733 IAC STRONG MOTION RESID 900.00 VAL 0.50 IAX BUILDING REVIEW FEE 54.70 ID2 PERMIT W/O EN-HC 900.00 VAL 65.40 CONTRACTOR: TEL. NO: I TOTAL FEES 149.40 JAPPROVALS DATE INSPECTOR SIGNATURE IBAY LEE CONSTRUCTION, INC. (626) 825-2614- 1 19322 KLINGERMAN STREET qC LIC. NO 1LOCATION AND SETBACKS I [SOUTH EL MONTE, CA 91733 729516B ' I 1SOILS ENGINEER APPROVAL I IARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I LIC. NO: .1SLAB/UNDER FLOOR I IRAISED FLOOR FRAMING I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I -(UNDERFLOOR INSULATION 1153H269 3 001 1 I I FLOOR SHEATHING I INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 11 1 0 NO 22 1 1ROOF SHEATHING HISCHOOL WITHIN HAZARDOUS SHEAR PANELS 11 11 AIR QUALITY: 1000 FEET MATERIALS NO NO NO (FRAME INSPECTION FIRE SPRINKLER HANGERS _ INSUTATION/WEATHER STRIPI INTERIOR LATH/DRYWALL IEXTERIOR LATH RATED FLOOR/CEIL ASSEM. I I RATED WALL ASSEMBLIES 1 I I RATED SHAFTS/OPENINGS T-FAR CEILINGS ^ ADDITIONAL DATA ON FILE LOT DRAINAGE I 1 1 I I I (REPORT TO: DPR261 ROUTE T0: BS0508