HomeMy Public PortalAbout9849 ESTRELLA AVE_Building__ APPLICATION FOR ' "
BUILDING PERMIT �
FOR APPLICANT TO FILL IN - ADlDRESS cv
BUILDING
ADDRESS 0 3 fOr ��24 RVO LOCALITY Qi
CITY _ft/VIr)(.� (� , / ZIP"...-71S'O CROSSST
/ NO.OF BLOCS, ASSESSOR
SIZEOF LOT�.S X���', NOW ON LOT MAP BOOK PAGE PARCEL
/6 7�02 BLOCK LOT NO. 0 DISTRICT GROUP CONST Z RE E R E SED BY
TRACT 8 V . i
' TEL.
I OWNER OL E'C{-• NO. STATISTICAL CLASSIILFIC�ATION SEWER
MAP
r ADDRESSSS/' 'NpVf� ('� CLASS NO..NO.�6.� O ODWELL.UNITS BK [J 9PG
CITY /(f-/�Y�G �IT ZIP / 70 0 USE ZONE MAP -
C�
ARCHITECT OR - TEL. Q/ SPECIAL
ENGINEER NO. CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
EL.
CONTRACTOR NO. BLDG.SETBACK FROM
LIC, FRONTPROP.LINE Of ISTREETI
ADDRESS NO. -TOTAL SETBACK FROM TYPE OF EXISTING
LIC. HIGHWAY + 'YARD FRONT PROP.LINE HIGHWAY WIDTH
CITY - CLASS _ -
CONSTRUCTION LENDER + O
NAME AND BRANCH BLDG.SETBACK FROM V
ADDRESS CITY SIDE PROP.LINE OF ISTREETI,
SO.
IT. ./ - r NO OF NO.OF CHECK HIGHWAY + . YARD = TO ACK FROM TYPEOF EXISTING w
SIZE 'l'0 STORIES FAMIU ES ONE 51 PROP.LINE HIGHWAY WIDTH_ N
+ _ Z
DESCRIPTION OF WORK NEW
ADD ❑ CORNER CUTOFF 5 ❑ NO ❑
ALTER
RREPAIR ❑ IN OPEN SPACE YES ❑ NO ❑
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
.EXISTING BLDG. ls••//%ZfjG^� DEMOL ❑
APPLICANT TEL 6
IPRINTI NO.
BY.ISIGNATUREI
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE '
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WIiH'ALL ORDINANCES
AND LAWS REGULATING BUILDING STRUCTION. CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL T EMPLOY ANY PERSON IN VIOLATION OF -
THE LABOR CODE OFTHE STATEOF LIFORNIA IN REL TING TO WORKMEN'SCOM-
PENSATION INSURANCE.
SIGNATURE OF V .L/ FINAL
PERMITTEE DATE
ADDRESS
TEL.2x,6^n 6 4 P,C.Fee$ Permit Fee
CITY s NCCPP
/� Issuance Fee --
VALUATION$'1SO
Total Fee
PLAN CHECK VALIDATION CK. .Y.O. CASH PE IT VALIDATION cK. M.o. cases
43�JLIH 16 1 D 6.00 AP%
®f -7GA6385CE d803B 8/76 -
DEPARTMENT OF BUILDING ANDS 5 IghILPPLICATION FOR I PMIT
COUNTY OFF LOS ANGELE BUOLDING
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TTO� F'I�LL IN FOR OFFICE USE ONLY
d% DISTRICT NO. - PLAN'CK:'NO: - PERMITHO.
BUILDINB .
LOCALITY / �yJ RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST
CROB9ST,
anr. .% w�� _ /.J a./D'd LV'%•� �'" - �l//�/ �`�Z�
BUILDING ��jj p� �v✓
.OWNER. /y/ �"/V! ADDRE68�,.,f .I ST�2E."LL�
ADDRESSNEAREST
lyl / > 1MAIL
LOCALITV Taj Cr/ '1
CITY �,J 4�` ��-t • No. /• f*'! �r LI CROBB BT.
FIRE NO.OF' TYPE GROUPJ
ARCHITECTOR TCL. ZONE PLANE Y(J
ENGINEER ~�`\ NO.
BLDG. � OpD.NO.
ADDRESS , SETBACK LINE
.� APPROVED
CONTRACTOR \ NO. BY DATE
USE APPROVED
ADDRESS ZONEMI/ BY DIA/TE
LEGAL
DESCRIPTION LOOT NO.. /(/ BLOCK I /� CORRECTIONS v
TRACT
SIZE OF LOT �,� i/ �� I NONOW
ONSLOGS. 'I p.
DN LOT /)
USEOF ND.CF NO.OF
EXISTING BLDG. �� FANR¢8 ROO M9 '
DESCRIPTION OF WORK
NEW jam, ALTERATION ADDITION I .rI-:"aD-.1 .1 / I/ /II '-Y r �� IM
O
REPAIR r I MOVING I DEMOLISH '
(u�F7R-1 C013CF_F-R'SSl3T �LDO� G
So.FT. ^^ /`' gg NO.or / e - /r T Z
SIZE /I/ NSU ROOMB d STORIES ry
�/l`/-/(_/ Fo 2 t1c-A —
IF
WALL ROOF
ouILDINGW A-r t4 IG / l✓G., fJX AiD rp t/CA
� �/1 /�a�crcn.4 JA/
/ z Rin/1.,>v-ru
77.%1 i , �' ,r n n! vF.7-7- /7 M- PM 94H Ale,
�— /
40� ✓r/r�elF=rlr-
n�oT G/xF,on4F& GB mu or
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION INSPECTOR DATE/
�i1.11nn 7.�7i !�
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS _
FRAME!
FIRE STOPB.
SIGNATURE or O(f/��Ce./ ,.//1 BR ! J-6
PERMITTEE
loo LATH, INT. nn_. 7
AUTHORIZED AG, / .__ v N I V V
LATH, EXT.
1eA...A-3 FEE ® /� PLASTER,INT.
PLASTER,EXT.
B _
VALUATION 32- FINAL- S� J
FEE
APPLICATION FOR BUILDING PERMIT
FOR'APPLICANT'TO FILL IN (Plloi D, rYPo nio
BUILDING COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITrC ^ zlP BUILDING AND SAFETY DIVISION
NO,OF BLDGS. BUILDING /7 -
SIZE OF LOTJ....... ' NOW ON LOT y/� ADDRESS //�•�� Ui+�''C
TRACT /2, BLOCK I LOT NO. (/ LOCALITY
f TEL. NEAREST
NO. CROSS ST.
�r �'.j� � 9 ASSESSOR
ADDRESS
MAP BOOK PAGE IPARCEL
DISTRICT GROUP ITYPE FIRE PRO SEED BY
CITY L j ZIP !!�� (J CON T. ZONE
A RGI ITECT TEL. l,�f,�.DO
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NOI� DW ELL,UNITS B PG
CONTRALTOnj NEL US ZONE MAP
LIC,. (o / NO. V
ADDRESS NG 6 i/ SPECIAL
L IC. CONDITIONS
CITY CLASSC/
RODE PA RTM ENT APPROVAL REQUIRED YES ❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BL G,SETBACK FROM - OIL
FR NT PROP. LINE OF )STREET) c CC'.
ADDRESS CITY HAAY /' YARD _ TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT. NO. OF NO. OF CHECK - FRONT PROP, LINE HIG-wAY WIDTH c
SIZE STORIES FAMILIES ONE L
V
DESCRIPTION OF WORK /(� NEW
❑ BLOG.SETBACK
ALTER F-1FROM. ?
ADD SIDE PROP, LINE ETRE I HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTlSp REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH
USE OF / _ + _
EXISTING BLDG. DEMOL ❑
APPLI CANT/ e� TEL CORNER
CORNER CUTOFF YES ❑ NO ❑
(PRINTE��D//
/
BY ISIGNA TUIN OPEN SPACE YES ❑ NO ❑
R /C--
_ IN COASTAL ZONE YES ❑ NO ❑
VACUA l-J CATEGORICAL EXEMPTION YES❑ NO ❑
HEREBY ACN NOW LFOGE THAT HAVE READ THIS APPLICATION ENVIFO NME NTpL
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 PROCE55E0 (DATE)
HEREBY I WILL NOT LOY ANY PERSON IN V104ATION Of THE
LABOR C00E OF X STATE OF ALIFOR NIA IN RELATING TO
WORKMEN'S COMP N ATION INS CE. /
SIGNATURE I���//
PERMITT 9
ADDRESS
IT / NO "FINAL - BY \
DATE
�X�/I
PMT.
MAKE CHECKS PAYABLE lU- FEE $ FEE
HARVEY T. 6RANDT. COUNTY ENGINEER
PLAN CHECK_VALIDATION- M o. GASH _ PERMIT VALI Ah'ION CK. NO, GASH
]fiA 638A GE#RD3 ]/]3 3' 9 Q�AlR a 1 'u 9.0 0 A98
r
76A638A CE«R039-67APPLICATION FOR UILDING44ERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS _
BUILDING AND SAFETY DIVISION LOCALITY '
JOHN A. LAMBIE, COUNTY ENGINEER REST
p
COLEMAN W. JENKINS, SUPT of BUILDING NEANEACRORS ST. IJ
DISTRICT NO. GROUP .TYPE i PRO SS D Y
FOR APPLICANT TO FILL IN / covsr
(Print Or type only) J!
BUILDING /y, STATISTICAL CL 51 FICATION EWER MAP
ADDRESS CLASS NO. DWELL.UNITS BK/
LOT NO. (/ BLOCKUSE,7QNE MAP —y
No. 6O�
TRACTl SPECIAL
NO.OF SLOGS. / CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
TEL, FRONTPROP.LINE OF - (STREET)
OWNER NO. TYPE OFEXISTING SETBACK HIGH WAV
ADDRESS + YARD = TOTAL
IG
S HHWAY WIDTH FROM L.L.
CITY
ABLDG.SETBACK FROM
ARCHITECT OR EL.
SIDE PROP. LINEOF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
Jj
ADDRESS HIGHWAY WIDTH FROM L.L.
TEL. + _
CONTRACTOR NO. OLOL
AODHESS NO. CORNER CUTOFF VES ❑ NO U
K
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK ti
c � 4 .
C. Z
NEW ApD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF /
SIZE ST RIES FAMILIES
USE OF
STRUCTURE
u R U iYi1'e
SIGNAT O �f
APPLI
VALUATIONS d
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. V PMT. 90 6V FOUNDATION: LOCATION
FEE $ FEE S ✓ 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAR VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN OLA
TION OF THE LABOR CODE OF THE STATE OF CALIFORNI FELAT LATH, INT.
ING TO WORKMEN'S CO M PENSATIZy�HSURA,CE
C�c%'E/
SIGMA LATH, EXT.
T HOUSE NUMBER CDR
-
PERMI TT RECT AND POSTED
ADORES F NAL rj
JOHN F. LEWIS, PRINCIPAL 5T URAL ENGINEER
PLAN CHECK VALIDATION CK, M CAB. _ .. PERMIT VALIDATION cK. M.o. GASH
LA o 4 -0 9 5�3 APR 4 1 4 9'.00-
a
- - - /
WORKERS' COMPENSATION DECLARATION - - ppp��� /�' L��p FFp F�/�
hereby affirm certificate
That haver certificate of consent to self - APP 0(C�1��ON FOR- BQ U0L®�NG lyrlyl_y'AT// 7
insure, or a certificate of,Workers' Compensation Insurance, LL u u.V LW 11 IS 11111 C/l1
or a certified copy thereof (Sec. 3800,'Lab, C:) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No E7R3!;jiL!5-/ Company—q'r T}1Til /—
�i—Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- BUILDING /
fon pdeporrttment. ADDRESS -
Date 9"S ti -_—_Applicani� m' CITY ��� ZIP ] . LOCALITY l� T
_ 6EEK7I IFIC—ATE OF EXEMPTION FROM WORKERS' NO, OF BLDGS. NEAREST I
COMPENSATIONINSURANCE SIZE OF,LOT NOW ON LOT CROSS ST.
(This section need notbe completed if the permit is fortune ASSESSOR
hundred dollars($100)or less.) - TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL' USE ZONE MAP i
I certify that in the performance of the work for which this OWNER -[, E� NO. NO. -, 3 a (9 1
permit is issued,'l shall not employ any person in any manner /� SPECIAL
or .
so as to become',subject to the Workers' Compensation Ds. ADDRESS L-J' 7 �' �J I CONDITIONS
CITY atify ZIP
Date APAML Applicant ARCHITECT OR � - - TEL.
NOTIC T APPLICANT If, after maki g this Certificate'of ENGINEER NO DIS R ROUP TYPE FIRE' PRppp���ESyy$$$ED BY
Exemption, you should become subject to the Workers' CONST. 1L / Z NE
Compensation provisions of the Labor Code, you must forth- ADDRESS V
with comply 'with such provisions or this permit shall be TEL. SwISTICAL'C IFICATION APT. CONDO.. ,
deemed revoked. - CONTRACTOR0/1,C&WAI -AtN — (�
LICENSED CONTRACTORS DECLARATION - UC. C1A55 N DWELL. UNITS_
I hereby affirm that I am licensed undecprovisions of Chapter 9 ADDRESS P� C/T ' NO.W3.77 - - -
(commencing with Section 7000)of:Division 3 of the Business andLIC, pI SEWER MAP
Professions Code, and my license is in full force and effect. CITY CLASS / BK. PG VALIDATION ,
,moi SQ'. FT $rj NO:OF NO. OF � � CHECKY _
0..
License Number a—� r�'..��� �, Lic Class C SIZE STORIES fAMIl1E5' ONE VALUATION
Contractor l'/1 �'I v�/�1 � Dote L� 9 DESCRIPTION OF WORK O[>F &h5, NEW ❑ f '�}-o�� - • p
EI I am exempt under Sec. "�� Ad 'y
C.4 I-� ALDER ❑ rl - -
B.BP.C. for this reasLIJ
on CL�9 i r REPAIR f _ N
USE OF O a Q' "
Date: EXISTING BLDG. 'LAO"" `-' a' DEMOL ❑ - _ .. z
Signature _ V>� APPLICANT (� EL. -
-�� ! PRINiI .(/dLCE•L J. NO. p/ _Oev FINAL
OWNER- UILDER DECLARATION ^ ;DATE '
I hereby affirm that I am exempt from the Contractor's License ADDRESS C L %`" r ^'GV�
Law for the following reason (Section 7031.5, Business and :FIN
Professions❑ Code) PRESENT BUILDING . .
1, as owner of the property, or my employees with ADDRESS A�. A
wages.as theigsole compensation,.will do the work and. _ ACCT3 LOLL
the structure is not and mended or offered for sale(Section LOCALITY TEL ific SS 3307 - 1VQ.13
7044, Business and Professions Code) MOVING _ �_ T�p
I, as owner of the property, am exclusively contracting CONTRACTOR NO. /d �//�
with licensed contractors to construct'the project (Sec- /v� 1 �E
lion 7044, Business and.Professions Code) ADDRESS �•
- IQTAL 164„ 'ei 13
REQUIRED YARD HWy TOTAL SETBACK _.
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH
.1 hereby affirm that thr is a construction lending agency for FROM .. CHECK 106.13
the performance of the work for which this permit is issued P.I. _ ..."........_._.. ICH! - -
(Sec. 3097, Civ-C:). SIDE •�
_ P.L. -: .-...._.....
• Leader',Nome - (��� t C
-CDMA Ref. M 0000 VLILJl O71J7O7
m
' I P.C. Fee$ Permit Fee ' -
Leader's Address / 4�9 1 AM
G.27.
o I.certify thot9 have read this application and state that the Issuance Fee .--� V CDMA P/C k -
above information is correct. I agree to comply with all County - Investigation Fee - / �7 •s�
ordinances and State laws relating to building construction, Total Fee OCp J LDMA Perm: M
and hereby authorize representatives of this County to enter -
upo the abo/ve-mentioned property for inspection purposes. '
/ j SEE REVERSE FOR EXPLANATORY LANGUAGE -
Si Nre of Applicant or Agent re ,
"OUNTY,OFli0S 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 1105240096
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 16712 IT 10 SQ. FT STORIES TYPE OCCUR GROUPI 9849 ESTRELLA AV
ISTRUCTURE: 222 1 V-B U I TEMP CA 917801417
(ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LONGDEN 1
15383-023-010 OTHER: THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
TENANT: _ (EXIST BLDG USE: USE ZONE: TISSUED ON: PROCESSED BY:
1 (EXIST OCC GRP: 106/01/11 SR
TOWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIUAL BY: CODE:
ILIU, HSIAO-CHUNG (626) 614-8508- 1 4,440
19849 ESTRELLA AV
/�J
TEMP 917801917 FEES PAID DLS CRIPTIPTION OF WORK
1LEGALIZED STORAGE ROOM ATTACHED TO (E) DETACHED GARAGE
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1
T APPLICANT: TEL. NO:11 SAME AS OWNER - D1 PLANCHECK W/O EN-HC 4440.00 VAL 112.90 1
AA BLEG PERMIT ISSUANCE 27.80 SPECIAL CONDITIONS:
AS STATE GREEN BLDG FEE 4440.00 VAL 1.00 [
JAC STRONG MOTION RESID 4440.00 VAL 0.50 [
ID2 PERMIT W/O EN-HC 4440.00 VAL 132.80 T
CONTRACTOR: TEL. NO: 1 TOTAL FEES 275.00 1APPROVALS DATE INSPECTOR SIGNATURE
1SAME AS OWNER - 1 T
LIC. NO LOCATION AND SETBACKS
ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO:
FOUNDAT ION/TRENCH FORMS
LIC. NO: 15LAB/UNDER FLOOR
I I I
1 RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 11 ONDEP FLOOR INSULATION
3 001
11ST LEVEL FLOOR SHEATH
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: T
0 NO 21 12ND LEVEL FLOOR SHEATH
SCHOOL WITHIN AR (ROOF SHEATHING
M1�1
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO [FIRE DEPT. FRAME INSPECT
(BLDG DEPT. FRAME INS
I ILLI-
5HEAR PANELS �
I I
1 (INSULATION/WEATHER STRIPI
11NTERIOR LATH/DRYWALL
I I IExTERIOR LATE
I
(LOT DRAINAGE
1 ISMOKE DETECTION DEVICES
1 IFIRE DEPARTMENT APPROVAL(
I I I I
1
1REPORT ID: DPR261 ROUTE TO: DS0509
I I I I
• COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0506 1206090094
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 16712 LT: 10 SQ. FT STORIES TYPE 9649 ESTRELLA AV
(STRUCTURE: 400 V-B TEMP CA 917801417
( E
ASSESSOR INFORMATION NUMBER: NAREST CROSS STREET: LONGDEN
15383-023-010 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
TENANT: IEXIST BLDG USE: DETAC USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 106/07/12 SR
OWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATION FssIffN""AL DATE FIN CODE:
CODE:
1LID, HSIAD-CHUNG (626) 614-8508- 1 1,500 ���2�1�7 !�/�/
19049 ESTRELLA AV I �7 (/�
ITEMP 917801417 FEES PAID DSS CRI PT ION OF WORK NJ
(TEAR OFF AND REROOF WITH 40 YR COMPOSITION SHINGLES GARAGE
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IONLY
APPLICANT: TEL. NO:
ISENG, CANDY (626) 203-2387- IAA BLDG PERMIT ISSUANCE 27.80 I
15612 HUDDART AVE IAS STATE GREEN BLDG FEE 1500.00 VAL 1.00 (SPECIAL CONDITIONS:
ARCADIA, CA 91006 1AC STRONG MOTION RESID 1500.00 VAL 0.50
1D2 PERMIT W/0 EN-HC 1500.00 VAL 82.20
TOTAL FEES 111.50
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
ISEN'S CONSTRUCTION INC. (626) 203-2387- 1 I
15612 HUDDART AVENUE LIC. NO (LOCATION AND SETBACKS
1
ARCADIA, CA 91006 897784
ISOILS ENGINEER APPROVAL
I I I I I I
ARCHITECT OR ENGINEER: TEL NO: (FOUNDATION/TRENCH FORMS
LIC. NO: (SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
I
MAP N0: SEWER MAP e00K: PAGE: FIRE 20NE: CMP: ( JUNDEPFLOOR INSOLATION
153H269 3 001
I I (FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: I I
0 NO 21 1 IR00F SHEATHING
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS '
HAIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
AFIRE SPRINKLER HANGERS
(INSULATION/WEATHER STRIP(
11NTERIOR LATH/DRYWALL
I
II 1 (EXTERIOR LATH I I I
RATED FLOOR/CEIL ASSEM.
(RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
. IIT-BAR CEILINGS
ILOT DRAINAGE
( RE PORT ID: DPR261 ROUTE TO: BS 0508
1 I I ( ( (