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HomeMy Public PortalAbout5004 FARAGO AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM J FOX CHIEF ENGINEER PLANS I BLDG I FIRE DISTRICT No PLAN CHK FEE PERMIT NO t FILED_,(. SETS- ZONE,, ZONE RECEIPT NO 7 _BLDG TYPEOF I II' III _IV w•/ X GPOUP = s BLDG SETBACK LINE DATE F AggPL RECEIVED EfY DATV ISSUED ORD F45— / APPLICANT FILL IN HEAVILY OUTtIN8D PORTION ONLY a: I — BUILDING/ /— 0 r` NAME _ _ ADDRESS' �u �� Q - I- W - QQ W _2 � � G __ ADDREa'S LOCALITY F �i NEAREST U W _CITY _- CROSS ST at STATE Q LICENSE NO TEL No � _NAME � • ' W MAIL p NAME �� Z ADDRESS 0 d ADDRESS _ s CITY TEL NO Z CITY ,Ja // _ C STATE - LOT /' ((/ SIZE OF LOT 7V_� U 9U M NO OF BLDGS LICENSE NO TeL No Jhl BLOC NOW ON LOT - /q USE OF BLDG CLASS OF WORK TPACT / / NOW ON LOT ---"�� —_— DESCRIPTION OF WORK NEW -VA ADDITION I I DEMOLISH ALTERATION I REPAIR MOVING _ USE OF INO OF BLDG ROOMS SIZE_ - BLDG X37-1 . I STORIE6�(�FAM O 6S ' CORRECTIONS SPECIFICATIONS � p FOUNDATION Io p �t �r1 .d /fiC_f�,��'� MATERIAL EXTERIOR I PIERS THICKNESS—TOP �•/�� i A s THICKNESS—BOTTOM r:1 J - a DEPTH IN GROUND „ Z SUPERSTRUCTURE — --- 5 /V- 1 SPACING SPAN xl/ O R W PLATES (SILL) \�,� GIRDERS JOISTS—FLOOR pL'{� /% / gi JOISTS—CEILING ----- BEARING WALLS �/ PARTITIONS x5 ROOF RAFTERS Q/7 f h1� I FINAL APPROVAL SILL BOLTS R67J COVERING DATE x r may/✓ INSPECTORS NAME ���1 ' WALL �j'�s'Ir��'�i ",hl ROOF .i..L.i.t.-moi 1 HEREBY ACKNOWLEDGE THAT 1 HAV£READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORFECT 001, AND AGREE TO COMPLY WIT FF}},, ALL. COUNTY ORDINANCES PC FEE $ AND STA"jLAWS5REGULA '0INET BUILDING CONSTRUCTION VALUATION $ 1 :2 (f(/ d SIGN FEE $ ! OWIJQR OR ♦UTHORITCO AGENT 05-3 8-38 r V 76A638 03 3-69 APPLICATION FOR BUILDING P RMIT Or COUNTY OF LOS ANGELES ABUILDING - DDRESS DQ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY Y G� JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING NEAREST CROSS /74 JV/IE�//S ST F� FOR APPLICANT TO FILL IN DISCTR�CT NO GROUP TYPECO ST SSED BY (PRINT OR TYPE ONLY) `"�•�' BUILDING STATISTICAL C�LfASSIFICATION SEWER MAP ADDRESS CLASS NO `DWELL UNITS /_ Bi PG/Z LOT NO BLOCK 8 USE ZONE MAP ')v C NO �j cJ TRACT �j SPECIAL NO OF BLDGS J CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG BLDG FROM TEL FRONT PROP L (STREET) OWNER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS �y HIGHWAY WIDTH FROM C L I CITY ARCHITECT OR Ti BLDG SETBACK FROM (STREET) kRE EER NO SIDE PROP LINE OF TYPE OF EXISTING SETBACK HIGHWAY + — TOTAL ESS HIGHWAY WIDTH FROM C L TEL + _ RACTOR ' NO LIC ESS NO CORNER CUTOFF YES ❑ NO ❑ Q CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS Oe O TRUCTION LENDER U AND BRANCH W a � v ESS Z NO OF NOOFSTORIES FAMILIES NEW F ADDCTURE ALTER REPAIR ❑TURE OF DEMOL ICANTATION $1,601m APPROVALS DATE INSPECTOR 5 SIGNATURE P C PMT FOUNDATION LOCATION FEE $ FEE $ e Q FORMS, ORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATIO 0 HE LABOR CODE LATH, INT OF THE STATE OF C ORNIA IN RELATI WORKMEN'S COM- PENSATION INSU RA LATH, EXT SIG F HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRESS FINAL 70 JOHN F LEWIS, PRINCIPALST C['TURAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH - PERMIT VALIDATION CKJ M O CASH 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 0603090007 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 28538 UN 4 SQ FT STORIES TYPE 5004 FARAGO AV 4 STRUCTURE VN TEMP CA 917803563 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GRAND 8574-009-070 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE RESID USE ZONE R-2 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 03/C9/06 JK 03/04/07 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE,X P I RFBY CODE BATALOYA EFREN (626) 456-2201- 1,500 5004 FARAGO AVE #4 TEMPEL CITY CA 91780 FEES PAID DESCRIPTIO OF C/O (1) SLIDING GLASS DOOR FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO SEARS HOME IMP (800) 807-9889- AA BLDG PERMIT ISSUANCE 27 75 10395 SLUSHER DR AC STRONG MOTION RESID 1500 00 VAL 0 50 SPECIAL CONDITIONS S F F 90670 D2 PERMIT W/O EN-HC 1500 00 VAL 82 20 TOTAL FEES 110 45 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SEARS HOME IMP (800) 807-9889- _ 10395 SLUSHER DR LIC NO LOCATION AND SETBACKS SANTA FE SPRINGS CA 90670 721379 B 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 147H277 3 O1 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS I 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 I EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE (REPORT ID DPR261 ROUTE TO BS0508 76A63*3rCE #803 3-69 ��- • �J � � `e i ". APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING UILDIN DEPARTMENT OF COUNTY ENGINEER ADDRESS 6==;w BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING NEAREST CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GjROOU_P TYPE CONST P SED BY (PRINT OR TYPE ONLY) [ ...]L.- BUILDING �O STATISTICAL CLASSIFICATION SEY ER MAL ADDRESSC9 CLASS NO DWELL UNITS (��Vk., �PG LOT NO / BLOCK USE ZONE MAP /� N O !�dx TRACT114T7SPECIAL T NO OF BLDGS }}T��� CONDITIONS��1� r� Z SIZE OF LOT / NOW ON LOT USE OF EXISTING BLDG BLDG SETBACK FROM TEL FRONT PROP LINE OF —R (STREET) OWNER G NO TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL HIGHWAY WIDTH FROM C L ADDRESS CIT + _ ARCHITECT OR TEL BLDG SETBACK FROM (STREET) ENGINEER NO SIDE PROP LINE OF TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL C SS + - a ICONTRACTORj�,,_-L,/,�, NO ADDRESS 2 LIC NO 2 CORNER CUTOFF _ YES NO ❑ CITY CLASS SEE REVERSE 5 IqE`FOR SPECIA APPROVALS C CONSTRUCTION LENDER NAME AND BRANCH © /2 �� J J //�J LL CL ADDRESS /rf� A V.z SQ FT NP OF NO OF F SIZE STORIES FAMILIES NEW D USE OF ADD ❑ STRUCTURE ALTER D REPAIR ❑ SIGNATURE OF - DEMOL ❑ ••( -L!t APPLICANT O q VALUATION $ sego'' APPROVALS DATE INSPE 's Sf ATURE P C PMT FOUNDATION LOCATION Y FEE $ FEE $ FORMS MATERIALS Ia YO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON iN VIOLATION 0 THE LABOR CODE LATH, INT OF THE STATE OF CALIFORNIA IN RELATIN WORKMEN S COM- PENSATION INSURA LATH, EXT SIGNATURE OF PERMITTEE HOUSE NUMBER CORRECT AND POSTED ADDRESS FINAL )`'L, (7 JOHN F LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CN M 0 CASH - PERMIT VALIDATION cK O CASH E �'� 5 1 8 $R JUN 1 1 A 9.0//0� 76A6330CEN8033-69 APPLICATION FOR BUILDI PERMI IUI COUNTY OF LOS ANGELES ABUILDING DDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY '7-2511 JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING NEAREST /) CROSS ST r/ FOR APPLICANT TO FILL IN DISTRICT NO GR(•OJIyIP TYPE NST P ESSED BY (PRINT OR TYPE ONLY) (Oq �/ tt "! fDDRSSBUILDING�O �/ CLASSS NO dIF DWELLUNITST / SFJASER NI/�, O jkll BLOCK USE ZONE MAP (�.rK %P/G NO TRACT f ASPECAL -w NO OF BLDGS � COND IT ONS I TOq+ I fv- z2S 3 SIZE OF LO D NOW ON LOT USE OF EXISTING BLDG BLDG SETBACK FROM p� TEL FRONT PROP LINE OF A'P �v (STREET) OW NE ffii W NO D TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTS ADDRESS fi��I� /,Vtl--7 HIGHWAY WIDTH FROM C L -- 4v I- 971-776 ARCHITECT R TEL � BLDG SETBACK FROM ,e�Q/tI (STREET) ENGINEER • _ NO SIDE PROP LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS � HIGHWAY WIDTH FROM C L TEL /R CONTRACTOR NO 1&1 �/-' �� + - a ADDRESS � NO g(p8 CORNER CUTOFF YES NO ❑ CITY Ilk 14 LLASs SEE REVERSE SIDE FOR SPECIAL APPROVALS jz C CONSTRUCTION LENDER C ~ NAME AND BRANCH 1711"171) i s LL CL ADDRESSawbcRr �-.,gr7 o 0,.J-S4,4,,o Z SO FT NO OF NO OF SIZE STORIES ?j FAMILIES NEW y� !qI E, STRUCTURE /�<d oR ` GARUSE OF P D/2T5� •`�I ats�s� . STRUCTURE � ALTER ❑ ` REPAIR ❑ SIGNATURE OF DEMOL ❑ v APPLICANT v VALUATION PMT /Od r�� ]� APPROVALS j DATE INSPECTOR S SIGNATURE FEE $ IO FEE $ /.� �✓, '56 FO OR MSO MATERAIA SN -7-7 �/C >1 2 1 HEREBY ACKNOWLEDGE THAT [ HAVE READ THIS APPLICATION FRAME FIRE STOPS, qq BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I , WILL NOT EMPLOY ANY PERSON IN VIOL TI N F THE LABOR CODE LATH, INT b OF THE STATE OF IIFORNIA IN RELAT 0 WORKMEN 5 COM- PENSATION INSUR C LATH, EXT SIGNATURE OF PERMITTEE HOUSE NUMBER CORRECT AND POSTED ADDRESS FINAL �- JOHN F LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION 0 CASH - PERMIT VALIDATION CK M 0 CASH ;3 Irl 9 2 3 D 1 5 2.101 8 022 sJ 1 1 D 25 3.5 O N 76A63K,CE #8033-69 APPLICATION FOR BU i I DING P MIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS /- BUILDING AND SAFETY DIVISION LOCALIT - G JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING NEAREST CROSS ST zw �o lw FOR APPLICANT TO FILL IN DIST_g1CT NO ,GR TYPE T P SED BY (PRINT OR TYPE ONLY) BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS Q <�a 04 - CLASS NO SG�DWELL UNITS "f� BK('-') PG 12- 1 LOT NOiqlll*_5 RA BLOCK US ZONE %AEPTRACT CIAL fNO OF BLDGS DITIONS SIZE OF LOT Q NOW ON LOT USE OF EXISTING BLDG BLDG SETBACK FROM ���/� U, TEL FRONT-PROP LINE OF AaS (STREET) OW NER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS ;�j HIGHWAY WIDTH FROM C L � � U clr - ARCHITECT R01 ,ff TE BLDG SETBACK FROM �,e„ ,� y_� (STREET) ENGINESIlEfAr NO SIDE PROP LINE OF .--rte IVAp TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HI/G_HWAY WCID�TH FROM C L m� eH TEL Y!C�. J + SCJ a CONTRACTOR NO ADDRESS NOLIC CORNER CUTOFF YES ❑ NO ❑ oc CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O F- CONSTRUCTION LENDS w NAME AND BRANCHa N ADDRESS Z SQ FT1 NO OF NO OF SIZE 3 STORIES FAMILIES NEW USE STRUOCTURE f C ���G,t ADD 0 ALTER REPAIR ❑ SIGNATURE OFr OEMOL ❑ APPLICANT VALUATION $ �� �-r APPROVALS 7 - 7-7/2 f DATE �r INSPECTOR 5 SIGNATURE P C $ /��j©� PMT$ f 0 FOUNDATION FORMSMATERIALS SN / ` 7- /2 df. !�/� L' FEE 7�, FEE i h +�f I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, BRACING BOLTSoe AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION ICERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA F THE LABOR CODE LATH, INT OF THE STATE OF LIFORNIA IN RELAT 0 WORKMEN S COM- PENSATION INSUR C LATH, EXT SIGNATURE OF PERMITTEE HOUSE NUMBER CORRECT 1. AND POSTED ADDRESS FINAL JOHN F LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION cK M . CASH - PERMIT VALIDATION CK M o CASH 3 9 8 ab MAR 9 2 3 D 9.0 01 rr 5 1 ? 9R Jt; ID 16 5.0 0 76A6a§A CE #803 3-6tjF,4jZ o 411r . / er 1�/Rpf z '0- APPLICATION FOR 13 I DING PERMIul COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING NEAREST ` _ CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE CONST PROCESSED BY � (PRINT OR TYPE ONLY) , o� / • �c4-e--���� ADDRESS oo AVE G. CLASS NBUILDING � O CLASSIFICATION—DWELL UNITS WE R MA UNITS ' SE �� LOT NO 4 BLOCK 45Fjqj:E MAP NO TRACT SPECIAL Q F40OF SLOGS COND TIONS T" I SIZE OF LOT X NOW ON LOT USE OF EXISTING BLDG BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) OWNERNO TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL ADDRESS HIGHWAY WIDTH FROM C L / /� L.oG Crate � + _ CIT BLDG SETBACK FROM /4 ARCHITEC R EL D SIDE PROP LINE OF (STREET) ENGINEER 0 TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS HIGHWAY WDTH FROM C L i L i C 6­5j— �a + } CONTRACTOR NOa ADDRESS v NO CORNER CUTOFF YES NO ❑LIL Q CITVS� CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS Q �I U CONSTRUCTION LENDER � � ,r el �-70 ���J1� f"�OR f��9- , �� W NAME AND BRANCH ,f OY/ Qi �r ADDRESS (dp'l ' A1 D 1--' v /'/i 5�7 z SQ FT NO OF NO OF / SIZE 63D'4 STORIES FAMILIE NEW i{ ® '� �A Q�A-2 USE OF /cj, OID rtn _ STRUCTURE „^ LTER ❑ ' QS'vt���A'�'7 A/ 47-"ee/Y �74'r�. . ,�J,�'� REPAIR ❑ 1_7 D4 ,).1f.-,-a pomp /L'®®'i"����.� ip'r SIGNATURE OF DEMOL ❑ APPLICANT 61 V. q VALUATION $ 63 000 APPROVALS v FORM DATE INSPECTOR S NSPPEECTORS `ISIGNATURE P C $ • q,Sv FO SOAN FEE $ - q ,yQ FEE FORMMATERAS ! -1' -70 ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, BRACING BOLTS / 4 .. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, ' fY/e ALL'`-'✓v WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS i! TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATI N F THE LABOR CODE LATH, INT OF THE STATE OF CALIFORNIA IN RELAT 0 WORKMEN'S COM- PENSATION INS URA F LATH, EXT SIGNATURE O PERMITTEE alf HOUSE NUMBER CORRECT / AND POSTED ADDRESS FINAL JOHN F LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH - PERMIT VALIDATION CK m 0 CASH pr i 3 9,,8 7N 9 2 3 D 17 3.70A AC,, 5 1 7 8a Ji}Ai 1 1 D 2 8 9 5 O'- DEPARTMENT OF BUILDING AND SAFETY APPLI.,.. rLM PERiN - � COUNTY OF LOS ANGELES ® i� G WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING 5— ADDRESS LOCALITY RECEIVE BY DATE OF APPL l^DiATE ISSUED NEAREST ✓ CROSS 9T. ILDINGL7�© OWNER - ADDRESS /� AMAILDDRESS �' r LOCALITY TEL. NEAREST 4vi3Il /,7 CITY NO. CROSS ST. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLAN �. I ) /' ENGINEER NO. IV. BLDG. /�� / R NO. ADDRESS SETBACK LINE / TEL. APPROVED CONTRACTOR Np, �- BY DATE USEAPPROVED ADDRESS ZONE BY DATE LEGAL /�') CORRECTIONS DESCRIPTION ColNO. I BLOCK (/� TRACT _ O'e. NO.OF SLOGS. SIZE OF LOT I NOW ON LOT USE OF NO.OF I NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A _REPAIR MOVING DEMOLISH � Sq.FT. NO.OF Z SIZE / ROOMS STORIES - D WALL ROOF r COVERING I COVERING USE OF NEW BUILDING 2 /o'L c-, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS OWNER LATH,INT.: AUTHORIZED AOT. LATH,EXT.: DBS-3 25M SETS 1-47 $ P C.Ill PLASTER. INT. FEE PASTER, EXT. VALUATION FEE FINAL