Loading...
HomeMy Public PortalAbout4509 FIESTA AVE_Building__ e 76A838A CE#80311 E7 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES ABU I DDRESS DEPARTMENT OF COUNTY ENGINEER E BUILDING AND SAFETY DIVISION LOCALITYa-j-eli JOHN A LAMBIE COUNTY ENGINEER NEAREST '�� J ' CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST CJ DISTRICT O GRDUP TYPE SEWER MAP FOR APPLICANT TO FILL IN /�f I SK/ CONST BUILDING ADDRESS tom-/� STATISTICAL C SSIFICATION V CLASS NO WELL UNITS LOT NO v BLOCK MAP STATE NUMBER O HWY YE-5 NO TRACT USEZONE SPECIAL NO OF BLDGS � NDITION3 SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG BUI ING EXIST SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT 1 MAIL /)�� P L /1 / ADDRESS �-C,�/(/� SIDE yE�� P L CITY d�_o�,��e�i TNO Ci/ INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO / ADDRESS IF CONTRACTOR TEL ADDRESS V DESCRIPTION OF WORK �t r NEW ADD A--"ALTER REPAIR DEMOLISH SO FT If OF / NO OF SIZE RIES FAMILIES USE OF STRUCTU E < SIGNATURE OF APPROVALS APPLICAN,,T// ADDRESS'�/� O i ` DATE IN SI ATURE FOUNDATION LOCATION FORMS MATERIALS P C S FRAME FIRESTOPS -Al FEE BRACING BOLTS VALUATIO I $ �� FURNACE LOCATION FEE GAS VENT DUCTS W� i I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT �B PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINA� ES AND STATE LAWSGULATI G UILDING CON UCTION LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTE RECT AND POSTED ADDRESS FINAL I CLYDE N DIRLAM RIN&IPAL STRUCTURA—L E R PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M CASH LC0 3 '6 3 0 cD AUG 7 2 A 1100 ®. i oS, DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' (� WM J FOX CHIEF ENGINEER ' L VII FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLAN CK NO PERMIT NO BUILDING C ADDRESS LOCALITY Q RECEIVE SY DATE OF APPL DATE ISSUED 7W i _�oea a �.. to ��t i� � Imo/ •� U 4 � t�� � p ANG EBUILDI DDSS OWNERMAIL G ... • ) OV _ ADDRESS � '4Gr4 v LOCALITY �+►r/JJ/ 1 NEAREST PTELITYb NO a �]~� CROSS ST FIRE ARCHITECT OR TEL ZONE P ANS NO OF TYPE '( j i GROUP ENGINEER Nag BLDG p'�-�") 1, t/� L /OR0%N,/ ADDRESS SETBACK LINE •F/� S// APPROVED C CONTRACTOR NO BY DATE USE APPROVED ADDREB ZONE BY DATE LEGAL J` CORRECTIONS DESCRIPTION LOT NO BLOCK TRACT 6 NO OF SLOGS SIZE OF LOT S 1 NOW ON LOT USE OF NO OF NO OF ('XISTIN0 BLDG FAMiLiEe ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH GI SO FT NO OF Z SIZE ROOMS STORIES D r WALLROOF COVERIN X`j�..c..C�A C//OOVERING USE OF NEW BUILDING a deist I HEREBY ACKNOWLEDGE THAT I 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 C NSTRUCTION FRAME FIRE STOPS. SIGNATURE OF BRACING BOLTS PERMITTE LATH INT AUTHORIZED ADT ATH, EXT 76A638A 3 7 49 $ ^ M� P C PLASTER INT FEE PLASTER EXT VALUATION VV SS�v FEE FINAL =XP���.O .�-^ DBS 3 <SM BETT2 46 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ' COUNTY OF LOS ANGELES �... ` WM J FOX CHIEF ENGINEER ' `y FOR APPLICANT TO FILL IN ,FOR OFFICE USE ONLY DISTRICT NO PLAN CK NO PERMIT NO BUILDING / Q v (f- } —ADDRESS ( 1, ' LOCALITY �p Al DATE OF APPL DATE ISSUED NEARE CROSSS ST © W r¢` / // w � r BUILDING y \ OWNER9c l t ADDRESS i t MAIL ADDRESS ( J"O LOCALITY r TELNEAREST � CITY CF'O95 ST OC FIRE NO OFa�� TYPE GROUP ARCHITECT DR /-1 TEL * ZONE PLANS E 'f I 7 c ENGINEER ( l NO —� - BLDG ORD NO ' ADDRESS SETBACK LINE / r r TEL '' APPROVED CONTRACTOR I NO BY DATE USE APPROVED _S ¢ ` ADDRESS ' � ZONE BY DATELEGALI '" DESCRIPTION I LOT NO �j I BLOCK y ' CORRECTIONS 4 ! TRACT 5NO OF SLDG9 °T SIZE OF ALOT Q��7� NOW ON LOTLJ2�y[Q I !r t USE OFI NO OF I EXNO OF ` _ 2 _MISTING BLDG FnMiuce'— ROOMS DESCRIPTION OF WORK s ` � r NEW ALTERATION ADDITION O 1 REPAIR ' MOVING DEMOLISH O SO FTNOSIZE , ROOMY STORIES 1 > r WALL - RO F { f COVERING ..A G� COVERING c ' � t USE OF NEW a ° ` BUILDINGP r n " 1 1 1 K _ ✓' 6 � � J + t _ i 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVAI;S APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION, IABPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS �° / ✓ 1" �t�t AND STATE LAWS REGULATING BUILDING CONSTRUCTION o- FRAME FIRE STOPS, SIGNATURE OF' BRACING BOLTS x E. r � OWNER J LATH INT---a - r I - AUTHORIZED AOT. - 1 � � ! LATH EXT �(J� D.�0�-(!� � p O III PLASTER, INT Y FEE PLASTER EXT 15r��+� !O��•� "[' p - VALUATION > > /O U i FEE ' FINAL F t 'r 1 r "' APPLICATION FOR BUILDING PERMIT ` COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING A4??) I hereby affirm that I have a certificate of consent to self insure, BUI DII[yG A DRESS ✓ /� or a certificate of Workers'.Compensation Insurance,or a certified Ja N. Fiesta Ave. p copy thereof (Ser.3800,Lab.C.) CIT Temple Cit ZIP 9X780 LOCALITY Policy No. 285_780.96 Company State Fund re — Certified OF LOT NO.OF BLOGS,NOW ON LOT Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. de p r�jent. USE ZONE MAP NO. OW10 00 DateW7- V! 96 Applicant Al Pagano ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE Tom Dort 579--9269 WITHIN 1000 FT.OF SCHOOL? YES NO This section need not be completed if the permit is for one hundred ADDRESS ( P P 1515 N. Fiesta Ave. DISTRICT GROUP TYP CONST. FIRE ZONE PROCE BY dollars ($100)or less.) p I certify that in the performance of the work for which this permit CITY T C ZIP 91730 Aja 2 �Q/1�j is issued, I shall not employ any person in any manner so as to become Subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT ONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith A & S Roofing of Pasadena 357"'7715 FRONT comply with such provisions or this permit shall be deemed revoked. A DRESS LIC. O. P L 88C Meridian St. 32.573 SIDE LICENSED CONTRACTORS DECLARATION ITY LIC/_r��ypSS P L I hereby affirm that I am licensed underprovisions of Chapter 9 Duarte Calif. 91010 �J/ SEWER MAP >_(commencing with Section 7000)of Division 3 of the Business and SQ.FT. IZE NO.OF STORIES NO.OF FAMILIES n' Professions Code,and license is in full force and effect. 1 5)OO 1 1 NEW ❑ 8K PG , U License Number 32W3 Lic.Class C39 DESCRIPTION OF WORK ADD ❑ VALUATION Contractor Al Pagano Date 5--17--96 gear off ex-isting and reroof ALTER El 2 000.00 Cr with 220 lb. fiberglass Comp, REPAIR 11'19o� El I am exempt under Sec. $ U BAP.C.for this reason shingles 20 year bonded. DEMOL ❑ w LDMA P/C# a Date: USE OF EXISTING BLDG. URM ❑ N Z Signature APPLICANT(PRINT) TE N LDMA Perm# Ar:r'Tog El 1, as owner of the property, or my employees with wages as Al Pagano 5Q7-7715 Z ttC 1 their sole compensation, will do the work and the structure isDD ESS O 3303 108.90 not intended Or offered for sale (Section 7044, Business and �4 C Meridian St, Duarte Ca. 91010 FINAL DATE_ Q Professions Code.) 0 1 ITEMS WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �' �✓"/: OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE V ❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Q licensed contractors to construct the project (Section 7044, FINAL BY > TOTAL v_.sTAL j.,0o 90 Business and Professions Code.) YES ElNOM /((�J t( WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHECK 1021.90 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH /� CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR / CHANGE .00 GUIDELINES. I hereby affirm that there is a construction lending agency for YES ElNO FO N the performance of the work for which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING {{'���j(�}}(�}} (�}y(�'}} 5/20/96] J^� 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 0000-0001 •}!20 6 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. C C 3 b-,09 1 phi 7 a�.,9 o Lender's Address O OWNER OR AGENT o I certify that I have read this application and state under penalty O of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE ^ D N 6 with all county ordinances and State laws relating to building < construction, and h by authorize representatives of this County ISSUANCE FEE �I• too to enter -me ned roperty for inspection purp ses. ID 5/17/96 INVESTIGATION FEE TOTAL FEE �o 4gnaM Applicant 1 o ate Agent D SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT .. COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS' �� I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS � ��C5 r-A 1+ AVE - • or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) TT CITY ZIP p Policy NO.�A'— Company SEA']t�' IZIMP �F O N LOCALITY ,,.�..,,�� SIZE OF LCT NO.OF BLDGS.NOW ON LOT RTGertified Copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. A / ,I USE ZONE MAP NO. Date 5-13A� Applicant �L A+46-4mo ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TELA NO. _(( COMPENSATION INSURANCE M II�.►C VAN N[f ME P—ycK 49'8AS6 WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADDRESS dollars ($100)or less.) 45o9 Mo IE5, -�I 1 AVE. DISTRICT GROUP TYPE CONST. FIRE ZONE PROCE D BY 7 � I certify that in the performance of the work for which this permit CITY ZIP cc nn e—A ,/� ®� is issued, I shall not employ any person in any manner so as to TEMPLE GI r y � 1 ,?:vim+ r', � 9 become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. _ /� DA�+,�1' STATISTICAL CLASSIFICATION APT ONDO Date—S-1 14 Applicant R L r AG FCNO ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT- If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith gjr �)517-7-7 , FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL �- P18e S1?6dIf\N 5T--1 SIDE fl LICENSED CONTRACTORS DECLARATION CIT? LIC.CLASS PL 0 1 hereby affirm that I am licensed underprovisions of Chapter 9 +�A en 'qI 010 C 3 g SEWER MAP U (Commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO,OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. ( � NEW ❑ BK PG O License Number 32457-3 Lic.CRSS G �� DESCRIPTION OF WORK ADD ❑ VALUATION , 0 LILI Contractor AL PAGANO Date 5'23-'& I r �C ��� W I ALTER ❑ $ 000' 1* s` ❑ I am exempt under Sec. } COMP, { S REPAIR El Z $. BAP.C.for this reason Zo YEA 9. o BED DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG.{RES. URM ❑ 1 Signature APPLICANT( INT) JEL NO. LDMA Perm# El 1, as owner of the property, or my employees with wages as L N 1357-77/6 0 ACCT a a their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and S �A.q FINAL DATE a ,9303 108.90 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1-� 2 V J S ORA MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner Of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ✓ � ITEMS licensed contractors to construct the project (Section 7044, T{_#�A 108 - 90 Business and Professions Code.) YES ElNO WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING (,�-i {�d a OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �• 90 CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCACMD)SEE PERMITTING CHECKLIST FOR l f!f a{}{f GUIDELINES. HA i;�_ I hereby affirm that there is a construction lending agency for YES❑ NO[�I the,performance Of the work for Which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, {�{�{i{ —FJf•{{it'f 5/23/9' TITLE 2.CHAPTER 2.20 SECTIONS 2.20;100 THROUGH 2.20.140 CONCERNING HAZARDOUS 1 ❑ m Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. rZ J a_ .4 L{ Lender's Addresscc v� fPt•, Lr a OWNER OR AGENT 3 1 certify that I have read this application and state under penalty a P.C.FEE PERMIT FEE 0 of perjury that the above information is correct.I agree to comply I rn with all county ordinances and State laws relating to building {+�o m construction, and hereby authorize representatives of this County ISSUANCE FEE to ente u t ve-mentioned property for inspection purposes. Z , U 0 5• .g INVESTIGATIONFEETOTAL FEE N 'g-441 of AppA—t o,A.W Dale SEE 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 0307110008 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 12998 LT: 32 SQ. FT STORIES TYPE 4509 FIESTA AV STRUCTURE: VN TEMP CA 917804210 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8592-002-031 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: RISSUED ON: PROCESSED B XPIRES ON: EXIST OCC GRP: 07/15/03 JK 07/09/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CONSOLI BETTE A (626) 286-5507- 8,000 4509 FIESTA AV TEMP 917804210 FEES PAID DESCRIPTION OF WORK REROOF AREA;REPLACE ANY DRYROT DAMAGE; INSULATE; C/O ENTRY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DOOR EXPIRED APPLICAN T L. NO• SAME AS OWNER (626) 354-2526-CELL AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 8000.00 VAL 0.80 SPECIAL CONDITIONS: KEVIN KRESSLY D2 PERMIT W/O EN-HC 8000.00 VAL 183.00 TOTAL FEES 211.55 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS 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: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 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/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 0605040021 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 12998 LT: 32 SQ. FT STORIES TYPE OCCUP GROUP 4509 FIESTA AV STRUCTURE: 289 1 VN R3 TEMP CA 917804210 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA 8592-002-031 OTHER: 150 1 VN U1 THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/10/06 JK 05/05/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINA B CODE: CONSOLI BETTE A (626) 286-5507- 12,000 4509 FIESTA AV l TEMP 917804210 FEES PAID D SCRIPTION OF WORK NEW DINING ROOM 289 S. AND PORCH 150 S.F. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 12000.00 VAL 233.94 _ AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 12000.00 VAL 1.20 B2 PERMIT W/ENERGY 12000.00 VAL 275.22 TOTAL FEES 538.11 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME,AS OWNER - LIC. NO LOCATION AND SETBACKS 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 3 01 _ 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS _ NO NO NO FIRE DEPT. FRAME INSPEC / REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- � INSULATION/WEATHER STRIP INTEFIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 5