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Home My Public Portal About10843 FREER ST_Building__ 176AS38A CE#80311-57 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ^. DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY e f r JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,Sua'T OF BUILDING CROSS ST. DISTRICT NO. GR U SEWER MAP TYPE BK P FOR APPLICANT TO FILL IN `j I coNST ADD ESS ✓ STATISTICQ�C�SSIFICATION 'I LOT NO. :J 'OlC S/ �� AF BLOCK ` CLASS.NOXiCELL. UNITS NUM ER .. O ,J�MAP STATE YES O HWY. • TRACT 4 V i 3—Z U E Z E SPECIAL r NO.OF BLDGS. //'g�� CONDITIONS SIZE OF LOT J NOW ON LOT �C� L10 'USE OF ✓ EXISTING BLDG. BUILDING EXIST. SETBACK YARD STREET NAME WIDTH OWNER /�Z' FRONT - _/ MAIL y P.L. "O J47,9ry 41 ADDRESS /O ��- � ` %��(6 I� ,S�_ SIDE �+ f ' TEL. d P.L CITY / e, _ NO ARCHITECT O TEL. INSPECTION RECORD ENGINEER NO. ADDRESS TEL CONTRACTOR NO. ADDRESS ' DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH '� NO.OF NO.OF SIZE STORIES FAMILIES USE TRUCTURE // 6AM'L' , SIGNATURE OF APPROVALS APPLICANT DATE' INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS.MATERIALS 0o N .,�py(G✓1/tl� P.C. E' FRAME:'FIRE STOPS, FEE BRACING,BOLTS VALUATION S �/ FURNACE- LOCATION, .. - FEE jf GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP., LATH, INT. ' _PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 'REGU ING BUILDING CON TION. LATH, EXT. SIGNATURE OF / S/ HOUSE NUMBER COR- PERMITTEE ///JJJ(((�� / P,�J ��.. RECT AND POSTED /{ ADDRESS - FINAL CLYDE N. DIRLAM, FSRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. -CASH 04 3 9 8 SSP 2 1 A ; S.5 � TEMPLE CUTY 76A636A CE•#8031-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT ✓ DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY �' P f JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / /' ' 1 WILLIAM A. JENSEN, SUPT OF BUILDING .CROSS ST DISTRICT GROUP I TYPE c---•' P, - ESSED BY FOR APPLICANT TO FILL IN j'� - CONST. -fL BUILDING STATISTICAL CLASSIFICATION S•WER MAP ADDRESS A BK PG _ CLASS NO --4—DWELL UNITS � LOT NO. , ''!C_ L I OCK WATER ❑ CERTIFICATE: NOT REQUIRED RECEIVED TRACT j4,1% + NO.OF BLDGS g9; MAP NO � ( _j (iC(CIRCLE) STATE MAJOR SECON �_ , LOCAL SIZE OF LOT ,� NOW ON LOT bUSE ZONE SPECIAL USE OF C. � � CONDITIONS EXISTING BLDG �„"' TEL OWNER ,� NO. �� i1 BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS /1 FRONT ARCHITECT ORTEL P. LCA /O ENGINEER NO. SIDE P L. ADDRESS d TEL V CONTRACTOR NO GC ADDRESS O F� DESCRIPTION OF,WORK W CL. N NEW AD ALTER REPAIR DEMOLISH Z SQ FT. NO-0-17- NO OF SIZE STORIES FAMILIES USE OF STRUCTURE f 1 ' SIGNATURE OF APPLICANT + ► VALUATION $ .��- APPROVAL$ ,DATE/ INSPECTOft� R,S S10N,4TyU RE P C. FEE 'S UNDATION FEE $ / � FO FORMS, MATERIIALSON //?A-3 ACKNOWEDGE THAT I HAVE READ FRAME- FIRE STOPS, �7 I HEREBY LTHIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE' LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK � AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT. �r3 TION OFA HE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- IAIG�TO ORK MEN'S COMPENSATION INSURANCE �� ^ • 'rte LATH, EXT SNGN' U'R•E+OF HOUSE NUMBER COR- 11 PERMITTEE RECT AND POSTED / i ADDRESS �r .� _ FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG SEER PLAN CHECK VALIDATION CK M.O. CASH _ PERMIT VALIDATION CK. M 0. CASH . I I, 9 9 - JKv 7 2 D 1 8.5 0 r APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING BUILDING 'y _ ADDRESS ADDRESS CJ CITY T�ii7ti. G/� 1/l . ZIP LOCALITY S I NO.OF BLOGS. NEAREST T 3 NOW N T SIZE OF LO O O LO S /�o (• CROSS ST. G �,'•�A O ASSESSOR TRACTOi,4,/1, BLOCK LOT NO p PARCEL / MAP BOOK PAGE TEL. / DISTRICT GROUP TYPE FIRE PROCESSED BY OWNER / ��L- / '/r lil NO. til.It:;Prlb { CONST ZONE i _ �� c ADDRESS15 I STATISTICAL CLASSIFICATION SEWER MAP CITY ,��/\ /� ZIP / CLASS NO.';j_i--DWELL.UNITS BK PG ARCHITECT OR EL. ENGINEER , 'jj� NO. %i„ USE ZONE MAP _ NO. ADDRESS A ? {�(+/v �a',�,Iy: 7jl�p _ 7 SPE IAL TEL. "^3 CONDITIONS CONTRACTOR �4 NO ROAD DEPARTMENT APPROVAL REQUIRED YES NO LIC. ADDRESS NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) CITY CLASS TOTAL SETBACK FROM TYPE OF EXISTING CONSTRUCTION LENDER HIGHWAY } YARD NAME AND BRANCH FRONT PROP. LINE HIGHWAY, WIDTH ADDRESS CITY + >_ cl- SQ. FT NO. OF NO. OF CHECK BLDG.SETBACKFR O SIZE STORIES FAMILIES ! ONE SIDE PROP. LINE OF (STREET( U TOT A ACK FROM TYPE OF EXISTING CD DESCRIPTION OF WORK NEW HIGHWAY + YARD = SIDE R P. LINE HIGHWAY WIDTH U ADD _ d CID ALTER ❑ ❑ Z CORNER CUTOFF YES Z NO REPAIR❑ USE OF EXISTING BLDG. DEMOL ❑ IN OPEN SPACE YES NO APPLICANT - TEL IN COASTAL ZONE YESNO (PRINT) -L �w� /Y'1 lI�N �' {'�%''�•� "!. CATEGORICAL EXEMPTION YES NO ❑ BY (SIGNATURE) / ENVIRONMENTAL �- IMPACT EXEMPTION DECLARATION SIGNED (DATE) VALUATION IMPACT REPORT PROCESSED (DATE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED - HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMP/ TION IN 'E. e SIGNATURE OF �� FINAL l"y PERMITTEE - _ DATE i /I! -- r ADDRESS , ' T �J"` t�/ P.c. C PMT. a y FEED FEE 1, CITY F f~ 17 r' /..ti' NO. u,T/J A'i,I �) N ,��• PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK. M o. CASH 9 :34C-4Lb r�4 1 U � 76A638B CE9803A 5/73 FDEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES G 1 WM. .J. FOX, CHIEF ENGINEER B U I L FOR A/P�PLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING / r� / ADDRESS ^f / ®� 7 G LOCALITY RE EIVED 1pY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. BUILDING OWNER ADDRESS 3. MAIL LOCALITY ADDRESS TEL. NEAREST CITY NO. CROSS ST. FIRE NO.OF PE GROUP ARCHITECT OR TEL. ZONE ,■. PLANS ENGINEER NO. BLDG. ORD.NQ. ADDRESS SETBACK LI TEL APPROVED CONTRACTOR NO. BY USE APPROVED ADDRESS ZDNEC � BY DATE LEGAL CORRECTIONS DESCRIPTION I LOT NO. I BLOCK TRACT 13 ... NO.OF SLOGS. _SIZE OF LOT I NOW ON LOT USE OF r.� NO.OF �I�II NO.OF EXISTING BLDG. FAMILIES ROOMS'00"� DESCRIPTION OF WORK NEW ALTERATION ADDITION � A REPAIR MOVING DEMOLISH SO.FT. ,4e NO. OF / Z SIZE < �•7'T ROOMS 4 S/Tg13RRIE13 WALL ROOF / COVERING fff -'C�i. I COVERING(,al. if," USE OF NEW /77 BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION INSPECTOR - DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. _ FRAME: FIRE8TOP9, SIGNATURE OF BRACING,BOLTS t OWNER LATH,INT.: AUTHORIZED AGT. LATH,EXT.: OBS-3 25M SETS 1-47 $ P C.41 _ _ PLASTER. INT. 1 FEE i/" PLASTER,EXT. VALUATION ��./ L' FEE FINAL '� 76A69SA CE#80911-67 APPLICATION FOR BUILDING PERMIT .1 - COUNTY OF LOS-ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER A ADDREss. BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER- NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT O. OUP TYPE SEWER MAP , 17 DO LI CONST. K BUILDING /J v• STATISTICALADDRESS CLASSIFICATION CLASS NO ' DWELL. UNITS LOT NO. 3 BLOCK MAP TRACT Z,' NUM ER QC.-�'� v 1 HWY. YES, O • _ 'USE ZONE SPECIAL - USE OF BLDG.I NOW ON LOTS CONDITIONS / -7 SIZE OF LOT. EXISTING BLDG. BUILDING YARD` HWY STREET NAME EXIST. - SETBACK WIDTH .+ /� MAI L OWNER ) AWA 10Sd., A FRONT ADDRESS D�` ' czC SIDE TEL. P.L. CITY a No. ARCHITECT O f!�'INSPECTION RECORD C� q `� 7Ir'JEL.' ENGINEER /� ��.Y10. ADDRESS rf L TEL. p �;-;#%�-!�C_ �� .L�//b.�.•9 �i. eP1Ga� CONT .�a�/ C ADDRESS / Al- DESCRIPTION LDESCRIPTION OF WORK _&qwO NEW 'ADD ALTER REPAIR DEMOLISH /� / SQ.FT. NO.OF /. NO OF ,,,0� �j ltif! Y- SIZE A6TORIES FAMILIES0 - � Z - s USE OF.STRUCTURE / l /$8 gP-7- C0-Q,p 4 T ABC 1,/ SIGNATURE OF APPROVALS APPROVALS r APPLICANT _ `• �f DATE - INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION ,// //• i ce FORMS,ORMS.MATERIALS $ _ P.C. $ 7j FRAME: FIRE STOPS, •� t r C/ FEE BRACING. BOLTS - VALUATION :?3o,�� FEE $I 1 � FURNACE: LOCATION, GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CO RECT AND AGREE TO COMPLY WITH ALL COUNTY ORD" CES AND - STATE' LAWSG BUIL NG C RU ON. :LATH,EXT. -SIGNATURE O HOUSE NUMBER COR- . PERMITTE RECT AND POSTED •ADDRESS' bV FINAL CLYDE N. DIRLAM, PRINCIPAL SYR RAL ENGINEER PIAN CHECS VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CASH. L4iCo1 4.4--3 N Jm 2 1 6 A 2.75 A LG-1 4,"4 4.N` JUN.. :2 1, A, 1. 1'.0.0 ' APPLICATION .E �T .�:ING -PER-M-IT- �- COUNTY OF LOS ANGELES,, BUILDING'AND SAFETY WORKER'S COMPENSATION DECLARATION u1� p.F� FOR APPLICANT TO FILL IN ., II ," ADDREssc I hereby affirm that I have a certificate of consent to self Insure, B', �y I D . Freey" c7 or a certificate of Workers' Compensation Insurance,or a certified / 7 copy,thereo (S c 3800,Lab C.) /r7' CITY ZI �q R POIICy No Company �,�- ✓ /IF LOCALITY ,,o�,,� SIZE O LO NO.OF BLDGS NOW ON LOT � 'C:ertlfled Copy Is hereby furnished NEAREST CROSS ST ❑ Certified copy Is filed with the c ty budding rasp ct n TRACT BLOCK LOT NO •,depart nt _ • USE ZONE MAP NO Dat pphcant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS ERTIFICATE.OF EXEMPTIO OM,WORKERS' OWUFR TEL NO. 7 COMPENSATION INSURANCE B ��/ WITHIN 1000 FT OF SCHOOL? YES NO . (This section need not be completed If the permit is for one hundred AD R SS �� dollars ($100)or less) � I _ .S DISTRICT GROUP TYPE CONST 'FIRE ZONE PROCESSED BY CIT`i,-�� Z I'cerhfy that In the performance of the work for which this permit '�, - / O •55 ��i_- -� -3 ( Is issued,*l shall not employ any person in,any manner so-as to i /' () l,{J become subject to the Workers'Compensation Laws:s ARCHITECT OR ENGINEER TEL NO STATISTICAL CL SIFICATION APT CONDO Date Applicant ADDRESS CLASS NOS' DWELL UNITS NOTICE- TO APPLICANT.' If; after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you" should become subject to the -Workers' C NTRACTOR,�� / - SET BACK YARD HWY -PROP LINE WIDTH Compensation provisions.of the Labor Code, you must forthwith C—T/CJV FRONT comply with such provisions or this permit'shall be deemed revoked. AD � L C �� p L LICENSED CONTRACTORS DECLARATION PILE IT LIC P L _ I hereby affirm that I am licensed underprovislons 'of Chapter 9- SEWER MAP (commencing with Section 7000)of Division 3 of the Business and S NO OF STORIES NO OF FAMILIES Professions Code:and my license Is In full force and effect NEW El BK PG ect a License Num�b�er� LIC. Class •J CRIP7ION O WORK, App ❑ y�p�ON , O Contractor`!�/_•�/ /Q/ T Date ALTER ❑ - �➢ 9to 0M r 0 ML REPAIR $ OO ❑ 1 am exempt under Sec.' B&PC for this reason ��1 �j� J t •` DEMOL11U _ LDMA P/C#' III C) Date - US9 OF EXISTING BLDG 1. tel: .Q�n/Q ORM, -•❑ - �- Signature APPLICANT(PRINT) - TEL NO _'1 LDMA Perm# •11�t- .I t!'�a=• Z ❑ I,'as owner of the rty, or my employees with wages as p i i E Gi}'- their sole,compens on, will do the work and the structure Is ADDRESS . not Intended or offered for sale (Section'7044, Business and FINAL DATE a '011 ,; 5 Professions Code.) p i a i HL. d -_� WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J i A� ❑ 1, as owner Of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS'MATERIAL EQUAL TO OR GREATER THAN THE FINAL B �a� P P Y. Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE'+ licensed contractors to construct the project (Section 7044, Business and Professions Code) ves 1:1 No El _ CHANE ,!i! WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKUST FOR /pII�,G� qp [l• " GUIDELINES ,y` V(L/, 1I�i i(�-tf if�•i+�• ( °r't � I hereby affirm that there Is a construction lending agency for YES❑ No❑ N. the performance of the work for which this permit Is Issued(Sec. t ■ p1 (HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUID ND THE SCAQMD PERMITTING o i Firs : .:� 3097,Civ C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER T OS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2. 0 00 CONCERNING HAZARDOUS 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERM40FROM THE SCAOMD o Lender's Address O OWNER OR AGENT , o .. I certify that I have read this application and state under penalty oPC FEE PERMIT FEE of perjury that the above information Is correct I agree to comply .� with all county ordinances and State laws relating to budding G constru + n, and hereb a OnZe re resentatives of this County ISSUANCE FEE _ l M �to e t u n the above-mels Heil propert or Inspe purposes Z 5 (0 - INVESTIGATION FEE TOTAL FEE sgoowrc o1 Aod��m or D �• .J lfJ 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 I LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508. 0211260056 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. 0 CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 10843 FREER ST STRUCTURE: VN TEMP CA 917803538 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SANTA ANITA 8573-014-061 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-2 ISSUED ON: PROCESSED BY: EX—PFR ES ON: EXIST OCC GRP: 11/26/02 JK 05/25/03• OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI DA FINAL BY: CODE: RAMIREZ•SALVADOR (626) 579-6140- 150 10843 FREER ST b TEMP 917803538 FEES PAIDCR ON OF WORK ' RE LAC WINDOW IN WOR SHOP FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 150.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 150.00 VAL 43.65 TOTAL FEES 71.90 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 147H277 3 01 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 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' E EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS I 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 9909150029 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 10843 FREER ST STRUCTURE: 0 VN TEMP CA 917803538 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SANTA ANITA 8573-014-061 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY TENANT: • EXIST BLDG USE: RESID USE ZONE: R-2 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/15/99 UT 03/13/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA BY: CODE: MERCADO JOSEPH H;IMSTEPF ROSEMARIE (818) 443-3377- 1 400 10843 FREER ST TEMP 917803538 FEES PAID DESCRIPTION OF WORK ADDING 16"X 24"WINDOW TO EXISTING BATHROOM APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: � SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 400.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN'HC-400.00 VAL 43.65 GELEST0T®FEES 71.90 ,CONTRACTOR: TEL. NO: ®C3 ��I A� APPROVALS DATE INSPECTOR SIGNATURE 'SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: y FOUNDATION/TRENCH FORMS LIC. NOITA 1111111 SLAB/UNDER FLOOR I RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:= n (� n/� UNDERFLOOR INSULATION 147H277 3 u01=�II II � L�� WQ�I�` 3 AN ``/ u v FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:— NO 2 ROOF SHEATHING SCHOOL WITHIN . HAZARDOUS 4\ J � �� AIR QUALITY: 1000 FEET MATERIALS Q O �+ SHEAR PANELS NO NO NO 11 FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST f1 0 FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: %%c t FRONT PL- ServiceTh INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508