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HomeMy Public PortalAbout10859 FREER ST_Building__ 76AEI�_E#003.7.56 APPLICATION FOR BUILDING PERMIT 1 BUILDING AND SAFETY DIVISION BUILDING 859 E, Freer Department of County Engineer ADDRESS County of Los Angeles LOCALITY JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. I GP I TYPE SEWER MAP FOR APPLICANT TO FILL IN B PG CONST BUIL ADDRESS 10859 F- Freer Temple Cit I ��/ J/1 STATISTICAL C ASSIFICATION LOT NO. 33 (/�( T�/ BLOCK CLASS. NO. DWELL. UNITS MAPr— TATE YES ONUMBER _ e I TRACT 10260 US ZO E SPECIAL J HVIY NO. OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT 1 USE OF EXISTING BLDG. ACK YARD HWY STR NAME WIDTH OWNER T'Ya]1a Pruitt FRONT MAIL P. L. ADDRESS 1415 W. Gary=�Ave- SIDE P. L. Ci CITY Went ovng. No ED 19-2018 INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. - ADDRESS / CONTRACTOR AlConst Co No ED 8..2018 ADDRESS ILL ft-- W-4- r;A— ,/ y DESCRIPTION OF WORK NEW x ADD ALTER REPAIR DEMOLISH SQ. FT,y7�f _ Q�OOSNTOFS , NO. OF SIZE OORIEFAMILIES / USE S CTR /` I � e vJ f/ G r t APPROVALS SIGNATURE APPLICA DATE INSPECTOR'S SIGNATURE G. I ADDRESS 1115 W. GCovina FOUNDATION: LOCATION C - FORMS. MATERIALS J - vh''�^J P. C. S� FRAME: FIRE STOPS, E FEE BRACING, BOLTS '.' r c FURNACE: LOCATION, / VALUATION V GGG!!! C/ FEE GAS VENT. DUCTS 0 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. STATE LAWS RE LATLNG B LDING Ct RUCTION. SIGNATOR 7. HOUSE RECT NUMBER COR- PERMIT TTTTTT���666���666E����yy/� V /� RECT AND POSTED 7" ADDRESS Y .0 r FINAL � '..'/-� JOHN A.LAMBIE. COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH +L01 9 5 9- SEP 41 6 13.0 0 t., o2 2 5 0',;; SEP1 2 1 26-00 DS-8 9-48 SM SETa APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY BUILDING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NO.OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE FIRE APPROVED ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE �� APPROVED ZONE BV DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY BUILDING O NAME ADDRESS \ I E — yam` Z ADDRESS LOCALITY 7C— NEAREST V— V 13 CITY C OSS 8T. ?t,! •..t� Q STATE TEL. LICENSE NO. NO. 9 NAME MAIL NAME 3 ADDRESS I0 TEL. Q ADDRESS CITY NO. C z I CITY I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS O — APPLICATION AND STATE THAT THE ABOVE IS CORRECT u STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. _.� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z SIGNATURE OF O LOT NO. SIZE OF LOT —�—_— _ OWNER ^� F NO. OF BLDGS. 4 0. BLOCK -- NOW ON LOT AUTHORIZED AGT. TRACT - - �' CORRECTIONS D USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK USE ----- - - - -- USEOF --------- ----- — ----------- BUILDING J Q Z s � p NEW TYPE GROUP NO.OF NO.OF ALTERATION ROOMS FAMILIES ADDITION SIZE X REPAIR STORIES MOVINGW ALL COVERING DEMOLISH ROOF COVERING - P.C.S FINAL APPROVAL FEE � INSPECTOR'S VALUATION FEE DATE I NAME T LE CITV' , F 76A666A CE#601, 1-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. -ijp DISTRI NO. GROU TYPE PROCES BY FOR APPLICANT TO FILL IN � CONST. BUILDING STATISTICALSIFICATION SEWER MAP ADDRESS f QS9, BK � -- rr CLASS.NO. DWELL.UNITS x LOT NO. T BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE:Za MAP /) TRACT ��jj NO.OF B -_G/' NO. Qw HIGHWAY ISTATE MAJOR SECOND LOCA SIZE OF LOT ryC pL D I NOW ON LOTLDGS. Com. USE ZONE SPECIAL USE OFCONDITIONS EXISTING BLDG. _1 // � TE / , OWNER - N �� ?!� - BUILDING EXIST. YARD 2tlK€- STREET NAME SETBACK WIDTH ADDRESS < j` FRONT ,y� - ARCHITECT TEL.OR TEL. P. L. [1 ENGINEER NO. SIDE P.L. �- ADDRESS TEL INSPECTION RECORD q CONTRACTOR C�'��*-fi_F-/��• NO,.�:'if's ,._;' V ADDRESS O DESCRIPTION OF WORK u W a y NEW DD ALTER REPAIR DEMOLISH - Z SQ.FT. NO.OF NO.OF - IZE STORIES FAMILIES USE OF STRUCTURE c/-t_f.- G SIGNATURE OF APPLICANT " . VALUATION$ oCJ APPROVALS DATE INSPECTOR' SI' r P.C. PMT. `�/ FOUNDATION: LOCATION FE FEE $ - 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, 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- tATFT:INT..- 1 t TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATIO NSU RANCE. LATH,EXT. SIGNATURE OF / HOUSE NUMBER COR- PERMITTEE RECT AND POSTED }2a�63 ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUC AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERM VALIDATION M.O. CASH (�:�7 2 4 2 D JAN 9 1 0 3 .0 �r 'P L- <� Cry 76AG30A CE809.9.6 BUILDING PERMIT o APPLICATION FOR BUIL I G COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRE BUILDING AND SAFETY DIVISION LOCALITY !r"' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST J /� WILLIAM A. JENSEN SUP'T OF BUILDING CROSS ST. DISTRICT NO. GR UP TYPE PRO ESSED BY FOR APPLICANT TO FILL IN S7 o3 I CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS �� G; BK PG 1 CLASS. NO. DWELL.UNITS I dr. LOT NO. ? ( BLOCK NUMBER , CI,,�/ &MAPSTATE yES HWY. US ZONE TRACT SPECIAL NO.OF BLDGS. �`�- CONDITIONS SIZE OF LOT �'C goy I NOW ON LOT � 0 USE OF EXISTING BLDG. rUILDING YARD HWY STREET NAME EXIST. �.�f� � ) TEL. / SETBACK WIDTH OWNER 1.{ifiG1Z� Ji NNOO.a-Z FRONT ADDRESS �VV^ &4-el (::!- SIDE ARCHITECT OR TEL. P.L. ENGINEER NO. INSPECTION RECORD } ADDRESS �.�.r- C 0 CONTRACTOR �.�,� L (� TNO.EL. (_ ljoh ADDRESS - O DESCRIPTION OF WORK w CL NEW ADD ALTER EPAI DEMOLISH Z SQ. FT. NO. NO.OF SIZE STORIES FAMILIES USE OF Lv� STRUCTURE J �' ILI SIGNATURE OF APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE S FEE $ 0 FORMS, MATERIALS FRAME: FIRE STOPS, IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCT ION. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT. EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT TO THE WORKMErCOMPENSATION LAWS CALIFORNIA. LATH, EXT. SIGNATURE OF f HOUSE NUMBER COR- SIGNTU RECT AND POSTED PERMADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENqnqrlER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o. U4 1 7 1 JUS! ?6 1 p 2.0 0 M 76A638A CE#8031-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDREISS Q g DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. D I S;jjJ CT GROUP TYPE -11"R�E.V B FDRESS R APPLICANT TO FILL IN CONST. STATISTICAL C SIFICATION SEWER MAP BK - P,G� CLASS. NO. DWELL. UNITS GYI�IOK WATER NOTREQUIRED ® RECEIVED ❑ CERTIFICATE: TRACT D MAP HIGHWAY NO. OF BLDGS. NO. Q,�0 (CIRCLE) STATE MAJOR SECOND SIZE OF LOT r NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. - / TEL./► OWNER NO.(► BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT 1 ARCHITECT OR TEL. P. L. ENGINEER j/ NO. SIDE } P. L. ADDRESS d 0 E L. u CONTRACTOR O. OC ADDRESS L 3 ta.3 - 0 H DESCRIPTION OF WORK W d NEW ALTER REPAIR DEMOLISH Z SQ. FT. NO. OF NO. OF SIZE • STORIES FAMILIES USE OF STRUCTU E � SIGNATURE OF APPLICANT ' VALUATION APPROVALS fDATF I NSPECTOR'5 SIGN,,,t E AT FOUNDATION: LOCATION P.C. PMT. �� 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 GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. [ ' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN' COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE ECT AND POSTED ' ADDR S lJ a AL JOHN F. LEWIS, PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O. CASH I Ll"6 6 5 4:ol NOV 7 1 D 1 5.0 0, C DrvISION OF BUILDING AND SAFETY BUILDING Department of County Engineer Count!r of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION BUILDING ` I— y FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS \ - LOCALITY �- NEAREST •, - . LOCALITY CROSS ST. NEAREST DISTRICT NO. PUN CK.OR REG. No. PERMIT NO. ��''-� CROSS ST. ° OWNER RECEIVED BY DATE OF APPL. DAT 1623U D MAIL ADDRESS USE ZONE NO. OF TYPE GROOP IRE ZONE I I • TEL. PLANS � j CITY NO. ++ .:.,�.-•--'- ARCHITECTOR TEL. r'�� / ZONING ,,, ENGINEER NO. APPROVED BY- BUILDING Y- ADDRESS BUILDING L� / OR SETBACK LINE: CONTRACTOR NO.. APPROVED DATB HOUSE. NUMBERING ADDRESS LEGAL 1•r MAP NUMBER �' "�� `"'•°•` NO. ASSIGNED BY !. DESCRIPTION LOT NO. BLOCK `�}J DATE CORRECTIONS I INSPECTOR TRACT A0NO. OF SIZE OF LOT 41-5 X 2-/Z I NOW ON LOTS USE OF - - NO. OF EXISTING BLDG. - I FAMILIESf 0 DESCRIPTION OF WORK NEW ALTERATION�I DEMOLITION ADDITION � � � � REPAIR SQ. FTNO. OF p SIZE ROOMS ! STORIES EXT. WALL ROOF COVERING -��'' COVERING ' USE OF STRUCTURE F APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS 1AGREE TO COMPLY WITH AL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF, / / F / LATH, INT. PERMITTEE t� LATH, EXT. ADDRESS AUTHORIZED AGT. PLASTER, INT. PLASTER, EXT. �O� FEE E HOUSE NUMBER COR- RECT AND POSTED VALUATION s FEE FINAL 4 p' 76A888A DB8 8 2-88 COUNTY OF LOS ANGE!L&S TEMYLE CITY 0 0508 BUILDING PERMIT DRPARZCMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1208150019 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 10260 LT: 33 SQ. FT STORIES TYPE 10859 PILFER 9T STRUCTURE: 1100 V-B t TEMP CA 917803538 ASSESSOR INFORMATION NUMBER: NEARE8T CROSS SI'REE•P: EL M7NTE 8573-016-020 i _ THOMAS PAGE: 59.7 GRID: D4 L(CALITY: TEMPLE CITY, C T 20iNT ST BLDG USE: RESID USE-ZONE: R-4 I99 ON: PROCE9SED BY: EXIST OCC GRP: _ 08/15/12 SR OWNER: TEL. NO: BLAGS. NOW ON LOT: VALUATION: F F Y: CODE: CHUONG (626) 442-1944- 3,000 10861 FREER ST TEMP 917803538 FEES PAID 6Rf3(�RIATION OF WORK REMV.E EXISTING ROOF, REPAIR FACIA F DAMAGE FACIAL BOARD FEE DESCRIPTION: QUANTITY: COM: AMOUNT: EAV BOARD IN=JL NEW ROOF COMPOSITION SHINGLE APPLICANT: TEL. NO: DATL?,M CONSTRUCTION INC. (626) 675-7052- AA BLDG PERMIT ISSUANCE 27.80 1798 CIGAR TERR AB STATE GREEN BLDG FEE 3000.00 VAL 1.00 SPECIAL CONDITIONS: W. COVINA, CA 91792 AC STRONG MOTION RE9ID 3000.00 VAL 0.50 D2 PERMIT W/O EN-HC 3000.00 VAL - 99.00 TOTAL FEES 128.30 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DATtAAM CONSTRUCTION, INC. (626) 675-7052- 1798 CIGAR TER LIC. NO LOCATION AND SETHAL'E9 WEST COVINA, CA 91792 859760 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER_ TEL. NO: FOUNI]ATION/T'RENCFI FORMS LIC. NO: SLAB ,UNDEIR FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: '. UNDERFLOOR INSULATION 147H277 3 00 190. OF FAMIIA; iA7Iii.LZNG UNITS: APT COND: S= CLASS: - FLOOR 9HEATEIING ,TR. 0 NO 21 ROOF SREATHINdG SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME tNSPE0 TION FIRE SPRINKLER HANGERS INSULA ON/WEATHER STRIP iNTEiLtoR LATH DRYWALL EZTER-TOR LATH RATED FLOOR CEIL ASSE1. RATED WALL ASSfi-(BT 9 RATE? SHAFTS OPENINGS T- CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 �y WORKERS'CO PEz SAT1Of4 DECLARATION ...� - - ; �tereby affirm that I have 9 �tfi�.of ronIse�t ta,self jt�p PLL_A� tON� AOR B ��►DI Nom. _PERMIT ! rn4re, or a ceftificate of WorkersCompensation Insurance, or a cert,ifled copy thergaf(Sec. 3BO0, Lab.-C_)', - -., --7 --. _ - - -_. - -l -- ._•. .- : COUNTY OF LOS ANGELES WLDIIIIa AND S Y I-J :i->, Polln'No. .CompaOy- . . _ -. _ ' . . - '_ - - - - EJ ,•Certified copy is hereby furmished. :•.,1- • FORAPPLICANTTO FILL IN ADDRESS BDDRESS Cbrttflid copy is flled_wlth'the cqunty b4jI1dlrifl''Ihspec- BU NG tion deportment. ADDRESS 10VS-i FRAC I' Date —_.--:Appllcant•` �1'n CAY TOM ZIP Y� LOCALFTY � '. F i 'C33MFIC Ti OF EXEMPTION-FROM WORXEF S''. - ` ' - NO:OF$LDGS. NEAP[_ COMPENSATIOPI INSURANCE OF LOT NOW ON IAT ST. (This wi;ttor) need not be torr. letdd tf tfie.permirfs for one hundreql dollars (=TOO)or lea} ,,; _ , : TRACT BLOCK LOT NO. AMp I300K PAGE' P I cwttfy That Jn tlhe.performan�e �f the work fqr wf11c this _ _ _ ZO►E td0 } OWW permit is tsi2led, l shall hot dmpldy arty�_]c.��n In any manner to as to become iublect to the W&kirrz:'CID loii'Laws. ADDRESS ��� � -- .b". . ,i$. 7 r Appllcanf - -- - ttQTICE TO APPt1CIANT: ff, pf}er' rflb Thh Ifictite o QR :• ' _. 84'�F - aSTRIGT. GRa1>', T1 PF...! PRE. - - 9y- No.(OP ExOmptlon, ,you•1hoUld Ibec�rfie iub�btt�to- e�ANorkers' �T.' ZONE ADDRESS Compensatlon.provlslons-ofi'thb InborkCodp,�ou7nusi fortfi- _ _' wtih.compty,with Yuth-.prgylilons o,-•thl4..perm)t shall be --_ _.. -`-" , TL STATISTICAL CL453JFKi4 AFT. TIDO.•'" deemed!eyQk�•1..,. ... . �... ..r: .ti .,:L ,: CONTRACTOO NO. _ I LICENSED.CCX�TRACTORS-DECIA n CSS 1IO. DWH1_ UNITS -- - - _ I hbreby affirm thpt I am Iloerded under provlslons 6-pter 9 ADDRESS NO. (mmrt»n�lrq with 7.006)gfDfvh4o�3 of the new and ,_ .. _.__ .. - - - LIC. -- .- SEWER AAAP Profbwions Code; y Iicenie'Is h ful(force 6 e{#e CRY aAss - -. - VALDATiON - FT. NQ:OFr L30.OF Llcense`Nymbir 1 LTG C i Y11 �� 3r S� - <IE�' _Of _yamlT� I ' -- Dais r t .>t1r{. - DESC&T10N- F WORK _ _ _. _ PEWy ADD am exempt under$ec:3. - - r��/Q d�� _ _ , I ., E• :B. P:C. for thIsTbasorr _ - - REPAIR- USE OF.: I t EXMNG BLDG. p +i r DEMOI Sl9nafuro + -IN- 0 V(A 2 6 FINAL i OWNER-BUIODER DECLAI ATION NO i t _ DAT! .a hereby-affirm thot.1 am exempt from the Contractce"cerge ADD( 55 O p - K Low for the followll49 xedsoh.(Settlors 7031.5, Qvsiness and A - -- - FI ° j• [•. ,i r 1, as owner of tf,e o BUILDING 2-6323� -�. _. prop", or my employees with, _ ADDRE,SS _ -- ..- - - -- _- __. _ -_ - ._ - _ - -. _._- .- -- - _ .• -. , wages as their sore compensafJon,'wlfl do the work and -o I s.c:e•.e`-1_ -f the structure ts.pof Intended or offired for sale{Svctlon.. LOCALITY ' _ - - 7t}44, Business and'�rofeaslorn-Code}. -- - - ,� - AAO'N1NG_.. . ..._ ... - ._,. -. ...-- TEL -•. ._ .Y_.-,_^..�' - .- - - -- �.. I ----,5%2,5 - . I, as own6r of the property, am exclusively contracting QQNTRACTCQ No. ' '� with-licensed contractors to construct-the-project-(Sec 9' o v'5 2 5 ADDR tion 7044, Buslnees and Professions Codb�' j'' Q 0 9+-8 71 y CONSTRUCTION-LENDING AGENCY YARD TOTAL SETBACK FRom__i: FIW1 PROP. LINE 1 hereby affirm that there is a constriction lending abenc�forT the performance of the work for which this pgrmlt.Is issued P -�-- _.-. . _ _ - . - _ Q (Sec 3097, CIV. C). SIDE - ..._. ; + P.L Lenders Nome ' $ P.E Fn i LDAAA Rif:III - benders Address ,,11 J certify that I have rood this appllcatlon_and state-that the ._-.. _ _ -- Iwuance•Fee �() ' LDAM P/C f. above Information is correct: I agree to comply with-all County Irtwarl Fee Ordinances ar4_ tr State -_Eaws relating to bullding conatrpolon, �J and hereby aufhore representatives of this County to enter TOs°kF" LBMAfsr'r'. ! - u n this above-mentioned property for Inappctlon purposes p - M MMM POR DCIPLAMATOiY L/UKWACkl - - i 7