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Home My Public Portal About9043 GARIBALDI AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES BUILDING CekdcgADEPARTMENT OF COUNTY ENGINEER CITY ,( ZIP BUILDING SAFETY DIVISION OF BLDGS. 66AIREMST G SIZE OF LOT ON LOT S TRACT BLOCK LOT NO. Y TEL. $'rte OWNER t NO. ASSESSOR ADDRESSMAP BOOK PAGE PARCEL DISTRICT Fl RE BY ARO ZIP ZONE ARC}il ECf OR TEL. ENGINEER NO. STATISTICAL CLASSIFl CAT KDN SEWER MAPS ADDRESS LASS NO.'_DWELL UNITS BK 9 TEL. (L( USE ZONE MAP 'D GOtJTR,4CTOR NO LIC SPEOAL ADDRESS CONDITIONS C n CITY CLASS oL ROAD DNkRTMENIT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRLplOf4LBJ91 NAME AND BRANCH BLDG.SETBAN FROM FRONT PROP.UNJE OF (STREETI ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SO.F. NO.OF NO.OF a.l� HIGHWAY + RD FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW + O i DD El BLDG.SETBACK FROMell (STREET) O SIDE PROP.LINE Of / f, ALTER ❑ SETBACK FROM TYPE OF EX1571NG HIGHWAY + YARD PROP,UNE HIGHWAY WIDTH USE OF REPAIR ❑ Z EXISTING BLDG. DEMAL El + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (P%NTI NO. IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION I HERIRY AOO4OWLbGE THAT I HAVE IZEAD THIS APPL)C AAATLKL,,LJLN fA�NI NDASTTAATTEE .T THE ABOVE IS AND LAWS u:rL.A CORRL{T AND7 COMPLY WITH FY TWr IN DbI N(3 7HE-, WORK AUTHORIZED HERHY.I WILL NOT EMPLOY ANY PERSON W VOC ATION OF TRE LABOR OODE OF THE STAT!OF CALIFORNIA IN RELATING TO WORKMENS OOAf— I PENSATK)N MELRtANCE SIGNATURE OF PERM= r&eA22!,l!:::l,.l ADDRESS Q l FI NAL TER. DATE (i _� BY CITY FE FEET M.BEZ IE T, YABLE TO. HARVQY T.BRAN DT,COUNTY ENG INE R �+- PLAN CH9CK VALIDATION tx. M.o. CABH PERMIT VALIDATION cx. M.O. CASH 6 1 01 21.75 es 76A63BA CE N&OL3 3-73 - - - - APPLICATION FOR BIgILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) a COUNTY OF LOS ANGELES "ILD ss D .- �. DEPARTMENT OF COUNTY ENGINEER CITY e i' T� ZIP BUILDING AND SAFETY btVISION OF BLDGS. BUILDING SIZE OF LOT N ON LOT ADDRESS D 1 TRACT S o v BLOCK LOT NO./� O LOCALITY TEL. 'J.g7 -- NEAREST OWNER' O. GICSS ST. f� R ADDRESS /- 0j 9 BOOK. PAGE PARCEL _ DISTRICT GROUP TYPE FIRE ED BY ARcHrr OR ZIP TEL D p W ENG N EER- NO. STAT I STI CAL CLASSIFICATION SEWER MAP TEL ADDRESS CLASS NO.�OO DWELL UNITS �� BK 5 T3 _ CONTRACTOR Cla 4 USE ZO E NO O O LIC. / ADDRESS NO / - S SAL C 2 CONDITIONS Clll 7 RQ�D DEPARTM8IT APPROVAL Rf(�UIRED YES ❑ NO ❑ GONS7RUC1ON LENDER NAME AND BRANCH 6UDG.SETBACK FROM FRONT PROP.LINE OF ISTREETI ADDRESS NO. HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING Sp.FT. NO.OF CHECK FRONT PROP.UNE HIGHWAY WIDTH SIZE RTES' FAMJUES ONE DESC21PT,ON OF WORK NEW + O ADD ❑ BLDG.SETBACK FROM oc / SIDE PROP.UNE OF (STREET) rO / ER ❑ TOTAL MTI}ACK FROMTYPE OF DUSTING iL REPAIR 11 HIGHWAY + YARD SIDE PROP.UNE HIGHWAY WIDTH USE OF _ DjSf1NG BLDG. DEMOL El + APPLICANT TEL CORNER CUTOfT- YES ❑ NO ❑ 1 PRI NTI NO. IN OPEN SPACE YES ❑ NO ❑ BY ISIGNATURFJ IN COASTAL PERMJT ZONE YES ❑ NO ❑ VALUAT}ON$ ? C 011� I HEREBY IO THAT I HAVE READ THIS APPLICATION AND SPATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY YrM All ORDINANCE AND LAWS REGULATING BULDfNG I CERTIFY THAT W DOING THE WORK AUTFI OZED HEREBY I WILL NOT EMPLOY ANY P55ON W VKOLATKON OF THE LABOR(DDE-OF THE STATE OF CALI FORK IA W RELAT1 NG TO WOWJABI'S COM- PENSATION INSURAfdCE. . SGNATURE OF ITT PERMEE ADDRESS Q ( � FINAL r 7 7 BY aTY TEL. ( QATE LMAKE CHECKS PAYABLE TO: FEE FEE HAHVEYT.BRANDT,COUNTY ENGi1NEQR PLAN CHECK VALIDATION cx Y.O. CASH PERMIT VALIDATION C+c Y.O. CASH 9 -DEC 23 1 D2 1.7 l n 1i (8, 76A630A CE#9D3 3-7s i6AEDeA C[MSOS S-Bs APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES 8UILDINO DEPARTMENT OF COUNTY ENGINEER AD DRESS B=ING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIFE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSPUP•T.OF EUILDINO CROSS ST. DIR T m O GITYRE_ P IS FOR APPLICANT TO FILL IN CONST_` DUILDINO I STATISTICAL BSI FICA TION SE ER.MAP ADDRESS CBK PO r� LASS NO. DWELL UNITS `.J LOT NO. FLOCK US-E ZONE MAI O N TRACT 52i&2 L� SPECIAL I /f� CONDITIONS NO. OF ■LDG/. SIZE OF LOT NOW ON LOT USE OF- ■LDG. /[T/ACI FROM TEL. FRONT PROF. LIN[ OF (STREIT) OWNER NO. TYPE OF [XI/TIN[ G[TGA4K HIGHWAY YAAb = TOTAL WIDTH 'FAW C.L. ADDRESS /] CITY +' ( + _ ■LDG. 1 BACK FROM ARCHITECT OR --t" NO.EL. /ID[ PROF. LIN[ O ENGINEER F (STREET) TYPE OF [XI/TING /[TGACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CL C TEL + = 0 CONTRACTOR O Acti `-� U LIC' r` CORNER CUTOFF YES NO DC ADDRESS NO. If. Ll LIC' 3, SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK U) Z NEW ADD ALTER REPAIR DEMOLISH S4 FT. NO. OF NO. OF SIZE BTbRIEB FAMILIES USE OF STRUCTURE L L E OkNT ON$ - �..-r• � V APPROVALS D,,k TE IM/FtC7QA SIGNATURE FOUNDATION, LOCATION FEE$ FEE$ (! FORMS M TERIAL FRAME, FIRE STOPS, / I H[A[1Y ACKNOWLmO[ THAT 1 I{AV[ R[AD THIN APPLICATION DR ACING DO T AND STATS THAT THF A/OV[ I/ CORRECT AND AOREK TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCXS AND /TATK LAWN RKOULATINO OAS VENT. DUCTS GUILDINO CON/TRUCTIO . I CiRTIFY THAT. IN DOING THE WORK I AUTHORIZED HERESY I ILL NOT EMPLOY ANY P[FfON IN VIOLA- LATH. INT. T70N OF TH[ LABOR C D[ OF TH[ /TAT[ OF LIFORNIA RILAT- INO TO WORKMEN'/C FENSATIOfI 1 U N LATH. EXT. SIGNATURE OF HOUSE NUMEER COR PERMITTEE i RE F ADDRE86 - FINAL JOHN F. LEWIS. FjRI1fCIPAL STRUCTURAL EN R PLAN CHWK VALIDATION cK. M.O. u/H — PEBNIIT VALIDATION CK. M.O. 9380 MAR 9 1 D 8.00- �� 76A""Cs#902.7-ee APPLICATIONS FOR BUILDING P RMT 1. BUMDING AND SAFETY DIVMOa\ BJJILDINa r - Depmftmimt of do—ty�ew ADDRESS CHIT of Los AngaiM LOCALITY JOHN A. LAMBIE, COUNTY ENCIIN1313t NEAREST CASSATT D. ¢RIFFIN, •uT'T OF I uILDIM6 DISTRICT NO. GROUP I TYPE S R MAP FOR APPLICANT TO FILL IN .31" CONLl 0UILQING - 8TAT18TICAL C IFICATION ADD E8H t4rju CLASS. NO DWELL. UNITS LOT NO. BLOCK MAP 3 STATE .YES NUMBER HWY TRACT U ZONE_ SP-ECIAL ♦ NO.:OF BGn. / _ CONDITIONS BIZt OF LaT*7,Q1 5TNOW ON 4LDOT UH OF bC 1G O BUILDING EXIST. S BACK YARD HWY EF'L NAME WIDTH- OWNER FRONT MAIL ADDREB$ SID$ CAr. ON RIPCORD TE" L INSPEC'T'I zd ARCHFTECT(� �TEL. , ENGINEER NO. - ��11►►��jj��//�� TEL L ONTFL+.O`I'OR NO. D EHH , - DESCMMO& OF WORK NEW ADD ALTKR. REPAIR DEMOLISH - _ - SQ. FT. NO. OF NO. OF SIZE .STORIES - FAMILIES _ I US6 OF 8T Uil-:TUR T All /C APPROVAL / - HIGt+ATURR OF APPLICANT DA1-E IIi3PECTOR'S 9I N URE F ADDREJiB T OUNDATION: LOCATION FORMS, MATERIALS r is 1102-111010- Vp Do P. C. f -�� FRAME:f*IRE STOPS, - �+ PEE BRACING BOLTS -L S VALUATION- s FURNACE: LOCATION. , FEE GAS VENT DUCTS I HEREBY.ACKNOWLEbGe HAE T 1 HAVE RAD THIS AP- LATH INT. PLICATION AND STATE THAT ¢ABOVe IS CORRECT AND AGtteE TO COMPLY WITH A"COUNTY ORDIN CES LAVH. EXT. SLATE LAWS RE NG BUI CO R - 816NAT7JRe OF, HOUSE NUMBER COR- - PERMITTE RECT AND PORTED ADDRVRA FINAL 'z JOHN A.LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM PRINCIrAL'STR{ICTURAL ENGI eR FLAN C33= VxT_ it IOa cx. Y.O. CATH YFEIQS VALIDATIOIN • CIL Y.O. H X0806.5L- KV 13 1 2.00 m ' .WORKERS'COMPENSATION DECLARATION Insuurree, or a certlf cate of Workers' Comtpensat ion Insum have a certificae of consent to reef APPLICATION FOR BUILDING P E RM I T or a certified copy thereof (Sec. 39OO, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN ADDS ❑ Certified copy Is filed with the county building Inspec- BUILDING ilon department. ADDRESS Dote Applicant CITY ZiP xc LTTY CERTIFICATE OF EXEMPTION FROM WORKERS' tNO. OF NFlREST COMPENSATION INSURANCE SIZE OF LOT NOW ON L ST. (This section need not becam leted if the permit is for one ASSESSOR hundred dollars ($100)or leu. TRACT AW LOTNO.. M,s,P BOC( PAGE PARCEL T13 llsEMAP I certify that Irr the performance of the for which this OYaJER NO. permit Is lisued, I shall not employ a rs�nlaaalnnex S��so ce to Uo s to the Wo Cr ws. ADDf 55 C SPECIAL ✓ CITY ZIP pate AppHcq ARG7IRECT CK2 TF1 TO APPLICANT; If, r a ng'this of. NO. DISTRICT GROUP TYPE FIRE BY O Exemption,',you should bec a subject to the Workers' rf Compensation provisions of the Labor Code, you must forth- ADtS L (1 with comply with such provlstons or this permit shall be TEL STATISTICAL CLASSJFI TION AFTrNDO. fn deemed revoked. LICENSED CONTRACTORS DECLARATION CnNTF/k�OR LIC CLASS NO. DWELL UNITS— LICENSED I hereby dffirm that I am licensed under provlsloru of C KPW 9 ADDRESS NO. commend with Sedlon 7000)of DlvWon 3 of the�usinew and SEVVBt AARP o nq uc Ions Code, and my license Is in full force and effect. Crly CLASS BK. PG. VALDATION O SQ. FT. NO. OF . NO.OF Ch*CK License Number LIc.Class - SIZE STORim FAYJLMES ONE VALUATION Contractor Date CF WORK NEW : f1 n D ,yam„ ODD E] I.am exetnpt under Sec V� &TER B.aP.C. for this reason REPAIR USE OF Date: EXISTING BLDG. DLAhCX Signature- APPLICANT TEL OWNER-BUILDER DECLARATION (PRINT) ` p W 0 6-2 4 A I hereby affirm that I am exempt from the Contradqrs License Law for the following reason (Section 7031.5, Business and ADDRESS # o"o o e o Professions Code): RMI - w 4 NG ❑ I, as owneof thePrproperty, my employees with ADDRESS 5 Q 5 wages as their sole compensation,will do the work and LCnCALTrI oil, -the ucture Is not intended or offered for sale(SectionQ.9, 8 j 8 8 str 7041, Business and Profeulons Coded MOVWG TEL n(j I, as owner of the property, am exclusively,contracting ODNTRACTOR NO. with licensed contractors to construct the project (Sec- .. ADDRESS tion 7044, Business and Professions Code) RECAJIRM TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HVW PROP. LINE WIDTH I hereby affirm that there Is a construction lending agency for FRONT the performance of the work for which this permlt Is Inued (Sec. 3097, Clv. C.). SIDE P.L. Lenders Name LDAM Ref. f 8 P.C. Fee$ Perm N Fee ' Lenders Addrew kA P/C t I certify that I have read this appllod lon and state that the Issuance Issuae Fee aboveIn correct.1 agree to comply with all County Investigation Fee $ ordIna and$ relating to building.construction, _ Tdal Fee �+ LDW Perm.and eby au tatives of this County to enter u e a (—m tion op"for IrApectlon pu c a._ tib RWVMM KOR DO'LAMATOIrY LANGUAGR COUNTY OF-409 ANGST.EB TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF 12UBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0712130002 PHONE: (626) 285-0488 ETT: k ' LEGAL ID: NO. OF CONST NEW BUII0ING ADDRESS: TR: 5904 LT: 190 UN: .002 SQ. FT STORSFS TYPE OCCUP GROUP 9043 GARIBAL II AV STRUCTURE: 633 1 VN R3 TEMP CA 917801620 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 5384-008-003 OTHER: 210 1 VN Ul Tk-K*lAS PAQE: 596 GRID: H2 LoOCDlLY: TEMPLE CITY, C TENANT: EXIST ALDO USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/05/08 SR 08/03/08 OWNER: Tom. NO: BLDGS. NOW ON LOT: ON: FINAL BY: CODE: JI, JIAHFEI (626) 226-8864- 89,280 lefm 9043 GARIBALDI AV _ TEMP 917801620 FEES PAID MOCRIPTION OF WORK ADD 2 BEDROOMS, 1 BATHROOM AND FAMILY ROOM 633 S.F. AND FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: COVERED PATIO 210 S.F. REMOVE (E) 218 PATIO RE-ROOF 6 REFRAM APPLICANT: TEL. NO: WONG (626) 293-1612- B1 PLANCHE1K W/ENERGY 89280.00 VAL 1,119.05 817 N. GARFIELD AVE AA BLDG PERMIT ISSUANCE 1 27.75 SPECIAL CONDITIONS: ArSAMBkA, CA 91801 AC STRONG MOTION RE9ID 89280.00 VAL 8.93 B2 PERMIT W/ENERGY 89280.00 VAL 1,316.54 _ TIDY LL FEFS 2,472.27 CONTRXCTC)R: TEL. NO: APPROVALS . DATE INSPECTOR SIGNATURE PA LAM CONSTRUCTION, CO. (626) 293-1612- 817 N. GARFIRT,n AVENUE LIC. NO LOCATION AND SETBACKS ALilAMBRA, CA 91801 809418 B SOjT.9 E'NOI2IEII2 APPROVAL ARCHITECT OR ENGINEER: TEL. 190: FOUNDATION TRENCH FORMS i LIC. NO: SLAB UNDER FLOM RAISED FLOOR FRAMING MAP NO: SEWER MLP BOOK: PAGE: FIRS ZONE: CMP: UNDERFLOOR INSULATION 3 01 19T LEVEL FLOORguRnTH NO. OF FAM LIES: D5G� UNITS: APT/COPD: STAT CLASS: T NO 21 � �j`!�( _ � ` 22® LSVEI. FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHET.THIIX3 ASR QNOL.iTY: 1000 FEET MATk'17TAr.9 �� (�� v►�n / NO NO T7C) ►i`JC/C,� �,a,. FIR_E DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST G(r BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WID'T'H: � f FRONT PL- - SHEAR PANELS SIDE PL- ` INSULATION/WEATHER STRIP INTERIOR LATH/DStYWALL EXTERIOR LATH LOT DF.a2_ SMOiCE DETECTION DEVICES FIRE DEPARTMENT APPROVAL • ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: M0508 COID4T'Y OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TSMFLE CITY CA 91780 BL 0508 1302110022 PHONE: (626) 285-0488 ETT: LEGAL ID: NO. OF CONST NEW BUIIDSNG ADDRESS: TR: 5904 LT: 190 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 9043 GARIBALDI AV STRUCTORE: 180 1 V-B R-3 TEMP CA 917801620 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 5384-008-003 OTHM: THOF4L9 PAGE: 596 GRID: fit LOCALITY: TEMPLE CITY CA TENANT: EZIST BLDG USE: PHOTO LSSUID ON: PROCR.9SID BY: E3= OCC GRP: R-3 02/11/13 SR OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FI ALF2�/LVCODE: QlU, YUAN (626) 226-8864- 17,660 r, 9043 GARIBALDI AV aa�l_ TE2,1P 917801620 FEES PAID MSCRIPTION OF RAI ROOF ?4DUNTED SOLAR PV INSTIU 10 PANELS 3.27 KW FEE DESCRIPTIONS: QUANTITY: UOM: AMOCTP: APPLICANT: TEL. NO: CAMPBELL, SCOTT (951) 300-0768- AA BLDG PERMIT ISSUANCE 27.80 3080.12TA ST AB STATE GREEN BLDG FEE 17660.00 VAL 1.00 SPECIAL CONDITIONS: RIVERSIDE CA 92597 P1 RES PV PC<lOIW 153.90 P2 INSPCP RES PV <10KW 138.00 TOTAL F'EPi9 320.70 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ELITE ELECTR.SC (951) 681-5811- 9415 BEIJADGRAVE AVE LIC. NO LOCATION AND SETBACKS RIVERSIDE CA 92509 418242 + \ 90IIS ENGIFEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNiDATTON TDFNf'R FORMS .. LIC. NO SLAB ER FLOOR . RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOL: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSUTATTON , 15OH265 - E 65 3 00 FLOOR SHEXTHING NO. OF FAMTI__.TES: DWELLING UNTTS: APP/GOND: STAT CL]SSr . 1 0 NO 20 ROOF SI-IATHING SCHOOL WITH-IN HAZARDOUS � - SHEAR PANELS AIR QUALITY: 1000 FEST )UdE IAiS NO 190 NO FRAME TMPECTICN FIRE SPRSiixLER HANGERS . 'INSUTATION WEATHER STRIP T IN'=OR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CETT ASSEM. RATED MALL ASSEMBT,TiLq RATED SHAFTS OPENINGS T-BAR CEILINK3S + ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR-261 ROUT'S TO: BS0508 ' COUNTY OF LOS ANGELES TEMPLE CITY 6 0508 BUILDING PERMIT DEPARTMENT' OF PUBLIC AORI9 9701 LAS TUNAS BUILDING AND SAFETY / LAPD DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1302200052 PHKRIE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 5904 LT: 190 UN: .002 9Q. FT STORIES TYPE OCCUP GROUP 9043 GARIBALDI AV STRUCTURE: 180 1 V-B R-3 T 4:P CA 917801620 ASSESSOR INFORMATION NUMBER: GARAIIE: NEAREST CROSS STREET: 5384-008-003 OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TH11PLE C= CA TENANT: $ZTgT BLDG USE: PIK= ISSUED ON: PROCESSED BY: EXIST OCC GRP: R-3 02/20/13 SR OWNER: TEL. NO: BLDGS. " ON LOT: VALITATION: FLPAL BATE _ Y: CODE: QIU, YCAN (626) 226-8864- 17,660 r(/ 9043 G R BALDI AV TEMP 917801620 FEES PAID DRSCRIPTION 0 WORT CIENZUE CONTRACTOR SES ALSO BL 1302110022 ROOF MOUNTED SOLAR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PV INSTALL 10 PANELS 3.27 KW APPLICANT: TEL. NO: IVEZZY, MO:CHAEI, (951) 300-0768- AA BLDG PERMIT ISSUANCE 27.80 3080 12TH ST .TOTAL FEES 27.80 SPECIAL CONDITIONS: R1VER.9IDE CA 92507 CON'TRAC'TOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BURTE ELECTRIC (951) 656-1200- 19825 ROTTERDAM STREET LIC. PO LOCATION AND SE'T'BACMS RIVERSIDE CA 92508 896796 SOILS ENGINMR APPROVAL ARCIECTECT OR ENOINEER: TEL. NO: FOIINLATIOP TRIDACH FORMES LIC. NO: 1 SLAB/UNDER FLOOR . RAISED FLOOR FRAMING MAP NO: SEVER MAP BOOT: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 15OH265 E 65 3 00 FLOOR SIUlATH 124G NO. OF FAMILIES: DWELS,INiG UNITS: APT GOND: SAT CLASS: 1 0 NO 99 ROOF SHEATIiR76 SCHOOL NTTHl27 HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEST MATIOZIALS NO NO NO FRAME INSPECTION FIRE SPR.INXLER HANGERS INSULATION W?ATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOG CEIL AS9EM. RATED WALL AS8 RATED SHAFTS OPENING9 T-BAR CEILINGS IAT URAIIUGE REPORT ID: DPR261 ROUTE TO: B80508