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HomeMy Public PortalAbout9547 GARIBALDI AVE_Building__ DIVISION OF BUILDING AND SAFETY Department of County Engineer BUILDING of cl County Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION BUILDING v Q FOR APPLICANT TO FILL IN ADDRESSBuir-D ADDRESS 7 I kh LOCALITY NEAREST LOCALITY �f�Q C (_/ CROSS ST. T DISTRICT NO. PLAN CK, OR REC.No. PERMIT NO. NEAREST Foe _ CROSS ST. n 6*/� � 7*7 OWNER �7 - RECEIVED 5Y DATE OF APPL. DAT ISSUL MAIL 3 S ADDRESS J USE ZONE NO. OF13� GROU REZONE PLANS TEL. �- CITY / NO. �J ARCHITECT OR TEL. (/ ZONING / T� ENGINEER NO. I` APPROVEDBY - BUILDINGit O ADDRESS SETBACK LINE: �(/ O.•/N AY TEL. APPROVED DAT CONTRACTOR NO. BY: HWASE NUMBERING ADDRESS LEGAL �"8MAP NUMBER ` NO. ASSIGNED BY 07, DESCRIPTION LOT NO. BLOCK �r+� ���� ♦'�_,/�� �/��� DATE CORRECTIONS I INSPECTOR TRACTNO. OF SIZE OF LOT �^/�� �✓D NOW ON LOTSUSE ` f NO. OF EXISTING BLDG. 2 �GJ I FAMILIES! I I 0 C DESCRIPTION OF WORK n NEW ALTERATION-I DEMOLITION ADDITION A I REPAIR SQ. FT. NO. OF SIZE 112. ROOMS STORIES EXT. WALLROOF COVERING COVERIN USE OF STRUCTURE FBI" ME ✓t/GLaS�' �X/STi�t/� i �.. _ APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION 6 FORMS, MATERIALS t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF LATH, INT. PERMITTE • �jl. ADDRESS LATH, EXT. •�� AUTHORIZED AGT. PLASTER, INT. PLASTER, EXT. SD© FEE HOUSE NUMBER COR- VALUATIO ECT AND POSTED FEE � R FINAL 76A698A DBS 3 2-59 1 —JRS' COMPENSATIpN DECLARATION F� •,_ �' ` ,/ h dMtA that I have a certificate of consent to self /r su rip certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT �^ or a t o y here f ( 573800 a C.) � COUNTY OF LOS ANGELES BUILDING AND SAFETY [� Policy. mpony II 1LJj t rt.lfled copy Is hereby furnished. FOR APPLICANT TO FILL IN AI��' ILJI ADDRESS Certified copy Is filed with the unty building Inspec- BUILDING 9547 Garibaldi tion dopa ent. ADDRESS Dat. Applicant C1fY Temple City ZIP LOCALfIY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. T COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed If the permit Is for one - AS$ES.SQR hundrbd dollars ($lob)or leu.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARM �t�Steven � Jennifer Shin X2841100 O 0. I certify that In the performance of the work.fbr which this NO. permit Is Issued, I shall not employ any person In any manner ADDRE5590 W. Foothill Blvd.. �j CONDI O to as to become subject to the Vyorken'Compensation Laws. CITY Arcadia ZIP 91006 Date App l l ca n r NOTICE TO APPLICANT: If, after making this Certiflcpte of ARCH fng Nan Chen � ZONE 3091240 DISTRIX GROUP Fl RE BY �^ CONST Exemption, you should become subject to the Workers ae UIIBB sO Compensation provisions of thr Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be 7>i STA11S C.AL TION deemed revoked. Hannon Develop. 2822828 ,�„ LICENSED CONTRACTbRS DECLARATION 16I1 Garfield #100 NO.446155 CLASS No. � LINITS� I hereby affirm that I am licensed under provlslons of Chapter 9 ADDRESS No. (common dng with Section 7000)of DlvWon 3 of the Business and Alhambra LIC B Profe"lons Code, and my license is In full force and effect.! CITY CLASS EVL 2!: PC;2 $ VALDATKM y r�.`• SQ. F21 13NO.OF 2 NO.OF C1*Cy d' License j14 ber LIc.CI SIZE STORES FAMILIES C*4E Q r� p� VALVA C) ►.J J` DESCRIPTYON OF WORKW Contractor �8eb New Condo ADD I am exempt under Sec. ./� ALTER . B.6P.C. for this!�n REPAIR _ `�of R Residential DEMOL M �^ • EX[ST1NG BLDG. (Qq 4.25 z Signature 4VC71tANAPPlT Steven Shin 12841100 FINAL OWNER-BUILDER DECLARATION PRINT NO. DATI! V I hereby afflrrd that I am exempt from the Contractor's License ADDRESS 905 W. Foothill RNAL Law for the'following Teason (Section 7031.5, Business and Profealons Code): IRMI by El1, os owner of the property, or my employees with �ADI�SS _ L wages as their sole compensation,will do the work and the structure Is not Intended or offered for sale Section LOCALITY 7044, Business and Professions Code). ( MOVING TE1 �„ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS �,, .4 \ 1�<< tion 7044, Business and Professions Code). r-: r UIRED TOTAL SETBACK FROM CQNSTRUCTfON LENDING AGENCY .77 SET BACK YARD FIWY PROP. LINE WIDTH ~_ - f_.^•! I hereby affirm that there Is a construction lending agency for FRONT the performance of the work for which this permit Is Issued P L FI_: (Sec. 3097, CIv. C. 54 DE P.L. Lenders Name /� �^ $ L. +� IDMA Ref. r Lender's Address P. Fee i • Prmtt Fr I certify that I have rood this application and state that the Isucw"Fee LDMA P/C f above Information Is correct. I agree to comply with all County Invedigatbn Q 1 ordinanaw relating to building construction, &awalai Fye f 1 LDMA Perm. 1 and hersentatives of this County to enter upon thproperty for inspection purposes. o ltV�fll 1'OR DQLANATOkY LANdU11W Slgrxrture of Appltcant or Agent Dare . 1 • VC�]RKERS' COMPENSATION DECLARATION bye ifY ate of Workers' Compensation Insurance,e' APPLICATION F R BIriILDING PERMIT-4 or a c�t Wgy�rec a�C.) k p� n . �?? 6ECOUNTY OF LOS ANGELES BUILDING AND SAFETY DDRES EkJM (led copy is hereby furni&hed. NT FOR APPLICANT TO FILL IN AG DOI�Ess Certlfled copy is filed with th ' unty building Inspec- BUILDING ^� tion department. ADDRESS Date �-` Applicant CITY • ZIP LOCALITY CERTIFICATE 6F EXEMPTION FROM WORKERS' OF BLDGS• COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ST. V (Th Is section need not be completed If the permit Is for one s hundred dollars ($100)or less.) TAT eLOCx LOT NO. MAP BOOK PAGE' . PARCH . t TEL.. Z I certify that In the performance of the work for which this OWrER r NO. permit Is I>}sued, I Shall not employ 8ny person In any manner SQA so as to become subject to the Workers'Compenstrtlon taws. ADDRESS COtDMOf4 Date Applicant CITY Ar cA,4k ZIP NOTICE TO APPUCANT: .If, after making this Certificate 'of AkCHrMeR OR M04 A&V �fe STRICT TAPE RRE BY Exemption, you should become subject to the Workers 0j'�Q� VIIQZONE Compensation provisions of the Labor Code, you must forth- ADDF � � s. R VU 3 with comply with such provisions or this permit &hall be deemed revoked. CONTRACTOR L STATISTH�AL" FK,s71ptJ APT. CO►DO. LICENSED CONTRACTORS DECLARATION LIC G LASS NO r DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 4 ADDRESS < (61) -tJO. (commencing with Section 7000)of Division 3 of the Business and LVC Professions Code, and my license is in-full force and e� CITY If CRSS SEVv��AAP�^ VALDATFON License Number Llc..Class � � "s siORIESLfESft D►� �/- v VALUATION NEW Contractor� A IfL/V .V , pate ` DESCRIPTION()F WORK LT ❑ I am exempt under Sec. ALTER B.BP.C. for th nREPAIR = Dot.: USE OF DEM0L EXISTING DG.. "-1 BL APPLICANT 1 TEL FNAL Signature OWNER-BUILDER DECLARATION ff (PRINT-) o ~ NO. DATT 7- I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business andFINAL Profenlons Code): �y ❑ BUILDING I, as owner of the property, or my employees with ADDRESS � wages as their sole compensation,will do the work and the structure Is not intended or offered for sale(Section LOCALITY _ 7041, Business and Professions Code}. MOVING TEL -- ❑ NO {_ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project _ tion 7044,Buslnen and Professions Coda). ADDRESS 'IL'A ; TOTAL SETBAO(FROM CONSTRUCTION LENDING AGENCY SET YARD HWY PROP. LIE DTH j. •I,I��.L^ I hereby affirm that there Is a construction lending agenty for FRpt1T the performance of the work for which this permit is Issued (Sec 3097, Civ. C.). S✓DE P.L. Lender's Name LDMA Ref. E Lenders Address P.0 Fee f l Permit Fee I certify that I have read this application and state that the t&uKance Fee O• LDe1A P/C i above Infornwitlon Is correct. I agree to comply with all County Investigation Fee ordloances and State laws relating to laullding construction, To Fee LDMA Perm. f, and her h Iz representatives of this County to enter upon th e- an ed property for Inspection purposes. ` fed It><vIIIIIIIw rot DrUgANATO[Y LANGUA04 - Signature of Applkant or Agent Dale K �V�� -IR$' COMPENSATIQ17DECL,PATION �IPlereb� rrh that L have a certificate of consent to see. rl sulb, t a.certificate of Worker' Compensation Insurance, APPLICATION• •FOR B U I L DI.N G-, �-E RIV�rT.,�. ' or a r cWif copy t eeof Lo C.) s/ • COUNTY OF LOS ANGELES BUILDING AND.SAFE'tYri Y Po I Icy y CerufJ copy is hereby furnished. FOR APPL NT TO FILL IN BUiLDIt�G • ' entified copy Is fired with the cpunty building Inspec- BUILDING '' i till tlorl department. ADDRESS . ti Date. D ApplIcont CITY ZIP LOCJILITY CERTIFICATEbF EXEMPTION FROM WORKERS' �► NO. Of ME)GS. NEAREST COMPENSATION INSURANCE... SIZE bF Lor NOW ON LOT, ST. i (This secflon need.not be completgd if the permlt.ls for oAe TRACT B1O� OT NO. - ' b OK ' PAGE- PAI�C$ hundred dollars (;100)or less.) MAP I certify that in tjne performonce of the work for which this OWW Na permit la{aued, Fshall not employ any-perzon In,any manner ADDRESS sa as,to becotne subject to'the Workers'Compens5tlort Lows- , CCTV ZIP Ddfti 'Applicant A: NOTICE TO APPLICANT: if,.after tnaklnp tkis Cert.lffcato.of ARCH=OR 1, ?� Dt5TRl4T TYPE RRE Exemptlon, you shoyld become subject to'the VHorkeri NEER �•V *+O T ZONE Compernatloh provisions of the Labor Code, you must forth= ADDRESS �r0� F with comply with such provlsl0n■ or this permit shall be deemed-revokrrd. A1TST1 APC.` COrQO. LTCENSED CONTRACTORS DEC ILARATION ( LK 6ASS No. DWEfI_ Uf qT3 I hereby affirm that I am licen"d under provisions of Ghapw 9 ADDR1i55 ' L NO. i (commencing Y46 Sbctlon 7DD0}'of_1DvWon S of 6e Business and LIC - , Profbaslom Cbdd, aro'my Ilseptse TsJn.full fxxv:ond 'effect, CITY CLASS - `Y TION /h CA - ${]. FT NO OF j.• Na. CHECK llcenM N miser �L illc.cr SIZE STOP LES ONE Contra pie- l bESCRIPIION OF WORK _ NEW m I ADD' � y •'_ I aexemw un dr'Sec. ,. ALTE)R B.dP.0 'fbi flute. OF Z ^ EXISTING BLDG. + Slgnaturi APPLICANT A' NO !le �. OWNER-BUILDE(?DECLARATIONNT) DA I hereby q#itrrt th dt J am exerhpt from the C:Pntractor'i Licbnse ^ 'i.aw'for the foilowing rgason (SbCtlon 7031.5, Business 8nd. ADDRESS Air Yl AV FIAAL\r/ ' Professigns 91dr): © I; r}s owner of the property, 'br my emprayeid with ADORESS wooer, thelr sale comy*nsat)On,will-do the work and _ tt 1:ti �':•,� , the structure is not Intended or o er•d fo(iale(Sectlon L � ;` ': '. 7b44, Buslnea and Profeslflons ) r' movir4G TEL I�-as a*ner'of the Property, orfs excluslvehy contractingCONTRACTOR NO. w" licensed aorltroctors to ob'rmiuct the prg�l (Se� sass �^'-•3 DDRESS tloriy76#4, Business and Professions Code}.. D TOTAL FROM LN: O "LIC?hON,LENG DINA MC YARD HWY -PROP. LINE-- DTH J PCF hereb Irm that this a constracfloo lending n for r +" �•�� the.peFormarx• of the.wprk for which this permitIssued P r {S.c, 3o97}trv.-C). SIS P.L Lenders Namb - y � LDMA i�f f - r' Ett F6. ' 00, -L@nder's,Addrea ' ' I certffy that L hove read this appllcatlon and state that the hie T� 0. above Information is correct, l agree to compry.wlth all County In fsrr 1O• LDAAA P/C ordI ans relating to building construcfbn, Taal Fse LDAAAf'erm. f andresentatives of this County io'enter Z`� • d� upo3wd property for-Inspection purposes.. . . S{D so mvtltlftat K)R E0gAHATORY LANOUwbaA " S4wnrrrr of App14cant or Agent _ Date ,r +� WORKERS' COMPfNSATIQN DECLARATION H Xe,oro`cre that o Worrkerss' Co�mtpensatonnnsurar e, u APPLICATION FOR BUILDING PERMIT\A or a c"eTtifi c t ereof Sec.eZBOO, Labs C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY C2 BUING Poll Cerci{led ADD ItE55 copy Is hereby furnished. FOR APPLICANT TO FILL IN L ESS AD ❑ Certified copy Is filed with the my building Inspec- BUILDING tion department. ADDRESS Date ' Applicant C, ZIP LOCALITY CERTIFICATE 6F EXEMPTION FROM WORKERS' NO. OF BL GS. NEAREST !. COMPENSATION INSURANCE Sig OF LOT NOW ON L T ST. (This section'need not be Completed If the permit Is for one 'ASSESSOR hundred dollars ($100)or less.) TRACT BLOIX LOT NO. ASSESSOR BOOK PAGE PARCH TEL I certify that In the performance of the work for which this ��' Steven & Je fe Shioo. 2541 tp, ao permit Is Issued, I shall not employ any person In any.manner � 905 W. Foothill Blvd. SPECIAL COnDTLIONs so as to become subject to the Workers'Compensation Laws. CITY Arcadia ZIP 91006 Date Applicant TEL NOTICE TO APPLICANT: If, after making this Certificate of AR(7-I�WLII Nan Chen NO.30 1240 DISTRICT GR—P TYPE ZONE BY Exemption, you should become subject to the Workd" ZO1E Compensation provisions of the Labor Code, you must forth- ADDRESS 404 E. Las Tunas rive �J4 with comply with such provisions or this permit shhll be Ta STATI571CA1TION AFT CbfDO. deemed revoked. CONTRACTOR Hannon Devel . NO.2822828 LICENSED CONTRACTORS DECLARATION `• 1611 Garfield 1100 LIC- 446155 sass NoaDwE3L u"� I herby affirm that I am licensed under provisions of.Chapw 9 ADDRESS NO. SEWER (commerKIng with Section 7000)of Dlvlslon 3 of the Business and LIC- MAP Professions Code, and my license Is in full force and nffec► CITY Alhambra CLASS B B" er C VALIDATION r� Q� �• SO. FT. NO.C NO,OF CHECY License NumbLlc.CI SIg 2113 STORIES 2 FAMILIES 6 ONE ,,,� � e / � VALUATION ry Contract M� 1 YA Date DESCRIPTION OF WORK � = s OO 4]/ ❑ 1 am exempt under Sec. New Condo f *;2ZB.dP.C. fof thn REPAIR is / J ��: use OF ResidentialDEMOt / Q Z IXtSTItJG BLDG. (� Signature T Steven Shin 2841100 FINAL OWam exem DECLARATION DAA I hereby afflrrti thatt I am exempt from the Controctor's License ADD � 905 W. Foothill Blvd. FINAL / Law for the following reason (Section 7031.5, Business and Professions Code): B ❑ I, as owner of the o or m 'employees with SAD R SSS prop", Y P oY� � wages as their sole compensation,will do the work and the structure Is not Intended cr offered for sale(Section LOCALITY 7041, Business and Professions Code). MOVING TEL I, as owner of the property, am exclusively contracting CQNTRACTOR with licensed contractors to c6rutruct the project (Sec- ADDRESS 041 tion 7 , Business and Professions Code). REQAJ I RED TOTAL �. CONSTRUCTION LENDING AGENCY "SETBACX YARD FNVY PROP-LMDTH 71I2,,f,' .I hereby affirm that there Is a construction lending agency for FRONT _ the performance of the work for which this permlt Is Issued P.L, (Sec. 3097, CN. C.). SIDE P L Lender's Nam• LDM4 Ref. f P.C_ FPerm Z Lender's Address wP : ! rmk F» � , Ot;xti I certIfy that I have read this application and state that the Issuance Fee 1p• LDAMA P/C# ' above Infopnatlon Is correct. I ogr6e to comply with all County In Fee �{ �.1,9 ,' -7 ordinances and State laws relating to building construction, v�ipatWn46. 9,3 Total Fee 1 J ' 5' LDMA Perm. • and her thoriz• representatives of this County to enter upon the o- e loned property for Inspectlon'purpoeew o p � �'T fall KrAM AOR E04 ANATORY LANOUAGE Slgrwtare of App4cm. or Agent Dote / WORKERS'COMPENSATION DECLARATION insure, affirm that ' ,° ° certCome of cionInYr Insurance, APPLICATION, FOR BUILDING PERMIT Insure, or a certificate of Worker'Compensation Inwronce, 'A- or a cerilfied copy thereof (Sec. 3800, Lab. C.) COUNTY"OF'LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING olL' Certified copy Is hereby furnish FOR•APPLICANT TO FILL IN ADDRESS ✓ Certified copy Is filed with I ng Inspec- BUILDING ' ^ tion department ADDRESS JJ (Sf .44 LOGNITYNEAREST L G Q Date r AppII 0a CITY L W zip ' CR=ST. - CERTIFICATE OF FROM WORKERS' N6..OF BLDGS. ` ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCH (fhb section need not be corn leted If the permit is for one r USE ZONE d 0_3hundred dollars (;100)or less � TRA r BLOCKS,, LOT NO. -3 SPECIAL I cwtfy that In the performance of fo Ich this OW"3z �� u / ' �' � � IX �IT�5 a permit Is inued, I shall not employ n manner ADOaEss S�� 10/, N/E /,Cly DISTRICT GROUP �T. z� BY 0 so as to becom b to;T W on ( O IX r n ioa6 : - 0 Date _ Appllcan CITYjv= o/'4 7JP STATIST AL CLASSIFICATION AFT. NOTICE TO APPLICANT:_f r/-king thts Certificate of ARC}I ECT OR 5��, / TEI- _ rj "EERW NO. CLASS NO. DWELL UNrM W Exemption, you should beco subject to the Workbri _ O. Compensatlon provlslons of the Labor Code, you must fort ADDRESS SEWER MAP N with comply with such provisions or this permlt shall be ? ��pT TEL Z �77 BK PG, VALIDATION deemed revoked. CONTRACTOR rye/ NO. u�Nsr D CONTRACTORS DECLAxAr►orN L"-- I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �ds N07��OD VALUATION AA (coma n nog with Section 7000)of DtvWon 3 of the Business and 0/� LlG /_k � JC`1�`�lj,, Professions Code,, and my license Is In full force and effect. CITY OFA CLASS"Y f $ ! ,// License Number O Q � SFT. ORES F ES O�t'E , /Y �I�' Llc CI � bESCRIPTION OF WORK d O NEW ❑ s Contractor 1 Date — ❑ . 5� ADD I am exempt under Sec ALTER ❑ FINAL ❑ — i B.3P.C. for REPAIR DATE Date: oUSOF 7—.+4-BLDG. L D[MOL R Slgnatu '� NT) ALT 6 2 V7 2 4 1,5 A ER ILDER DECLARATION I hergby that I am exempt from the Con ■LI w 65 ��D�g # 0 0 0 0 0 Law for the following reason (Section 7031. Ines and Professlons Code): BUI /� 0 0 6 Q 5 0 I, as owner of the property, or my employees with (DKK wrs�es as their sole compensation,will do the work alyd J�c 0 0 0 60,506 the sfruduro Is not Intended or offered for sale(Section LOULn L1' 7044, Business and Profenlons Coded MOViN.G TEL 0 7,0 9'-8 5 I, as owner of the property, am excluslyely contracting NO. �— . with licensed contractor to construct the project (Sec- ADDRESS tion 7001, Business and Professions Code). CONSTRUCTION LENDING AGENCY SET ig�pt RtD YARD HWY TOTALpR «� yOM apTM I hereby affirm that there Is a construction lending agency for FRONT �- Ihe performance of the work for which this.permit is Issued iSec. 3097, Civ. C.). 54 DE o P.L. � Lenders Name Lenders Address- P.0 Fee$ Permit Fee 'U d I cert have read this application and skate that the Lasuance FM 404, abov nfo Ion'Is . I agree to comply with.all County Inwarigotlon Fee relating to building const, ctlon, TotoI Fee .� a a representatives of this County to enter v Honed property for Inspedlon purposes. { r M tkSYIIIIIIISkI KW KX LANATO[Y L.ANGUAW Signature of Applicant or Date COUNTY OF LOS ANUELEB TEMPLE CITY / 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS - 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVRLOPF&NT TEMPLE CITY CA 91780 BL 0508 1404070043 PHONE: (626) 285-0488 ETT: LEGAL, ID: NO. OF CONST BUILDING ADDRFQq: TR: 46070 LT: 1 UN: 5 SQ. FT STORIES TYPE 9547 GA•FIBALDI AV C STRUCTURE: 1000 V-B TElS CA 917801600 ASSE98-OR INFORMATION NOMBER: NEAREST CROSS STRSET: 5385-012-041 TfYJ[,%8 PAGE: 596 GRID: J2 LOC7VLII7: T124FT.Ta' CITY TENANT: RZI4T BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: YZSBT OCC GRP: 04/07/14 SR OTAIER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIJPLT, DATE FTNAL,BY: CODE: SINKA, KUM KUM (626) 285-7345- 4,500 9547 GARIBALDI AV TEMP 917801600 FEFS PAID DESCRIPTION OF WORK REMOVE EIISTINIG ROOF ON FLAT ROOF ONLY RE ROOF WITH BU= FEE DESCRIPTION: QUANTITY: UOM: AMDUNT: UP ROOFING SYSTEM APPLICANT: TEL. 190: JOHNSON, LEON (310) 631-7589- AA BLDG PERM= ISSUANCE 27.80 12731 ATLANTIC AVE AB STATE GREEN BLDG FEE 4500.00 VAL 1.00 SPECIAL CONDITIONS: LYNWOOD CA 90262 AC STRONG MOTION RE9ID 4500.00 VAL 0.50 D2 PERMIT H/O EN-HC 4500.00 VAL 132.60 TOTAL FEES 161.90 CONTRACTOR: ''EL. NO: APPROVALS DATE INSPECTOR SIGNATURE L J ROOFING, INC. (310) 631-7589- 12721 SOUTH ATLANTIC AVENUE LIC. NO LOCA ON AND SETBACKS LYNWOOD, CA 90262 960138 SOILCS ENGINEER APPROVAL. . I ARCHITRCP OR EPGII=: TEL. NO: FO5o=ON TRSNC!H FORMS LIC. NO: SLAB/UNDRR FLOOR RAISED FLOOR FRAMING MAP NO: SRIC3R MAP BOOR: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 00 NO. OF FAKILI&S: DWELLING UN-ITS: APT COND: STAT CLASS: FLOOR SH ATHING NO 21 ROOFI•SHEATHING SCHOOL WITHIN HAZARDOUS PANELS ASR QUALITY: 1000 FEET Ng TT aZIALa NO NO NO FRAME INSPECTION F IRE'S PR'.SNKT£R HANGERS INSULATION WMATHER STRIP INTERIOR LATHDRYNALL EZTERIOR LATH RATELl FLOO CHIT ASSEM. . WALL ASSRMBLIFS RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: RS0508