HomeMy Public PortalAbout9845 LA ROSA DR_Building__ 7 6A638 CE 4803 1/71 �,
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY'DIVISION BUILDING
ADDRESS �l
COLEMAN W. JENKINS, SVF'T 01 BuiLo1NG LOCALITY , rieAL,
FOR APPLICANT.TO FILL IN NEAREST
Print or r e only) CROSS ST. .C.
BUILDING �J- l DIICT GROU TYPE RO�,vE BY
ADDRESS /,JH�P/ L. CONST.
LOT NO BLOCK
STA 115TICAL 51FICATION SEWER MAPS--'
_ .��
CLASS.NO. DW EL L,UNITS BKPG
TRACT, USE ZONE MAP
NO.OF BLOCS. NO. CSL -
SIZE OF LOT - NOW ON LOT SPECIAL- - - -
USE OF , - CONDITIONS
EXISTING BLDG. - -
TEL.
OWNER 'NO. BLDG.SETBACK FROM
ADDRESS FRONT PROP,LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = 'TOTAL
CITY - HIGHWAY WI TH FROM C.L.
ARCHITECT OR TEL. - } _
ENGINEER NO, _
BLOG.SFTBACKFI9QM
ADDRESS SIDE PROP. LINEOF (STREET)
T ;TYPE OE EXIST NG1 SETBACK GHWAY } YARD = TOTAL -a
CONTRACTOR HIGHWAYI WIDTH I FROM
U
A ODR ESS G O. - O
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO ❑ w
CONSTRUCTION LEN
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z
,ADDRESS
SQ. FT, NO, OF NO. OF NEW /
SIZE ST IES FAMILIES .
USE OF , ADD ❑ '
StRUCTURE '
ALTER ❑
SIGNATURE OF REPAIR❑ ,
APPLICANT DEMOL ❑
VALUATION S ® APPROVALS DATE INS PECTOR•S SIGNATURE
P.C. PMT, FOUNDATION: LOCATION n
FEE S FEE S FORMS, MATERIALS t/-/
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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALIFORNW IN RELATING TO
WORKMEN'S COMP ISATION.INE.
LATH, EXT,
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECTAND POSTED
ADDRESS cli - � FINAL -_
7
JOHN F. LEWIS. PRI CIPAL STRU R1 ENGINEER
- PLAN CHECK VALIDATION CK. MD. -CASH _ PERMIT VALIDATION CK.I D' CASH
t o t 3 N JAN 2 0 1 D 2 1 .7 5
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WORKERS' COMPENSATION DECLARATION
'r sweboracem certificate
have a certificate of consent to ,elf - APPLICATION F.ORK �JILDING PERMIT
insure, or o certificate of Workers'Compenstion Insurance, or f �%/
a certified copy thereof (Sec. 3800, Lab. C.)
.Policy No. 5SO1 Company State Compensation COUNTY OF LOS ANGE ES BUILDING AND SAFETY
❑ Certified copy is hereby furnished. Ins. Fund FOR APPLICANT TO FILL IN BUILDING
ADDRESS
I—I ' Certified copy Is filed with the county building inspec-. BUILDING
. _ tion department. ' _ ADDRESS LOCALITY
NEAREST
Date 11-1-80 Applicant Howard L.Randol Co. CITY ZIP 91780 CROSS ST.
- CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR ,
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOTMAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP O
TRACT BLOCK ' LOT NO. NO.
. hundred dollars ($100)or less.) �
TEL / SPECIAL 6
I,cert i fy that in the performance of the work for which this OWNER No285-2924 CONDITIONS _
.permit.is issued, I shall not employ any person in any manner DISTRICT GROUP I TYPE FIRE RO SEED BY U
so as to become subject to the Workers'Compensation Laws. ADDRESS , "a; Rosa Dr.. CONST. ZONE p�
CITY - ZIP 91780
Dote'7 .5-Q�, Applicarif Hotaa rd_L-RanAn1 Co: '" STATISTICAL CLASSIFICATION APT." CONDO. u
NOTICE TO. APPLICANT: If, offer makingthis Certificate of ARCHITECT OR TEL. 't d
Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS_ N
Compensation provisions of the Labor Code,'you must forth- ADDRESSSEWER MAP
with comply with such provisions or this permit shall be
deemed revoked. L.
CONTRACTOR TED. 288-4040 BK. PG, VALIDATION
LICENSED CONTRACTORS DECLARATION LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 929 F. ValleyBl. NO, 186086 VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIG.
Professions Code, and my license is in full force and effect CITY CLASS C-3 $ 1976.00 /
SQ. FT. N0. OF NO.OF CHECK
License Number. 186086 Lic.Class C=39 SIZE STORIES FAMILIES ONE
ConfractoHoward L.Randol C®me 7-15-'81 DESCRIPTION OFWORK Re-roof Part of NEW ❑ S
I Pip
am exempt from the licencing requirements as I omann4gni;agp ADD Lilicensed architect or a registered professional engineer ALTER ❑ FINAL
acting in my professional capacity (Section 7051, d W tile: I-7 DATE r
X74
-Business and Professions Cade). USE OF LDG. REPAIR DEMOL ❑ FINAL
EXISTING BB
Lic.or Reg. No. _Date APPLICANT TEL y -
OWNER-BUILDER DECLARATION IPRwT1Howard L.Randol Co NO. 288-4040
I hereby affirm that I am exempt from the Contractor's License t
Low for the following reason (Section 7031.5, Business and ADDRESS anGabriel
Professions.Code): - PRESENT ;9 O 3 9,'4 A `
•❑ BUILDING
I, as owner of the property, or my employees with ADDRESS t
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale (Section- - LOCALITY' - Q • ej(T O 0
7044, Business and Professions Code). MOVING TEL. '
Fr I, as owner of the property, am exclusively contracting, CONTRACTOR NO. i
with licensed contractors to construct the project (Sec- - t ,'e e e 3 kO 0 mu
_tion 7044, Business and Professions Code)., ADDRESS
REQUIRED TOTAL SETBACK FROM EXIST.' 0:7. .7_8
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued PA
(Sec. 3097, Civ. C.). SIDE '
P.L.
lender's Name
Lender's Address P.C. Fee S Permit Fee 827.00 '
5 1 certify that I have read this application and state that the Issuance Fee. 7.00 - -
aabove information is correct. I agree to comply with all County Investigation Fee -
ordinances and State laws relating to building construction, Total Fee $34.00
_and hereby thorize representatives of this County to enter
g< upon the av ned pro rty inspection purposes. - -
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 0506020071
PHONE: (626) 285-0488 EXT:
I
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 29535 LT: 9 SQ. FT STORIES TYPE 9845 LA ROSA DR
STRUCTURE: 2100 VN TEMP CA 917803952
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8589-008-037 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP 06/02/05 JK 05/28/06
OWNER: TEL. NO: SLEDS. NOW ON LOT: VALUATION: FINAL. 'TE FINAL BY: CODE:
KELLEY WILLIAM A (626) 285-2924- 5,680
9845 LA ➢R 01-oa 4
/
TIME 91]88039039 52 FEES PAID DESCRIPTION OF WORK -
TEAROFFEXISTING ROOFING (FLAT AREAS) RE-ROOF HOUSE AND
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: GARAGE WITH CLASS A BUILT UP FIBERGLASS ROOF SYSTEM
APPLICANT: TEL. N0:
RANDOL ROOFING 6 CONSTRUCTION (626) 288-4040- AA BLDG PERMIT ISSUANCE 27.75
2304 TROY AVE AT STRONG MOTION RESID 5680.00 VAL 0.57 SPECIAL CONDITIONS:
SO. EL MONTE 91733 D2 PERMIT W/0 EN-HC 5680.00 VAL 149.40
TOTAL FEES 1]].72
CONTRACTOR: TEL. NO APPROVALS DATE INSPECTOR SIGNATURE
RANDOL ROOFING AND CONSTR. CO., INC (626) 288-8080-
2304 N. TROY AVE. LIC. NO LOCATION AND SETBACKS
S. EL MONTE, CA 91733 451937BC39
SOIL:; ENGINEER APPROVAL
' ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISE➢ FLOOR FRAMING
1
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
1448269 3 OI. I
FLOOF SHEATHING
N0. OF FAMILIES: DWELLING UNITS: APT/CON➢: STAT CLASS:
NO 21 ROOF;SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAF. PANELS V��1
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION 1
I
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/CEIL ASSEM.
RATED.WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR,CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: ES0508
n
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1005180028
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST NEW 1 BUILDING ADDRESS:
ITR: 29535 LT: 9 SQ. FT STORIES TYPE OCCUR GROUPI 9845 LA ROSA DR
iSTRUCTURE: 0 1 V-B R-3 I TEMP CA 917803952
I ASSESSOR INFORMATION NUMBER: I GARAGE: NEAREST CROSS STREET: BALDWIN
18589-008-0371OTHER: -THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I 1 11 I ,
(TENANT: (EXIST BLDG USE: USE ZONE: 11SSUED ON: PROCESSED BY:
IEXIST OCC GRP: 105/25/10 SR I
TOWNER: TEL. N0: IRLDGS. NOW ON LOT: VALUATION: F�NAI�' DA�E FI BY: CODE:
1 , ROBERT (626) 215-8850- 1 9,600
198459845 LA ROSA DR
ITEMP 917803952 FEES PAID JNASCAIPTION OF WORK
(INSTALLATION OF ROOF-MOUNTED 5.48 KW PHOTOVOLTAIC ARRAY
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (
(APPLICANT: TEL. NO:
FRYKENBERG, APRIL M (626) 203-6093- ID7 ADDNL PLANCHECK FEE 1.00 HOU 109.35
1308 W. MONTEREY AVE IAA BLDG PERMIT ISSUANCE 27.75 (SPECIAL CONDITIONS:
IPOMONA, CA 91768 ID2 PERMIT W/O EN-HC 9600.00 VAL 92.50
TOTAL FEES 229.60
CONTRACTOR: TEL. NO: IAP PROVALS DATE INSPECTOR SIGNATURE
(ENERGY EFFICIENCY SOLAR INC. (909) 865-8561- 1
308 W MONTEREY AVENUE LIC. NO I ILOCATION AND SETBACKS
IPOMONA CA 91768 827074 C46 I I
(SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: 1 1FOUNDATION/TRENCH FORMS I I I
LIC. NO: (SLAB/UNDER FLOOR
(RAISED FLOOR FRAMING
(MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 LUNDERFLOOR INSULATION I I I
3 001 1--1-1
11ST LEVEL FLOOR SHEATH
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I
NO 21 12ND LEVEL FLOOR SHEATH
I
SCHOOL WITHIN HAZARDOUS (ROOF SHEATHING
(AIR QUALITY: 1000 FEET MATERIALS 1
NO NO NO (FIRE DEPT. FRAME INSPECT(
1BLDG DEPT. FRAME INSPECTI I I
ISHEAR PANELS I I 1
I 1 I
INSULATION/WEATHER STRIPI I I
I - (INTERIOR LATH/DRYWALL
I I I
I (EXTERIOR LATH i I
_ (LOT DRAINAGE
ISMOKF DETECTION DEVICES
(FIRE DEPARTMENT APPROVAL(
I 111 11 I I I
IREPORT ID: OPR261 ROUTE TO: BS0508
I I I I I I
• COUNTY OF LOS ANGELES TEMPLE CITY H 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 HL 0508 0712100039
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ITR: 29535 LT: 9 SQ. FT STORIES TYPE OCCUR GROUP 9845 LA ROSA DR
(STRUCTURE: 56 1 VN R3 I TEMP CA 917803952
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: BALDWIN
18589-008-03] - OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, CI
(TENANT: IEXIST BLDG USE: USE ZONE:, ISSUED EXPIRES
I IEXIST OCC GRP: 112/11/0 N: PROCESRED BY: 06/08/080N 1
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FWAL DATE FINAL, BY: CODE:
9845 L, ROBERT (626) 215-8850- 81299 i y I
9845 LA ROBE DR 8 , �/
.ITEMP 91]803952 FEES PAID (DESCRIPTION OF WORK
ADD 56 S.F TO ORIGINAL PROPOSED WORK DESCRIPTION SEE ALSO
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PERMIT BL 011190028
(APPLICANT: TEL. NO:
IKHUU (626) 758-8089- IAA BLDG PERMIT ISSUANCE 27.75 1 1
IAC STRONG MOTION RESID 8299.00 VAL y , 10.83 ISPECIAL CONDITIONS:
IB2 PERMIT W/ENERGY 8299.00 VAL v1 ,219.78
TOTAL FEES 248.36
(CONTRACTOR: TEL NO: ' ;. �`1 ( YY• '-`t.?'F:? (APPROVALS DATE INSPECTOR SIGNATURE
(ROBERT S GUBRAN (626) 215-8650-
WINNIE LIANG LIC. NO (LOCATION AND SETBACKS
19845 LA ROSA DRIVE NONE (�
(TEMPLE CITY, CA 91780 ISOILS ENGINEER APPROVAL 1
(ARCHITECT OR ENGINEER: .TEL. NO: (FOUNDATION/TRENCH FORMS
(PETER LEE ENEGINEERING (626) 280-900- _
18748 E. VALLEY BLVD. LIC. NO: SLAB/UNDER FLOOR ' I
ROSEMEAD, CA 91770 53948 1— I
(RAISED FLOOR FRAMING
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION
3 Oilj1ST LEVEL FLOOR SHEATH
INO- OF FAMILIES; DWELLING UNITS: APT/CONDI STAT CLASS:
NO 21 12NDLEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS IROOF SHEATHING
1AIR QUALITY: TODD FEET MATERIALS
NO NO NO (FIRE DEPT. FRAME INSPECTI
REQUIRED TOTAL SETBACK FROM ERIST (BLDG DEPT. FRAME INSPECTI
SET HACK YARD: HWY: PROP LINE: WIDTH:
IFRONT PL- (SHEAR PANELS
I SIDE PL-
(INSULATION/WEATHER STRIPI
INTERIOR LATH/DRYWALL
(EXTERIOR LATH
I i iLOT DRAINAGE
I
ISMOKE DETECTION DEVICES '
`� I iFIRE DE PA_RTMENT.APPROVAL( ( `�
,.,•,� \•� 'sL,j, (REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0711190028
PHONE: (626) 265-0488 EXT:
ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ITR: 29535 LT: 9 SQ. FT STORIES TYPE OCCUP GROUPI 9645 LA ROSA DR
I (STRUCTURE: 495 1 VN R3 I TEMP CA 917803952
(ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET: BALDWIN 1
18589-008-037 1 OTHER: 55 1 VN R3 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, CI
1TENANT: (EXIST BLDG USE: USE ZONE: 11SSUED ON: PROCESSED 8Y: EXPIRES ON: 1
IEXIST OCC GRP: 111420/07 SR 05/18/08 1
IOWNER: TEL. NO: 1HLDG5. NOW ON LOT: VALUATION: IF AL D TE FINAAA��j+++ Y: CODE:
GUBRAN, ROBERT (626) 215-8850- 1 77,220 1 -�
9845 LA ROSA DR
(TEMP 917803952 FEES PAID DESCRIPTION OF WORK
ADD NEW BATHROOM, EXPAND EXISTING BEDROOM & EXPAND EXISTING 1
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IBATHROOM 495 S.F AND REMODEL EXISTING BATHROOM 55 S.F.
IAPPLI CANT: TEL. NO: I I
IKHOO (626) 758-8089- IB1 PLANCHECK W/ENERGY 77220.00 VAL 1,007.97 1 1
AA_BLDG PERMIT ISSUANCE 27.75 (SPECIAL CONDITIONS:
AC STRONG MOTION REBID 97220.00 VAL 7.72
IBE PERMIT W/ENERGY 77220.00 VAI, 1,185.86
TOTAL FEES 2,229.30 I_
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
(ROBERT S GUBRAN (626) 215-8850-
19845 LA ROSA DRIVE LIC. NO ILOCATION AND SETBACKS
ITEMPLE CITY, CA 91780 NONE I
(/'l
ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS jf /_{11 I
IPETER LEE ENEGINEERING (626) 280-9000- 1 1
18748 E. VALLEY BLVD. LIC. NO: 1 1SLn3/UNDER FLOOR
ROSEMEAD, CA 91770 53948
(RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
UNDERFLOOR INSULATION
1 011 J15'! LEVEL FLOOR SHEATH LV 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 1 `. In`I,� SD` 12ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS �V V, V IROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE,DEPT. FRAME INSPECT
I 1 I I I
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INS PECT '
ISET BACK YARD: HWY: PROP LINE: WIDTH: I
1FRONT PL- 1 15HEAR PANELS
SIDE PL- 1 ,
I (INSULATION/WEATHER STRIP(
I I IINTERIOR LATH/DRYWALL
Y
I (EXTERIOR LATH
I (LOT.DRAINAGE
I 1 1SMOKE DETECTION DEVICES
I I FIRE DEPARTMENT APPROVAL(
I I I I I I
I
1 REPORT ID: DPR261 ROUTE TO: HBO506
I
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 917880 BE 0508 1401230033
PHONE: (626) 285-0488 EXT:
LEGAL ID: N0. OF CONST - BUILDING ADDRESS: 1
ITR: 29535 LT: 9 T SQ, FT STORIES TYPE 9845 LA ROSA DR
ISTRUCTURE: V-B TEMP CA 917803952
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
18589-008-037 THOMAS PAGE: 597 GRID: A4 LOCALITY- TEMPLE CITY, Cl
(TENANT: (EXIST BLDG OSE: GARA G USE ZONE: R-1 JISSUED ON: PROCESSED BY: T
IEXIST OCC GRP: 101/23/14 SR 1
TOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI DATE FI AL BY: CODE:
T GUERAN, ROBERT (626) 215-8850- 200 I
19845 LA ROSA DR
TEMP 919803952 FEES PAID IDDUSCRIPT ON OF WORK
1DRYWALL GARAGE CEILING T
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
(APPLICANT: TEL. NO: .I
1SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.80
IAB STATE GREEN BLDG FEE 200.00 VAN 1.00 (SPECIAL CONDITIONS:
1 (IAC STRONG MOTION RESID 200.00 VAL 0.50
B2 PERMIT W/ENERGY 200.00 VAL 48.10
_I TOTAL FEES 77.40
(CONTRACTOR: TEL. NO:
1 - 1APF ROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIG NO (LOCATION AND SETBACKS T
{ { I
I ISOILS ENGINEER APPROVAL
I I
(ARCHITECT OR ENGINEER: TEL. NO: FC171MATION/TRENCH FORMS
LIC. NO: ISLA9/UNDER FLOOR
1
(RAISED FLOOR FRAMING
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION
3 001 IFLOOR SHEATHING I I
I
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21
ROCS SHEATHING
SCHOOL WITHIN HAZARDOUS SHPA.R PANELS
(AIR QUALITY: 1000 FEET MATERIALS I
NO NO NO 1FR14E INSPECTION
IFIRE SPRINKLER.HANGERS
I 1
INSOLATION/WEATHER STRIPI I
1 I
(INTERIOR LATH/DRYWALL
I I IEXTER IOR LATH
I I I I I II
(RATED FLOOR/CEIL ASSEM.
(RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
1T-BAR CEILINGS I
ILOT DRAINAGE
1RE PORT ID: pPR261 ROUTE T0: 050508 I I I I