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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 �D�1`��ovNri oLo CII b tJ.f L D i N G ='Fos 71FPI1CJ►N1 ro Pus: IIt -:; F08 OFnM U=OfWF ... . .HAM 0�.wa .►OwR Im.' �� OATS NEU".- 2seM : `'5 .,AmIRi@T Til. - IDwi � A 4s ASN. Tom' N_OPMR= . VA[i...> A''k. I• TWW ApolOwliDw[;TWT 1'.M+MI MfJ10 - �. Tmv - A ^*a lal A�erwR run 1iR"A/ d Oaeam►I �auroaTlm��tm11Tm1 _-.AM A +v ppwRT ARM All CC1eMfT omrf® I<:Yi wwre>Olu� Awp RAT[4n Cw-MTn tllilOtlp IV 11 / n .1I •t i ;gam 11 ARIIYasO.AIL� _ 'lAT4 QG1 I - :"! - . -.+. tib PLAdmm Mr. 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