HomeMy Public PortalAbout9940 LA ROSA DR_Building__ 9GA63BACE.V8036-62APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES I BUILDING 9 n
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISIdON LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDINGI CROSS ST.
RICT NO -'G P TYPE 1 O BY
FOR APPLICANT O FII 0 CONST.
BUILDING
�Cr ISTICAL CLASSIFICATION 5 ER MAP
ADDRESS73
=
yep� / SS. NO. DWELL UNITS
LOT NO(ORT:QN�C�EOr .2 BLOR NOT REQUIRED�CEIVED
p FICATE: ...CCCJJ
TRACT p HIGHWAY
SIZE OF LOT Se %2'` NO.OF BLDGIE IRCLE) STATE MAJOR SEGO D LOCAL
NOW ON LOTO SPECIAL
USE OF i CONDITIONS
EXISTING BLDG. '/ oil
OWNER {� NO.
ING EXIST.
2L LtM IG ��f sT SETBACK YARD HWY STREET NAME WIDTH
ADDRESS b /iya NT FRONT //��
ARCHITECT OR TEL. P. L. ot1 o c. 0
ENGINEER NO. SIDE }
P. L. D
ADDRESS O
V
CONTRACTOR .�/% TEL.NO. 1 y,
ADDRESS I C
O
DESCRIPTION OF WORK I w
I ✓ o
NEW ADD ALTER REPAIR DEMOLISH �
SO. FT. d NO. OF NO. OF ?
SIZE 37.0 STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE O
APPLICANT
VALUATION $
APPROVALS DATE INBPECTOfl'B SIGNATURE
V V FOUNDATION: LOCATION
FEE $ FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL CDUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. j
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN CCCOOMPENSAT30N�INJS`UURRAANCE. n ' ,, ' I,gTH, EXT,SIGNI I \
AITTE �p4� �G/ /f �yl�v{/`'�I HOUSE
P RMRE CT AND POS ED-
ADDRESS FINAL iy rf.✓r�
JOHN F. LEWIS. PR NCIPAL STIR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.G. CASH _ PERMIT VALIDATION (cK.) M.D. CASH
u1o4745G ;Wnll5 1 D 400-
,
� I
WORKERS' COMPENSATION DECLARATION
eby affirm the, haver certificate Compensation
Int to self APPLICATION FOR BUILDING PERMIT 1111
PP.11cy
e, acertificate of Workers' Compensation Insurance,certified copy thereof (Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
No. Company BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS l
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS LOCALITY
Date Applicant CITY CO Li ZIP NEAREST
CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' / I NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT 6Ilk. NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP
TRACT BLOCK LOT
hundred dollars ($100)or less.) TEL.. NO.
SPECIAL
Q }
I certify that in the performance of the work for which this OWNERT. y NO.c{4]-�1G CONDITIONS 1
permit is issued, I shall not emplo Orly person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY 0
ADDRESS YO f CONST. ZONE
so
as to b cam subject to the W rk rs'Com nsation Laws. 1,
%
r i
WORKERS'COMPENSATION DECLARATION \
hereby affirm that I havecertificate of consent self APPLICATION FOR BUILDING PERMIT
'insure, or a certificate a�(Workers' Compensation Insurance,
or a certified copy thereA(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. f Company BUILDING (!
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS JW
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS
Date ApplicantCITV a ZIP k� qv LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT I b NOW ON LOT CROSS ST I/A_
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less.) TRACT BLOCK LOT NO, MAP BOOK PAGEPARCEL
TEL' j �q
OWNER NO.yy' ^9MAP
�b/ �1
USE ZONE
certify that in the performance of the work for which this rV NO.
permit is issued, shall not employ any person in any manner SPECIAL
so as to become subject to the Wo ker Compensation Laws.
ADDRESS OS 0J' ,y �� CONDITIONS V
DateS-OI"�3s CITY �(fM p,�� ZIP 1'Z 0
Applicant ARCHITECT O TEL. O
NOTICE TO APPLICANT: if, after' aking this Certificate of _ DISTRICT GROUP TYPE FIRE PRO ESSED BY H
ENGINEER w tri P.`— NO.�{L{ CONST. ZONE U
Exemption, you should become subject to the Workers' / � /I(/ /
Compensation provisions of the Labor Code, you must forth- qL{o Ina 5.f�Q �� ✓ R
with comply with such provisions or this permit shall be ADDRESS W
deemed revoked. CONTRACTOR Ql/� N04(425-q E+ STATISTICAL CLASSIFICATION APT. NDO. Z
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS q 01 Lt b La PSD NO.
(commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP
Professions Code, and my license is in full force and effect. CITY . CLASS BK PG. VALIDATION
SQ. FT r--/� NO. E NO OF CHECK
License Number Lic Class SIZE V STORIES FAMILIES ONE
❑ VALUATION
Contractor Date
DESCRIPTION OF WORK NEW O
$ ,
ADD
am exempt under Sec. IC O ❑
ALTER
B.BP.C. for this reason REPAIR ❑ $ ;220(13A
Date: USE OF DEMOL ❑
EXISTING BLDG.
Signature APPLICANT FINAL _ U
�q • � .
OWNER-BUILDER DECLARATION PRINT) TEL.
NO. DATEc �L�C,J O
- I hereby affirm that 1 am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FIN
Professions Code): - PRESENT B
I, as owner of the property, or my employees with BURING
wages their sole compensation,will o the work and
the structure
for is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL. -
I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY SET�BACKK YARD UHRED - HWY TOTA PROP. LINE WIDTH M WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.I.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
LDMA Ref. N
m Lender's Address P.C. Fee$ Permit Fee
I certify that I have read this application and state.that the - Issuance Fee I LDMA P/C p
a above information is correct. I agree to comply with all County Investigation Fee ,1
ordinances and State lows relating to building construction, Total Fee (,/ !DMA Perm. M '
an her by Guth "e representatives of this County to enter
io up n t above- entioned property for inspection purposes.
a LLQZA_A_. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of A plicam or Agent - Date - �°
AP13LICATION FOR BUILDING PERMIT
1�COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATIONBUILD ESS FOR APPLICAN TO FILL IN Bu DING DDRESS
`
1 hereby affirm that I have a certificate of consent to self insure, Q � '
or a certificate of Workers'Compensation Insurance,or a certified
Copy thew�(JJ$$((aac��.��3B��,��Lab.C.) ,I / CIS^ 21P / w LOCALITY er
Po o��'_fCsLZfC�Companyr�%� /� rU/✓h 1 (
SIZE F LOT NO.OF BLDGS.NOW ON LOT
Certified copy is hereby furnished. I NEAREST CROSS ST.
❑ Certified copy is filed with tIW county but g Inspection TRACT BLOCK LOT NO.
dB me WJ LIf( USE ZONE MAP NO.
ASSESSOR MAP BOOK PAGE PARCEL
Dat Applicant SPECIAL CONDITIONS
CERTIFICATE OF EXE MPTI FROM WORKERS' O ER TEL.NO.
COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? VES NO
A DR � YT^
(This section need not be completed if the permit is for one hundred t�frr" DISTRICT GROUPF�PEONST.' FIREZONE PROCESSEDBY
dollars(E1oo)or less.) CITY ZIP
I certify that in the performance of the work for which this permit L —CI? 2is 139ued, I Shell not employ any person in any manner$D e$ t0 ARCHITE OR ENGINEER TEL NO. ✓
become subject to the Workers'Compensation Laws. STATISTICAL CLLAASSSSSSIIFICATION A" CONGO
Date Applicant ADDRESS CLASS NO.=DWELL UNITS
NOTICE TO APPLICANT: If, after making this Certificate of REOUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject t0 the Workers' C RACTOR TEL NO. SETBACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith JRI
64 mow
Comply with such provisions or this permit shall be deemed revoked. EIONOICII�,
v' LI .
/. 77 PL >
LICENSED CONTRACTORS DECLARATION 14 CL Lit.Cu SIDE a
PL p
I hereby affirm that I am licensed under provisions of Chapter 9 G SEWER MAP U
(commencing with Section 7000)of Division 3 of the Business and NO.OF STORES NO.OF FAMILIES IY
Professions Code,and my license is in full force and effec NEW Cl BK PG , CD
VALUATION License Number q��/7') Lic.Class O f Q� ADD ❑ O Co
Contractor 14AT1 tJ72 Data -3-Z-1-14 Z ALTER ❑ $p 1 Z
li�74S/L sy EPAIR
❑ I am exempt under Sec. $ A T
BARC.for this reason / / DEMOL ❑ j 386 75
USE OF EXISTING BLDG. ' ''11 LOMA P/C M 33�7
Da U � i ✓�li� /" J IJ
❑ _- 1 ITEMS
Signature APPLICANT(PRINT) EL.NO, TDMA Perm p c
❑ I, as owner of the party, or my employees with wages as � %� '✓ = TC ITAL a '
their sole comper, tion, will do the work and the structure is AD 0 CHECK vFY.^t
not intended or offered for sale (Section 7044, Business and FINAL DATE Q Q _
Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZAR2
DOUS MATERIAL I / 3 ° CHANCE
❑ I, as owner of the r0 , am exclusive) contractin with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN
P peNy y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINIILB `J
licensed contractors to construct the project (Section 7044, YES❑ NO❑
Business and Professions Code.) (1000-I]SI]1 d/18/93
WILL THE INTENDED USE MI THE BUILDING BY THE APPLICANT OR FUTUREBIOLDINQ THE SOUTH OCCUPANT QUALITYREQUIREMANAGEMENT
E T DISTRICT
(SCMION fl O)SEED WITTIOM THECKUTN CC _"
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMEM DISTRICT ISGOMD)SEE PFRMITTING CHECKLIST drn D�� 1 AM iU.CIS,
FOR GUIDELINES.
1 hereby affirm that there is a construction lending agency for TEs❑ NO❑ """
the performance Civ.C.). Of the WOrI[for which this pef1I111 is Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMOw
3097,CIV.C.J. PERMITTING CHECKLTLEIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES
�- .1WTHROUGH 2,20,1Q CONCERNING
Lender's Name HAZARDOUS SM TUNTY CODE IERALS REPORTING AND F2.CHAPTER 2.03 IOR OBONS 2 TAINIING A PERMIT FROM THE SCAOMD
Lender's Address
.a P..,RRw.BD.r
o I certify that I have read this application and state that the above P.C.FEE PERMIT FEE
R information is correct. I agree to comply with all county
3 ordinances and State laws relating to building construction,and 4:;;;/,
hereb authorize representatives of this County to enter upon ISSUANCE FEE /
the ve-mentionee"roperty for iypecticn purposes. 7 �-/? C
^ n�ro��`��j/lam[� s INVESTIGATION FEE TOTAL FEE 6 � �6 l _
SEE REVERSE FOR EXPLANATORY LANIaUAGE• ,
I
reRS' COMPENSATION DECLARATION jI
arm 'that hgye r certificate of consent to self APPLICATION FOR BUILDING PERMIT -dull
inure, or d iertit`icare of Workers',Compensation Insurance,
pr a cert`ed copy thereof (Sec. 3800, Lab. C.) - COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No.' Companyf
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN - BUILDING //6 v32
ADDRESS [[
Certified copy is filed with the county building inspec- BUILDING (j A.D LA Rb Sla DQ..
tion department. ADDRESS `( Y
Lq n
Dote Applicant CITY I � /py ZIP' LOCALITY L
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT I'LL, l A +, ji1'"5 NO OF BLDGS. NEAREST
COMPENSATION INSURANCE NOW ON LOT CROSS ST.
/}JJ + ASSESSOR
(This section need not be completed if the permit is for one TRACT C.14' ( BLOCK LOT NO.' Z,
hundred dollars ($100)or less.) ' MAP BOOK PAGE PARCEL
�OHNt, SUSAN s Q . NO USE Z NE MAP
I certify that in the performance of the work for which this 'OWNER' //��//tt nn 3` NO.
permit is issued, I shall not employ any person in any manner ADDRESS "Y'I 4V RnsA D Q. �/ SPECIALS
so as to become subject to the Workers'Compensation Laws. �•� /� /� CONDITIONS C)
Dote`( �iL[Y.L/y �1 pLn� CITY 1Em LC L�1 +4� ZIP X111 Z V
Applicant t OC
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL
DISTRICT G UP TYPE FIRE PROCESSED BY
ENGINEER OWN NO. Q - CONST. 2,ONE (—
Exemption, you should become subject to the Workers' _ / W
Compensation provisions of the Labor Code, you must forth- ADDRESS �� i/
with comply with such provisions or this permit shall be d
deemed revoked. CONTRACTOR NOTEL. STATISTICAL CLASSIFICATION APT. CO (p
. L/
LICENSED CONTRACTORS DECLARATION LIC CLASS NO. DWELL. UNITZ
S_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.
(commencing with Section 7000)of Division 3 of the Business andLIC SEWER MAP
Professions Code, and my license is in full force and effect. CITY qQ 1 2i5 CLASS BK Ems ]' VALIDATION
SQ. FT . OF NO. OF CHECK
License Number Lic.Class SIZE STORIES FAMILIES ONE
fL , VALUATION
Contractor Dote DESCRIPTION OF WORK,� NEW ❑ (�
ADD L� ,
I am exempt under Sac. r00 ❑
ALTER ']
B.BP.C. for this reason REPAIR
Data: USE OF DEMOL
EXISTING BLDG. ❑
Signature APPLICANT TEL FINA ;29469A
OWNER-BUILDER DECLARATION PRINT NO. DAT �✓
1hereby affirm that I am exempt from the Contractors License
Law for the following reason (Section 7031.5, Business and ADDRESS FI ( • 2 4 6 7 5
Professions Code): PRESENTB _
® I, as owner of the property, or my employees with BUILDING
ADDRESS t
• • 24675
wages as their sole compensation,will do the work and LOCALITY , 4,27-88
the structure is not intended or offered for sale(Section
7044, Business and Professions Code). MOVING TEL. t s
I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Cade). -
CONSTRUCTION LENDING AGENCY SET ACK YARD HWY TOTAL ROP.SETBLCK FROM EXIST.
NE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.I.
(Sea. 3097, Civ. C.). SIDE 's
P.L.
Lenders Name `
rZ( LDMA Ref. p
m P.C. Fee E Permit Fee - -
Lender's Address
i.
I certify that I have read this application and state that the Issuance Fee /V ] (/ LDMA P/C If poll, .
above information is correct. I agree to comply with all County Investigation Fee - -
ordinances and State laws relating to building construction, Total Fee 2 V,6 LDMA Perm. 8
and hereby authorize representatives of this County to enter
upo the above-mens' need^prroperty for inspection purposes.
�4 AXJ 1( Z `� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
f
COUNTY OF LOS ANGELES �f t'EMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9804230078
• PHONE: (818) 285-0488 EXT:
GAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 9481 LT: 21 SQ. FT STORIES TYPE 9940 LA ROSA DR
STRUCTURE: 0 VN TEMP CA 917803922
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: AGNES & BALDWIN
8589-026-029 THOMAS PAGE: 597 GRID: B4 ' LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R- ISSUED ON: PROCESSED Y: EXPIR ON:
EXIST OCC GRP: 04/23/98 UT 04/23/99,
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY ODE:
DONOFRIO JOSEPH A;REBECCA A (818) 454-4102- 1 2,700 fl-
9940 ��_ n n
LA ROSA OR `]57
TEMP 917803922 ES PAID DESCRIPTION OF WOR
FOUNDATION RETROFIT
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT:
APPLICANT: --TTL. NO.
WEINSTEIN CONSTRUCTION (818) 789-1400- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RES1D 2700.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 EN-HC 2700.00 VAL 99.15
TOTAL FEES 127.40
CONTRACTOR: TEL. N0: APPROVALS DATE INSPE:TOR SIGNATURE
WEINSTEIN CONSTRUCTION, INC. (818) 789-1400
13425 VENTURA BLVD., SUITE 301 LIC. NO LOCATION AND SETBACK
SHERMAN OAKS, CA 91423 630439 B
SOILS ENGINEER APPROVAL
ARCHITECT ORENGINEER: L. N0: FOUNDATION/TRENCH 0 MS
LIC. NO: SLAB/UN ER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: LMP: UNDE2FLOOR INSULATION
144H269 3 01
FL0O:: H A7HING
NO. OF FAMILIES: DWELLING UNI S: APT C ND: STAT CLASS
NO 21 ROOF SHEATHING
SCHOOL W THIN ARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME i SPECTION
REQUIRED TOTAL SETBACK FROM EXIST FI SP INKL R HANGE S
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIO 7HR /D7 R
EXTERIOR LATH
RATED LOOR LSS
RATED W LL ASSEMBLIES
RSD SHAFT /OPEN
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 1406160045
PHONE: (626) 2B5-0488 EXT:
(LEGAL ID: I NO. OF CONST BUILDING ADDRESS:
ITS: 9481 LT: 21 1 SQ. FT STORIES TYPE 9940 LA ROSA DR
STRUCTURE: 400 TEMP CA 917803922
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: AGNES
18589-026-029 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
I I
TENANT: IEXIST BLDG USE: SWIMM USE ZONE: JISSUED ON: PROCESSED BY:
(EXIST OCC GRP: - 106/16/14 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FLNAL.D TE F AL BY: CODE:
MILY COACH (626) 221-2323- 0
19940 LA ROSA DR l _
ITEMS 919803922 FEES PAIDESCR�IPTION OF WORK
DEMO SWIMMING POO
1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. N0:
(SAME AS OWNER - 1AA BLDG PERMIT ISSUANCE 27.60
102 DEMOLITION INSPECTN 163.50 ISPECIAL CONDITIONS:
TOTAL FEES 191.30
1
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - I
LIC. NO PEDESTRIAN PROTECTION
SEWER DISCONNECTION
ARCHITECT OR ENGINEER: TEL. N0: ABANDON PRIVATE DISPOSAL
LIC. NO: 1 IUNDERGRND STRUCT REMOVAL
AND SOIL AECOMPACTION
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
001
1NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
0 NO 24
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
III
III
III III
11
IREPORT ID: DPR261 ROUTE TO: BS0502
I-