HomeMy Public PortalAbout9171 LAS TUNAS DR_Building__ oas 1-4V 25M APPLICATION,
1
' I(,AlIO'lY FOR PER1Vi�IT",
DEPARTMENT'OF BUIILDI'NG AND SAFETY
COUNTY- OF LOS ANGELES BUILDING 2
WM. J. FOX, CHIEF ENGINEER
NO.OF M BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE
FIRE APPROVED r
ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUEi;
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APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY'
EO NAME ADD EISS 1Zr + .a
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LICENSE NO. NO. y. NAME'
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ADDRESS .✓ V CITY 9�t t i" NO.
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CITY_ 't V . .4.;d 1 HEREBY,,ACKNOWLEDGE THAT I HAVE READ THIS
rY •' TEL. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LICENSE NO.U STATE c q AND AGREE
O,A' TO COMPLY WITH ALL COUNTY ORDINANCES
4 '.. NtJI
�yy AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
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,. • P.'C. FINAL APPROVAL
a FEE
INSPECTOR'S
VALUATION' -FEE DATE.. NAME '
DEPARTMENT OF BUILDING AND SAFETY ryry� APPLICATION FOR PERMIT
COUNTY OF LOS ANGELEAU G G 19 9
WM.-J. FOX, CHIEF ENGINEER U 1 L ® 1 N G t
FOR APPLICANT TO IN n FOR OFFICE USE ONLY
1 f� DISTRICT�NO. PLAN CK.NO. PERMIT NO:
BUILDING ! ,��,
ADDRESS (/]/14�
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LOCALITY RECEIVED BY D ,T:OFpAPPPL. DATEISSUED
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TEL. DATE
CONTRACTOR VVV\\\ NO. APPROVEADDRESS '2 BY' DATE Rt
LEGAL � .' ' , o-1 CORRECTIONS
DESCRIPTION LOT NO. w BLOCK
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NO.OF BLDI39W
SIZE OF LOT 5 I NOW ON LOT
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.COVERING COVERING ( (liS'
USE O NEW n
BUIL G
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1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE I5 CORRECT INSPECTOR DATE
AND AGREE TO COMPL WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
FORMS,MATERIALS
AND STATE LAWS RE TING BUILDING CONSTRUCTION. 'J� /�-✓.���� /�
FRAME: FIRE STOPS,
SIGNATURE O � f BRACING,BOLTS
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PERMITTEE_ LATH, INT.
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AUTHORIZED AITZ9. ^
LATH, EXT.
7GA638A s-ae v DBS-3 SOM SETS $ P.C. PLASTER, INT.
/M`�;,
►'�/ FEE PLASTER,EXT.
VALUATION I � FEE ( �I I FINAL f//�✓a *y" /� �
DEPARTMENT OF BUILDING AND SAFETYPLgCATI®N FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM. J.'FOX, CHIEF ENGINEER
NO.OFBLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. P MIT NO.
PLANS SETBACK LINE 7/97
FIRE APPROVED
ZONE BY 7 DATE REQEIVED 9Y ATE OF APPL. SATE ISSUED
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USE /f1 APPROVED •(;��s ��6 ��Y 7/'���7 /
ZONE BY DATE
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NAME s�• ADDRESS
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CITY cRoss sr. �N e/ml Tl7C.�
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LICENSE NO. NO. NAME
Z MAIL /
CO NAME _a..+ O ADDRESS
U TEL.
Q' ADDRESS CITY NO.
K r
1 HEREBY ACKNOWLEDG THAT 1 HAVE READ THIS
Z
U CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. ,/ AND STATE LAWS REGULATING BUILDING CON TRUCTION.
Z LQT NO. SIZE OF LOT �S�AI U
SIGNATURE OF
O / /< 0~ NO. OF SLOGS. Nb AUTHORIZED AGT. /
� a BLOCK NOW ON LOT _ v
III TRACT •5` % � 1���q�/ C�OCRRE,CTIONS
D USE OF
NOW ON LOT SLOGS.
DESCRIPTION OF WORK
USEOF
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BUILDING
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War Production Board of(qr,r�z vn, -Q p
cautioned to consult with your local War _ X inq the work authorized in tr-s >
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NEW TYPE I GROUP r
NO.OF NO.OF
ALTERATION ROOMS FAMILIES
ADDITION SIZE
REPAIR STORIES
MOVING WALL COVERING
DEMOLISH POOP COVERING
$ P.C.s FINAL APPROVAL
�I INSPECTOR'S 'L
'VALUATION FEE
DATE jy I 7 NAME
-DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
BUILDING
WM. J. FOX. CHIEF ENGINEER
NO. OF BLDG. ORD. NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE
FIRE r APPROVED
ZONE BY
BY /DATE RECEIVEDiBY DATE OF PP1PL. DATE ISSUED
ZONEvUSE _
BY DATE, DATE
APPLICANT FILL-IN 'HEAVILY OUTLINE//D PORTION ONLY
BUILD
0 It NAME
ADD EISS &!?
F_ W I QF
U w
F Z ADDRESS LOCALITY
I Z NEAREST
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Q STATE TEL.
LICENSE NO NO. W NAME
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MAIL
CO NAME 0 ADDRESS
~ TEL.
Q ADDRESS CITY NO..4/171/
tY
F -
ZO CITY I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
U APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO /^ NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Z LOT. NO. 1(/ SIZE OF LOT2�'�1�� SIGNATURE OF Of
O OWNER0,2002 ol
Q NO. OF BLDGS. �� AUTHORIZED AGT.
BLOCK NOW ON LOT
J w TRACT 5 5 CORRECTION
D USE OF BLDGS.
NOW ON LOT
DESCRIPTION OF WORK 17- q(
USE OF 41
BUILDING
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NEW • TYPE GROUP 0
NO. OF NO. OF .�.
ALTERATION ROOMS "�FAyMILIES
ADDITION SIZE /t 2^dna
REPAIR STORIES
MOVING WALL COVERING �"
DEMOLISH ROOF COVERING
$ a�D P'C' FINAL APPROVAL
FEE
/
75 $ l�y� r/j�INSPECTOR'S
VALUATION FEE DATE (!y NAME A
DSS-3"25M SETS B-45 - \�
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES Q ® �
WM. J. FOX, CHIEF ENGB
INEER
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FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
o �J A^�� DISTRICT NO. PLAN CK. NO. PERMIT NO.
13 U' BG
ADDRELD IB //1/7
LOCALITY // R V BY DATE OF APPL.// DATEryISS(U[ED
NEAREST `� _V .
CROSS ST.
BUILDING
OWNER ADDRESS Q,Q -
MAIL t111 LOCALITY
ADDRESS-
//� � �/�p/�/ NEAREST
CITY ` Vf NO. `.3 p i7 CROSS BT.
FIRE NO.OF TYP r, GROUP
ARCHITECT OR TEL. ZONE I PLANS . / C I
ENGINEER NO. V s
BLDG. ORD. NO.
ADDRESS, SETBACK LINE
APPROVED
TEL BY DATE
CONTRACTOR (i(> NO.
USE APPROVED
ADDRESS ZONE(/, BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT
NO. OF BLDGS.
SIZE OF LOT x 13•� NOW ON LOT /
USE OF NO.OFNO. OF
EXISTING BLDG. '�`�— FAMIUEe _I-ROOMS
DESCRIPTION OF WORK
NEW I ALTERATION I X I ADDITION 1 O
REPAIR MOVING DEMOLISH O
9q. FT. / X / NO.OF =
_SIZE ROOMS / STORIES D
r
WALL ( ROOF
COVERING iCOVERING
USE OF NEW
BUILDING f
APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY'ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULAT B DING CONSTRUCTION. FRAME: FIRE STOPS,
BRACING, BOLTS
SIGNATURE OF
OWNER LATH, INT.:
AUTHORIZED AOT LATH: EXT.:
P. C.S PLASTER, INT.
FEE
U � PLASTER, EXT.
� h FINAL r
VALATION O FEE - _
DBS-3`25M SETS B-45
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING U ' CD ' NG
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING ysq /� , ,t rpm DISTRICT NO. PLAN CK. NO. PERMIT QNO.
ADDRESS �U
LOCALITY RECE(IVED BY DATE OF AP[P�L. DATE ISSUED
NEARESTC(y�� d ✓gip^ f / l/
CROSS ST. li�L�'rbL�i I 4 A4 I 4� I�
BUILDING
OWNER A irN U/ L / VAN ADDRESSMAIL
ADDRESS /f)I I 4,44 7)A/AJ dd, ALOCALITY a��r //�/ �j
CITY `�_ NEAREST'
//I P C I ! (1 NOLO ,p,j�4 CROSST. f'� !�I �F �' 4sL
FIRE No.OFANS TYPE�+ �I O P
PLAr
ARCHITECT OR/ TEL. ZONE PLANS
-'Y
ENGINEER NO.
\ BLDG. ORD. NO.
ADDRESS \ SETBACK LINE
APPROVED
TEL. Y
CONTRACTOR ��.-� � Q NO. BY DATE
p ,.etc, USE APPROVED
ADDRESS I ` Oa �� � �A_yk c"1 cl ZONE 2.BY DATE
LEGAL
DESCRIPTCORRECTIONS
I LOT NO. � I BLOCK -
TRACT y
' `t NO. OF BLDGS.• _
SIZE /
OF LOTO)L q 4J ,,tS� NOW ON LOT
USE OF Cq,j_ -P ldl,t,NO. IE _I NO. OF
EXISTING BLD O. P`J9t�6' hldl, FAMILItB ROOMS
ri
DESCRIPTION OF WORK
NEW ALTERATIONADDITION
A
O
HxDEMOLISH
REPAIR MOVING O
Sq. FT. NO.OF I D
SIZE ��� ROOMB 07tc&- STORIES
�/ r
WALL ROOF
COVERING / � I COVERING
USE DI NEW C)r�/`0,Q A� 7- retd�( � /
BUILDING ! CI [ ,G
J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
BRACING, BOLTS
SIGNATURE OF
OWNER LATH, INT.:
AUTHORIZED AOT
LATH, EXT.:
$ P. C S PLASTER, INT.
FEE PLASTER, EXT.
>8
VALUATION ' FEE ` FINAL I �-� +��
r DEPARTMENT 'OF BUILDING 'AND SAS ETY T _-APPLIC 1'iONFOR PERM11
COUNTY OF LOS ANGELES
WM- J. FOX, CHIEF ENGINEER
F014 APPLICANT TO FILL IN FOR OFFICE USE ONLY _
BUILDING r♦� DISTRICT -NO. PLAN CK. NO. e�.-PERMIT NO.
ADDRESS C 'a. '1�91=a'6) � "va / //yy
LOCALITY / RECEIVED BY DATE OF APPL. DATE ISSUED
/
NEAREST �jld d,V1.�r+Q,e�of /4/ f/
CROSS ST. (/�+//�(�'L{,ijiy/�(fr/f,L ,f`�y �//
1 OWNER 4 , (J �:� C k ADDRESS
MAIL ,l'II J�M / .�d/b>f�bCJ' AJY L LOCALITY t} �=�' ofe �l
ADDRESeS J� /�(%y
/ P�.A..��A TN � 'Y'�1 !3,"♦� NEAREST
CITY CROSS ST.
ARCHITECT,OR TEL. ZONE PLANS 444
NO.OF TYPE i GROUP
ENGINEER �+.r� NO.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
�� �/ITf� ,6�NO. APPROVED
CONTRACTOR � BY DATE
USEAPPROVED
ADDRESS ' ty (p� ZONE 1!!//BY DATE
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. ^I BLOCK
TRACT ,
II NO. OF SLOGS.
'SIZE OF LOT 9®X ! 3 r NOW ON LOT
USE OF NO.OF NO. OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A_
REPAIR 9� MOVING DEMOLISH O_
SQ.IZ �� 36 x,�/ ROOMS STORIES NO.Or Z
SIZE Y
r
WALLA� h I ROOF
COVERING (�' sy COVERING-
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS J APPROVALS
APPLICATION,AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATIN SU DING CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE OF BRACING, BOLTS
OWNER I r _ / LATH, INT.:
AUTHORIZED AGT LATH, EXT.: '
1 _
$ P. C. PLASTER, INT.
LVALUATIONFEE / / PLASTER, EXT.FEE J Q��, '0 FINAL
WORKERS'COMPENSATION DECLARATION
r insure, oraafcertif cane of Worke s' Comtpensat on eInsuran ent to lf APPLICATION FOR BUILDING PERMITor a certified copy thereof (Sec 3800, Lab C )
_ COUNTY OF LOS ANGELES, ._ BUILDING AND SAFETY -
Policy No Company
Certified copy is hereby furnished ' _BUILDING
❑ FOR APPLICANT TO FILL INDDRESS
❑ - Certified copy is filed with the county building mspec- BUILDING
tion department ADDRESS 1 �S LOCALITY.
�9 NEAREST
Date Applicant CITY �l�C �� ZIP d CROSS ST
CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE' MAP
hundred dollars($100)or less ) TRACT BLOCK LOT NO NO
` - TEL "Q •�,t/ SPECIAL }
I certify that in the performance of the work for which this OWNER �. T. /{COS�`/� NO 7 �v CONDITIONS d
permit is issued, I shall not employ any person,in any manner / DISTRICT GROUP TYPE FIRE PROCESSED BY O
so as to become subject to the Workers'Compensation Laws ADDRESS "3 S•�1eY �/4«e� R CONST/ ZONE- V
�• d LY a211�0 !' �+! ZIP S, (/ RJ V 3 0
Date Applicant dj CITY STATISTICAL CLASSIFICATION APT JCON!Jb_� \0
NOTICE TO APPLICANT- If, after along This Certificate ARCHITECT OR. TEL yam,
Exemption, you should become'subject t6ENGINEERWorkers' ENGINEERNO CLASS NO_ ?— DWELL UNITS a `
Compensation provisions of the Labor Code, you must forth- ADDRESS - SEWER MAP z ('
with comply with such provisions or this permit shall be r )
TEL
deemed revoked - CONTRACTOR NO .- BK j6 PG,� VALIDATION
LICENSED CONTRACTORS DECLARATION _ LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC OO
Professions Code, and my license is in full force and effect CITY CLASS $ ��00 ► 1
SQ FT NO OF NO OF CHECK '2.1 0 2 2 A
License Number Lc Class SIZE STORIES FAMILIES ONE
NEW ❑ $ # • • • • •
Contractor Date DESCRIPTION OF WORK /+
p — /�S%i4LLCc ADD I 2&5 0
❑ I am exempt under Sec nn ALTER ❑ FINAL ✓ • •
/"i�. �.E �/v c���0 ❑ DATE G�
B 8P C for this reason REPAIR
USE OF FIN ° ° * 28,505'
Date EXISTING BLDG• r DEMOL ❑ By
Signature APPLICANT TEL A 1.07-84
OWNER-BUILDER DECLARATION PRINT NO
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031 5, Business and ADDRESS
Professions Code) PRESENT
I�RYI 1, as owner of the property, or my employees with BUILDING
ADDRESS
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 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)
REQUIRED TOTAL ETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PRSOP
LINE 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 L
(Sec 3097, Crv. C.) SIDE ,
m PL
Q Lender's Name
PC Fee$ Perrit Fee 1 V�
Lender's Address
I certify that I have read this application and state that the- Issuance Fee 0
a above information is correct I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee
15
b and hereby authorize representati sof this County to enter
up thea ave-m`enti�oned F ty for nspection purposes
n
Jy SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant qfAgent Date ®_
C
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0711140017
PHONE: (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW I BUILDING ADDRESS
ITR 5905 LT- 6 BL 001 SQ FT STORIES TYPE OCCUP GROUP 9171 LAS TUNAS DR 1
I ISTRUCTURE 2700 1 V B I TEMP CA 917801906 1
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOMA
15387-016-004 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl
TENANT: 1EXIST BLDG USE COMME USE ZONE IISSUEDt,ON- PROCESSED BY EXPIRES ON
IMA WEI CHAO IEXIST OCC GRP B 112/07/07 SR 06/04/08
OWNER TEL NO IBLDGS- NOW ON LOT VALUATION IFINAL DAT FINALlllC, CODE-
1LEE GEORGE Y,LI FENG (909) 625-1192- 1 110,000
13518 MILLS AV 1 ),A,\\)QQQ
ICLMT 917112063 I FEES PAID IDESCRIPTION OF WORK
ITENANT IMPROVEMENT DEMO INTERIOR WALL AND BUILD 3 TOILET
IFEE DESCRIPTION- QUANTITY: UOM AMOUNT ] (HANDICAP ACCESSORIBLE) 1
(APPLICANT TEL NO
ILAI (909) 851-1581- 1A1 PLANCHECK W/EN-HC 110000 00 VAL 1,324 32 1 1
11002 DEBORAH ST IAA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS
(UPLAND, CA 91784 IAE STRONG MOTION OTHER 110000 00 VAL 23 10 �({ y.- /h�/}.�� (}-
IA2 PERMIT W/ENERGY-HC 110000 00 VAL 1,558 02 je -5r- 4("" � - Io `�e f �� /-�J1vj
TOTAL FEES 2,933 19 1
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
IEBENEZER CONSTRUCTION (909) 949-1282- I
11002 DEBORAH ST _ LIC NO (LOCATION AND SETBACKS
(UPLAND, CA 91784 623848 B I__ 1 1 I
I (SOILS ENGINEER APPROVAL 1 I I
(ARCHITECT OR ENGINEER- TEL NO 1 IFOUNDATION/TRENCH FORMS I I
ICHEN TSONS-HOUR (909) 949-1282- 1 I - 11 I
11002 DEBORAG ST LIC NO. I ISLAB/UNDER FLOOR I I I
(UPLAND, CA 91784 NONE 1 I I I I
I I ]RAISED FLOOR FRAMING
I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP-I ]UNDERFLOOR INSULATION I I I
I I I
1 3 041 (FLOOR SHEATHING I
1NO OF FAMILIES- DWELLING UNITS APN/COND- STAT CLASS- I IOI
I 22 1 IROOF SHEATHING I I I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEPR PANELS I I I
]AIR QUALITY 1000 FEET MATERIALS 1 I I- I I
NO NO NO 1 IFRAME INSPECTION 1l!/I1 v7 3
1 I I FIRE SPRINKLER HANGERS 1
I I I
1 1 (INSULATION/WEATHER STRIPI II
I (INTERIOR LATH/DRYWALL I
I I I
I 1EXTERIOR LATH I
1 I I I I I
I I ]RATED FLOOR/CEIL ASSEM
I I I I I I
I (RATED WALL ASSEMBLIES
I I I
I ]RATED SHAFTS/OPENINGS I I
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I 1 IT-BAR CEILINGS 1 1
I I I
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(REPORT ID DPR261 ROUTE TO BS0508 1
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