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HomeMy Public PortalAbout9677 LAS TUNAS DR_Building__ F', 78A639A' CE M8031RE V.6/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING ( FOR APPLICANT TO FILL IN ADDRESS �> Z.�/ a BUILDING � ADDRESS /J LOCALITY ; 77;W01.0-- may" NEAREST / CITY ; ZIP CROSSST, NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P OCE BY TRACTI�, ( BLOCK LOT NO�=� CONST T ZONE TEL. -J.'CJ X71 OWNER NO, STATISTICAL CLASSIFICATION ' WER MAP ADDRESS CLASS NO.3 �-� DWELL.UNITS 8K / " PG CITY ZIP —j ARCHITECT OR TEL. VALUATION $ _ 0 0 ENGINEER NO. ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR (� d TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO _ LIC. + CITY CLASS Q CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING d ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. NO.OF 1\10.01` CHECK + = V SIZE STORIES FAMILIES ONE O �' L� DESCRIPTION OF WORK NEW P.C. Fee$ - Permit Fee V W ElADD C3Issuance Fee Z ALTER _ REPAIR ❑ Total Fee USE OF EMOL EXISTING BLDG. -7 C APPLICANT TEL / / F _4tatx�, (PRINT( O. - 1 Q BY(SIGNATURE) 4 2 (/1 c Umwz d� IHEREBY ACKNOWL DGE THAT I HAVE READ THIS APPLI ATION AND STATE uY THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES -7 q AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT DOING THE S WORK AUTHORIZED HEREBY I V^L NOT EMPLOY ANY PERSON IN I LATION OF u THE LABOR CODE OF THE STAT CALIFORNIA IN REL ATIN TOW EN' COM Z JW1 85.5 A PENSATION INSURANCE. SIGNATURE OF PERMITTEE - 2 • • 34,00 ADDRESS S Z • • • 3 O O U TEL. j / CITY T O NO. G NO. 215-78 USE ZONE NC 0 �— SPECIAL � CONDITIONS : FINAL BY us W DATE /1,4 ��� DEPARTMENT OF COUNTY ENGINEER BUILDING DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING 7 - DISTRICT NO. PLAN CK. REc.No. PERMIT NO. ADDRESS / �-' _ 6 �--- LOCALITY RECFJVED BY DATE OF APPL. DATE ISSUED NEAREST !a Q1l,.r ';"� 3 CROSS ST i \ �+ BUILDING OWNER ADDRESS K� r` MAIL (l��� LOCALITY ADDRESS ! NEAREST TEL CITY CROSS ST. ARCHIENGINEECT OR TRL. � FIRE __ NO. I TYPE I GROUP /h—�^ ZONE PLANS ADDRESS SE BACK LINE C� O `f .9`$'L.f ,ter NO, G!i�/ �jr�' USE - APPROVED CONTRACTOR 'T ZONE BY DATE HOUSE NUMBERING ADDRESS LEGAL MAP NUMBER NO. ASSIGNED BY DESCRIPTION LOT NO. BLOCK CORRECTIONS TRACT NO. OF BLDGS. — - --- SIZE OF LOT NOW ON LOT USE OF I NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK D - NEW ALTERATION ADDITION D Z REPAIR DEMOLITION - D r SQ. FT. NO. OF SIZE ROOMS STORIES EXT. WALL I ROOF - COVERING COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION, I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS LATH, INT. AND STATE LAWS REGULATING BUILDING ON8TRU/C^TION. �/ SIGNATURE OF ��{/ PERMITTEEr LH. EXT, ADDRESS 01Z da6 � PLASTER, INT, AUTHORIZED AGT. PLASTER, EXT. S ©O P. C.C. • PSHOUSE NUMBER COR- ` RECT AND POSTED VALUATION FEE S .�-� FINAL f �" 7GA636A DESS 9-62 (A DEPARTMENT OF BUILDING,AND SAFE tirr".L%,.s i avix r wn rLna as L --COUNTY OF LOS ANGELES U � � ® ' WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING D113TRICT NO. PLAN CK.NO. JP/ERMIT NQ ADDRESS -� T�7 f 47 �7 7 2 ._ LOCALITY RECEIVED BY DATE orAPPL. DATE ISSU NEAREST ��/f `t%� CROSS ST. - , 4 BUILDING .wy _ OWNER 9 / -` ! ¢ i ADDRESS �' [� �"zMAIL + ADDRESS LOCALITY T NEAREST CROSS ST. RE ARCHITECT / TEL. ZONE PLOF TYPE GROUP AN � ENGINEER O. -� BLDG. OR NO. ADDRESS / � SETBACK LINE APPROVED E CONTRACTOR BY DATE - USE APPROVED !! ADDRESS ZONE BY DATE 7�- .^�� LEGAL DESCRIPTION LOT NO. PHLOCK Y CORRECTIONS TRACT r NO.OF SLOGS. SIZE OF LOT �!� � �! (� NOW ON LOT USE OF NO.OF I NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK 1 -1 1 — NEW �� ALTERATION ADDITION O A REPAIR MOVING DEMOLISH GI 9q.FT. NO.OF SIZE ODMS STORIES > WALL ROOF r COVERING COVERING USE OF NEW BUILDING �- [ t f 1 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 RE13ULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPB, SIGNATURE OF ���/y BRACING,BOLTS OWNER � v � -:iLATH,INT.: AUTHORIZED AG�� LATH,EXT.: 089-3 25M SETS 1-47 ar P.C.III PLASTER. INT. �(,,,._'DO-- FEE PLASTER.EXT. 91 q 1 VALUATION FEE FINAL w` _ 76A638A CE 11803 3-69 /�+� APPLICATION FOR BUILDING Ja_IERMIT COUNTY OF LOS ANGELES BUILDING -•7 7 DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DIST I�c)r�/N(�0. GROUP PE CO ST. SED BY (PRINT OR TYPE ONLY) �•�' J BUILDING _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS lj it GI eT 1 Ct/�' CLASS NO. DWELL.UNITS BKIE PGI�� LOT NO. ! BLOCK USE ZONE MAP I� o�� N0. G TRACT IE / / �7 SPECIAL N0. OF BLDGS. l✓ G.� CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM OWNER C�j ti' ( ! (! / NO. FRONT PR . LINE OF (STREET) TYPE OF EXISTI TRACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FR L. ADDRESS ,� 7� h � (,j'.(//;d CITY �t 1'`c'�t ARCHITECT OR TEL. SI LI DG.SETBACK FROM DE PROP. LINE OF (STREET) ENGINEER N0. S TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. CONTRACTOR S�Q «A s d NO. + ( ADDRESSJ� /L tp.� NO CORNER CUTOFF YES ❑ NO ❑ c LIC. CITYcc . Z- CLASS S% SEE REVERSE SIDE FOR SPECIAL APPROVALS H CONSTRUCT10 LENDER u NAME AND BRANCH c v ADDRESS SQ. FT. NO. OF N0. OF ❑ SIZE STORIES FAMILIES NEW USE OF ADD 1C.CJ0 ❑ STRUCTURE E]ALTER REPAIR SIGNATURE OF DEMOL ❑ APPLICANT VALUATION S / �i APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEE $ 9D FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. LATH, EXT. SIGNATURE OFHOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRESS FINAL f4 �-- JOHN F. LEWIS, PRINCIPAL STURAL ENGINEER PLAN CHECK VALIDATION �K. M.O. CASH - PERMIT VALIDATION CK. M.O. CASH Pr. 4 APR 8 1 0 9.0 01 DEPARTMENT OF BUILDING AND SAFETY APYLLUATLUN r-Uit l'LHMLT COUNTY OF LOS ANGELES ' ' G WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT PLAN CK.NO. PERMIT NO. BUILDING • _ADDRESS LOCALITY T / // RECEIVED BY D TE OF APPL. DATE 1S$UED NEAREST CI BUILD CRO33 ST. �f / ADDRESS NG OWNERS �' ZZ �7 �/ `O/G//t/ ADD EISS MAIL LOCALITY ADDRESS 2 G NEAREST CITY -, � NO. CROSS ST. .11 FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANE �r ENGINEER NO. BLDG. ORD.NO. ADDRESS _SETBACK LINE APPROVED -� TEL. BY DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE BY DATE LEGAL _,.__.� CORRECTIONS DESCRIPTION LOT NO.,,,. BLOCK TRACT NO.OF SLOGS. SIZE OF LOT NOW ON LOT USE OF NO.OFNO.OF EXISTING BLDG. I FAMILIEa I ROOMS DESCRIPTION OF WORK NEWALTERATION ADDITION REPAIR MOVING DEMOLISHcl Sq.FT. 3 NO.OF Z _SIZE �� ROOMS STORIES D WALL ROOF f COVERING I COVERING ._ USE OF NEW ` BUILDING T 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, SIGNATURE OF BRACING,BRACING,BOLTS PERMITTEE LATH,INT.: AUTHORIZED AGT LATH,EXT.: DBS-3 SOM SETS 7-47 $ P C ,$ PLASTER,INT. 3 ; J FEE PLASTER,EXT. $ Y VALUATION FEE FINAL 2 O T IS REQUIRED FOR /,fv; _ . - . 0rl WORKDONE IN i rIc J f OF W y 70AG30A CE#8039.59 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING Z r-,� 7- DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST. I _ DISTRIC -P1 O. GR 59P PE PR D FOR APPLICANT TO FILL IN / - coNsr. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS � I BK PGS. _ CLASS.NO. DWELL.UNITS } LOT NO. s l BLOCK MAP NUMBER STATEWY& YES -NIM'I TRACT USE ZONE SPECIAL NO.OF BLOGS. CONDITIONS SIZE OF LOT I NOW ON LOT �— USE OF EXISTING BLDG. BUILDING EXIST. SETBACK WARD HWY STREET NAME WIDTH OWNER FRONT MAIL P.L. ADDRESS O7r�t.►� SIDE TEL. P. L. CITY No. INSPECTION RECORD ARCHITEC OR TEL. ENGINEER No. ADDRESS CONTRACTOW(/ A64 IS)VIC-710 DDRESS eAA6�244W, Pact DESCRIPTION OF WORK NEW ADD ALTER REP DEMOLISH C SQ. FT. 2 �f Q O STORIES FAMILIES _ Z'� �� / r"�Z 7- SIZE �,[ USE OF lA` STRUCTURE SIGNATURE OF APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS, MATERIALS VALUATION $ Q O FRAME: FIRE STOPS, BRACING, BOLTS P.C. I PMT. Dr'.rJ FURNACE: LOCATION, FEE $ FEE $ a' GAS VENT, DUCTS EREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. LICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. STATE LAWS REGULATING BUI DI G ON TRUCTION. y�IGNATURE HOUSE NUMBER COR- ERMITTE RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E>�R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ulZ 3.0 0 F ®P �i. WORKERS'COMPENSATION DECLARATION �i: hereb affitm that I have a certificate of consent to self - P P L I C14T I®N 'FOR. U I L®I.N G• P E RM I T nSu:e;Ybe a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C COUNTY-OF LOS ANGELES BUILDING AND SAFETY ,z40_1" .S A-Ltil D PolLcy No. Company BUILDING �+ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN '; ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING DRESS O6'7� C" /tion department. ; Date Applicant �� / F/ Tie CITY TEJ'GE C T zip 917S LOCALITY w NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. if COMPENSATION INSURANCE ASSESSOR J (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars•($100)-6r less.) ' TEL 616 ' r.OWNER /WS./r wsr-OAAF NO.W46 'a ?py USE ZONE MAP I certify that in the performance of the work for which thisNO. permit is issued, I•sholl not employ any person in any manner ADDRESS .0(77 6- eA5 TVAJA-S . SPECIAL, a- CONDITIONS so as to become subject to the Workers'Compensation Laws. ® p O — '. /��� � �CbF/N! Zve CITY �/sRP GlTi zip 7/7 0 V Date Applicant s .e ARCHITECT OR TEL. im NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. - DISTRICT GROUP NST. ZRE PROCESSED BY Q Exemption, you should become subject to the Workers' f/ ry i V Compensation provisions:of the Labor Code, you must forth- ADDRESS DO �.f� v w CL w with comply with such provisions or this permit shall be NO. $ "STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. '. ' CONTRACTOR /4q&DN4 = N7 NO. fit— ? LICENSED CONTRACTORS.DECLARATIOIV .ADDRESS G/�Z� N. �'Vi4C AdL LIC Ll3f 33fl CLASS NO. 140 UNITS . I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC, CITY T'EM!°d&, C T Cross C-3� and Professions Code,and may license is in full force and effect. 1 BK. PG. VALIDATION t' License Number_`rr��—`� Lic. Class v�✓� • SIE STORIES r FAMILIES ONEK ' �/ J+&JWJJV VALUATION Contractor_ 7750/r�/�S Ay ,O&Ate DESCRIPTION OF WORK ppF NEW $ �J • 7D 1A,_V e;W1- ADD ❑ / , ❑I am exempt under Sec. ��wALTER ❑ ' B.BP.C. for this reason SN/QA BNE� �', a'O.V5 6,4 REPAIR ❑ . $ Date: USE EXIOING BLDG,&OpC WrAdOPed/ CA/e7 DEMOL ❑ Signature APPLICANT - 5/& FINAL OWNER-BUILDER DECLARATION (PRINT) T RO rn p 11CG1'�YINO. 2gpS��Gt l DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS 12�. �, 001-kC ( e 7 90 Law for the following'reason (Section 7031.5, Business and • FINAL Professions Code): PRESENT BY (,g ElroI, as owner of the o BUILDING property,rtY or m Y employees P Yees with ADDRESS -j,;t7 wages as their sole compensation,-will do the work and _31—1 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. ® 1 - ❑ I, as owner of the property,-am exclusively contracting , CONTRACTOR NO. with licensed contractors to con.struct the project (Sec TOTAL 82c00 ADDRESS - tion 7044, Business and Professions Code. "'HECK'K 8� [II I REQUIRED TOTAL SETBACK FROM EXIST. fir' �e CONSTRUCTION LENDING AGENCY SET BACK YARD" HWY pROP: LINE WIDTH riH`3�iEyl I hereby affirm that there is a construction lending agency for FRONT H ° the performance of the work.for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 5i P.L. Ij(lljl}-1611111 444 , 11 Lender's Name. P.C. Fee$ Permit Fee `ems �� � `Ref. # 0 "iG i F'M111:5f Lender's Address ' I certify that I have read this application and state that the Issuance Fee 3' LDMA P/C# above information is correct. I agree'to comply with all County Investigation Fee , ances an to laws relating to building construction, Total Fee ZG 4;2 'E+-a LDMA Perm.# and hereby out i e representati s of this County.to enter upon t -m ioned pro y for inspection urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Ig a of App icont or•Agent 'Date //'.. r APPLICATION FOR BUILDING PERMIT IL COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDWDDRF.S`G /� BUILDING.ADDRESS `�7J 7� I hereby affirm that I have a certificate of consent to self insure, �� '•�„� � �'�•- Ae or a certificate of Workers'Compensation Insurance,or a certified 7 7 copy thereof(.Sec.3800,Lab.Cv�1�• CITY \ ZIP Policy No.Ak-62 Z iY Company _ LOCALITY SIZE OF LOT i NO.OF BLDGS NOW ON LOT Certified copy is hereby furnished. 40,/– �� y NEAREST CROSS ST `Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. depart Date Applicant t. ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER I' TEL NO. COMPENSATION INSURANCE oa ' C C� Gtr '- . �(. WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP / I certify that in the performance of the work for which this permit (1 is issued, I shall not employ any person in any manner so as to • �O .y NO. become subject to the Workers'Compensation Laws. ARCHITECT R ENGINEER TEL fC(9-4-Mm"ka/ !8 A, ?L{?8 STATISTICAL CLASSIFICATION APT � CONDO Date Applicant ADDRESS CLASS NO. 2,2 DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR 7 L NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwithFRONT comply with such provisions or this permit shall be deemed revoked.I ADDRESS '' LIC.190. PL SIDE LICENSED CONTRACTORS DECLARATION CITY uc.c PL I hereby affirm that I am licensed underprovisions of Chapter 9 d SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,a d my license is in full force and effect. NEW ❑ BK PG d License Number O-r LLic.Class 13 DESCRIPTION OF WORK ADD ❑ VALUATION �►�/� RA ® 0 01 f �—o�v _ Contractor•— .Z L �Date _ ALTER 233 A(*(11 cc REPAIR ❑ 0 El am exempt under Sec. $ ;Q3 _!0.50 F- B.BP.C.for this reason DEMOL ❑ LDMA P/C# j W USE OF EXISTING BLDG. + s co Date: URM ❑ �(,•{;�,.� Signature APPLICANT(PRINT) TEL NO. LDMA Perm# z ❑ I, as owner of the property, or my employees with wages as z 3303 142.71. 0 their sole compensation, will do the work and the structure is ADDRESS 0 rj not intended or offered for sale (Section 7044, Business and FINAL DATE ITEMS Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ✓ � }}'��t� ' i ❑ I, as owner of theproperty, am exclusively contracting with OR A MIXTURE CONDONING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE -J 19'�'�fSc Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY Illllltt�GLl•tf�• 17 licensed contractors to construct the project (Section 7044, YES❑ No❑ , . Business and Professions Code.) WILL THE INTENDED USE MI THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHANGE GD OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �ttt�l99+.lGG n CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ ��y�} a the performance of the work for which this permit is issued(Sec. OOOO-1.�•1 00 7/12/951 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING W 3097,CIV.C.) TITLE 2,CHALIST PTER 2.20 SECT ONS 2 20 100 TTHROUGH 2.0 0 CONCERNING HAZARDOUS 11 UNDER THE LOS ANGELES COUNTY 1? 3. Pv 2 i Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address OWNER OR AGENT o I certify that I have read this application and state under penalty �[ of perjury that the above information is correct.I agree to comply P.C.FEE •5(? PERMIT FEE 7� N with all county ordinances and State laws relating to building m construction,and hereby authorize representatives of this County ISSUANCE FEE �j D to enter n the above-mentionedf>rcp�ty for inspectio purposes. O( CO 3/TTG— �a� �'� `� INVESTIGATION FEE TOTAL FEE SF.—t..W ApWard« J v Dater I SEE REVERSE FOR EXPLANATORY LANGUAGE AV, M^ . •COUNTY OF LOS ANGELES TEMPLE CITY # 05081=' BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9806250003 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF COS NEW BUILDING ADDRESS: TR: 6561 LT: 128 SQ. FT STORIES TYPE OCCUP GROUP 9677 1/2 LAS TUNAS DR STRUCTURE: 0 1 VN B TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-020-011 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EX S LDG USE: COMME USE-ZONE: C- ISS D 0 : PROCESSED EXPIRES ON. EXIST OCC GRP: B 06/25/98 UT 06/25/99,- OWNER: 6/25/99,OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: DE: , FIRESTONE ARTHUR;FRANCES M (626) 446-7478- 1 1,500 2201 5TH AV ��� ARCD 910065312 FEES PAID DESCRIPTION OF WORK ADD A SHOWER & LAVATORY - NEW PL NTER IN FRONT OF BUILDING APPLICANT: TEL. 0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID--r• -. 1500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW.-FEE-- . - -_ '' 54.70 D2 PERMIT, W%O:EN�IHC:�°L:j 81500'.00 VAL 82.20 s TOFEES ;.�. 165.15 CONTRACTOR: TEL. NO: ��i� �\, APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO s /� r1� "r \ OCATION AND SET BAC KS � j � �•, • ,_` • a SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: - y '; ,! �-- I_i T-1 , FOUNDATION/TRENCH FORMS , LIC. NO..;,+ _____ I ?111 l l l lS �' 'i�', SLAB/UNDER FLOOR AISED'FLOOR' FRAMI G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:'_'��j ��i'—! i j f '' '� '^�'' r '' ' +'�' + UNDERFLOOR INSULATION 15OH269 3 .04' •._.;,1='+ _ _•� +;�'a,if�l J L ';. J �� FLOOR SHEATHING NO. OF FAMILIES: DWELLING ITS: APT/CO D: STAT C ASS:•- --- — --- - _I NO 22 �ti, / i� ''"� / 1 I" ROOF SHEATHING SCHOOL IHAZARDOUS ,\' \. !f ; .`air SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS - — •� /' NO NO NO '�a`' ';i� ' FRAME INSPECTION FIRE SPRINKLER HA GERS INSULATION/WEATHER STRIP INTERIOR LATHADRYWALL EXTERIOR LATH , RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES EDSHAFTS/OPENINGS T-BAR CEILINGS OT DR—AI.NAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS- II 9071 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT f, TEMPLE CITY CA BL 0508 9807090005 PHONE: (818) 285-0488 EXT: EGA D: NUMBER OF SIGNS: Z BUILDING RESS: - TR: 6561 LT: 128 SIGN DESCRIPTION: PLASTIC INSERTS WITH METAL FRAME 19677 1/2 LAS TUNAS DR TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN- 8587-020-011 I THOMAS PAGE: 597' GRID: A3 LOCALITY: TEMPLE CITY TENANT: E ST BLDG USE: ISSU 0 PROCESSED RES 0 : EXIST OCC GRP: 07/0 98 UT 07/09/99 OWNER: TEL. NO: I BLDGS. NOW ON LOT: `VALUATION: FINAL DATE FINAL BY: CODE: FIRESTONE ARTHUR;FRANCES M - 2201 5TH AV O ARCD 910065312 FEES PAID DESCRIPTIONOF WORK FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: 2 NON�ILLUMINATED WALL SIGNS (1 I FRONT AND 1 IN REAR) � APPLICANT: TEL. NO: I. SIGN ART (626) 287-2512- AA BLDG PERMIT ISSUANCE 27.75 1 425 S. CALIFORNIA AE STRONG MOTION _OTHER= -._ 600.00 VAL 0.50 SPELL CONDITIONS: SAN GABRIEL, CA D2 PERMIT W/O EN--HC -_�=_- 600:00 VAL 43.50 f •�; _,TOTAL,F.EES 71.75 CONTRACTOR: TEL. NO: '� `� '��':,: '• APPRQVALS DATE INSPECTOR SIGNATURE SIGN ART CO. (818) 287-2512- +�:= I 425 S CALIFORNIA #F & G LIC. NO p:� } +� '. OCAl� ON AND SETBACKS SAN GABRIEL CA 91776 491427 C45 SOIL ENGINEER APPROVAL I (-1 ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TREWCFORMS ,I LIC. NO: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMOO „��'� i ;1 _ { �+y' +f,, , NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS•- NO 20 1� / SCHOOL WITHIN AZARDOUS ;=•'i�; it'• AIR QUALITY: 1000 FEET MATERIALS NO NO NO I I I � I I , I I REPORT ID: DPR261 ROUTE TO: BS0508 I I - COUNTY (F LOS`k�jj`NGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF`PUt3LIC WORKS I 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT i TEMPLE CITY CA 91780 i BL 0508 0009130055 PHONE: (626) 285-0488 EXT: LEGAL 0. OF CONST UI DI G ADDRESS: TR: 6561 LT: 128 I SQ. FT STORIES TYPE 9677 LAS TUNAS DR STRUCTURE: 0 VN TEMP CA 917802103 ASSESSOR INFOR14ATIONNUMBER: j NEAREST CROSS STREET: KAUFFMAN 8587-020-011 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG SE: COMME USE ZONE: C-2 ISSUED ON.-----PROCESSED BY' EXPIRES 0 : EXIST OCC GRP: 09/13/00 UT 03/13/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIRL DATE FIN BY: CODE: FIRESTONE ARTHUR;FRANCES M - 1 3,760 00 2201 5TH AV ARCD 910065312 FEES PAID DE CRIPTION OF WORK TEAR OFF (COMMERCIAL BLDG.) REROOF WITH 4 PLY HOT MOP BUILT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0: J N DAVIS ROOFING CO (626) 821-4665- AA BLDG PERMIT ISSUANCE 27.75 J 2 E. LA PORTE ST. A AC STRONG MOTION RES 3760.00 VAL 0.50 SPECIL CONDITIONS: ARCADIA, CA D2 PERMIT W/ NE 761.00 VAL 115.80 I PNo o,,EE 144.05 y CONTRACTOR: TEL. N0: 05 ��T APPROVALS DATE INSPECTOR SIGNATURE J N DAVIS ROOFING CO. (626) 821-4665- y' I 2 EAST LA PORTE #A LIC. NO LOCATION D S TBACKS ARCADIA CA 91006 572125 C39 SOILSJENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUND TIONPRENCH FORMS LIC. NO 1111111 SLAB/ NDER FLOOR i RAISE? FLOOR FRAMING M50H269 SEWER MAP BOOK: PAGE: FIRE ZONE: QMPO, R K UNDERILOOR INSULATION �® FLOORISHEATHING 0. OF FAMILIES: DWELLING IT PT/COND: STAT-CLAS NO 22 ROOF SHEATHING HAZARDO S — I SCHOOL y ►i S EARIPA LS AIR QUALITY: 1000 FEET MATERIALS ❑ �I I NO NO NO A f1 ®y FRAMEIINSPECTION REQUIRED TOTAL SETBAC EX ST 46 o<� FIRE SPRIN ER ANGERS SET FRONT�PL-CK YARD: HWY: PROP LINE: WIDTH: I ��rvic a khat INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH R IFL00 CEIL ASSEM. I RATEDIWALL ASSEMBLIES RATED ISHA TS/OPE I GS NGS LOT i LOT DRAI AGE REPORT ID: DPR261 ROUTE TO: BS0508 ` e� COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS TEMPLE CITY # 05089701 LAS TUNAS I BUILDING PERMIT SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1208080077 PHONE: (626) 285-0488 EXT: ILEGAL ID: (NUMBER OF SIGNS: 1 t BUILDING ADDRESS: I ITR: 6561 LT: 128 ISIGN DESCRIPTION: 1 SET OF CHANNEL•LETTERS INTERNALLY I[ 9677 B LAS TUNAS DR I I I ING. AND TWO REAR 2" FOAM SIGNS W/PLAI G TEMP CA 917802103 (ASSESSOR INFORMATION NUMBER: 18587-020-011 I NEAREST CROSS STREET: I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl ITT: (EXIST BLDG USE: TISSUED ON: PROCESSED BY: I [ [EXIST OCC GRP: 08/08/)12 SR [ (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: FpJAL DATE FI BY: CODE: I ILYDIA CHUNG (626). 286-0168- i 1,400 1- 19677 LAS TUNAS DR. ITEMPLE CITY CA 91780 I FEES PAID IDESCRIPTION OF WORK 1 I I 11 SET OF CHANNEL LETTERS INTERNALLY ILLUMINATED W/LED I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ILIGHTING AND TWO REAR 2" FOAM W/PLASTIC FACE AN VINYL I (APPLICANT: TEL. NO: I (LETTERING I 1SIERRA'S SIGNS INC. (626) 401-2544- IAA BLDG PERMIT ISSUANCE 27.80 I I I : IAB STATE GREEN BLDG FEE. 1400.00 VAL 1.00 ISPECIAL CONDITIONS: 1 I TAX BUILDING REVIEW FEE 54.70 I I ID2 PERMIT W/O EN-HC 1400.00 VAL 82.20 I I I I TOTAL FEES 165.70 1 (CONTRACTOR: TEL. NO: I IAPPROVALS DATE INSPECTOR SIGNATURE I ISIERRA'S SIGNS INC. (626) 401-2544- 1 11930 N. ROSEMEAD BLVD. LIC. NO 1 IIOCATION.AND SETBACKS I I I IS. EL MONTE, CA 91733 939544-C45 *1 [ [ ISOIL'S ENGINEER APPROVAL I I I [ARCHITECT OR ENGINEER: TEL. NO: - [ IFOUNDATION/TRENCH FORMS I I I LIC. NO: I ISUPPORT STRUCTURE I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 [ I 001 I I I I NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: [ I [ I I NO 20 I SCHOOL WITHIN HAZARDOUS I I I I I (AIR QUALITY: 1000 FEET MATERIALS I NO NO NO I [ 1 I I I I [ I I I I I I [ [ i t . I [ ['* ADDITIONAL DATA ON FILE I I [ I I I [ I IREPORT ID: DPR261 ROUTE TO: BS0508• I I I I I I I I I *� COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 HL 0508 1208080075 PHONE: (626) 285-0488 EXT: LEGAL ID: (NUMBER OF SIGNS: 1 BIIILDING ADDRESS: ITR: 6561 IT: 128 ISIGN DESCRIPTION: 1 SET OF CHANNEL LETTERS INTERNALLY II .9677 A LAS TUNAS DR I I ING• AND TWO REAR 2" FOAN SIGNS W/PLAT TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18587-020-011 - THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl TENANT: IBXIST BLDG USE: ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 08/08/12 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AL DATE FINAL BY: CODE: ILYDIA CHUNG (626) 286-0168- I 1,400 I, 19677 LAS TUNAS DR. I �;q-1-).- [TEMPLE [TEMPLE CITY CA 91780 FEES PAID IDESCRIPTION OF WORK 13. SET OF CHANNEL LETTERS INTERNALLY ILLUMINATED W/LED FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:ILIGHTING AND TWO REAR 2" FOAM W/PLASTIC FACE AN VINYL APPLICANT: TEL. NO: I ILETTERING [SIERRA'S SIGNS INC. (626) 401-2544- IAA BLDG PERMIT ISSUANCE 27.80 IAB STATE GREEN BLDG FEE 1400.00 VAL x.00 SPECIAL CONDITIONS: LAX BUILDING REVIEW FEE 54.70 ID2 PERMIT W/O EN-HC 1400.00 VAL 82.20 TOTAL FEES 165.70 CONTRACTOR: TEL. NO: IAPPRbVALS DATE INSPECTOR SIGNATURE SIERRA'S SIGNS INC. (626) 401-2544- I 11930 N. ROSEMEAD BLVD. LIC. NO ILOCATION AND-SETBACKS I IS. EL MONTE, CA 91733 939544-C45 * I I I I I ISOIL'S ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: - I IFOUNDATION/TRENCH FORMS I I I ILIC. NO: ; I (SUPPORT STRUCTURE I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I I I I I _ 001 I 1 I I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I NO 20 SCHOOL WITHIN HAZARDOUS I I I I I LAIR QUALITY: 1000 FEET MATERIALS INO NO NO i 1i* ADDITIONAL DATA ON FILE i— IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I n COUNTY OF LOS 7)NGELW TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT:O? PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1108150079 PHONE: (626) 285-0488 EXT: ILEGAL ID: [ NO. OF CONST NEW I BUILDING ADDRESS: ITR: 6561 IT: 128 I SQ. FT STORIES TYPE OCCUP GROUPI 9677 1/2 LAS TUNAS DR 1 I I.STRUCTURE: 976 1 V-B B I TEMP CA 917802103 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18587-020-011 I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl ITENANT: 1EXIST BLDG USE: COMME USE ZONE: 11SSUED ON: PROCESSED BY: 1 ITC SALON (EXIST OCC GRP: B 110/17/11 SR (OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IF AL DATE FINAL BY: CODE: [ ITC SALON YOUTHDERM SKIN & BEAUTY - 1 45,000 1 —� I 19677 1/2 LAS TUNAS I I 1 ITEMPLE CITY CA 91780 [ FEES PAID I SCRIPTION'OF WORK I ITENANT IMPROVEMENT TREATMENT ROOMS, H.C. RESTROOM AND LAUNDRI IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IY ROOM (APPLICANT: TEL. NO: I I IANAKIA INC., MATT JENG (888) 765-8982- IA1 PLANCHECK W/EN-HC 20000.00 VAL 377.10 I I 1713 W. DUARTE RD. IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1 IARCADIA, CA 91007 IAB STATE GREEN BLDG FEE 45000.00 VAL 2.00• ( I 1AE STRONG MOTION OTHER 45000.00 VAL 9.50 1 I I 1A2 PERMIT W/ENERGY-HC 45000.00 VAL 840.80 1 [ [CONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.30 [APPROVALS DATE INSPECTOR SIGNATURE [ IJ C Y CO. (626) 676-9888- 1 TOTAL FEES 1,358.50 1 [ 112012 LOWER AZUSA RD LIC. NO I ILOCATION AND SETBACKS I I 1 IEL MONTE, CA 91732 010582921 I I I [ 1 ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I ICHIU, PATRICK (626) 288-6898- 1 1 1-1 [ 1573 MONTEREY PASS RD #C LIC. NO: I ISLAB/UNDER FLOOR I I I MONTEREY PARK, CA 91754 12852 IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( IUNDERFLOOR INSULATION 1 I I I I I 3 . 04I IFLOOR SHEATHING 1 I INO. OF FAMILIES: DWELLLING UNITS: APNO/COND: STAT CLASS: I I_ [ I I 1 1IROOF SHEATHING I SCHOOL WITHIN HAZARDOUS (AIR QUALITY: 1000 FEET MATERIALS I ISHEAR PANELS I I I 1 NO NO NO 1 (FRAME INSPECTION I I I IFIRE SPRINKLER HANGERS I [ I I (INSULATION/WEATHER STRIPI I I I I [INTERIOR LATH/DRYWALL I I I 1 1EXTERIOR LATH 1 I I ? I IRATED FLOOR/CEIL ASSEM. I I I I I IRATED WALL ASSEMBLIES 1 1 I I I IRATED SHAFTS/OPENINGS I I I I I IT-BAR CEILINGS I I [ [ [LOT DRAINAGE + I I I [ [REPORT ID: DPR261 ROUTE TO: BS0508 [ I [ I I I I I I I ' COUNTY OF LOS'ANGELES ' TEMPLE CITY # 0508 BUILDING PERMIT •� DEPARTMEIfT OF PUBLIC WORKS• 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1201030075 PHONE: (626) 285-0488 EXT: i LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ITR: 6561 LT: 128 I SQ. FT STORIES TYPE 1 9677 #A-B LAS TUNAS DR I ISTRUCTURE: V-B I TEMP CA 917802103 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18587-020-011 1 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C ITENANT: EXIST BLDG USE: COMME USE ZONE: C-1 (ISSUED ON: PROCESSED BY: I TC SALON 1EXIST OCC GRP: 105/17/12 SR I IOWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: TC SALON YOUTHDERM SKIN & BEAUTYj� 19677 1/2 LAS TUNAS - I 10,000 1 /I ITEMPLE CITY CA 91780 I FEES PAID ID CRIPTION OF WORK S 1 I I [STORE FRONT FACADE RE-MODELING ] I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 [ (APPLICANT: TEL. NO: I I I IMATT JENG ('888) 765-8982- JAI PLANCHECK W/EN-HC 10000.00 VAL 212.20 1 I 1713 W. DUARTE RD. [D7 ADDNL PLANCHECK FEE 2.00 HOU • 218.80 ISPECIAL CONDITIONS: 1 IARCADLA, CA 91007 IAA BLDG PERMIT ISSUANCE 27.80 1 IAB STATE GREEN BLDG FEE 10000.00 VAL 1.00 I I I LAE STRONG MOTION OTHER 10000.00 VAL 2.10 [ I (CONTRACTOR: TEL. NO: IA2 PERMIT W/ENERGY-HC 10000.00 VAL 249.10 (APPROVALS DATE INSPECTOR SIGNATURE 1 IJ C Y CO. (626) 676-9888- TOTAL FEES 711.00 1 I 112012 LOWER AZUSA ROAD LIC. NO I ILOCATION AND SETBACKS 1 LEL MONTE CA 91732 582921 B I I I I I I ISOILS ENGINEER APPROVAL I I I ]ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATI.ON/TRENCH FORMS I I I ICHIU, PATRICK (626) 288-6898- I I• I I 1573 MONTEREY PASS RD #C LIC. NO: i (SLAB/UNDER FLOOR 1 MONTEREY PARR, CA 91754 NONE IRAISED FLOOR FRAMING I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSIILATION I I I 115OH269 3 001 I I I I I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 1 0 NO 22 i1ROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I 1 [ (AIR QUALITY: 1000 FEET MATERIALS I I I NO NO NO i 1FRAME INSPECTION �� I (FIRE SPRINKLER HANGERS [ I I (INSULATION/WEATHER STRIPI I I 1 INTERIOR LATH/DRYWALL I 1 1 (EXTERIOR LATH I 1 i 1RATED FLOOR/CEIL ASSEM. I I I I I (RATED WALL ASSEMBLIES 1 ] I I (RATED SHAFTS/OPENINGS 1 I I I 1T-BARCEILINGS 1 1 - ILOT DRAINAGE I I I IREPORT ID: DPR261 ROUTE TO:' BS0508 I I I I I I