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HomeMy Public PortalAbout9917 LIVE OAK AVE_Building__ 76AG38NOBS-3 3.88 APPLICATION FOR BUILDING, PERMT 1 tl)NISION OF BUILDING AND SAFETY BUILDING �• v Department of County Engineer County of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SuF•T OF BUILDING CROSS ST. DISTRICT ROUP I TYPE 'X 19 BK MAPb _ FOR APPLICANT TO FILL IN _Z CONST. � L� BUILDINGC / , i MAP STATE ADDRESS NUMBERHWY YES NO LOT NO. `L"� BLOC U SPECIAL '�+'GG CONDITIONS TRACT °1-�+ `�' i V' - �^ NO.OF BLDGB. BUILDING EXIST. SIZE OF LO�X_v - NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OF " I O FRONT O EXISTING BL G. \ �- - P. L. OWNER 4x/d` '/-o ^ f SPIDE MAIL ( ADDRES9� / ear. 4p, O TRACT DWELL. I UNIT 5 INDUSTRIAL TEL -� d 1 DWELL.aUNITS UNIT CI -Qit:s� NO /'�/'D 6 PUBLIC BLDG. 2 DUPLEX UNITARCHITECT TEL. 7 ADDN., ALT.. ETC. ENGINEER NO. 3 APT. 8 MISCEL. ADDRESS �I Q �I• /I4�'2 4 COMMERCIAL TEL CONTRACTbR INSPECTION RECORD ADDRESS -+�, �� - DESCRIPTION OF WORK NEW ADD AUTER REPAIR' DEMOLISH SQ. FT. r NO. OF NO. OF SIZE STORIES FAMILIES USE opiVrROCTYRE - SIGNATURE O APPLICAi * APPROVALS NT ADDRE9 _ 4!/+ �f.! ~ s DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION S P. $ OD FORMS, MATERIALS F E �` FRAME: FIRE STOPS, BRACING, VALUATION FEE FURNACE: LOCATION, 14- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLITH ALL COUNTY ORDINANCES LATH, INT. -bl -LjPj._, AND STATE LAWS ULATING JMItLDING CONSTRUC- TION. p LATH. EXT. �... SIGNATURE HOUSE NUMBER COR- �+7 PERMITTEE 0� RECT AND POSTED ADDRESS FINAL WM.J. FOX.COUNTY ENGINEER VALIDATION C. N_DIRLAM, CHIEF BLDG. INSPECTOR r; LACc4 12 2-U-1 JAN 14 1 6 1 2.0 0 i'® `�j�04 2 0 0 jAm 16 1 2,4x.0-0 In 70A630A POS-3 3-86 4 APPLICATION FOR BUILDING PERMIT DIVISION OF BLTII.DING AND SAFETY BUILDING /�Q/y, 4 iP� /l ADDRESS 7 T ✓ V Deportment of County Engineer County, of Los Angeles LOCALITY WM.J. FOX,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. 1+1011 GROUP SEWER MAP FOR APPLICANT TO F 'L IN DISTRICT NO. TYPE S (CONST EK BUILDING, ADDRESS I N MA ER �� HWY YES NO E , 4,1z- ♦- LOT NO.G o '� , BLOCK",' USE ZONE SPECIAL CONDITIONS TRACT' BLDG t�F- �` S�•a ah , rL aIT �'bL SIZE OF LOT s NOY OON LOTS D BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH USE OF yC ,-3� r y - (FRONT v� O EXISTING BLDG. Q CP L. OWNER I�r��/LL �-SIDE P. L. MAIL ' ADDRESSSS © /� O TRACT DWELL. I UNIT 5 INDUSTRIAL CITY /�/MO /%�� NO.H��/7/57 WI t-L. 1 UNIT 8 PUBLIC BLDG. ARCHITECT OR TEL. _ 2 DUPLEX 1 UNIT 7 ADDN., ALT., ETC. - ENGINEER NO. 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTO�jR' I,4j'W ,0444D Dio� INSPECTION RECORD _ADDRESS �•'F .� 'G� '� / ^�ra �z�::"h�e .i!� C•. }'"i..,e-r DESCRIPTION OF W RS NEW ADD LTER REPAIR DEMOLISH SO. FT. NO.OF NO. OF SIZE - STORIES FAMILIES ' USE OF 61KCTURE o SIGNATURE OF APPLICA I r, APPROVALS ADDRESS A DATE INSPECTOR'S SIGNATURE $ - -FOUNDATION: LOCATION 'P. C. S �� FORMS, MATERIALS ........... FEE FRAME: FIRE STOPS. VALUATION I!/VV S �/r� �,. '• BRACING. BOLTS FEE CJ FURNACE: LOCATION, . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS _ GAS VENT,DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REG_ULATING BUI ING CON9TRU _ TION. LATH, EXT. SIGNATURE OFL HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ' ADDRESS -FINAL WM.J. FOX, COUNTY ENGINEER VALIDATION C. N: DIRLAM, CHIEF BLDG.-INSPECTOR } 1 6'9 .5'u, `.JAIV',9 1 '6 1 4.a'_C? A.rfl In ©s 78A638A �ry''L� , CE 4803 IRC1.J 6/78) , � ®p}��yp p/��r, p�p� r�}�yv t 1 fps 1p',p`,Q/�� rye./ppm �J�j 4n - AY tl LP VAT�O �I F®Y `�` B V LLL®L■ �V'�r lf�.i RMI Y t COUNTY OF LOS ANGELES V BUILDING,AND SA FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS E O LOCALITY NEAREST i l ZIP 7$ C OSS ST CITY ' NO OF BLDGS ASSESSOR ' SIZE OF LOT' L. NOW ON LOT MAP BOOK PAGE PARCEL / DISTRICT- GROUP TYPE FIRE' PROCESSED BY TRACTG 1 BLOCK LOT NO ALCONST l ZO TEL - OWNER NO... STATISTICAL CLASSIFICATION SEWER MAP.' ADDRESS CLASSNO DWELL UNITS_'" F BK "94G CITY ZIP ARCHITECT OR TEL VALUATION Q ENGINEER NO ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) CONTRACTOR NOHIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP-.LINE HIGHWAY WIDTH ADDRESS NO LIC + = s •f • CITY CLASS CONSTRUCTION LENDER BLDG SETBACK'FROM• NAME AND BRANCH SIDE PROP LINE OF (STREET) TOTAL SETBACK FROM TYPE OF'I EXISTING HIGHWAY + YARD = SIDE PROP=LINE '-.•HIGHWAY =WIDTH 8116ADDRESS CITY C SQFT NO OF NO OF CHECK + = E` - ` 0 SIZE d STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ PC Fee$ Perrnit Fee Q ADD ® Issuance Fee , GZ� C 0��� _ ALTER 0 If REPAIR ,❑ Total Fee. �, USE OF- EXISTING BLDG DEMOL ❑ Z APPLICANTTEL C PRINT) _ NO `C W BY(SIGNATURE( I HEREBY ACKN70WLEDGE THAT I HAVE READ THIS AP LICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES - A 0 3 20 A AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE S WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF "4U•,- a THE LABOR CODE OF,THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM - .Z # O O •O O 01, PENSATION INSURANCE _• _ _ - . 2 O-O 6 1'O O f (. SIGNATURE OF �/ _ PERMITTEE 1�, - "O ° ° 61 D,o c=i ADDRESS � • o' 04, 1` 9=78 TEL CITY NO . a"y ' Q - �OS ZONE NOP CCCrPKIAL i Soo C7 CONDITIONS q� - FINAL B 1 Lu Lu DATE d r COUNTY OF LOS ANGELES w BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN �SS O`er BUILDING ADDRESS ' I hereby affirm that I have a certificate of consent to self Insure, Li E' k ✓e or a certificate of Workers'Compensatiori Insurance,or a certified copy thereof (Sec 3800, Lab C) CITY I ZIP I y�o T LOCALITY Policy No Company SIZE OF LOT NO OF BLDGS NOW ON LOT ❑-Certified copy Is hereby furnished NEAREST CROSS ST ❑ Certified copy Is filed with the county bulldmg Inspection TRACT BLOCK LOT NO department ' ' USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL 'SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' �/� p/ /� ES O/ COMPENSATION INSURANCE' �C i lJ'I u n t Qh T �26 S r 7 it WITHIN 1000 FT OF SCHOOLS YES NO (This section need not be completed If the permit is for one hundred AGQ�DGKESS L A dollars($100)Or less) / /� Vpe GL! T✓CJ- p DISTRICT GROUP TYPE �CONST FIRE ZONE PROCESSED BY I certify that li the performance of the work for which this permit CIT-r �e Cir- ZIPS, 7(J Q ", ,r —6 !/ � Is Issued, I sFiall not employ any person In any manner so'as to v' y become subject to the Workers'Compensation_ Laws ARCHff TOR ENGIN TEL NO STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate, of REQUIRED TOTAL SETBACK FROM EXIST , Exemption, you should become subject' to the Workers' CONTRAC R TEL NO _ SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT . comply with such'provisions,or this permit shall be deemed revoked. ADDR S' LIC NO PL , LICENSED CONTRACTORS DECLARATION `SIDE CITY LIC CLASS P L I hereby-affirm that I am licensed underprovlsions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ'FT SIZE NO OF STORIES NO OF FAMILIES ProfesI sions Code1 11 ,and my license Is In full force and effect NEW ❑ BK PG a License Number Lic Class DESCRIP IO OF WORK _ ��r ADD I( VALUATION D Q r ALTER 1 C)1 Contractor Date � � ElknI am exempt under Sec C 165 e ��t�� �J I I" OW REPAIR ❑ 0 B&PC for this reason ew Celli h /'h H7e vin / DEMOL ❑ LDMA P/C# W ` Date USE OF EXISTING BLDG Signature APPLICANT(PRINT), TEL NO LDMA Perm# C Z LUl1, as owner of the property, or my-employees'with wages as Z ACIC E °� _ their sole compensation, will do the work and the structure is ADDRESS -_117 not intended or offered for sale (Section 7044, Business and FINAL DATE Q Professions Code — " ) a y L WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL � 8 1 I LFID ❑ I, as owner Of the y, y g OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE property, am exclusive) contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDESQ licensed contractors to construct the project (Section 7044, FINAL BY > t y1 ves El NO Business and Professions Code) ❑ [ r WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �^ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCACMD)SEE PERMITTING CHECKLIST FOR t i 3i� •3: uS SI- GUIDEUNES f '�^ •!I{�t�-I_., I hereby affirm that there Is a construction lending agency for YES❑ No❑ C the performance of the work for which this permit Is Issued(Sec IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,Civ,C) _ _ _ CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, - l TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name al n L'an MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD _ Lender's Address 9917'L Iye 1h Ave - OWNER OR AGENT ' I certify that I have read this application and state under penalty of perjury that the above Information Is correct I agree to comply PC FEE PERMIT FEE with all county ordinances and State laws relating to budding construction, and hereby authorize representatives of this County ISSUANCE FEEOD co t enter upon the above-mentioned property for Inspection purposes ` INVESTIGATION FEE TOTAL FEE a D SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES BUILDING AND SAFETY_ WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN ADDRESS I hereby affirm that I have a certificate of consent to. sL self Insure, DING ADDg ESS or a certrficate of Workers' Compensation Insurance, ora certified (� V e copy thereof (Sec 3800, Lab C) CIr ZIPq 7Q�0 l LOCALITY Policy,No Company SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished NEAREST CROSSAT OCK LOT NO ❑ Certified copy is filed with the county budpe ding Insction' TRACT BL �1 department USE ZONE MAP NO W Date Applicant - ASSESSOR MAP BOOK - PAGE PARCEL - SPECIAL CONDITIONS elo `O % CERTIFICATE OF EXEMPTION FROM WORKERSOWN R TEL No 2 COMPENSATION INSURANCE J WITHIN 1000 FT of SCHOOL? ves No (This section need not be completed if the permit Is'for one hundred ADD �� / Y/� DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars ($100) or•IesS) ,• CITY - l/"� ZIP ^./� 170�i I certify,that m the performance of the work for which this"permit ty O _ is issued, I,shall not employ any person in any manner so �_ eR IC /'•as to ARCHITECT ORE INFER TEL,NO �� 1 'become subject to the Workers'Compensation Laws �1 �Z •� STATISTICAL CLASSIFICATION APT CONDO 6 CLASS NO DWELL UNITS PS Date �jqpplicant DDRESS L-, NOTICE, TO APPLICANT If, after making this C cate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR - TEL NO SET BACK YARD HWY PROP LINE - - WIDTH Compensation provisions of,the Labor Code, you must forthwith FRONT,. , comply with,such provisions or,this permit shall be deemed revoked ADDRESS LIC No P L LICENSED CONTRACTORS DECLARATION SIDE LIC CLASS P L CITY I hereby affirm that I am licensed underprovisions of,Chapter 9 _ SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES - Professions Code,-and my,licerise is in full force and effect NEW 1:1 BK PG License Number Lic Class - DESCPITION OF WORK - _ ADD I( VALUATION > O 00 Contractor I Date (ALTER ❑ $ ®� U t 1 cc Elam exempt under Sec UA REPAIR 0 ❑ $ BBPC•for this reason DEMOL ❑ LDMA P/C,# M U Date USE OF EXISTING BLDG URM ❑ - - - gnature APPLICANT(PRINT) _ TEL NO LDMA Perm# /• Z 2 I, as owner of-the-property, or my employees with wages as ZO AGGT.y8 their sole compensation, will do,the work and the.structure is ADDRESS :�7n not Intended or offered for sale (Section 7044, Business and - FINAL DATE _ Q 6603 70.Ol�r Professions Code M 4V WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J 1 ORA MIXTURE CTOTd ONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE' •�T�` � [:1 I, as owner of the property, am exclusively contracting WITH AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE2 FINAL 8Y 5 1 L f•ij0 113 0 licensed contractors to construct the project (Section 7044, YEs❑ No❑ Business and Professions Code) I �/+�t y� } O • WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING A-/ �1 DiEC�I• + 713. 13.80 OCCUPANT REQUIRE A PERMIT FORQCONSTRUCTION OR MODIFICATION FROWTHE SOUTH CONSTRUCTION LENDING AGENCYCOAST AIR QUAJTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR VVV CHANGE 'GUIDELINES Z ,( .00 I hereby affirm that there is a construction lending agency for YES 11 No El VIJ a the performance of•the work for which this permit Is issued(Sec HAVEREAD THE HAZARDOUS MATERIALS INFORMATION GUIDE ANDTHE SCAQMD PERMITTING t U O 3097,Civ C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, �/ LO `f'�^� N - TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD �r y qq �6y�{ p Lender's Address ownea OR Acer,r - C f i 2 f 1 I C e�V ' o o 'I certify that I have read this,application and state under penalty o PC FEE PERMIT FEE of perjury that the above information Is correct I agree to comply - - o with all county ordinances and State laws relating to budding S < construction, and hereby authorize representatives of this County ISSUANCE FEE , to enter upon the above-mentioned property for Inspection purposes ! a L INVESTIGATION FEE" TOTAL"FEE ' D. 0 D s , oI rode neem oe,a SEE REVERSE FOR EXPLANATORY LANGUAGE dr, COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND"DEVELOPMENT TEMPLE CITY CA BL 0508 9807300008 Pf=2YE: (2r18) 285-0488 EXT: L GAL D: NO. OF CONST NEW BUILDING A S: TR: 6561 LT: 422 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9917 LIVE OAK AV STRUCTURE: 272 1 VN R3 - TEMP CA 917802614 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: BALDWIN 8587-029-026 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EX ST BLD USE: USE NE: IS D 03 PROCESSED BY: XPIRE EXIST OCC GRP: 07/30/98 UT 07 30/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE: LIANG NAI Q;SHAO L (626) 285-2938- 1 20,100 (0-2-1 .q� 9917 LIVE OAK AV l�PPTION 0�' �VZZII(( TEMP 917802614 ` FEES PAID DESCTOR ADDITION OF 3RD_ BEDROOM AND BATHROOM_ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APP E O: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 20100.00 VAL 2.01 SPECIAL CONDITIONS: i AX BUILDING REV IEW=�E�� 54.70 62 PERMIT W/ENERGYAGELE 1�20100:OOWAL 441.54 TOTAL OEE�S{� 526.00 CONTRACTOR: TEL. NO: ®� E`ES APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - Qr LIC. NO �✓' LOCATION AND SETBACKS SOILSImNG NEER APPROVAL ARCHITEC L. 0: FOUNDATION/TRENCH S LIC. NO: 1111111 SLAB/UNDER FLOOR ' RAISED FLOOR FRAMING G K 3 MAP NO: SEWER MAP BOOK: PAGE: FIRE ONE: CMP �(� MC ��� UNDERfL00R INSULATION II US'I T LF_4EL FLOOR SHEATH NO. OF FAMILIES: DWELLING S: 0 D: STAT CL SS:\ NO 21 0 NoLEVEL FLOOR SHEATH SCHOOL I A D S 1 a, ROO�—SHEATHING AIR QUALITY: 1000 FEET MATERIALS , NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST. ��� 0 Q� G '_ FRAME NSP SET FRONT PL- YARD: HWY: PROP LINE: WIDTH: �C ° ep1ric a TIA SHEAR PANELS SIDE PL- _ INSULATIO /WEATH STRIP // flA INTERIOR LATH/DRYWALL EXTERIOR L � LOT DPAINAGE SMO DETECTION DEVICES i FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 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 0004030059 PHONE: (626) 285-0488 EXT: AL . OF CONS BUILDI ADDRESS: TR: 6561 LT: 422 BL: .001 SQ. FT STORIES TYPE 9917 LIVE OAK AV STRUCTURE: 0 VN TEMP CA 917802614 ASSESSOR INFORMATION B NEAREST CROSS STREET: BALDWIN 8587-029-026 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG S SID USE ONE: R ISSUE N: PROCESSED BY: EXPIR N: EXIST OCC GRP: 04/04/00 UT 10/01/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINA BY: CODE: LIANG NAI Q;SHAO L (626) 285-2938- 1 5,000 9917 LIVE OAK AV C /Zo, 0 TEMP 917802614 S PAID DESC IPT F WORK RE-CUT ROOF-EXISTING PORTION OF HOUSE TO MATCH ADDITION FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ALSO COVER PATO APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDINGREVIEW�6EE-- 54.70 W/0'- D2 PERMIT EN-HC-- ��-5000 00 VAL 132.60 GE LE��TOTFEES 215.55 CONTRACTOR: TEL. NO: �j �/� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS ` SOILS ENGINEER APPROVAL ARCHITECT 0 E G TEL. V FOUNDATION/TRENCH FORMS LIC. NO: 1111111 SLAB/UNDER FLOOR RAISED FLOORING 1MAP NO:50H269 SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:: �-UFKM n n ���/JFNOORFLOOR INSULATION NO. OF FAMILIES: DWEL UNITS: APT/CO : S AT CLA •- v v u� NO 21 i O 0 ROOF SHEATHING 0 SCHOOL THIN HAZARDOUS fig- 0 SHEA9 PANELS AIR QUALITY: 1000 FEET MATERIALS Q 0 NO NO NO n ®� FRAME INSPECTION Z REQUIRED TO SETBACK FROM EXIST (Z LJ ',�1 Q� RE SPRINKLER HANGERS FRONT PL SET BACK YARD: HWY: PROP LINE: WIDTH: 1Z%L, oerV�e l�� � INSULATION/WEATHER STRIP SIDE PL- INTERIOR LAT Y At EXTERIOR LATH C RATED Fl OR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508