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COUNTY"OF LOS ANGELES ADDRESS
ADDRES` -
DEPARTMENT OF COUNTY, ENGINEER.,,
BUILDING-AND SAFETY DMSION LOCALITY -
JOHN-A. L:AMBIE, COUNTY ENGINEER' NEAREST
CASSATT D. GRIFFIN SUPT OF-BUILDING CROSS,ST
-DISTRICT N GROUP •1-.SPE - PR SSED BY_ '
FOR:APPLICANT TO'FILL IN '
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BUILDING x _ STATISTICAL CLASSIFICATION SE ER MAP,, ,
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LOT NO !-.� BLOCK ` MAP _ - STATE YES co
NUMBER _ HWY
TRACT 3 SS.�S - _ - - USE ZONE, _ SPECIAL , r -
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SIZE OF LOT- A J NOW ON LOT , �C� !� -' _--jf �Pc 1 i'
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' EXISTING BLDG BUILDING - EXIST
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- DESCRIPTION" OF WORK,
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APPLICANT ,
• APPROVALS - DIATE INSPECTOR'S SIGNATURE
ADDRESS s • FOUNDATION LOCATION, / / n
'/ FORMS; MATERIALS
VALUATION,$ _ �J FRAME"FIRESTOPS,
BRACING, BOLTS
t u. FURNACE.LOCATION,
PC - PMT I• - GAS VENT,DUCTS-
:FEE $ FEE - -
• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,:INT '
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND' "- ., `W,/.'�ily - �,--
STATE LAWS -REGULATING,BUILDING C STRUCTION. LATH, EXT-
SIGNATURE OF HOUSE NUMBER COR- ��0 , ��•�
PERMITTEV RECT AND POSTED
ADDRESS FINAL
- �- N CLYDE-N DIRLAM, PRINCIPAL ST C RAL ENGINEER
PLAN CHECK VALIDATI N CK.1 M.D. CASH PERMIT VALIDATION: cK M.O. _ CASH
:0 0 ,0 0". APR 2 g -2 3 A 2 5-.5 0 3 ®'
- , L!�1(J •l7 ! JiN' 15 jl D 5, 1-.'0-0 S5,,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ' BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0506 1401060023
PHONE (626) 285-0488 EXT
ILEGAL ID I NO OF CONST NEW BUILDING ADDRESS
ITR 18155 LT 4 BL 001 UN 004 I SQ FT STORIES TYPE OCCUP GROUPI 9928 LIVE OAK AV - 1
I ISTRUCTURE -490 1 V-B R-3 I TEMP CA 917802613 1
(ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET BALDWIN 1
18588-013-009 - OTHER THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl
ITENANT IEXIST BLDG USE PHOTO (ISSUED ON. PROCESSED BY 1
1 (EXIST OCC GRP R-3 101/06/14 SR 1
I I I I
OWNER TEL NO BLDGS NOW ON LOT- VALUATION �JFIUNDATE FINAL�BY CODEINEWMAN, JOYCE (626) 286-9338- 21,00019928 LIVE OAK AVTEMP 917802613 � FEES PAID N OF WORK I
I - IROOF MOUNT 7 0 KW DC SOLAR, 28 PV PANELS AND 2 INVERTERS
I FEE DESCRIPTION QUANTITY UOM AMOUNT
1APPLICANT TEL. NO
SOLARMAX, HAMZAH (951) 300-0768- IAA BLDG PERMIT ISSUANCE 27 80 i
13080 12TH STREET IAB STATE GREEN BLDG FEE 21000 00 VAL 1 00 ISPECIAL CONDITIONS.
IRIVERSIDE CA 92507 IP1 RES PV PC<10KW 153 90 1 I
1 IP2 INSPCT RES PV <10KW 138 00 1 I
1 TOTAL FEES 320.70 1
ICONTRACTOR - TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE I
ISOLARMAX RENEWABBLE ENERGY PROVIDER (951) 300-0768- 1 1 1
13080 12TH ST LIC NO 1 ILOCATION AND SETBACKS I I 1
(RIVERSIDE, CA 92507 972048 1 _ 1 1 1
I 1 ISOILS ENGINEER APPROVAL 1 I
(ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS �1 I
LIC NO - 1SLAB/UNDER FLOOR
I
1 1 ` 1RAIS�D FLOOR FRAMING 1 1 1
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 1UNDERFLOOR INSULATION 1 1
1 3 0"1 - IFLOO2 SHEATHING 1 1 1
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS 1 I 1 1
1 ] NO 20 1 IROOF SHEATHING 1 1 1
1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS 1
(AIR QUALITY 1000 FEET MATERIALS
NO NO NO IFRAME INSPECTION
I I I
1 1 IFIRE SPRINKLER HANGERS 1 1 1
I I I
1 1 11NSULATION/WEATHER STRIPI 1 1
1 I IINTERIOR LATH/DRYWALL 1 I 1
I I I
IEXTERIOR LATH
I I I
I IRATED FLOOR/CEIL ASSEM I
1 1 1RATED WALL ASSEMBLIES 1 1
I I I
1 (RATED SHAFTS/OPENINGS 1 1 1
1 I 1T-BAR CEILINGS 1
ILOT DRAINAGE
1 1REPORT ID- DPR261 ROUTE TO BS0508 1 I I 1
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 1207090059
PHONE (626) 285-0488 EXT. - -
ILEGAL ID NO OF CONST - I BUILDING ADDRESS
ITR 18155 LT 4 -BL 001 UN 004 SQ FT STORIES TYPE, I 9928 LIVE OAK AV 1
I ISTRUCTURE V-B I TEMP CA 917802613
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BALDWIN
18588-013-009 I I THOMAS PAGE 597' GRID. A3 LOCALITY TEMPLE CITY, Cl
ITENANT -IEXIST BLDG USE RESID USE ZONE- R-1 (ISSUED ON PROCESSED BY 1
IEXIST OCC GRP 107/'09/12 SR I.
.y
(OWNER- TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE
INEWMAN, JOYCE - 4,200
19928 LIVE OAK AV I -
ITEMP 917802613 FEES PAID - _ IDESCRIPTION OF WORK 'I
ICHANGE OUT 16 WINDOWS/RETROFIT
IFEE DESCRIPTION QUANTITY- DOM AMOUNT 1 I
(APPLICANT: TEL NO I - I -
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 80 1 I
1 JAB STATE GREEN BLDG FEE 4200 00 VAL 1 00 ISPECIAL CONDITIONS
JAC STRONG MOTION RESID 4200.00 VAL 0 50 I
ID2 PERMIT'W/0 EN-HC 4200 00 VAL 132 60
- TOTAL FEES 161 90 I__
(CONTRACTOR TEL NO _ (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER _ - I I
I LIC NO I ILOCATION AND SETBACKS
I'SOILS ENGINEER APPROVAL
JARCHITECT OR ENGINEER TEL NO I - IFOUNDATION/TRENCH FORMS I I I
LIC NO ISLAE/UNDER FLOOR - I
- r iRAISED FLOOR FRAMING
IMAP NO. SEWER MAP BOOK PAGE. FIRE ZONE CMP EXPIRE)
JUNDERFLOOR INSULATION115OH269 3 00 _ I 1
INC, OF FAMILIES DWELLING UNITS APT/COND STAT CLASS / IFLOOR SHEATHING
_ 0 NO 21 I - IROOF,SHEATHING I I
1 SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS
JAIR QUALITY 1000 FEET MATERIALS
NO NO - NO I FRAME INSPECTION
i
i I IFIRE' SPRINKLER HANGERS
(INSULATION/WEATHER STRIPI _
IINTERIOR LATH/DRYWALL I
I IEXTERIOR LATH I _
IRATED FLOOR/CEIL ASSEM.
IRATED WALL ASSEMBLIES
I IRATED SHAFTS/OPENINGS I I I
IT-BAR CEILINGS I
ILOT DRAINAGE
IREPORT ID DPR261 ROUTE TO- BS0508 -
I I I I I I
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