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HomeMy Public PortalAbout4964 LOMA AVE_Building__ 74AGSBA CE#SO*-,-61 APPU, ATION FOR EURL®ING PERMIT i COUNTY OF LOS ANGELES ADDRESS ` DEPARTMENT OF COUNTY ENGINEER BUII.DING'AND SAFI'TY DMSION LOCALITY JOHN A. LAMBIE, COLN-ry ENGINEER NEAREST WILLIAM A. JENSEN SUPT OP BUILDING CROSS ST DISTRICT N P TYPE ' P CESSED BY FOR APPLICANT TO FILL IN LI & corlsr Z BUILDING' �r STATISTICAL CLASSIFICATION S ER MAP— - ADDR S % �M � BK PG CLASS NO DWELL UNITS Q'^^— T NO.• BLOCK WATE'R', NOT REQUIREDRECEIVED TRACT 2..., CERTIFICATE MAP HIGHWAY STATE MAJOR SECOND, LOCAL NO OF BLDGS / NO p� (CIRCLE) SIZE OF LOT PI ']_ NOW ON LOT O•'"C• USE ZONE SPECIAL USE OF /�� CONDITIONS EXISTING BLDG. ,•V�' /i ,,'.1 / EL OWNER NO BUILDING EXIST SETBACK YARD HWY ( STREET NAME WIDTH ADDRESS I FRONT _ ARCHITECT OR TEL P ENGINEER GS NO SIDE It P L ADDRESS TEL. SPECTION RECORD CONTRACTOR d/ " ' Drs' NO rJ —y 'V ADDRESS, law At, -�- / / �, 0 DESCRIPTION OF WORK ✓ �� -= O G EW 'ADD' ALTER REPAIR DEMOLISH // �/ �J/f H_ •NO OF NO 'OF ) {J• // ;✓, 2 ? IZE V•7D • STORIES FAMILIES //��55//i� USE OF ' _ :1� YU� / J�. 4i1 / •U ` STRUCTURE QA6[+t" wd2l� ti La4v SIGNATURE`OF - ,-/ •- APPLICANT •� VA ON$ f':'APPROVALS PATE INSPECTOR'S SIGNATURE PC $ • '•-t .FEE $ FOUNDATION. LOCATION /7 FORMS,MATERIALS FEE �_ / FRAME FIRE STOPS, / //j // �L 1 HEREBY A NOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS (/ f7 - AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY'I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT ,� TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- AA ING TO WORKMEN'S COM PENSON INSURANCE r t LATH,EXT. y SIGNATUR _ HOUSE NUMBER COR- PERMITTE y` 'u' RECT AND POSTED ADDRESS /1.) S FINAL '�� CLYDE N. DIRLAM,'PRINCIPAL STRU MURAL ENGINEER PLAN CHECK VALIDATION c m.o. CASH PERMIT VALIDATION MA?. CASH . Lill., 3 3 3 0 SEP _ 3 D 7.5 0 ' L�1_„ 31� 3 ,n OCT 1 D i 5.0 iAIXIA&&AAAA CITY OF ,TEMPU CITY 76A6;BA•CE#8036-66 APPLICATION FOR' BUOLDING PERMIT COUNTY OF LOS-ANGELES BuiLDING ,4 "DEPARTMENT OF-COUNTY ENGINEER AD"DEPARTMENT ' .'-t=1NG'AND SAFETY DMSION LOCALITY ;JOHN A.LAMME,COUNTY ENGINEER _ NEAREST ,( ' CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.7AY DISTR NO. ' GROUP PR ESSE Y- ,FOR' APPLICANT TO FILL.IN ('� -7 I CONS [ANDRESS ILDING- - - t SEWER MAP` o-1-4964-North Loma STATISTICAL CLASSIFICATION •BK PG _ T NO.+FrSCo 6JACtiOn=lg, BLOC 'CLASS.NO.�DWEL'L. UNITS�I q-� _ MAP STATE YE NO gge, 1`1 es NUMBER Q HWY. tCT - ino Meridian' USEZONE 'SPECIALNO OF BLDGSCONDITION E OF LOT6�25APP NOW ON LOTnone E_OFt` _I TING BLDG --noneBUILDING - EXIST. �t�_ 7 i, YARD. HWY STREET NAME `� ene ,v o'Blocchi, - SETBACK WIDTH' 'NER _ FRONT izje M M,DRESS 5312,North Delta P.,L. SIDE L� San Gabriel ' 'TE •AT79200 P L. ;. ARCHITECT,OR none TEL. ?Q� /iNSPECTION RECORHI�"' ENGINEER NO L✓drAi ,.DDE ESS L� r7, /-� ( �" CONTRACTOR Nanta Anita COnatrNpLAT /9(r7+•1+} - / y) J.-•Q+ ,, t ADDRESaL717 E. Las Tunas.,San a rie mIII I�I //f / Y�lf�.� DESCRIPTION 'OF WORg /Z � Q NEWXX ADD ALTER, - REPAIR DEMOLISH SQ.FT. �NO OF ..l NO.OF _ SIZE �'9�. - STORIES ' FAMILIES USE OF STRUCTURE- Dwelling TRUCTURE•Dw,ell ng SIGNATURE O • APPROVALS APPLICANT f ` / D/ /T , -INSPECTOR'S SIGNATURE _ ADDRESS ' '� � a� +[ C�6 FOUNDATION LOCATION l� FORMS.MATERIALS - �, P.C. S FRAME FIRE STOPS. I`I` "-'• FEE -� BRACING, BOLTS' O =VALUATION -- S FURNACE LOCATION, FEE GAS VENT,DUCTS - 'ItHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- 'LATH, INT. , , PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. STATE'.LAWS TI .BUILDING ONSTRUCTION. SIGNATURE OF ism` HOUSE NUMBER COR- - , PERMITTE c--�- RECT AND POSTED .I rn f 'ADDRESS ~/- -"� "T �" - FINAL CLYDE N.-DIRLAWPRII,NCIFAL"ST CT AL ENGINEER PLAN CHECS VALIDATION I CK. M O. CASH PERMIT VALIDATIONCK. M O CASH,' , Lf LO 2:9 4 G �P,?2 P- � G 1 5 .Q'G` �F�k W� 4 4 OCT- 2 c 3 u �T ®' DIVISION OF BUILDING AND SAFETY _Department of County Engineer 1 County of Los Angeles �,' `WIA. J. FOX, COUNTY ENGINEER ^_ APPLICATION - FOR,APPLICANT .TO FILL IN FOR OFFICE USE ONLY SUDISTRIC4NO. PLAN CK.. OR REEc.No. PER IT NO. ADDRESS i I— LDS �•�+Ca-/"� !!! --. LOCALITY EmALfi CirCAL�P, REC 1 DBY DAT O APP DATE ISSUED r �ROBH BT. ( BUILDING/ OWNER MAIL /A��' //�� LOCALITY Ee ADDRESS ® /Vd• 4Ig• NZAREBT / per/� T[L' CR06H 9'T. CITY /,�&7pc e-':_ /r NO. - FIRE NO.OF TYPE G P ARCHITECT OR t } TEL • ,� ZONE PLANS -• ENGINEER ♦'� �(/ NEO 1.6?.2 - BLDO. ORD. NO. ADDRESS SEC/IV�e MON- sETeA LINE USE �/ APPROVED 2 �• T1�d ry/� ZONEIrl BY DATE ✓0 S C0NTRA0TDRP/9�Q� ,�� �,'�grgN,O.EL L/x•92I•L 4� HOUSE NUMBERING ADDRESS l J6�I • )Aj JaJ • MAP"NUM8ER ✓ NO. ASSIGNED BY LEGAL , 1 - CORRECTIONS DESCRIPTION LOT NO._ -BLOCK TRACT NO. OF•BLDOB. SIZE OF LOT NOW ON LOT USE OFNO.OF. Ect XISTING BLDG. - FAMILIES ., -�. DESCRIPTION OF WORK °� /�-/ ,•.•�Ste, �-�.o �� , o NEW ALTERATION ADDITION D REPAIR DEMOLITION r' SIZE /�V� , ROOMS STORIES , _ � •�•� cJ^ r EXT.WALL �I1 ROQF COVERING���A .CORP.,61,10VERING 2L�A• &RAGA I ' USE OF STRUCTURE INSPECTION'FOR APPROVALS OCCUPANCYAS - INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION rcmmB, MATERIALS 1 HEREBY`ACKNOWLEDGE THAT I HAVE READ THIS AP- �'FRAME: FIRE,BTOPB PLICATION AND STATE THAT THE INFORMATION GIVEN 19 ` CORRECT. BRACING. BOL , T, ' 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWSREGULATING r/BUILDING [CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF .�/L)SOW \ �,Jf (�pS� /w, LATH, INT. PERMITTEE / "' wt___JJJ W www 17 '�✓ - / / �riINC�_r4o 4�ro obJA ' LATH. EXT.' ` ADDRESS l I � AUTHORIZED AOT. J PLASTER, IMT. PLASTER, EXT. $ P.C.sa OUSENUMBER 4-1-540 FEE �.� HRECTANDPOSTEDRVALUATION PEE [ FINAL 76AG38A DBS 3 1-52 { , WORKERS' COMPENSATION DECLARATION, ` "�su,reaffirm that I have a certificate of consent to self , n P IP��C �p U R O N- FOR, DO n'=���D�nO G [P� R(�Oji��j' 'insure, or a certificate of Workers' Compensation Insurance, ; • G�1LI LI L/11 LlV v �f�J �qf' Efvu �J ,6�a`cer;fied copy thereof (Sec 3800, Lab C ). ` �r COUNTY OF LOS ANGELES BUILDING AND;ASAFETY •Policy No Company ,,.. � � ..�r.',-_: .,:'�'� ^, +' .v"" l - , •. ,l •�#.`�: . ❑ Certified copy is hereby furnished. A` * FOR,`AP•PLICANT THN O FIL 'f BUILDING �" 1 �� I _ ADDRESS II`` BUIL ❑ ' Certified copy is filed with the county building inspec- ' ADDRDING ESS tion department =` Date Applicant CITY-." ZIP LOCALITY C� NO OF BLDGS NEAREST ' CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE'OF�LOT /ro NOW ON LOT CROSS ST COMPENSATION INSURANCE _ ASSESSOR (This section need not be completed if"the permit is for one TRACT BLOCK LOT NO MAP BOOK ' PAGE PARCEL l hundred'dollars ($100)or'less')•- TEL OWNERNO USE ZONE• MAP I certify that in the performance of the work for which this NO i permit is issued,-1 shall not empCONDITIONS loy any`person in any manner ADDRESS ,9 , ✓� SPECIAL so as to become subject to The Work s' Compens ion Laws _ O nnn CITY ZIP U Date Applicant'' ARCHITECT OR TEL NOTICE,TO APP(((ICANT If, -after m6kin6' is ertificote of ENGINEER.,.-v :DISTRICT GROUP TYPE FIRE PROCESSED BY NO- CONST, Z NE '-x O� ` Exemption,• you should r become subject 'to the.Worker's' iU Compensation provisions of the Labor Code, you must,forth- ADDRESS. _ o� �� o_ with comply with such provisions-or- this permit.,sholl be TEL STATISTICAL CLASSIFICATION APT CONDO N Z deemed revoked CONTRACTOR O ,,^ '' LICENSED CONTRACTORS,DECLARATION L CLASS NO ��/ DwELL±UNITS I hereby`affirm that I am licensed under provisions of,Chapter 9 ADDRESS NO _ (commLIC SEWER MAPencing with Section 7000)of Division 3 of the Business and Professions Code,,and my'hcense is ni full force and'effect CITY CLASS Bk , VALIDATION SQ FTT " NO OF NO OF CHECK , ` License Number L`ic Class PG SIZE C STORIES / FAMILIES ONE VALUATION Contractor Date +T DESCRIPTION OF WORK S� NEW '❑ �• ADD ❑jam exempt under Sec ` 2 TV ❑ t ^' ' ALTER ' B&P C for this reason k-!t �/l REPAIR^❑, s Date USE OF r EXISTING BLDG DEMOL D ' Signature „ . - APPLICANT a TEL (PRINT) NO FINAL _. . ; OWNER-BUILDER DECLARATION DATE I hereby affirm that I am-exempt from the Contractor's License - Low for the following reason (Section 7031 5, Business-and ADDRESS FIN ` Professions Code) PRESENT,BUILDING - 1 I, as owner of the property;_or my'employees with ADDR SS :• AMA' 11A ' wages as their sole compensation,will do'the work'and 'I eta =• J� > 6i. r`� the structure is not intended or offered'for sale(Section LOCALITY 7044, Business and Professions Code ) i•MOVING TELITEM i ❑ I; as owner of the property, am exclusively contracting CONTRACTOR NO t 1 t with licensed contractors to construct,Ae project (Sec- 1 {�T� j ADDRESS 2 tion 7044,-Business and Professions Code:) =- ; I `' REQUIRED TOTAL SETBACK FROM EXIST .'+ yt �t_'�- t i° 8 N CONSTRUCTION LENDING AGENCY c ''' -{ CHE`X 1�3� SETBACK YARD HWY PROP LINE WIDTH ;�t `� \+",^ hhereby affirm that there is a construction lending agency,for FRONT -CHANE the performonce'of the work for which this permit•is issued 'P L' " £•'` n (Sec 3097, Civ C ) SIDE - P-L _ Lender's Name �; _ 0t �•t0-1't��y,�f•t 2 o •LDMARef #- - ~, •�.r.3{�VLT-VltVl f�..Uif7 �- P C Fee$ PermitFeerY7 ' %• Lender's Address �l�,:r _1:1 .°44 I'certifythat I have read this application and state that the Issuance Fee- ' LDMA P/C# ® - 8 above information is correct-I agree to comply with all County Investigation Fee - ^ ordinances and State laws'relating to,building construction, Total Fee (Xl a3 LDMA Perm # a and hereby authorize repre ntattves of this County to enter - u n t bove-mention roperty for inspection purposes ' - :, / _ SEE REVERSE FOR LANGUAGE - • Signature of Applicant or Agent Date - WORKERS' COMPENS,4TION DECLARATION I herel ciffirm that,I have a certificate-of consent to self D O Q'; Q O msurP,?or a certificate of Workers' Compensation-Insurance, LL Alp p d Q D O: l [ D+m, M D d©� ] ,p C Gov `� or'a certified'copy !hereof (Sec'3800, Lab C ) .' COUNTY"OF'LOS ANGELES � ''BUILDING'AND SAFETY : Policy'No Company• t. " ❑• Ceftified copy,is'hereby-,furnished 3' FOR APPLICANT�TO'FILL IN BUILDING l " r ADDRESS s �^ 0 Certified copy is filed with the county'bullding'rnspec- BUILDING / { tion department ADDRESS fj�f , Date dppltcant CITY L� ZIP LOCALITY~ �. NO'OF,BLDGS - NEAREST CERTIFICATEOF EXEMPTION'FROM WORKERS+,! SIZE-OF LOP / ' NOW OWLOT 9 j- CROSS ST 'COMPENSATION INSURANCE ' ASSESSOR. (This section need it'not be completed if the permis for one TRACT » BLOCK LOT NO MAP BOOK, _ -• PAGE ' PARCEL hundred dollars ($100) or less) •.`"' s :r TEL OWNER US ONEt MAP I,certify that in the,performance`of the work-for which this- r _ NO / �7 permit is issued, not em to an person in manner ADDRESS �0 t - wI SPECIAL s d - P P y' y P y �` CONDITIONS • so as to become,subject to the:Workers'Compens on Laws s,° _ } ' CIN' �' % z.• -ZIP' / 7 6' U, ° Date Applicant ARCHITECT OR TEL ' NOTIC TO APPLICANT 'If; a er mak'ing`this Certificcite of, ENGINEER = NO DISTRICT `GROUP TYPE,''" FIRE CESSED BY • Exemption, ,you should become .subject to 'the+Workers' CONST : ZONE W O- Compensation provisions ofthe Labor Code, you must forth,- ADDRESS ✓Z �. `,,3 �. 0- P with,comply with such,provisions,or this,,permi1-,shoII be L~• STATISTICAL CLAS�(FI�ATION 7PTCONDOdeemed revoked . . .c r . �• CONTRACTOR NOx _ f LICENSED CONTRACTORS DECLARATION, LIC CLASS-NO• DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing wrth,Section 7000)of Divisiom3 of the Business = LIC SEWER MAP and Professions Code;and my,license is in full force and,effect CITY ;CLASS BK'Y PG VALIDATION t, SQ FT = O OF NO OF CHECK ` ' License Number Lic Class SiSTORIES; FAMILIES ONE ' °- - VALUATION v. Contractor DES RIP,TION OF WORK S NEW .Els 6 I am exempt under Sec - t e✓ r i�f ' y /ALTER ❑ ti. B&P C for thts'r'eason _ JX S , ; USE OF_. a x,c• Date EXISTING BLDG DEMOL Signature ^ ' APPLICANT _ _: _ _ —_ TEL (PRINT) NO a FINAL OWNER-BUILDER DECLARATION; w DATE I hereby affirm that'I am exempt from the Contractor's License +•• �" --� ` Law for the following'reason (SecticiA'7031 5,-Pusinje!;s andADDRESS FINAL 'r Professions Code) < , PRESENT - - �' -v. BUILDING` gy I, as owner of the property, or-my employees with 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 {= , `CONTRACTOR NO -s.w• ❑ - I, as owner of the'property, am exclusively contracting with licensed contractors to construct-the project (Sec- ' ADDRESS " 1 u _ t"s ' d s tion 7044, Business and Professions Code.) C'II_ �# => q REQUIRED TOTAL SETBACK FROM, r EXIST t', CONSTRUCTION,LENDING AGENCY SET BACK YARD' `HN/Y' PROP LINE WIDTH' - ° '-•i�E t•E+ I hereby affirm that there is a.construction lending agency for FRONT, t- the performance of the work for whicR'this permit is issued P'L L17 (Sec 3097, Civ C.) SIDE P L• - Lender's Name _ _ e > ICI ; =r4{`-1 i�i- _ s -CDMA Ref-#• »- - J' A - _ PC Fee$ Permit FeepQ •t't- ;,, .+ Lender's Address 3, -1 tf - . . f: {t `_;�7 o I certify that I have read this application,and state that the Issuanc�`F€e` CDMA P/C# 8 above information is correct I agree to comply with all County Investigation Fee ordinances'and State jaws relating to building construction, Total Fee CDMA Perm # a and hereby authorize representatives of this County to enter upon t above-m toned property-for inspection purposes :' "2 . _ �a� i? *, SEE REVE_k5E FOR. EXPLANATORY LANGUAGE' Signature of p licant or Agent Date ' 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 0508 1310030083 PHONE: (626) 285-0488 EXT ILEGAL ID I NO OF CONST NEW BUILDING ADDRESS ON FILE 1 SQ FT STORIES TYPE OCCUP GROUPI 4964 LOMA AV (STRUCTURE 210 1 V-B R-3 I TEMP CA 917803018 1 (ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET 1 15388-013-007 OTHER THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY CAI I I ITENANT. IEXIST BLDG USE. PHOTO (ISSUED ON PROCESSED BY 1 I IEXIST OCC GRP R-3 110/03/13 SR (OWNER -TEL NO IBLDGS NOW ON LOT VALUATION (FINAL TE IN BY. CODE 1 ICHIU, BETTY ( 1 12,000 1 1 14964 LOMA AV 1 I 1 ITEMP 917803018 1 FEES PAID ID ECRIPTION OF WORK I I (ROOF MOUNTED SOLAR PV (NST L OF 12 PANELS AND 1 INVERTER 1 IFEE DESCRIPTION. QUANTITY UOM AMOUNT 13 92 KW I (APPLICANT TEL NO- I I I (SMALL, PHILIP (951) 300-0768- IAA BLDG PERMIT ISSUANCE 27 80 1 1 13080 12TH STREET JAB STATE GREEN BLDG FEE 12000 00 VAL 1.00 (SPECIAL CONDITIONS 1 (RIVERSIDE CA 92507 IP1 RES PV PC<IOKW 153 90 1 I 1 IP2 INSPCT RES PV <10KW 138 00 1 1 _ TOTAL FEES 320 70 1 ICONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISOLARMAX RENEWABLE ENERGY (951) 300-0768- 1 13080 12TH ST LIC. NO 1 ILOCATION AND SETBACKS I I I (RIVERSIDE, CA 92507 972048 1 1 I 1 1 ISOILS ENGINEER APPROVAL JARCHITECT OR ENGINEER TEL NO 1 1F0UNDATI0N/TRENCH FORMS 1 1 LIC NO: ISLAA/UNDER FLOOR I I I I I I 1 IRAISED FLOOR FRAMING 1 1 IMAP NO. SEWER MAP BOOK PAGE FIRE ZONE CMP JUNDERFLOOR INSULATION I I I 3 OPi IFLOOR SHEATHING I 1 INO. OF FAMILIES DWELLING UNITS. APT/GOND- STAT CLASS I I I I 1 1 NO 20 1 (ROOF SHEATHING 1 I I I 1 SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I (AIR QUALITY 1000 FEET MATERIALS i I_ I I 1 1 NO NO NO I IFRAME INSPECTION I I I I IFIRE SPRINKLER HANGERS 1 1 1 I I I 1 I (INSULATION/WEATHER STRIPI I I I I I JINTERIOR LATH/DRYWALL I I I 1 IEXTERIOR LATH 1 1 1 I I I + IRATED FLOOR/CEIL ASSEM 1 I (RATED WALL ASSEMBLIES 1 I I I 1 IRATF.D SHAFTS/OPENINGS 1 1 1 I IT-BAR CEILINGS I I I 1 1 ILOT DRAINAGE I 1 IREPORT ID DPR261 ROUTE TO. BS0508 I- 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 0101170047 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONS BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 4964 LOMA AV STRUCTURE: 0 VN TEMP CA 917803018 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SERENO 5388-013-007 THOMAS PAGE:. 596 GRID: H5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID 'OSE ZONE: R-1 ISSUEDSSE BY: EXPIRES ON: EXIST OCC GRP: 01/17/01 UT 07/16/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CHANG CHENNAN J;LAI YU FEN ( 1 4,600 4964 LOMA AV -Z2-01 TEMP 917803018 FEES PAID DESCRIPTION OF WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEAR OFF EXISTING ROOF, INSTALL NCW #15 FELT, APPLY 25 YR. APPLICANT: EL. NO: C AND, A ROOFING (626) 443-0091- AA BLDG PERMIT ISSUANCE 27.75 4927 FIESTA AC STRONG MOTION RESID 4600.00 VAL 0.50 SPECIAL CONDITIONS: TEMPLE CITY, CA D2 PERMIT W/O�EN;HC—��4600.00 VAL 132.60 CONTRACTOR: TEL. N0: ®� � �c�T ®���� 160.85 APPROVALS DATE INSPECTOR SIGNATURE C AND A ROOFING (626) 285-7107- 4927 FIESTA AVE LIC. NO LOCATION AND SETBACKS TEMPLE CITY CA 91780 536091 C39 6 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: DATION OR S LIC. N0: I 1111111 SLAB/UNDER FLOOR (L ED FLOOR NG M44H265 SEWER MAP BOOK: PAGE: FIRE ZONE: CMD;ln (� Q (� �� V9 O'�lJ UNDERF OOR INSULATION N /U i t \J I<JV��1 IL1Ku OOR, H NG 0. OF FAMILIES: WELLI UNITS: A ND: STAT CLASS:­ NO 21\�t -- ROOF SHEATHING SCHOOL WITHIN HAZARDOUS \\ 0 ILI, SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALSNO NO NO 'h FRAME INSPECTION REQUIRED TOTAL SETBACK R EXIST � 9✓ � F SPRINKLER HANGERS REBACK YARD: H Y: PROP LINE: WIDTH: ® FRONT PL- c �� 4�(p�� INSULATION/WEATHER STRIP SIDE PL- NT OR LATH/DRYWALL EXTERIOR LATH RATEDFLOCIR/CEIL ASSE . RAT D'WA L ASSEMBLIES RATED: SHA T / NI GS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508