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HomeMy Public PortalAbout5743 LOMA AVE_Building__ _6A638A CE#803 i-63 APPLICATION. FOR BUILDING PERMIT 8. COUNTY'OF"LOS ANGELES BUILDING' DEPARTMENT"OF COUNTY ENGINEER ADDRESS /V r � BUILDING AND SAFETY DIVISION LOCALITY , JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS S �[y , DISTRICT N GRO TYPEP CD BY FOR.APPLICANT TO FILL IN j ;, Q CONST. = FRCHiTECT ING - - _ STATISTICAL'CLASSIFICATION SEWER MAP SS II - —� BK 1 P CLASS. NO. DWELL. UNITS O. , 'BLOCK WATER NOT REQUIRED .RECEIVED ❑ • - CERTIFICATE: . V e� -MAP /) - HIGHWAY F LOT �, ^ J NOW ON LOTS NO.� v - (CIRCLE) STATE MAJOR SECOND, LOCAL USE ZONE 'SPECIAL , USE OF CONDITIONS ING BLDG: W TEL. - yRaj� NO. BU LDING - EXIST. � SETBACK YARD HWY STREET,NAME . WIDTH ESS j C� "��+�+K FRONT TECT OR TEL.' P. L.EE RNO, SIDEP. L.ESS d TELV, .. 'i , O - kE TOR NO. ILI - DESCRIPTION OF WORK 1ZR,Ae rl c 7 XIO u PPL � } ^.� W. ADD ALTERREPAIR DEMOLISH VI' STORIES FAMIOLIES.S RERE APPLICA ON.$ ' APPROVALS DATE INSPECTOR'S SIGNATOR $ FEE $. ✓ FOUNDATION: LOCATION _ ,.�/ Q FORMS, MATERIALS FEE ' FRAME: FIRE STOPS, ✓S'�� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE-To COMPLY FURNACE: LOCATION. (e'- WITH ALL.COUNTY ORDINANCES AND STATE .LAWS REGULATING GAS VENT. DUCTS. �.--� .BUILDING CONSTRUCTION. .I CERTIFY THAT IN DOING THE WORK - / ���. r AUTHORIZED HEREBY I WILL�NOT EMPLOY ANY PERSON,IN VIOLA- LATH. INT.' (//�`/ TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. - LATH, EXT. 11,1f 71 SIGNATURE'OF HOUSE NUMBER COR- PERM ITTEE OR-PERMITTEE -- ,.e_ RECT AND POSTED ADDRESS tl��✓ +�t..,� ;� FINAL JOHN F. LEWIS. PRINCIPAL ST HJ"CT-IJ AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .:97i�; .HA l ,1 .1 .11 .5 C APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS 'i hereby affirm that I have a certificate of consent to self insure, _ or a certificate of Workers'Compensation Insurance,or a Certified CIN OM ZIPq� G/ L' 2/720 copy thereof(Sec.3800,Lab.C.) t� U7 ! 00 f7 LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST ` t,-J C,r TRACT BLOCK LOT NO. ❑ Certified copy is filed with the county building inspection USEZONE MAP NO. p D de artment. ASSESSOR MAP BOOK PAGE PARCEL Date Applicant a / e-1 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER / ?EL. NO. YES NO COMPENSATION INSURANCE G�� �— S-� WITHIN 1000 FT.OF SCHOOL? ADDRESSA y (This section need not be completed if the permit is for one hundred PT �l G DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP 1 certify that in the performance of the work for which this permit L � C1 T /�/J00 �ra is issued, I shall not employ any person in any manner so as to ARCHITECT O ENGINEER TEL.NO. O become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate Of CONTRACTOR TEL.NO. REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' SETBACK 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. PL LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PIIL U I hereby affirm that I am licensed under provisions of Chapter 9SEWER MAP SQ.FT SIZE NO.OF STORES NO. FAMILIES (commencing with Section 7000)of Division 3 of the Business and NEW El BK PG , Off, License Number Lic.Class Professions Code,and my license is in full force and effect. v DESCRIPTION OF WORK , ADD ❑ VALUATION a- Contractor Date G ALTER $ ❑ I am exempt under Sec. REPAIR $ B.&P.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. I .LIRM ❑ i Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# +"•�••' I, as owner of the property, or my employees with wages as O _ 77i_ _ their sole compensation, will do the work and the structure is ADDRESS _�_. _, "• not intended or offered for sale (Section 7044, Business and FINAL DATE a _ Professions Code. _ i `I`P ) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL j ❑ I, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ^^+{1• p p y Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL Y ' _1 i,`L. 70 = :3 q._' licensed contractors to construct the project (Section 7044, YES❑ NO❑ """ --![i •" Business and Professions Code.) _rL rr e__ WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTHl'} CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST S•1 t15' FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance Of the work for which this permit Is Issued(Sec. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD _I (j_I_.�j li_I i 3097,CIV.C.). PERMITTING CHECKLIST.1 UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES m. L I COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING _ Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. ry9, i 10 aLenders Address OWNER OR AGENT o 1 certify that I have read this application and state that the above R information is correct. I agree to comply with all county RC.FEE PERMIT FEE 2Iu ordinances and State laws relating to building construction,and a hereby authorize representatives of this County to enter upon ISSUANCE FEE '013 thea-menti ned property for inspection purposes. n � A _ •� n it 3 © INVESTIGATION FEE TOTAL FEE �` Q ftmtum f Apel t a Apert L� -Does o SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FORSUILDING PERMIT • COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS o h ' I hereby affirm that I have a certificate of consent to self insure, S�I�f 3 w �p��Cl ZIP? Aj/2 Q or a certificate of Workers'Compensation Insurance,or a certified 'V n �� �( C A �� 7 d copy thereof(Sec.3800,Lab.C.) Qom, LOCALITY Policy No. Company SIZE OF LO I NO.OF BLDGS.NOW ON LOT ❑ Certified copy Is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT_ BLOCK LOT NO. USE ZONE MAP NO. department. if 14a / ASSESSOR MAP BOOK PAGE L�N Date Applicant ��,)• SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' / OWNE / S tJ YES No COMPENSATION INSURANCE Jj1Yi o LT ADDRESS WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE CONST.' FIRE ZONE ROCESSED BY dollars($100)or less.) ZIP /7 ////'l/ 1 certify that in the performance of the work for which this permit 7 Lft !~/� ��/ %v� R-3 is issued, I Shall not employ any person in any manner So as to ARCHITECT R ENGINEER TEL.NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT DO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST y I C NTRACTOR TEL NO. /�Q Q Exemption, OU ShOUId become subject i0 the Workers� � / Z'7i Qtp y� / Qa SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith (�G G 0 0 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL °- C 1 hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and S /�L'SIZE NO.OF STORES NO. FAMILIES C Professions Code,and my license is in full force and effect. /��® NEW ❑ BKoii � DESCRIPTI N OF WORK ADD VA , W License Number Lic.Class � �� * R p SContractor Date A ALTER I am exempt under Sec. ® [e "LLS 7 REPAIR ❑ B.BP.C.for this reason � 0 m DEMOL LOMA P/C#6Q0 USE OF EXISTING BLDG. URM " Date: � ❑ J Signature APPL CA (PRINT) TEL.NO. LDMA Perm# - Z - ❑ 1, as owner of the property, or my employees with wages as Oi z a their sole compensation,will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINALPATE Qj137 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANTHANDLEA HAZARDOUS MATERIAL — - ?J Gj 77 [tuk OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN i. +`•M9 I'� ❑ I, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project.(Section 7044, YES❑ NO❑ ��/%� {I I SL 98 Business and Professions Code.) -- 9 -- WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING :t Ii ,�„i�;.t OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST CHANGE ; `r�ANGE i?I_ FOR GUIDELINES. L• '- I hereby affirm that there is a construction lending agency for YES C3NO 1:1the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD _ 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES m. COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING ' Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. a Lender's Address D_ OWNER OR AGENT o 1 certify that I have read this application and state that the above P.C.FEE PERMIT FEE information is correct. I agree to comply'with all county ordinances and State laws relating to building construction,and ` a hereby authorize representatives of this County to enter upon ISSUANCE FEE the ab ve-menttiioned property for inspection purposes." niAl �L✓�..� 6 o O g yay q D INVESTIGATION FEE TOTAL FEE Siq-e oof AppkW w Agent D.t SEE REVERSE FOR EXPLANATORY LANGUAGE 0 { - _ APPLICATION FOR BUILDING PERMIT �] ~ COUNTY OF LOS ANGELES BUILDING AND SAFETY j WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS IJhereby affirm that I have a certificate of consent to self insure, -7 or a certificate of Workers'Compensation Insurance,or a certified754#81-E 617)f CA / 0, copy thereof(Sec.38Lab.C.) CITY , ZIP -Z7 P 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 building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. �, Date Applicant ASSESSOR MAP BOOK PAGE PARCEL J7 / SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER__�� 1-616 TEL.NO. / �/ YES NO COMPENSATION INSURANCE /CE/. G° WITHIN 1000 FT.OF SCHOOL? ADDRESS_ _ „, `� DISTRICT -GROUP TYPE CONST.' FIRE ZONE PROCESSED BY (This section need not be completed if the permit is for one hundred Jl'!�l �� 0 dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'Compensation Laws. I 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' R TEL.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith OA FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS I LIC.NO. PL SIDE >' LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL o_ 0 I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP rJ (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORES NO.OqMILIES Professions Code,and my license is in full force and effect. ✓ NEW ❑ BK PGDESCRIPTION OF WORK ADD ❑ VALUATIONLicense Number Lia Class I Contractor Date ffALTER $ �� '6 �I am exempt under Sec. � 71-Al / REPAIR $ B.BP.C.for this reason AIRJ _'5fi�1E Lbs, DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# Z —:1,r �'n: I, as owner of the property, or my employees with wages as O :k-,:._ri their sole compensation, will do the Work and the structure is ADDRESS --- not intended or offered for sale (Section 7044, Business and FINgl DA7E�/ Q� Q • EMS , Professions Code. `/ �C / G WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q {j 3':tl€� Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY Q > rf licensed contractors to construct the project.(Section 7044, ElG Ir ,,.• - YES NO❑ 1.H.T,S1 Business and Professions Code.) i WILL THE INTENDED USE OF THE BUILDING 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(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND REQUIREMENTS UNDER THE LOS ANGELES «I i ;�l.,-� �I«.C- a\o. COUNTY CODE,TITLE2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING fo Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. -"'iT➢F�1° aLender's AddressOWN�oRAG� ra I,i o' I certify that I have read this application and state that the above information is Correct. 1 agree t0 Comply With all county P.C.FEE PERMIT FEE ordinances and State laws relating to building construction,and a. hereby authorize representatives of this County to enter upon ISSUANCE FEE the above-mentions property r inspection purposes. Q � ' INVESTIGATION FEE TOTAL FEE (, Sqnew.o1"l—t a Apert SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0609280012 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 12977 LT: 1 SQ. FT STORIES TYPE 5743 LOMA AV STRUCTURE: 2800 VN TEMP CA 917802453 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5387-022-001 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/28/06 JK 09/23/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: LEE, AARON - 6,500 1 r,'.5743 LOMA AV _�- TEMP 917802453 FEES PAID DESCRIPTION OF WORK TEAR OFF AND REROOF #30LB FELT. 30 YRS. SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: CHUNG (213) 500-2956- AA BLDG PERMIT ISSUANCE 27.75 6140 CAMELLIA AVE AC STRONG MOTION RESID 6500.00 VAL 0.65 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 D2 PERMIT W/0 EN-HC 6500.00 VAL 166.20 TOTAL FEES 194.60 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE PROTEK CONSTRUCTION CO. (213) 500-2956- 6140 CAMELLIA AVE LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 B/L 30568 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: I SLAkl/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I UNDERFLOOR INSULATION 15OH269 3 Oli _ FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATTHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS V' AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RAT13D SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 ��_' ii eY BL.: 08 9611260029 PHONE: (818) 285-0488 EXT: LEGAL ID• NO. OF CONST NEW BUILDING ADDRESS: TR: 12977 LT: 1 SQ. FT STORIES TYPE OCCUP GROUP 5743 LOMA AV STRUCTURE: 200 1 VN R3 TEMP CA 917802453 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LAS TUNAS 5387-022-001 OTHER: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/26/96 LC 11/26/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY- CODE: LEE RUE F;TAI C (818) 285-1588- 16,000 5743 LOMA AV / TEMP 917802453 FEES PAID DESCRIPTION OF WORK ADD DINING ROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 16000.00 VAL 1.60 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 B2 PERMIT W/ENERGY �16000.00 VAL 351.45 08 CERTIF OF OCCUPANCY 101.25 CONTRACTOR: TEL. NO: TOTAL FEES 536.75 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS �2 SOILS ENGINEER APPROVAL / ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCH FORMS b-0 I Y LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT / SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS llv SIDE PL- INSULATION/WEATHER STRIP J 7 IINTERIOR LATH/DRYWALL f L EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508