Loading...
HomeMy Public PortalAbout9406 LAS TUNAS DR_Building__ Cl 7,x 76A638A CE#803 1-67 APPLICATION FOR BUILDING PERMIT LJ rj0UNTY OF LOS ANGELES BUILDING DEPPRTMENT OF COUNTY ENGINEER AooREss 13SILDING AND SAFETY DIVISION LOCALITY � l ✓JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. ,� /S/ FOR APPLICANT TO FILL IN olsT d� .1_v-�(-/v CONST, PRO Eo BY BUILDING / STATISTICAL CLASSIFICATION S WER MAP ADDRESS Q� �„s 0", �7 r CLASS NO. f DWELL UNITS BK/_ PG /f/ LOT NO. N F` BLOCK USE ZONE MAP NO. O TRACT Z I SPECIAL N0. OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF Com' U/'4'N BLDG. SETBACK FROM / EL. FRONT PROP. LINE OF /y f (STREET) OWNER ELO G�f ACJ TYPE OF EXISTING I SETBACK HIGHWAY + YARD = TOTAL ADDRESS &74/ /• (/17Qf HIGHWAY WIDTH FROM C.L. CITY iL.W c/� 4", �! ! D Q - + TEL. BLDG. SETBACK FROM ENGINEER SIDE PROP. LINE OF (STREET) TYPE OP EXISTING SETDACK HIGHWAY + YARD = TOTAL ADDRESS G v ! ;dE HIGHWAY WIDTH FROM C.L. CONTRACTOR c7r NOL + ADDRESS` 131ae Lp o?" CORNER CUTOFF YES NO C CITY I !`/ LASS g- .D SEE REVERSE SIDE FOR SPECIAL APPROVALS c C DESCRIPTION OF WORK C_ ILL �� n NEW I ADD -SALTER EPAIR DEMOLISH I v SO.FT. QI NO. OF NO. OF /- ` � iv SIZE STORIES �' FAMILIES L r > �O Q� pp F �zi, I oj , • APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION FEE$ FEE$ Do FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILOI NG 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- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE /� ��� REC AND POSTED '1 ADDRESS If - ,� /.�J -�/LZN A L V/ � JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH L(�tl,o v 9 9 3 OCT 3 D 9.0 Q N c �nLv/t/ 08.3 25M SETS 8 44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY A94BUILDING�I / COUNTY OF LOS ANGELES � " WM. J. FOX, CHIEF ENGINEER OC, V 1 NO. OF `� BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT.NO. w PLANS SETBACK LINE, a FIRE o"` APPROVED J f ONE BY BY DATE .RECEIVED BY 1DATE OFtAPPL. - DA;T,6E�/ISSUED ZONES APPROVED � DATE 6n .f"�,�f �f `. APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY .. � BUILDING 0 E NAME ADDRESS F W W _Z ADDRESS LOCALITY k„_ ,.9"1 �' a..-'f ,4L.•= = I7 NEAREST i r U Z CITY CROSS ST. C � Q STATE TEL. LICENSE NO. m / O: !ti NAMEMAIL _t,i• ��,'+ ,.1„ , W 0r NAME SIA ~f®G,F �.,�a"^"'. ; ADDRESS TEL. ADDRESS CITY q'5 2- m - `.,•a.--.._r' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS Z CITY it-t �. d'' 7 O _ APPLICATION AND STATE THAT THE ABOVE 13 CORRECT U STATE "1 ' - TEL. a ✓ - AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. M9 ht'.+ NO./. t yy�' `' AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LOT NO. � SIZE OF LOT ,q I SIGNATURE OF p OWNER _ NO. OF BLDGS ' Q 0. BLOCK NOW ON LOT 4 'e AUTHORIZED AGT ' f J m TRACT ` Sr CORRECTIONS D USE OF BLDGS. rJ`•L Lam' Y. •e' f. ,.F �,,. t. NOW ON LOT Lam' DESCRIPTION OF WORK USE OF BUILDING .t O m z a NEW TYPE GROUP NO. OF NO. OF ".. ALTERATION ROOMS FAMILIES ADDITION SIZE IS r REPAIR STORIES MOVING I WALL COVERING ~S,7-V c "w DEMOLISH ROOF COVERING AP '.t � ` P.C.S/ v FEE FINAL APPROVAL / $ INSPECTOR'S VALUATION FEE y DATE I NAME ,{1.�,!�+ d DEPARTMENT OF BUILDING AND SAFETY ': APPLICATION FOR PERMIT COUNTY OF LOS ANGELES S C ® � WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY - DISTRICT N•. PLAN CK.NO. PERMIT NO. BUILDING /� ADDRESS �vvo r"i ^/� fes' )i t'/Q�r J LOCALITY r - RE ED///BY DJATE OFA PL..(y� DATE ISSUED/ NEAREST. �/ lam`? ] �� CROSS ST / BUILDINGS / A ` OWNER (�� �I �� ADDRESS MAIL ADDRESS ,�(�,,. '�"�! �. ')® /�=p_i(',/ R � LOCALITY NEAREST ] .C� TEL. L/s�.�/ CROSS.SS ST. CITY 'Ile, i F"A NO. / FIRE NO.OF TYPE - GROUP ARCHITE TOR TEL ZONE PLANB ENGINEER NO. BLDG. ORD.NO. ADDRESS SETBACK LINE `;, , APPROVED TEL. BY DATE CONTRACTOR NO. USE /' APPROVED ADDRESS Z0NEBY DATE LEGAL �y�,./�� CORRECTIONS DESCRIPTION LOT NO.r� BLOCK � p l TRACT dA *• �y �Q� ➢"' 4 1 �a T � �J tJ YI �D I NO.OF BLDGB.C�/� _ CJ I r(iL kilo jr f< -_ � IBJ SIZE OF LOT NOW ON LQT i � aP USEOF EXISTING BLDG. 0f-r-- NO.I FAM OFE I NO OF ` R P C a � FAMILIES ROOMS / V V ('.A DESCRIPTION OF WORK " NEW ALTERATION j ADDITION d_ 0A REPAIR MOVING DEMOLISH O SQ.FT. NO.OF _ - Z SIZE �-` ROOMS STORIES y WALL _ ROOF _ IF COVERING " s� I COVERING"` USE OF NEW ✓ `� BUILDING Y/€%�r✓:'� +��'-1--�. .� V i' 9 s I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING,CONSTRUCTION. FORMS,MATERIALS 't �'•• /��, s" FRAME: FIRE STOPS, {+ SIGNATURE Of .� •... a BRACING,BOLTS F \�S•.rt \ � 't� � - PERMITTEE - �' c LATH, INT. ,i AUTHORIZED AGT- --- LATH, EXT. J ' 76A636A 9-48 DBS'-3 SOM SETS $ P.C.$ PLASTER, INT. 4/0 FEE PLASTER,EXT. VALUATION Y)� - FEE �� FINAL ^I ,�.. 76A638A CE#803 1-67 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDRESS O(® C DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUP TYP PRO SSED BY FOR APPLICANT TO FILL IN �'7,'C! 7 ?� coNs� BUILDIN ~L, C -� STATISTICAL CLASSIFICATION SEWER MAP � "' Z CLASS NO -7 UNITS. BK/ PG%A�j LOT NO. BLOCK USE ZONE MAP �f� -. SShh// NO. G TRACT �� SPECIAL NO. OF BLDOS. CONDITIONS SIZE OF LOT ® r/(�� NOW ON LOT USE OF ,S EXISTING BLDG, f& BLDG. SETBACK FROM `® � TEL. FRONT PROP. LINE 0► (STREET) OWNER T NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY I FROM C.L. CITY BLDG. SET F ARCHITECT OR TEL.ESIDE PR OF (STREET) NGINEER NO. TYPE 0EXA TI 0 SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIO14WA IDTH FROM C.L. T L _ CONTRACTOR +} .� ADDRESS. NO 9 r y 4 6� CORNER CUTOFF YES NO a C. CITY..._ P C' CL C SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK 4 LL NEW ADD ALTER REPAIR DEMOLISH V 2 SQ.FT. NO. OF NO. OF — SIZE STORIES FAMILIES USE OF � STRUCTURE L/�" ��.�Q.; �.E�01•�i*..� SIGNATURE y/ a APPLICAN ,,} �� L.> VALUATION$ •�", .00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. �0 FOUNDATION, LOCATION FEE$ FEE$ FORMS, MATERIALS ' FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS JUILOI NG 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- ING TO WORKMEN'S COMPENSATION INSURANCE. - ` LATH. EXT. SIGNATUREs+ f � G p HOUSE NUMBER COR- PERMITTEE —'l RECT AND POSTED ADDRESS-&'— 5, FI NAL '° r JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O CASH LAl o 1 3 2 3 u"i 2 4 1 D 0'.0 O N 76A838A CE#803 8-63 APPLICATION FOR B UIL NG PERMIT T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ^ / WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT O GROUP TYPE P CES D BY FOR APPLICANT TO FILL IN 1�fI �_Z CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP B ADDRESS Q� c..�C�, 'C--- CLASS.'NO. DWELL. UNITS / LOT NO. -74A �'/ BLOCK CERTIFICATE;WATER NOT REQUIRED RECEIVED ❑ TRACT J MAP HIGHWAY NO.OF BLDGS. NO. o (CIRCLE) STATE MAJOR SECOND. LOCAL SIZE OF LOT O X I�lO NOW ON LOT USE ZONE j6PECIAL USE OF CONDITIONS EXISTING BLDG. A TEL. OWNER y� /'1/iD� .�j�7 NOO..'' BUILDING EXIST. AD E96�� c/K{n T�'�� �fr/� SETBACK YARD HWY STREET NAME WIDTH FRONT p ARCHITECT ORTEL. P. L•. .L V" ENGINEER NO. SIDE P. L. ADDRESS TEQ CONTRACTOR V ADDRESS O DESCRIPTION OF WORK W NEW ADD ALTER✓REPAIR DEMOLISH tn Z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE 5 70,e SIGNATURE OF APPLICANT VALUATION $. 4-3/,5OD.Q� APPROVALS DATE INSPECTOR'S SIGNATURE P.C. �7G PMT. FOUNDATION: LOCATION FEE $ FEE $ I FORMS, MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS 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 WI NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR,'TCOOF TH STATE OF CALIFORNIA RELAT- ING TO WORKM"�$`"CO -ENSAT.. INSURANCE. y� rt ="7 LATH. EXT. SIGNATURE zl�, HOUSE NUMBER COR- PERMiTTEE,+' CO RECT AND POSTED P a DOREss` �4 FINAL J" �-� `` ,lt , u JOHN F. LEWIS. PRINCIPAL STR TURAL ENGINEER PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH LhL;o 9 0 7 o\0 jUd 14 2 3 D 1 3.88A 9 8 0. 4- jUL26 1 D 2 7.7 5- 76A63BA CE#803 8-63,*APPL.ICA+TIO FOR BUILDING PERMIT •� COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY -ENGINEER ADOREss —i BUILDING AND ;SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING - CROSS ST. DISTRICT NO GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLASS IFI CAT]ON SEWER MAPS A)DRESS CLASS. NO. -DWELL. UNITS s�T' ! `-'q. LOT NO. /_ BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED ❑ [TRACT J C'7 M'AP ��.-- HIGHWAY ' NO.OF BLDGS. NO. Q Q (CIRCLE) S.AT _MAJOR,SECOND. LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS - .- EXISTING BLDG. ow TEL. v� OWNER NO. BUILDING EXIST. .. SETBACK YARD HWY STREET NAME . WIDTH ADDRESS FRONT' —— ARCH ITECT OR TEL P. L. 7 ENGINEER NO .SIDE I�� P. L. ADDRESS G ,� �n� /'�tA / �i°€ a�J P..ii•FJ o CONTRACTOR NO. V ADDRESS :::�aAME a cc DESCRIPTION OF WORK V /y/_Aj ter h:-� , v(,�ra Lu NEW ADD ALTER�OR EO FNO. OF AIR DSH =."';9'K'�e' ` z .. SQ. FT. SIZE STORIES -FAMILIES USE OF �^_ //LL STRUCTUREAV - .CC_F e 9 y SIGNATURE OF _ APPLICANT ' VALUATION APPROVALS - DATE INSPECTOR'S SIGNATURE 'PMT. O FOUNDATION: LOCATION r•t FEE $ FEE $ t3�� FORMS, MATERIALS FRAME: FIRE STOPS, ILL I HEREBY ACKNOWLEDGE THAT I HAVE REA THIS APPLICATION BRACING.iBOLTSe. ..- 3A14":_, .� AND STATE THAT THE'ABOVE IS CORRECT A AGREE TO COMPLY FURNACE: LOCATION, _ WITH ALL COUNTY ORDIN CES AND ST LAWS REGULATING' GAS VENT. DUCTS, BUILDING CONSTRUCTION', i CERTIFY TH IN DOING THE WORK AUTHORIZED HEREBY /WIL NOT EMP ANY P SON IN VIOLA- LATH, INT. TION OF THE LA60R�COD- OF THE S OF FORMA RELAT- ING TO WORKMEN' C M NSATION A �- LATH EXT.. . r .: SIGNATURE O HOUSE NUMBER`COR - PERMITTEE RECT AND POSTED- I / t ADDRESS FINAL ' V .l. . .f.I JOHN F LEWIS -PRINCIPAL,STR U'CTUR AL ENGINEER; PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION cK.'1 Mos; CASH U l 1 w AUG 17 2 3 D 1 '6.5 0 �}F ' .`� 8 ,2 .SEF 7 - p WORKERS'COMPENSATION DECLARATION . I hereby affirm`t Fiat I have a'certificate of consent to self insure, or-o certificate of Workers'.Compensation Insurance, APPLICATION FOR BUILDING, PERMIT 6 c r ified cop t e eof (Sec: 3800;,La C ) •::7/ fb� COUNTY'OF LOS ANGELES BUILDING AND SAFETY z..-r ` c o. Company` BUILDING oli Ce ed.copy is hereby furnished: . FOR APPLICANT TO FILL`IN ADDRESS' QS U!?/ J Certified copy is filed with the county building inspec- BUILDING tion departrnenf.; ADDRESS ,� _,q /��/�, LOCALITY _ NEAREST •_ ! . 1 f Date Applicant CITY.. T� '" ZIP CROSS ST. L 51q,L ,LA CERTIFICATE.OF..EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL ' This section need not be;comple.ted.if the permit.is for.one OSE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. U _ ,' , TEL. p Q G� SPECIAL � ('certify that in.the performance'of the•work.for which this OWNER N v /�°2� CONDITIONS _ ermit is issued,.hshall not employ an erson in an manner 5 DISTRICT GROUP TYPE FIRE PROCE SED BY O p p' y y„p y ADDRESS - CONST. ZONE so.as to become subject to the Workers:Compensation Laws. Date Applicant CITY' ZIP STATISTICAL CLASSIFICATION APT. CONDO. NOTICE-TO-APPLICANT: If, after 'making, this Certificate of ENGINARCHIECR 0R TEL. , ENGINEER NO. CLASS NO. E".Z�.DWELL. UNITS W Exemption, you should become subject to the Workers'' CL Compensation provisions of the Labor Code,"you•must forth- ADDRESS SEWER MAP with comply 'with such provisions or' this permit sh1.all be Z deemed revoked.' l/ I/ �" !. TEL. _AL�BK. PG, VALIDATION CONTRACTOR nls 00Y, /CpQri/i/f! CNO. LICENSED CONTRACTORS DECLARATION LIC. p I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS T1,57_. LA$ OWi Vr A—'NO.4/0"?7 3 VALUATION (commencing with Section 7000)of Division 3 of the Business and ^_ LIC. Professions Code, and-my license is in full force and effect. CITY 5AP)�a br zt= CLASS �-37 $ , . �. SQ. FT. NO.OF NO.OF CHECK License Number lic.Class v '✓ ��/('� SIZE STORIES FAMILIES ONE /`t�u�(eon �✓LDate' �^ — v DESCRIPTION OF WORK C Q �j� NEW a $ ,Contractor/ GAS U ADD E 1 am exempt under Sec . _ ALTER � . FINAL enn DATE B.&P.C. for this reason /� ! V� REPAIR - USE OF FINAL J ate: EXISTING BLDG. DEMOL ❑ By �1 Signature APPLICANT TEL. n f E -B ILDER DECLARATION PRINT !'✓�l; 4y Ka W1 NO S'7O�/ I hereby affirm that I am exempt from the Contractor's License ADDRESS I �r. UWP- .D 2 $ :U 5,Q A Law for the following 7eason (Section 7031.5, Business and Professions Code): w 4AA PRESENT " '`o o J�9"2,J BUILDING t - 1,-as owner of the property, or my employees.with ADDRESS x' ' wages as their sole compensation,will do the work-and o o:o Jr 9 C, the structure is not'intended or offered for sale(Section LOCALITY ' 7044, Business and Professions Code).• MOVING TEL. `S _g U • 1, as owner of the property, am'exclusively contracting CONTRACTOR NO. with licensed contractors to construct the`projeci(Sec-. ADDRESS, tion 7044;Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING.-AGENCY YARD HWY SET BACK I PROP.:LINE WIDTH I hereby affirm fhat there is a construction lending agency for FRONT - ; ,- the performance of.the work for which this permit is issued P.L•. ' (Sec. 3097, Civ: C.). SIDE . m P:L. e Lender's Name 7{/ P.0-.Fee$ Permit Fee - Lender's Address- '� I certify-that I have read this application and state that the Issuance Fee d S above information is correct. I agree to comply with,all.County Investigation Fee $ ordinances tate laws relating to building'construction, Total Fee d and In rize represe tatives of this County to enter - up e- e;,fion/e�doperty for.inspect p pos s: a SEE REVERSE FOR EXPLANATORY LANGUAGE at Date ®1 of Applicant or Agent 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 0212050009 PHONE: (626) 285-0488 EXT: p: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 744 SQ. FT STORIES TYPE 9406 LAS TUNAS DR STRUCTURE: VN TEMP CA 917802135 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ALESSANDRO 8587-006-016 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/05/02 JK 06/03/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL -DA� FINAL BY: CODE: WONG YET F;SOO K TRS (626) 286-8288- 6,250 9418 LIVE OAK AV TEMP 917802426 FEES PAID DESCRIPTION OF WORK ' REROOF W/MODIFIED TORCH APPLYED RUBBER;INSTALL 28#FIBERGLASS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: BASESHEET UNDERLAYMENT&WHITE GRANULAR OVER COMPLETE ROOF APPLICANT: TEL. NO: HAUKOM ROOFING INC (626) 285-9011- AA BLDG PERMIT ISSUANCE 27.75 6122 IVAR AC STRONG MOTION RESID 6250.00 VAL 0.63 SPECIAL CONDITIONS: TEMPLE CITY 91780 D2 PERMIT W/O EN-HC 6250.00 VAL 166.20 TOTAL FEES 194.58 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HAUKOM ROOFING (626) 285-9011- 6122 N. IVAR LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 438338 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION X 3 04 FLOOR SHEATHING N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS 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 RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508