HomeMy Public PortalAbout9554 LAS TUNAS DR_Building__ 76A638A CE #803 4/72
APPLICATION FOR ILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY '
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
Print ort a only)
DISTRICT NO. GROUP PE .PROC SSED BY
BUILDING C� dL�Q� p CONST.
ADDRESS / " �� -7 V DtG L�O
J STATISTICAL CLASSIFICA ION SEWER MA ^,
LOT NO. / BLOCK CLASS NO.(y�L_DWELL.UNITS BKZ— Pvy 5�2
TRACT s� USE ZONE MAP
SIZE OF LOT
-i`� NO.OF BLDGS. NO. O
J� / CD NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
��s�f TEL. tom/ ?'2`T
OWNERSj4N /'//` P (�(zJ NO. 07 C�JJ BLDG.SETBACK FROM
ADDRESSFRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. } _
ENGINEER NO, BLDG.SETBACK FROM
ADDRESS
SI ROP.LINE OF (STREET) p
V
/ TYPE OF E TRACK HIGHWAY } YARD = TOTAL
CONTRACTOR J� ()(.. NO. 3�I HIGHWAY WIDTH FROM C. p
LIC
ADDRESS 2 Q -A•A*qNO. -+ Lu
LIC. _- n'
CITY . CLASS CORNER CUTOFF YES ❑ ❑ Z
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROO� LS
ADDRESS ��/ %�./_ ✓�nl - /. ) �� ,�t F'.
SQ. FT,..)hh NO. OF NO. OF
SIZED` STORIES FAMILIES NEW •�1; /• ��
USE OF ADD ❑ '/i:`' f -.'j�.•� 4
STRUCT E Pura(-."-Ls — ❑ .� '
a% ',
ALTER /.� .✓..?, +:'d __ •.��q,L i_.
REPAIR❑
SIGNATURE O l
APPLICANT ,c DEMOL ❑
VALUATION $ 1,2-d6 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT, FOUNDATION: LOCATION
FEE $� , FEE $ o!�2 � 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATJ414INSURANCE.
LATH, EXT,
SIGNATUREL�— HOUSE NUMBER COR-
PERMITTEE e� RECT AND POSTED
ADDRESS 2Lh FINAL
PLAN CHECK VALIDA ON, cK. )M.O. cnsH _ PERMIT VALI ATION CK` M.O. CASH
11 3
� 01 `rj � 2 , 1 .4.40#
lArn 1 4 2 9! , AIN 2 4.0 n N
DEPARTMENT OF BUILDING AND SAFETY P�'ki)'PLICATION FOR PERMIT
COUNTY OF LOS ANGELES C ® �
t •
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
.,.+� DISTRICT NO. -PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS �-
LOCALITY _y��i1/�/,1'_,�7X� Q�C..LC.a_ ' RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST
CROSS ST. r'�yN�NU 1/�'t✓1.../�".��� �d' /� ) d Ry'J / /`�
ADDRESS' D AJ"/7 J' •/ l
(f_,
_OWNERMAIL LOCALITY
ADDRESS �
/
NEAREST
-,�j�.� TEL./,' ,/p CROSS ST. �® Pe= '�
CITY rG,/l"�2�C�.r� ' ✓�[v/ NO.R�/6d � ��..:
FIRE NO.OF TYPE GROUP .—
ARCHITECT OR , TEL. ZONE e^ PLANS"` �"'•
ENGINEER NO.
BLDG. -�•-� ORD.NO.
ADDRESS SETBACK LINE
APPROVED
CONTRACTOR
CONTRACTOR ( �' ciC/' �C..�_ 'NOI. BY ��� DATE
• j USE APPROVED
ADDRESS - - -.� ZONEC Z.—BY DATE
LEGALDESCRIPTION LOT NO. &3BLOCKS QQ 7 CORRECTIONS
/
TRACT to 4�
NO.OF BLDGS. f'
SIZE OF LOT I NOW ON LOT
USE OF /h7Vf'L NO.OF NO.
EXISTING BLDG. * L'fs9.Y/13V1� FAMILIES ROOMS - _
DESCRIPTION'OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH
Sq.FT. NO.OF Z
SIZE ROOMS STORIES y
WALL ROOF r
COVERING I COVERING '
USE OF NEW
BUILDING
�/L��ii N+ �l'V(/K '(i✓i":• "
r `
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS _
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION': LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES `
FORMS,MATERIALS _
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME:I G,BOLIRE S
SIGNATURE OF 16 / � /'�j/p LATH CINT.BOLTS f✓�^^� '/ Y I
PERMITTEE JJJ
AUTHORIZED AST LATH, EXT.
76A638A 9-48
DBS-3 SOM SETS $ w c._ P.C.$ PLASTER, INT.
-3.wP1CJC•�D FEE PLASTER,EXT. / A
VALUATION �'C.-� FEE
or-SP-3 2SM BETS 10-46- j�_ __ k �. I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT,TO FILL IN FOR OFFICE USE ONLY
BUILDINGDISTRICT NO: PLAN CK.NO. PERMIT NO.
ADDRESS 15-8 As. 'ra mAs ]DRI V A 5— -7
LOCALITY TEI1R h�.+ CC PT` - - RECEIVEEdB�Y DATE OF APPL. DATE ISSUED
NEAREST / ��
CROSS ST.
CO- BUILD ING
OWNER Sp,A�Z CAMPY S
ADDRESMAIL
`,
ADDRESS 2 PS jf F kAS TD IAS D R f V Ar __LOCALITY ` C,.
NEAREST �2/
TEL. CRO5S ST.
CITY TffAAPO.j_= erTY NO. �
FIRE NO.OFTYPE GROUP
ARCHITECT OR TEL. ZONE I PLANS I II f
ENGINEER NO. ffff
BLDG. " � ORD.NO.
7 v
ADDRESS SETBACK LINE ( L!
-1- •�. e� APPROVED 4
CONTRACTORAIrOAP PRob ICTS ..SP(T/�Ly NOL*A T..C_GP,35- - BY DATE
USE APPROVED
ADDRESS �t�ed 0 , .WA PLL A ZONE( BY DATE
LEGAL
DESCRIPTION I LOT NO. /_ ^'J 9—U U'� CORRECTIONS,
V� / BLOCK
TRACT -5
NO.OF BLDGS. \
SIZE OF LOT NOW ON LOT �.
USE I FAMILIESROOMBDI �v
EXISTING BLDG.
DESCRIPTION OF WORK ' 11 AV
NEW ALTERATION ADDITION i
REPAIR MOVING DEMOLISH
SQ.FT. NO.OF �1V Z
SIZE ROOMS STORIES ,lJ D
WALL I ROOF - r
COVERING COVERING
USE OF NEW
BUILDING //�
/NS TALL 9.F. 4-ad S16A/ 04/
ZEX(ST/nlr MLD rr. ,L Eli,,Ae -
Adl 1=D�M
I HEREBY' ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE,
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
OWNER LATH,INT.:
AUTHORIZED At
LATH,EXT.:
$ P.C.$ PLASTER. INT.'
_ FEE PLASTER, EXT.
:s r�
VALUATION 0
FEE / FINAL ��, /" `� (�
76A638A CE#8035-61-APPLICATION FOR BUILDING PERMIT
COUNTY OF .LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY A
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. i
DISTR T Jr. GgOUP "ESSED BY
FOR APPLICANT TO FILL IN• TYPE
=�L �L/ CONST. •l
BUILDING S ATISTICALCLASSI ICATION S WERMAP
ADDRESS sBK / P
CLASS.NO. DWELL.UNITS
LOT NO. ! BLOCK ,WATER NOT'REQUIRED. RECEIVED
CERTIFICATE: ---••777
TRACT _ �Q MAP. E HIGHWAY STATE AJOR SECOND,.LOCAL
qq NO.OF BLDGS. NO., (CIRCLE)
SIZE OF LOT.,&K)< `/'� I NOW ON.LOT USE ZONE 'SPECIAL '
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER - NO 06 BUILDING EXIST.
/ .•� / I?� / SETBACK YARD HWY ST EET NAME WIDTH
.ADDRESS .o4A* FRONT 1,
ARCHITECT OR 'TEL. - P. L.
ENGINEER NO. SIDE. O
P. L.
ADDRESS TEL. INSPECTION RECORD .
CONTRACTOR NO. "z!7 0
r j 0
ADDRESS / 0 -F Ua a:.�/. �d art. u
W
DESCRIPTION OF WORK H
Z
EW ADD ALTER- REPAIR DEMOLISH -
FT. NO.OF NO..OF
IZE STORIES FAMILIES
USE Or
STRUCTURE
SIGNATURE O
APPLICANT
VALUATION$
APPROVALS - DATE INSPECTOR'SSIGNATURE
P.C. PMT. Gl"L7 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
'BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHOR I ZED,H EREBY 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 COMPENSAITCON INSURANC - -
LATH,EXT.
SIGNATURE O. / HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FNA .
✓ aYDE'N. DIRLAM, PRINCIPAL STRUCTURAL-ENpTMsER
PLAN CHECK VALIDATION wsH PERM VALIDATION. .cK, m.o.
Z 4 ,:f
8 9 7 0 MR 3.00
DIVISION OF BUILDING AND SAFETY
Department of County Engineer I L 01)h 114
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
EURNIMEMEWSM
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT N0. PLAN CK. OR REM.No. PERMIT NO.
BUILDING /n/ v
ADDRESS J _ ,IA w/!7�!!/.)- 'S2
27
LOCALITY RECE VED BY DATE OF APPL. DATE ISSUED
P(EAREST / �
ROSS ST. BUILDING
OWNER
MAIL �•/ LOCALITY Cr ,
ADDRESS j� ,��tiLJ//,t�(p Lj/ NEAREST
(y¢ CROB6 ST. ,�✓�/,if��� y"'
CITY ../ NO. FIRE NO.OF TYPE GROUP
ARCHITECT OR V TEL ZONE I PLANS I >=
ENGINEER NO. BLDG. ORD. NO.
SETBACK LINE
ADDRESS
USE APPROVED
T@L.: ZONE ic'�BY DATE
CONTRACTOR ,/J-lA / NO. HOUSE NUMBERING
ADDRESS MAP NUMBER -NO. ASSIGNED BY
LEGAL 2 CORRECTIONS
—DESCRIPTION( /L-OT NO. /J J7 BLOCK
TRACT 6 J 6,
SIZE OF LOT _.S X�/f/// I NOW ON LDT
EUSE
X STING BLDG fJ,•i// ,� Q� FAMILIES �6 I _� c P�. / ! ! -• / l�/`•��.
DESCRIPTION OF AVORK00
r
7.0 I ) o
NEW ALTERATION ADDITION Z
D
'r
REPAIR rT' /� DEMOLITION
NO Ew
H ZE Z�i"� ROIOMG STORIES - 7yy�II f�^:1JCJC ,! �LitJ f'!T'y
WLL
C VERING `��?- ' I oO0VERING Cep rn'/•, F%-Gt� /f lel '7vjgJ)-,CI/lb`I�ly Ij)7�
USE OF STRUC URE
INSPECTION FOR APPROVALS
OCCUPANCY AS INSPECTOR,'B,BIGNATURE DATE
FOUNDATION: I OCATION
FBAMB, MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PL, FRAME: FIRS STOPS, </
CATION AND STATE THAT THE IN
GIVEN IB �r��l.. �✓/�
CORRECT. BRACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, '
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS
SIGNATURE or LATH, INT.
PERMITTEELATH, EXT. 5--/6
ADDRESS V
ADDRESS
PLASTER, INT.
AUTHORIZED AOT.
PLASTER, EXT.
FEE
HOUSE NUMBER COR-
RECT AND POSTED /1
VALUATION FEE FINAL
76A63BA DBS 3 i-S2 v
1•'.` -DEPARTMEN �: 0'V BVII DING APPLICATION FOR PERMITdo
€OUNTY OF S ANGELES BUILDING
PLANS BLDG.`• FIRE DISTRICT O. PLAN HK. FEE. PERMITNO.
FILED 1 ZONE �t3 ZONE RECEI TyNg�- //"
TYPE OF //72
"`BLDG. gGROUP - ,D4T,EO , PPL. VVV 00
RECEIVED BY DAT ISS '6D
BLDG. SETBACK,LINE
" .ORD: NO •. 112LZ
:l:AP�LFICANJ, (FIY�I, IN::; I AVIi: ' OU'�L'INED PORTION ONLY.:
BUILDINU
NAME ADDRESS
y
yUw ADDRESS. O%'. � .. «' b! ' t LOCALITY!-
{•NEAREST
SZ CITY `C��+ .•,r, sLn- - - .CROSS ST. �J'l.✓�/�il/ -!� �'�
•UW STATE
Q LICENSE NO: ! TEL. NO. ! - NAME V \ lyr"� `per •'7`�
w MAIL
Z Z ADDRESS
p F.AME..�._
U
Q _ADDRESS I' 0 CITY,s:, `�-4''` I��ti( ""TEL NO.
4 1 6 `�A�[
Z CITY /r ,' iv •J 0. LOT "SIZE OF LOTS !'�
U STATE 11 �
U.I 'rEL: NO. 6 U • NO. OF SLDGS.
LICE.NSF. NO. - -- W N •BLOCK •• NOW ON LOT
CLASS OkWOILS p ( ( USE OF BLDG.
-TRACT !J v� .NOW �O37N[��L�O�T
NEW ' ADDITION DEMOLISH - DESCRI -ION eK
ALTERATION —I REPAIR I—I -MOVING
USE OF n NO, OF
BLDG. �., "�� �il1/7,a.� ROOMS
SIZE OF !� STORIES 1 NO. OF
BLDG. >'C `ham+ 19..� LI--'I"r��'t.VgaA"1 FAMILIES -
SPECIF'ICATI r NS
FOUNDATION CORRECTIONS
r EXTERIOR PIERS ! •. ,,s� - �'^�
MATERIAL I y71 7�.� `iF ''`^ <Z .
THICKNESS—TOP �.� •/ A- 3r' r J
THICKNESS-BOTTOM
DEPTH IN GROUND
_%S,UPERSTRUCTURE}
$LZE�!�G SPAN -• .�1✓ i 6'.dDGe+t�F°'vuFit'.
R. W. PLATES (SILL),,-,,
GIRDERS
'
JOISTS—FLOOR
JOISTS—CEILING
/ I Z
'
-SEARING WALLS
PARTITIONS
ROOF RAFTERS - - `\, I 0-
SILL BOLTS
COVERING
WALL, .I ROOF I,. . ..
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS d .'
APPLICATION AND STATE T[iAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. -I.
OWNER OR AUTHORIZED AGENT
' PO F'INAI. APP ItOVAL
P.C. FEES](�`�(•1 Fp(/gdpJ dpY D4J� �/7
VALUATION $ // t/ V FEE �i /) DATE •U f !I INSPECTOR'S NAME P
DB-3 4-37 �' !
APPLICATION, FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AD ESS
BUILDING ADDRESS. / -- �� (✓ZZ rvQ-Fi
I hereby affirm that I have a certificate n consent to self insure, 7 / I aLAI�S )0/
or a certificate of Workers' Compensation Insurance,or a certified rsC /� �C/
copy thereof(Sec.3800,Lab.C.) Ci�� ZIP c// 750 LOCALITY
Policy No. Company /�
SIZE OF LOT NO.OFBLDGS.NOW ON LOT
❑ Certified copy is hereby furnished. NEAREST CROSS ST.„
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
department. USE ZONE MAP NO.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL _
SPECIAL CONDITIONS -
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO.
COMPENSATION INSURANCE i Pf e Z �' 7f WITHIN 1000 FT.OF SCHOOL? VES NO
U 1 /
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have; a certificate of consent to self
insure, or a certificate of Workers' Compensation Insurance, ' APPLICATION. F®R' BUILDING PERMIT
or a certified copy thereof (Sec. 3800, Lab..C.)
COUNTY OF LOS ANGELES BUILDING A14D SAFETY
Policy Na Company
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- : BUILDING
tion department. ADDRESS / (�/
Date Applicant CITY L ZIP q/ �(J LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST-
'COMPENSATION
EAREST,•'COMPENSATION INSURANCE SIZE OF.LOT NOW ON LOT CROSS ST. 11)4
(Thissection need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR '
hundred dollars($.100)or less.) MAP BOOK PAGE PARCEL
TEL. USE ZONE MAP
I certify that in the performance of the work for which this OWNER NO. NO.
permit is issued, I shall•not employ any person in any manner `'—" //`��� SPECIAL
so os to become subject to the Wo kers'' nsation Laws. ADDR `� , CONDITIONS
H U..
Dote -ff '�4Applicant r CITY 1'/, ZIP
NOTICE TO APPLICANT: If, after a ing this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O
Exemption; you should become u 'ect to•the Workers'
ENGINEER NO. CONST. ZONE U
Compensation provisions of.the Lo or ode, you must forth- ADDRESS `Y r✓ V
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. C DO. N
deemed revoked. �' CONTRACTOR NO. , / Z
LICENSED CONTRACTORS DECLARATION / LIC. CLASS NO. [/DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS / NO.
(commencing with Section 7000)of Division 3 of the Business andLIC. SEWER MAP
Professions Code, and my license is in full force and'effect. CITY CLASS BK: �� , 3 VALIDATION
SQ. FT. NO. OF / NO.OF CHECK
License Number Lic.Class SIZE STORIES IFAMILIES ONE
VALUATION
DESCRIPTION OF WORK" NEW
Contractor Date _ ADD ❑ $
❑ I am exempt-under Sec. toffy Sd LTER ❑ ,
B.i3P.C. for this reason a� 08. —— PAIR " ❑ $
Date: EXISTING BLDG, t�`I� MOL
❑
Signature APP PR NTT - TEL ` FINAL '21OWNER-BUILDER DECLARATION DATE '
1 hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS 7 FINAL
Professi ns Code): BY
BUILDING ` !� TfA CJ'
�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.
I, as owner of the property, am exclusively contracting CONTRACTOR NO. p
with licensed contractors to construct the project (Sec- ADDRESS
tion 704 Business and Professions Code). it QQ
REQUIRED TOTAL SETBACK ®•®
CONSTRUCTION LENDING AGENCY ' SETBACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is struction lending agency for . FRONT
the performance of the rk fo hich this permit is=issued P.L.
(Sec. 3097, Civ. .). SIDE
P.L.
Lender's Name
LDMA Ref. #
m - P.C. Fee$ Permit Fee.I i
Lender's Address
1 certify that I have read this application and state.that the Issuance Fee/ v LDMA P/C#
above informati is
ce State laws to building construction,
correct. I agree to comply with all County Investigation Fee
0 ordinanrelating Total Fee LDMA Perm. #
d here utho�r'irepresentatives of this County to enter
u on h �Ze"ntioned property for inspection'purposes.
SEE REVERSE FOR EXPLANATORY,LANGUAGE
ignat a of Applicant or A ent Date
WORKERS'COMPENSATION DECLARATION /
hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, ora'ceriificate of Workers' Compensation Insurance,
or a certified copy
ppyy thereof (Sec. 3600, Lab C.) n /
C,/ COUNTY OF LOS ANGELES BUILDING AND SAFETY
PoliP'cy No/`" Company BUILDING //�•
Certified copy is hereby. ADDRESS
furnished. FOR APPLICANT TO FILL IN
�'�
Certified copy is filed with the c t -C'di+5g inspec- BUILDING
tix department. / ADDRESS -ti. J�v/V dCV"— LOCALITY c�
NEAREST
Date +'Applicant CITY �'� CROSS ST.
CERTIFICATE OF EXEMPTI M WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP o�Q U
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. / NO.
TEL.
/ ! SPECIAL �-
I certify that in the performance of the work for which this OWNERe NO. CONDITIONS \
permit is issued, I shall not employ any person in any manner /. ✓1 DISTRICT GROUP TYPE FIRE PROCESSED O
so as to become subject to the Workers'Compensation Laws.. ADDRESS ,C ��. �a�' CONST. ZONE V
��D /_V ec
CITY c ZIP. O
Date Applicant STATISTICAL CLASSIFICATION A CONDO.
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. rt
ENGINEER NO. CLASS NO. v� DWELL. UNITS LU
Exemption, you should become subject to the Workers' C
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP / N
with comply with such provisions or this permit shall be r / 4• VALIDATION EL. L z
deemed revoked. CONTRACTOR G�� C I NO.CW] �/� BK. PG,
LICENSED CONTRACTORS DECLARATION IC,
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �� t_ J� ®&O. Se-e 5 VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC. 17t'
Professions Code, and my license•is in full force and effect. CITY, /rL CLASS,r�.r f $
_ SQ. FT. NO.OF NO. OF CHECK
License Number Lic.Class SIZE STORIES FAMILIES ONE 011
$
Contractor Date /'z.2 3 DESCRIPTION OF WORK / NEW El
ADD 1
I am exempt under Sec.
LTER. FINAL Gw��
B.BP.C. for this reason EPAIR DATE
USE OF FINAL
Date: EXISTING BLDG. DEMOL By
Signature APPLICANT / TEL.
OWNER-BUILDER DECLARATION PRINT / NO.
I herebyaffirm that l am exempt from the Contractor's License
Low fothe following reason(Section 7031.5, Business and ADDRESS ! G� �� t,�i1�� �
Professions Code): RESENT 7U.�3
OBUILDING
I, as owner of the property, or mployees with my eADDRESS
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 26 3 a6 A
I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- 0 0 0 0 0 }
tion 7044, Business and Professions Code). ADDRESS
REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. Z ° °,5 2 0 0
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH
hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L. Poo. %o..'.15 2 0 0 6
(Sec. 3097, Civ. C.). SIDE
FD P.L. 0.9.2 3-8-2
Lender's Name �1
Lender's Address P.C. Fee$ Permit Fee
I certify that I have read this application and state that the Issuance Fee a .
a
above"information is correct. I agree to comply with.all County Investigation Fee
g ordinances State laws relating to building construction, Total Fee id
d and e y auto nze representatives of this County to enter
m u n t� �1e- ention property,forinspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
ignature of Applicant or Agent Date ..0s
q : � APPLICATION FOR BUILDING PERMIT
COUNTY'OF,LOS ANGELES = BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRES
I hereby affirm that f have a certificate,of consent to self insure, BUILDING ADDRESS J ��� f
%SSS Cum G �t���
or'a certificate of Workers Compensation,Insurance,or a certified IJ"� Q . fin
copy thereof(Sec.380,0,Lab.C.) I ��Q
Q Ix C/ `/' ZIP " I LOCALITY
Policy No. Company SIZE OF,LCT �`^ NO'OF BLDGS.NOW ON LOT' '� ' Ikk W LA
❑ Certified copy is hereby furnished. NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO, C
USE ZONE MAP NO.
department.
Date Applicant ASSESSOR MAP BOOK PAGE "PARCEL SPECIAL CONDITIONS /�
CERTIFICATE OF EXEMPTION•FROM WORKERS' oW R �,�
COMPENSATION INSURANCE UIA ot el 7Af 71 WITHIN 1000 FT.OF SCHOOL? YES NO
_ ADDRES -
(This section need not be completed it the permit is for one,hundred � �{/ �p _ DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
dollars($100)-or less.) , rc (
I certify that in the performance of the work for which this permit �^ (�`( 7�S p
is issued, I shall not.employ any person in any.manner so-permit
it S (�- ZIP
TEL NO
become subject t0 the Workers' orn aws. ARCHITECT OR ENGINEER ^, i
.�� n� y�'— STATISTICAL CLASSIFICATION APT CONDO
VDate vApplicant ADDRESS CLASS NO. DWELL UNITS
NOTICE .TO APPLICANT.' ,If, aft r king this Certificate Of REQUIRED. TOTAL SETBACK FROM EXIST
Exemption, you should becom s bject to the Workers' CONTRACTOR ,�� T L N SET BACK YARD, ..HWY PROP LINE WIDTH
Compensation provisions of the Labor' Code, you must forthwith' Z`�—V�v�� ��z6/�l FRONT
comply with such provisions or this permit shall be deemed revoked.' ADDRESS - LIC.NO. PL r
TRACTORS DECLARATION Q
CL
LICENSED CON � SIDE 0
CITY LIC.CLASS P L 0.
I hereby affirm that I am licensed underprovisions,of Chapter 9 SEWER MAP
(commencing with Section 7000)of.Division 3 of the Business and SO.FT..SIZE NO,OF STORIES NO.OF FAMILIES 0
Professions Code,.and my license is in.full force and effect. NEW ❑ BK PG
License Number Lic.Class DESCRIPTION OF WORK e-^^"• - ; ADD ❑ VALUATION, b , W
Contractor Date ALTER ❑
❑ I am exempt under Sec. V d REPAIR ❑, $ Z
n^
BAP.C.for this reason DEMOL ❑ LDMA P/C#
Date: USE OF EXISTING BLDG. F URM El
Signature. APP CANT(PRINT) TEL NO. : LDMA Perm#
❑ I, as owner of the property, or my employees with'wages as CANT
ZO [y(_:C:i,
their sole compensation, will do the work and the structure is ADDRESS:
not intended or offered for sale (Section 7044, Business and FINAL'DATE I %�} Q � I�I +' jy
P fessions Code.) WILL L L THE APPLICANT OR FUTURE BUILDING.OCCUPANT HANDLE A•HAZARDOUS MATERIA /r��P {{
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q 1 ITEMS
Is owner of the property, am exclusively contracting With AMOUNTS SPECIFIEDON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > '
licensed contractors to.construct the project (Section 7044, :YES El Eli I I I AI �''5 -
Business and Professions Code.)
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHECK 5.Vt
OCCUPANT REQUIRE A PERMIT FOR,CONSTRUCTIONORMODIFICATION FROM THE SOUTH ..
'CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD).SEE PERMITTING CHECKLIST FOR - CHANGE
GUIDELINES. t•rlANGE =00
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 PERMITTING _
3097,CIV.C.) CHECKLIST:I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,, - ('�^}(� '�'yy P e25/9
�5
TITLE 2,CHAPTER 2.20 SECTIONS'2.20.100 THROUGH 2.20.140 CONCERNING'HAZARDOUS ;.Jf,.hJl –IJl ft:.t •!.°
rn Lender's Name .MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD., - -
Lender's Address �} I{ _ ! ?'_ '
9.
OWNER GR•A ENT
1 certify that I have read this application and state under penalty
EL - of er P.C.FEE PERMIT FEE
p p jury that the above information is correct.I agree to comply
/n with all countyfinances and State laws relating to building
m con tructi hereby authorize.representatives of this County ISSUANCE F
o en a above-mentioned property for inspection purposes. f
6 V J^`7 INVESTI ON FEE TOTAL FEE
N >1a w���1.o,
SEE REVERSE FOR EXPLANATORY LANGUAGE '
COUNTY OF LOS ANGELES TEMPLE 61TY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADDITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508. 0506150012
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 6561 LT: 637 SQ. FT STORIES TYPE OCCUP GROUP 9552 LAS TUNAS DR
STRUCTURE: 740 1 VN C TEMP CA 9.17802106 `
ASSESSOR INFORMATION NUMBER: -NEAREST-CROSS STREET: TEMPLE. CITY .. ;
8587-015-018 THOMAS PAGE: 596•= GRID: 'h-- LOCALITY; TEMPLE CITY, C
TENANT: EXIST BLDG USE: COMME USE ZONE: C-1 ISSUED ON: PROCESSED BY: _ EXPIRES ON:
CHAMPION TROPHY COMPANY EXIST OCC GRP: C 09/13/05 JK 09/08/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: _ _ - -.VALUATION: FIN AT FINAL BY: COD
FREEMAN, JAY A (626) 287-2171- _ -. 71,930 ���
540 HIDDEY VALLEY DR
AZUSA, CA 91702 FEES PAID DESCRIPTION OF WORK
BUILD OFFICE, STORAGE, AND WORK AREA & DEMOSLISH SMALL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SECTION
APPLICANT: TEL. NO:
L.D.H. CONSTRUCTION (626) 286-7119- Al PLANCHECK W/EN-HC 71930.00 VAL 995.73
9634 OLIVE STREET AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
TEMPLE CITY CA 91780 AE STRONG MOTION OTHER 71930.00 VAL 15.11
A2 PERMIT W/ENERGY;-.HC 71930.00 VAL 1,171.45
,TOTAL,.FEES 2,210.04
CONTRACTOR: TEL. NO: - - APPROVALS DATE INSPECTOR SIGNATURE
L.D.H. CONSTRUCTION (626) 286-7119- �. /�•-cL� _ _- -"-�-
9634 OLIVE ST LIC. NO LOCATION AND SETBACKS'
TEMPLE CITY, CA 91780 562071 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: 9 - - FOUNDATION/TRENCHFORM Sj.
/
- LIC. N0: LAB/UNDER FLOOR
RAIS2D FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 22 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS -
NO NO NO FRAME INSPECTION -
- FIRE SPRINKLER HANGERS
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CELL ASSEM.
i�
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
' - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DXPARTMENI' OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0809240020
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1
ITR: 6561 LT: 637 SQ. FT STORIES TYPE 1 9552 LAS TUNAS DR 1
I (STRUCTURE: V-B I TEMP CA 917802106 1
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY
18587-015-018 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
ITENANT: 1EXIST BLDG USE: COMME USE ZONE: C-3 11SSUED' ON: PROCESSED BY: EXPIRES ON:
1 IEXIST OCC GRP: 109/24/08 SR 03/23/09 1
1OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI AL ATE FIN BY: CODE: I
IYANG, FREDDY (213) 798-5889- 1 37,000 1
11000 OXFORD ROAD 1 1 1 LI
ISAN MARINO CA 91108 1 FEES PAID ICRI -TION F WORK 1
ISTORE FRONT RENOVATION & REAR STORE REMODELING
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (
(APPLICANT: TEL. NO: I I
IC K CONSTRUCTION (626) 236-0333- 1AA BLDG PERMIT ISSUANCE 27.75 1
1309 E. HELLMAN AVE. IAE STRONG MOTION OTHER 37000.00 VAL 7.77 ISPECIAL CONDITIONS: 1
1ALHAMBRA, CA 91801 1AX BUILDING REVIEW FEE 54.70
IA2 PERMIT W/ENERGY-HC 37000.00 VAL 722.26
. TOTAL FEES 812.48 1
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IC K CONSTRUCTION (626) 236-0333- 11
1309 E. HELLMAN AVENUE LIC. NO 1 ILOCATION AND SETBACKS I
1ALHAMBRA, CA 91801 754981 B 1 I I
1 ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 1SLAB/UNDER FLOOR I I I
RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I
1150H269 3 041 1 1
I I IFLOOR SHEATHING I I I
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 I
1 NO 22 1 IROOF SHEATHING I I I
I I I I I I
1 SCHOOL WITHIN HAZARDOUS 1 _ ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS II
NO NO NO .� - , `'� �- � 1� i FRAME, INSPECTION I I
IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1
IFRONT PL- (INSULATION/WEATHER STRIPI I I
I SIDE PL- 1 I I I I
(INTERIOR LATH/DRYWALL / " I
I �7y1i���`Y in
1 EXTERIOR LATH
IRATED FLOOR/CEIL ASSEM. 1 1
IRATED WALL ASSEMBLIES
(RATED SHAFTS/OPENINGS
IT-BAR CEILINGS
ILOT DRAINAGE 1
IREPORT ID: DPR261 ROUTE TO: DS0508
I I I I I 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 0812170017
PHONE: (626) 285-0488 EXT:
ILEGAL. ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 6561 LT: 637 SQ. FT STORIES TYPE 1 9552 LAS TUNAS DR 1
I = ISTRUCTURE: . V-B TEMP CA 917802106
(ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: TEMPLE CITY 1
18587-015-018 I 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I I I I
(TENANT: (EXIST BLDG USE: COMME USE ZONE: C-3 (ISSUED ON: PROCESSED BY: 1
1 (EXIST OCC GRP: 112/23/08 SR
I I I I
1OWNER: TEL. NO: (BLDGS. NOW ON LOT: VALUATION: IFINAT, DATE FIN CODE:
1EDWARD INTERNATIONAL U.S.A. INC. - 2,000 1 `19552 LAS TUNAD DR. ')_4
�T-ol
ITEMPLE CITY CA 91780 FEES PAID DESCRION 0 WORK 1
1 1 1ACCESSIBLE RAMP ONLY 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 I
1APPLICANT: TEL. NO: I I I
IC K CONSTRUCTION (626) 236-0333- ID1 PLANCHECK W/0 EN-HC 4000.00 VAL 98.43 1 1
1309 E. HELLMAN AVE. IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: I
1ALHAMBRA, CA 91801 1AE STRONG MOTION OTHER 2000.00 VAL 0.50 1 1
1 ID2 PERMIT W/O EN-HC 2000.00 VAL 82.20
I 1 TOTAL FEES 208.88 1
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
IC K CONSTRUCTION (626) 236-0333- 1
1309 E. HELLMAN AVENUE LIC. NO 1 ILOCATION AND SETBACKS 1 1 1
1ALHAMBRA, CA 91801 754981 B I 1
I I (SOILS ENGINEER APPROVAL I
1ARCHITECT OR ENGINEER: TEL. NO: ,. IFOUNDATION/TRENCH FORMS II
r
1 LIC. NO: 1 1SLAB/UNDER FLOOR I
IRAISED FLOOR FRAMING 1 I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION I I I
1150H269 3 001 1 1 I
_I IFLOOR SHEATHING 1 I
IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I--- I I
1 NO 22 I IROOF SHEATHING
1 SCHOOL-WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS 1
1 NO NO NO 1 1FRA4E INSPECTION
I I I I I I
IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIR'E SPRINKLER HANGERS 1 1 1
ISET BACK YARD: HWY: PROP LINE: WIDTH: I 1 1
IFRONT PL- I I'INSULATION/WEATHER STRIPI I I
I SIDE PL- 1 1 1-1 1
(INTERIOR LATH/DRYWALL
I I I 1 I I
1EXTERIOR LATH I I I
I I I I I I
IRATED FLOOR/CEIL ASSEM. 1 1
I I I I I I
1 1RATED WALL ASSEMBLIES 1 1 1
1 1 IRATLD SHAFTS/OPENINGS I 1 1
IT-BAR CEILINGS I
I I I I I I
1 I ILOT DRAINAGE I I
I I I I I I
IREPORT ID: DPR261 ROUTE TO: BSO508 I
I I I i �
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP
BUILDING AND SAFETY/ LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1004010050
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF . CONST NEW BUILDING ADDRESS:
ITR: 6561 LT: 637 SQ. FT STORIES TYPE OCCUP GROUP 9552 LAS TUNAS DR
ISTRUCTURE: 0 1 V-B B I TEMP CA 917802106
(ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET:
18587-015-018 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
TENANT: JEXIST BLDG USE: COMME USE ZONE: C-2 (ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: B 104/05/10 SR
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: FI AL DATE_ FINAL BY: CODE:
1WANG, EDDIE - 600
19552 LAS TUANS DR.
TEMPLE CITY CA 91780 FEES PAID IDESCRIPTION OF WORK
1ADD MOP SINK IN THE EMPLOYEE'S TOILET ROOM
I 'FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1
(APPLICANT: _ TEL. NO: I I
IC K CONSTRUCTION (626) 236-0333- IA1 PLANCHECK W/EN-HC 600.00 VAL 94.43 I
1309 E. HELLMAN AVE IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS:
IALHAMBRA, CA 91801 IAB STATE GREEN BLDG FEE 600.00 VAL 1.00
1 IAE STRONG MOTION OTHER 600.00 VAL 0.50
IA2 PERMIT W/ENERGY-HC 600.00 VAL 50.20
CONTRACTOR: TEL. NO: I TOTAL FEES 173.88 JAPPROVALS DATE INSPECTOR SIGNATURE
IC K CONSTRUCTION (626) 236-0333- I I
1309 E. HELLMAN AVENUE LIC. NO ILOCPTION AND SETBACKS
IALHAMBRA, CA 91801 754981 B I 1
ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I
LIC. NO: 1SLAB/UNDER FLOOR
- IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I
XX 3 00.1 1 11
$ IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: ( _ iit +� '"�'-
1 NO 22 I `E3C1 S 1 ROOF SHEATHING 1
1 SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS 1
(AIR QUALITY: 1000 FEET MATERIALS I 4
NO NO NO 1FRAME INSPECTION I
IFIRE SPRINKLER HANGERS I
11NSULATION/WEATHER STRIPI I I
(INTERIOR LATH/DRYWALL
I I I I I I
IEXTERIOR LATH
IRATED FLOOR/CEIL ASSEM. I I 1
IRATEDWALL ASSEMBLIES I I
IRATED SHAFTS/OPENINGS I
IT-BAR CEILINGS I
ILOT DRAINAGE I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I
I I I I I I