HomeMy Public PortalAbout9651 LAS TUNAS DR_Building__ 76AG38A CE 4803 2-63APPLICATION FOR BUILDING PERMIT
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 NO. GROUP TYPE CESSED BY
FOR APPLICANT TO FILL IN L CONST.
BUILDING STATISTICAL CLASSIFICATION JEWER MAP
ADDRESS 5 �l.y\t_�2�
CLASS. NO. Aq DWELL. UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT
AY
NO.OF BLDGS. NO. �"Q ({CGRCLEl STAT AJOR ECOND, LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF * CONDITIONS
EXISTING BLDG.VA )�
OWNERy TEL.
0NO. BUILDING EXIST.
SETBACK YARD H TREEAME WIDTH
ADDRESS �, OS E �', FRONT T
ARCHITECT OR TEL. P. L. 1
ENGINEER NO. SIDE
ADDRESS P L
D_
O
CONTRACTOR (/ (an!JC OL EL _ V
Cd
ADDRESS _32li- AREziA 00
DESCRIPTION OF WORK W
CL
NEW ADD ALTER REPAIR DEMOLISH Z
SQ. FT. NO. NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $
APPROVALS DATE INSPECTOR'S SIGNATURE
��9 FOUNDATION: LOCATION
=FEE FEE $ 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
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK _
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENS TION INSU NCE. J .
LATH, EXT. E.6
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE _ RECT AND POSTED
ADDRESS 2 FINAL 4
JOHN F. LEWIS. PRI CIP L C RAL NGI EER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH
:iC�wsEz. ZG Tan � 3J -
L.I,�p2 6 2 6,16 nuc 19 1 0 4.0 4- tv
IIUILD
BUILDING ADDREB9
APPLICATION LOCALITY
NEAREST '
DIVISION OF BUILDING AND SAFETY CROSS ST.
DISTRICT NO. RECEIPT NO. PERMIT_NO.
Deportment o1 County Engineer �-- )
County of Los Angeles _5
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUPT Dc' BUILDING
FL
R APPLICANT TOFILL IN TYPE CONST. RECEIVED BY ISSUED BY
R I�tf .. -� ` ` ` 'y .,.� 1 NUMBER ' C.,� _MAP sHWYEYEH NO
�� J ` ) •, USEZONE SPECIAL
TEL. CONDITIONS
��.. xR F I •..,, nln.
ARCHITECT OR TEL.
ENGINEER NO.
BUILDING YARD HWY STREET NAMEEXIBT.
ADDRESS BETSACK WIDTH
f
TEL. FRONT
CONTRACTOR r _P. L
NO.
r. — SIDE
P. L
ADDRESS
BUILDING
DATE CORRECTIONS INSPECTOR
t� p
ADDRESS Q 4+Z {oma H S 1—U F'S �.: I ZC 1
LOT NO. BLOCK I Yr
TRACT ► ,� `
NO. OF BLDG
SIZE OF LOT ` ` U I NOW ON 9.
LOT _ /1
USE OF
EXI ?IN SL O.
DESCRIPTION OF WORK a1A
NEW ADD ALTER (,( REPAIR DEMOLISH_
--- Z
80. FT. NO. OF NO. OF D
SIZE STORIES FAMILIES _ r
USE OF STRUCTURE
U E I
G- -
s�'�` :`
NOLO. OF
EMPYEE$
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 18
CORRECT. APPROVALS INSPECTOR'S SIGNATURE DATE
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWS REGULATING BUILDIN13 CONSTRUCTION„ FORMS, MATERIALS
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
PERMITTEE
"— FURNACE: LOCATION,
y i} GAS VENT,DUCTS
ADDRESS
LATH, INT.
AUTHORIZED AST.
/� LATH, EXT.
� -/ f"- P. C.$ HOUSE NUMBER COR-
FEE J_ ___ �,.., • RECT AND POSTED
VALUATIO 41
FSE FINAL
7GA638A DB5 3 4-54
'BAS38A CE#603-8-57 APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP I TYPE SEWER MAP
BLD NG FOR APPLICANT TO FILL IN rCONST. �
/Csl P
/
ADDRESS "'14"61 ,C.. s ,j STATISTICAL CLASSIFICATION
CLASS.NO. DWELL.UNITS
LOT NO. BLOCK MAP STATE
NUMBER 17 HWY. YES
TRACT I� USE ZONE SPECIAL
NO.OF BLDGS. �j CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF /1U�D�
EXISTING BLDG.
S
D��GGJ. /� BUILDING YARD HWY REET NAME EXIST.
OWNER L[�/7 ' 1.v� SETBACK TWIDTH
FRONT
MAIL �� , P.L.
ZteZ /070
ADDRESS SIDE
TEL. P.L.
CITY W e 47 el NO. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS ,! t, p
CONTRACTOR O A11CVN c NO.I
/� �J�I
ADDRESS ��3� T V i6; 3 3
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. G/ NO.OF NO.OF
SIZE �a 0 STORIES FAMILIES
U E OF STRUCTU E
SIGNATURE O APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS JI FOUNDATION: LOCATION
P C S FORMS,MATERIALS
Cf � FRAME: FIRE STOPS, �
FEE BRACING. BOLTS :S _
VALUATION S / FURNACE: LOCATION,
FEE /' GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AN TATE THAT THE ABO EIS CO RECT AND
AGREE TO Y W TH ALL CO NT, OFA II NCES AND
STATE LA S GU TI I C RUCTION. LATH,EXT.
SIGNATU HOUSE NUMBER COR-
PERM www RECT AND POSTED
7
ADDRESS FINAL
IOHN A. LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM. PRI CIPAL STRUCTURAL E ER
PLAN CHECK VALIDATION CK. M.O. CASH PEBMIT VALIDATION CK. M.O. CA
OF
Ar DEC 2 1 .00 0
• I
25M SETS 13-4,'S �,
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES S ' � '
WM. J. FOX, CHIEF ENGINEER
NG
FOR APPLICANT TO FILL IN __ FOR OFFICE USE ONLY
p�
BUILDING DISTI6QT NO. PLAN CK. NO. PERMIT NO.
ADDRESS
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
09 pm
NEAREST
CROSS ST.
BUILDING
OWNER / ADDRESS
AD RES ,�'//7MAIL LOCALITY r '
j/�• wfJ
CITY�}fP /7► NO �T NEAREST a
TEL. CROSS ST.
FIRE NO.OF TYPE I GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
APPROVED
TEL. BY DATE
CONTRACTOR -- NO.
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. BLOCK
TRACT NO. OF SLOGS.
SIZE OF LOT % ! NOW ON LOT
USE OF _ NO.OF NO. OF
EXISTING BLDG. I FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW I ALTERATION I ADDITION 1 D
REPAIR MOVING A DEMOLISH p
Sq. FT. NO.OF y D
SIZE - ROOMS STORIES IF
WALL ( ROOF
COVERING I COVERING
USE OF NEW
BUILDING - —"
I
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 ADT LATH, EXT.:
$ P. C.8 PLASTER, INT.
FEE PLASTER, EXT.
VALUATION FINAL
FEE e
76A638A CE#803 3-68 (2
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST `
CROSS ST. N111
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE ES D B
/ �j CONST. '
(Print or type only)
BUILDING STATISTICAL CLASSIFICATION SIEWER MAP
ADDRESS 9651 Las Tunas Driv e CLASS NO. I _DWELL.UNITS BK PG
LOT NO. 3� BLOCK USE ZONE MAP /l /T
_ NO. C
TRACT SPECCONDIAL
TIONS
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. Residential BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
OWNER Airs. Victor Torranoe. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS
9651 Las Tunas Drive H -WAY WIDTH FROM C.L.
CITY Temple City, California BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDEPROP. LINEOF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + = TOTAL
ADDRESS HIGHWAY WIDTH I FROM C.L.
TEL. _
CONTRACTOR id NO. + a-
ADDRESS 337 S. Woods Ave No'159, �96
1CORNER CUTOFF YES ❑ NO ❑ U
LIC.
CITYLos Angeles 90022 CLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS
U
DESCRIPTION OF WORK 0-
z
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE Re-roofing
SIGNATURE OF RIGID l
APPLICANT mss.— BkPr.
VALUATION S 412.00
APPROVALS DATE INS PECTOR'B SIGNATURE
P.EC. PMT. 9.00 FOUNDATION:FORMSMAERIAALS
ON
FES FEE $
FRAME: FIRE STOPS,
1 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 WILL NOT EMPLOY ANY PERSON IN VIOLA.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S COMPENSATION `NSU RAN CE.
RI ID 14FIP 6IP4Y LATH, EXT.
SIGNATURE OF fY,,,,�. __.I�ICpY�. HOUSE NUMBER COR-
PERMITTEE �""- - - RECT AND POSTED
ADDRESS 337 S. Woods Ave., L 2 -
FINAL
JOHN F. LEWIS. PRINCIPAL STRU TURAL ENGINEER
PLAN CHECK VALIDATION CK M.O CASH _ PERMIT VALIDATION cK_� M.O. CASH
...4.. -'SM&£T^ &€'RLIf,,-i 'ON FOR R ER,!v?IT
DEPARTMENT OF BUILDING Ai1D SAFETY
£OUNTY OF LOS ANGELES �rr' '
WM. J. FOX, CHIEF ENGINEER
NO.OF ULDG. ORD:NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SET13ACKLINE //''/�
FIRE APPROVED & r�V(D
_ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED
USE APPROVED � >
ZONE BY DATE
APPLICANT' FILL IN HEAVILY OUTLINED PORTION ONLY
y BU 3
p NAIAE -
ADDRESS
Ll
I—
Ll w W ADDRESS LOCALITY
r u NEAREST
Q W CITY CROSS ST. �r
Q STATE TEL.
LICENSE NO. NO, � NAME
Z MAIL
C NAME 3 ADDRESS T"
p O —
H �J
CITY NO. I l�
TEL. // 7/ c
ADDRESS
C
F
Z CITY 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
Ij 0 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
W u STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
L!CENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Z LQT NO. r 3 SIZE OF LOT SIGNATURE OF
0 OWNER A
< NO. OF BLDGS.
a BLOCK NOW ON LOT
AUTHORIZED AGT.
W
J " s CORRECTIONS
w
W
TRACT
D USE OF BLDGS. r
NOW ON LOT
DESCRIPTION OF WORK
USE OF
BUILDING
O
Z
"x r
NEW TYPE 37 I GROUP
NO.OF NO.OF
ALTERATION ROOMS ��+ FAMILIES
_ - -
ADDITION SIZE
REPAIR STORIES
MOVING WALL COVERING J/ , C'a _
DEMOLISH ROOF COVERING
P.C.s FINAL APPROVAL
FEE
s oC' I INSPECTOR'S
G'
VALUATION FEE i DATE NARIE
SA638A CE t803•I0-56 APPLICATION FOR BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
Department of County Engineer
County of Los Angeles LOCALITY 4 4
-'rj
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST.
DISTRICT NO. GRO I TYPE SEWER MAP
FOR APPLICANT TO FILL IN —EK PG
rz CONST. —
BUILDING /� I
ADDRESS ( e,7STATISTICAL CLASSIFICATION
CLASS. NO. DWELL. UNITS
LOT NO.
BLOCK MAP STATE
NUMBER HWY YES
TRACT / USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT O�A� - �/�! NOW ON LOT .C
USE OF
EXISTING BLDG. BUILDINGEXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER FONT
�� /
MAIL
ADDRESS SIDE
TEL. P. L.
CITY a NO. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WO
NEW ADD TE REPAIR DEMOLISH
SQ. FT. NO. OF NO.OF
SIZE STO IES FAMILIILS
USE OF STRUCT
APPROVALS
SIGN�OF
APDATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
ADDZ,(' / f� - FORMS. MATERIALS
$ P. C. tvFRAME: FIRE STOPS.
h FEE BRACING, BOLTS
VALUATION `/ C S FURNACE: LOCATION.
FEE GAS VENT,DUCTS
I HEREBY 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 REGULATING BUILDING CONSTRUCTION.
SIGNATURE OF HOUSE NUMBER COR-
_r)
OR-
RECT AND POSTED
ADDRESS FINAL
OHN A.LAMBIE. COUNTY ENGINEER. CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENG
PLAN CHECK VALIDATION CK. M.O. CAS PERMIT VALIDATION CK. M.O.
qq 4 SH
WORKERS'COMPENSATION DECLARATION
r. cj:e
or afcertificatethat lof Workerhave a s Colmpenstcate fonolnsurancensent to S or APPLICATION FOR BUILDING PERMIT
ed cop thereof (Sec. 3800, La ) f+� COUNTY OF LOS ANGELES BUILDING AND SAFETY
o. CompanyCertified copy is hereby furnished. BUILDING
FOR APPLICANT TO FILL IN ADDRESS
ry Certified copy is filed with the county building inspec- BUILDING f r
LJ tion department. ADDRESS D ^4 T LOCALITY .
S � � NEAREST e
Date Applicant CITY ZIP CROSS ST
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 completed if the permit is for one USE ZONE MAP ��
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. �l NO. G� >
TEL. �� ��, SPECIAL •
I certify that in the performance of the work for which this OWNER NO. CONDITIONS
permit is issued, I shall not employ any person in any mannerDISTRICT GROUP I TYPE FIRE ESSED BY J
so as to become subject to the Workers'Compensation/Iyy/ws. ADDRESS A 3`� �ivv � CONST. Z E
�' (// G� CITY ZIP 0 +"..
Date Applicant STATISTICAL CLAS
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL.
ICATION APT. CON
Exemption, you should become subject to the WorkersENGINEER NO. CLASS NO DWELL. UNITS `-
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP }
with comply with such provisions or this permit shall be _
TEL. VALIDATION
CONTRACTOR NO "��deemed revoked. LG ,
LICENSED CONTRACTORS DECLARATION A LIC. . C �L
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 3 O L/7 /�� NO. VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC t�
Professions Code, and my license is in full force and effect. CITY ��-�JaC- CLASS �� / S
2� fr 7 r SQ. FT. NO. OF NO. OF CHECK
License Number O Lic.Class J/ SIZE STORIES (FAMILIES ' ONE
Contractor "- /J Date 2J'4,I) DESCRIPTION OF WORK s; fes y� NEW S
I am exempt from the licensing requirements as I am a �•�-G�7�Gi 2 y ADD
licensed architect or a registered professional engineer �/ ALTER FINAL
acting in my professional capacity (Section 7051, /' s-,i �p i DATE C
REPAIR
Business and Professions Code). USE OF /J DEMOL FINAL
EXISTING BLDG. C
Lic. or Reg. No. _Date APPLICANT ,1 TEL. Z By ~ • --�
OWNER-BUILDER DECLARATION PRINT) ' �F'l(r �OS N0.
1 hereby affirm that I am exempt from the Contractor's License wi
Low for the following reason (Section 7031.5, Business and ADDRESS
Professions Code): PRE EN
BUILDING
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.
with licensed contractors to construct the project (Sec- ADDRESS • • • • •
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY SET BACK
YARD Hwv PROP. LINE WIDTH i . 0 4 3, 0 DLA.
I hereby affirm that 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
rInvestigation
Lender's Name
Permit Fee '�-
_ lender's Address
> I certify that I have read this application and state that the Issuance Fee
above information is correct. I agree to comply with all Count /
= 9 P Y Y ! �
ordinances and State laws relating to building construction, Total Fee
and hereby authorize representatives of this County to enter
UgQn the above-ryientioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
's
J
)ti. WORKERS'COMPENSATION DECLARATION f f
to
.insure, or afirm certif carte of Worke s' Comtpennsat on of coent Insuran elf APPLICATION FOR BUILDING PERMIT yILL�}jjl
or a certified copy thereof (Sec. 3800, lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING / S/
ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS S
Date Applicant CITY / ZIP U LOCALITY , ` t
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ` NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT / CROSS ST.
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. USE ZONE MAP
OWNER N�titi NO. Z
I certify that in the performance of the work for which this NO.
permit is issued, I shall not employ any person in any manner ESS Z SPECIAL
gDDR
so as to become subject to the Workers'Compensation Laws. CONDITIONS 0
t�
Date Applicant E!L_`1/1 CITY _ L A ZIP V
W „ —�—Cf N gIX
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GR UP I TYPE FIRE PR ESSED BY Q
ENGINEER NO. CONST. / ZONE F—
Exemption, you should become subject to the Workers' 7
Compensation provisions of the Labor Code, you must forth- ADDRESS �� /1 W
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. NDO. d
deemed revoked. CONTRACTOR NO. z
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. WELL, UNITS—
I
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.
(commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP
Professions Code, and my license is in full force and effect. CITY CLASSBK '�_ X" VALIDATION
SQ. FT. NO.OF NO. OF CHECK
License Number Lic.Class SIZE STORIES FAMILIES ONE
_ VALUATION
Contractor Date
DESCRIPTION OF WORK NEW ❑
ADD �.
131 am exempt under Sec. &I J C ALTER ❑
B.BP.C. for this reason REPAIR ❑ $
ate: USE OF
EXISTING BLDG. DEMOL ❑ ;R 7 6 3.1 A
SignatureJ-72APPLICANT No. FINAL
PRINT ANI"-., NO. �� • • • • • 1
R- UIL R D A ATION DATE
I hereby affirm that I am exempt from the Contractor's License ADDRESS a I L T. % /�rT J P1 • • 2�J
Law for the following reason (Section 7031.5, Business and
Professions Code): PRE EN • 2 S Q v
6
BUILDING
❑ 6� , • •
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
thestructure is not intended or offered for sale(Section LOCALITY 9 �C ' p 1 Q`$7
7044, Business and Professions Code). MOVING TEL.
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code),
CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK
SET BACK PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.I.
(Sec. 3097, Civ. C.). SIDE
P.L,
Lender's Name
m
P.C. Fee$ Permit Fee I LDMA Ref. #
Lender's Address /)
I certify that I have read this application and state that the Issuance Fee V , LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State taws relating to building construction, Total Fee \` LDMA Perm. # -
andby authorize epr sentatives of this County to enter
upon th above-Ment n d property for inspectio purposes.
r
SEE REVERSE FOR EXPLANATORY LANGUAGE
Si a re VAppIkkt o!.J,4eWt
COUNTY OF LOS ANGELES TEMPLE CITY # 0509 BIIILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ` ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0902050023
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BIIILDING ADDRESS: I
ITR: 6561 IT: 138 I SQ. FT STORIES TYPE 1 9651 LAS TUNAS DR I
1 (STRUCTURE: 30 V-B TEMP CA 917802103 [
(ASSESSOR INFORMATION NUMBER: ; I [ - NEAREST CROSS STREET:
18587-020-021 1 1 1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: COMME USE ZONE: C-2 ISSUED ON: PROCESSED BY:
1EXIST OCC GRP: 102/05/09 SR 1
TOWNER: TEL. NO: - 1BLDGS. NOW ON LOT: VALUATION: (FINAL / TEFINAL BY: CODE: [
CLARK, LORRAINE I ✓V9 �'j',�{//� I
19651 LAS TUNAS DRIVE [ '� I ' H
ITEMP 917800012 1 FEES PAID IDESC,c2LI 0 OF WORK
I � I ITEAR-OFF EXISTING DOWN TO THE SHEATING INSTALL NEW HOT ROOF I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
(APPLICANT: TEL. NO: I I I
[JOHNSON (310) 638-1773- IAA BLDG PERMIT ISSUANCE 27.75 I 1
1612 S. LONG BEACH BL 1AB STATE GREEN BLDG FEE 7000.00 VAL 1.00 ISPECLAL CONDITIONS: I
ICOMPOTON, CA 90221 AE STRONG MOTION OTHER 7000.00 VAL 1.47 I I
I ID2 PERMIT W/O EN-HC 7000.00 VAL 166.20 [ I
I 196.42
TOTAL FEES _ [ [
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
(JOHNSON ROOFING SERVICE (310) 638-1773- [ 1 I
1612 S. LONG BEACH BLVD. LIC. NO I VOCATION AND SETBACKS I [ I
ISUITE 104 636995'C39 I I '{ -1-1 I
ICOMPTON-, CA 90222 I ISOIIS ENGINEER APPROVAL I I
1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I i I
1 LIC. NO: [ (SLA$'/UNDER FLOOR I I I
I 1 (RAISED FLOOR FRAMING I I 1
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IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I 1UNDERFLOOR INSULATION 1 I I
115OH269 3 001I 1
IFLoOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I I
1 NO 22 1 1 ROOF SHEATHING
[ SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I'�1 I
LAIR QUALITY: 1000 FEET MATERIALS I I I [ [
1 NO NO NOI [FRAME INSPECTION I
1REQUIRED TOTAL SETBACK FROM EXIST 1 1FIRE SPRINKLER HANGERS I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I L I [ I
IFRONT PL- I IINSULATION/WEATHER STRIP( [
I-SIDE PL- I I [ 1
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[ IREPORT ID: DPR261 ROUTE TO: BS0508
[ 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 i BL 0508 9908040045
PHONE: (626) 285-0488 EXT: +
LEG 0. OF --COW NFW ' BUILDING ADDRESS:
TR: 6561• LT: 138 ; SQ. FT STORIES TYPE OCCUP GROUP + 9651 9653 LAS TUNAS DR
STRUCTURE: 0 1 VN B TEMP CA 917802103
ASSESSOR INFORMATIONUMBER: NEAREST CROSS.STREET:
8587-020-021 "' THOMAS 'PAGE:•597 GRID: A3 ' LOCALITY: TEMPLE CITY
TENANT: P:GCESTE' EX-IST BDG USE: COMME USE75S:. D:' '• :' P ESS D EXPIR15S'0 :
REECE CAFE/JTNT COMPUTER U.' EXIST OCC GRP: B 08/23/99 i• + UT , 02/19/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VAL FINAL' DATE FINAL CODE:
SCRUTO,PETE — 1 1,430 y �„ �
s
TEMP 917800012 FEES PAID DESCRIPTIPN OF WORK
AWNING FOR TWO TENANTS LOCATED ON LAS TUNAS
FEE DESCRIPT=ION: QUANTITY: UOM: :;:AMOUNT.-';. s'�. s=:•: ! 1___.. >
APPLICANT.: 0: �.. >
SAME q§ OWNER ti,.• AA BLD •HERMIT ISSUANCE
ihi:.,t ';;•SONS:. AC STR NGZMOTION RESID 143Dr00 VAL : ';.#< (li!d S:.,E,CIAL COND TIO S: 'r •:r;„ •�?e,:w. c. :�:, ,�.,aj;„�
'!:_ s.• � _ F '6r`'. :!', D2 PERIT,:•:W,0' N� 430'00 VAL '. s•.•;..1..: ;.,; k.. W::• 4 '
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CONTRACTOR: TEL. 0: CJ oC/y APPROVALS DATE INSPECTOR SIGNAT RE Y
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LIC. NO LOCAJION AND SETBACKS
SOILS ENGINEER APPROVAL
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2ARCHITECT OR ENGINEER: TE 0: I FUUNrllUN/TRENCH FORMS
LIC. N i 1111111 SLAB/UNDER FLOOR
RAISED F F I G
P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMp, UNDER FLOOR SULAT 0
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0. OF FAMILIES: G S: D: ST C AS lS;]' !�1 llii K
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SCHOOL WITHINHAZARDOUS � Q _ I* SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO A 0 _ �y RAMI INSPECTION
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ATED S S OPE GS
T-B ' CEILINGS
OT BRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
I I
\• COUNTY OF -LOS ANGELES TEMP LE'.CITY # 0508
:r'---8U'1Un NG PERM
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATI.ON/REPA R"
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE Lrr1'YIt*- 508`970�id40050
PHONE: (818) 285-0488 EXT:
EGA D: NO. OF CONST B &-kDDRESS'•'-,p..
TR: 6561 LT: 138 SQ. FT STORIES TYPE c9651 LAS TUNAS D1 '
STRUCTURE: 5000 V 'TIME—GA-9 78021-03
ASSESSORINFORMATION NU BER: NEAREST CROSS STREET:
85887-027-02 0-021 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG SE: COMME USE ZONE: C- ISSUED ON: PROCESS BY: EXPIRES 0 :
EXIST OCC GRP: 04/09/97 TC 709/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI AL DATE FINAL Y: CODE:
SCUTO, PETE N. (818) 290-6543- 1 700
805 SIERRA VISTA -l•b
ALHB 918010012 ----TEES PAIDESCRIPTIO
ERI.OR_ WALL AND CEILIN FTERS-PREPARING FO l
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AE STRONG MOTION OTHER 700.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC. 700.00 VAL 43.50
TOTAL FEES 71.75
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION ND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TE O: FOUNDATIONPRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
150H269 3 04
FLOORiSHEATHING
0. OF FAMILIES: DWELLING NITS: APT/CO D: STA C ASS:
NO 22 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS - l _ SHEAR PA�ECS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION_____
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER ANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- =''; ,� ` lig , �'- INSULATION/WEATHER STRIP
SJ
SIDE PL- YNTERIOR LATKQRAL
EXTERIOR LATH -
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T-BAR CEILINGS
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REPORT ID: DPR261 ROUTE TO: BS0508 �� ��• o��Z dpi
COUNTY OF LOS ANGELES TEMPLE'CITY y' # 0508 . BUILDING PERMI:T
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 40 1 11 '�ALIERAT 9N 1CIR"`
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9704230005
PHONE: (818) 285-0488 EXT: :
L ID: No. OF CONST QDR _. ,.
TR: 6561. LT: 138 SQ. FT' STORIES' TYPE 965'1 'LAS TWASS
STRUCTURE: 1125 V P-C-A-94- 0210
ASSESSOR INFORMATION BER: NEAREST CROSS STREET:
8587-020-021 THOMAS PAGE: 597• GRID: A3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: COMME USE ONE: C-G ISSUED ON: P OCES B EXPIRES ON:
EXIST OCC GRP: 04/23/97 TC 0 3/98
OWNER: TEL. O: BLDGS. NOW ON LOT".. VALUATION: FINAL DATE FINAL CODE:
SCURTO, PETE N. (818) 289-6543- 1 16,000 122 l b
TEMDES
P 917800012 FEES PAID CR,LPT --
�1&W bb TRUSSES AI(p REPLACE OOF IdtTFI ROj E RDL OF, NEW K
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: *IAL
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AE STRONG NOTION OTHER 1600.00 VAL 0.50 SPECIAL CONDITIONS,
AX BUILDING REVIEW=FEE Fl= n54.70
D2 PERMIT W/O�',EN-HC-' rl _ .16000.00 VAL 319.50
_ � N.+ t==�`- ' __TOTAL-FEES''', 402.45
CONTRACTOR: TEL. 0: ��� ��—=-`.? c
. � _— � �1�.";�,. APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NOLOCATION AND SETBACKS
y SOILS NGINEER APPROVA —
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f�RCHITECT OR 90-1MR—: �• EL. A0: f lZ •;� ". j�-_fFOUNDATIONPRENCH FORMS
LIC. NO: mfr + �_ tiiiiiii �ttli SLAB/UNDER FLOOR
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UNDERFLOOR INSU
LA ION
150H269 04 _ - 1 FLOOR SHEATHINr
1O:' 1 S: D ELLI G NI S: APT/COAD: STA �L� \,
NU 22
ROOF—SHEATHING .1y�
.Scfl W T I Z R S \`• '4` _ I d�.J j ,r :-, § R LS
AIR QUALITY: 1000 FEET 14ATERIALS �' /r�
NO NO NO oy�:. .\ it -+ �• n lk_.:
`��..•- ""��:�__-� ��- �"" -,�'•" tom,, FR�AYIE INSP C '!
Q D TOTAL SgT-gXCK FROM EXISTSPRINKLblR H GERS .!
SET BACK YARD: HWY: PROP LINE: WIDTH: A -q�. e,1k
FSIDE PL- s�P gyp= ly �'�w. 'INSULATION/WEATHER STRIP
INTERIOR LA H/DRY AL
i
EXTERIOR LATI,
RATED F 00 CEIL ASS N.
RATED WALL ASSEMBLIES
RATED A S/0 E G
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
;. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 8 PERMIT'
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REEAI�
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL'0508 9806100026
PHONE: (818) 285-0488 EXT:
LEGALID: NO. OF CONST BU ILDI& DP
TR: 6561 LT: 138 SQ. FT STORIES TYPE 96.5171/2 LAS TU.N7S"DR—�
STRUCTURE: 0 VN TEMP CA 9�"780T103- ___�
ASSESSO I FORMATION NU BER: NEAREST CROSS STREET: CAMELLIA
8587-020-021 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: COMME USE ZONE: C-2 ISSUED 0 PROCESSED Y: EXPIRES ON:
EXIST OCC GRP: 06/10/98 UT 06/10/99 %
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: E:
SCURTO, PETE (626) 289-6543- 1 1,000
805 SIERRA VISTA tz- 6-1v
ALHAMBRA, CA FEES PAID DESCR.LP-LLON.-OF-• 6R
�,PARTI;ION$ IN EXISTING BUILDING LOC - 8 FEET
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AE STRONG MOTION',OTHER----- ,1000.00 VAL 0.50 SPECIAL CONDITIONS-
D2 PERMIT W/O-EN-HC -___:__!--_-!_000.00 VAL 65.25
•: - - .,:NOTAL FEES- 93.50
CONTRACTOR: TEL. NO: "
• "i '= APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - j� /,-->LIC. NO . _,l , :� N, LOCATION AND SETBACKS
L7 G� �• .
7.
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: . - __ FOUNDATION/TRENCHFORMS
LIC. NO: 'F___"-1 j - I I : ":111111,� 'i SLAB/UNDER FLOOR
-1 -- - t J-
----__-- _ _--_-- `-.--___--- -- —_ _ RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:' F. ! r UNDERFLOOR INSULATION
150H269 3 1 q04 0 �� �' 1'; _ ,. 1�.. 'L_ FEDOR SHEATHING
NO. OF FAMILIES: DWELLING TS: APT/CO D: STAT CLASS;
NO 22 i ROOF SHEATHING
1 �
SCHOOL WITHIN —HAZARDOUS1 = "= +� ,
1� �•s.,j!� � ,' SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION 1
ASETBACIRE SPRINKLER HA G REQUIRED TO
SET RS
BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- "� `_ 'i�+''.rjM 3_a•? l INSULATION/WEATHER STRIP
SIDE PL-
NTERIOR LATH/ YWAL J�
EXTERIOR bpaww
RATED FLOOR/CEIL ASSEM.
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
DEPARTMENT OF PUBLIC WORKS f 9701 LAS TUNAS SIGN
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0109120047
i PHONE: (626) 285-0488 EXT:
' I
LEGAL
• NUMBER 0 SI G
TR: 6561LT: 138 SIGN DESCRIPTION: TOUCH OF AMBIENCE 9651 LAS TUNAS DR
f (TEMP CA 917802103
ASSESSOR 0 BE : NEAREST CROSS STREET: CAMELIA
8587-020-021 I (THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: . SS 0 PROCESSED B ES ON:
RANNIS/ TOUCH OF AMBIENCE EXIST OCC GRP: 09/12%01 UT 03/11/02
OWNI I
ER: TEL. 0: I DGS. ON LOT: VA IO FI L DAT INK BY: CODE:
CANNON WILLIAM B - I 404
TEMP 917800012 FEES PAID I UPWORK
SALO HAI NAILS, RETA OD PAINT SIGN)
APPLICANT: 0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: T
RANNIS (626) 286-7452- AA BLDG PERMIT ISSUANCE 27.75
9651 LAS TUNAS DR AE STRONG MOTION _HER 404.00 VAL 0.50 SPECIAL CONDITIONS:
TEMPLE CITY AX BUILDING REXTEW-FEE=��l 54.70
D2 PERMIT W/0'EN=HC�j -404600 VAL 43.65
`:TOTAI'F.EES%'•-, 126.60
CONTRACTOR: TEL. 0: ��+ v`�0 �! APPROVALS DATE INSPECTOR SIGNATURE
NONE
LIC. NO �✓`��} ``
LOCATION ANDS CKS
NONE
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: 0: - ti� �` `r I \ 1� FOUNDATION/TRENCH FORMS
LIC. N0: 'i - _ 11`l 11111 ' SUPPORT STRUCTURE
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14AP NO: SEWER MAP BOOK: PAGE: FRE ZONE: IMOD f' fl j �rl
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0. OF FAMILIES: DWELLING UNITS: APT/CO : STAT CLASS; `- '�-'-------- -- - - -
NO 20 -- -- " ----I-, --
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SCHOOL WITHIN HAZARDOUS � �� Jl G�ifTg1
AIR QUALITY: 1000 FEET MATERIALS 7
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NO NO NO
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REPORT ID: DPR261 ROUTE TO: SS0508
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