HomeMy Public PortalAbout10684 LORA ST_Building__ tPPLDICATIONFOR COUNTY .OF 1%ANGELESDEPARTMENT:OF COUNTY-;ENGINEER
UIL 'I N G PERMIT BUILDING AND- SAFETY DIVISION
BUILDING
FOR APPLICANT TO FILL IN ADDRESS-
BUILD'
DDRESS-r�+
BUILDING
ADDRESS LOCALITY
NEAREST
CITY /G ZIP CROSS ST.
�f JJ NO.OF BLDGS. ASSESSOR
SIZE OF LOT Y� N_ OW ON LOT _ MAP BOOK PAGE` PARC
DISTRICT GROUP TYPE. FIRE SPOCZ�SD BY
Q CONST• ZONE f
TRACT d BLOCK LOT NO. f.{ !
OWNER { STATISTICAL CLASSIFICATION
SEWER MAP-*
ADDRESS ,� Q •CLASS NO. DWELL•UNITS. JL BK-44
' U ZONE MAP - •B �' O
CITY • ZIP / NO.
ARCHI ECT OA TEL. SPECIAL
ENGINEER NO., NDITIONS
ADDRESS ROAD DEPARTMENT,APPROVAL REQUIRED YES.[:] NO❑'
TE BLDG.SETBACK FROM
IRC N FRONT PROP.LI NE OF (STREET)
NO " _
.m HIGHWAY + YARD - TOTAL SETBACK FRdM TYPE OF EXISTING, •
L'.IC. FRONT PROP. LINE HIGHWAY WIDTH
CLAS `r _
CONSTRUCTION N E +
NAME AND BRANCH 9 . BLDG.SETBACK FROM p
1 CITY'4�lwlw
SIDE PROP.LINE-OF (STREET) Cj
SQ. FT NO. OF NO. Oft CHECK HIGHWAY + YARD = TOTAL'SETBACP FROM TYPE OF EXISTING Q
SIZE STORIES i4MI'LfES , ONE. SIOf PROP. LINE HIGHWAY WIDTH
+ W
DESCRIPTION OF WORK NEW ❑ - .y
ADD CORNER CUTOFF YES ❑ NO ❑
ALTER ❑
REPAIR
IN OPEN SPACE - YES ❑ NOUSE OF ❑
❑
EXISTING BLDj�(' DEMOL '❑ IN COASTAL PERMIT ZONE AW 11
�G /YES,❑ NO
ti ❑
l 141
BY (SIGNATURE) `
1 HEREBY ACKNO E THAT 1 HA E THIS PPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- '
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION. OF THE - -
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATI NO T `_
WORKMEN'S COMPENSATI SURAN E.
SIGNATURE OF FINAL �!� -! 2 BY
—lC.-
PERMITTEE DATE
ADDRESS
9dr
T P.C. Fee$ Permit Fee
CITY N
Issuance Fee
VALUATION$ meq,
Total Feb V
PLAN CHECK VALIDATION CK. M.O. CASH ® PERMIT VALIDATION" cK. M.O. cnsH
9.r 2 5 5.5 O-A
70A038A CS080313 22/75 •-
6AI38A CIE#003.9-60 APPLICATION FOR BUILDING PERMIT _
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS v
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /�Q
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. K /
DISZR1C N GR TYPE BY
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL C FICATION SE R MAP
ADDRESS TG' � /BK
�p CLASS.NO. DWELLMAPJ.�UNITS
LOT NO. d BLOC NUMBER a L HWYSTAT. YES NO
TRACT .,�� USE ZONE SPECIAL
NO.OF'BLDGS. ! CONDITIONS
SIZE OF LOT I NOW ON LOT /
USE OF
EXISTING BLDG. BUILDINGEXIST.
I TEL.
SETBACK YARD HWY STREET NAME WIDTH
OWNER ry lZ NO. FRONT T- V 41
ADDRESS��(OD ✓SI�Af/ SIDE
ARCHITECT OR TEL. P.L•
GINE R No. INSPECTION RECORD
ADDRESS- J'+ a
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK 11
W
d
NEW ADD ALTER REPAIR DEMOLISH +� h
S ZE NO.OF NO.OF :d I
STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE /IV v1NSPE�CAR'S AGMATURE
P.C. PMT. or FOUNDATION:LOCATION 9
FEE $ FEE $ / V i FORMS.MATERIALS /'1 AA. -1 .0 0,
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 , i
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE f "� -•�'
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH,INT. 11 P! rl 1
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMEN'S C PEN SATION LAWS OF CALI ORNIA. LATH,EXT. If t� • L !1
SIGNATURE OF �— HOUSE NUMBER COR- {� �+ • J-1 I 1 A(
PERMITTEE- RECT AND POSTED ) 11+1 I�!►I
ADDRES � FINAL
CLYDE N. DIRLAM. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K.
M.O. CASH
L 1:.lam 1 J. .O "A' D 1 e.0 0•
"A638A CB 808.1-81 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUWING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUP'T OF BUILDING CROSS ST.
DISTRICT N GR O BY
FOR APPLICANT TO FILL IN CONST`.
BUILDING ,,II ry / y+ STATISTICAL CLASSIFICATION S WER MAP
ADDRESS ��CO, /L•O�C�� ��r K P
CLASS.NO. DWELL.UNITS —
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIREDL_ RECEIVED
TRACT 4 MAP HIGHWAY STATE MAJOR SECON LOCA
NO.OF BLDGS. / NO. c V/� (CIRCLE)
SIZE OF LOT I NOW ON LOT / USE ZONE SPECIAL
USE OF ,J ` CONDITIONS
EXISTING BLDG. gI/169-11-!14'Ve
OWNERB
NO�/'ry� -
/�J UILD NG YARD HWY STREET NAME EXIST.
ADDRESS (�(� o&o
•SETBACK WIDTH'
FRONT Uq ,� /1
ARCHITECT OR TEL. P:L. V ,IiK.J (•�
ENGINEER NO.
yy�� /� T.I.-PL!
IDE
A -O XAADDRESS 14- `� P:L. C
CONTRACTOR 1 NO INSPECTION RECORD
ADDRESS ft f.lowm/ a J J
DESCRIPTION OF WORK, �' �• '"
r W
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF '.f�G
IZE STORIES FAMILIESUSEOF (or
" r
STRUCTURE
SIGNATURE OF r w) ZA�o . ,t,� ",>� •, (F�a �P!`P�
APPLICANT' p
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. /)-�/t FOUNDATION:LOCATION
FEE $ I FEE $• (1 1! FORMS.MATERIALS
FRAME:FIRE STOPS, f
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS �,' � ? rs"•.? .�'�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:'LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS % Gq
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY.ANY PERSON IN VIOLA- LATH.INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S O P ATION INSUR CE. LATH,EXT. -�� -� �� [ ! ,/+-�•-�
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED e
ADORES FINAL /9--
CLYDE N. DIRLAM, PRINCIPAL STRU RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERM VALIDATION M.O. CASH
LAO 1 7 5 3 AUGu � � D 1 O.(i o rn
- � yep=7�� •• � -
76A638A CE#8035.61APPLICATION FOR BUILDING PERMI
COUNTY OF'LOS ANGELES BUILDING �}
DEPARTMENT OF COUNTY ENGINEER ADDRESS' 4
BUI DIl AND SAFETY DMSION LOCALITY
JOH1�1 A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
-]ST-RI N G Tl'�E R S Y r
• FOR APPLICANT TO FILL IN `j', T!lPE :
BUILDING STATISTICAL C S FICATION SF R MAP•.•
ADDRESS BK
CLASS.NO. DWELL.UNITS ~`
LOT NO. Jv BLOCK . WATERNOT REQUIRED RECEIVED
CERTIFICATE:
TRACT MAPn HIGHWAY STATE MAJOR SECOND, LOCAL
NO.OF BLDGS. NO. �, V (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONbITIONS
'EXISTING BLDG. S/ A
s TEL.
OWNER . d'' NO. ' BUILDING
SETBACK YARD HWY STREET NAME WIDTH
DT
ADDRESS -M FRONT i1 -
ARCHITECT OR TEL. - P.L. (J
ENGINEER NO. SIDE 6'
ADDREs's TEL INSPECTION RECORD �
CONTRACTOR � NO�J_•'y�V I w �� � �� �r -�• U
ADDRESS
DESCRIPTION OWIN
�~ A
NEWD ALTER REPAIR DEMOLISH m r p
NO.OF NO.OF CaPF �
$1 E STORIES FAMILIESUSE OF
r
STRUCTURE ` O V
SIGNATURE OF
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION
FEE $ FEE $-5 '. L/ V 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
I BUILDINGCONSTRUCTION. I CERTIFY THAT N DOING-THE WORK
AUTHORIZED,HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT.
TION OF THE LABOR C C F.TH TE OF CALIFORNIA RELAT-
ING TO WORKMEN'S PE AT NSURANCE. L7^ �
LATH,EXT.
SIGNATURE OF HOUSE NUMBE COR
-
PERMI . E RECT AND POSTED
INALADDRES r
..7
CLYDE N.-•DIRLAM, PRINCIPALST RAL ENGINEER
PLAN CHECK VALIDATION c CASH PERMT VALIDATION CK. b.O. - CASH
APPLICi .TIONI FOR BUILDING PERMIT
COUNTY OF LOS AIbELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING 2r
I hereby affirm that I have a certificate of consent to self insure, BUIL� d f7�A
or a certificate of Workers'Compensation Insurance,or a certified Yymlo It 1 p�,�b ZIP
copy thereof(Sec.3800,Lab.C.) 4 LOCALITY
Policy No. Company SIZE OF LIOT 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 B K PAGE PARCEL
�' a�� SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ,,,_ TEL NO. p
COMPENSATION INSURANCE Wd"�f' WITHIN 1000 FT.OF SCHOOL? YES No
(This section need not be completed if the permit is for one hundred A RE
DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
dollars($100)cr less.) If
ZIP
I certify that in the performance of the wKk for which this permit
is issued, I shall not employ a perso i any manner so as t0 ARCHITE OR ENGINEER TEL NO.
become subject to the Wor rs' Trpen ati n Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO. DWELL UNITS
NOTICE 70 APPLICANT. If, r making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should beco subject t0 the Workers' NTpAQTOR ��• SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith IJJy 9aV/ weeyn ! FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRUS, /�`s r� P L
ejb CjV Ii•+ OO 7 Y- SIDE
LICENSED CONTRACTORS DECLARATION CITY � ��_ /t LIC.LPAS L
I hereby affirm that I am licensed underprovisions of Chapter 9 1f EWER MAP
(commencing with Section 7000)of Division 3 of the Business and S I OF STORIES NO.OF FAMILIES
Professions Code,a lice a is in full force nd eff I. NEW BK PG a
776Q
License Number , r Lic.Class ^ DPTION OF RK � 'n`'�\� ADD ❑ vALu ® Q
Contractor J� (�1�eYTp Date �"2�'-00 ALTER ❑ $
cc
❑ I am exempt under Sec.
REPAIR El O
B.BP.C.for this reason DEMOL 11LDMA P/C# W
Date: USE OF EXISTING BLDG. URM ❑ EL
SignatureZ
APPLICANT(PRINT) TEL NO. LDMA Perm#
I, as owner of the property, or my employees with wages as Z %'
their sole compensation, will do the work and the structure is ADDRESS O ACCTAI
Q
not intended or offered for sale (Section 7044, Business and FINAL DATE . =18°55
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
❑ 1, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY
P Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE
licensed contractors to construct the project (Section 7044, ` ` 3
Business and Professions Code.) ves❑ No❑ TOTAL�� � �,•�a5
{�p_a
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING
OCCUPANT REQURE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK 11U°e J
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
GUIDELINES
.00
I hereby affirm that there is a construction lending agency for YES❑ No❑ CHANGE
a the performance Of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
W 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
N
TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS �(� y— �1 7/21/93-
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
Lender's Address 'OWNER OR AGENT 013 1 1 Ali °13
� t V° L1
o I certify that I have read this application and state under penalty
C of perjury thkthe bove information is correct.I agree to Comply P.C.FEE PERMIT FEE
N w1 all Founances and State laws relating to building
co uction, reby authorize representatives of this County ISsuANCE FEE00
o e uponve- ed property for inspection++pur oses. (o
INVESTIGATION FEE TOTAL FEE
nr of, a i Oho (e'9
SEE REVERSE FOR EXPLANATORY LANGUAGE
WORKeERS'COJ1 PENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION FOR -U �D I N"O PERMIT /
insure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY ^�
Policy No. Company
❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
PY Y ADDRESS
EJ Certified Certified copy is filed with the county building inspec- ADDRESS /0 6 'q �Ri9
tion department. �• �••+ - g�7�0
CITY ���� `fT zip LOCALITY
Date Applicant NO.OF BLDGS.
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT �6 NOW ON LOT NEAREST s
` CROSS ST. .C.
COMPENSATION INSURANCE Q ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. /J MAP BOOKS PAGE�3a PARCELdU
hundred dollars ($100)or less.) / � XO.Je/�.t/ TEL fid'^ � �1 USE ZONE MOP
NO.� /
I certify That in the performance of the work for which this /��� g �T SPECIAL
permit is issued, I shall not employ any person in any manner ADDRESS l� CONDITIONS CL
so as to become subject to the Workers'Compensation Laws.
O 0
CITY ���?,►� ZIP ew
Date Applicant ARCHITECT ORI;,., TEL. D<
NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER fl,G4y/WP J 11570AI NO,2/,4 3�4P�� DISTRICT GROUP TYPE FIRE PROCESSED BY 0
.:.
Exemption, you should become subject to the Workers' CONST. ZONE
`l y
Compensa ion provisions of the Labor Code, you must forth- ADDRESS �0�66 ��� /C" ✓ a
with compfy with such provisions or This permit shall be ti n TEL• ,STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR v�!//fes ��1 W NO. _
LICENSED CONTRACTORS DECLARATION LIC. F' CLASS NO.-,alDWELL. UNITS
-
I hereby affirm that I am licen d under provisions of Chapter 9 ADDRESS NO.
(commencing with Sectio )of Division 3 of the Business
LIC. SEWER MAP
and Professions Code my license is in full force and effect. CITY CLASS BK. s VALIDATION
SQ. FT. NO. OF NO.OF CHECK
License Number Lic. Class SIZE /O STORIES FAMILIES ONE
VALUATION vU
Contractor Date DESCRIPTION OF WORKr�1j�11/Q NEW ❑ $
ElI am exempt under Sec. A5X TJyG lel',,7e ADD CJ IJ CJ ,
ALTER ❑
B.&P.C: for this reason REPAIR ❑ $
Date: USE OF DEMOL El
BLDG.
Signature APPLICANT✓� TEL•
OWNER-BUILDER DECLARATION (PRINT) /� S, ayB,./Qr NO.g�W_elyB3,6 FINAL G /_
/- DATE
� t0
I hereby affirm that I am exempt from the Contractor's License ADDRESS�Qd �T
Law for the following reason (Section 7031.5, Business and FINAL
Professions Code): PRESENT By !
yK2 BUILDING
I, as owner of the property, or my employees with ADDRESS T
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY 33'n 3 i•:_e:•.•
7044, Business and Professions Code.) MOVING TEL.
❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. + sl CL,
with licensed contractors to construct the project (Sec- [ADDRESS I � 95
tion 7044, Business and Professions Code.) +�- `- :E
EQUIREDEFee
TOTAL SETBACK FROM EXIST. "..�;r'�•+. +,:.t 'c
CONSTRUCTION LENDING AGENCY ET BACK PROP. LINE WIDTH3'!
I hereby affirm that there is a construction lending agency for RONT `,• r•-
the performance of the work for which this permit is issued L. ti•)e! PaOL ■_t
(Sec. 3097, Civ. C.). DE L.Lender's NameoO �C�' LDMA Ref. #
Fee$ Permit Fee e�Lender's Address9 { ;_1 y A°; _',I certify that I have read this application and state that the Issuance Fee LDMA P/C#
above information is correct. I agree to comply with all County stigatior /
ordinances and State laws relating to building construction, Total Fee Z✓ LDMA Perm. #
and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
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 SL 0508 0306190025
PHONE: (626) 285-0488 EXT:
CONST-- GADDRESS:
TR: 12585 LT: 8 SQ. FT STORIES TYPE 10684 LORA ST
STRUCTURE: VN TEMP CA 917803429
INFORMATIONASSESSOR NEAREST CROSS STREET: PAL MAL
8585-030-008 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
TENANT: EXIST B : RSZONE: R-1 ISSUED 0 EXPIRES ON:
EXIST OCC GRP: 06/19/03 JK 06/13/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL D TE FINAL BY•(�/�y CODE:
SONNE10684 LORA JACK M;SANDRA U - 22,845 I -, ) �(J���►'^" D
10684 LORA ST �j
TEMP 917803429 FEES PAID DESCRIF 0OF WORK
INSTALL OLAR PHOTOVOLTAIC SYSTEM
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
PP L. O:
MECO (562) 595-9570- AA BLDG PERMIT ISSUANCE 27.75
3909 ELM AVENUE AC STRONG MOTION RESID 22845.00 VAL 2.28 SPECIAL CONDITIONS:
LONG BEACH 90807 D1 PLANCHECK W/O EN-HC 22845.00 VAL 369.75
D2 PERMIT W/O EN-HC 22845.00 VAL 435.00
TOTAL FEES 834.78
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
AMECO (562) 595-9570-
3909 ELM AVE LIC. NO LOCATION N SETBACKS
LONG BEACH CA 90807 6493 B/L
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RA S D FLOOR FR NG
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H273 3 01
0. OF FAMILIES: DWELLING APT/GOND: STAT MUSK-- FLOOR SHEAT G
NO 21 ROOF SHEATHING
SCHOOL A DUFS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACrTROM S FIRE SPRINKLER-1-AME-0-
SET
PRI LER HA GE SSET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
RIO LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508