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HomeMy Public PortalAbout10213 LOWER AZUSA RD_Building__ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY - WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified I iO , LOWER- �p ��-� ��S copy thereof(Sec.3800,Lab.C.) CITY zip , LOCALITY _ Policy No.I �^ Company�T(� �C1i�CJ SIZE OF LOT 1-f NO. BLLDDGS.NOW ON LOT /�/' � NEAREST CROSS ST. Certified copy is hereby furnished. e Certified copy is filed with the county building inspection TRACT elqLBLOCK LOT NO. USE ZONE MAP NO. department. ASSESSOR 141 T AP BOOK PAGE PARCEL A4 `y 3 Date zdqlApplicant A 3 '. – SPECIAL CONDITIONS OWNER � �r' J TEL.NO. CERTIFICATE OF EXEMPTION FROM WORKERS' +air --A (° 2 Clgj WITHIN 1000 FT.OF SCHOOL? YES NO COMPENSATION INSURANCE ADDRESS ''i (This section need not be completed if the permit is for one hundred W a V VI), J�,2-2-0 DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED Y dollars($ or less.) CI ZIP '11116 � / I certify thathat in the performance of the work for which this permit � I 1 1 (p is issued, I shall not employ any person In any manner so as to ARCHITE TOR ENGINEER TEL.NO. q� become--ubject to the Workers' nSatiO�aw�� o `� Z�L— Jtfbl STATISTICAL CLASSIFICATION APT COND Date 1 C1"AP Applicant r �llJ ADDR SS CLASS NO. /S+ DWELL UNITS 5•u-ITS 2Z,pNOTI E TICANT: If, after making this Certificate of 3o I FSWP, REQUIRED TOTAL SETBACK FROM EXIST CONTRACTOR a TEL.NO. Exemption,. you should become subject to the Workers' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith n FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS 720 LIC.NO. PL 51-v-D SIDE >- LICENSED CONTRACTORS DECLARATION CITY i LIC.CLASS PL v 1 hereby affirm that I am licensed under provisions of Chapter 9 +�i SEWER MAP t;"•;•" ° SQ.FTS E NO.OF STORES NO. FAMILIES ACCT{ a g (commencing with Section 7000)of Division 3 of the Business and q0 �7 NEW BK PG � - O Professions Code,,and my license is in full force and effect. �( L __I_;? yw,L:�:o �t I Lice Be Umber) /J 60+:1 LIC.Class I D RI I N F WORK ADD ❑ ` - ''� VALUTAJION C� /4A117�11 =r Date a L- /�'� �, 'r' ' 1 I I=r _ n ,ter _ ALTER ❑ ° NR(!©N$(,•fNe- - /-�/ CFFI� REPAIR ❑ oo (El ;L Z--',?i_�i— ❑ 1 am exempt under Sec. CHLEC{ + $ p `' B.&P.C.for this reasonI�1 DEMOL ❑ ® E -Onf LDMA P/C# D e: USE OF EXISTING BLDG. URM El NS 3 S+IM (� H �>_ Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# Z • ;" 11 L �;;.1f ❑ I, as owner of the property, or my employees with wages as O ��1stl,.{":_��II,�i :.;! •_; ;�_i their sole compensation,will do the work and the structure is ADDRESS FINAL DATE 3 A�1 '`"- not intended or offered for sale (Section 7044, Business and � j�`s_i ,{, FII; �.. __ Professions Code. M WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ 1, as owner of theproperty, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > licensed contractors to construct the project.(Section 7044, YES❑ NO❑ Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST r FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD i n ;-•; 1a'-f 1w• °' i+•3 ••? {'•::'- 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES - '"` ?•''"' °X' =„: f-"� ? �w ..r•.E ao. COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING rel*• t .1 Vii: "j -••••{ ,,.1 - i o Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. aLender's Address OW401 DaAcv+r o 1 certify that I have read this application and state that the above �"._ }�•'•'• information is correct. I agree to comply with all county P.C.FEE PERMIT FEE p_a {'i^'{ 9 P Y Y b r ':T ordinances and State laws relating to building construction,and a ¢ hereby authorize representatives of this County to enter upon 111 ISSUANCE FEE the above-mentioned property for inspection purposes. [JaNVESTIGAT16N EE TOTAL FEE Signature of Applicant or Agent Debh� t.�•j '••i�! ��,{ o:^p,• SEE REVERSE FOR EXPLANATORY LANGUAGE �'`{ r=_ J WORKERS' COMPENSATION DECLARATION insure,oraafcertif carte of Worke srlComtpensat on Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, La ) ,P.�G �� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS [O zI S W-y- BSc+ (—P�,^. ❑ Certified copy is filed with the g@unty building inspec- BUILDING ADDRESS �%Z Law�2 �Z-V514 V-0 tion department. T Date Applicant CITY C l ZIP CA F5d LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT '� Z NOW ON LOT CROSSSST. COMPENSATION INSURANCE �{ ) ASSESSOR I Q�p (This section need not be completed if the permit is for one TRACT �` �i BLOCK LOT NO. 2 MAP BOOK PAGEQ f PARCEL Jtft hundred dollars ($100) or less:) TEL. OWNER RIO NO. Z {}(,t USE ZONE MAP I certify that in the performance of the work for which this q / SPE permit is issued, I shall not employ person in an manner ADDRESS 3� � �/� SPECIAL >_p p y an Y p y CONDITIONS CL so as to become subject to the Workers' Compensation Laws. /� �j O CITY -G ZIP C-A ` 17760 U Date Applicant ARCHITECT OR A L i [� NO. p CY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER t"` l� 1 �rZ�2 I DISTRICT [GROUP TYPE FIRE PROCESSED BY O CONST. ZONE H Exemption, you should become subject to the Workers' J U Compensation provisions of the Labor Code, you must forth- ADDRESS G �uZ� Lv� X220 ,� ,3LUCL with comply with such provisions or this permit shall be p,, �y �[ TEL.(+� _ ¢2 STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR 1-<<��% ` NO.b C 2 II)) Z LICENSED CONTRACTORS DECLARATION rz LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9. ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business � "� LIC. and Professions Code,and my license is in full force and effect. CITY LJ6� Ili CLASS BK PG VALIDATION !� SQ. FT. NO. OF NO. OF CHECK License Number / �-q Lic. Class SIZE 2 STORIES FAMILIES ONE - VALUATION 1 Date �FilLc�7'. -f DESCRIPTION OF WORK NEW $ O 17, Contractor UAIJD,��Ll- fJ_ ADD ❑ pop. 1 am exempt under Sec. ALTER El B.BP.C. for this reason $ '- !� USE REPAIR ❑ 1 -F' ate: �`3"� 'I EXISTING BLDG. DEMOL ❑ (_I 3 i y 4 "E= 96 Signature APPLICANT TEL. Z ® FINAL q f»,: _ g OWN -BUILDER DECLARATION (PRINT) �AV-b �� NO. D Z— `'' '' -4 DATE I herebyaffirm that I am exempt from the Contractor's License Law fothe following reason(Section 7031.5 , Business and ADDRESS 3O W v�T�V" ,JW FINAL ✓ ` Profe ions Code): PRESENT By l sr (� BUILDING L1Y 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 ► ZdZ ^u, f;i _ yn N.�.'t• 7044, Business and Professions Code.) MOVING TEL. 'Z0°; .,_.,-._• CONTRACTOR NO. ' ❑ I, as owner of the property, am exclusively contracting '20 with licensed contractors to construct the project (Sec- ADDRESS S „i M?� C.99 � :; zt. tion 7044, Business and Professions Code.) t REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. r( r• CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH ZC? �•-. - -• 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 P.L. Lender's Name. - m LDMA Ref. # ` '.5 � Lender's Address P. Fee$ � {. (�? Permit Fee {�' „_ „•� ~`„, _ ' - - o 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 Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee �• LDMA Perm. # a and heMe- genflo�ne rsentatives of this County to enter upon t propertyfor inspection purposes. AMT. 3-& , SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date t WORKERS' COMPENSATION DECLARATION insure, ornt to seho-reoafirm certifi atte of Worke s'tificate Compensat oof n Insuran elf APPLICATION FOR BUILDING PERMIT or a certified copy thereof (S c. 3800, Lab. C.) 12233 5 I I �P� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company- ❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING PY Y ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS c _ -7 - 1 CITY i C�� ZIP LOCALITY Date-1---Applicant N OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NCIW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This Section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL' USE ZONE MAP /``J OWNER NO. NO. 7 I certify that in the performance of the work for which this SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS �� CONDITIONS d so as to become subject to the Workers'Compensation Laws. O CITY ZIP U Date Applicant ARCHITECT OR TEL. Q' DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZO E Exemption, you should become subject to the Workers' r�J W Compensation provisions of the Labor Code, you must forth- ADDRESS �`' G� a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFIC TIONT. CONDO. to deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION ICDW . CLASS NO. ELL.� �� I hereby affirm that I am licensed under provisions of Chapter 4 ADDRESS LI NO. (commencing.with Section 7000)of Division 3 of the Business , LIC. SEWER MAP and Professions Code,and my licens is in full force and elle CITY CLASS BK PG VALIDATION ,_ SQ. FT. O. OF NO. O CHECK License Number Lic. Class Ci SIZE STORIES FAMILIES ONE VALUATION Contractor }!V Date @' DESCRIPTION OF WORK NEW ❑ tea` ADD ❑ $ Pool I am exempt under Sec. ! � ry ALTER ❑ ` B.&P.C. for this reason RE AIR ❑ $ t:t_ } , Date: USE OF I _ EXISTING BLDG. DEMOL ❑ } Signature APPLICANT jpj TEL. �y FINAL OWNER-BUILDER DECLARATION (PRINT) 4 , NO. �t j" DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS C, ��sit J' b `_0111 `it ' Law for the following reason (Section 7031.5, Business and FINAL -- s Professions Code): PRESENT By ;.{•' L :,`y BUILDING ❑ I, as owner of the property, or my employees with ADDRESS :"j •,h(- wages as their sole compensation,will do the work and ► =' -w a-- the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. CONTRACTOR NO. :� t f' r. i I, as owner of the property, am exclusively contracting 1_!I k3 sE_ I_.t:�3 ss '- ''1A with licensed contractors to construct the project (Sec- ADDRESSt c tion 7044, Business and Professions Code.) _�t I A}11i o REQIREDCONSTRUCTION LENDING AGENCY SETT BACKK YARD HWY TOTAPROPALINEFROM 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.L. (Sec. 3097, Civ. C.). SIDE _ Y _ P.L. Lender's Name / ,(' .(� �:,- I n } LDMA Ref. # P.C. Fee$ Permit Fee -•.• _ Lender's Address t 1 certify that I have read this application and state that theIssuance Fee / 6"_0 LDMA P/C# a-•� it 8 above information is correct. I agree to comply with all County Investigation Fee 8 ordinances and State laws relating to building construction, 1 Total Fee C1 � LDMA Perm. a and hereby authorize represefives of this County to enter upon the above-men oned pr erty for inspection purposes. t a j I SEE REVERSE FOR EXPLANATORY LANGUAGE " sin-, of pplicant or Agent Date t,:- E'" ••-' `;,?'? Wt+ �',':'} WORKERS' COMPENSATION DECLARATION 'I hereby afrirm that I have certificate of consent to self r• APPLICATION FOR BUILDING 'PERMIT � sure, or a certificate of Workers' Compensation Insurance, M1 • or a c4i'tified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Po cy No.LC I�q2�2- Company =—f iI5 t"01AT) • Certified copy is hereby furnis d. 4-�-� ( FOR APPLICANT TO FILL IN ADDRESS BUILDtNG Certified copy is filed with the county building inspec- ADDRESS `,� l. i S /!7 tion department. Date ^�' Applicant rP' � � ��� {t`a� CITY' �- ZIP LOCALITY _r J NO. OF BLDG NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT > NOW ON LOT CROSS ST. COMPENSATION INSURANCEASSESSOR (This section need not be completed if the permit is for one TRACT a BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL OWNER L' Q USE ZONE MAP I certify that in the performance of the work fo'r which this �5ry NO. �- permit is issued, I shall not employ any person in any manner ADDRESS ���� / SPECIALCL CONDITIONS so as to become subject to the Workers'Compensation Laws. O CITY ZIP 1 -16 Date Applicant ARCHITECT OR TEL. � NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER (�� O (� �_ DISTRICT GROUP C P ZONE PROCESSED BY O Exemption, you should become subject to the Workers' V Compensation provisions of the Labor Code, you must forth- ADDRESS '1' p- v "®� V) with comply with such provisions or this permit shall be a r TEL" STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR _NO.g '7,A b I _ LICENSED CONTRACTORS DECLARATIONLIC. I CLASS NO. DWELL. UNITS — I herebyaffirm that I am licensed under provisions of Chapter 9 ADDRESS - ;'D NO. (commencing with Section 7000)of Division 3 of the Business P P LIC. SEWER MAP and Professions'C"8ife,and rwy license is in full force and effect. CITY CLASS BK PG. VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number :1 C-�h !4TLic. Class SIZE STORIES FAMILIES ONE 1 -'s' VALUATION -• _ _ i j DESCRIPTION OF WORK NEW Contractor�J6 tf p}I`�DrAi f�'e t•l 1 Ti L Date c-'3�£+"� a X n�� ADD ❑ J .v ► - .!... t�: ❑I am exempt under Sec. tic ojcx t, ALTER ❑ BAP.C. for this res $ REPAIR ❑ -K _ Date. 7 1 USE OF EXISTING BLDG. DEMOL ❑ '�'' Signature APPLICANT TEL. FINAL/_ OWNER-BUILDER DECLARATION (PRINT) NO. DATIEi< �d' I hereby affirm that I am exempt from the Contractor's License _ _y Law for the following reason (Section 7031.5, Business and ADDRESS FINAL ,c €`1 i-1^;_I, Professions Code): PRESENT' By / 'z° ❑ I, as owner of the property, or m employees with BUILDING = _ •s _ P P Y YADDRESS "T 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. - CONTRACTOR❑ NO.I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS j lL_ I t tion 7044, Business and Professions Code.) i-y LY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST, CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT r•r,,,tAUT- the performance of the work for which this permit is issued P.L. ""R£`'` " (Sec. 3097, Civ. C.). SIDE_ P.L. Lender's Name / Q ? / D _ _.. _ . . .. P.C. Fee$ /g /� LDMA Ref. # � Permit Fee "••' " Lender's Address �''= 1='' = -- o I certify that I have read this application and state that the Issuance Fee LDMA P/C# , 3 8 above information is correct. I agree to comply with all County Investigation Fee d ordinances a t ws relating to building construction, Total Fee LDMA Perm. # a and hereb a raze re resentatives of this County to enter upon th o nti ed -lorcrdierty for inspection purposes. � SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant o ent Date # qgi (�.'L•3� 3�g APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDINGAD! F7 �`� n � jjC'•sC� '+4+ '� 1 hereby affirm that I have a certificate of consent to self insure, // ILo1c� Aati� or a certificate of Workers'Compensation Insurance,or a certified CITY erq` zIP /V copy thereof(Sec.3800,Lab,C.) L p- �P Lo LITY Policy No. Company SIZE OF LOT � l N .OF BLDGS.NOW ON LOT �2 ❑ Certified copy is hereby furnished. NEAREST ROSS ST. `Certified Copy is filed with the County buiction TRACT BLOCK LOT NO. depart n. USE ZONE MAP NO. __(�, r ASSESSOR MAP BOOK PAGE PARCEL Date f Spplicant 4 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNE P TPL ='' TEL.NO YES NO COMPENSATION INSURANCE ,,�1L71 G +�T�) WITHIN 1000 Fr.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred 0121 � 0,+ DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP Fi I certify that in the performance of the work for which this permit i3 issued, I shall not employ any person in any manner SO as t0 I ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'Compensation Laws. STATISTICAL CLAS IF TION PT CONDO Date Applicant ADDRESS CLASS NO. DW LUN T UNIT NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, j CONT TOR EL. O. p you Should become subject t0 the Workers' $; y� 'Z rJ SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith —ig ( 7 . / 7 FRONT comply with such provisions or this permit shall be deemed revoked. AD T �� LIU�NOO PL J SIDE CL CL LICENSED CONTRACTORS DECLARATION CITY „ �p LIC 'LASS PL 1 hereby affirm that I am licensed under provisions of Chapter 9 (ice/ Gil SEWER MAP G� (commencing with Section 7000)of Division 3 of the Business and S .S E NO.OF S ORES NO.OF FAMILIES O� Professions Code,and my liceWe in full force and pffe t! �® L � NEW ❑ BK PG U License NU e r2 LiC.Class ` �7 DESC PTION OF WORK ADD ❑. VALUATION , w s v Contractor Dater /s ` ! ALTER ❑ '�®` ElI am exempt under Sec. REPAIR El $ 11307 6 1y. B.&P.C.for this reason DEMOL ❑ LDMA P/C# iTNS Date: USE OF EXISTINGBLDG. URM ClTOTAL X t � I Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# f i I!AL 39 = 3� ❑ I, as owner of the property, or my employees with wages as p .HECK 9n3 their sole compensation,will do the work and the structure is ADDRESS H ��I not intended or offered for sale (Section 7044, Business and FINAL DATE — C (..�yl I t a Lit� Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL !/ J ❑ 1, as owner of theproperty, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q M Y g THE AMOUNTS SPE IFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project.(Section 7044, CIIGCI-1 fit :A :t i' YES❑ NO Business and Professions Code) � WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING - 6342:2 f AM 8: , a 415' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO_1C__3F' the performance Of the work for which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV.C.). PERMITTING CHECKLIST.I DERSTAND MY REOUIR MENTS UNDER THE LOS ANGE COUNTYCODE,TIT E2 PTER 2.20 SECTIONS 2 .00 THROUGH 2.20.140 CONCERN I �o Lender's Name HAZARDOUS MAT S REPORTIN O NING A PERMIT FROM THE SCAQW. i ` CT'1 __4 r„1 • Lender's AddressL� "2:, e (T... _J o 0 O_W RORAO i 'tfT1 ' t • °f la o I certify that I have read this application and state that the above information is Correct. I agree t0 Comply With all county P.C.FEE PERMIT FEE . ordinances and State laws relating to building construction,and f a. herebyauthor* representatives of this County to enter upon ISSUANCE FEE /�� , CrA the abov ntlonedor inspection purpose p� INVESTIGATION FEE TOTAL FEE sgaamre m Apgimm m Ayen� oma 4 / '" ® 0 . SEE REVERSE FOR EXPLANATORY LANGUAGE CD 1— `•'::' o-•,y t:...+ Cry d C.,.,I , ... ' WORKERS' COMPENSATION DECLARATION • 4 hereirm that I have a certificate f consent to 1 nsure,boraafcertificate of Workers' Compensation Insuran elf A P P L I CATION •FOR BUILDING PERMIT or,c, certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Po icy No. i lq Z Company� tw"h BUILDING Certified copy is hereby furnished. 4t —�- FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ��A, , ,,Jo / ��L'+ ADDRESS Date Applicant hl 'yf� ty> � CITY ZIP � LOCALITY 7e/n NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT gj NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT !J!JBLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. OWNER NO. Oyj USE ZONE %PENCIAL I certify that in the performance of the work for which this �ry permit is issued, I shall not employ any person in any manner ADDRESS / �� d G� DITIONS so as to become subject to the Workers' Compensation Laws. LL 0 CITY ZIP v Date Applicant ARCHITECT OR TEL. 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP CONST.TYPE MORE E PROCESSED BY Q Exemption, you should become subject to the Workers' ` (/ �/ ~ Compensation provisions of the Labor Code, you must forth- ADDRESS ���•7 a with comply with such provisions or this permit shall be TEL t N deemed revoked. CONTRACTOR NO sit STATISTICAL CLASSIFICATION APT. CONDO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 DRESS NO. LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business yam, and Professions Code,and my license is in full forced effect. CIT CLASS BK /— PG � VALIDATION SQ. FT. NO, OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW El ❑ m ❑ $ , I am exempt under Sec. ADD ALTER ❑ B.&P.C. for this re a REPAIR ❑ $ Dare; USE OF EXISTING BLDG. DEMOLM Signature APPLICANT TEL. FINAL OWN ER-B ILDER DEC RATI (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License Law for'the following reason (Section 7031.5, Business and ADDRESS FINAL J y��% Professions Code): PRESENT By `�"G i ❑ 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 , __ V a j 7044, Business and Professions Code.) MOVING TEL. _ CONTRACTOR NO. s f+= ❑ I, as owner of the property, am exclusively contracting —' with licensed contractors to construct the project (Sec- ADDRESS `§;; '-° i"°F' g tion 7044, Business and.Professions Code.) - `u m —" REQUIRED TOTAL SETBACK FROM EXIST. - CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 'F' I hereby affirm that there is a construction lending agency for FRONT f-•j .>.• ;-` the performance of the work for which this permit is issued P.L. `''' - ,'i.j:•i (Sec..3097, Civ. C.). SIDE \ P.L. Lender's Name. LDMA L# J P.C. Fee$ Permit FeeLender's Address , :} �`iH"s:1 certify that I have read this application and state that the Issuance Fee LDMA above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ffo"'PLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY •WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) QI Y ZIP v LOCALITY Policy No. Company SIZE OF FOTl) ��I NO,OF BL GS.NOW ON LOT �- ❑ Certified copy is hereby furnished. X NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSE O_R MAP BOOK PAGE PARCEL SPECIAL LS 0;-CJ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. �J COMPENSATION INSURANCE T 1 WITHIN 1000 FT OF SCHOOL? VES NO This section need not be completed if the permit is for one hundred ADDRESS ( P P �, & S'Y DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) YE1 /�� 1 CITY ZIP I certify that in the performance of the work for which this permitAL 1 S� �eJ , �D� le- �) T r is issued, I shall not employ any person in any manner so as to ARCHITECT OR GINEER TEL NO. �' .. .become subject to the Workers'Compensation Laws. - /'1.1 p STATISTICAL CLASSIFICATION APT CONDO Date E�[ Applicant y+j P ADDRESS `IC[�/ ,/ O Ja CLASS NO.. 2 DWELL UNITS NOTICE TO APPLICANT.' If, r making this Certificate of �2/ / ,1 fTI REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should bEc a subject to the Workers' CONTRACTOR� TEL N ��� EBKPG YARD HWY PROP•L•INE WIDTH Compensation provisions of the Labor Code, you must forthwith �/ /Lt�r' a1 CJ L� _ !f'Y r;.?_{ n s comply with such provisions or this permit shall be deemed revoked. ADDRESS) C.NO. LICENSED CONTRACTORS DECLARATION ,9�a �US��/� 'fir" �`' $ G ��� - CITY / LtC.CLAS _T •c" I hereby affirm that I am licensed underprovisions of Chapter 9 ©lY C r q /Y ' i y3{-' r (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES ,, a { J Professions Code,and my license is in full force and effect. NEW t f} �_T �.FO �� DESCRIPTION OF WORK ADD ❑ x�'N -LicenseNumber Lic.Class �/Contractor Date J dhA ! ' Bate n ?�y! , S ALTER -o ❑ I am exempt under Sec. O REPAIR ❑ $ ti DEMOLj B.&P.C.for this reasonLDMAP/C ,c Tj FI ti Date: USE OF EXISTING BLDGD URM ❑ - Signature Aja APPLIC T(PRINT) TEL NO,.��/- LDMA Perm# ElI,,as owner of the property, or my employees with wages asOqAy 7 T`-� d Z their sole compensation, will do the work and the structure is ADDRESSy _ not intended or offered for sale (Section 7044, Business and (iI h6 FINAL DATE Professions Code.) GILL THE APPLICANT OR UTURE BUILDIN OCCUPANT HANDLE A HAZARDOUS MATERIAL �- „i ❑ 1, as owner of the property, am exclusive) contracting With ORA MIXTURE CONTAINI G A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY 7 a P P Y. Y 9 AMOUNTS SPECIFIED'ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? licensed contractors to construct the project (Section 7044, YES❑ NN SSL Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING - 4-° OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ,•,_•+_{;.; •+---•c- CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ No a the performance of the work for which this permit is issued(Sec. HAVEREAD THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING '-+�r..-. •-' 3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, -g TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS `�w{y l• •1,5`'u i Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. s_ a - ANK o Lender's Address (.. 3 =s OWNER OR AGENT ri;`'•_� O o I certify that I have read this application and state under penalty O of perjury that the above information is correct.I agree to comp) P.C.FEE �7 PERMIT FEE N with all county ordinances and State laws relating to building / U' / �• f� "I;_#"_[-�4I'_€t _• _.L.'+i`'f m construction, and hereby authorize representatives of this County ISSUANCE FEE , - _ .• .:,,_.{>::-, to enter upon tVe above?mentioned pr perty for ins pe t, purpo s.//,� _ I ;'s={_{ •!=+ C h / ��-Y• INVESTIGATION FEE TOTAL FEE ')D 7 SgnaNr 1 Applicant or Agent Dat !!!! (�\ / SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified 0�-/3 Lb ioew copy thereof(Sec.3800,Lab.C.) CITY je. C-0 - ZIP �/ ��'i.� LOCALITY Policy No. 44'3 61� Company •S jATE FARM � v SIZE OF LOT r NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. 79p6" XZ-" j NEAREST CROSS ST. Certified copy is filed with the cou building spect' n TRACT BLOCK LOT NO. department. USE ZONE MAP NO. 9ASSESSOR MAP �BOOK PAGE PARCEL Date APPIi 84-85— D/:C-- 0 .43 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER �/ pf TEL NO. �f�N O D COMPENSATION INSURANCE !9 A4 ��J `� WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS �q /S-Z -'� Md7A+e(-� S' -. DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) I certify that in the performance of the work for which this permit CITY f ham bra- ZIP �7 5.06 is issued, I Shall not employ any person in any manner so as t0 ARCHITECT OR ENGINEER .S'T TEL NO. O become subject to the Workers'Compensation Laws. p V STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.- DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate Of T�- 41 - REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject to the Workers' CONTRACTOR 1 / TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith S, a!-Y• Fr � poi e �� - 2C FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS V LIC.NO. P IL LICENSED CONTRACTORS DECLARATION CITY -� f LIC..CLASS SIDE SS P L +I�='..•r A g• I hereby affirm that I am licensed underprovisions of Chapter 9 ' A, SEWER MAP •-- SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES s�; _ r._A• (commencing with Section 7000)of Division 3 of the Business and NEW K PG � --• - O Professions Code,and m lic nse is in full force and effec. F-; 0 License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION " Contractor Date '- L 3 ! �-4� OGS s;"j' 3, " _; 0 ALTER ❑ $ S_ —~ _ U El am exempt under Sec. REPAIR ❑ BAP.C. for this reason DEMOL ❑ LDMA P/C# Date. USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# r ,�> El 1,as owner of the property, or my employees with wages as ZO _ AM�� : their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DAT F-1, Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL "� ' -J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J i r-� : 1, aS OWnef of the property, am exclusively contracting Wlth AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY i licensed contractors to construct the project (Section 7044, - s 30 Business and Professions Code.) YES❑ No❑ ;,1 j,u �� �a WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ = 5.__�d CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR y GUIDELINES. • , I hereby affirm that there is a construction lending agency for YES El No El the II w the performance of the work for which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, _ TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUSEF 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 0100 -- S -• ' o Lender's Address i O ONNER OR AGENT 4, 1" o 1 certify that I have read this application and state under penalty of perjury that the above�Iflform tion is correct.I agree to comply P.C.FEE -7 8 PERMIT FEE 7 �® - $ with all county ordinan es and State laws relating to building constructs nd hereb aut a representatives of this County ISSUANCE FEE c to ter po t io d roperty forinspec'o ur oses. a INVESTIGATION FEE TOTAL FEE D fl Gqn-4,cf Applkant or Agent SEE REVERSE FOR EXPLANATORY LANGUAGE r r"'PLICATION FOR BUILDING • COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILD G ADDRESS 1 hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or a certified V copy thereof(Sec.3800,Lab.C.) CITY ZIP 'T LOCALITY Policy No. Company SIZE OF LOT NO,OF BLDGS.NOW ON LOT - ❑ Certified copy is hereby furnished. NEAREST CROSS ST' ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNERTEL NO. COMPENSATION INSURANCE U r WITHIN 1000 FT.OF SCHOOL? YES NO ADDRESS �.y.y� ,p. & (This section need not be completed if the permit is for one hundred ��,.�"Z c /1•U Je�zc i'Tv DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit � � � sg �(�jJ ° -�T is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLA SIFICATION APT COND ,L� J CLASS NO.. DWELL UNITS Date==��r� Applicant ADDRESS NOTICE TO APPLICANT. If, after maki g this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR r; TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith b FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLLASSASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 �® SEWER MAP d (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES O.OF FAMILIES Professions Code,and my license is in full force and effect. NEW BK PG v License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION O Contractor Date ALTER ❑ $ v •tea ova a. ElI am exempt under Sec. REPAIR El $ ti BAP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# y_ ❑.I,as owner of the property, or my employees with wages as Z _ =1 F their sole compensation, will do the work and the structure is ADDRESS 2 -x_;L, FINAL DATE j not intended or offered for sale (Section 7044, Business and QC Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIALJ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE El 1, as owner of the property, am exclusively contracting WithAMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL Y AN E licensed contractors to construct the project (Section 7044, YES El No El Business and Professions Code.) -_'�_"" :;j,= 1 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING il'_: «7 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. _ I hereby affirm that there is a construction lending agency for YES 1:1 NO❑ ;'_jL 5�_ 9 C, N the performance Of the Work for which this permit is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING C�— :_e l 3097,CIV.C.) - CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ;• i..i.'J'u+}= TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. +. t?I tr°i i 3 si _-- o Lender's Address O OWNER OR AGENT o I certify that I have read this application and state under penalty I of perjury that the above information is correct.I agree to comply P.C.FEE ,V o PERMIT FEE N with all county ordinances and State laws relating to building _ ei h; 10 construction, and hereby authorize representatives of this County ISSUANCE FEE �` /� ___. Ar to enter upon the Bove-mentioned property for inspection purposes. (/'(r✓ a �^ �' INVESTIGATION FEE TOTAL FEE ID sre,awre:of Aao°caul or 7 Dale SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0610190046 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 10992 LT: 2 BL: B SQ. FT STORIES TYPE 10213 LOWER AZUSA RD STRUCTURE: 651 VN TEMP CA 917804056 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GLICKMAN 8585-015-020 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: COMME USE ZONE: C-3 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/19/06 JK 10/14/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: ITE FI11CODE: MEI-HSING TEMPLE (626) 281-1416- 8,000 10213 LOWER AZUSA RD / TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK PARTIAL ROOF RETROFIT FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: MEI HSING TEMPLE (626) 281-1416- AA BLDG PERMIT ISSUANCE 27.75 _ 10213 LOWER AZUSA RD AE STRONG MOTION OTHER 8000.00 VAL 1.68 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 8000.00 VAL 183.00 TOTAL FEES 267.13 _ CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE JOHN FAN CONSTRUCTION (626) 622-9090- _ 5740 OAK AVENUE LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 702434E _ 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 144H273 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEI-a PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAI4E INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP,, r SIDE PL- INTERIOR LAT DR i EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508