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COUNTY OF LOS ANGELES BUILDING
DEPARTbEW OF COUNTY ENGROM ADDRESS
BUIL,DlNG AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FML IN
DIST CwT U TYPE P SED BY
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DESCRIPTION OF WORK O—
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SIGNATURE OF 1 7 //sTE 0//z v
APPLICANT
VALUATION Sj
APPROVALS DATE INSPECTOR S SIGNATURE
PCPMTFOUNDATION LOCATION
FEE = FEE FORMS MATERIALS !
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FRAME FIRE STOPS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING BOLTS T G
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FU NACE LOCATION
STATE LAWS REGULATING BUILDING CONSTRUCTION r�VENT DUCTS
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH INT / Gy
WILL NOT EMPLOY MY PERSON IN VIOLATION OF THE
WORKMEN 8 COMP TION OF CALIFORNIA LATH EXT
8IGNATURE OF „Qv HOUSE NUMBER COR
PERMITTE RECT AND POSTED
ADDRESS b ` / FINAL
CLYDE N DIRLAM PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION cK. M o cAsll PEam VALIDATION M o CASH
LG9730D DEC 13230 6525 ; 't
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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 1201060025
PHONE (626) 285 0488 EXT
1
ILEGAL ID I NO OF CONST I BUILDING ADDRESS 1 ON FILE I SQ FT STORIES TYPE 1 5726 NOEL DR
ISTRUCTURE 4200 V B I TEMP CA 917802341 i
(ASSESSOR INFORMATION NUMBERI I NEAREST CROSS STREET I
15387 022 036 I I THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY CAI
ITENANT (EXIST BLDG USE RESID USE ZONE R 3 (ISSUED ON PROCESSED BY I
11EXIST OCC GRP 101/06/12 SR
(OWNER TEL NO )BLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE
IGALITI (626) 688 1383 1 13 000 r
15726 NOELS I I-R-
ITEMPLE CITY CA 91780 I FEES PAID iDESCRIPTION OF WORK I
I I iREMnVE OLD ROOF AND REPLACE WITH 30 LB FELT 30 YR
IFES DESCRIPTION QUANTITY UOM AMOUNT ICOMPOSTION SHINGLES GAF CLASS A ATTACHED CAR PORT 4 SQUARE(
[APPLICANT TEL NO I IFOOT REMOVE CAP ROOF REPLACE WITH FOUR PLY HOT MOP CAP * I
[ANDY BATIOFF (323) 331 8168 IAA BLDG PERMIT ISSUANCE 27 80 1 I
12233 LINCOLN AVE IAB STATE GREEN BLDG FEE 13000 00 VAL 1 00 ISPECIAL CONDITIONS I
IMONTABELLO CA 90640 QAC STRONG MOTION RESID 13000 00 VAL 1 30 i 1
1 D2 PERMIT W/O EN HC 13000 00 VAL 267 70 1 1
1 TOTAL FEES 297 80 1_ I
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1
IROYAL ROOF (562) 928 1200 1 1 I
16320 CLARA ST LIC NO ILOCATION AND SETBACKS I I I
IBELL GARDENS CA 90201 432352 C39 I I I I
I I - ISOILS ENGINEER APPROVAL
[ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I I
I 1 I I I I
1 LIC NO ISLAB/UNDER FLOOR
I I I
I ' 1RAISCD FLOOR FRAMING 1 I I
I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I
115OH265 3 001 1 1-1
I IFLOOR SHEATHING I I I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I I I
1 0 NO 22 IROOF SHEATHING p f'� 1
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I V I
LAIR QUALITY 1000 FEET MATERIALS I I I i I
1 NO NO NO [FRAME INSPECTION
I I i
IFIRE SPRINKLER HANGERS I 1 I
I I I I
I I IINSUr.,ATION/WEATHER STRIP) I I
1 1 11NTEDIOR LATH/DRYWALL
I I I
I I [EXTERIOR LATH I 1 I
I I I
I i iRATE0 FLOOR/CEIL ASSEM
I I I
1 IRATED WALL ASSEMBLIES I I I
I I I
I ) IRATED SHAFTS/OPENINGS 1 1 1
I I I
I I
IT B)Lq CEILINGS I I 1
I I• ADDITIONAL DATA ON FILE I1
I 1 ILOT DRAINAGE 1 1 I
I I I
i 14EPORT ID D,R261 ROUTE TO BS0508 1 1 I 1