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HomeMy Public PortalAbout10566 OLIVE ST_Building__ 1' 76A83BA CE11803 9.67APPLICATION FOR BUILDIIV'G PERMIT COUNTY O LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALIT JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICTZN ,-G'TR - Y PR BYJ CONST. (Print or type only)BUILDING STATISTICALCL ATION SEWER MAPS ADDRESS ,/ CLASS NO. DWELL,UNITS Bit— PG LOT NO. [] BLOCK 13 USE ZONE MAP /r► O NO. C/ TRACT SPECIAL NO.OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. •JL BLDG.SETBACK FROM T FRONT PROP.LINE OF (STREET) OWNE N TYPE OF EXISTING SETBACK HIGHWAY 'I- YARD = TOTAL HIGHWAY WIDTH FROM C.L. ADDRESS CITYBLDG.SETBACK FROM ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS EL. HIGHWAY WIDTH FROM C.L. .E = CONTRACTOR � O. a C7 ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ v CITYCLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK DW z NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF , STRUCTURE n S GNATURE OF r ' APPLICANT VALUATIONS APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE 5 FEE S w FORMS, MATERIALS, FFIRE STOPS, I HER ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FIMWE BOLTS AND STATE THAT THE ABOVE 15 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 I W NOT EMPLOY ANY SON IN OLA- OF OF THE LABOR I E F THE STATE OF AL FORNIA a LAT. LATH, INT. ING TO WORKMEN'S C PE ATION I URANCE � LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESSA, FINAL JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH A'o' 3 7 3 1:a W 2 5 1 D 1 7.25~ v DEPARTMENT OF BUILDING AND SAFETY { AI'YLLUATION •FOR PERMIT COUNTY OF LOS ANGELES ! BENI �,. ® I i WM. J. FOX, CHIEF ENGINEER i FLEG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING `` DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS d' ✓7 3/,q 84- LOCALIT , RECEIVED B• DATE OF APPL.Q / DATEISSUED NEAREST � Z CRO6S 13TJ� BUILDING OWNER ADDRESS 7 LIJ�)( �( Q AMAIL DDRESS �� LOCALITY ��0/1q.i I (�-(— NEAREST ` �` TEL. CROBS ST. 0_ _ \(j'��• ' C I TY�.4[�.d.Li,Y2 NO. FIRE NO.OF TYPE OR UP ARCHITECT O TEL. ZONE PLANS ��• o ENGINEER NO. AtTm Il,. .t-VA'ula-S BLDG. ORD.NO. ADDRESS SETBACK LINE + APPROVED EL. BY DATE CONTRACTOR USE APPROVED ADDRESS!/ ZONEr BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO.OF BLDGS. SIZE OF LOT I NOW ON LOT USE OF I NO.OF I NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z 61ZE ROOMS STORIES y WALL ROOF r COVERING I COVERING USEOF VUI DING NEW 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-GILL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE Or { BRACING,BOLTS PERMITTEr LATH,INT.: AUTHORIZED AOT- LATH,EXT.: DBS-3 SUM BETS 7-46 P.C. INT. n.rr".��sej 00 FEE PLASTER,EXT. VALUATION FEE FINAL ' i APPLICATION FOR BUILDING PERMIT L • COUNTY OF LOS ANGELS BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING�A^DDRESS 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 l/t✓C copy thereof(Sec.3800,Lab.C.) Policy o �� /il_ Y —W � ZIP / FQ LOCALITY r� z &© l-1LL�— Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ' )<Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with th ounty •ding in e I n TRACT BLOCK LOT NO. departnt. / USE ZONE MAP NO. Date-Z&&--/4k1ppIicant ASSESSOR MAP K ® PAGE PARC L sit SPECIAL CONDITIONS CERTIFICATE OF EXE ION FROM ORKERS' OWE I TEL NO. YES NO COMPENSA ON INSURA E v g WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for CITY ZIP which this permit -3 is issued, I shall not employ any person in a manner so as to C � / O ��� ✓ 6�-O become subject to the-Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. ---:Z/ DWELL UNITS NOTICE TO APPLICANT.• If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CO ACTOR TEL O. c7 SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL 1117 LICENSED CONTRACTORS DECLARATION SS SIDE CI C.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 ��1✓ SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF ST RIES ES N .OF FAMILIES Professions Code,and my licens is in full force affect. NEW ❑ BK PG ® a DESCRIPTION OF WORK VALUATION (r` License Number a Lic.Class '� � ADD $ � �i�'J Con�t�rac�tor � ,��T Date ALTER ❑ CI I am Agt�err SIx ec. REPAIR ❑ � F BAP.C.for this reason ��'�� DEMOL ❑ W Date: USE OF EXISTING BLD LDMA P/C# D � URM 11 +7 U Signature APPL NT( TEL NO. LDMA Perm# 23 /� U z ❑ I, as owner of the property, or my employees with wages as �-�PRI T Z AC =T their sole compensation, will do the work and the structure is DDRESS O not intended or offered for sale (Section 7044, Business and FINAL7E2Q 33037 G— .73 Professions Code.) WILL THE APPLICANT ORFUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 9 licensed contractors to construct the project (Section 70444, OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE I, as owner of the property, am exclusively contracting 4AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY , yes 11 No❑ ACCT. Business and Professions Code.) av WILL THE INTENDED USE OF THE BUIDLING BY THE APPUCANT OR FUTURE BUILDING 3303 i 71;i=L OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 1! O CONSTRUCTION LENDING AGENCY COAST OO AIR DUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FORGUIDITEMS 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. TOTAL 263 - 38 W IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 01Ht r- •i -, -22 TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS '� ly� 263=i Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOM0. =i' ❑ Lender's Address +J OWNER OR AGENT o I certify that I have read this application and state under penalty I P.C.FEE PERMIT FEE of perjury that the above information is correct.I agree to comply 73 N with all county ordinances and State laws relating to building �� / • Q — j�� r`�aa!9 const Ion, nd hereby sut rize representatives of this County ISSUANCE FEE M to ter upo e o ant' ned property for inspection ptirposps. 62 �v 1222 f AN 8:03 m INVESTIGATION FEE TOTAL FEE / r n 54 Pre d P9raM a nl (O SEE REVERSE FOR EXPLANATORY LANGUAGE ,.. RSVCOA, ENSATION DECLARATION ..' I� y a1�'rm that lie'a�•ertificafe of consent to self � � BI BUILDING PERMIT / {` .1 sure,,ar a certificate+iof Work 'rs'Compensation Insurance,. or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. . - Company BUILDING 1:1 Certified copy is hereby furnished: FOR APPLICANT TO FILL IN ADDRESS -66 Lam, (�Lll�°(� ST ❑ Certified copy is filed with the'county building inspec- BUILDING Imo, tion department. ADDRESS 0✓(6�D� e. 01-1 VE Date Applicant' 'CITY_XM PrrLe e1 T 6 L Cbt•ZIP ��� LOCALITY Td"001-6 CERTIFICATE OF EXEMPTION FROM WORKERS' 81NEAREST 0 _ 1 I3+ NOW ON LOT NO.OF BLDGS. I CROSS ST. /$� � L.• . COMPENSATION INSURANCE SIZE OF LOT (This section need not be completed if the permit is for one �►/f'� ASSESSOR hundred dollars ($100)or less.) TRACT �� 11 ." v BLOCK ` LOT NO. MAP BOOK PAGE PARCEL OWNER H U S EfN I VASI. NO. �`46 U70—, E MAP I certify'that in the performance of the work for which this NO. permit is issued, I shall not employ y person in any anner '��IS�a �L��E �"'�' SPECIAL G^ so as to become subject to the'Wor rs'Compen at! Laws.` ADDRESS 10 O ' CONDITIONS 6J0 Date _` Appli CITY. 1 Ml-•1 g GSI g� /�� ZIP S//�J6�Q p. 06 NOTICE TO APPLICANT: If, after Y a !Ing this Certi a of ARCHITECT ORF�P�A NDO AQutNON0.44�3Y®3 DISTRICT G UP TYPE FIRE PR ESSED BY Exemption, 'you should become ject to the' r ers' A /�g�� y� R��� U8 a CONST. ZONE6111 1L Compehsation provisions of the Labor Code, you mus forth- ADDRESS 18428 LA �uP4wef� �T�NiGI' a J V 3:. with comply with .such provisions or,this permit shall be TEL. STATISTICAL CLASSIFICATION APT. LN 0. U1 deemed revoked.. CONTRACTOR NO. e 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 bf the Business and LIC jDATE MAP Professions Code, and my license is in full force and effect. CITY CLASS VALIDATION SQ.FT T NO.OF NO.OF CHECK PG License Number Lic.Class SIZE 1* STORIES f FAMILIES ONE To SHtAR�E!2 USED NEW VALUATION O Contractor Date DESCRIPTION OF WORK - d ADD ❑ �DO❑ I am exempt under Sec. �-M AM• Fiq.CLOSE �ERALTERB.&P.C. for this reason REPAIR ❑Date: " USE OF $UF51 � 1 A L DEMOL` EXISTING BLDG. 11��'' YF1�1..� !'S — ❑Signature APPLICANT +�nnA�,ffAA,,ff pp TEL.�� p.' r 7 _OWNER-BUILDER DECLARATION PRINT)1 GI`�('aMPO ARU•!NO TEL44-fp3[03I hereby affirm-that I am exempt from the Contractor's License ADDRESSP8428 (�'u1+�Ri�t� t��Law for the following reason (Section 7031.5, Business andProfessions Code): PRESENT ' ❑ BUILDING --4 03 8 A I, as owner'of the property, or employees with ADDRESS wages as them solecompensation,will do the work and # 0 0 o a o 1 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. i, as owner of the property,am exclusively contracting CONTRACTOR NO. 1 - 111.75 with licensed contractors to construct the project (Sec- _ 1 1, Jr tion 7044, Business and Professions Code). ADDRESS �•` 0 0 REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ' " 02.1 2..=86. I hereby affirm that there is.a construction lending agency for FRONT - the performance of the work for which this permit is issued 'P.L. t, (Sec. 3097, Civ. C.). SIDE P.L. ! .. o Lender's Name LDMA Ref. # ° P.C.Fee$ Permit Fee - r v Lender's Address r I certify that I have read this application and state that the Issuance Fee /oiSO LDMA P/C# 3 above'nformation is correct. I agree to comply with all County I Investigation Fee �y 9 ordin ces and State laws relating to building construction, _ Total Fee / / LDMA Perm.#i and h reby autho 'ze epresentatives of this County to enter up\r�/ a above- nt ned proplerty for inspection purposes., - G SEE REVERSE FOR EXPLANATORY LANGUAGE •• ignature of App cant Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BuI ,fes NG Pyr_ ` DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9803200014 PHONE: (818) 285-0488 EXT: DUPLICATE GAL ID• NO. OF CONST BUILDINGA TR: 11290 LT: 1 BL: B UN: .002 SQ. FT STORIES TYPE f49 ,., E ST� STRUCTURE: 0 VN '-T-EMP-CA-9i-780 1 64 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-021-001 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE ITY TENANT: _EST BLDG USE: R S D USE ZONE: R- ISSUED 0 : PROCESSED Y: . EXPIRES 0 EXIST OCC GRP: 03/20/98 UT 03/20/9 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE nFINAL BY: ODE: VASI HUSEINI A;KHADIJA H (818) 442-7865- 1 2,000 10566 OLIVE ST TEMP 917802864 FEES PAID TION bF WORK C�ji�D-BEDROOff-i -EXTSTI'NG-SQ:F'T:-DYIVIDE FAMILY ROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUN : ADDING WALL ONLY- APPLICANT: NLY- APPL CA T: TEL. NO: T W HOMES, INC. (626) 288-6269- AA BLDG PERMIT ISSUANCE 27.75 1101 E. GARVEY AVE AC STRONG MOTION RESI.D- _ _2000.00 VAL 0.50 SPECIAL CONDITIONS: MONTEREY PARK, CA AX BUILDING REVIEW-FEE- _ -- 54.70 :_2000.00`VAL 90.42 B2 PERMIT W/5NERGY TOTAL•FEES 173.37 CONTRACTOR: TEL. NO: T W HOMES, INC. (626) 288-6269- APPROVALS DATE INSPECTOR SIGNATURE 1101 E. GARVEY AVE. #212 LIC. NO LOCATION N SETBACKS MONTEREY,PARK, CA 91754 676124 B • SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TE . NO: FOUNDATIONJ/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H273 3 01 fL00R SHEATHING 0. OF FAMILIES:- DWELLING UNITS: /CO D: 5 AT C ASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANE 5 AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST - R SPRINKLER HANGERS— SET NG RSSET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEAT ER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH WED OOR S RATED WALL ASSEMBLIES RATEDSHAFTS/OPENINGS T-BAR CEILINGS 0 AI AG REPORT ID: DPR261 ROUTE TO: BS0508 n• �lo I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA- BL 0508 9806090085 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADD ESS: TR: 11290 LT: 1 BL: B UN: .002 SQ. FT STORIES TYPE 10566 OLIVE ST STRUCTURE: 0 VN TEMP CA 917802864 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-021-001 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: R SID USE ZONE: R-1 ISSUED 0PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/09/98 UT 06/09/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINA CODE: AMPAC MANAGEMENT (626) 445-1800- 1 5,000 rb 106 E. LAS TUNAS DR. ARCADIA, CA FEES PAID DESCRIPTION OF WORK TEAR OFF AND RECOVER WITH 1/2LYWOOD, 20 YR. CLASS A FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CEL&EX PPLICANT: TEL.—NO: C B ROOFING & PRINTING CO (213) 250-1623- AA BLDG PERMIT ISSUANCE 27.75 1341 W. 1ST STREET AC STRONG MOTION RESID 5000.00 VAL 0.50 SPE91AL CONDITIONS: LOS ANGELES, CA D2 PERMIT W/O EN-HC 5000.00 VAL 133.05 NOTAL FEES, 161.30 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE C B ROOFING (213) 250-1623- r' , 1341 W 1ST ST LIC. NO , OCATION AND SETBACKS LOS ANGELES CA 90020 586898 C39 SOIUS ENGINEER APPROVAL ARCHITECT OR ENGINEER: O: FOUNDATION/TRENCH FOR S LIC. NO:i _ SLAB/UNDER FLOOR AtAIISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: „ UNDERFLOOR INSULATION 147H263 3 01 FLOOR SHEATHING 0. OF FAMILIES: DWELLING UNITS: APT CO D: STAT C ASS: - _ __ _ _ NO 21 ROOF SHEATHING SCHOOL WITHIN —HAZARDOUS ` ' , SHEAR PANELS / AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST RINKLER HA GERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- < __ INSULATION/WEATHER STRIP SIDE PL- - - - -- " - " INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: OPR261 ROUTE TO: BS0508 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 91760 BL 0508 1205140001 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 TR: 11290 LT: 1 BL: B UN: .002 I SQ. FT STORIES TYPE I 10566 OLIVE ST ASSBSSOR INFORMATION NUMBER: NEAREST V-B I TEMP CA 917802864 I NEAREST CROSS STREET: PAL MAL I 18585-021-001 1 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl ITT: (EXIST BLDG USE: GARAG USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 1 1EXIST OCC GRP: 105/14/12 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1FI FI BY: CODE: 1 ILIU, CHAO YZNG (626) 453-8986- 1 1,500 k 110566 OLIVE ST 1 I I 1 Al ITEMP 917802864 1 FEES PAID IDESC�IPTION OF WORK ] I I ]GARAGE RE-STUCCO I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( ] (APPLICANT: TEL. NO: ISAME AS OWNER - 1AA BLDG PERMIT ISSUANCE 27.80 1 I ] IAB STATE GREEN BLDG FEE 1500.00 VAL 1.00 ISPECIAL CONDITIONS: [ ] 1AC STRONG MOTION RESID 1500.00 VAL 0.50 ID2 PERMIT W/O EN-HC 1500.00 VAL 82.20 1 1 I IFR INV WORK W/O PERMIT 342.20 DOL 342.20 1 1 ICONTRACTOR: TEL. NO: ] TOTAL FEES 453.70 1APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I I 1 LIC. NO 1 1LOCATION AND SETBACKS 1 1 1 1SOIL3 ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS] 1 I 1 LIC. NO: i 1SLAB/UNDER FLOOR ] I I I RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (UNDERFLOOR INSULATION I ] 1147H273 3 001 1 I I ] I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 I ] I I 1 0 NO 21 1 IROOF SHEATHING I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I ] (AIR QUALITY: 1000 FEET MATERIALS ] I I I 1 NO NO NO I IFRAME INSPECTION I I I I I 1FIRE SPRINKLER HANGERS 1 1 1 ] I (INSULATION/WEATHER STRIP( ] I I 1 11NTERIOR LATH/DRYWALL 1 1 1 1 1 EXTERIOR LATH 1 ' I 1 I 1RATED FLOOR/CEIL ASSEM. I 1 I I 1 [RATED WALL ASSEMBLIES I 1 ] i 1 1RATED SHAFTS/OPENINGS 1 1 I 1 1 1T-BAR CEILINGS I I I I (LOT DRAINAGE I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 [ [ I