HomeMy Public PortalAbout9416 OLIVE ST_Building__ 7Gg4gZA CEZ803 5-GS APPLICATION FOR BUILDING PERMIT ^ u
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS .-
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICd OT N o P CONST. P O Y
t
BUILDING r STATISTICAL CLASSIFICATION SEW R MAP '
ADDRESS ..® CLASS NO.i�./—DWELL UNITS ♦ BK PG
LOT NO. "�.� � `OBJ v�LOCK USE ZONEMAP D Z•
TRACT a NO.
1, �' f� SPECIAL
NO. OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING ELLDG. G JCS BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF (STREET)
OWNER a TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM—C.L.
CITY BLDG. SETBACK FROM
ARC HITEC r .- L• SIDE PROP. LINE OF (STREET)
ENGINE �
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS ,�' - HIGHWAY WIDTH FROM C.L.
l + ' _
CONT, 0
A
C r CORNER CUTOFF YES E] NO E ' V
O
CITY ,. w Lass SEE REVERSE SIDE FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK v
- / it- �•C/ _ �• _ . a
NEW v ADD ALTER REPAIR DEMOLISH ��. / �a y /''
SQ.FT. NO. OF NO. OF t"� •C!1 I r P'L�'. 5.�",� r•• (2 l LrD��l °-r Z
SIZE el STORIES FAMILIES '
USE OF r' �) +yl,L!j•„w,,.L�
STRUCTURE
SI NATURE OF
APPLICANT /
VALUATION$ ,
.:.�� APPROVALS DATE INSPEOTOR'SSIGNATURE
P.C. PMT. FOUNDATION, LOCATION �!
FEE$ i6_1 FEE$ r 60 FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG 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 CnMPENSATION INSURANCE. - LATH. EXT.
SIGNATURE OF •n HOUSE NUMBER COR-
PERM ITTEE
OR-
PERMITTEE RECT AND POSTED _
ADDRESS FINAL ./ �• +�'�
JOHN F. LEWIS. PRfNCIPAL STRu URAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O CASH
.L&O-5 0 8 9- OCT 3 2 1 D 3.75-
[K(;�5 .0 9 0'%-o OCT 3 1 D 15.00-
4
76A638A CE #B03IZ/6APPLICATION' FOR BUILDING PERM1j'
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
505 BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS , 9'416 East Oliva
COLEMAN W. JENKINS, SUPT OF BUILDINGLOCALITY Temple Cit
FOR APPLICANT TO FILL IN NEAREST
Print ort ' e onl CROSS ST. C'21/''•LAZZ
BUILDING DISTRICT O ,A GROUP TYPE �� PROC SSED B_
ADDRESS
�j CONST. / ,
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. BLOCK
CLASS NO. DWELL,UNITS BK___PG �
TRACT USE ZONE MAP /
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT + SPECIAL
USE OF l CONDITIONS
EXISTING BLDG.
TEL.
OWNERVala SimpsonNO• BLDG.SETBACK FROM
ADDRESS Sajoe FRONT PROP.LINE OF (STREET)
_ TYPE OF EXISTING SETBACK HIGHWAY •I' YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. +
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TE . TYPE OF 11 SETBACKI
CONTRACTOR Vi r in ROOF CO. NOL 257-0507 HIGHWAY EXISTING
FROM C.L, HIGHWAY } ARD = TOTAL
ADDRESS600 S. San Gabriel Bl.No 160650 t o
CITY San Gabriel 91776 CLASS C-39CORNER CUTOFF YS ❑ NO ❑ ` C
E
CONSTRUCTION LENDER D
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS t
ADDRESS p
co
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF
STRUCTURE f h .235# COm ADD ❑
and hot roof materials ALTER E]
REPAIR®
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATIONS 712 OO APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. . FOUNDATION: LOCATION
FEE S FEE 5 12.00 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE S E OF -CALIFORNIA RELATING TO
WORKMEN'S COMPENS ON SURANCE. ' L'ATH, EXT.
SIGNATURE OF ` HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRES FINAL. f�
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK: M.O. CASH _ PERMIT VALIDATION C.D M.o IH
0.9 OCT 19 ' ' s D 1 2.0 bN
1
c• y WORKERS'COMPENSATION DECLARATION
`• I re y a riI have certificate of consent to self
insure, or a certificate of Workers'Compensation Insurance, APP"PLICATION H®R WILDING PERMIT
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company BUILDING
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS a _iV J-.e
Dole Applicant CITY ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' f4O.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
t TEL., USE ZONE MAP
I certify that in the performance of the work for which this OWNS lL !r/ NO >" n NO.
permit is issued, I shall not employ any person in any manner 9/ SPECIAL O
so as to become subject to the Workers'Compensation Laws. ADDRESS lll��� CONDITIONS
Dote '/4�^WrApplicant���y� Z&W� CITY ZIP It
NOT4EE TO APPLICANT: If, after makingthis Certificat of ARCHITECT O TEL. DISTRICT G UP TYPE FIRE PROC ED BY O
ENGINEER NO. r/
Exemption, you should become subject to the Workers' /(A �NS11 ZONE
W
Compensation provisions of the Labor Code, you must forth- ADDRESS ` V
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICTION APT. NDO. tq
deemed revoked. CONTRACTOR NO. Z
LICENSED CONTRACTORS DECLARATION LIC. CLASS I 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 and LIC,
Professions Code, and my license is in full force and effect. CITY 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 ST ADD ❑NEW $
❑ .:r
I am exempt under Sec. G� ALTER
B.BP.C. for this reason ml M2v!5r,f-AhREPAIR $ 8 7 5.7 A
Date: USE OF # 0 0 0 0 0
EXISTING BLDG. DEMOL ❑..
Signature APPLICANT TEL. FINAL oe� I o o49,88
x
OWNER-BUILDER DECLARATION PRINT NO. DA
I hereby affirm that I am exempt from the Contractor's License A o o o 4 9 8 8=
Low for the following reason (Section 7031.5, Business and U
ADDRESS FI
Professions Code): PRE EN7 BUILDING B 0 1. 12-87
I, as owner of the property, ormy employees with ADDRESS
wages as their sole compensation,will do the work and LOCALITY
the structure is not intended or offered for sale(Section
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 SETT BACK YARD HWY TOTAPROPLINEFR WIDTEXIS H a
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
LDMA Ref. #
m P.C. Fee$ Permit Fee
Lender's Address
I certify that I have read this application and state that the Issuance Fee c J� LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee (/C
ordinances and State laws relating to bul ding construction, Total Fee sD 0 LDMA"perm. #
R and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes.
511 REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agontol Date
r
+ 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 0104020009
• PHONE: (626) 285-0488 EXT:
•
LEGAL 0. OF—CONST- BUID G ADDRESS:
ON FILE SQ. FT STORIES TYPE 9416 OLIVE ST
STRUCTURE: 1700 VN TEMP CA 917803156
ASSESSOR INFORMATION NUM E : NEAREST CROSS STREET: COVERLY
8590-003-016 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
TENANT: IS L SE: SFR USE ZONE: S 0 : PROCESS EXPIRES 0 :
EXIST OCC GRP: 04/02/01 UT 09/29/01
OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FINAL D �`n CODE:
NICK
9416 OLIVE 3,400
TEMPLE CITY CA 91780 FEES PAID IDESCRIPTIONOF WORK
TEAR OFF OLD ROOF AND REAP R ROTTED WOOD (PITCH ROOF ONLY)
APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INSTALL 20YR. COMP SHINGLES, CLAS 'A'
LAU/GOLDEN KEY ROOFING (626) 285-9016- AA BLDG PERMIT ISSUANCE 27.75
4533 SHIRLEY AVENUE AC STRONG MOTION RESID 3400.00 VAL 0.50 SPECIAL CONDITIONS:
EL MONTR CA 91731 D2 PERMIT W/O EN-'HC--=-=!!�3400.00 VAL 115.80
�TOTAL-;FEES� 144.05
ELIE
CONTRACTOR- TEL. N0: /� ���j ��++,,� APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN KEY ROOFING (626) 285-9016- s`f�`i:a� d�r�.1�e
4533 SHIRLEY AVE. LIC. NO �'r� fr✓>, i '' ,`� LOCATION AND SETBACKS
EL MONTE, CA 91731 775115 C39
- SOILS ENGINEER APPROVAL
RC C ORENGINEER: T . NO: / �- � �- �;
i -f_\ �� FOUNDATION/TRENCH FORMS
LIC. N0:'� j� l� I - -=-a �,a SLAB/UNDER FLOOR
RAISED FLOOR R I G
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP•-• r �I r NDERFLOOR INSULATION
_ ) I ( }} IIl
Ll:
XX 3 L �`�-�i�_ j �;� 1'! 4+•_JI l; l�II.{�. �' FLOOR SHEATHING
0. 0 LIES: D ELLING ITS: AP /CO D: STAT CLASS:-- —
------ ------- -------
NO 21 - ,- - -—i �� f i ---: ROOF SHEATHING
SCHOOL HAZARDOUS `� -'� L �:.' / SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO A, FRAME INSPECTION
TOL SETBACK FROM EXIST
L 1�
R SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FSIDE PL- �eryiee Thaw- INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED L00 C IL ASS M.
RATED WALL ASSEMBLIES
RATED S S OP N GS
T-BAR CEILINGS
11 ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
s
! 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 0104020009
PHONE: (626) 285-0488 EXT: DUPLICATE
EGA D: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9416 OLIVE ST
STRUCTURE: 1700 VN TEMP CA 917803156
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: COVERLY
8590-003-016 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
TENANT: I L G SE: SFR USE ZONE: XX ISSUED ON: PROCESSED EXPIRES 0 :
EXIST OCC GRP: 04/02/01 UT 09/29/01
OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FINAL DATE T
CODE:
9416 OLIVENICK 3,400 L� f�3�2o0rMA�
TEMPLE CITY CA 91780 FEES PAIDS PTIO OF
TEAR OFF OLD ROOF AND PIR ROTTED WOOD (PITCH ROOF ONLY)
PPCA : TEL. NO:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INSTALL 20YR. COMP SHINGLES, CLAS 'A'
LAU/GOLDEN KEY ROOFING (626) 285-9016- AA BLDG PERMIT ISSUANCE 27.75
4533 SHIRLEY AVENUE AC STRONG MOTION RESID 3400.00 VAL 0.50 SPECIAL CONDITIONS:
EL MONTR CA 91731 D2 PERMIT W/0 ENJC"==77!�3400.00 VAL 115.80
OTAL�_�EES 144.05
CONTRACTOR: TEL. N0: ' ' �GE L CU� � APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN KEY ROOFING (626) 285-9016- i��S
4533 SHIRLEY AVE. LIC. NOLOCATION AND SETBACKS
EL MONTE, CA 91731 775115 C39
SOILS ENGINEER APPROVAL
ARCHITECT 0 ENG : - ,�r - —�\ iF I �1
i i r`� •.� -, ,.gyp FOUNDATION/TRENCH FORMS
LIC. NO:, / I I i t-_,-� 1,� SLAB/UNDER FLOOR
L —J RAISED FLOOR FRAMING
i 7 ; IX�11�)1I I JiL
NAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CUNDERFLOOR INSULATION
X3P1_J
u �_� t1`� — 11 LCJ FLOOR SHEATHING
rJ
0. OF F LI S: D E LI ITS: AP CO D: STAT C S -------- ---- ----- 9
NO 21 J Ci - ---- J ROOF SHEATHING
SCHOOL HAZARDOUS �� L� �/ 0 ` �'+ 'k s' ` / SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO ,�;� i�_�! rJ FRAME INSPECTION
REQUIRED
TO S CK FROM S .: ` f J ' `�, „ �
SET BACK YARD: HWY: PROP LINE: WIDTH: `-��ls�'� 1 J _ er FIR SPRINKLER HANGERS
FSOIDE PL- S. rvice E�� l INSULATION/WEATHER STRIP
INTERIOR L T /DR AL
EXTERIOR LATH
RATED LOOR CE SS M.
RATED WALL ASSEMBLIES
RATED 5 S 0 G
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRArNAGC
REPORT ID: DPR261 ROUTE TO: BS05O8
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 0104050001
PHONE: (626) 285-0488 EXT:
EGA ID: 0. OF CO ST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9416 OLIVE ST
STRUCTURE: 1700 VN TEMP CA 917803156
ASSESSOR INFO MA IO NUMBER: NEAREST CROSS STREET: COVERLY
8590-003-016 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
TENANT: S G S : SFR USE ZONE: XX ISSUED 0 PROCESSED BY: EXPIRES 0 :
EXIST OCC GRP: 04/05/01 JK 10/02/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FI CODE:
NICK
9416 OLIVE 300 e-g� aco
TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OR
REPAIR AND REPLACE ROOF RAFTERS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TE 0:
LAU/GOLDEN KEY ROOFING (626) 285-9016- AA BLDG PERMIT ISSUANCE 27.75
4533 SHIRLEY AVENUE AC STRONG MOTION RESID 300.00 VAL 0.50 SPECIAL CONDITIONS:
EL MONTR CA 91731 AX BUILDING REV.I•EW'FEE-_ , 54.70
D2 PERMIT�W/O'EN- C---�- 300:00 VAL 43.65
VELEM Ot 'FEES' 126.60
CONTRACTOR: TEL. NO: C/ APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN KEY ROOFING (626) 285-9016-
4533 SHIRLEY AVE. LIC. NO ���•' '� �;�+eIO AND S ACKS
EL MONTE, CA 91731 775115 C39 * ��� . �t�� SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: ,� i ' • `` �
f r I _ � � �_.�, FOUNDATION/TRENCH FORMS
LIC. N0:7i; __- - =
t
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
BL 0508 0703120041
PHONE: (626) 285-0488 EXT:
LEGAL IDe N0. OF CONST NEW HIIILDING ADDRESS: I
I ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9416 OLIVE ST I
I (STRUCTURE: 921 2 VN R3 I TEMP CA 917803156
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: TEMPLE CITY
18590-003-016 1 OTHER: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
TENANT: JEXIST BLDG USE: USE ZONE: JISSUED ON: PROCESSED BY: EXPIRES ON: 1
1 1EXIST OCC GRP: 105/23/07 SR 05/17/08
OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: FINAL DATE FI BY: CODE:
IAGASANLAN, NICK (626) 286-7804— 1 200,000 1
19416 OLIVE AVE. !'
TEMPLE CITY CA 91780 FEES PAID IVESCRIPTION OF WORK
I 11ST & 2ND. FLOOR ADDITION ADD 1BR/1BA & FMLY RM,REMODEL
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I (E) 2BR, KITCH, DINGRM, I BA & REMOVE AND REBUILD (E) ROOF *�
(APPLICANT: TEL. NO: I I 1
JXA (626) 625-8793— IBI PLANCHECK W/ENERGY 200000.00 VAL 1,822.13 J I
19423 GUESS ST. IAA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: 1
IROSEMEAD, CA 91770 JAC STRONG MOTION RESID 200000.00 VAL 20.00 1
I JB2 PERMIT W/ENERGY 200000.00 VAL 2,143.68
I I TOTAL FEES 4,013.56 [
1CONTRACTOR: TEL. NO: [ JAPPROVALS DATE INSPECTOR SIGNATURE J
ISO CAL CONSTRUCTION i (626) 712-4823— 1 1 I
IP.O. BOX 96 LIC. NO 1 (LOCATION AND SETBACKS [ 1 1
SAN GABRIEL, CA 91778 832488 B
1 1SOIL•S ENGINEER APPROVAL I I 1
JARCHITECT OR ENGINEER: TEL. NO: J IFOUNDATION/TRENCH FORMS
LIC. NO: 1 1SLAB/UNDER FLOOR F 1 1
[ J (RAISED FLOOR FRAMING I I
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMOP:J il 1UNDERFLOOR INSULATION---Ip
I
I I 11ST LEVEL FLOOR SHEATH
[NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 I I I
1 NO 21 1 12ND LEVEL FLOOR SHEATH I I
I SCHOOL WITHIN HAZARDOUS 1 JROOF SHEATHING / 1
JAIR QUALITY: 1000 FEET MATERIALS J I I I
NO NO NO 1 (FIRE DEPT. FRAME INSPECT 1 I
REQUIRED TOTAL SETBACK FROM EXIST 1 1BLDG DEPT. FRAME INSPECT[ I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I I
(FRONT PL— I (SHEAR PANELS
I SIDE PL— I I I I
//// 1 11NSULATION/WEATHER STRI 1
�// 6- 1 12NTERIOR LATH/DRYWALL 1 ��
[EXTERIOR LATH / 1
I [ 1LOT DRAINAGE 1 [
1SMOKE DETECTION DEVICES 1 I
I I IFIRE DEPARTMENT APPROVALI I 1
I J* ADDITIONAL DATA ON FILE [ [ I I
I 1REPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I