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HomeMy Public PortalAbout9425 OLIVE ST_Building__ eo"•'.3�•PCJ'i pq_®A Y opt ,� I • 76A888A CE#808-7.58 A Y Y L I C ION I.O R B U I L®I 9 TI G PERMIT BUILDING AND SAFETY DIVISION ABUILDING DDRESS Department of County Engineer D County of LOS Angeles LOCALITY JOHN A.LAMBIE, COUNTY-ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRI-CIT NO. GROUP •I Tyj.E I SEWHER MAP G FOR APPLICANT.TO FILL�IN JL CONST. — BUILDING BUILDING ADDRESS 2 E `jI C STATISTICAL C SSIFICATION 'Z k,2 ri Y Sr �� CLASS. NO DWELL. UNITS LOT'NO. BLOCK STATE NUMBMAPER LJ G' HWY low TRACT Mission Viaw 4 USE ZONE SPECIAL NO.OF BLDGS. M /}, CONDITIONS SIZE OF LOT 11,700 S n.lffk ,W ON LOT ' 4 USE OF ° EXISTING BLDG. Residence BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER Mrs, ' Bernice Me Tubbs FRONT MAIL P. L. O lJ ADDRESS 9425 Fie Olive SIDE CITY Te le Cl TEL. P• L. �:> NO. T INSPECTION RECORD ARCHITECT ENGINEERself NO. , ADDRESS TEL. 1� ✓�C! G C CONTRACTOR self NO. ADDRESS ` DESCRIPTION OF WORK = NEW ADD X ALTER REPAIR ' DEMOLISH SQ.FT. /'. NO. OF NO.OF SIZE SOLI O STORIES �_ FAMILIES USE OF STRUCTURE Residence / r APPROVALS SIGNATURE O APPLICANT 7 `PI DATE INSPECTOR'S SIGNATURE ADDRESS JP FOUNDATION: LOCATION r� 1r FORMS, MATERIALS 0`� �- $ =FEE FRAME: FIRE STOPS.BRACING.BOLTSVALUATIONFURNACE: LOCATION. ® GAS VENT, DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND r�7 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH..EXT. I � ..-n l STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF` HOUSE NUMBER COR- PERMITTEE /[/I/�= �T,-� RECT AND POSTED ------- I ADDRESS FINAL IOHN A.LAMBIE.COUNTY ENGINEER. CLYDE N. DiRLAM, RIN IPAL STRUCTURAb-E'NGINEER PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O. �r0 7 34 2 t;PR 1 1 1 0.0 0' DrvISION OF Su1t.DING AND SAFETY � BUILDING Depaldanent of County Engineer CoUntr of Lob Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION BUILDING FOR APPLICANT TO FML IN ADDRESS BUILDING ADDRESS LOCALITY71 rr f� 'a4e NEAREST LOCALITY CROSS 9T. NEAREST - f !�^ DISTRICT NO. PLAN CK.OR RBC.No! PERMIT NO. CROSSST. f I �."��K! a i f/ = /�' 1. OWNER :( P 1-7 f�I�-r,I�:tt.�� RECEIVED BY DATE OF A DPL. DAT ISSUED MAILADDRESS fI 'J "1�E��`J i� � � /Q'17 USE,ZO E''NO. OF tTYPE GROUP FIRE ZONE j - TEL. PLANS CITY NO. ARCHITECT OR TEL f4ZONING- '� ��� `DwATEo ENGINEER 1 NO. _ AppROVBD BY- .�'l �'r^ /�C'�� r ADDRESS BUILDING ^ 1 � O e',-22< SETBACK LINE: / 6 CJ !! '/jI '+ .{��♦ ;,ry" TEL. APPROVED �;y DATE ' CONTRACTOR [.r i° ���']� NO. BY, ADDRESS HOUSE NUMBERING 0 LEGALF BLOCK —MAP NUMBER 2QD �w NO. ASSIGNED DESCRIPTION LOT NO. DATE CORRECTIONS I INSPECTOR TRACTNO. OF BLDG ) /.l.�,r 4✓.f.%T� �i' t"I t_r ( ! (//�{ SIZE OF LOT ]f s1 +!%� I NOW ON LOTS USE OF N NO. OF EXISTING BLDG. `,ir."+A FAMILIES `� ��:� � ,�I O DESCRIPTIONOW WORK i0 NEW ALTERATION ADDITION REPAIR moo+ DEMOLITION OF At/ SIZE > ROOMS fy STORIES p �I�/l �� /f tv EXT. WALL ROOF COVERING �./Cl!1(°�' I COVERING USE OF STRUCTURE f1 } fgl � 1 I ' APPROVI3LS INSPECTO SIGNATURE DATE FOUNDATION: LOCATION ` rb�� * FORMS, MATERIALS 0//T I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCESFURNACE: LOCATION, Com~ / AND STATE LAWS REGULATING BUILDING—CONSTRUCTION. GAS VENT, DUCTS w SIGNATURE OFri LATH, INT. PERMITTEE ADDRESS LATH. EXT. J 0- 47 y74j,;t '�: _ PLASTER. INT. AUTHORIZED AGT. `�• �� J / PLASTER. EXT. � HOUSE NUMBER COR- RECT AND POSTED VALUATION FEE '"� FINAL 76AS38A 1308:8,;2-88 7,BA638ACE#8088-64 APPLICATION 'FOR-'BUILDING PERMIT . COUNTY OF.LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADOREss BUILDING AND SAFETY DIVISION ' . LOCALITY JOHN A. LAMBIE': COUNTY.E'NGINEER. NEAREST COLEMAN W. JENKINSAUP-T.OF BUILDING CROSS ST. oemzv lcw r DIST!R!.�T O` GROUP TYPE'.. P SSED FOR APPLICANT TO FILL IN j , CONST. BUILDING �� STATISTICAL CLASSIFICATION SE ER'MAP ADDRESS ,� •'�L-�V� CLASS NO.i;_�DWELL UNITS BK PG LOT NO. +n<o'Q, LOCK USE ZONE MAP NO. T_ RACT7jI Com- �LY 1 SPECIAL N0. OF BL DOS.. V CONDITIONS SIZE OF LOT NOW'ON LOT - USE OF IS NG BLDG. BLDG. SETBACK FROM / . 'A TEL. - / / FRONT PROP. LINE OF •� (STREET) OWNE qq . �� NO. (� �7 TYPE OF. EXISTING SETBACK HIGHWAY 'I- YARD = TOTAL _ ADDRESS b I'• /i/6-. HIGHWAY WI 'F M C.L. CITY F GC t/_ - •l + _ 1 ARCHITECT O TEL. BLDG. SETBACK FROM ENGINEER 'NO. SIDE PROP. LINE OF ' (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ` ADDRESS - HIGHWAY. WIDTH FROM C.L. Q, /+ TEL + = O CON TRA CTO ` NO ADDRESS �aL/V� S'� LI ® CORNER CUTOFF -YES NO _ 0 LIc U CI Y S� SEE REVERSE SIDE FOR SPECIAL APPROVALS. W DESCRIPTION OF-WORK / Z G9 r-" _ EW ADD ALTER REPAIR' DEMOLISH f NsQriel- NO. OF NO. OF SIZE- STORIES FAMILIES 'USE OF ��` STRUCTURE .Prsler - .SIGNATURE OF . ' .APPLICANT VALUATION$ .- 3 APPROVALS DATE. INSPECTOR'S 810 NATURE FEE$ FEE$ �.���� FOUNDATION, LOCATION / f� FORMS,..MATER.IALS._- / FRAME, FIRE STOPS, / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREETO COMPLY FURNACE: LOCATION WITHS. ALL COUNTY ORDINANCES AND STATE LAWREGULATING GAS VENT. DUCTS I // .UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WO K (, f AUTHORIZED HEREBY"I WILL NOT EM Y ANY PERSON IN VIO SLA"TH. INT. TION OF THE LABOR CODE OF TE OF CALIFORNIA RE T- INGTO WORKMEN'SCOMP SA N INSURANCE. - LATH. EXT. SIGNATURE OF HOUSE NUMBER COR-• PE4tMITTEE R2CT AND POSTED 8 �. ADDRESS Fl NAL �"�; JOHN F. LEWIS. PRINCIPAL.STRUCTURAL ENGIIIEER .'PLAN CHECK VALIDATION CH. M.O. CASH 'PERMIT VALIDATION _ CK. m.o. CABH L�i%o 9 6 0 3% Kpl- 16 1 D.: = 5.0 0 IF "'DIVISION OF BUILDING AND SMETY - Department of County Engineer BUILDING County oA L Angeles �,•. WM. J. FOX, COUNTY ENGINEE '� APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DI,BTR N/0. P LAN OK.OR REc:N�. PE MIT O.- ADDRESS 9 —^ R EIV�D B DATA/"OFp�P DATE ItB`BUED� LOCALIT7 ! _�".•..,�s�.� L/J/ NEAREST [��/� ' c• �N CROSS BT.V' BU LD1 G ADDR 8 / OWNER&4 MAIL LOCALITY / 00 ADDRESS �� is�G� /' /� NEARESTCRO CITY r"D /s�.i.7 G�J NOL/�O. /(O J 7 FIRE �• NO.OF TYPE G ARCHITECT MR/Q-), A TEL ENGINEER � ZONE PLANE G�2 t(�„"a — .„ BLDG. NO. SETBACK LINE ADDRESS USE APPROVED � � � � TCL ZONE � � BY DATE CONTRACTOR �,/�•y�� NO. HOUSE NUMBERING ADDRESS __ M NUMBER �� NO. ASSIGNED BY LEC3ALLeeCORRECON3 n DESCRIPTION LOT NCO. Q BLOOK �' o TRACT /f../�f�./fi_/a/U tis _• !-/ L�rv�'.�r@ -�!� �rY7.e r.✓Y s-1.C�-C NO. OF BLOBS. Q SIZE OF LOT I NDW ON LOT USE OF I NM OF EXISTING BLDG. FAMIUEs DESCRIPTION OF WORK v NEW ALTERATION ADDITION Z a REPAIR G� DEMOLITION r BIZ.FT. / �°f/ ' SIZE ROOMS STORIES EXT.WALL '' RCOF /� COVERING COVERING COVERING( ,j&,/ w. USE rSTRuCTII 0 INSPECTION FOR 1 APPROV L J ��ss� OCCUPANCYAS ��� � INSPECT R'S 13N/y'' URE DATE FOUNDATION: LOCATION / A, �X' � J C / 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AW FORMS, MATERIALS --c PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAMEe FIRESTOPS, n / CORRECT. pp BRACING,BOLTS I AGREE TO ,. AND STATJLAW13.0,MLGULATING BUILDING DLY WITH ALL OING CONSTRUCTION. D / FURNACE, LOC ION, GAS VENT„• CTS SIGNATURE ns�/p,+� fSulls'-x,51 LATH ADDRESS I � �a.�.f8'ZGG.+a�/`L'Ci �/l J'ATH, EXT. / Ir r %LASTER, INT. IV f AUTHORIZED ABT. I ( PLASTER, EXT. P.FEE B fir” HOUSE NUMBER OCR- RECT AND POSTED VALUATION FEE �� FINAL 76A539A O55 3 1-53 .� 11 ®5 76AA CE! J3 tREV%61761 APPLICATION R BUILD G PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADIDRESS BUILDING ` ADDRESS LOCALITY (1 1 NEAREST / CITY ZIP G CROSS ST. .OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK P PARC DISTRICT MP TYPE FIRE PROCE D B TRACT OCK LOT NO. CONST�y ZO OWNER ,� NO. STATISTICA�CLASS�IFITION/j`/— SEWER P ADDRESS CLASS NO.Ta?DWELL.UNITS SEW PG CITY ZIP ARCHITECT 6R TEL. VALUATION $ /1 ENGINEER NO, v ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR NO. HIGHWAY t YARD __ TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. LIC. + CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP.LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. NO.OF NO.OF CHECK t = SIZE STORIES FAMILIES ONE q yy DESCRIPTION OF WORK NEW ❑ P.C.Fee$ Permit Fee / J� ADD Issuance Fee g ALTER REPAIR Total Fee o USEDEMOL ElEXISTTING BLDG. ZC APPLICANT TEL (PRINT) O. BY(SIGNATURE) IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES uVi AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE Z WORK.AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. Z PENSATION INSURANCE. g A1, -37A SIGNATURE OF PERMITTEE i ADDRESS 96�9 r- TEL. r 2 2 ° 02200 CITY NO. ' `7 0 0 0 0 2200H USE ZONE 1RN 2a ✓� SPECIAL F O LI O-7 8 CONDITIONS m DATE I BY 3BW. S7ia6 �' ��C ►fi[ )"1'CI FOR BUILDI PERMIT 76a # Q/ �803 COUNTY OF LOS ANGELES BUILDING gyp'ZWARTNENT OF COUNTY ENGINEER ADDRESS 7,1.t,47--BUILDING AND SAFETY DIVISION LOCALITY, J N A. LAMBIE. COUNTY ENGINEER NEAREST j'�D EMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISI R�T NO .GTYPE PRO. E Y FOR APPLICANT TO FILL IN CONST. BUIL INC STATISTICAL ASSIFICATION SEWER MAP ADDR SS S © CLASS NO.�DWELL UNITS BK op PG LOTo r— BLOCK USE ZONE MAP O 91 TRACT i SP (fir SPECIAL SoXFiZ NO. OF BLOBS. I\ CONDITION t�/ SIZE OF LOT.2/2 jf,1910 NOW ON LOT USE OF EXISTI,G DG. _ / 90VG BLDG. SETBACK FROM r /^ TEL-y5FRONT PROP. LINE OF ..a (STREET) OWNER •M V .S` NO. 6. 7�� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS S- • Q (/-e,s 7% HISHWAY IDTH FROM C.L. CITY &JM ISP DG. SE ACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS /I NOLHIGHWAY WIDTH FROM C.L. d (�• A + CONTRACTOR / Q ��LT O LIC ADDRESS /v. ,6 S r"1N0 CORNER CUTOFF YES NO V LC CITY 9^&J G^ CLAS �f SEE REVERSE SIDE-FOR SPECIAL APPROVALS O DESCRIPTION OF WORK w � a NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF 1�,I)l SIZE STORIES // FAMILIES USE OF Apno - STRUCTURE V !•-, SIGNATURE OF APPLICANT VALUATION$ J APPROVALS DATE INSPECTOR'S SIGNATURE FEE$ FEE$ FOUNDATFORMS!MA�TERIALSON 7�� FRAME, FIRE STOPS, ) +` 1 HEREBY ACKNOWLEDGE THAT 1 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 BUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AZ 6' AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INS RANCE. a-� , LATH. EXT. SIGNATUREHOUSE NUMBER COR- 'r `• PERMITTEE P RECT AND POSTED ADDRESS J 'U Fl NAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGI PLAN CHECK VALIDATION CK. M.D. CASH _ PERBUT VALIDATION CK. M.O CASH " LAI;o 6 9 4 FEB 1 0 1 1.50- WICATION FOR BUILDING PERMIT NTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDR WORKER'S COMPENSATION DECLARATION r I)/�7, I affirm that I have a certificate of consent to self insure, BUILDI VyyVV or a ce tificate of Workers'Co pens n Insurance,,QF'a coIrAYCOMPI-11 ZIP, LOCALI Y Po (�, SI E OF L NO OF BLDGS.NOW ON LOT ❑ Certified copy is he"furnisd. NEAREST CROSS ST ❑ Certified copy is fileing i do TRACT BLOCK LOT NO.department. USE ZONE MAP NO. Date AppASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS OWNER ( /7 / CERTIFICATE OF EXEMPTION FROM WORKERS' D �/A ves No COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred ADDRESS WITHIN 1000 FT.OF SCHOOL? DISTRICT GROUP TY CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit CITY ZIP _9 /C� is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. O GLS become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION Al APT CONDO Date Applicant ADDRESS CLASS NO. —0/ DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CO T �� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwithnan FRONT comply with such provisions or this permit shall be deemed revoked. AD o�� _ A)� ' ° LIG.yq�n("{� PL SIDE LICENSED CONTRACTORS DECLARATION CITY ��T LICc.�C 3-`Ld I hereby affirm that I am licensed underprovisions of Chapter 9 C=3SEWER MAP t7 (Commencing Wit C1:fl 7 of Division 3 of a BUsi S and SO.FT.SIZE NO. STORIES NO.OF FAMILIES Professions Co I' Is in full force d e NEW ❑ BK PG , C License Nu r Lic.Class E f;IPToff - ADD ❑ VALUATION Cv C lcP.�f ALTER ❑ $ Contractor Data r-- C 1 L 1, `� REPAIR ❑ E ❑ I am exempt under Sec.. $ IL �/y a B.BP.C.for this reason X S 454. DEMOL ❑ LDMA P/C# O Date: USE OF EXISTINA URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# dc -. JL ❑ I, as owner of the property, or my employees with wages as Z AL. • their sole compensation, will do the work and the structure is ADDRESS O ..,ter•z not intended or offered for sale (Section 7044, Business and FINAL DATE a IPU! = Professions Code.) WILL THE APPUCANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Q FINAL BY licensed contractors to construct the project (Section 7044, i 07k jt�_•* o 65 Business and Professions Code.) ves 11 No❑ F WILL THE INTENDED USE OF THE BUIDLING BY THE APPUCANT OR FUTURE BUILDING CHECK OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR t`A GUIDELINES CHANGE j.HA y E 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. W 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, 11• +a 1 jt 1 / '+:v� 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. n--7 0 Lender's Address 7 i Hr L_1 L OWNER OR AGENT o I certify tha I.have read this application and state under penalty Of perjury at t above i ion is Correct.I agree to comply P.C.FEE PERMIT FEE ^� N with all ounty rdinance and ate laws relatin to uilding OY constr n, here a rize presentati s thi Count ISSUANCE FEE to an r p a ra t ned petty}or it ses. L J CO INVESTIGATION FEE TOTAL FEE / ^ a A°grc°m Aural Omo �/ (p SEE REVERSE FOR EXPLANATORY LANGUAGE S 'i" • 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 1209050021 PHONE: (626) 285-0488 EXT: ILEGAL ID. I NO. OF CONST I BUILDING ADDRESS: ON FILB I SQ. FT STORIES TYPE1 I 9425 OLIVE ST (ASSESSOR INFORMATION NUMBER: ISTRUCTURE: V-B I TEMP CA 917803129 1 18588-028-003 I I NEAREST CROSS STREET: ROSEMEAD 1 I I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl ITENANr: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 109/05/12 SR ]OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1 ITRUONG, PETER (626) 689-3564- 1 740 1 I 19425 OLIVE ST (TEMP 917803129 FEES PAID IDESCRIPTION OF WORK 1 I (INSTALL 6 NEW WINDOWS I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( (APPLICANT: TEL. NO: ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 I IAB STATE GREEN BLDG FEE 740.00 VAL 1.00 SPECIAL CONDITIONS: I IAC STRONG MOTION RESID 740.00 VAL 0.50 1 D2 PERMIT W/O EN-HC 740.00 VAL 65.40 1 I IFR INV WORK W/O PERMIT 166.40 DOL 166.40 1 (CONTRACTOR: TEL. NO: I TOTAL FEES 261.10 (APPROVALS DATE INSPECTOR SIGNATURE I SAME AS OWNER _ LIC. NO I LOCATION AND SETBACKS / I SOILS ENGINEER APPROVAL I I (ARCHITECT OR ENGINEER: TEL. N0: 1 IFOUNDATION/TRENCH FORMS I I I I - LIC. NO: 1 (SLAB/UNDER FLOOR I I I (RAISED FLOOR FRAMING I I I (MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( D 1UNDERFLOOR INSULATION 1147H265 3 001 EXIRED I I � IFLOOR SHEATHING I I I 1N0. OF FAMILIfiS: DWELLING UNITS: APT/COND: STAT CLASS: I a I I I I 0 NO 21 1 -1 -5_I 3 IROOF SHEATHING I 1 1 I I I I SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS I 1AIR QUALITY: 1000 FEET MATERIALS NO NO NO 1 1FRAME INSPECTION I I I (FIRE SPRINKLER HANGERS I I (INSULATION/WEATHER STRIP( I I I (INTERIOR LATH/DRYWALL I 1 IEXTERIOR LATH 1 ] IRATED FLOOR CEIL ASSEM. I I I I I I I ]RATED WALL ASSEMBLIES ] IRATED SHAFTS/OPENINGS IT-BAR CEILINGS 1 I I ] I I ILOT DRAINAGE I I I (REPORT ID: DPR261 ROUTE TO: BS0508 1 I I 1