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Home My Public Portal About9634 OLIVE ST_Building__ VA898A 1098.3 8-88 - APPLICATION FOR BUILDING PERMITUILDING 101 �. DIVISION OF BUILDING AND SAFETY ADDRESS Department of County Engineer County of Los Angeles • LOCALITY WM.J.FOX, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING GROSS ST. DISTRICT GROU ' SEWER MAP FOR A�PoP�LICANT TO FILL IN r I'TYPE a CONST. BK ,SPG/ ADDRESSa Pte' r NUMBERS/ HWY LOT NO. / .$� jb-All BLOCK USE ZONE SPECIAL // CONDITIONS TRACT '1°'✓.6 �p - ////� NO.OF BLD S. (� BUILDING EXIST. SIZE OF LOT Z-07 A �� I NOW ON LOT Y SETBACK YARD NWY STREET NAME WIDTH USE • FRONT Q —EXISTING /�)w e. / $NG BLDG. L� !/ P.L. SIDE OWNER J P. L.MAIL �— ADDRESS �� • [.�/ °+.�� O TRACT DWELL. 1 UNIT 5 INDUSTRIAL ' ,TEL. ey 1 -DWELL. I UNIT CITY/Qj/a /k C! " NO. �` -�' 6 PUBLIC BLDG. ARCHITECT OR /� Q TEL. 7 ADDN.,ALT.. ETC. ENGINEER (✓GtJ/�l0i T NO• 2 DUPLEX I UNIT 3 APT. UNITS 8 MISCEL. � r ADDRESS 4� COMMERCIAL TEL. INSPECTION'RECORD CONTRACTOR cSE�I�• NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH :0 ZE T. ! lb' NO.OF NO.OF STORIES FAMILIES USE OF STRUCTU E SIGNATURE OF APPLICANT APPROVALS e ADDRESS S DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION ' $ P.C. $ FORMS,MATERIALS 00 FEB FRAME: FIRE S , VALUATION 00 BRACING.BOLTS'S' REE v< FURNACE:LOCATION. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAB VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE - RECT AND PORTED ADDRESS - FINAL/ ` .r •� - �`^-� WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.DljkT AM.CHIEF'BLDG. INSPECTOR D&3 9 0 5-UO2 MAR R 1 2.0 0 � WORKERS'COMPENSATION DECLARATION i u,,p,io a cL"I that I have r certificate of consent to self P P L I SAT I N 1`10"'R BUILDING PERMIT � msu,e, or a ce,tificate of Workers'Compensation Insurance, 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 ✓mak 7 J tion department. a ADDRESS r(�.5 Date Applicant CITY /f/C' 2` ZIP LOCALITY CERTIFICATE OMPENSAMONIOINSURANCEWORKERS' p �� NOW ON O CROSS ST. /l�� SIZE OF LO (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 TEL.. / . /��' USE ONE MAP OWNER Jc Ca O!�� . I certify that in the performance of the work for which this NO. � permit is issued, I shall not employ any pers any anner / B�/ I SPECIAL so as to become subject to the kers' on Laws. ADDRESS Gi C% ORKERS'COMPENSATION DECLARATION here y affirm;cr teat I have APPLICATION F®R BUILDING PERMIT � insure, or a certificate of Workers' certificate of consent to self kers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN., BUILDING 3,VADDRESS Certified copy is filed with the county building inspec- fAUD ING L//3 tion department. ESS /(� Date Applicant ?L.� ZIP � ; LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE OF LOT NOW ON LOT CROSS ST.(This section need not be completed if the permit is for one ASSESSORhundred dollars($100)or less.) T BLOCK LOT NO. MAP BOOK PAGPARCELTEL. "USE20NE MAPI certify that in the performance of the work for which this ER N .� NO. permit is issued, I shall not employ any person in any manner �• SPECIAL so as to become s bject to the Workers'Compensatio aws. ADDRESS r CONDITIONS 0 S CITY .t: ZIP `•. t] i. QL Date �J Applicant TO PLICANT: If, after making thi ertificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTIC ENGINEER NO. Exemption, you should become subject to the Workers' � n 7 CONST.sV// ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS illru�i� r✓� IL with comply with such provisions or this permit shall be deemed revoked. TEL. + STATISTICAL CL�IFICATION APT. COfy CONTRACTOR NO. fl U LICENSED CONTRACTORS DECLARATION. LIC, CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Cha er 9 ADDRESS n (Al NO. (commencing with Section 7000)of Division 3 of the Busine and LIC. SEWER MAP s 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 VALUATIO ADD Li ///{!1 U Contractor Date DESCRIPTION OF WORK f ❑y $ `' .. do I am exempt under Sec. ALTER LJ B.$P.C. for this reason a REPAIR ❑e• $ Date: USE OF DEMOL ❑ EXISTING BLDG. _ �3 3 a 8 A Signature APPLICANT TEL. v. FINAL j OWNER-BUILDER DECLARATION PRINT NO DATE ��j/ # 0 0 0 0 0 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS z/ r FIN f/Professions Code): PRESENT " By - 256, 1 3 BUILDING I, as owner of the property, or my employees with ADDRESS ° ° 2 5 6 1 35 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY (128-85 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 d,3 tion 7044, Business and Professions Code). ITM CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY ED TOTAPROP.SETBpLNECK FR M 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. # P.C.Fee$ Permit Fee Lender's AddressI certify that I have read this application and state that the Issuance Fee SLDMA P/C#above information is correct. I agree to comply with all County Investigation Feeyordinances and State laws relating to building construction, Total Fee i ( LDMA Perm.# and hereby authorize representative of this County to enter upo the above- a io ed prp.. for inspection p rposes. e ( `' �� SEE REVERSE FOR EXPLANATORY LANGUAGE ignature A plicant or Agent Dat r ` WORKERS'COMPENSATION DECLARATION Mns at afcertif carte of Worke s''Compensation Insuran elf A P P L I CAT I®N F®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 �•,�y ' Certified copy is filed with the county building inspec- FABUDDRE J tion department. Date Applicant ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one '��R hundred dollars($100)or less.) BLOCK LOT NO. MAP BOOK PAGE PARCEL rUSE ZONE MAP I certify that in the performance of the work for which this NO NO. permit is issued, I shall not employ any person in any manner r^ SPECIAL so as to become subject to the Workers'Comp n tion Laws. / CONDITIONS d JIM CITY T Zip 917 X Date Applica 0 NOTICE TO APPLICANT: If, after making is Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PRO SED BY ENGINEER NO. Exemption, you should become subject to the Workers' �� CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS � , .5 tft with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR r NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. L-L.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 t^ CLASS BK VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION .. DESCRIPTION OF WORK NEW E] Contractor Date ADD $ I am exempt under Sec. S �R"Ce polo. ALTER E] B.&P.C. for this reason REPAIR ❑ $ USE OF Date: EXISTING BLDG. DEMOL , APPLICANT TEL. Signature FINAL OWNER-BUILDER DECLARATION PRINT) NO. DAT I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINA .3 41.3 A Pr fessions Code): PRESENT BY BUILDING Z 4f # o 0 0 0 0 1 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 I a - 40,50 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. o a o40.505 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 1 1,05-85 REQUIRED YARD HWY TOTAL SETBACK F O I CONSTRUCTION LENDING AGENCY SETBACK PROP. LINE 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 m P.L. $Q Lender's Name LPerm. P.C.Fee$ Permit Fee ✓Vi (1 V Lender's Address I certify that I have read this application and state that the Issuance Fee C! s-0/4above information is correct. I agree to comply with all County Investigation Fee �/ / 11ordinances and State laws relating to building construction, Total Fee (! C/ and hereby authorize representatives of this ounty to enter m upon the above-menti ne roperttfor in ction purposes. $ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o plicant or Agent Date O KERS'COMPENSATION DECLARATION .'I here r a firm that I have certificate of consent to self APPLICATION P L I CAT F®OR BUILDING PERMIT � insure, or a certificate of Workers'Compensation Insurance, �® 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 �O 7 Date Applicant CITY ` ZIP Q LOCALITY �P fil/J CERTIFICATE OF EXEMPTION FROM WORKERS' NO.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 TEL.��i USE Z NE MAP ' OWNER ,IBJ CO(/C NO �� / rtf! I certify that in the performance of the war for which this NO. / �. permit is issued, I shall not employ an on in any mannerSPECIAL so as to become subject to the W C_mpens ADDRESS �000r^ CONDITIONS Oce Dat App' i• CITY ZIP t# NOTICE TO APPLICANT: a t r making this C AtIficate of ARCHITECT OR TEL. DISTRICT TYPE FIRE PR CESSED BY V Exemption, you shoul become subject to the Workers' 34) ENGINEER NO. �., CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS ?�OUP 31 It/ 1 5 C� with comply with such provisions or this permit shall be TEL. STATISTICAL CLASAF19ATION APT. CKDO. deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. Iy— DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code,and my license is in full force and effect. CITY CLASSBK l�v VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE ;VALELIATICON Contractor DateDESCRIPTION OF WOR AO. NEW ❑� �(J / ADD I am exempt under Sec. + / ALTER B.&P.C. for this reason ` � / s REPAIR USE OF Date. EXISTING BLDG.. DEMOL ❑ Signature APPLICANT TEL. FINAL g OWNER-BUILDER DECLARATION PRINT NO. DATE 00� ~� I hereby affirm that I am exempt from the Contractor's License1 7 A Law for the following reason (Section 7031.5, Business and 'ADDRESS FINA Professions Code): PRE FENT By # 0 0 0 0 0 1 BUILDING El I, as owner of the property, or my employees with ADDRESS 0 0 6 8 6 3 wages as their sole compensation,will do the work and 0 0 0 68.6 3 the structure is not intended or offered for sale(Section LOCALITY ® x / 7044, Business and Professions Code), MOVING TEL. I, as owner of the property, am exclusively contracting r;CONTRACTOR NO. O 8 O 6—8 6 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETaBACK YARD HWY TOTAPREOTPAINEFROM 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 o P.L. Lender's Name LDMA Ref. # $ P.C.Fee$ Permit Fee Lender's Address x I certify that I have read this application and state that the Issuance Fee ? V LDMA P/C# ¢ above information is correct. I agree to comply with all County Investigation Fee ordinances and Sta laws relating to building construction, Total Fee 43 LDMA Perm.# u and hereby ize representativ f this County to enter 3 up t e-mentioned pro y r' spection purposes. ¢ SEE REVERSE FOR EXPLANATORY LANGUAGE O t o r rcC 4lignature of Applica or Ag Date A .� )(YORKERS'COMPENSATION DECLARATION here-b-14 or affirm that I have r certificate of consent to self APPLICATION F R WILDING PERMIT � insure, or a certificate of Workers'Compensation Insurance, 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 S t Certified copy is filed with the county building inspec- EADDRE r tion department. n '� Date Applicant ` ZIP LOCALITYCERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. s NEARESTCOMPENSATION INSURANCE NOW ON LOT •f:% CRASS ST. L (/ (This section need not be completed if the permit is for one �� BLOCK LOTNO. SOR hundred dollars($100)or less.) MAPBOOK PAGE PARCEL TEL. USE ZMAPI certify that in the performance of the work for which this N0.3 r7 NO. IL permit is issued,I shall not employ any person in any manner t�—/ SPECIAL so as to be me bject to the Workers'Co ensatiog L ADDRESS CONDITIONS 4� CITY ZIP IM Date Applicant V NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER NO• CONST. ZONE Exemption, you should become subject to the Workers' �O8 yr]_� eas Compensation provisions of the Labor Code, you must forth- ADDRESS ! !�, H with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 1111 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC, i Professions Code, and my license is in full force and effect. CITY CLASS I;i BK PG VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE r VALUATION Contractor Date DESCRIPTION OF WORK NEW D ❑ $. I am exempt under Sec. ALTER ❑ I dI B.BP.C. for this reason / •e REPAIR ❑ I $ Date: USE OF DEMOL ❑ EXISTING BLDG. Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINA Profe ions Code): PRESENT By BUILDING —93223A I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and # 0 0 0 0 0 the structure is not intended or offered for sale(Section LOCALITY01 7044, Business and Professions Code). MOVING TEL• o a 2 a 5 O I,as owner of the property, am exclusively contracting CONTRACTOR NO. i with licensed contractors to construct the project (Sec- ADDRESS I 0 0 o 2 a 5 0 H tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I Q 2 1 85 1 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 g P.L. r Lender's Name d LDMA Ref. # Lender's Address P.C.Fee$ Permit Fee L ' r I certify that I have read this application and state that the Issuance Fee �V LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee jj�� ordinances and State laws relating to building construction, Total Fee V LDMA Perm.# and hereby authorize representatives of this County to enter upon.t ,above-m ntion propprty dr inspection pure es. �_s SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Ap licant or Agent ate t OO 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 0610300043 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SO. FT STORIES TYPE 9634 OLIVE ST STRUCTURE: 2100 VN TEMP CA 917803249 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD. 8589-002-015 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/10/06 JK 10/25/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F _DAT$ FINAL BY: CODE: HOCCOM LAWRENCE D CO TR HOCCOM TRUE - 3,500 9634 OLIVE ST TEMP 917803249 FEES PAID DESCRIPTION OF WORK �- RE ROOF OVER EXISTING SHINGLES WITH 30 YEAR SHINGLES AND FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: RIDGE CAPS APPLICANT: TEL. NO: TEMPLE CITY ROOFING CO. - AA BLDG PERMIT ISSUANCE 27.75 1216 BEGONIA COURT AC STRONG MOTION REBID 3500.00 VAL 0.50 SPECIAL CONDITIONS: UPLAND CA 91784 D2 PERMIT W/O EN-HC 3500.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE TEMPLE CITY ROOFING CO. (909) 608-0622- 1216 BEGONIA COURT LIC. NO LOCATION AND SETBACKS UPLAND, CA 91784 SIC 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: UNDPRFLOOR INSULATION 147H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS 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 * ADDITIONAL DATA ON FILE LOT DRAINAGE i REPORT ID: DPR261 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 91780 BL 0508 1103020040 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: ON FILE I SQ. FT STORIES TYPE I 9634 OLIVE ST I ISTRUCTURE: 920 V-B I TEMP CA 917803249 I ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY 18589-002-015 1 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl IT T (EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: I 1EXIST OCC GRP: 103/02/11 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINALL P.Y: CODE: ] IHOCCOM LAWRENCE D CO TR HOCCOM TRUS - I 145,050 19634 OLIVE ST I I 1jy TEMP 917803249 1 FEES PAID I?SCRIPTIO IOF WORK 111 ITO FINALIZED EXPIRED PERMIT FOR ADDITION ON 1994 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 I [APPLICANT: TEL. NO: I I IPFEIFFER, BRUCE L (626) 278-2187- IAA BLDG PERMIT ISSUANCE 27.80 ] I 1409 MEADOW LN. IAB STATE GREEN BLDG FEE 145050.00 VAL 6.00 ISPECIAL CONDITIONS: I MONROVIA AC STRONG MOTION RESID 145050.00 VAL 14.50 1B2 PERMIT W/ENERGY 145050.00 VAL 131.53 1 I I TOTAL FEES 179.83 1 I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IPFEIFFER, BRUCE (626) 446-5999- I I [409 MEADOW LANE LIC. NO I ILOCATION AND SETBACKS I I I IMONROVIA, CA 91016 NONE 1 1 1 ISOILS ENGINEER APPROVAL I I [ 1ARCHITECT OR ENGINEER: TEL. NO: - 1 IFOUNDATION/TRENCH FORMS I I I LIC. NO: I 1SLAB/UNDER FLOOR I I I 1 1 (�( b�, ! I RAISED FLOOR FRAMING 1 I I (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: I CMP:1 1UNDERFLOOR INSULATION I I 1 1147H269 3 001 I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 1 NO 21 1 IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS [ ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NO ] I 1 1FRAME INSPECTION IFIRE SPRINKLER HANGERS 1 I 1 I 1 1 (INSULATION/WEATHER STRIP( I I 1 1 (INTERIOR LATH/DRYWALL I I I 1 1 (EXTERIOR LATH 1 I I 1 1 IRATED FLOOR/CEIL ASSEM. II 1 I 1 IRATED WALL ASSEMBLIES 1RATED SHAFTS/OPENINGS I I 1 1 IT-BAR CEILINGS I I I I I 1 (LOT DRAINAGE I I I I I I 1 ]REPORT ID: DPR261 ROUTE TO: BS0508 I I I