HomeMy Public PortalAbout9218 PENTLAND ST_Building__ TEMPLE CITY
.�......�w. l APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUI elsN 2 I FlEw Thy-N
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY T — CI T-Y
JOHN A LAMBIE COUNTY ENGINEER NEAREST tt
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE PROCESSED BY
S-o CON. I 60LoVKz)
BUILDINGSTATISTICALCLASSIFICATION SEWER MAP '
ADDRESS N SK PO
CLASS NO DWELL UNIT9
LOT NO BLOCK WATER NOT REQUIREDEl— RECEIVED
CERTIFICATE
TRACT SIZE OF LOT / NOW ON LOTS f NOP Z�/ I(CGRCLEI IHWAY STATE MAJOR SECOND LOCA
USE ZONE SPECIAL
USE OFCONDITIONS
EXISTING BLDG PES,
'A_ 1_
OWNER D. RAPP D TEL I
NO
T �}� BUILDING YARD HWY STREET NAME EXIST
ADDRESS ZZ/Fr AMAA/ I G � SETBACK r WIDTH
FRONT
ARCHITECT OR .TEL P L
ENGINEER NO SIOE
P L }
ADDRESS d
CONTRACTOR NOf� INSPECTION RECORD 0
ADDRESS S /
DESCRIPTION OF WORK ` G
W
d
N
NEW AOD ALTER REPAIR DEMOLISH Z
SO .� .><- NO OF NO OF —
IZE STORIES FAMILIES
USE OF`
STRUCTURE
-F-1 RE G
BIGNATUREO
APPLICANT
�n
VALUATION E a,d�
APPROVALS D)A`TEJI INSPECTOR S,SIG�NATUURRE
FEE $ FMT EE S`� J FOUNDATION
MATERIALS
LOCATION ��/IA/V� //il�'LY,�L�✓/
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCE% AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE --
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT ,
TION OF THE LAB CODE OF THE STATE OF CALIFORNIA RELAT
IND TO WORKM 6 OM NS TO
IN
AMCE
LATH EXT
SIGNATURE F HOUSE NUMBER COR.
PERM ITTE RECT AND POSTED
ADDR", FINAL
CLYDE N DIRLAM PFUNCIPAL5Tpd-CTbjRALENGINEER
PLAN CHECK VALIDATION im mo CASH PE I,= VALIDATIONcK r o :A,,m ,
ti LhCo 5 8 9 9`0 puri '7 1 D 6.00 .
� _ 1
DEPAF;MENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES � ' ® ' ^ -
WMI. J FOX CHIEF ENGINEER V
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLAN CK NO PERMIT NO
BUILDIND 218 Pentland Avenue
ADDREBB �R
LOCALITY T ' Oity, California RECEIVED BY DATE OF APPL hDATE7IBBUEDD•
NEAREST �� ,i / — '
CRO 1RRryFTrp�A�tyU{� HOMES
INC.TOWER HOMES INBUILDING � � C r,
OWNER MAILa ADDREBB C/.�1�1
ADDRESS 26 East Santa Clar
�a
/�St. LOCALITY T!�C ,
NEAREST
TY Arcadia TEL DO • CROSS ST 'T" � �1
7-3563
FIRE NO OF ^v TYPE GROUP
ARCHITECT OR TEL ZONE PLANE
ENGINEER NO
BLDG �I P L IORD>•FtN�
ADDRESSSETBACK LINE
APPROVED
CONTRACTOR Same NEL BY DATE
USE (/�� ` APPROVED '
ADDRESS r� ZONAE�1 1��] By I DATE
LEGAL
-DESCRIPTION I LOT NO 120 1 BLOCK I v CORRECTIONS
[�
TRACT 16475 ez Q L
OFBLDGB
SIZE OF LOT 66 a 101 I NOW ON LOT No {
USEOFNO OF NO OF
EXISTING BLDG No _LLL'
ROOMS - - --
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
REPAIR MOVING I DEMOLISH A
D
SIZE ROOOF
MS STORIES >
WALLROOF r
COVERING Plaeter I COVERING 14 m
UBE OF NEW
BUILDING Dwelling — Attaohed Garage `
BUIM
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS,
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION �N PECTOR DATE_
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOR Me, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION _ x7
J FRAME FIRESTOPS,
SIGNATURE OF BRACING,BOLTB
PERMITTEE_ S LATH, INT
AUTHORIZED AOT LATH, EXT
owcaBAe� PLASTER, INT
oae-a cam 9Eie $ l/ 0 P C m < �7
.-�� PLASTER,IXT
VALIDATION
,I FEE 7 FINAL
TEMPLE CHTY
.......R,.., HI _ APPLICATION FOR BUILDING PERMIT
COUNTY OFiLOS ANGELES 1 ABUILDING DDRESS 9 21 PENTL/{AJ P
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DTMION LOCALITY 7:L�MPLo
JOHN A LAMBIE COUNTY ENamsRn NEAREST �-(Lk T-v S _
WILLIAM JENSEN BLIP T OF DOILOINS CROSS ST
DISTRICT NO GROUP TYPE PROCESSED BY
FOR APPLICANT TO FELL IN S .L) T CONST� CD LovK()
BUILDING A • ' 7, STATISTICAL CLASS IFI CATION SEWER MAP I
FIN SK PO
ADDRESSPe-
nn��
CLASS NO DWELL UNITH
LOTNO 10 BLOCK WATER NOT REQUIRED ' RECEIVED Lj
r CERTIFICATE
TRACT
J NO OF BLDG9 NOP Z0 �Hl. . EI STATE MAJOR SECOND L OA
SIZE OF LOT NOW ON LOT I� USE ZONE SPECIAL`
USE OF1 ,. CONDITIONS
EXISTING BLDG AV64t/nIS- A_1
• TEL R
OWNER • NO BUILDING YARD HWY STREET NAME WIDTH EXIST
Z Tc. . SETBACK
ADDRESS / FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE' ,
P L }
ADDRESS — T p INSPECTION RECORD' 0
CONTRACTOR }� }� 1 NO -QV /
ADDRE991 P� TIO O 5T G:dd'NA {} jI �, A ED
DESCRIPTION OF WORK ✓t.tYr�^ t)/1+' �{'GYA//�/
y
• D ALTER REPAIR/ DEMOLISH / L Z
SO FT NO OF ZESTORIES / NOFAMILIES
STRUCTURE E.S. 4— 20)(2e) 0-AAP,
SIGNATUANNTJj
APPLICANT -
VALUATION$ PV
I
APPROVALS DATE� INSPECTOR 991GNATURE
FEE S FEE S FO FORMS I MATERIALS LOCATION J�IG.�3
FRAME FIRESTOPS
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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS A'
BUILDING CONSTRUCTION I CERTIFY THAT.LN DOING THE WORK _
AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN CO PENS TION INSURANCE LATH EXT I
a SIGNATURE RECT AND POSTED
HOUSE NUMBER COR-
PERMITT _
ADDREs FINAL`
-CLYDE N DIRLAM PRINCIPAL S7 RAL ENGINEER
PLAN CHECH VALIDATION cx mo cAYN PERM VALIDATION CIL mo CASH
I .
Udo 6 4 nay 3 1 5.1130., �,
fIF
WORKERS COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self APPLICATION FOR ILDING PERMIT
' insure or o caridicare of Workers Companshan Insurance or
a certified copy thereof (Sac 3800, Lab C ) - COUNTY OF LOS ANGELS r BUILDING AND SAFETY
Policy No Company
BUILDING
a Certified copy ii hereby furnished - FOR APPLICANT TO FILL IN •" ADDRESS $T
Certified copy is filed with the county building mspec BUILDING - ' - .
' hon department - < ADDRESS Z LOCALITY
i
J � r .t+ v • NEAREST r
Date ` It ApplicantCITY r - ZIP CROSS ST
"s CERTIFICATE OF EXEMPTION FROM WORKERS z NO OF BLDGS ASSESSOR
C s S COMPENSATION INSURANCE T SIZE Of LOT NOW ON LOT MAP BOOK PAGE PARCEL
s.(This section need not be completed�dlihe permit is for one , U ZON MAP r
,hundred dollars'($100)or less )L , TRACT `� BLOCK LOT NO NO
iEL SPECIAL ' d
i;I certify that in the performance of the work for which this OWNER tJ0 CONDITIONS
permit is issued shall not employ any person in any nner DI TRICT GROUP TY FIRE PROC D BV , V
sso as to become subject to the War a pensa aws ADDRESS Sr E r
s _ { .
(" CITY - ZIP
Date Applicant STATISTICAL CLA TION = - APT CONDO V
NOTICE OT APPLICANT"If 'after making this Certificate of ARCHITECTIOR .. ��TLL
'Exemption you•should become subject to the Workers _ _ CLASSNO DWELL UNITS_ N
Compensation provisions of thed.abor Code you must forth ADDRESS SEWER , Z
,with comply with?such provisions or thin permit shall be
deemed revoked - + CONTRACTOR1 TEL BK PG ° VALIDATION 4
LICENSED CONTRACTORS DECLARATIONI rr LIC -
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS G NO s( VALUATION' - c
(commencing with Section 7000)of Division 3 of the Business and LIC /- +
e Professions'Code and my license is in full'force and effect CITY CLASS _ f QCT
SO FT NO OF NO OF CHECK '
License Number 1!94 L¢ Class SIZE �Z STORIES FAMILIES ONE
'�L� f
t Wrz -L- Dsatey)_ Z ❑DESCRIPTION OF WORK r NEW
Contractor +4� `111
❑ ` T ADD'
I am exempt From the licensing regrements as I am a
licensed architect or a registered professional engineer _ ALTER ❑ FINAL
acting m- my professional capacity (Section 7051 _ Gj ❑ DATE
Business and Professions Code) USE OF p �J REPAIR n
_ 1 - EXISTING BLDG >, f'ELS - DEMOL ❑ FINAL
w ,
Lm or Reg No _ Data APPLICANT TEL t T s
OWNER BUILDER DECLARATION - �' - PRIM +' NO
--r• hereby affirm that I exempt from the Contractors License -�! sL - t;
Law for the followingg r reason (Section 7031 5 Business and,., ADDRESS C+ 'Y'�-'�91CsA
Professions Code) RR i 3;7,Z,j A
❑. l - .r,-r BUILDING -
as owner of the property or my employees with ADDRESS T r
wages as their sole compensation will do the work and #,.to t.
_= the structure is not intended or offered for sale(Section LOCALITY - �i
7044 Business and Professions Code) 11 MOVING TEL _ l 2'- 1 it 5 0
❑ as owner of the properly, am exclusively contracting CONTRACTOR NO -
r
� with licensed contractors to constructruct the project (Sec ,�
.. hon 7044 Business and Professions Code) ADDRESS 4,5 O Fi
i 4 _ _
CONSTRUCTION LENDING AGENCY
REQUIRED gD TOTAL SETBACK FROM EXIST #'4 2 6—8,2
- i -
Uhereby affirm
BACK YAHWY PLINE WIDTH
FRONT that there is a construction lending agency for- FRONT. .— J`,
the performance of the work for which%this permit is issued i t'P L' ,
(Sec 3197 Cry CJ _ _ .. FSIDE - -/ 11 + • ' --
I PIL V `
Lender s NomeT
Lender s Address P C Fee f Permit Fee V• 4/(�vy� `
w I certify that I have read this application and state that the ' Issuance Fee + pV t
aa e information is correct agree to comply with all County lovesegouon Fee _ _
aril antes a laws relating to bmlding construction .
an h b thorn repres I ves of this County to enter total Fee
q, up a mens r e ty for inspection purposes . s .
- - - SEE REVERSE FOR EXPLANATORY LANGUAGE L
S,gnorora of Ap ¢ant or Age _ Dote ` +
i mr L
,rt WORKERS COMPENSATION DECLARATION' ' - a : '•`
insurek r a cei•that I haver certificate Comp of tion Ins to self APPLICATION_F_OR_BU•ILDING_PERMIT ---'.
• insure or a ceFbficate of Workers Compensation Insurance � � '
or a cenified2apy thereof c 3800 '+� "°^ i t, ,
COUNTY OF LOS ANGELES rBUILDING AND SAFETY,
,PDI o mp� `GCompony
` ZiLLe'ifieDING
d c py is hereby'furni"shed `•''': _ �„ RADDRM'
"`FOR APPLICANT TO FILL IN � ' ADDRESS Z�j r- • - -I ,
-❑ ,.Certified copy 1s filed with the county buil ng inspec- ' - NG �` - -{,on department r, SS �l ' ZIP -itData tAPPLcan1 r OF BLDG LOCALITY - rL -v '" e RT ICATE OF EXEMPTION FROM WORKERS`' • - F LOT' NOW ON LOT ' CRONEAISSSST��t- + +• -COMPENSATION INSURANCE' t This sectionneed nottbe completed if thepermit is for carie fTr'"-1 • BLOCK ' ' LOT NO --^ s.+t ASSESSORrte'MAP BOOK k PAGE*0 LJ PARCEL'hundred dollars (E1 D0) or less )' 'S R, NO .—. • lSE ZONE NO I ceinfy thabin,the performance'of'the work for which this '+ SPECIALpermit 1s issued I`shall not employ any person in any manner _ _ 55� CONDITIONSOso as to kSecomesublect to the,Workem t Compensation Laws -^. , 1. 'A v _ ,ZIP Date �'- -'- Applicant, + •-� TECT ORO • TELNOTICErTO APPLICANT' If aftsi making,this,Certif¢ote of ( .D(STRICTS GROUP TYPE_ v FIRE PROCESSED BY+ EER•. NO _ ' CONST"r i j1_7 NEExempiwn, you should becomasublect tot the.Workers' p^Q �7�(O Compensanon+provisions of,ihe Labor Coda, yo`u mwt forth- SSr i UO �- ✓r"'. ,../" �(
with,comply,twnh such,provisions orfthis permit shall the TEL STATISTICAL CLASSIFIC4710N ter. AP7 CONDO` N
deemed'revoked e . CONTRACTOR NO w-•«_.. «x i I Z,
LICENSED CONTRACTORS DECLARATION -..'T,, + c,1 LIC ,CLASS NO _DWELL UNITS_ t
ADDRESS V NO �}
'I hereby affirm that 1 am licensed under pron Sof th Chapter 9 , - _ SEWER MAP
and corPr encmg with a and x7000)of nse is Ilan l of the Business LIC - - i A r
and Professions Co�dea�ndmyi6rc�ense is nifullfoTc n6effMt ,- CITY" � - �^SS BK PG VALIDATION,-
TII 1N .� So FT'i •"- - NO OF'_ _ NO OF CHECK t -
' 'L kens Number .. _L¢ Class � SIZE STORIES _ FAMILIES ONE Y
.A ... r ,• e' - - -" "-'T - , VALUATION •} ''},1j'
Contractor �rT�L �l_'i Date�.Lt ir-kA, _
DESCRIPTION WORK NEW ❑ -'$
•�-7 W t �T
❑tl am exempt under Sec sc• l� _
ADD—'E1
" - - -
;ALTER +c•"�i+4=-. -0. ►•
B 8P C for this reason 1 • - REPAIR ❑ 1 $ -.�''+
�- • Date USE OF� - .. `u r is r
EXISTING�BLDG7 'DEMQ
y' Signature ' V APPLICANT TEL' _
"h PRINT > Y FINAL/
OWNER-BUILDER,DECLARATION y ( )r _NO DATE/Z
hereby affirm that I am exempt from the Contratlor s Lmense' L,l -- ,
Law Gtr the foll"owmg•riason-(Sechor 7031_5, Business and
ADDRESS FIN
Professions Code) : _ : 4^; . _ E ,_ g ' ^ • '
C - BUILDITJGI _ _ _ _ _, .,r ' - h -q Y L's. .*.ar x-' 7 r
�i 1 1
❑ -I, owner of the pro rty,.or my employees with ADDRESS ' - e a-- •T • ch ,
.t wages as their sole compensation,will do the work and +- + -+z T ,A/ y . -!---
the
-
• the structure is not Intended or offered for sale(Section LOCALITY „�a i_t • , s. r1L -
7044, Business and Professions Code ) -,- -rr -"- - MOVING_ __ + _ ,. _TEL+ - LV�^ „ - 1
r + COVING-OR _ NO �� � �� IrE�1],
•❑' I as owner of the property, am exclusively contractmg !' ' 1 r {
• w,th,l,censed contractors to construct the project (Sac ` ADDRESS 1 - ',` /.V I'-11-IL —73
t tion 7044,Business and Professions Code ) ` I- , , ' r _ 1
•'T•
REQUIRED- . NOTAL SETBACK FROM EXIST ,-'• b ` C-�
CONSTRUCTION LENDING•AGENCY - SET BA YARD 'HWY PROP LINE WIT `-'1 y j� `�Erts`•-' -7}..�5
I hereby affirm that there is a construction lending agency for FRLOST
- s the'pe
rformance'of tfie'work for which this permit is'issued P +•a k
f ,(Sec 3097 Crv`G') _ y 'SIDE, r r
PLv
Lender s Name ^ _ < , -r ~•� - - 1• `tea s !t t II- +
4+.r. _ Z 3 1DMA Ref x , r , J��CI
• P C Fee S Permit Fee v C
Lender's Address .-
4 luuonce Fee %�Q LDMA P/C N '� +
I certify t ead this appbcation andstaie that thea ^ 1-
8 abov formation is c rect-I agree to comply with all County Invesligatlon{ee -I . '
R ordi ces,ond Stat ws relating to building'const`ruct�on _ ` Total Fee ✓ t LDMA Perm•6'
bad �by,authan resentatives of this County to'enter r f • - ^
upon a ve- property for inspectI1011 purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE '
n ature of Applicant or Agent Vtd_ -" - - "- �� ` • " - s "� + "
tom" A 'n•E .+ ,
I
LOUNTY 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 0208270006
PHONE (626) 285-0488 EXT
i
lEl.ku_Tu__ NO OF CONST BUILDING ADDRESS
TR= 16475 LT 120 SO FT STORIES TYPE 9218 PENTLAND ST H ��
STRUCTURE VN TEMP CA 917803735
k,TESSOR INFORMATION NL14BER NEAREST CROSS,STREET ENCINITA* -
8590-010-020 - THOMAS PAGE 1596 GRID -J5 (,LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE RESID USE ZONE R-I ISSUED ON PRUILLSSLU bT LXPIRES#ON
EXIST OCC GRP 108/27/02 JK 02/23/03
TEL No BLDGS NOWON LOTw + + VALUATION fE FINAL BY E
DANIELS S EUGENE,MATHILDA M (626) 286-7097 3,800 2
9218 PENTLAND ST
TEMP 917803735
T/O HOUSE 8 GARAGE,INSTALL 40YR FIBERGLASS CLASS A SHINGLES
FEE DESCRIPTION QUANTITY UOM AMOUNT OVER EXISTING DECK
APPLICANT TEL NO
JOSE SALAS - AA BLDG PERMIT ISSUANCE 27 75
1043 WESTSIDE DR AC STRONG MOTION RESID 3800 00 VAL 0 50 SPECIAL
LOS ANGELES D2 PERMIT W/0 EN-HC� -�3800 00 VAL 115 80
5 P�1C,ELESO
TOTAL,FEES 144 05
APPROVALSCONTRACTOR TEL NO
WEATHERGUARD ROOFING (626) 287-0669- INSPECTORA
4251 BALDWIN AVE LIC NO LOCATION kND SETBACKS
EL MONTE, CA 91731 808888 C39/
SOILS ER APPROVAL
ARCHITECT OR ENM NEER TEL NO J//
LIC NO � FOUNDATION/TRENCH FMRF SLAB/UNDER FLOOR
�J.1� 11111]
l-- -n� (n�t/� q n�IUNDE;FLOOR INSULATION
WMM—TURK FRAMING
14AP NO 144H265 SEWER 3 ' 101 IU"U0 VG�IK(
THING
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
No zt\\` 8 J� JJ��11 CCN��JJJ ROOF s
SCHOOL WITHINO wt°' TRUV6ANLLS Cd TZue
AIR QUALITY 1000 FEET MATERIALS Q n ''
NO NO NO
A ��9
SET BACK YARD HWY PROP LINE WIDTHFRO46��� ServOe That��` TASD[ o s
SIDE PL-
INTERIOR LATH/DRYWALI
EXTERIOR LATH
RATED WALL ASSEMBLIES
,
RATED SHAFTS/OPENINGr
R CEILINGS
I
LOT DRAINAGE
REPORT ID OPR261 ROUTE TO BS0508 —//y/
COUNTY OF LOS ANGELES TEMPLE CITY x• 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 . BE 0508 1401150020 l
PHONE (626) 285-0488 EXT
(LEGAL ID - NO OF CONST NEW BUILDING ADDRESS
ITR 16475 LT 120 SQ FT STORIES TYPE OCCUP GROUP 9218 PENTLAND ST
(STRUCTURE 136 1 V-B R-3 TEMP CA 917803735
(ASSESSOR INFORMATION NUMBER GARAGE NEAREST+CROSS STREET
16590-010-020 OTHER THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY CAI
(TENANT EXIST BLDG USE PHOTO IISSUED ON PROCESSED BY --
I (EXIST OCC GRP R-3 101/15/14 SR
(OWNER TEL NO � BLDGS NOW ON,LOT VALUATION FINPL T Fi/p'1Ai/.�.`HY CODE
IDANIELS S EUGENE MATHILDA M - 8 000
9218 PENTLAND ST /
TEMP 910803935 - FEES PAID SCRIPTION F WORK
INST4LL (8) PHOTOVOLTAIC LAR PANELS FLUSH ON ROOF
I 1FEE DESCRIPTION QUANTITY DOM AMOUNT 1
APPLICANT TEL NO
ZELLMER FRED T (818) 528-4634- IAA BLDG PERMIT ISSUANCE 27 BOA -
I8306 W MANCHESTER AV - - IAB STATE GREEN BLDG FEE 6000 00 VAL 1'00 (SPECIAL CONDITIONS
PLAYA DEL REY 90293 IP1 RES PV PC,10KW 153 90
7 IP2 ZNSPCT+RES PV <10KW 138 00
I TOTAL FEES 320 70
CONTRACTOR TEL NO - AFP cl S DATE INSPECTOR SIGNATURE
1A1 SOLAR POWER (855) 410-4700- 1- 1
115025OXNARD ST 4200 LIC NO I LOCATION AND SETBACKS
VAN N^UYS CA 91411 493623
ISOILS_�
ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOJNDATION/TRENCH PORMS
LIC NO 1 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING '
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I - UND-RFLOOR INSULATION
3 0J --l-1
FLOOR SHEATHING
ING OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 1 1
I NO 20 ROOF SHEATHING _
SCHOOL WITHIN HAZARDOUS I ISHEFR PANELS
IATR QUALITY 1000 FEET MATERIALS
I NO NO NO FRN'E INSPECTION
FIRP SPRINKLER HANGERS
I I
t INSULATION/WEATHER STRIPI
I 1 11NTcRIOR LATH/DRYWALL ,
E%TFRIOR LATH
RATED FLOOR/CEIL ASSEM
IRATSD WA L ASSEMBLIES
I IRaTED SHAFTS/oeervlNcs I I
T-BIR CEILINGS
I I I
(LOT DRAINAGE
J 1 I I I I
' (REPORT ID DPR261 ROUTE TO BS0508