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HomeMy Public PortalAbout4854 ROBINHOOD AVE_Building__ A899 CE#ao9.,o.g8641�P�.lOATI®N FOR 6UILDING PERMIT — .�. BUILDING'AND SAFETY DIVISION BUILDING ADDRESS County of Los Angeles LOCALITY JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST DISTRICT .O. ROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN Bx PG CONST. BUILDING � ADDRESS STATISTICAL CLASSIFICATION LOT NO. BLOCK CLASS. NO. DWELL._UNITS�I MAP, STATE YES N 'NUMBER HWY- TRACT T J6 USE 7,ONE SPECIAL / /I NO.OF BLDffT lE CONDITIONS 'p " SIZE OF LOT NOW ON Lq/�/®I�le USE OF EXISTING BLDG. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT MAIL P. L. ADDRESS !� p SIDE TEL.= �7 P. L: CITY I NO. INSPECTION RECORD ��✓ ARCHITECT OTEL ENGINEER *� �v NO. R . F___ ZINIALL ADDRESS t?No at6 CONTRACTOR N. 7 ELffh g ADDRESS/ fit' LJ C SS A—ly a l DESCRIPTION OF WORK - 4--r i NEWS ADD ALTER REPAIR DEMOLISH S4.FT. ` NO.OF NO:OF + • '•� ` �,f '/:-�G-r\- G/r 1 SIZE Y STORIES FAMILIES '�'J r♦ i US F TRU R,E _ •/) /'�rfJ l/ I r-^' �/� ?;=�•:i+:i 14 APPROVALS SIGNATURE O APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS w FOUNDATION:LOCATION FORMS.MATERIALS % I� .S / /..'�'.".'�• t'"%I . $ FRAME: FIRE STOPS. $ DC�C9 FEE ^ BRACING.BOLTS .� `7 IYGCl�^:t+'�./i L •; / VALUATION $ o FURNACE: VENT. DUACTSN. FEE , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.•INT. -S E'^� A*r PLICATION AND STAT THAT THE ABOVE IS CORRECT AND r• /���'��^� AGREE TO CO Y TH ALL NT DINANCES AND r STATE LAWS G LATING B 1 G STRUCTION. LATH. EXT. Ii I. SIGNATURE OF HOUSE NUMBER COR- ✓ / S• `,/r, PERMIT RECT AND POSTED /r�P �,7 1.... (jsnr. ADDRFSSA FINAL •?7 l OHN A.LAMBIE.COUNT NGINEER, CLYDE N.•DIRLAM.•PRINCIPAL.STRUCTURAL ENGINEER- PLAN CHECK VALIDATION cK: M.O. CASH PERMIT VALIDATION -CK. :' M.O. CASH :' 3 8 i JJI 1 1.. 8." ,1'e: :�. , , JUL ,5 4 6 f/1-1 �, f WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self I' p �. insure, or a certificate of Workers'Compensation Insurance, ® L�� T 1® " B, I ■p E RM or a certified copy thereof(Sec. 3800, Lab. C.) I I Ins,- CO. i COUNTY OF LOS ANGELES BUILDING AND SAFETY JOB # 1294 Policy No.RCS 137886ompany Roya ...............::... ,:.: �....: ,....�...•... . . BUILDING ,l ' ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ® Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 4854 Rob i nhood LOCALITY NEAREST Date b 11;193 ApplicanlCAL—PAC ROOF I NG s INC CITY Tem I e Cit ZIP 91780 CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS', , NO.OF BLDGS. -ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. TEL. �� SPECIAL } I certify that in the performance of the work for which this OWNER Mr. William S immon i anNO. N/A7. CONDITIONS R. permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS 4854 Rob 1 nhOOd CONS Z�VE fJ be Date Applicant'_ 'CITY'-Tem 1'e: CI"t ZIP:. 91780. STATISTICAL SSIFICATION APr. CONDO. NOTICE TO APPLICANT:.If,:after'making this Ce[.tificgte;of 'ARCyLTECT OR ^` :'.: ;':.:711;'•.' ENGINEER: i' :'.:. " .:: ::•.T10 CLixSS NO. DWELL..UNITS W 'Exemption, `you'shtiuld•-be' 'b"', t--to, Workers' t3. Compensation provisions of the Labor Code", 'You must forth-' YYDDRESS:• SEWER MAP" with comply with such"provisions or this permit shall be ' deemed revoked. CONTRi4CTOR CALPAC ROOFING•'• dt • 7 8.W644b: BK: �. VALIDATION LICENSED CONTRACTORS DECLARATION 61,8 N.' ' ECkhoff.St LIC. 3]9503 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ° ' NO: VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code,and my license is in full force.and effect.. CITY Orange. CA 92668 CLASS B $ 7074.00 SQ.FT. NO.OF NO.OF CHECK License Number 379503 Lic.Class B SIZE STORIES FAMILIES ONE .Mel Egen 6/6/83 ''DESCRIPTION OFWORK Reroof with 26 NEW 11 $ Contractor Date El I am exempt under Sec. ?gauge galvanized steely 31°75S $DD ❑ FIN. one layer 0••150 •lbs per SQ ALTER ❑_ DATEL ���� B.BP.C. for this reason y P REPAIR LTJ '. USE OF [:] sy AL Date: EXISTING BLDG.S.I ng 1 e family dwe 1 l i ng DEMOL r Signature AP PLP N"T CAL-PAC ROOFING, , 1NQ,. 978-6446 OWNER-BUILDER DECLARATION D I hereby affirm that I am exempt from the Contractor's License '0 ran a 92668 Law for the following reason (Section 7031.5, Business and ADDRESS 8 ECkhOffSt°- Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS -J' O b"4 A wages as their sole compensation,will do the work and the structure isnot intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. '0 0 0 0 0 1 ❑ I,as owner of the property,am exclusively contracting ` CONTRACTOR NO. 2 ° 1 0 6. 1 3 with licensed contractors to construct the project (Sec- ' S'ADDRESS tion 7044, Business and Professions Code). 1 06. 1 3' REQUIRED L SETBACK FROM EXIST. ' CONSTRUCTION LENDING AGENCY I TOTAL SET BACK YARD HWY PROP. LINE WIDTH ' I hereby affirm that there is a construction lending agency for FRONT .0 62.2-813 the performance of the work for which this permit is issued I P.L. D tSec. 3097,Civ. C.).- SIDE e Lender's Name Y� i3 PJC.Fee$ Permit Fee Lender's Address 'p I certify that I have read-this application and state that-the Issuance Fee 10050 above inform ion is correct. I agree to comply with.all County Investigation Fee f� ordinan s tate laws relating to building construction, i Total Fee and h y th rize representatives of this County to enter , upon a ve- eryioned pybperty for inspection purposes. A o ���O I SEE REVERSE FOR EXPLANATORY LANGUAGE 61 ®s Sig to of Applicant or-Agent" � to i s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0510210007 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 19043 IT: 27 SQ. FT STORIES TYPE OCCUP GROUP 4854 ROBINHOOD AV STRUCTURE: 390 1 VN R3 TEMP CA 917804028 Z&1I-9� ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: RYLAND 8585-010-032 OTHER: THOMAS PAGE: 597 GRID: BS LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/29/05 JK 11/24/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN*AL�DAT FINAL BY: CODE: NIMMRICH RONALD L;MARIE (626) 448-3304- 55,000 4554 ROBINHOOD AVTEMP 917804028 FEES PAID OF WORK 1- ITION OF MASTER BEDROOM AND BATHROOM - 390 S.F. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: GLASER CONSTRUCTION CO. (626) 574-7613- B1 PLANCHECK W/ENERGY 55000.00 VAL 795.07 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 55000.00 VAL 5.50 B2 PERMIT W/ENERGY 55000.00 VAL 935.39 TOTAL FEES 1,763.71 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE GLASER CONSTRUCTION CO. (626) 574-7613- 3040 DOOLITTLE AVENUE LIC. NO LOCATION AND SETBACKS ARCADIA, CA 91006 493719 B + SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION TRENCH FORMS 1 l 1 LIC. NO: SLAB UNDER FLOOR / RAISED FLOOR FRAMING 23 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 O1 G/ IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDB PL- INSULATION WEATHER STRIP INTERIOR LATE DRYWALL / EXTERIOR LATE b LOT DRAINAGE SMOXE DETECTION DEVICES FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BSO508 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 1404070028 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: [ ITR: 19043 IT: 27 I SQ. FT STORIES TYPE 4854 ROBINHOOD AV I ISTRUCTURE: V-B TEMP CA 917804028 1 (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: 18585-010-032 I I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY CAI 1 .1 ITENANT: 1EXIST BLDG USE: REBID USE ZONE: R-1 TISSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 104/07/14 SR 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: D T F NAL CODE: [ INIMMRICH RONALD L;MARIE (626) 448-3304- 1 2,200 1 14854 ROBINHOOD AV I I ITEMP 917804028 1 FEES PAID jlESdRIPTlbN OF WORK u I I I ]INSTALL (2) 14" SKYLIGHTS IN KITCHEN 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I I IAPPLICANT: TEL. NO: I I I IGLASER CONSTRUCTION COMPANY (626) 841-1859- IAA BLDG PERMIT ISSUANCE 27.80 1_ 1 13040 DOOLITTLE AVE IAB STATE GREEN BLDG FEE 2200.00 VAL 1.00 ISPECIAL CONDITIONS: 1 ]ARCADIA CA 91006 AC STRONG MOTION RESID 2200.00 VAL 0.50 1 ] D2 PERMIT W/O EN-HC 2200.00 VAL 99.00 I I 1 1 TOTAL FEES 128.30 1 ICONTRACTOR: TEL. NO: 1 IAP ZOVALS DATE INSPECTOR SIGNATURE 1 [GLASER CONSTRUCTION COMPANY (626) 841-1859- 1 1 1 1340 DOOLITTLE AVENUE LIC. NO 1 ]LOCATION AND SETBACKS I ] I [ARCADIA CA 91006 493719 1 1 I ] I I I ISOILS ENGINEER APPROVAL I I 1 ]ARCHITECT OR ENGINEER: TEL. NO: I IFOLRNDDATION/TRENCH FORMS I I I ] LIC. NO: I (SLAB/UNDER FLOOR I I I [ (RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I [ 3 0 .1 IFLOOR SHEATHING [ I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I 1 NO 21 1 IROOF SHEATHING I I I 1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I 1 (AIR QUALITY: 1000 FEET MATERIALS 1 I I I 1 NO NO NO ]FRAd1E INSPECTION I I 1 I i FIRE SPRINKLER HANGERS I 1 I 1 INSULATION/WEATHER STRIP( I I I 1 (INTERIOR LATH/DRYWALL I 1 1 1 1EXTRRIOR LATH I I I � I [ [RATED FLOOR/CEIL ASSEM. [ ] ] I [ IRATED WALL ASSEMBLIES I [ ] [ 1 [RATED SHAFTS/OPENINGS I I ] 1 1 I T-B7.R CEILINGS 1 1 ] I I I 1 1 ILOT DRAINAGE 1 I I [ ]REPORT ID: DPR261 ROUTE TO: BS0508 I I 1 ] COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1212110036 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 19043 LT: 27 I SQ. FT STORIES TYPE OCCUP GROUPI 4854 ROBINHOOD AV I ]STRUCTURE: 456 1 V-B U I TEMP CA 917804028 I ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: ] 18585 -010-032 I OTHER: 1 THOMAS PAGE: 597 GRID: BS LOCALITY: TEMPLE CITY CAI 1TENANT: ]EXIST BLDG USE: USE ZONE: 11SSUED ON: PROCESSED BY: I (EXIST OCC GRP: 01/02/13 SR I I I OWNER: TEL. NO: I BLDGS. NOW ON LOT: VALUATION: FIN&L DATE FINAL BY: CODE: I NIMMRICH RONALD L;MARIE (818) 448-3304- 1 9,000 4854 ROBINHOOD AV 1I J ITEMP 917804028 ] FEES PAID ]DES RI 116N OF WORK ] I I IALUM PATIO ENCLOSURE I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] ] APPLICANT: TEL. N0: MORTON, EVONNE (714) 335-8165- ID1 PLANCHECK W/O EN-HC 9000.00 VAL 169.80 1 I 1706 N TUSTIN ST IAA BLDG PERMIT ISSUANCE 27.80 ISPEC:AL CONDITIONS: I 1ORANGE CA 92867 IAB STATE GREEN BLDG FEE 9000.00 VAL 1.00 I I IAC STRONG MOTION RESID 9000.00 VAL 0.90 I I I ID2 PERMIT W/O EN-HC 9000.00 VAL 199.80 I I ICONTRACTOR: TEL. NO: I TOTAL FEES 399.30 (APPROVALS DATE INSPECTOR SIGNATURE I TALL PRO REMODELING (714) 288-1314- I 1 F II 1706 N TUSTIN AVENUE LIC. NO I ILOCA��AND SETBACKS 1 1� I [ORANGE CA 92867 574698 * I I , [ I ISOILS ENGINEER APPROVAL 1 I I (ARCHITECT OR ENGINEER: TEL. NO: - 1 IFOUNDATION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I/ i3 I ,D ^ I ]RAISED FLOOR FRAMING I ]MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:] (UNDERFLOOR INSULATION I I 1 1 3 001 1 I I I i 11ST LEVEL FLOOR SHEATH ] I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: II I ] I 1 0 NO 21 I 12ND LEVEL FLOOR SHEATH I I I I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I I I 1AIR QUALITY: 1000 FEET MATERIALS ] I I I I NO NO NO I IFIRE DEPT. FRAME INSPECTI I 1 I i (BLDG DEPT. FRAME INSPECT] i1fu I I ISHEAR PANELS I C [� ] ] 1 IINSULATION/WEATHER STRIPI I I IINTERIOR LATH/DRYWALL I I I 1EXTERIOR LATH I ] I LOT DRAINAGE I I 1 SMOKE DETECTION DEVICES 1 IFIRE DEPARTMENT APPROVAL] I* ADDITIONAL DATA ON FILE I I I 1 I (REPORT ID: DPR261 ROUTE TO: BS0508 I 1 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 0702120019 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 19043 IT: 27 4 SQ. FT STORIES TYPE 4854 ROBINHOOD AV I STRUCTURE: VN TEMP CA 917804028 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: RYLAND 18585-010-032 1 1 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: ] 1EXIST OCC GRP: 102/12/07 JK 02/07/08 OWNER: TEL. NO: ]HOGS. NOW ON LOT: VALUATION: [FI F CODE: 1NIMMRICH RONALD L;MARIE (626) 448-3304- 2,700 L� v/ 4854 ROBINHOOD AV TEMP 917804028 FEES PAID DESCRIPTION 0 WORK CONVERTING (2) TWO BEDROOMS INTO ONE LARGE BEDROOM IIFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: I 1 IGLASER CONSTRUCTION CO. (626) 574-7613- [B1 PLANCHECK W/ENERGY 2700.00 VAL 92.57 IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: AC STRONG MOTION RESID 2700.00 VAL 0.50 1 1B2 PERMIT W/ENERGY 2700.00 VAL 108.90 1 I TOTAL FEES 229.72 CONTRACTOR: TEL. NO: ]APPROVALS DATE INSPECTOR SIGNATURE IGLASER CONSTRUCTION CO. (626) 574-7613- I3040 DOOLITTLE AVENUE LIC. NO 1LOCATION AND SETBACKS IARCADIA, CA 91006 493719 B * I SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I LIC. NO: ]SLAB/UNDER FLOOR 1RAISED FLOOR FRAMING 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 1UNDERFLOOR INSULATION 1144H273 3 Oil I IFLOOR SHEATHING I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I NO 21 I IROOF SHEATHING I I ] I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS ] 1 I [ NO NO NO I FRAME INSPECTION 1REQUIRED TOTAL SETBACK FROM EXIST I FIRE SPRINKLER HANGERS 1 [SET BACK YARD: HWY: PROP LINE: WIDTH: I I I I IFRONT PL- 1 (INSULATION/WEATHER STRIPI I [ 1 SIDE PL- I I 11NTERIOR LATH/DRYWALL I [ ] 1EXTERIOR LATH I [ [ I IRATED FLOOR/CEIL ASSEM. [ [ I I _ I ]RATED WALL ASSEMBLIES ] [ I O _f\v RATED SHAFTS/OPENINGS I 1 V ] BAR�T- CEILINGS I ] I I* ADDITIONAL DATA ON FILE I ] ] [ ] 1 ]LOT DRAINAGE I ] I IREPORT ID: DPR261 ROUTE TO: BS0508 I I ] I I ] COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0804210002 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 19043 IT: 27 I SQ. FT STORIES TYPE OCCUP GROUPI 4854 ROBINHOOD AV I I ISTRUCTURE: 247 1 V-B U I TEMP CA 917804028 I (ASSESSOR INFORMATION NUMBER: I GARAGE: NEAREST CROSS STREET: RYLAND I 18585-010-032 1 OTHER: 1 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: USE ZONE: [ISSUED ON: PROCESSED BY: EXPIRES ON: 1 (EXIST OCC GRP: 104/21/08 VG 10/18/08 (OWNER: TEL. N0: 1BLDGS. NOW ON LOT: VALUATION: [FINAL DAT ��I ] BY: CODE: 1 INIMMRICH RONALD L;MARIE (626) 448-3304- 1 9,000 I TUNED` 1 14854 ROBINHOOD AV I [ ITEMP 917804028 1 FEES PAID [DESCRIPTION OF WORK I I (ADD ENCLOSED PATIO 247 S.F. ICBO 3190P IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:l I (APPLICANT: TEL. NO: I I I IWEST COAST CUSTOM ROOMS (626) 574-7613- IAA BLDG PERMIT ISSUANCE 27.75 1 I IAC STRONG MOTION RESID 9000.00 VAL 0.90 ISPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 9000.00 VAL 199.80 [ I TOTAL FEES 283.15 I I 1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IWEST COAST CUSTOM ROOMS (909) 594-7547- 1 1 r AI 1786 PINEFALLS AVE LIC. NO I ILOCATION AND SETBACKS I I IWALNUT CA 91789 B/L LOMI * I I I [ I I ISOILS ENGINEER APPROVAL 1 (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATI 1/ I NC 8 1 r I I I I LIC. NO: I ISLAB/UNI32R FLOOR I I I I I 1 I I [RAISED FLOOR FRAMING [ IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ]UNDERFLOOR INSULATION I I I 1 3 011 11-1 1ST LEVEL FLOOR SHEATH I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I 1 NO 21 I 2ND LEVEL FLOOR SHEATH I I 1 1 SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I I (AIR QUALITY: 1000 FEET MATERIALS I [ I I I 1 NO NO NO [ IFIRE DEPT. FRAME INSPECT[ I I REQUIRED TOTAL SETBACK FROM EXIST 1 (BLDG DEPT. FRAME INSPECTI I SET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I FRONT PL- I ]SHEAR PANELS I I I SIDE PL- I I I I I ] I (INSULATION/WEATHER STRIPI I I I I (INTERIOR LATH/DRYWALL I I [ 1EXTERIOR LATH [ 1 I [ ] ILOT DRAINAGE ] I I [ 1 ISMOKE DETECTION DEVICES I 1 1 • 1[FIRE DEPARTMENT APPROVALI [ I I* ADDITIONAL DATA ON FILE 1 [ I I I I I [ IREPORT ID: DPR261 ROUTE TO: BS0508 1 [ I I I I I I