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TeAGS"CZ#803 IG 56APPLICATJION FOR BUILDING PERMIT 1
BUnMING AND SAFETY DIVISION BUILDING
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JOHN A LAMBIE COUNTY ENa1NHER NEAREST
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FEE GA8 VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH HKT \
STATE
LAWN REOU LFyTING BUILDING CONSTRUCTION
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JOHN A LAMBIE, COUNTY ENoumuiR NEAREST
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1 H[R[GY ACKNOWLEDGE THAT I HAVB READ TNIY APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE I8 CORRECT AND AOREE TO COMPLY FURNACE LOCATION,
WITH ALL COUNTY O.INANCK$ AND STATE LAWS R[OULATINO GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED H[R[SY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
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TION OF THE LABOR CODE OF THE STATE OF C LIFORNIA RELAT
ING TO WORKMEN E OM NB 1 N INSURAN
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SIGNATURE OF ® HOUSE NUM RE CT ANO PORT D �,,i� l
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PLAN CEIECK VALIDATION m M o DABiI PERMT VALIDATION MEo cAsu
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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 91760 BL 0508 1402130065
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS
ITR 11218 LT 25 BL E SQ FT STORIES TYPE OCCUP GROUPI 5330 SULTANA AV I
I (STRUCTURE 1288 1 V-B R-3 I TEMP CA 917803049
(ASSESSOR INFORMATION NUMBER GARAGE 795 1 V-B 0 NEAREST CROSS STREET
15388-006-006 OTHER THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY CAI
(TENANT (EXIST BLDG USE USE ZONE TISSUED ON PROCESSED BY
EXIST OCC GRP 06/19/14 SR
I I I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFI DA FII�^BY CODE
153 6 SULTANA
(626) 286-0266- 209,780 I � 1
15328 SULTANA AVE 1 '/ I
(TEMP 917803049 FEES PAID IDFNI N OF ORK
II STORY ADDITION 1288 SF 3 B ROOMS 2 BATHROOMS, FAMILY
(FEE DESCRIPTION QUANTITY UOM AMOUNT ROOM AND ATTACHED 3 CAR GARAGE
APPLICANT TEL NO I
ILOK, GEORGE (626) 589-9356- IBI PLANCHECK W/ENERGY 209780 00 VAL 1,883 90
19080 TELSTAR AVE 305 IAA BLDG PERMIT ISSUANCE 27 80 SPICIAL CONDITIONS 1
TEL MONTE CA 91731 AS STATE GREEN BLDG FEE 209780 00 VAL 9 00 1
AC STRONG MOTION RESID 209780 00 VAL 21 00
B2 PERMIT W/ENERGY 209780 00 VAL 2,216 30
CONTRACTOR TEL NO D7 ADDNL PLANC14ECK FEE 2 00 HOU 218 BO APPROVA.S DATE INSPECTOR SIGNATURE
LOK BUILDERS INC (213) 422-'974- 108 CERTIF OF OCCUPANCY 101 40
19080 TELSTAR AVENUE #305 LIC NO TOTAL FEES 4 478 20 ILO^ATION AND SETBACKS 1
TEL MONTE CA 91731 877218
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER TEL NO FOUNDA-ION/TRENCH FORMS T
IT AND W CONSULTING ENGINEERING INC (626) 288-0708- 1
11168 N SAN GABRIEL BLVD #N LIC NO (SLAB/UNDER FLOORROSEMEAD CA 91770 NONE 1
(RAISED FLOOR FRAMING
I
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP (UNDERFLOOR INSULATION
I I I
3 OOI 1ST LEVEL FLOOR SHEATH
IND OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS 1
0 NO 23 12ND LEVEL FLOOR SHEATH 1
I SCHOOL WITHIN HAZARDOUS I (ROOF SHEATHING /� 1
(AIR QUALITY 1000 FEET MATERIALS /
NO NO NO FIRE DEPT FRAME INSPECTII
BLD; DEPT FRAME INSPECT
I I I$HFAR PANELS I 1
I TINSULATION/WEATHER STRIP(
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INTERIOR
LATH/DRYWALL--EXTERIOR (.ATH
(LOT DRAINAGE
SMOFE DEFECTION DEVICES
I - _ FIRF DEPARTMENT APPROVAL 1
I I I I I I
IREPORT ID DPR261 ROUTE TO BS0508
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