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SIZE OF LO NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG R _3 TEL OWNER NO BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ARCHES R FRONT 'pL0 +-TA rJ Sa ARCHITECT OR TEL P L ENGINEER NO SIDE P L ,r ADDRESS TEL , �' "'1 � ! Q CONTRACT, V ADDRESS (, L DESCRIPTION OF WORE (C� Q NEW ADD ALTER REPAIR DEMOLISH I Z SI FT ST OF FOF A II SIZE � STORIES FAMILIES . 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TEL / ��/It�•`OR p NO Q x /� UAD - 1.Md�lt VY DESCRIPTION OF WORK f' �f ONEDD ALTER REPAIR DEMOLISH � NSO NO OF /I NO OF ! .. t ? SIZSTORIES �✓ FAMILIES �� /J •USE �jSTRE � I �SIG A VALUATION S �G APPROVALS DATE INSPECTOR SSICNATURE PC PMT F E $ � - FEE S 7 � FO FORMSIO ATERIAA SIGN FRAME FIRE STOPS I HEREBY, ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE I$ CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCT ON CERTIPV THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA _?Ay INT TION OF THE LABOR CDOC OF THE STATE OF CALIFORNIA RELAT ING TO WORKIA�N COMPENSATION INSURANCE • I L 1 LATH EXT SIGN ATU `_ / OUSE NUMBER COR - PER EE CCC��KKK RECT AND POSTED _ 1� ADDR ES 2 '�� W14 5 FINAL JOHN F LEWIS V PRINCIPAL ST URAL NG ER PLAN CHECK VALIDATION cK No CASH \J tPERMTT VALIDATION GK AlM D CASH LJiLo 4 5 6 0 2 OCT 5 2 3 D 4 9 0 0 e LACO5473—� NOV 2 1 'D 98.00- • 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 91700 BL 0508 1004070003 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 5525 SULTANA AV STRUCTURE 36 V-B TEMP CA 917802349 ASSESSOR INFORMATION NUMBER �� C + -029 - THMEST CRO$9 STREET BROADWAY 15387-027 1 THOMAS PAGE 596 GRID H9 LOCALITY TEMPLE CITY, Cl TENANT !DGS IST BLDG USE RBSID ' USE ZONE R-3 ISSUED ON PROCESSED BY I IST OCC GRP 104/07/10 SR OWNER TEL NO NOW ON LOT VALUATION I F��b FIHAH�CODE FOND, NORMAN (626) 278-6705- 1 7,000 55 W PALM DA ARCADIA, CA 91007 FEES PAID (DESCRIPTION OF WORK I I REROOF OVER ONE EXISTING ROOF WITH 40 YR CLASS A FIBERGLASS 1 I 'IFEE DESCRIPTION QUANTITY DOM AMOUNT 1THREE DEMISONAL SHINGLE 1 APPLICANT TEL NO HAUKOM (626) 285-9011- AA BLDG PERMIT ISSUANCE 27 75 585 N HILL AVE AB STATE GREEN BLDG FEE 7000 00 VAL 1 00 (SPECIAL CONDITIONS PASADENA CA 91106 AC STRONG MOTION REBID 7000 00 VAL 0 70 D2 PERMIT W/O EN-HC 7000 00 VAL 166 20 TOTAL FEES 195 65 (CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE JHAUKOM ROOFING INC (626) 233-0771- 585 N HILL AVENUE UNIT 1 LIC NO ILCCATI0N AND SETBACKS PASADENA, CA 91106 438338 C39 I (SOILS ENGINEER APPROVAL ARCNIT`EC1OR ENGINEER TEL NO 1 1FOUNDATION/TRENCH FORMS LIC NO (SLAB/UNDER FL00R RAISED FLOOR FRAMING i MAP NO SEWER MAP BOOR PAGE FIRE ZONE CMP 147H265 3 001 (UNDERFLOOR INSULATION 1 NO OF FAMILIES DWELLING UNITS APT/GOND FLOOR SHEATHING STAT CLASS NO 21 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS (AIR QUALITY 1000 FEET MATERIALS iSHEAR PANELS NO NO NO1 (FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGeR9 (SET BACK YARD HWY PROP LINE WIDTH - IFRONT PL- ` INSULATION/WEATHER STRIP I SIDE PL- INTERIOR LATH/DRYWALL � I I EXTERIOR LATH 1 � (RATED PIAOR/CE IL ASSBM (RATED WALL ASSEMBLIES I RATED SHAFTS/OPENINGS - T-BAR CEILINGS _ � LOT DRAINAGE I I REPORT ID DPR261 ROUTE TO BS'0508 v