HomeMy Public PortalAbout5548 SULTANA AVE_Building__ 11 DEPARTbIE=-GW BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WBUILDING
M. J. FOX. CHIEF EMBI14EER
FOR APPLICANT TO FILL INrAPPR�ED
FOR OFFICE USE ONLY
RICTNO PLANCK NO PERMITHO
BUILDINO //Jf �(
ADDRESS X t/ `� �' O i/_�'
T
LOCALITY IVED BY I DATE Or APPL DATE ISSUED
NEAREST (/,}orf `NOOWNER MAIL �y(� SSADDRESS , ITY1TEL BT, 1D STNO OFARCNITECTp TEL PLANEENGINEER NO
' .__, ORD NO
ADDREB CK LINEVED ICONTRACTOR 1 I IYATE
USE IAPPROVED I I
DDRE r ZONEAl BY 1 DATE I
DEBQRBIPTION LOT NO BLOCK I j CORRECTIONS
TRACT � {
NO OBLOOS
O
SIZE OF LOT NW N LOT
USE Orr No Or
EXI TI BL B uee Rooms
DESCRIPTION OF OASNEW ALTERATIO ADDITION J•
REPAIR MOVING DEMOLISH �
Sq FTOF YO
SIZE N OMB STORIES FG
WALL ROOF
D13VERINO COVERING
UBE Or NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE 18 CORRECT FOUNDATION LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS
AND STATE LAWS REGULATING UILDINO CONSTRUCTION
FRAM[ FIRESTOPS.
SIGNATURE or BRACING.BOLTS
PERMITTE I
LATH. INT
AUTHORIZED ART
LATH. DIT
v� P Q S
DDB�J e15 aeMfl cTe PLASTER. INT.
� //
(—JC/ a$le RE PLASTER.ZXT.
0
VALUATION FEE FINAL
� I �
�y DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES I L..D I hI G _ 1
WM J FOX, CHIEF ENGINEER
FOR
(c APPLICANT TO FILL INDIBTft NO FOR OFFICE USE ONLY
PERM IT NO
ADDR68B S 0 , � '�` �,`� Pun/ Z
LOCALITY l� - RECe1V BY DATE OF APPL DATEISSUED
NEAREST
CROSSST �� � BUILDINGOWNER
.�, baa . ADDRESS�J/��
MAIL `1 LOCALI 11
ADDRESS , S�8 yL.p �� NEAREST 22
TEL CROSS ST f OW op
CITY NO Z V FIRE NO OF PH 1 / GROUP
ARCHITECToR TEL ZONE PLANS (� I
ENGINEER NO SLOG ORD NO
SETBACK LINE
ADDRESS _ APPROVED
TEL BY DATE I
CONTRACTOR ` ✓ NO / USES // APPROVED
ADDRESS —
r : ZON �j�� BY DATE
�OUBE NUMBERING
LEGAL
DESCRIPTION LOT NO ' BLOCK MAP NUMB R--
CHECK BY
TRACT 4/ NO ASBION80 BY / oA
No CORRECTIONS _
SIZE OF LOT �, 17 NOW ONW Yys�fi
UBE OF NO OP
BXISTING BLDG FAMILIU )
DESCRIPTION OF WORE
NEW I ALTERATION I I ADDITION
O
REPAIR DEMOLITION I
_9
BG FT ( NO OP
_ SIZE �'1 x I � ROOMS STORIES Z
EXT WALL' I ROOF
COVERING I COVERING
UBE OP STRUCTURE
L,96 o/G
" i:e�1 APPROVALS
L? , INSPECTOR SSIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IB FORMS MATERIALS
CORRECT
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME PIRESTOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS
LAWS REGULATING BUILDING CONSTRUCTION FURNACE LOCATION.
SIGNATURE OP 1 I a..-�.,.f^ �)� _ GAS VENT, DUCTS
PERMITTKE aaVF r—. — T f�
ADDRESS'g 6-12"S 'fl� Q..,,�, C1.se 1`` LATH INT
LATH, EXT
AUTHORIZED AG_T
PLASTER INT
7"=" DBL1 IPtO
® •••J FEE PLASTER. EXT
VALUATION p
FEB FINAL G(=Es.,.�...J 1 J Z
' + I
DEPABTMENT OF BUHMMG AND SAFM APPLICATION FOR PMUAff
COUNW OF LOS ANGMS BUILDING
1 B ®�
WM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IIT DIGTRICTr
FOR OFFICE USE ONLY
BUILDING r, PLANCK HO I IT NOS
ADDREES �1 L
LOCALITY RECEIVED BY 1 DATE OF APPL DATE ISSUED
NEAREST
CROSS BT BUILDING �C
ADDRESS 7
OWNER
MAIL 44_ _ LOCALITY
ADDRESS D y NEAREST
T� CROSS ST
CITY NO FIRE NO OF TYPE GROUP
ARCHITECT O TEL 20NS PLANS
ENGINEER NO BLDG ORD NO
SETBACK LINE
ADDRESS APPROVED
TEL,�f, BY DATE
CONTRACTOR p NO (,(,1 6 USE APPROVED -
ZONE BY DATE
ADDRESS ��,I,I� ttCV s 1 HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO BLOCK MAP NUMBER FI¢LD CHECK BY
TRACT NO ASSIGNED BY DA
NO OFBLDGS CORRECTIONS
SIZE OF LOT NOW ON LOT_
USHOF NO OF
-2 F'.r.�.. o ✓ r
EXISTING BLDG. FAww.
DESCRIPTION OF WORE _
NEW ALTERATION I ( ADDITION
O
RWPAIR DEMOLITION - - F
SO FT NO OF O
SIZE ROOMS STORIES Z
EXT WALL ROOP
COVERING COVERING
USEOFSTRUCTURE n
� V '
APPROVALS
INSPECTOR S SIGNATURE DATE
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS 'FORMS, MATERIALS
CORRECT
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRESTOPS.
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS R¢OULATING BUI ING CONSTRUCTION _
FURNACE LOCATION,
SIGNATURE OF (/�� /�y GAS VENT DUCTS �.�i'.a....�.... ZD ✓ 2
PERMITTKI Y 11 Xli/ Y �A J uj
LATH. INT
ADDRESS
LATH, 81R
AUTHORIZED AOT
PLASTER. INT
YMgeA oW N,-W • ��,� P C •
PLASTER. EXT
VALUATION • Q✓Di
FEE C1 FINAL
ts CeweaewM + �
CB/eaa IRev easelIf 7
/
APPLICATION FOR, BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDING
FOR APPLICANT TO FILL IN ADDRESS i
BUILDING
ADDRESS LOCALITY
NEAREST - -
CITY G k_ i ZIP CROSSST J
NO OF BLDGS ASSESSOR
SIZEL07 NOW ON LOT A� Q MAP BOOK PAGE PARCEL
BLOCK - LOT�RO" I S
DISTRICT UP TYPE FIRE 1116� OD By
TEL CONSTE,
OWNER NO �K J
STATISTICAL CLASSIFICATION EWE$�1AP
ADDRESS CLASS NO , , DWELL UNITS T� B PG
. c
CITY \` ZIP '
ARCHITECT OR L TEL
ENGINEER �- NO �' VALUATION $ QOO Qp
—
ADDRESS 5LQQ SETBACK FROMTEL _
FRONT PROP LINE OF ISTREET)
CONTRACTOR W GEQ CO S NO o($I D HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF E%ISTING
LIC FRONT PROP LINE HIGHWAY WIDTH
ADDRESS $ .$ - SAN q NO 3
CITY S.q '-' CA+./F'+ el
LIC
8 +
BLDG SETBACK FROM
CONSTRUCTION LENDER
NAME AND BRANCH SIDE PROP LINE OF IS }
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF E%ISTINGSTING r3
ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH
O
50 FT NO OF NO OF CHECK + V
SIZE STORIES FAMILIES ONE O
DESCRIPTION OF WORK 4 NEW PC Fee S Permit Fee
Ale
S 5 K D Issuance Fee 7
LvL
/7D TYo y IC TER
REPAIR Total Fee
LAEOF (� e s 1
USEBLDG e DEMOL � M
APPLICANT _ TEL .y�l (,
IPRINTI NO � -7:2 — 7
BY ISIGNATUREI f>[ _
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE n '
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES 1YyJ r
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM ;Y 3 5 7 6 A
nN6A7K)N INSURANCE
SIGNATUREOF � _
PERMITTEE '1 e - 2500
ADDRESS
CITY �Lr�Rmew� TEL:Lo
e . . 2 S 0 0 10 +• r R I lCSr
=.
G 0405-79
USE ZONEOP O 0=-
V >
SPECIAL
CONDITIONS - -
DATE .1
DATE
t
��� Gluey
TeAGSaA CE4803 S 53APPLICATION FOR BUILDING[ PERMIT
COUNTY OF LOS ANGI7 FS ADDRESS SJ T ? �V y ✓ / 4 c 1�C
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
1 JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUR T OF BUILDING CROSS ST aL V
DISTRICT NO GROUP TYPE �. OCESSED BY
FOR APPLICANT TO FILL. IN S. O 8 Z 8 CONST / G�
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO �_DW ELL UNITS L Bi(.�/PG
LOT NO BLOCK WATER NOT REQUIREDEl RECEIVED /
CERTIFICATE
TRACT Y J 1 MAPO Q HIGHWAY
NO OF SLOGS NO "(CIRCLE) STATE MAJOR SECON LOCAL
SIZE OF LOT j- NOW ON LOT 3 USE ZONE SPECIAL
USE OF / CONDITIONS
EXISTING BLDGZ ve {� &/DQ/96 6AJ T SE 3
TE
OWN N L BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRES A .✓.q FRONT ��3e
ARCHITECT OR TEL P L
ENGINEER NO SIOE
P L r
ADDRESS
TEL G
CONTRA p/ T✓i✓ M NO V
ADDRESS p -1 4" W I m
O
DESCRIPTION OF WORK
W
d
NEW ADD ALTER REPAIR DEMOLIS N
SO FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF /i Qg�
STRUCTURE e5
SIGNATUR
A T
VALUATION $ " / ^)
APPROVALS DATC INSPECTOR S SIGNATURE
FOUNDATION LOCATION
P C PMT ) /
FEE $ FEE $ (J V FORMS MATERIALS /
FRAME FIRE STOPS
I HERESY ACNNOW LEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION / I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN OOI NG THE WORK /
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF TH BOR C OF THE STATE OP ALIFOR RELAT
ING TO WORN MPENMTION IN5URA LATH EXT
1
SIG HOUSE NUMBER COR
MI RECT AND POSTED
ADDRESS FINAL
JOHN F LEWIS PR NC PAL STRA ENG"( R
PLAN CHECK VALIDATION DK NO CASH PERM VALIDATION GR AID CASH
LJILo 4 2 9 0.o SEP 2 8 1 D 4.00-
APPLICATION FOR BUILDING PERMIT
COUNTY OF Lft-ANg1ELES BUILDING AND SAFETY
WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN
hereby affirm that I have a cerldcate of consent to salt insureBlioei0 ADORE �YJ _
or a certificate of Workers Compensation Insurance w e certified \ _
copy thereof (Sec 3800 Lab C) CfTY ZJP
9 LOCALRY
Policy No Company SIZE OF LOT NO OF SAGS NOW ON LOT
❑ Garbled copy is hereby fumahed ' NEAREST CROSS 3T
❑ Certified Copy i9 filed with the county, building inspection TRACT BLOCK LAT NO
department + USE ZONE MIP NO
Date ASSESSOR MAP BOOK PAGE PARCEL
Applicant SPECIAL CONDTnON$
CERTIFICATE OF EXEMPTION FROM WORKERS OWNER - TEL NO
COMPENSATION INSURANCE 5 L S WITHIN 1000 FT OF SCHOOL' YES NO
ADDRESS DISTRH;T GROUP TYPE CQNST FIRE ZONE PROCESSED By
(This section need not be completed d the permit s for one hundred /[o
ddlare($100)or less) 15-1 S
CRY ZJP
I Certify that in the performance of the wok for which this permit ��
s issued I shall not empty any person in any manner so as to
become, subject to the Workers Compensation Laws ARCHITECT OWENGINEER TEL NO
STATISTICAL CLLAnASS,WICATION PPT CONDO
Date Applicant ADDRESS CLASS NO � DWELL UN
NOTICE TO APPLICANT If after making the CerMlcate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption you should become subfect to the Wbrkm OONTRACTOR TEL NO SET BACK HWV PROP DIE WIDTH
faensaton promions of the Labor Cade you must forthwith Z Z YPAD
c
campy with such prvwsgns or the permit shall be deemed revokedADDRESS LIC NO FPALONT
LICENSED CONTRACTORS DECLARATION S7 SIDE
- CIT Y LIC CLASS PL
I hereby affirm that 1 am licensed urderprovsions of Chapter 9SEWER MAP
(commencing with Section 7000)of Denson 3 of the Busineae and 90 � NO OF STORES NO OF FAMUES
Professions Code and my license a In fun force and effect NEW ❑ BK PG ' a
License Number Lc Class �SCRwTgN ADD ❑ 1NLUATION , Q
Contractor Date _1 ALTER ❑ $ _ (VDD:
❑ 1 am exempt under Sec oa REPAIR
BBPC to the reason DEMOL ❑ LDMA P/C•
`
Date USE OF EXISTPID BLDG URM ElT `i W
SignatureAPPIJCANT IPRNTI TEL NO LDAU Perm• 1 Z
�(I I as owner of the property or my employees with wages as $ =O R{{T.i
their sole corrpensatwn will do the work and the structure s ADRE
D
not intended or offered for sale (Section 7044 Business andFgIA1 DArE_ Q -3M3 90.75
ns
ProfessioCode) N1 T wv ix OR FunlrE WILONO occ~HArOLe A NAzu pious waEa u Z 7 I ITEMS
❑ I as owner of the property am exclusively contracting with On A in[nAE CONUUMNo A HAzucoue iMTERLLL EQUAL,TO OR oReA T-iAN THE licensQ
NAOUITB a CFlED ON THE HAZNiWU9 MATERw19IfIXAlAnON GUDE1 FWAL By TOTAL 90 _ ?5
Business
contractors Proore iu construct the pmjBCl (Section 7044 TI] E
Business and Profeaeions Code) res❑ NO❑ I'
Owl�CC THE NEQUIRE USE IA TIE eupLA+o 6Y THE AIAOCI N On RROu SOU'e {HE{f\ 90.75
CCCST"`REQUIRE A PERMn FOR c DISTRICT( TioN )SEE R1,0T N G C THE T FOR
CONSTRUCTION LENDING AGENCY coir As auwrr "^^�—rXSIRcr iecAOMoI SEE PERYITTINO ciECKusr FOR {HAH{lE .QO
auoEUNEs
I hereby affirm that there is a construction lending agency for �s❑ NO❑ i
the performance of the wok tor which the permit is Issued(Sec
m 3097 Cw C) CTEPKUSIT I UNoERsuNDWWo�uE�r UNDER THE LOS scovrtr�
Lenders Name mR2 PEPOnn2200�FOR 2201006VURING A F'ROM2
201 THE�p oNG""�'''�°"' GOGO-0001 6/26/95
L1047 I FSI 5 75
Lenders Address
o ani.oR.oD,r
I certiy that I have read this application and state under penalty +
of penury that the aboveinfoombon is correct I agree to campy PC FEE PERMIT FEE
with all county ordinances and State Tawe relating to building 3• 7 '
Construction and hereby authpnute representatives of the County ISSUANCE FEE O�
m to enter upon the ab ve-mentioned pro �erty fo inspection p^ufLpg9B9 a
a 1� W NVESTIGATION FEE TOTAL FEE
X a D. S
a c.. SEE REVERSE FOR EXPLANATORY LANGUAGE
WORKERS'COMPENSATION DECLARATION f
hereby affirm that Ihave r ce' Comsns cion Inuranelf II APP�ICATIOWFOR BUILDING PERMIT
insure or o certificate of Workers Compensation Insurance ,
or a certified copy thereof (Sec 381 Lob C ) I
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Company
Certified c is hereby furnished BURRING
a>v y FOR APPLICANT TO FILL IN
�91Certified copy is filed with the countyV t 8 mspec BUILDING
hon department !i//` ADDRESS l- , LOCALITY - P� C
NEAREST
Dote Applicant CITU ZIP CROSS ST
RTIFICAIE OF EXEMPTION FROM WORKERS' 11 NOOF
& ASSESSOR I
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(Tf a section need not be completed if the permit is for one ; USE ZONE Q
hundred dollars ($I DD)or less ) • TRACTUn BLOCK LOT NO IJO
1 - TEL • SPECIAL _� 1-
I certify that in the performance of the work for which this OWNERNO CONDITIONS d
permit is Issued, 1 sholl not employ any person in any manner �I ADDRESS ` — - DISTRICT GROUP TYPE RE PROCESSED BY
v
so as to become subject to the Workers'Compensation Laws j
3 _ gL
Dame Applicant , CITY C ZIP STATISTICAL CLASSIFICATION APT ONDO O
NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR - - TEL _ - Vys
Exemption, you should become subject to the Workers ENGINEER NO CLASS NO DWELL UNITS N
Compensation provisions of the Labor Code, you must forth ADDRESS _ SEWER MAP
with comply with such provisions or this permit shall be - / Z
deemed revoked CONTRACTOR t�j Lp BK /_PG - ' VALIDATION
LICENSED CONTRACTORS DECLARATION LIC
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 Q� ►
Professions Code, and my license is in full force and effect CITY W.
CIP d CLASS //— f dcm
SO FT NO OF NO OF - CHECK
I.Kinvi Number Ti'A, ( Lic Cjass_§!:_� SIZE a a STORIES FAMILIES ONE
Cb/+ S
or� Dale��� DESCRIPTION OF WORK C1�,,�A.� NEW
I am exempt under Sec L4MI � '�'^ ADD A❑
ALTER FINAL p
B dP C for this reason eN .e�.�- REPAIR E] DATE ��ZB'8¢
DateIX Tjh,BLDG �y�c. DEMOL ❑
Signature APPLIPRINT CANT
TEL
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor s License
Law for the following reason (Section 7031 5, Business and ADDRESS ors •
Professions Code) s 2 0 Q 5 A,
QBUILDING
1, 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 ,
7011, Business and Professions Code) MOVING TEL 2" ) 1 5 5 0
1,as owner of the property am exclusively contracting CQNTRACTOR NO • • ) ) 5 5 0
with licensed contractors to construct the project (Sec- ADDRESS 0 E
bon 70" Business and Profession Code) 51 6-83
CONSTRLICTION LENDING AGENCY
REQUIRED BACK YARD HWY 70TALPRROP LI FROM WIDTH
I hereby affirm that there iso construction lend rg ogency for FRONT ► .
the performance of the work for which this permit is issued P L
,Sec 3097, Civ C ) SIDE _
PL
Lender's Name
B
Lender's Address P C Fee f Permit Fee rS
I certify that I have read this application and state that the Issuance Fee y \
( above information m correct I ogree to comply with all County Inv tigatlon Fee / � -
®$ ordinances and State jaws relating to building construction, iorol Fea
and hereby authorize representatives of this County to enter
upon thea enno ed operty for inspection purposes - - -
c MREVERE!FOR EXPLANATORY UINOUAOR
Signoturs of A111611
t or Agent Date es
COUNTY OF LOS ANGELES TEMPLE CITY S 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0503140012
PRME- (626) 285-0488 EXT
LEGAL ID: NO OF CONST BUILDING ADDRESS:
ON FILE SQ FT STORIES TYPE 5548 SULTANA AV
STRUCTURE 1200 VN TEMP CA 917802322
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET LAS TUNAS
5387-026-014 THOMAS PAGE: 596 GRID H4 LOCALITY: TEMPLE CITY, C
TENANT EXIST BLDG USE: RESID USE ZONE R-5 ISWED PROCESSED BY EXPIRES ON:
EXIST OCC GRP: 03/14/05 - JK 03/09/06
OWNER: TEL NO: SLOGS NOW ON LOT VALUATION- FINAL DATE FINAL BY CODE
YANG, ERQUN (626) 831-1818- 5,000
TERP 991 SULT7802322V FEES PAID OESUKIP11UN UP k%XM
REROOF OVER EXISTING WITH COMPOSITION SHINGLES HOUSE ONLY
FEE DESCRIPTION QUANTITY. UON: AMOUNT.
APPLICANT. TEL NO'
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 5000.00 VAL 0 50 SPECIAL INDITIONS.
i 02 PERMIT W/O EN-HC 5000.00 VAL 132 60
FR INV WORK W/O PERMIT 257.00 DOL 257 00
TOTAL FEES 417 85
CONTRACTOR' TEL NO: APPROVALS DATE IwsPrETM-MWMaW--
SAME AS OWNER
LIC. NO LOCATION
SOIL S ENGINEER APPRMAr
ARCHITECT OR ENGINEER: T FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP MO. UNDERFLOOR INSULATIOW-
XX 3 01
FLOOR SHEATHING
NO OF FAMILIES. DWELLING UNITS: APT/COND STAT CLASS: I
NO 21 ROUrTMTHING
SCHOOL WITHIN -19mumoar—
AIR QUALITY 1000 FEET MATERIALS
MO 110 NO FRAME INSPECTION
REQUIRED TOTAL 'SFzTWMY-FRNF--0ff9T-- rnff-9wrffnTw-mumERT--
SET BACK YARD: HWY PROP LINE WIDTH:
FRONT PLINSULATION/WEATHER UM
-
SIDE PL-
INTERIOR LATH/DRYWALU-EXTERIOR LATH
RATED WALL ASSEKBLlrg-S
RATED SKAFTS/OPENINGS
T-BAR CEILINGS
REPORT ID: DPR261 ROUTE TO. BSO508 LOT DRAINAGE