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INSPECTOR'S SIGNATURE DATE
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1 HE MY ACKNOWLEDGE THAT 1 NAVREAD THIS AFORMS MATERIALS
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PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAME FIRE STOPS,
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tDEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT'
COUNTY OF LOS ANGELES BUILDING
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WM. J. FOX, CHIEF ENGINEER
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1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORREOT rOUNDATION. LOQATION SPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
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WM J FOX, CHIEF ENGINEER Bv
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DISTRICT NO PLAN CK NO `PERMIT NO
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APPROVALS
INSPECTOR 9 SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMB, MATERIALS
CORRECT
I AGREE TO COMPLY WITH TIE CORRECTIONS LISTED FRAME FIRESTOPS.
ry EREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS
LAWS REGULATING BUILDING CONSTRUGTION FURNACE LOCATION,
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DEPARTMENT OF B=D(G AND SAFETY APPLICATION FOR PERM
COUNTY OF LOS ANGELES I L D I iV G
WM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLAN CK NO PERMIT NO
BUILDING ' I M ^ i — �0 2
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APPROVALS
INSPECTOR BQIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FORMS, MATE RIAL.B /
CORRECT
1 AGREE TO COMPLY WITH TLLK CORRECTIONS LISTED FRAME FIRESTOPS,
HRRON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
I LAWS REGULATING BUILDING CONSTRUCTION FURNACE LOCATION,
SIGNATURE OF 'x'
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COUNTY OF LOS ANGELES TEMPLE CITY q 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LJk DJ DEVELOPMENT TEMPLE C17Y CA 91780 SL 0508 1202140073
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 14467 LT 13 I SO FT STORIES TYPE
4912 TEMPLE CITY BL
TEMP CA 917
(STRUCTURE 3400 V-B
917804238
IASSESSOR INFORMATION NUMBER I I
1 18589-015-012 I NEAREST CROSS STREET I THOMAS PAGE 597 GRID AS IACALITY TEMPLE CITY CAI
TENANT (EXIST BLDG USE RESID USE TONE R-1
I ( TISSUED ON PROCESSED 8Y
EXIST OCC GRP
102/14/12 SA
OWNERTEL NO BLDGS NOW ON LOT VALUATION (FINAL DATE FIVAStiBY CODE
(BEAM LAWRENCE R ANTUINEITE M (818) 286-7041- 1 2,000 t •CZN( I
4912 TEMPLE CITY BL --
f
(TEMP 917804238 FEES PAIDCRIPTI WORK
(TEAR OF FRONT LEVATION, INSTALL SHEATHING AND THREE
IFEE DESCRIPTION QUANTITY DOM AMOUNT ITAE SHIN 30 POUND FELT
(APPLICANT TEL NO
(WILLIAM, NICRELL (626) 890-9415- IAA BLDG PERMIT ISSUANCE 27 80 Iwyykl(le 0111)e
1540 N YALETON IAB STATE GREEN BLDG FEE 2000 00 VAL 1 00 SPECIAL CONDITIONS
(WEST COVINA CA 91790 IAC STRONG MOTION REBID 2000 00 VAL 0 50
ID2 PERMIT W/O EN-HC 2000 00 VAL 82 20
IFR INV WORK W/O PERMIT 257 50 DOL 257 50
I CONTRACIUOR TEL NO TOTAL FEES 369 00 1APPFOVA.S DATE INSPECTOR SIGNATURE 1
ISIURM TIGHT ROOFING (626) 890-9415-
1540 N YALETON AVE LIC NO1 LOCATION AND SETBACKS
(WEST COVINA CA 91790 790524-C39
SOILS ENGINEER APPROVAL 1
(ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I
LIC NO (SLAB/UNDER FLOOR I
— IRAISED FLOOR FRAMING 1 1
MAP NO SEWER MAP BOOK PAGE FIRE TONE CMP I IUNDEQFIOOR INSULATION I
11445269 3 001 1_ I
IND OF FAMILIES DWELLING UNITS APT/GOND STAT CUSS FLOOR SHEATHING I
0 NO 21 1 IRGO� SHEATHING •j1
SCHOOL WITHIN HAZARDOUS 1 [SHEAR PANELS 1
[AIR QUALITY 1000 FEET MATERIALS I
I NO NO NO i (FRAME INSPECTION I I
IFIRE SPRINKLER NANOER9
_ INSULATION/WEATHER STRIP( T
I
T
T INTERIOR (ATH/DRYWALL
1 1 i I
EXTERIOR (.ATH
RATED FLOOR/CEIL ASSEM
I I I
RATED WALL A99EMBLIfiS [ T I
IRATED SHAFTS/OPENINGS I
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IT-BAR CEILINGS
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LOTDRAINAGEI
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REPORT ID DPR261 ROUTE TO SS0508
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