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HomeMy Public PortalAbout5801-5803-5805 TEMPLE CITY BLVD_Building__ 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0307290045 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF­SfffiS: I BUILDING TR: 6561 LT: 610 BL: .001 SIGN DESCRIPTION: ILLUMINATED SIGNS FOR 3 BUSINESSES 5801 5805 TE14PLE:CITY BL TEMP CA 917802113 ASSESSOR BER: NEAREST CROSS STREET: LAS TUNAS 8587-015-001 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: SS 0 S . EXIST OCC GRP: 07/30/03 JK 07/24/04 . OWNER: TEL. BLDGS. NOW ON LOT: VA ON: FINAL DATE F L B CODE: OROZCO;FELIPE & MARIA (626) 292-7190- 4,000 5805 TEMPLE CITY Z- d3 TEMPLE CITY 91780 FEES PAID UE_S_dffrffMN INSTALL ILLUMINATED SIGNS: 6 WALL (3 ON FRONT & 3 ON REAR) & APPLICANT: E FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: a PROJECTING SIGNI, FORTUNE SIGNS (626) 579-9446- AA BLDG PERMIT ISSUANCE 27.75 2458 LEE AVENUE AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: S EL MONTE 91733 D1 PLANCHECK W/O EN-HC 4000.00 VAL 98.43 D2 PERMIT W/0 EN-HC 4000.00 VAL 115.80 CONTRACTOR: TEL. N0: TOTAL FEES 242.48APPROVALS DATE INSPECTOR SIGNATURE FORTUNE SIGNS (626) 579-9446- 2458 LEE AVE. LIC. NO LOCATION AND SETBACKS-- SOUTH E KSSOUTH EL MONTE, CA 608549C-45 SOILS ENGINEER APPROVAL ARCHITECTOR ER: L. 0: FOUNDATION/TRENCH FO S LIC. NO: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK- PAGE: FIRE ZONE: CMP: 00 0. OF FAMILIES: G S: APT/CO : STAT C S: NO 20 SC 00 W HI HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508 r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN 1 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0005040087 PHONE: (626) 285-0488 EXT: LEGAL •r MBER OF SIGNS: I BUILDING-ADDRESS: TR: 6561 LT: 610 BL: .001 SIGN DESCRIPTION: FACE CHANGE ONLY 5803 TEMPLE CITY BL TEMP CA 917802113 ASSESSOR I OR ATIO MBER: NEAREST CROSS STREET: WORKMAN 8587-015-001 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BDG USE: ISSUED ON: PROCESSED B : EXPIRES ON: MAGIC IMAGE EXIST OCC GRP: 05/04/00 UT 10/31/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE CODE: WONG ALICE - 1,000 1040 LAS TUNAS DR SGAB 917761633 FEES PAID DESCRIPTION OF WOR FACE CHANGE ON EXISTING SIGN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. FIRST SIGN (626) 448-1616- AA BLDG PERMIT ISSUANCE 27.75 9647 E. RUSH ST AX BUILDING REVIEW FEI_ 54.70 SPECIAL CONDITIONS: SO. EL MONTE, CA D2 PERMIT W/O,EN57A ------' 10.00.00 VAL 65.40 ✓ - TO7��F`S 147.85 CONTRACTOR: TEL. N0: :i ''��/� � APPROVALS DATE INSPECTOR SIGNATURE FIRST SIGN CO. (818) 448-1616- 9647 E. RUSH ST. LIC. NO y/�f �✓^� LOCATION AND SETBACKS SOUTH EL MONTE, CA 91733 605688C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TE 0: - / J; 1 -; FO DATION/TRENC FORMS / J1 LIC. N011: I �--_ I �`� 111�11� SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMR: )I1 fi1 j I((--:"-7 rte 1 (r LJ I'/f C p Loo ���1���`��,�(��J \1PY •-1 ll LIP'S. 0. OF FAMILIES: DWELLING NITS: AP CO D: STAT CLAS,S:' -- — ---_NO 20 ---- --- - - SCHOOL WITHIN- HAZARDOUS �rl� AIR QUALITY: 1000 FEET MATERIALS NO NO NO oM` ` ���=IIL I';, REPORT ID: DPR261 ROUTE TO: BS0508 a ! COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADDITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1210310038 PHONE: (626) 285-0488 EXT: ILEGAL ID: ! I NO. OF CONST NEW I BUILDING ADDRESS: 1 ITR: 6561 LT: 610 BL: .001 I SQ. FT STORIES TYPE OCCUP GROUP 5805 TEMPLE CITY BL ISTRUCTURE: 350 1 V-B B I TEMP CA 917802113 (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: LAS TUNAS 18587-015-001 I I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY ITENANT: (EXIST BLDG USE: COMME USE ZONE: C-1 IISSUgD ON: PROCESSED BY: 1 1 (EXIST OCC GRP: B 110/31/12 SR 1OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1 IOROZCO;FELIPE & MARIA (626) 292-7190- 1 2,500 1 15805 TEMPLE CITY I I,� ITEMPLE CITY 91780 1 FEES PAID 1DESCJR-IPTION OF WORK 1 I I (INSTALL OUTDOOR PATIO COVER 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( (APPLICANT: TEL. NO: I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 I I IAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 ISPECIAL CONDITIONS: 1AE STRONG MOTION OTHER 2500.00 VAL 0.50 IDl PLANCHECK W/O EN-HC 2500.00 VAL 84.20 I _ID2 PERMIT W/0 EN-HC 2500.00 VAL 99.00 I I ICONTRACTOR: TEL. NO: I TOTAL FEES 212.50 (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC. NO I ILOCATION AND SETBACKS I I I I I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I 1 LIC. NO: I (SLAB/UNDER FLOOR I I I I I IRAISED FLOOR FRAMING 1 I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM$:1 (UNDERFLOOR INSULATION I I I 1150H269 3 001 1_ I I (FLOOR SHEATHING I I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 0 NO 22 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 11 IsRat PANELS I I 1 (AIR QUALITY: 1000 FEET MATERIALS I II I I 1 NO NO NO H524E INSPECTION 1 1 I 1 IFIREiSPRINKLER HANGERS I I I I I I I IINSUTION/WEATHER STRIPI I 1 I I I I NTE R LATH/DRYWALL I I I I 11 IEXTEUOR LATH 1 I 1 I IRATEP FLOOR/CEIL ASSEM. I I (RATED WALL ASSEMBLIES 1 I I RATED SHAFTS/OPENINGS I 1 I r I I T-BAR CEILINGS I I 1 I I ILOT DRAINAGE 1 I 1 IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I i r , i C!`UNTY OF LOIS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARNT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1404300023 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 6561 LT: 610 BL: .001 1 SQ. FT STORIES TYPE OCCUP GROUP 5801 TEMPLE CITY BL [STRUCTURE: 800 1 V—B B I TEMP CA 917802113 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WORKMAN 18587-015-001 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CA] I TENANT: EXIST BLDG USE: COMME USE ZONE: 11SSUED ON: PROCESSED BY: [SALON FOUCUS JEXIST OCC GRP: B 106/04/14 SR 1 OWNER: TEL. NO: ]BLDGS. NOW ON LOT: VALUATION: IFATE FI CODE: IKAI XIN LIU (626) 922-8595— 1 15,000 1 Ill CALIFORNIA ST #B I I [ARCADIA CA 91006 FEES PAID ]DE CRI T�ION�F WORK TENANT IMPROVEMENT — INSTALL INTERIOR NON—BEARING PARTITIONS I _IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IONLY (NO CEILING) FOR NEW RESTROOM, DISPENSORY & SHAMPOO ] (APPLICANT: TEL. NO: I (AREA FOR SALON USE I IKAI XIN LIU (626) 922-8595— 1A1 PLANCHECK W/EN—HC 15000.00 VAL 293.80 I 1 Ill CALIFORNIA ST #B IAA BLDG PERMIT ISSUANCE 27.80 (SPECIAL CONDITIONS: 1 IARCADIA CA 91006 IAB STATE GREEN BLDG FEE 15000.00 VAL 1.00 [ I IAE STRONG MOTION OTHER 15000.00 VAL 3.20 [ I _[A2 PERMIT W/ENERGY—HC 15000.00 VAL 345.70 ] CONTRACTOR: TEL. NO: IFS INV WORK W/O PERMIT 344.00 DOL 344.00 ]APPROVALS DATE INSPECTOR SIGNATURE ] 1HUALI ZHAO (626) 272-8847— I TOTAL FEES 1,015.50 1 ] 119254 E WALNUT DRIVE NO 203 LIC. NO ILOCATION AND SETBACKS I I (CITY OF INDUSTRY CA 91748 981594 1 I I ] [SOILS ENGINEER APPROVAL ] I I ARCHITECT OR ENGINEER: TEL. NO: — ] 1FGUNDATION/TRENCH FORMS I I I [ LIC. NO: 1SLAR/UNDER FLOOR ] [ I I [RAISED FLOOR FRAMING 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:] [UNDERFLOOR INSULATION [ ] ] 3 001 I1 [ ] [FL40OR SHEATHING ]NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: ] I__ 1 [ [ 0 NO 22 [ [ROOF SHEATHING 1 ] SCHOOL WITHIN HAZARDOUS ] ]SHEAR PANELS [AIR QUALITY- 1000 FEET MATERIALS ] ] I NO NO NO [ y ]FFLAME INSPECTION oor ] ]FIRE SPRINKLER HANGERS I [ ]INSULATION/WEATHER STRIP] [ ] [ INTERIOR LATH/DRYWALL ] I I 1EXTERIOR LATH [ ] [ 1 I IRATED FLOOR/CEIL ASSEM. I I IRATED WALL ASSEMBLIES I I I I I [RATED SHAFTS/OPENINGS 1 I I IT—BAR CEILINGS I I ] ILOT DRAINAGE I 1 I I I I ] IREPORT ID: DPR261 ROUTE TO: BS0508 I I [ [ I I I ] I I .44SIGN OF BUILDING AND SAFETY ® � ' Department of County Engineer _�.�''• Oonnty of Loa Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION -_ FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.MR REM.No. PERMIT NO. BUILDIN ADORES 5 ©I 3 n. Zl f 3ZO LOC -� Lyp/yl , RECEIVED BY DATE or APPL. DAaE ISSUED / CN6A EST RO BST. ' BUILDINd (� r ADDRESS 9gQ1-0-.kdO~J , C.. 7M OWNER -9_t/ jeja MAIL LOCALITY -4- r ,L' Cl ADDRESS �' E-v-�-� . NEAREST � # CRO99 ST. Io rl " rIl c 61r p TENO.OF TYPE=_ FIRE GROUP CITY ZONE PLANS ARCHITECT O EL 1ENGINEERLN � SETBACK LINE Z4 ADDRESS TEL ZUSEONE C-lAPPROVED ey0&_,6 X10. 0&_, i DATE2-�G-0d CONTRACTOR NO. HOUSE NUMffQIN3 I ADDREBB , MAP NUMBER ')J©Ol NO. ASSIGNED LEGAL CORRECTIONSDESCRIPT - l BYJ V TRACT �D L �•e4 %� ` f �y NO. OF BLDGS. SIZE OF LOTS''O I I I NOW ON LOT 4`7' USEOF S��U �'�i' I NO.OF - EXISTING BLDG. FANIUEe -- DESC,RIPTION OF WORK NEW ALTERATION v ADDITION Z REPAIR DEMOLITION r �+�doSi l�nc.L/ /its A 7/C �/ ✓E 7�0 d�T7'u.P.c/ S4-FNO.OF IT. ROOMS STORIES '04 EXT.WALL I ROOF I / COVERINGA;Q�� COVERING USE OF STRUCTURE A7- A A.,Q "Ana i .f-^dP. -.^ .Ar/-/C_ f=cv+ ertn/.P?. IP_ '—LY / ii'/.�t�r ti Fr�l/�a1 4+�l.•r��/ C�✓['�J INSPECTION FOR J APPROVALS OCCUPANCY AS INSPECTORYSSIGNATURE DATE FOUNDATION: LOCATION 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FORMS, MATERIALS � PLICATION AND STq E THAT THE INFORMATION GIVEN 19 FRAME: FIRE STOPS, CORRECT. / BRACING.BOLTS ✓�'k'la,.CAh_�'//� 5� I AGREE TO C Ft LY WITH KL CO_ TY QRDINANCE9 AND STATEL W OULATIN UIL CO STRUCTION. FURNACE: LOCATION.GAS VENT,DUCTS SIGNATURE a LATH. INT. PERMITTE LATH. EXT. '✓ ADORES � `•�'A�'-x_ AUTHORIZED ADT. PLASTER, INT. / .- PLASTER, EXT. _ I p l 11J OUSE NUMBER COR CO FEE I HRECTAND POSTED J-4r 4".r, . 1111I9..4ISN VALUATION FEF �G FINAL •v�i'�1 fAAu/JJv /}IZg1�� 7r.A698A MESS 1-99 DRPky�TitiiENT�F BUILDING AND SAFETY APPLICATION FOS-PEiuAlT r_e~ COUNTY OF LOS.ANGELES � � � Nra""' WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY r DISTRICT NO. PLAN CK.NO. /,PnERRM+IT NO. BUILDING 8 0 /o �,, /rl�. rU L ADDRESS F t7 s LOCALITY ;/ er w lVe- LF/ 7 ;e. RECEIVED•BY4/ DATE OrAPPL. DATE198UED NEAREST CROBH fIR BUILDING OWNER C//Bz�R A A E R�� c' Y ✓A/�.�' �f�1°.' � 7_�� r•^ ADDRESS A � ! MAILoLOCALITY ADDRESS ; 'gaga i& g"A !• /> �1 TEL. NEA EST CROSB ST. _CITY /t" / .VPC ( 0 7",g No. FIRE NO.OF TYPE ARCHITECT OR TEL. ZONE ` - PLANS ,- ENGINEER No. BG. ADDRESS � SETLDBACK LINE /� APPROVED & IZ t9 BY G��s�'�`e^ -DATE CONTRACTOR h r NO. kJ 6 `^b USE �/' ry APPROV�D��.J�_ r--�® ADORESS rJ I i �A/1% L (/�) ZONE. _._BY DATE DESCRIPTION LOT NO:�,D--�/ BLOCK LEGAL CORRECTIO�7� TOT 0,�rrte 5�6 9 ',j •! f� /v/} a NO.OF SLOGS. /! SIZE OF LOT ,( NOWONLOT 'Air USE or ND.DF mo.or EXISTING BLDG. FAMILIES I ROOMS DESCRIPTION OF WORK �,y �►pia F..i.�sC_ c� :� Gr9-r- NEW ALTERATION ADDITION 7-e� LR t .tel u.FtM IF Y'-Z7 1•J —A L,Y m D REPAIR MOVING. DEMOLISH ..�16. /7n--Al l.^y% .F—" IA Sm-44 .EV OAJt D Bq.FT. NO.OF 1 SIZE ROOMS STORIES S*/wR�,. d P ZIM .d" A-r- �ti/�4 1 ire � ROOF OVEERRING I COVERING aBELDINm ,/' GQf✓JCJ �� C�' �l_tv� vr�' t�� �� ®- . AVIV 70"9 SLI C /lSlf //Tl/f'n�1f� /e% /_.(lir��i!S'."!/�/-r^/�J'��r 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS / ' APPROVALS v Q APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION"LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME:FIRE STOPS, 81MNATURE OF ��{{ fP R �+ BRACING.BOLTS PERMITTEE / r.I/�� �9®�� ��°` i 1 /// f LATH. INT. AUTHORIZED AOT r LATH. EXT 76A638A-3 5-50 $ P.C,S PLANTER,INT. FEE ..— _ PLASTER.EXT. � is VALUATION FEE A=_ «. '76AG36A CEA803 I-67-'APPLICAT'ION FOR, BUILDi G- PERM �- - CO OF LOS ANGELES. AUILDIN- : DEPARTMENTN --OF COUNTY-ENGINEER O BUILDING AND SAFETY DMSION. .LOCALITY JOHN A. LAMBIE.COUNTY ENGINEER NEAREST COLEMAN W._JENKINS Sup T of BUILDING", CROSS ST. DISTRICT N ROUP TYPE P O SEM BY . FOR APPLICANT.TO' FILL IN-• , ,0A I CONST. BUILDINGSTATISTICAL CLASS IC TION SEVER MAP ADDRESS; ©- Abdv CLASS NO.' DWE'LL'UNITS BK/EG A .LOT NO.; LOCK' -USE ZONE •MAP_ .C� �1 _ TRACT C NO. " SPECIAL NO."OF SLOGS. CONDIT ONS SIZE OF LOT NOW ON LOT,. - USE OR'XISTIN R I Ka I BLDG. SETBACK FROM TEL: _' RONT PROP::.LINE OF" •- (8TREfiT) OWNE .NO: TYPE- EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS Q- HIGHWAY FROM C.L.; - CITY BLDG. SETBACK FROM ARCHITECT OR: TEL. SIDE PROP. LINE OF (S.TREET) ENGINEER NO. , TYPE OF EXI8TIN0 SETBACK' HIGH i-'� YARD = TOTAL - ADDRESS HIGXWAY WIDTH FROM C.I. CONTRACTOR NOL d U + ADDRESS ` y LIC 7 2-V CORNER CUTOFF Y.ES O NO c Y ) LIC ,ys SEE REVERSE SIDE FOR SPECIAL APPROVALS ESCRI .TION-OF WORK j NEW ADD ALTER REPAIR DEMOLISH // 1114 -1 SQ.FT. NO. OF N.O. OR -' SIZE STORIES FAMILIES USE:O.F `� STRUCTURE '� SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR'8810NATURE P.C. PMT. FOUNDA IION -FEE$ [FEE$ r MATERIALS FRAME, FIRE STOPS, THEREBY ACKNOWLEDGE THAT I. HAVE READ THIS APPLICATION B.RA.CING BOLTS ' AND STATE THAT THE ABOVE IS CORRECT'AND-AGREE TO COMPLY FURNACE: LOCATION WITH ALL.COUNTY ORDINANCES AND' STATE LAWS REGULATING GAS VENT. DUCTS •9UILDING•CONSTRUCTION. I_CERTIFY THAT IN-DOING THE WORK AUTHORIZED HEREBY I WILL NOT'EMPLO.Y ANY PERSON IN VIOLA- LATH. INT. -TION OF THE LABOR CODE OF THE.:STATE OF CALIFORNIA RELAT• - ING'TO WORKMEN'S.COMPENSATION INSURANCE. LATH. EXT. ''SIGNATURE OF LL] n� .� ��, HOUSE NUMBER COR, PERMITTEE^ REC AND POSTED ADDRESS-_'9_CApDRESS-_'9_C7rnjCj�P7 oL. Gia.I�13 FINAL JOHN ��F.. LEWIS- PRINC• I IPAL STR RAL ENGINEER :PLAN CHECK.VALIDATION: . CK. '::M.O.. _CASH � PERMIT VALIDATION CK. M.O' CASH d lop c FBA688A CE0809 8-68 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. RICONO GF�Eall TYPE P E D B FOR APPLICANT TO FILL IN Ua/ l%r CONST. Q BUILDING ® Y _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS. / CLASS.NO. DWELL.UNITS BK / LOT NO. BLO K WATER ICATE�:T NOT REQUIREDCERTIFRECEIVED TRACT NOP O (/ICGRCVLEI STATE MAJOR SAY ECON ,LOCAL NO.O BLDGS. SIZ OF LOT NO LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. ' .2'/ TEL. OWNER NO. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS FRONT /� ARCHITECT OR TEL. P. L. Q ENGINEER NO. SIDE IP. L. _ _ ADDRESS /�i `� It TEL. 'w CONTRACTOR NO. ;_ 1/ , j/ ' 1V �R� ADDRESS 1 r DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH / H SQ.FT. NO.OF NO. OF SIZE STORIES / FAMILIES USE OF STRUCTURE d �R //— SIGNATURE OF ✓� ��/� 7 APPLICANT VALUATION $ � APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. y�r FOUNDATION: LOCATION FEE $ FEE FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:.LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. ' TION OF THE LABOR C E F THE STATE OF CALIFORNIA RELAT. , ING TO WORKMEN'S P ATION INSU CE. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- 1 PERMIT'I RECT AND POSTED f o'�u /? ADDRESS FINAL /-,, .,<i (w' JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.D. CASH PE UAIT VALIDATION CK. M.O. CASH LAU0 4 81: 1 6 OCT 13 1 0. ' 4.00-. � .