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HomeMy Public PortalAbout5822 TEMPLE CITY BLVD_Building__ van— W�p __Zho -i7T­_:� -B -FOR PETU PEPARfMENT' OF` BUILDING AND SAFZtT. APPLICA PLICATION -FOR OF LOS ANGELES mum I LIDO N G WM. J. FOX, CHIEF ENGINEER I111 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. No. PERMIT NO. BU' Z ADDRESS gl�- , SU 41566 15 6 T / 1 & 7 c� LOCALITY L) F, RECEIVED DATE OF APPL. DATEISSUED LOCALITY I NEAR VAIAS 0 CS:BT R ST. AS 7 BUILDING ADDRESS OWNER 1A M F-5 MAIL _A��t AJ?13 ADDRESS YMS 7- NEAREST T. ry - N9 CROSS SL FIRE NO.OF TYP GROUP ARCHITECT OR TEL ZONE PLANS -ENGINEER NO. OLDS. ORD. NO. ADDRESS SETBACK LINE .1 Ck" APPROVE JE& DATE BY CONTRACT BY CONTRACT 0. USE APPROVED ADDRESS Lq/& b: rjVA/AS IRT ZONE -,38Y DATE LEGAL DESCRIPTION LOT No. BLOCK CORRECTIONS TRACT Ad,/3 - 7 SIZE or LOT JA'X 175- 1 N103;V'ON"LLOT ' USE OF - (?j� NO.or I NO. or ,e,Z4j4r Mt _1* ROOMS EXISTING BLDG.' DESC TION OF WORK NEW ✓ ALTERATION ADDITION a REPAIR MOVING DEMOLISH Z SIZE NO.or > SIZE ROOMS -�_ STORIES r WALL RC30F COVERING COVERING USE OF NEW v BUILDING &ys)/I/ APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS INSPECTOR DATE APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATION, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. —FRAME. FIRE STOPS, BRACING, BOLTS SIGNATURE or OWNERLATH, INTJ f AUTHORIZED ANT- LATH, EXT.: ri 0-0 P. C.41 PLASTER, INT. "?o FEE PLASTER, EXT. VALUATION FEE FINAL 76A638A CE #80912/BAPPLICATION FOR BUILDING PERM'-fT 0\0y COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING t-- .� /�_ JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS (� f� COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tvoe onl CROSS ST. Q (may c.af BUILDING DIST�T NO. GFtOUP P TYPE GEES E BY ADDRESS 5822 NO. Temple City Blvd. © h oNST. Z2 STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK CLASS NO.�DWELL,UNITS —BIC G TRACT ��� USE ZONEI MAP. d�� /f NO.OF BLDGS. NO. 'c SIZE OF LOT NOW ON LOT C1 SPECIAL USE OF CONDITIONS EXISTING BLDG, TEL. OWNER NO. BLDG.SETBACK FROM ADDRESS Same FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITYTemple City HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. } ENGINEER NO. BLDG,SETBACK F ROM ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OFI1CONTRACTOR Virgin Roof Co. NO. 287-0507 H GHWAY EXISTING ROM CGL. HIG + YARD = TOTAL ADDRES600 S. San Gabriel Bl. No 160650 t = o CITY San Gabriel CLASS C-39 CORNER CUTOFF YES ❑ NO ❑ C CONSTRUCTION LENDER D NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS C ADDRESS C SO. FT. NO. OF NO. OF NEW ❑ SIZE STORIES 1 FAMILIES USE OF ADD STRUCTURE Reroof rock roof ❑ ALTER ❑ SIGNATURE OF REPAIR© APPLICANT DEMOL ❑ VALUATION 5 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEES 9,00 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, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS - - STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. - LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENS&TION INSURANCE. LATH, EXT. SIGNATURE OF , HOUSE NUMBER COR- PERMITTEE. RECT AND POSTED ADDRESS FINAL � �p `t'� ���+•-- JOHN F. LEWIS. PRINCIPAL ST AL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M O. CASH CQ L( uo 'i 1'4 7i--J- NOV 4 1 D 9.0 0N rDEPAMENT OF BUILDING AND SAFETY AFFLICA LUN YOU VbkMI i .JUNTY OF LOS ANGELES B U I L D I N G WW1. J. FOX, CHIEF ENGINEER j ,N + FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS 12-4 U T - S e S n/S� _ LOCALITY _ 09p_ ,C C/ RECEIVED BY DATE OFAPPL.d QDA E ISSUED NEAREST CR099 9T. JA/O J1/7Y1 A�Y n�,/�) BUILDING OWNER . /p/ {� (3£ ADDRESS l0 SvN SFT MAIL LOCALITY : c ADDRES9 l S 0 E NEAREST / TEL -I CRO9B ST. CITY 1F/YJ L� /;-c/ NO. / '� r?l f TEL FIRE NO.OF TYPE GROUP ARCHITECT OR ZONE PLANE ENGINEER NO. BLDG. ORD.NO. ADDRESS SETBACK LINE APPROVED CONTRACTOR CONTRACTOR .� A/? L"/yA� � L. BY DATE .� USE /p APPROVED ADDRESS O o N/Z !t 5 L 1lO �ZIAR//� ZONE 1. yBY DATE LEGALSys I CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT /W .B - 7; -34- 3S SIZE OF LOT Z X J '7f I NO.OF BLDG9. o NOW ON LOT USE OF �p NO.OF NO.OF EXISTINGBLDG✓/PES'S SA R-1 FAMILIES "1 ROOM DESCRIPTION OF WORK NEW ALTERATION ADDITION O X REPAIR. MOVING DEMOLISH m SIS.FT. NO.OF _SIZE ROOMB STORIES r WALLROOF COVERING X l"'M e r It, I COVERING(?6i2_,P //� o I USE OF NEW BUILDING ��B ' /A, 0 � • I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE I9 CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS VG ' - �� (�j AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 3r SIGNATURE OF FBRACING,,BOLTS RAME. FIRE B� �I PERMITTE ��i1� n� LATH,INT.: AUTHORIZED(A//T LATH,EXT.: DSS-3 513M SETS 7-47 /$ P.C.$ PLASTERP I NT. FEE PLASTER,EXT. VALUATION FEE / --��'I FINAL �� l GA888A CE#809-7.58 A i 9 L I C A e t O N FO R B V I L®I N G P E 13 M I T BUILDING AND SAFETY DIVISION BUILDING Department of County Engineer ADDRESS County of Los Angeles LOCALITY JOHN A.LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. ROUP` CONST. SK ADDRESS TYPE I SEWER MAP PG FOR APPLICANT TO FILL IN BUILDING STATISTICAL CLAS FICA ION I CLASS. NO.-?-DWELL. UNITS -1 NO. B OCK MAP BER 2_6 61HATE YES O TRACT ) / USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS,. . r r SIZE OF LOT I NOW ON LOT USE OF " EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK W I DTH OWNER w FRONT MAIL P. L. _ ADDRES9Z4,czdz SIDE TEL P.L. CI NO.' INSPECTION .RECORD ARCHITEC TEL. ENGINEER O' ADDRES &OMIAe2on s CONTRACTOR dNO. D 11,41 ADDRESS DESCRIPTI OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT.. f / NO.OF NO.OF SIZE ��L� STORIES FAMILIES USE OF STRUCTURE AMM. . - A I ly APPROVALS SIGNATURE OF APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION:LOCATION FORMS. MATERIALS 'S P.C. S FRAME: FIRE STOPS, `� Z800 a� FEE BRACING.BOLTS S FURNACE: LOCATION. VALUATION GAS VENT.'DUCTS FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CO IT-grORDI NOES AND LATH, EXT. STATE LAWS GULATING L 1NG C [RUCTION. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESSFINAL ? OHN A.LAMBWCObiqfy ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH PERIMIT VALIDATION CK. M.O. SH .�1Co x 4 4 2 h I.Y 2 1 2.00 n ivva -- WORKERS' COMPENSATION DECLARATION eq hereby affirm that i have certificate of consent to self APPLICATION FOR BUILDING P E RANI I T insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Na PC997500 Company ReIDUbliC Indemnity BUILDING El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ® Certified copy is filed with the county building inspec- BUILDING a / �9on a tion department. ADDRESS 5822 Temple City Blvd. d LL Date 7-1-90 Applicant Virgin Roof Co. PITY Tem le City ZIP 91780 LOCALITY�� G NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK I LOT NO. MAP BOOK PAGE I PARCEL hundred dollars ($100)or less.) TEL. MAP OWNER Che Yoo NO. USE ZONE NO. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS 5822 Tem le City Blvd. SPECIAL d CONDITIONS so as to become subject to the Workers'Compensation Laws. O� CITY Tem le Cit ZIP 91780 Date Applicant ARCHITECT OR TEL. DISTRICT _ J Ggg IJP TYPE FIRE ROLES BY Q Exemption, NOTICE TO APLICANT: If, after making this Certificate of ENGINEER NO. r,/ (f /J 2 CONE 1 0 b Exemption, you should become subject to the Workers' (d/1 o IKl J !V, tU Compensation provisions of the Labor Code, you must forth- ADDRESS a with comply with such provisions or this permit shall be TEL• STATISTICAL CLASSIFICATION APT. CO DO. Z deemed revoked. CONTRACTOR Vir in Roof Co. No. 287-0507 _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. Box J NO. 160650 LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business CITY San Gabriel CLASS C3 and Professions Code,and my license is in full force and effect. BK, PG. VALIDATION SQ. FT. NO.OF NO. OF CHECK License Number 160650 Lic. Class C39 SIZE 8 S S. STORIES IFAMILIES ONE VALUATION Contractor Virgin Roof CO DO1e 6-30-91 DESCRIPTION OF WORK Tear Off 2 laver NEW El ADD $ 1818.00 El am exempt under Sec. then a 1 4 40 #11 and ea ❑ ALTER ❑ ► B.BP.C. for this reason 8 S S REPAIR ❑ $ Date: USE OF EXISTING BLDG. Comm. Bld . DEMOL ❑ , Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) Virgin Roof Co. No. 287— , DAT I hereby affirm that I am exempt from the Contractor's License ADDRESS P.O. BOX J SAIL Gabriel 91778 Law for the following reason (Section 7031.5, Business and FINA Professions Code): PRESENT BY ACCT.s°4 BUILDING ❑ I, as owner of the property, or my employees with ADDRESS- wages DDRESS ti�07 � e; wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section kADDRE Y �� 7044, Business and Professions Code.) TEL. 1II:�i� CTOR NO. —' .7 I,as owner of the property,am exclusively contracting TOTIAL(��. ��o ,�a...v with licensed contractors to construct the project (Sec- - tion 7044, Business and Professions Code.) CHECK 70.35 CONSTRUCTION LENDING AGENCY CK YARD HWY TOTAPROOPpLINE FROM ' wlDTli CHAiY'1E .013 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit isissued(Sec. 3097, Civ. C.). 0 �_�� 01f3 /91 Lender's Name I2� 9 1 010036 $ Permit Fee $57.38 LDMA Ref. # Lender's Address 00.I certify that I have read this application and state that the Issuance Fee 13.00 LDMA P/C# above information is correct.I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 70.38 LDMA Perm. # and hereby authorize representatives of this County to enter upon the abov enti ned proPerty for inspection purposes. 4-26-90 SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of Applicant or Agent Date i I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA BL 0508 9711140025 PHONE: (818) 285-0488 EXT: I OF CONST I L D G S: TR: 6561 LT: 588 SQ. FT STORIES TYPE 5822 TEMPLE CITY BL STRUCTURE: 2400 VN t TEMP CA 917802112 ASSESSOR IN ORA 0 R: NEAREST CROSS STREET: LAS TUNAS 8587-018-024 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C I TENANT: EXrST BLDG S D USE ZONE: R- SUED ON: PROCESSED Y: P ON: 'EXIST OCC GRP: 11/14/97 VG 11/14/98 OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATI N- FINAL DAEX EBY: CODE: Y00 CHE R;MYUNG S (805) 498-9858- 2092 NEWBURY RD NEWBURY PARK, 91320 FEES PAID DESCR PT 0 OF WORK T/0 EXIST ROOF AND INSTALL FIBERGLASS CAPSHEET ROOF APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: UNITED ROOFING CO. (213) 223-4081- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC _4000.00 VAL 99.15 �� L ETO•OT.di FEES 127.40 CONTRACTOR: TEL. NO: '� `�� APPROVALS DATE INSPECTOR SIGNATURE UNITED ROOFING CO. (213) 223-4081- 1821 DALY STREET LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 90031 137650/C39 SOILS ENGINEER APPROVAL ENGINEER: T L. N0: F-OGNDATION/TRENCH FORMS ARCHITECT OR LIC.-NO' (/ __ \ SLAB/UNDER FLOOR -, I i' I � � y, ,•tt � 1 RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I — p` I�L C �� 0 r �1.,�'S UNDERFLOOR INSULATION 150-269 3 01, it `�I �� 0_1 i(® I _ L R SHEATHING NO. OF FAMILIES: DWELLING—UNITS: A T COND: STAT CLASS: . ----- — r � � NO 21 � f� �\ �(��'�i �!^ ROOF SHEATHING SCHOOL WITHIN HAZARDOUS �e� Q�> SHEAR R P ELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO + .' Z I1 t r'� f��f® =?�a FRAME INSPECTION ' N`= —� ,a� � rFIRE SPRINKLER HANGERS REQ RED TO SETBACK 0 EXIST I A SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- �� = a��f� v INSULATION/WEATHER STRIP SIDE PL- �'I�f ^, a INT R OR LATH/DRYWALL EXTERIOR LATH PAT6 C S r 4 RAT�D WALL ASSEMBLIES RATED D H OPE GS i I T-BAR CEILINGS IO ,IDA I I REPORT ID: DPR261 ROUTE TO: BS0508 r a •� 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 1305060071 PHONE: (626) 285-0488 EXT: ( ILEGAL ID: INOMBER OF SIGN3: 1 I BUILDING ADDRESS: I ITR: 6561 LT: 588 ISIGN DESCRIPTION: MANUFACTURE AND INSTALLATION OF ONE ( 5822 TEMPLE CITY BL I I I CHANNEL LETTERS INTERNALLY ILLUMINATEI TEMP CA 917802112 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS I 18587-018-024 I I THOMAS'PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI (TENANT: (EXIST BLDG USE: TISSUED ON: PROCESSED BY: I TENET EXIST -OCC GRP: 05/06/13 SR I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1FINAL DATE FIN Y: CODE: I IEMT (626) 537-4111- 1 700 1I (5822 TEMPLE CITY BL I `� I TEMPLE CITY CA 91780 T FEES PAID D CER PT•ION OF WORK I1 (MANUFACTURE AND INSTALLATION OF ONE (1) SET OF INDIVIDIIAL 1 I [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I (APPLICANT: TEL. NO: I I (SIERRA, CELIA (626) 401-2544- AA BLDG PERMIT ISSUANCE 27.80 1 [ 11930 N ROSEMEAD BLVD IAB STATE GREEN BLDG FEE 700.00 VAL 1.00 (SPECIAL CONDITIONS: [ IS EL MONTE CA 91733 TAX BUILDING REVIEW FEE 54.70 T I I ID2 PERMIT W/O EN-HC 700.00 VAL 43.70 [ 1 I TOTAL FEES 127.20 I [ (CONTRACTOR: TEL. NO: I IAPPROVALS DATE INSPECTOR SIGNATURE SIERRA'S SIGNS INC. (626) 401-2544- 11930 N. ROSEMEAD BLVD. LIC. NO i 1. LOCATION AND SETBACKS I [ I IS. EL MONTE, CA 91733 939544 * 1 1- [SOILS ENGINEER APPROVAL 1 I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I LIC. NO: 1 ISUPPORT STRUCTURE I I I I [ 1 1 I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPioI I I I I I OI I I I I INO. OF FAMILIES: DWELLING UNITS.. APTAS /COND: STAT CLS:,1 O 20 SCHOOL WITHIN HAZARDOUS 1AIR QUALITY: 1000 FEET MATERIALS II [ I I I II I I T 1 1I I I I I I I I I I I j 1* ADDITIONAL DATA ON FILE I I I I I (REPORT ID: DPR261 ROUTE TO: BS0508 I I [ I 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 91780 BL 0508 1211050048 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 6561 IT: 588 �I SQ. FT STORIES TYPE 5822 TEMPLE CITY BL STRUCTURE: V-B I TEMP CA 917802112 1ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-018-024 II THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI I TENANT: EXIST BLDG USE: COMME USE ZONE: C-2 JISSUED ON: PROCESSED BY: (EXIST OCC GRP: 111/05/12 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI BY: CODE: ICHOU, CALVIN (626) 757-5538- 1 140 1 16260 LOMA AVE I I� 'l� [TEMPLE CITY CA 91780 1 FEES PAID IMSCRIPT N OF WORK I JINSTALL A l WINDOW 1 1/2 SQ.FT. X 2 SQ.FT. (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I APPLICANT: TEL. NO: I I ISC HOME IMPROVEMENT CONTRACTOR (626) 202-6615- 1AA BLDG PERMIT ISSUANCE 27.80 1_ 1 18837 LONGDEN AVE JAB STATE GREEN BLDG FEE 140.00 VAL 1.00 ISPECIAL CONDITIONS: TEMPLE CITY CA 91780 1AE STRONG MOTION OTHER 140.00 VAL 0.50 ID2 PERMIT W/O EN-HC 140.00 VAL 43.70 _]FR INV WORK W/O PERMIT 342.20 DOL 342.20 CONTRACTOR: TEL. NO: I TOTAL FEES 415.20 JAPPROVALS DATE INSPECTOR SIGNATURE ISC HOME IMPROVEMENT CONTRACTOR (626) 202-6615- 1 18837 LONGDEN AVENUE LIC. NO I ILOCATION AND SETBACKS TEMPLE CITY CA 91780 766520 * I I I ISOIL§ ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: [SLAB/UNDER FLOOR IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION 115OH269 3 001 1 1 1 I I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I 0 NO 22 1 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS 1SHEIAR PANELS [AIR QUALITY: 1000 FEET MATERIALS NO NO NO I FRAME INSPECTION IFIRE SPRINKLER HANGERS I I I INSULATION/WEATHER STRIPI I I I I I I I I ]INTERIOR LATH/DRYWALL I ]EXTERIOR LATH I I I I I (RATED FLOOR/CEIL ASSEM. ] I ] I I I I I I I I IRATED WALL ASSEMBLIES I I ] I IRATED SHAFTS/OPENINGS i I IT-BAR CEILINGS I* ADDITIONAL DATA ON FILE I I I I ILOT DRAINAGE I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I I