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Home My Public Portal About5337-5339-5341-5343-5345 VILLAGE CIRCLE DR_Building__ I CAT I O N FOR COUNTY OF LOS ANGELES PERMIT DEPARTMENT BUILD NG AND AFETY DNIS ON R 1711DING BUILDING FOR APPLICANT TO FILL IN ADDRESS J`'^ - BUILDING O r » r� ADDRESSl / d•Iv��l� C% dS I�/moi LOCAL Y NEARESr— CITY? •��/Y /,,ff c J j' ZIP 7,? C> CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT G UP. TY E LEE OCE ED BY ST. TRACT BLOCK LOT NO, p( OWNER C7/�D�� i L: �1lNo. U �y STATISTICAL CLAS IFICATION SEWER P ADDRESS3� ��/,7(rL G'1/2c�Le CLASS Nov2�DWELL.UNITS BK PG CITY �� 4 a ZIP O E Z05FAP ARCHITECT OR TEL. �'1 J SPECIAL ENGINEER NO. 1 1� CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR y u' TOL �� '� BLDG. TRACK FROM LIC. .y / FRON PROP.LINE OF (STREET) ADDRESS / A)6!1 jr NO./7 6 NIGHW Y + YARD - TOTAL SETBACK FROM HIGHWAY EXISTING I pTIHG CITY LIC. FRONT PROP. LINE CLASS 7 _ CONSTRUCTION LENDER + _ NAME AND BRANCH BLDG.SETBA a ADDRESS CITY SIDE PROP.LINE OF (STREET) G SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM OF OUSTING C SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGH WIDTH F _ C LL DESCRIPTION OF WORK NEW + v ADD 11 CORNER CUTOFF YES El NO ❑ Z SO AISA4:571- � ALTER ❑ ' REPAIR❑ IN OPEN SPACE YES ❑ NOUSE OF ❑ EXISTING BLDG. jfj(r;S11) .-jV ft5 DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICA _h�.,� TEL (PRINT)1N�11ve-- !v/ �,v�jio . BY (SIGNATURE) d6 I HEREBY ACKNOWLEDGE THAT I HAVE O THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC 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 CO MPENSATION INSURAN E. SIGNATUREOFFINAL ` 7 /� BY ��—e[�_ _ PERMITTEE � � o DATE L� / ✓�"� �' ADDRESS AJ. L VA) A' 1!& ��'A��i� �/%►: NOL' C. Fee$ Permit Fee CITY b rr Q Issuance Fee VALUATION$ � �+ / Total Fee PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 4 9'7 LZ MAY 25 1 1) 1 2.0 0 ♦83 7BA638A CE#8038 1275 APPLICATION FOR BUILDING PERMIT FO APPLICANT TO FILL IN (Print or type only) a BUILDING�337-39-41-43-45 Village r. D COUNTY OF LOS ANGELES ADDRESS ibEPARTMENT OF COUNTY ENGINEER CITY ZIP 91780 BUILDING AND SAFETY DIVISION y NO.OF BUILDING - SIZE OF LOT4.5 ACresNOW ON LOTS 1 ADDRESS 5337-39-41-43-45 ^Vill'age Cir. I TRACT 29602 ld aOU I qokT LOT NO. 1 LOCALITY Temple CityNEAREST r• OWNER Im erial Savings NO.(95-88 0 CROSS ST. ASSESSOR. 1 ADDRESS 61 So• bake St. MAP BOOK PAGE PARCEL DISTRICT 1GROUP]TYPE FIRE SSED BY CITY ZIP 91101 o �j �, CONST. ZONE ENG NIEERARCHTECT'•`� .Foerstel NO`.964-001 flC STATISTICAL CLASSIFICATION SEWER dAP ADDRESS3 2 1 E Railroad LCA it of nd,.IASS NO.LL�OWELL.UNITS BK PG CONTRACTOR Noel Baldwin LIC. f No 448-390 USE ZOyE NOP ADDRESSIO NO. Z SPECIAL LIC. CONDITIONS C CITY Temple it CLASS B-1 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENWR NAME AND BRANCH imperial Savn BLDG.SETBACK FROM F ADDRE5561 So. Lake CITY Pasadena FRONT PROP.LINE OF (STREET) c HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OFNO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH ` SIZE STORIES 2 FAMILIES ONE DESCRIPTION OF WORK Q 3 NEW + ADD ❑ BLDG.SETBACK FROM New Developwent SIDE PROP.LINE OF (STREET) ALTER ❑ - TOTAL SETBACK FROM TYPE OF EXISTING REPREPAIR[:] HIGHWAY + YARD - SIDE PROP. LINE HIGHWAY WIDTH EXISOT NG BLDG.Sin` le FamilyIEMOL ❑ APPLICANT TEL _ CORNER CUTOFF YES ❑ NO ❑ . (PRI Noel B O' — , , BY (SIGNATURE) 6k=4�W1z(11A IN OPEN SPACE YES ❑ NO ❑ 4 COASTAL ZONE YES C] NO ❑ VALUATION$ 1592300 7.0-_0 CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION Of THE LABOR DE OF THE STATE OF CALIF O IN RE I TO WORKM N'S COMPENSATION IN ANCE. SIGNATURE OF PERMITTEE ADDRESS TE FkNAL BY CITY Temple City NOL448-390 DATE -7 c/5PMT.4t MAKE CHECKS PAYABLE TO: PEE 2,27-48 FEE � � HARVEY T. BRANDY, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT AIDATION CK. M.O. CASH 9 0 2 C42,FEB 20 2 0 ' 2 2 7.4 E 89E 76g636A CE#603 7/73 �, I 21r'_!'1C1 ,14 1 ,9 7 5 82 5A-48 r,� APPLICATION F R SUILDING PERMIT BUILDfNG FOR APPLICANT TO FILL IN ADDRESS �3 BUILDING ADDRESS �j LL C E 40 P/&,A LOCALITYNEAREST — CITY EMI LE C/� ZIP 91780 C OSSST. NO.OF BLDGS. ASSESSOR SIZE OFLOT )) NOW ON LOT // MAP BOOK PAGE PARCEL T CTL L BLOCK LOT NO. !i� DISTRICT GROUP TYPE FIRE O ED BY v/Z ST. �NE TEL. Cl OWNER `/Q .L NO. y /f STATISTICAL CLASSIFICATION SEWER MAP ADDRES§r2,, j �� LJIQ ��. CLASS NO. DWELL.UNITS L�BKI' P� CITY ZIP USE ZONE OP / 0 ARCHITECT R TEL. R�M� SPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR NO. BLDG.SETBACK FROM LIC. FRONT POP.LINE OF (STREET) ADDRESS NO. TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + — i NAME AND BRANCH BLDG.SETBACK FROM 0U ADDRESS CITY SIDE POP.LINE OF (STREET) w SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = TOT CK FROM TYPE OF EXISTING U SIZE / STORIES FAMILIES ONE S OP.LINE HIGHWAY WIDTH a ,n + = Z DESCRIPTION OF WORK NEW 1:1 — ADD CORNER CUTOFF YES ❑ NO ❑ _ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USE OF REPAIR ❑ IN COASTAL PERMIT ZO YES ❑ NO ❑ EXISTING BLDG. DEMOL. ❑ APPLICANT TEL (PRINT) NO. BY(SIGNATURE) LADDR REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE E ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES WS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF OR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PTo ENSATION INSURANCE. � p , TURE OF/�� .ttJLa' It�i FINAL / BY TEE L DATE G SS '�`33//�j LL/J /i� ge/U& EA'P,t��+®p TEL. P.C.Fee$ Permit Fee /p'2NO: Issuance Fee TION� ' ` Total Fee PLAN CHECK VALIDATION CK. M.o. CASH PERMIT ALIDATION CK: M.O. CASH 3 0 4NAUG 19 1 n 3.. 2.() d ®S 76A6388 CE/8038 6/76 WORKERS'COMPENSATION DECLARATION I hireaffirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT rtisure, oT.a certificate of Workers'Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob. C.) / COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.!by/I S/_&ompany s7AyT6 raxJIY BUILDING ' Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 4 f1� (�ertifi copy is filed with the county building inspec- BUILDING [� o LJr` tion department. ADDRESS �7 / C /�+ Date- $ Applicant CITY sJ Ci ZIP %I �b LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. ./ (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK ASSESSOR PARCEL TEL. USE ZONE MAP / I certify that in the performance of the work for which this OWNER NO. NO. ed --6 permit is issued, I shall not employ any person in any manner SPECIALi so as to become subject to the Workers'Compensation Laws. ADDRESS AeN9 /-J. CONDITIONS U• Date Applicant CITY ZIP 0: NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT G P-'T�PE FIRE CESSED BY � ENGINEER NO. �O ST. ZONE U: Exemption, you should become subject to the Workers' �, , Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be m TEL i0 0-' deemed revoked. r LJoE N��O S � STATISTICAL CLASSIFI ATION APT. CONDO. Z CONTRACTOR ]�?I LICENSED CONTRACTORS DECLARATION jj]] LIC, CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS AP K//4 P. NO. c?9S3os SEWER MAP (commencing with Section 7000)of Division 3 of the Business and /� & LIG. Professions Code,and my license is in full force and effect.effect. CITY a dJ UJ+ .45 CLASS BK PG VALIDATION ��jS-3ds 9J'I IE O � elb0 TORIIES FAMIONE OFCHECK License e ass SZ VALUATION Contra _ DESCRIPTION OF WORK /p NEW ❑ $ O CO ❑ ADD sG , I am exempt under Sec. F0ALTER B.BP.C. for this reason REPAIR ❑ $ USE OF EXISTING BLDG. DEMOL ❑ S_ianatur _� _ APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS FINACL Professions Code): PRE N BY /G� G ❑ BUILDING I, 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 7044, Business and Professions Code). MOVING TEL. ( ! LA— ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS 4 U tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPREOTPAINEFR WIDTH I hereby affirm that there is a construction lending agency for FRONT — --- the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name ' LDMA Ref. # Lender's Address P.C.Fee$ Permit Fee 1 certify that I have read this application and state that the Issuance Fee LDMA P/C q 2 above information is correct. I agree to comply with all County Investigation Fee 7 ordinances and State laws relating to building construction, Total Fee LDMA Perm.# d and re authorize rep sentatives of his County to enter o u n the ove entio pro n purposes. n SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Do e 0 ,a�WORKERS'COMPENSATION DECLARATION C c L ` l 3d1%�-3' ` nt to sf insur`eeboracertifcaaffirm thatteofWorkes'tCompensation neInsurane, APPLICATION FOR BUILDING PERMIT or a certified copy thereof(Sec. 3800, Lob. C.) /O�/--9�•-5''7 ,�,,,, COUNTY OF LOS ANGELES BUILDING AND SAFETY N4 Pal'c NCompany SIAM Qt odmmoy ��r� Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS `� J Certified copy is filed with the county building inspec- BUILDING �7u tion department. ADDRESS Sal l s ase (�/� / , Date IAV113WApplican CITY /►1 ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST -4/ � COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. ve��.- (This section need not be completed if the permit is for one ASSESSOR hundred dollars-($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL 1 TEL. / USE ZONE MAP I certify that in the performance of the work for which this OWNER I�//�rC { r/L I+u4:C��/ NO.52 0 NO. permit is issued, I shall not employ any person in any mannerADDRESS AS 1�O U� SPECIAL so as to become subject to the Workers'Compensation-Laws. CONDITIONS U Date Applicant CITY ZIP lc�_ NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT ROUP TYPE FIRE PROCESSED BY O ENGINEER NO. 66 11r1ff CONST. Exemption, you should become subject to the Workers' V Compensation provisions of the Labor Code, you must forth- ADDRESS V DW. with comply with such provisions or this permit shall be a��_�e��-7 rt�ffEL. STATISTICAL CLASSIFICATION APT. DO. C/)deemed revoked. CONTRACTOR AI V6CO'4,J�fff irl NO. -�,/ Z LICENSED CONTRACTORS DECLARATION l� LIC, p CLASS NO. 2 r DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS g1B0A�Lt 4 NO. S (commencing with Section 7000)of Division 3 of the Business andQ LIC SEWER MAP Professions Code,and my license is in full force and effect. CITY 'SIV 1ltn l4 S CLASS 61 BK PG VALIDATION a 9 s X05 Lic.Class) SI FT. NO.STO IE FA OF CHECK License Number / SIZE STORIES FAMILIES ONE �a p�pp J B u J c ; VALUATION Contractor aW CW,41_ Date —t7 D DESCRIPTION OF WORK zrx* ld I1� 't-1 ti ADD D❑ $ P5,00, Q0 F1 am exempt under Sec. OD F S v4vie t' 60(1� ALTER ❑ B.&P.C. for this reason aa1CCONICy I � o REPAIR ❑ $ Date: USE OF DEMOL ❑ 9991.9A EXISTING BLDG. # 0 0 0 0 0 1 Signature APPLICANT TEL. FINAL ? if•y ) ° OWNER-BUILDER DECLARATION PRINT NO. DATE �/ v o49,88 I hereby affirm that I am exempt from the Contractor's License ADDRESS Low for the following reason (Section 7031.5, Business and FIN _..t' 0 0 0 4 9.8 8 v Professions Code): PRE , ❑ BUILDING 0617-88 I, 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 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SET BACK YARD HWY TOTAL SETBACK LINE WIDTH I hereby affirm that there is a construction lending agency for LInvestigation the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name LDMA Ref. q Lender's Address Permit Fee !' I certify that I have read this application and state that the Issuance Fee v LDMA P/C q above information is correct. I agree to comply with all County ee o ordinances and State laws relating to building construction, Total Fee LDMA Perm. q N and eby authorize representatives of this County to enter JP t a ve- int' inspection purposes. m 'a �► SEE REVERSE FOR EXPLANATORY LANGUAGE Signature a App scant or Agent Date WORKERS'COMPENSATION DECLARATION y a��reb�yaa certifthat cote °Works s'tCo pensaCO n Insurance,l ' APPLICATION FOR 13 U I L D I N G PERMIT �or_y ceryl*#ie c e f(Sec. 3800 Lab. .) COUNTY OF LOS ANGELES BUILDING AND SAF Y Policy No!� _.. Company ttirm 4• '•c BUILDING �erti ied copy s hereby furnished. .. ! F R LICANT TO ADDRESS o Certified copy is filed with the uildi i ec- BUILDING -tion depar .ent. A / ZIP V LOCALITY ' at Applica O.OF BLDGS. NEAREST CERTIFICATE'Ol"EXEMPTION FROM ORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR AU (This section'need not be completed if the permit Is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. USE ZONE ' MAP OWNER" NO. NO. I certify that in the performance of the work for which this SPECIAL permit is issued, I shall not employ any person in any manner •1 ADDR a 90P CONDITIONS CL soas to become subject to the Workers'Com ensation Laws. 0 CITY V zIP Date A nt ARCHI OR• TEL. DISTRICT GROUP TYPE FIRE' PROCESSED BY O NOTICE TO APPLI. if, after making tliis Certificate of ENGINEER NO: CONST. ZONE U Exemption you.-should become subject .to. the Workers' Compensation provisions of the Labor Code; you•must forth- ADDRESS - o ' in with comply with such provisions or this permit shall be �L• STATISTICAL CLASSIF ATION AFT. CONDO. Z CTOR ' deemed revoked; - � •. , CON NO., LIC CLASS NO. DWELL. UNITS • LICENSED,CONTRACTORS DECLARATION. Ihereby affirm that I am I tensed under provisions•of Chapter 9 ADDR S NO. SEWER MAP (commencing with Secti n 000JeDiisvis'on 3 of the Business A LIC. CITY. 1" CLASS and Professions Cod a I' .in full fo ce a d effect. BK. PG., VALIDATION SQ. FT. NO OF NO.OF CHECK License Number ic..Class SIZE d� STORIES FAMILIES ON VALUATION _ , / DESCRIPTON OF WOR :mss 'Coniractor Date / t DD ❑ $ ❑I am exempt under le ,. ALTER...❑ BAP.C. for,this reason' REPAIR $ d te: USE OF DEMOL ❑ EXISTING BLDG. Signature APPLICANT TEL. PRINT g OWNER-BUILDER DECLARATION I !/ NO. DATE FINAL�� I hereby affirm that I am exempt from the Contractor's License ADDRESS /% � � FINAL Law for the following reason,(Section 7031.5,Business and Professions Code): PRESENT' BY _ ❑ I, as owner of-the property, or my employees with BUILDING DRIESSSS Al-�j =0 wages astheirsole compensation,will do the work and LOCALITY _r;.; .t 3 the structure is not intended or offered for sale(Sect* 31 =!? • - 7044, Business and Professions Code.) MOVING -TEL: , - i c CONTRACTOR NO. l •i 11- ., ❑' I,as owner of the property,am excfusi.vely co ratting ;� 1 with licensed contractors to construct the p lect-(Sec- + ADDRESS I 1!_!€t"L. +=x , tion 7044, Business and Professions Code �LF„i, _ REQUIRED YARD HWY TOTAL SETBACK FROM, EXIST. ;tet r :,(! s/ ,;iti CONSTRUCTION LENDING AGE SETBACK PROP. LINE WIDTH I hereby affirm-that there is a construction nding agency for FRONTa hlL;L the performance of the work for which is permit is issued P•L•' '�`''`"�' (Sec. 3097, Civ. C.).. 1 SIDE. P.L. Lender's'Name $ /' LDMA Ref. # ^ P.C. Fee$ Permit Feb { i "!t =;;57 Lender's Address ' 0 I certify-that I have rea app'cation and state that the Issuance Fee LDMA P/C# above information is Tett.I gre to Compply with all County Investigation•.Fee Q ordinances at ws re tin uilding•construction, Total Fee V, LDMA Perm. # aril her outh riz eprese ativ 's this County to enter n th abo e o pro ert inspection urposes. / 'SEE REVERSE FOR EXPLANATORY LANGUAGE Signature* pliwnt or Ag Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTBRATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0601100003 PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 29602 IT: 3 UN: 79 SQ. FT STORIES TYPE 5345 VILLAGE CIRCLE DR STRUCTURE: 1500 VN TEMP CA 917803360 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE 8585-001-149 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/10/06 JK 01/05/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINALD TE FINAL BY: CODE: LORDON MANGEMENT CO. (626) 967-7921- 13,000 1275 CENTER CRT. DR. ; L COVINA, CA 91724 FEES PAID DES IPTI N OF WORK RER OF TEAR OFF CAL SHAKE R00 ° C.D.R. PLYWOOD AND FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INSTALL 40 YR. PRO-TEX CLASS A SILMULATED SHAKE APPLICANT: TEL. NO: MORENO (714) 632-1057- AA BLDG PERMIT ISSUANCE 27.75 811 E. LINCOLN AVE AC STRONG MOTION REBID 13000.00 VAL 1.30 SPECIAL CONDITIONS: ORANGE D2 PERMIT W/0 EN-HC 13000.00 VAL 267.00 TOTAL FEES 296.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BRONCO ROOFING, INC. (714) 632-1057- 811 E LINCOLN AVE LIC. NO LOCILTION AND SETBACKS ORANGE, CA 92665 344837 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOU MATION TRENCH FORMS LIC. N0: SLAG/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDARFLOOR INSULATION XX 3 O1.I FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT GOND: STAT CLASS: NO 21 ROOF SHEATHING IP# SCHOOL WITHIN HAZARDOUS SHE5R PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRS SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508