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CE#80
CE#803 REV.11/78
APPLICATI FOR BUI IN PERMIT
COUNTY OF LOS ANGELES BUILDING SAFETY
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THATN AND STATE
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AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE x
V.ORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE.ABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM /7 J � � Z
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'c COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0302120001
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF ---MST NEW BUILDING ADDRE W.
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9059 WOOLLEY ST
STRUCTURE: 1581 2 VN R3 TEMP CA 917801348
ASSESSOR0 M GARAGE: 600 1 VN U1 NEAREST CROSS STREET: SULTANA
5382-019-028 OTHER: 144 1 VN U1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
TENANTi• USE ZONE: PROCESSED P ON:
04/07/03 JK 04/01/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: ALUATION: FIN D FIN BY: CODE:
PHUNG;SAM (626) 625-6051- 287,000
3211 MINNESOTA ST
LA CA 90031 FEES PAID DESERIP OOF WORK
ADD 1S &2ND FLR,ATT.3CAR GARAGE&COVERED-PASMREMODEL EXISTG
PC FEE DESCRIPTION: QUANTITY: LION: AMOUNT: (KEEPING A FEW IMT.WALLS)TTL:4BR/4BA,LVG RM W/ AR,DINING
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 287000.00 VAL 28.70 SPECIAL CONDITIONS:
B1 PLANCHECK W/ENERGY 287000.00 VAL 2,359.01
B2 PERMIT W/ENERGY 287000.00 VAL TOTAL FEES 5,2,190.76775.30
CONTRACTOR: TEL. 0: APPROVALS DATE-- INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS �Lu-
SOILS ENGINEER APPROVAL
ARCHITECT
NGUYEN, FRANK ENGINEER: (626) 960-8078- 0 0 CH 0 S q li'f
1208 MAYLAND AVE LIC. NO: SLAB/UNDER FLOORMp
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VALINDA CA 91746 NONE L( Z`'(
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
0. OF FAMILIES: DWELLING N S: AP 0 D: STAT CL S: ST LEVEL FLOOR SHEATH
NO 00 2ND LEVEL FLOOR SHEATK-
SCHOOL
I
I AZA OUS
ROOF H T G
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK 0 EXIST DG DEPT. FRAME INSPECT
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SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL— SHEAR PANELS
SIDE PL—
I ATO / R RP �
INTERIOR LATH/DRYWALL
EXTERIOR
LOT DRAINAFE-
SMOKE DRAINAGE-DETEETTOWTENCEr
FIRE DEPARTMENT APPROVAL
* ADDITIONAL DATA ON FILE
REPORT ID: DPR261 ROUTE TO: BS0508