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QJri'Af�lfJVtJzI�T U� HU11.C7�NG ��`
_ .._ AND COMR�f1h�`i`TY bEvrtL WNT
J"ach No.�__ Ffos °1714) 538.5?41.
E3uliiitng ter .� ,
Address
r Area Sq. rt. (N6 work) .00
r4�tal r�Placo 3 08_. _ f (j tVoSt t t Lot / Budd permit
No No.
Ccioking (load 3.00
Ooiloralloo Systems 4.0_077
_ c)+�iiscr -' �}'1.'1�1 ��c� •V�1 Q t~` .
PAliantQ Ve7tts Y w �7�1)ta _ /idQr?55 l
Re hlrs Additiolks to
-:or, 'Iterations _ _ City �WS
i=acted Rlr Units _ ,1.00
Contr ictof
r,
2.00
11raiJ iti3ter_ 4.00
Sotat Moat Set. Ft.lC Ity ! � »y(1 �• � Tel No�1�r,
�" .5tlebt t at 260 i lc
c City
. -No.
oitrntlo,� a:oo r)rj.' _� �, ~:
s~It6 Sprinkler S>>stam U;e of Okilldlf%:l
eyapOiau*b Cooler -3.00 Nfrw Uolliling #i,,--, Olc Hulidir,g is
lssuanco"clt' PerMit-3. 00
-
T C?'t At.E
i'ha & load this appllcatlon and .igiet ra,prnply.with all Io::al and
�iatYs app IC le tip b(AldinqConstruc,ron.
'M" ! :t am Validly. roglftprFa acf nticerE�eci as required by the ''Ily of
ttngir�n t3eact% and We
ti?-n `.�sat�� of t'aiiforrtia, ur
c+ertiticate.'of Comf;nt to Wood lly the Dimctbr
of tndustrlai Relations, or
4d� 4.: cErttf)rate of YdCtt(E tS� q tlti�rlS.itlQtl institail(t issued by
an adnilitted Instirfsr or
0 : a .'All exact cnpy or c1tipiicate trtereof rertitled b: t the Olrectot
kho Insilrer, of,
C) . i cettily that In -the peiforrrtaolca of the w6rt for .vhlcn tilia
Permit is is ued,` I shall not emplojo any Berson In. s;ty rnatiodn
$43 as to beconiti iubject to the workers c;omwen;ation laws of
-tile State of CMIfornlla. .
C rfify`{pr tl�:idrtij under penalty of periti;y Illatlorrv�tlln is
ru rid tCsrre t, an +his dk,cla Woo was exef.0 a oil the ,_ tom clay
of # J.at Ntii, i gtr.rl t3f aGt.if:C i it rn3a. .
u-2
Crr ttee
tf :t,,Ork i1' not 'commericed:+i 'u clads 'irons date "of is3ua gate
.fi4rit;'oi::ts v�rork Is abandoned fr�t-mo than 120 days, this pipit
tt aimI b; nufl a+td Vold.
Oved by
tffil4�� tt b » E7dte
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INS ULAVON: CERT IF KAT ION
it - • � r� {�
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`rltis I to-te #i thht n poi f t re` rfith-the tt� ont e�ier ` ui I As ` d ifo�a�►� �ai��"is. . .
((rj 'fro ive C de, s' ie 5 5 t�=of C ►1�# iu*j a l + raved Iasis, ins I i i ah A+��c�en r� nib d'in
\�s the -boil ing ' IWfed at:
_ _ fluw.
y.
City County { r
5664
i StXett Ho. Ott A+ailabte} 5trcart L& Nu»suer tract Ho.
ESC
ROOFS
Type `af Mat,eriat _.:. fMallufaCturer Thickness. _.:R Value r '
` i0r ftattt (tame) iC°"
r� 1 EXYERIOR IWAI LL 4 r
tf type of fflaterii�l.,Y14t aii.: f�tanufacttffrt iRi#f3
Tt 3, t.
i� knt'ss :R Va�trc¢' ! j.
CEILINGS
ype�of Material . ti t1 :.t Yl hfartutarturer '' r; .,�i .... thickness i44
to( Irtde Name)
(1� SCE. Ft. 0VO'W
BLOWN -
Type of Material, n—Ft��.it oil " rrSanuf r,161eI j Z s,�::. � .t,.. Tfflck,iless No;' _ � .': tfalt.� A
J3- ' tiyr 'Irad6 Hamft ii" �
i 1
f Stl: i•t. COTIE:tf R Value { � {� • 1 {i��� �
4
FLOORS
Ty Material Manufacluier ThicW5,11 R Values`
a t s'
(Of lrr, f3 tw-na)SLAB ON GRAM
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:,; of r ,rtCrillManufac,turet ThItiness. R Value"
I (Of IF*.It Nomt) J 1
i WIN) of Insulation . 16(hcs
t � .•
FOUNDATION WAUS •jiff trequiretd)
Xt{i
Type of Material_ _ Maraufaclurer Tfilckness R Vatue". 2
(tlr irtJ! ►t;Xr±r)
f
�.. i REMARKS '(if desired)
( i By...__ f+Ile t3,�t►. 1%' j
t
, (;rJZt•'C'tdr {1!)Si11r1ttirJ?; Appfie3tor `` t !S1"ft[t>
( ', rtC✓w?ati+:, M *<•^ry Etc ? (State SAmL it sf,nt as C.,- ra?4.
t oatrar:';i*1 st�
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{ # Form, i 16 BUILDING NEWS, INC,, 3055 lNerland . Aye,,, Los" Angles, Calif. 9034-4213I 970 9871 t�)
�k { Form l�#Mx --'` 9tJILDINCt INDUSTRY ASSOCfAVON Cr1 CALIMRNIA, INN., 1571 Beverly Blvd:; Lois Arpctes - Cat'tf, M26 -42131625 5771
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