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Home My Public Portal About9027 BROADWAY_Building__ APPLICATION FOR, ,BUILDING PERMIT p FOR APPLICANTTOFILL IN ADDRESS /1 BUILDING ADDRESS 7 LOCALITY •f, - G NEAREST CITY �G+ C.r - ZIP CRO SS sT. O.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT BLOCK LOT NO. �� 4 CONST. ZO/ . TEL. OWNER NO STATISTICAL CLASSIFICATION / SEWER MAP ADDRESS (3 CLASS NO.- 'Rl DWELL.UNITS BK JPG• CIT fzmwTe1 ZIPARCHITUSE ZONE MAP .�a,D _ NO. ENGINE CT OR p.� TEL ' w SPECIAL - ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENTS APPROVAL REQUIRED YES❑ NO❑ TEL CONTRACTOR N JELDG.SETBACK FROM LI FRONT PROP,LINE OF ISTREETI - ADDRESS NTOTAL SETBACK FROM TYPE OF EXISTING _ - LIC. 'HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY1 WIDTH CITY CLASS C.MSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM �V ADDRESS CITY SIDE PROP.LINE OF - (S(STIFFEDEE0 SO.Fi. NO.OF NO.OF CHECK HIGHWAY + 'YARD = TOTAL SETBACK FROM TYPE OF EXISTING w SIZE STORIES FAMILIES ONE SIDE PROP.LINE IHIGHWAVI WIDTH N DESCRIPTION OF WORK NEW El +., _ Z ADD ❑ CORNER CUTOFF YES. ❑ NO ❑ ., ALTER IN OPEN SPACE YES ❑ NO ❑ REPAIR USEOF - E] IN COASTAL PERMIT ZONE YES_ ❑ NO Cl BLDG. DEMOL APPLICANT TEL IPRINTI NO. BY(SIGNATURE) I HEREBY ACKNOWLE AT I HAVE READ THIS APPLICATION AND STATE .THAT THE ABOVE IS CO AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATIN ILDING CONSTRUCTION.I CERTIFY 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'SCOM PENSATION INSURANCE, TUBE O�� FINAL y �J' �1/ ',Jy BY PERMI PERMITTEE ffffff DATE ADDRESS 000 T S.C.fee$ Perm it Fee O CITY N Issuance Fee - O VALUATION - Total fee PI1NF1� _(�A}IRAP��SA+x�NASH' i PERMIT VALIDATION C'O1..iCY HOLDER: rj LL' 8 80/. JUN 9 -1 U - 4 3.0 0 A56 eTEMPLE--CITY 6a,a.GEa.o zsJ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELESBUILDING /a� ! DEPARTMENT OF COUNTY ENGINEER ADDREss `Z BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT DF BUILDING CROSS ST. �q DIST ICT O. GR UP TYPE PaQCESSED By. FOR APPLICANT TO FILL IN j CONST'o BUILDING 'STATISTICAL CLASSIFICATION i - EWER,M P ADDRESS dly 'Bpo 4 BK PG. CLASS. NO._ DWELL. UNITS .LO 1 WATER - - ❑ CERTIFICATE: NOT REQUIRED RECEIVED TRACT MAP / IOOHWAY NO. OF BLDGS, NO. ((' (CIRCLE) STATE MAJO ECON LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF /•� CONDITIONS EXISTING BLDG. U TEL.�1 OWNER �/ !d/{N O.2 OZ• BUILDING YARD HWY' STREET NAME EXIST. SETBACK WIDTH ADDRESS FRONT' ��R - ��/ ARCHITECT R L. P. L ENGINEER NO. SIDE I ADDRESS a O TEL. CONTRACTOR ADDRESS DESCRIPTION OF WORK W ADD ALTER REPAIR DEMOLISH •-� /I �4> s ` �'J"..5..� cil .SIZE, ` ! . FT. y/ _ ST RI NO. OF (' (fir /+� T /� Jv USE OF � STORIES � FAMILIES t ��-f�0' / :C� ^ G �t �•� , STRUCTUR SIGNATURE OF /Y !F' J /J^Jk<S 'N!F' �•l�I'�/ APPLICANT_ VALUATIONS ,roe APPROVALS !(09 )DATE INSPECTOR'S SIGNA YUJIF FEE S -7 FFIATEE $ G 7 �-� FOUNDATION: LOCATION FORMS. MATERIALS TJ U FRAME: FIRE'STOPS. I/ I HEREBY.ACKNOWLEDGE THAT HAVE READ THIS APPLICATION BRACING. BOLTS /16 5 AND STATE THAT THE ABOVE IES AN ECT AND AGREE E COMPLY FURNACE: LOCATION. �..f��[A WITH ALL COUNTY TI ORDINANCES ANO STATE LAWS REGULATING GAS VENT. DUCTSAlwq "dT}+�K"_-F// BUILDING AUTHORIZED HEREBY I WI CERTIFY THAT IN DOING THE WORK THMOF HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH.-INT. — TION OF THE LABOR COPE OF THE STATE NC CALIFORNIA REL4T. r ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. J SIGNATURE OF HOUSE NUMBER COR- ,w PERMITTEE v RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL Sr RAL E GINEER PLAN CHECK VALIDATION cK. 'MA.' CASH _ PERMIT VALIDATION cK.' M,P. 'CASH 4 4 1 1 SEP 30 2 3 D 3 3.751 ui 4 65. Z OCT "5 1 D 6'7.5G� ; COUNTY OF LOS ANGELES TEMPLE CITY # OSOB BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0506 0602070045 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SO. FT STORIES TYPE 9027 BROADWAY STRUCTURE: 3000 VN TEMP CA 917602311 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD 5387-027-016 THOMAS PAGE: 596 GRID: 114 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-3 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/07/06 JK 02/02/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEPIN BAyl Y: CODE: CHAN, TED - 91980 2 2 Z G 9027 TEMP 917802311 FEES PAID DESCRIPTION OF WORK TEAR OFF INSTALL SHEATHING 6 COMPOSITION SHINGLES FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: A-1 ALL AMERICAN ROOFING (626) 303-3737- AA BLDG PERMIT ISSUANCE 27.75 1705 S. MOUNTAIN AVE AC STRONG MOTION RESID 9980.00 VAL 1.00 SPECIAL CONDITIONS: MONROVIA, CA 91016 D2 PERMIT W/O EN-HC 9980.00 VAL 216.60 TOTAL FEES 245.35 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE A-1 ALL AMERICAN ROOFING (626) 303-3737- 1705 S. MOUNTAIN LIC. NO LOCATION AND SETBACKS MONROVIA CA 91016 69911SC39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: POUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H265 3 Ol FLOOR SHHATHING NO. OF FAMILIES: DWELLING WITS: APT/GOND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS ow AIA QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER RANGERS 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 LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508