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Home My Public Portal About9076 BROADWAY_Building__ APPLICATION FOR Il BUILDING PERMIT L FOR APPLICANT TO FILL IN ADDRESS I DING RESS 9076 Broadwa LOa.ury Tem le Cit . iIP91780 CROOSSST. NO.OF BLDGS. ASSESSOR OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT CCG��RRRBBB��IIIP TYPE FIRE ROC ED TRACT//2-/,V" BLOCK LOT NO. � CONST. ZON TEL. NER NO. d STATISTICAL CLASSIFICATI9N - SEWERM ADDRESS 9076 BroadwayCLASS,,,�DWELL UNITS BK PG CITY Temple Cit zip '91780 U NE MAP ,, O ARCHITECT OR TEL. NO E ENGINEER NO. CIAL CONDITIONS ADDRESS - ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL. CONTRACTOR NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS d T NO. HIGHWAY + VARD = TOTAL SETBACK FROM TYPE OF EXISTING ' LIC. FRONT PROP.LI NE HIGHWAY WIDTH CITY Pasadena, Calif. CLASS C39 CONSTRUCTION LENDER + d NAME AND BRANCH O BLDG.SETBACK FROM � V ADDRESS CITY SIDE PROP.LINE OF (STREET) O SO.FT. SNT NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING w SIZE STORIES1 FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N 10:1 + = Z DESCRIPTION OF WORK Gara a onlyNEW _ Shaketone 235# ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR USE OF. IN COASTAL PERMIT ZONE VES ❑ NO ❑ EXISTING BLDG, Resident DEMOL _ APPLICANT . TEL IPRINTI O. -74 BY(SIGNATURE) IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AIZ STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES / AND LAWS REGULATING BUILDING 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. fSIGNATURE OF �7-��/� - FINAL � � By PERMITTEE !/< DATE 777/// ADDRESS TEL. C�)37 P.C.Fee$ Permit Fee CITY NO. vnwnnoN.$ 200h00•'I 155u6m:e Feel.00 Toml.Fee 16.00 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M'o. cases •,.�1:.• -Pt^�C 4;'� c_ �•;;L, ;'v': F:>P '( ac C L O � • Nw 03 76A6388 CE M803B 8/77 V` _. _ CH. z ]BAGTBA CEPBD35-55 APPLICATION FOR BUILDI G PERMIT . COUNTY OF LOS ANGELES BUILDING DEPARTMEI*,&„QF>.r-OUNTY ENGINEER ADDRESS - C/ 4PZL BUILDING .RR22'kK�'DD SAFETY DIVISION ' LOCALITY n JOHN A. LA MBI E. COUNTY ENGINEER NEAREST / - COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. _ DISTRICT N G TYPE Y FOR APPLICANT TO FILL IN `rj; 0 CONST./ n BUILDING .STATISTICAL C SSIFICATION SE ER MAP ADDRESS D7 roa wQ- CLASS NO. DW ELL UNITS` BK PG / LOT NO. 41 BLOCK 13 USE ZONE MAP /S - NO. C TRACT / SPECIAL ' NO. OF BLDGS. �T CONDITIONS ,SIZE OF LOT NOW ON LOT oL - USE OF EXISTING B GIN 4' < f !n/ BLDG. SETBACK FROM pp //�� / TEL. �2�Z FRONT PROP. LINE OF (STREET) OWNER `lid. -lr NO. TYPE OF E%ISTI NG SETBACK 'HIGHWAY ++� YARD - TOTAL ADDRESS HIOXWAY WIDTH FROM'C.L. CITY Tee l % + , _ ARCHITECT R j� TEL. SLOG. SETBACK FROM ENGINEER D(.f NO. -jSIDE PROP. LINE OF - (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL .ADDRESS -4'7 ROS eta HIGHWAY WIOTX FROME y- a CONTRACT//ORyo (.�/ Ike,_ No I �S�/� + O LIC ADO R ESS /p / $P P NOI3 CORNER CUTOFF YES1:1 NO V CITY a k %e CLC SEE REVERSE SIDE FOR SPECIAL APPROVALS 0- DESCRIPTION OF WORK w a h NEW ADD ALTER REPAIR DEMOLISH Z SQ.FT. NO. OF NO. OF SIZE STORIES FA MI LI FS - USE OF (� STRUCTURE.DW" "6- C- f SIGNATUR O APPLICANT VALUATION, A O��' C� APPROVALS DATE INSPEC R'SSIGNATU7/_rJ P.C. L� •`/ PMT. 00FOUNDATION, LOCATION FEE$ FEES K VC/ FORMS, MATERIALS FRAME, FIRE STOPS, F I HE AGN NOWLEOGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ADOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ONWHANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9VILOING CONSTRUCTION. I CERTIFY THAT.&FF TME WORN - AUTHORIZED HEREBY I WILL N T EMPLOY AN IN VIOLA. LATH. INT. TION OF THE LABOR CO O�TME TATE NIA ELAT.LNG TO WOHE M'N'S AP N ION AN LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- - PERMITTEE RECT AND POSTED nA ADDRESS Q'�""0 FI NAL JOHN F. LEWIS, PRINCIPAL ST HAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION(.cK. M.C. CASH LnL;o1385 ' APR 1� 9 1 D 22.00- Q WORKERS' COMPENSATION DECLARATION ' insuorebaffirm that I have certificate of consent to'self'. ,, .APPLICATIO.N FOR BUILDING PERMIT . insure, or o certificate of Workers' Compensation Insurd nce{� ry - r�ppLr�a ce'r�tifiec'{7copy thereof (Sec. 3 , Lab: O) 1(/ COUNTY OF LOS ANGELES -- . BUILDING AND SAFETY ❑ Certified copy is hereby furnished.. FOR APPLICANT TO FILL IN ADDRESS .0 Certified copy is filed with the.county building ins pec BURDIN �. - tion department: ADDRETSS �O p Date C `�Pp4f> �s+�'� ��'^`� `�+" CITU 1 �i� ZIP �+ NEAREST �� V l.. OF LOT 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 LOT NO. -- MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. . OWNER-. 1(J1 ,NO. iZ ' SE ZONE MAP I certify that in the performance of thework for which this NO' permit is issued, I shall not employ any person in any manner ADDRESS _-Il. SPECIAL CONDITIONS O so as to become subject to the Workers' Compensation Laws. �Yy „ U CITY ZIP Data Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT% If, after maki69 is Certificate of this ENGINEER __7__ NO .DISTRICT . GROUP TYPE FIRE PROCESSED BY O-• Exemption, you should become subject to the Workers' _ Compensation provisions of the Labor Code, you must forth- ADDRESS �'.O O CONST ZONE ,O (• n. Lul with comply with such,provisions or,this permitshall.b4 T STATISTICAL CLASSIFICATION APT. CONDO. N deed revoked. CONTRACTO NO. - - -- Z em LICENSED CONTRACTORS DECLARATION - \ _ LIC. CLASS NO. DWELL. urvITS I hereby affirm that I am licensed under provisions of Chapter9 ADDRESS dl t NO. (commencing with Section 7000)of Division 3 of the.Business i- �� LIC SEWER MAP and Professions Code,and my license is in full force and affect.' CITY CLASS�•�' BK VALIDATION �rr�� SQ. FT— NO. OF NO. OF CHECK` License NumbeP�'�'t r Lic C ass�i tU : SIZE STORIES FAMILIES ONE e� VALLI TION Contracic«.TyacyylQi ZSY\�'G fe J PIAT�`` DESCRIPTION OF WORT-4-S + ,rT NEW .❑ - }tL $ E]I am exempt under Sac.' ^ 1 �j��Q AADDR ❑ B.BP.C. for this reason 'brz:;o -r `0. EPAI $ - Date: USE OF ._ _ - - .. EXISTING BLDG. DEMOL"❑ ' Signature APPLICANT ,TE FINAL OWNER-BUILDER DECLARATION :(PRINi)CpIo - , DATE i I herebyaffirm that.l am_ exempt from the Contractor's license ^' Law for the following reason (Section 7031.5, Business and ADDRESS .1� G FINAL Professions Code): PRESENT. .. . _ By tib l er. BUILDING' ;I Ir i_II i ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and - — - T'rt�,_ the structure is not intended or offered for sale(Section LOCALITY - ,. , 7044, Business and Professions Code:) - - MOVING .. - TEL.- ,. . . )�IjH� ❑ I,as owner of the property,am exclusively contracting CONTRACTOR' NO. n 32 00 with licensed contractors.to construct the project.(Sec- ADDRESS - .c - �{i,�uil't tt LILI tion 7044,.Business and Professions Code.) `H1'tJM' CONSTRUCTION LENDING AGENCY„ -REQUIRED YARD; HWV TOTAL SETBACK FROM .EXIST.. 'J _ SET BACK : PROP. LINE 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 t f!L([A�—illLli 'i�rs.t!-y/r`il _ P.I. Lender's Name - m v LDMA.Ref. # P.G. Fee$ Permit Fee Lender's Address - ' 0 I certify that I have read this application and state that the Issuance Fee 3 ' �� LDMA P/C# 8 above information is correct. I agree to comply with all County' Investigation.Fee ''ll R ordinances and State laws relating to building construction, Total Fee ��, LDMA.Perm. # a and hereby,outhori representatives of this County to enter - aupon the above- -e- oned property for inspection purposes. - �Z \ SEE REVERSE FOR EXPLANATORY;LANGUAGE _ - ignature of Applicant .,.Agent Dote • _ COUNTY OF LOS ANGELES TEMPLE CITY q 0508 BUILDING PERMIT DEPARTMENTGNDSAF OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 5-040 BL 0508 0508170023 PHONE: (626) 285-0488 EXT: LEGAL ID: _ ,NO- OF CONST BUILDING ADDRESS: TR: 11218 LT: 4 BL: B SQ. FT STORIES TYPE 9076 BROADWAY STRUCTURE: 100 VN TEMP CA 917802313 ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET: ROSEMEAD 5388-002-009 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY,- C TENANT: EXIST BLDG USE: AESID USB-2ONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC'GRP: - - 08/17/05 GK _ 08/12/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: GIRILLO MARY ANN - (626) 287-4262- - 700 9076 BROADWAY TEMP 917802313 - FEES PAID DESCCA5T1011 OF WORK 10' X 16' PATIO ROOF, REMOVE ROOF, INSTALL METAL EDGE 6 FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLY 1-LAYER MODIFIED CAP. APPLICANT: TEL. NO: LEACH (909) 899-6313- AA BLDG PERMIT ISSUANCE - 27,75 3928 DOWNING AVE AC STRONG MOTION REBID 700.00 VAL 0.50 SPECIAL CONDITIONS: BALDWIN PARK 91706 D2 PERMIT W/O EN-HC - 700.00 VAL 43.65 TOTAL FEES 71.90 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LEACH ROOFING CO. (909) 899.6313- - - 3928 DONNING AVE LIC. NOLOCATION AND SETBACKS' BALDWIN PARK, CA 91706 691152C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLABY UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147X265 3 01 NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: FLOOR. SHEATHING• NO 21 -+ ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS - - AIR QUALITY: 1000 FEET MATERIALS - NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST ... FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- - INSULATION/WEATHER STRIP - SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. ' RATED WALL ASSEMBLIES ' RATED SRAFTS/OPENINGSc .. T-BAR CEILINGS - LOT DRAINAGE REPORT ID: DPR261 ROUTE T0: BSO508 L l • 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 w BL 0508 9903040027 PHONE: (626) 285-0488 EXT: LEGAL D: No. 07 CORSI BUILDING DD SS: TR: 11218 LT: 4 BL: B SQ. FT STORIES TYPE 9076 BROADWAY STRUCTURE: 0 VN TEMP CA 917802313 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SULTANA/LOMA 5388-002-004 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY TENANT: E IS BLDG USE: RESID USEZONE: R-I ISSUED ON: PROCESSED BY: EXPIRES N: EXIST OCC GRP: 03/04/99 UT 03/04/00 OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B • CODE: GIRILLO MARY ANN (818) 287-4262- 1 1,700 9076 BROADWAY Q 3y l::ij al pr TEMP 917802313 FEES PAID DDSCCRIPTIT N OF wn EARTHQUAKE BOLTING - VOLUNTARY HOUSING REHABILITATION APPLICANT: L.-NO- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JEFF WAYNE BOARD/TREMOR-READY (800) 276-0007- AA BLDG PERMIT ISSUANCE 27.75 15522 HUSTON ST. AC STRONG MOTION,RESID-X1700.00 VAL 0.50 SPECIAL CONDITIONS: ENCINO, CA D2 PERMIT W/0'EN-HC�17,00.00 VAL 82.20 PNGELESTOTAC FEES 110.45 NTR COACTOR: TEL. NO: Q5 � T APPROVALS DATE INSPECTOR SIGNATURE s JEFF WAYNE BOARD (800) 276-0007- y 1 15522 HUSTON ST LIC. NO LOCATION ND SETBACKS DBA: TREMOR-READY 668643 B ENCINO CA 91436 / SOILS ENGINEER APPROVAL ARCHITECTOR ENGINEER: T N0: /////////JJ FOUNDATION/TRENCH MS j LIC. NO 11!1111 SLAB/UNDER FLOOR ! , RAISED FL 0 R NG MAP 0: SEWER MAP B00 PAGE: FIRE ZONE: 'P,:,I U OO � C ��n O�M UNDERFLOOR INSULATION 147H265 3 01' v 1U1 u--�U% FLOORSHEATHING 0. OF FAMILIES: DWELLING UNITS: AP /CON STTL SS: NO 21 ROOF SHEATHING Q _ SCHOOL HIN HAZARD-09S ��i., *• A LY AIR QUALITY: 1000 FEET MATERIALS U 0 -" NO NO NOREQUIRED TOTAL M ®� FRAME INSPECTION SET BACK YARD: HWY: PROPTBACLLINE: O WIDTH: 4EXIST6/ZC Se�V0 That�0 IR SPRINKLER G S INSULATION/WEATHER STRIP SIDE PL- INTERIOR L- I R OR DR A L EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 9907010034 PHONE: (626) 285-0488 EXT: LEGAL NO. OF CONST BUILDINGADDRESS: TR: 11218 LT: 4 BL: B SQ. FT STORIES TYPE 9076 BROADWAY STRUCTURE: 0 VN TEMP CA 917802313 ASSESSOR ORA 0 N 6 R: NEAREST CROSS STREET: TEMPLE CITY 5388-002-004 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY ENANT: EXIST BLDG S ES DUSE 0 : - ISSUED ON: PNSB E ES 0 EXIST OCC GRP: 07/01/99 UT 12/28/99 ; OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F,I NAL BY: O MARY ANN (818) 287-4262- 1 950 9076 B 9076 BROADWAY TEMP 917802313 FEESP D UESCR fffFON 0 OR CHANGE OUT OF THREE WINDOWS APPLICANT: T NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: C E S CONSTRUCTION (626) 859-2411- AA BLDG PERMIT ISSUANCE - 27.75 1229 SAN BERNARDINO AC STRONG MOTION RES_IDM, 950.00 VAL 0.50 SPECIAL CONDITIONS: — COVINA, CA 02 PERMIT WIG EN'HC -_7! 950.00 VAL 67.05 P�GELE_gOTAL FEES 95.30 - CONTRACTOR: TEL. NO: �oS APPROVALS DATE INSP CTOR SIGNAT RE C E S CONSTRUCTION (626) 859-2411- 1229 SAN BERNARDINO RD. LIC. NO \\ LOCATION AND SETBACKS COVI NA, CA 583827 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: L. O: / ./ FO D R OR LIC. N0: _ I I I , ? F SLAB/UNDER FLOOR . RAISED 00 FRAMING 1(47H265 SEWER MAP B00 PAGE: FIRE ZON3: C'01 ,11 r n �?/"7 �? /1 r�L�, UNDERFLOOR INSULATION UU ILII=1I1111�UJ \11 J1/\lJ IL, FLOOR SHEATHINU'- NO. OF FAMILIES: D EL N TMS: A 0 : ST T CLA :- . -- -- -- -NO 21 ROOF SHEATHING . SCHOOL HI HAZARDOUS ` nnU '{=1 t.� - SHEAR PANELS AIR QUAALITY: 10000 FEET MATERIALS . , (�� ; FRAME INSPECTION REQUIRED SETBACK YARD: HWY: TOTAL SETBACK FROM EXIST LINE: WIDTH: O6 �0��. FIRE SPRINKLER FRONT PL- S6'rVICO That INSULATION WEATHER ST IP SIDE PL- - I 0 LATH75q7wLL EXTERIOR LATH RATED F 00 /C IL ASS . RATED WALL ASSEMBLIES - ED S S OP I GS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508