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HomeMy Public PortalAbout9159 BROADWAY_Building__ FOh`APPL~ANA�PPLICAT}IONoFOR BUILDING PERMIT BUILDINGI COUNTY OF LOS ANGELES ADDRESS Yii DEPARTMENT OF COUNTY ENGINEER CITY �: f� - BUILDING -AND SAFETY DIVISION - NO.O LOGS. BUILDING SIZE OF LOT !l' o NOW OPPLOT - ADDRESS _ p�I n TRAC BLOCK O NO, 7� LOCALITY TEL. NEAREST OWNER NO, CROSS ST. ASSESSOR ADDRESS S MAP BOOK _ PAGE RCEL 1 - DISTRICT GROUP' TYPE FIRE PRO ESSED BY CITY C 1 I IP ONST. ZONE ARCHITECT OR TEL. 1676 1 ENGINEER NO. STATISTICAL CLASSIFICATION^ SEWER Ap ADDRESS CLASS NOgCC .DWELL.U NI TS BK/ PG� CONTRACTOR NOO, E ZONE LIC. - 1 NO. ADDRESS NO. /��. SPECIAL vv LIC. CONDITIONS CITY CLASS ROAO DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH - BL -G.SETBACK FROM FR NTPROP.LINEOF (STft EETI d ADDRESS CITY - HIG WAY } VgRO -_ TOTA PSETBA CK FROM TYPE OF EXISTING U SO. FT. ST OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE o DESCRIPTION OF WORK LOG All NEW } 6W. y ADD BLDG.SE TB F/A 1 SIDE PROP, L INEOF (STREET) Z ALTER ❑ HIGHWAY } YARD TOTAL SETBACK F TYPE OF EXISTING REPAIR❑ SIDE PROP. LINE HWAY WIDTH USE OF } _ EXISTING SLOG^. DEMOL ❑ - APLIAN� /Y X4 ,�/ CORNER CUTOFF YES ❑ NO IP ❑ BY (SIGNATURE) !/'V IN OPEN SPACE YES Cl - NO11B An I ❑ -- - IN COASTAL S NO C //�� . CATEGORICAL EXEMPTION VALUATION$ (fON❑- YES[] NO ❑ D � _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMP REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO /J WORKMEN'S COMPE TION'INSUPANCE. f• r SIGNATURE Oy/) PERMITTEE" ADDRESS FINAL BY TEL. DATE CITY NO. .11:T1I:E CHECKS 11A)ABLL' '1O: P.C. $ PMT.$ FEE FEE HARVEY . BRANDT, COUNTY ENGINEER ICI-2 D PLAN CHECK VALIDATION cK. M.D. CASH PERMIT VALIDATION cH. M.o, CASH 1 5 12731 JUS 5 1 D 1 2.00— <' 76A636A CER80312/72 96A630A DOS-3 13.53 - APPLICATION FOR BUILDING PERMIT DIVISION OF BUILDING AND SAFETY BUILDING Deportment of County Engineer ADDRESS County of Los Angeles WM. J. FOX. COUNTY ENGINEER LOCALITY CASSATT D. GRIFFIN. SUPT of BuuD1NG - NEAREST CROSS ST. DISTRICT NO. GRO SEWER MAP FOR APPLICANT TO FILL IN TYPE BK PG BUILDING CONST: ADDRESS / MAP STATE YES NO NUMBER ' © .HWY LOT NO. O c, I LOCK USEZONE SPECIAL y�'f _ CONDITIONS TRACT / 'MING v 1-k /qg NO OF BLOCS. SIZE OF LOT !F, 'IA!!J 1L( I NOW ON LOT DUILDINGYARD HWY STREET NAME EXIST. USE OF n SETBACK WIDTH EXISTING BLDG'/ FRONT P. L OWNER /f�/��--.�s�i.w_/�ft � SIDE - - MAIL P. L. ADDRES TE✓i�L DWELL. 1 UNIT 5 INDUSTRIAL CITY ,/ N /Y ®7 2 DUPLEX_UNIT .6 PUBLIC BLDG. ARCHITECT OR - TEL. ENGINEER NO. 3 APT. UNITS 7 'ADDN., ALT.. ETC. _ ADDRESS, _ q COMMERCIAL MISCEL. -' TEL. CONTRACT /// No. _ INSPECTION RECORD ADORESZ14Z ' DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SFT. NO. OF SIZE E STORIES ORIES ' -FAMILIES J / SIGNATURE OF / APPROVALS APPLICANT - ADDRESS - DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION S P. C. $ FORMS, MATERIALS B FEE FRAME: FIRE STOPS. A § //A BRACING, BOLTS VALUATIO VV f�L� FE FURNACE: LOCATION, 'GAS VENT, DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE THIS APPLICATION AND STATE THAT THE ABOVE ISS CORRECT AND,AE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. - STATE LAWS REGULATING BUILDING CONSTRUC- TION. � TION. LATH. EXT. - SIGNATURE OFHOUSE NUMBER R PERMITTEE[[[[UUCCCCCCCCCC/L rAe/w/ RECT AND POSTED ADDRESS FINAL " WM. J. FOX. Couerr ENGINEER VALIDATION 9Y 2.00 DEPUTY - "' -DEPUTY gy BY ® DEPUTY - SY�O J� DEPUTY COUNTY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - - ALTERATION/REPAIR BUILDING AND SAFETY /, LAND DEVELOPMENT TEMPLE CITY CA - - BL 0508 9706190049 - PHONE: (818) 285-0488 EXT: LEG - - _ NO. CONST BUILDING ADDRESS: TR: 9751LT: - ` SO. FT STORIES TYPE - - 9159 BROADWAY STRUCTURE: 0 VN 1TEMP CA 917802303 - ASSESSOR I 0 IO - - NEAREST CROSS STREET: ENCINITA 5387-020-031 - THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TE IST BLDG USE: RESID USE Z-ONYT PROCESSED --EXPIRES - - EXIST OCC GRP: 06/19!97 TC 06/19/98 I . OWNER: TEL. NO: BLDGS- NOW ON LOT: VALUATION: FINALIIDAT FINAL CODE: LEE CHUAN N;YUEH Y - 1 4,400 I ' 9159 BROADWAY I - TEMP 917802303 FEES PAID DESCRIPTION SCR PTIO OF W R - - RECOVER WITH OWNENS CORNING 2 R COMP- SHINGLE APFnTKWT TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: , AMOUNT: - C 8 A ROOFS (818) 285-7107- AA.BLOG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4400.00 VAL 0.50 SPECIAL CONDITIONS: - D2 PERMIT W/O EN-HC- I !4400.00 VAL 133.05 - - ��1r► L_ L F,EE® 161.30 CONTRACTOR: TEL. NO: �„J1 ll..►► APPROVALS DATE INSPECTOR SIGNATURE C 8 A ROOFING CONST CO (818) 285-7107- \./ 4927 FIESTA AVE LIC. NO ON AND SETBACKS TEMPLE CITY, CA ,91780 _ 536091 B t SOILS�ENGIN ER APPROVAL ARCHITECT OR 1 ENGINEER: - TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR - 11u - RA U FLOOD - 147H26: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 01 PUBLIC WORKS FLOOR'SHEATHING OF FAMILIES: DWELLING UNITS: AP 0 D: STAT CLASS-.- - - NO -� 21 0 ; O I BI; . /,., - ROOF SHEAT NG . _ SCHOOL S Q // O ay + "�•J PW PANS- AIR QUALITY: 1000 FEET MATERIALS NO - NO - NO ,8 (� 0 �O FRAME, INSPECTION REQUIRED ROM EXIST /C FIRE I R HA G R " SET BACK YARD: HWY: PROP LINE: � WIDTH: FRONT PL- �. INSULATION/WEATHER STRIP SIDE PL er V'C I .0 /DRY 1.. - EXTERIOR LITH, I R Dt FLOO CEL SS M. .. RATED{WALL ASSEMBLIES . RATEDISHA /OPEN S I T-BARI,CEILINGS LOT DRAINAUF REPORT ID: DPR261 ROUTE TO: BS0508 -