The URL can be used to link to this page

Home My Public Portal About9205 BROADWAY_Building__ 1 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Pd Rr RI IYP,, ODIY) BUILDING COUNTY OF LOS ANGELES oDR ESS -% DEPARTMENT OF COUNTY ENGINEER CITY ; y' `' /e 1l-- ZIP _ BUILDING AND SAFETY DIVISION NO.OF BLOCS. BUILDING SIZE OF LOT NOW ON LOT 4 ADDRESS TRACT /O BLOCK LOT NO. /, LOCALITY TEL. NEAREST ) OWNER / CROSS ST. ^� .. ASSESSOR ADDRESS 0 _ MAP BOOK PAGE CEL DISTRICT I GROUP ITYPE FIRE PROC SED BY CITY /. ZIP ra �J CONSL�,/s� ZONE -J ARCHITECT EEL. NGINE ' S H E28'z- . S6 'Z ---✓� _ � > STATISTICAL CLAS S IFICATION SEWER?MAP ADDRESS CLASS NO � DWELL.UNITS K/4 3' TE CONTRACTOR 6-w,[/t`/2 NOL' USZONE MAP LIC. //.$/� NO. � ADDRESS NO. /RSO / X� , SPECIAL CITY CONDITIONS - CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH AIXaAllr BLDG,SE ACK FROM FRONT OP.LINEOF (STREET) CJ ADDRESS CIN —! HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING CI�-� SQ. FT. NQ.OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH ED SIZE `� STORIES "" NOM ONE + LL DESCRIPTION OF WORK NEW ❑ C, ❑ BLDG.SETBACK FROM Z ADD SIDE PROP. LINEOF TREETI ALTER HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF ISTI NG REPAIR❑ SIDE PROP. LINE HIGHWPY TH USE OF 5/IS( C /-�>#/ + - EXISTING BLDG. _ / DEMOL ❑ APPLICANT � / TEL L S-Z ^ CORNER CUTOFF YES ❑ NO ❑ IPRINT) oAo co Ole NO. 7-77 D IN'OPEN SPACE YES ❑ NO ❑ BY (SI G N A TU IN COASTAL ZONE YES ❑ NO ❑ �B O� VALUATIONS - (�U CATEGORICAL EXEMPTION YES❑ NO ❑ ' I HEREBY ACh NOWLEDGE 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- SiRUCTIO N. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO q q �� WORKMEN'S COMPEN A ON INSU N 7 �A��/ _O � O.1/�I�I� lI r Alo SIGNATURE OFN PERMITTEE /�r�t< ri/✓itN�O ADDRESS '= tlPp/?h x!�k/'O MAFC 1; S, r 2 L^ ' FINAL BY ^ II CITY NOL O27 DATE 01of \ M1IA KI: PM CHECKS PA YA 13LE TO: �1 y l'/ V FEE-� FEE HARVEY T. BRANDT. COUNTY ENGINEER T/J �Lc PLAN CHECK VALIDATION Cl, M.D. CASH _ �l/l/PERMIT VALIDATIO(!NOR. M,p. CASH 8.-3 4-HAY. 6 1 D 11{ 85 Q A98 7SA638A CE9803 7/73 J 1/ 1 ' APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES Ec2 01945 WM. U. FOX, CHIEF ENGINEER I / DISTRICT NO. PLAN CK. NO. PERMIT NO. NO. BLG. .PLANSOF y SDETBACK LINE ORO.NO. FIRE ,. APPROVED ,/ 7yI3. .ZONE BY DATE RECEIVED BY DATE OF APPLl DATE ISSUED USE APPROVED n (/y/)/� // ZONE / BY DATE 1IL yl 1 /2 - �� /S /� Y`� APPLICANT FILL IN HE VILY OUTLINED PO{Re.�TI/nYONNy ONLYBUILDING I1/A V 0 E NAME ADDRESS WZ ADDRESS LOCALITY TOME C{l/,-/STI//Yr I 0 NEAREST ENC1Nl TA // IL UC W CITY CROSS ST. Q STATE i TEL. I nT riC. IV1941GSTON LICENSE NO. NO. I/'//� R NAME 0 NAME M. J. 9ROCIi 9 SINS I/I . Z MAIL 41 y (' y (� T 7 J�n/�U //��/ O ADDRE98 •Q/�/ I� M �J / Q ADDRESS /0/ 1 /7/7C O/Nl'lJ bl VD. CITY A 4oa NO. ' CITY LAl/S ,4NGE1 fS '/ 1.�7� . APPLICATION ANDO READ THIS STATE ETHATTTHE A OVEEIS CORRECT U STATE / L//�p NOL. /// O/ 0/ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. ✓ 76 C) /7 7 O AND STATE LAWS REGULATING BUILDING CONSTRUCTION. I O LOT NO. / SIGNATURE OF SIZE OF LOT ly1-Y3` /,per/p� �� NO. OF BLDGS. AUTHORIZED AGT�✓ ��w+//Y <M BLOCK NOW ON LOT NDIVf ` W C �/ 1 JW TRACT J.2 //o CORRECTION§ O USE OF SLUGS. ` - .1 I/J NOW ON LOT y -- �` I, AW/_ USE OF DESCRIPTION OF WORK BUILDING SLY' ' ��4--11i 1 A. '�.. . - - D Al NEW TYPE 7- GROUP NO. OF (' NO. OF ALTERATION ROOMS �/J p 'J FAMILIES / ADDITION SIZE -7/J / ' REPAIR STORIES .A MOVING WALL COVERING ST UC CO DEMOLISH ROOF COVERING SHINAL r P", $ 0- FEE FINAL APPROVAL',, INSPECTOR'S VALUATION S�D FEE, A DATE /{' /�'" Yf NAME DIVISION OF BUILDING AND SAFETY ® � department of County Engineer " � County of Los Angeles I WM. J. FOX, COUNTY ENGINEER APPLICATION FE OR APPLICANT TO 7FILL I_N FOR OFFICE USE ONLY ESS �j ! DIBTRICyN0. PLAN CK. OR RED.No. PER �0. ING -q, W J/ (�/ R EI[,Q VED BY DA)TEE OF APPAL./ DATE ISSUED LITY dl�� l EST B BT - BUILDIND G ADOR[BB % i'OS G LOCALITY ADD EBB N[AR[ST TEL OROBB BT. / T NO. FIRK ITECT OR TELONEEER NO. BLDG._B[TBACK LINEESSUBL APPROVED/ T[L ZONE BYDATE RACT//O f))�p.:-. C. HOUSE NUMBERING EBB "I ( /1 :l'Q 1 (, MAP NUMBER_:. - NO. ASSIGNED BEGAL CORRECTIONS RIPTION y� LOTNO. ( BLOCK T •�-/ N0. OF BLDGB. SIZE OF LOT •� NOW ON LOT USE OF I NM A.M.ISTING BLDG. FI LIC DEscnrPTIO1C6F WORK °n v NEW ALTERATION ADDITION Z D R[PAIR DEMOLITION• r SIZE 1 "'o ROOMS STORIES EXT.WALLI ROOF RTG COVEv COVERING USE O 9 .RUCTURE / A- il INSPECTION FOR APPROVALS OCOUPANCYAS INSPECTO SIGNATURE DATE FOUNDATION: LOCATION FORM& MATERIALS /Z//L )�L 1 HEREBY ACKNOWLEDGE THAT I HAVE READ T AP- PLICATION'AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE BTOPS, rL CORRECT. BRACING, BOLTS �- I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CON)3TR •TION. GAS VENT,DUCTS SIONATUR[ O _ 1 oto, LATH. INT. -y PERMITTE LATH. EXT. -y S ADORES PLAST[R. INT. AUTHORIS[D AOT. PLASTER. DIT. ` to FEE ® HOUSE NUMBER COR- \ RECT AND POSTED VALUATION FEE FINAL _ 9.A63eA Des 3 1-52 a DEPARTMENT OF BUILDING AND'SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELESy p p WM. J. FOX. CHIEF ENGINEER I U FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY F�CRGSBT OIBTRICS NO. - PLAN CK.NO. PE RNIT NO. /J� �/ REIVED BY DATE OF APPL. DAT[ IBBUED BUILDING OWNER ADO REBSMAIL ADDRESS v-f�c.+E.syvr.wv� LOCALITY I NEAREST =CITY J �%l�' NO. NN � � CROSS BT. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANE ENGINEER NO. BLDG. ORD.NO. ADDRESS SETBACK LIN[ APPROVED ' TEL BY OAT[ CONTRACTOR a. USE APPROVED ADDRE 8 ZONE BY �evrwnt n DAT[ LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT A . O NO.OF BLOCS. I/9-/ I NOW ON LO USE OF NO.OF NO.OF EXISTING BLDG i A F..waeROOMS DESCRIPTION OF WORE NEW ALTERATION ADDITION O a REPAIR MOVING DEMOLISH p BO.FT. //_ RO MB / STORIES NO or _- . . r 912E ll%% WALL ROOF COVERING I COVERING USE OF NEW -- BUILDING r , 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION INSPECTOR DATE AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORME.MATERIALS f �A FRAME: FIRE STOPS. SIGNATURE OFj��A - BRACING.BOLTS 'i//ii'-!^L F7 •� PERMITTEE /(A� LATH. INT. AUTHORIZED AOT/ / LATH. EXT. v � 7SA63BA-3 2-MI $ P.C.B PLASTER.INT. /Qo Tam FEE PLASTER.EKT. / VALUATION G FEE ' / FINAL ` ✓/�� LDEPARTMENT OF BUILDING AND SAFETY . "' APPLICATION FOR PERMIT a COUNTY OF LOS ANGELES p p L ® aNn • WM. J. FOX, CHIEF ENGINEER U FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY //��p �"J r1 DIHTR,WT NO. PLAN CK.NO. (PERMIT NO. BUI LD NG ADD REIBB �"J, /`/(0 A V 4 � LOCALITY I :c J'IPZ e ` 0I/ RE l ED BY DATE OF APPL. DATEISSUED NEAREST l�Ny' CROBB ST. /C BUILDING !T'+ OWNER TI/ i F �� • ADDRE6S - -MAIL . LOCALITY ��fa ADDREBB ��./SJML�L(•"v G+ CITYtS,t� /No.f�-T . NEA"EBT TEL. CROSS ST. FIRE NO.NTY�„�� GRiUP ARCHITECT VTEL. ZONE PLANES ` ,(�, 1"iT• ENGINEER No. BLDG. ORO.NO. SETBACK LINE 2=e Z-y9 y ADDRESS T— /� APPROVED CONTRACTO/ /��)�-/`X.0 D.'.0/A�/-J NOL��RT7-f/33 BY DATE el ADDRESS G+//(//�/�✓� /9 I/l��C�i+�-eG N USE. APPROVED ZOE BY DATE LEGALI // S CORRECTIONS DESCRIPTIONf LOTNO. � BLOCK /n• TRACTNO.OF SIZE OF LOTS X D/J I NOW ON LOTS / It USEOF I FALMIDce I ROOOF M9I _ EXISTING BLDG. DESCRIPTION OF WORK NEW ALTERATION ADDITION O 1 REPAIR MOVING DEMOLISH F O Bq.FT. D OF _ 61ZE .yam O RSTORIES D ROOMS WALL _ r COVERING ,Q.GccGGe I COVERING W++��C.G USE Dr NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: STOPS, 1 �1 SIGNATURE / BRACING. BOLTS U !.I n-5 . / _ PERMITTEEEE yq/ LATH.INT.: AUTHORIZED AGT . LATH.EXT.: DBS-3 SOM SETS Y-4Z $70,21 /j y� P C s ^_ PLASTER.INT. DI I FEE crn PLASTER;EXT. LVALUATION FEE FINAL' • _ COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD -BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9904060006 PHONE: (626) 285-0488 EXT: - LEGAL ID: NO. OF CONST NEW U LD NG.ADDRESS: TR: 12410 LT: 1 SQ. FT STORIES TYPE OCCUP GROUP 9205-_BROADWAY- STRUCTURE: 351 1 VN R3 TEMP CA 917802402 ASSESSOR IN 0 M TION NUMBER: GARAGE: NEAREST CROSS STREET: ENCINITA 8588-002-001 OTHER: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ONE: ISSUED 0 PROCESSED Y: EXPIRES ON: EXIST OCC GRP: 04/06/99 UT 04/06/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN L DATE FINAL BY: DE: SHEN JAMES ERIC;JOANNA TSENG (626) 451-0069- 1 25,970 " 9205 BROADWAY TEMP 917802402 FES AID DE •0 OR ADDITION OF MASTER BEDROOM/BATH FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: E 0: MAPLE BUILDERS (626) 350-1227- AA BLDG PERMIT ISSUANCE 27.75 4700 MILLER DR., #B5 AC STRONG MOTI0N-RESID� 25970.00 VAL 2.60 SPECIAL CONDITIONS: .TEMPLE CITY, CA AX BUILDING REVIEW:FEE154.70 B2 PERMITiW%ENERGY('jE LES 25970:00 VAL 532.79 TOTAU.FEES 617.84 CONTRACTOR: TEL. NO: OS `'VT APPROVALS DATE INSPECTOR SIGNATURE MAPLE BUILDERS, INC. (626) 350-1227- V y �. 4700 MILLER DRIVE #B-5 LIC. NO LOCATION AND TBACKS TEMPLE CITY CA 91780 609931 B s / L _ C I E T OR E GI EER: T . N0: 0 NDATION TR N y LIC. NO// 1111117 SLAB/UNDER FLOO117 1 R i RAISED FLOOR -FRAMN MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:Val) Q UNDERFLOOR INSULATION S LVE R S T NO. OF FAMILIES: DWELLING UNITS: P /C ND: STAT CLASS NO 21 \ (% 8 ) ND LEVEL FLOOR SHEATH I LJ SCHOOL WITIN HAZARDOUS- ROOF SHA G El F, �.p AIR QUALITY: 1000 FEET MATERIALS J ""a NO NO NO A El ® {.��®y FIRE DEPT- FRAME INSPECT REQUIRED SET BACK YARD: HWY: TOTALPROP LINE: O WIDTH: Vb/7C Se�VOeTha��t� BLDG DEPT. AME INSPECT _ SHEAR PANELS SIDE PL- N ULTO / A E T IP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE D T CTIO DEVIL S FIRE DEPARTMENT APPROVAL REPORT 10: DPR261 ROUTE TO: BS0508 i