HomeMy Public PortalAbout9226 BROADWAY_Building__ 'ISA630A CE#8035.BIAPPLICATION FOR BUILWG PERMIT,
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS - W
BUILDING AND SAFETY DMSION LOCALIT
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JOHN A. LAMBIE, COUNTY ENGINEER NEAREST '
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE CESBED BY
FOR APPLICANT TO FILL.IN CONST
BUILDING y STATISTICAL LASSIFICATION SEWER MAP
ADDRESS CLASS.NO DWELL. UNITS v
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:,
TRACT MAP �t HlcHwwv
ry0.OF BLDGS.
NO. 6 IctRC LE) STATE MAJOR SECOND. LOCAL:
SZE OF LOT 5 OW ON LOT USE ZONE SPECIAL
USE OF - _. CONDITIONS
'EXISTING BLDG. I '� /� -
I TEL. —f ^T-
OWNER Y NO. l BUILDING EXIST.
t
ADDRESS SVItIV 4-49407 SETBACK YARD HWY STREET NAME WI TH
FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE - O
P.L. V
ADDRESS
CONTRACTOR TEL. INSPECTION RECO A
A
ADDRESS SIF U
DESCRIPTION OF WOR%. ^!� ,{/ -fi�x/
NEW ^^ADD ALTER REPAIR DEMOLISH \
SQ.ZOV �'2 ST OI ES FAMILIES
USE OF I \,
STRUCTURE
u
SIGNATURE OF
APPLICANT
VALUATION$
APPROVALS DATE I NSPECTGR'S SI G NATURE
_ FOUNDATION: LOCATION / / ✓�G J,�-_
FEE $ FEE $ FORMS.MATERIALS !V IHa d CLL
FRAME: FIRSTOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINGE.BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS I
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTH O RIZEO HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. CATH. INT.
TION OF THE LABOR CODE OF,THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMr ENSATION INSURANCE. LATH.EXL
SIGNATURE OF (05W HO USE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL ✓ �vl Ilov �(A ll�
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENG
PLAN CHECH'VALIDATION cK. M.o. c H PERMIT VALIDATION cK. M.O. CAeM
( CtiL3221 " SEP 28 1 0 5.60Vd
* 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 0307290019
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING .
TR: 19341 LT: 3 BL: .001 SQ. FT STORIES TYPE 9226 BROADWAY
STRUCTURE: VN TEMP CA 917802401
ASSESSOR FgFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
8588-030-050 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ON ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/01/03 JK 07/26/04
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
N/A - 3,900 'b _y _0�
FEES PAID SCRIPTION OF WORK
T/O HOUSE & GARAGE; INSTALL PLYWOOD & CLASS A COMP SHINGLES
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: T L. N0:
TEMPLE CITY ROOFING CO (909) 608-0622- AA BLDG PERMIT ISSUANCE 27.75
1216 BEGONIA COURT AC STRONG MOTION RESID 3900.00 VAL 0.50 SPECIAL CONDITIONS:
UPLAND 91784 D2 PERMIT W/0 EN-HC 3900.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
TEMPLE CITY ROOFING CO. (909) 608-0622-
1216 BEGONIA COURT LIC. NO LOCATION AND SETBACKS
UPLAND, CA 91784 HIC
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CCP-- UNDERFLOOR INSULATION
147H265 3 01
FLOOR SHEATHING
NO. OFFAMILIES: DWELLING UNITS: APT/CO D: STAT CLASS:
NO 21 ROOF SHEATHING j'3 =AV-
SCHOOL
AV-
L OOL WITHIN HA AR 0 S 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/CEIL AS M.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508