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Home My Public Portal About9232 BROADWAY_Building__ 3 2-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ARTMENT OF COUNTY-ENGINEER ADDRESS BUILDING AND SAFETY DIVISION ocALlry ` JOHN A. LAMBIE• COUNTY ENGINEER NEAREST 'WILLIAM A. JENSEN. SUPT OF.BUILDING CROSS ST. DISTJR.CT NO. GROUP TYPE 1, ESSEDBY FOR APPLICANT TO FILL IN CONST.— / . BUILDING 7 z �( /lr"L STATISTICAL CLASSIFICATION, 5 WER MAP ADDRESS �-- /Z J 7 E. cl4-Aand CLASS. NQ�DWELL. UNITS -K •G LOT NO. /d{J' a (j .Q G BLOCK- WATER NOT REQUIRED CERTIICCATT ❑ RECEIVED ✓FJ {E: TRACT T / NO.OF BLDGS. NOPc.�(J(J HIGH EI G3-�! O NOW ON LOT STATE MAJOR SECOND, LOCAL SIZE OF LOT USE Z NE SPECIAL // 7 USEOF - CONDITIONS M'CP / • EXISTING BLDG. JJ d , OWNER3. TEL. pZfj '. t V Glvo`"L�iLP PG' - NO. B ILDING EXIST. ('^p.1 SETBACK YARD HWY STREET NAME WIDTH AD,�t ESSV./C 6�'�QM /e C�%/ }O/I/w' FRONT ARCHITECT OR TEL. P. L. ENGINEERNO.. pDJn / /^J. J. )•''� ADDRESS - T �•l� LtLsi(J�C 1C6G4Z, O TEL CONTRACTOR NO. DO O ADDRESS., � 1- DESCRIPTION OF WORK Gr ��Jc� tom., tYea p li Z NEW i_ ADD %•ALTER REPAIR DEMOLISH r/� NO, OF NO, OF SIZET a7 i STORIES FAMILIES / /pt �l + ��•yb; lq / USE OF, /,�:7/�7 + i�L ^ SIGNATURE OF �� FJ"•°V 'v- �IJJiJNP � APPLICANT VALUATION � / �yO - _ APPROVALS DATE INSPECTOR'S sG T E P.C. PMT, Q FOUNDATION: LOCATION . �//1 FEES FEE $ [7 I,.S� FORMS, MATERIALS P:% /l�J .1. FRAME: FIRE STOPS. 'LL J yam(} I HEREBY ACKNO /� /4✓ EDGE THAT,I' HAVE READ THIS APPLICATION BRACING. DOLT$ ( Cf)CT/1ihL�F`F/ - ANO STATE THAT. THE ABOVE IS CORRECT_ANDAGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTYCORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUC TION.' 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. 1 TION OF THE,LA"R CODE OF THE STATE OF C IFORNIA RELAT- _ _ _ ING TO WORKMEN'S COMPENSATION INSUR CE. �� ,•U I� LATH EXT. ,I SIGNATURE OF HOUSE NUMBER GOR- .0 '"��'� PERMITTEE RECT AND POSTED ((/45-An' .45- r/4 AooREss ... '� —G�r -...1 FINAL D. �.. 1 - JOHN F. LEWIS. PRINCIPAL STC RAL ENGINEER PLAN CHECK VALIDATION GK. M.O. GASH _ PERMIT VALIDATION cK. M.OGASH "oa 2 .1,4a.;FEB .3 2 3.b 4 '0:758 f " a o8 6 3. FEB17 1 DIL8 1 .50 I J I _ APP�UCAMON FOR BULL IG PERNT it • I COUNTY OF LOS ANGELES BUILDING AND- AFETY WORKER'S COMPENSATION DECLARATION MFILL ,BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESSora tificate obWorkers;C ensatio sur n eor certificopy t c. .G - LOCALITYPolicy crop SIZE OF LCW ON LOT❑ Certified copy is hereby fur shed. NEAREST CROSS ST ❑ Certified copy is filetl YIN tf eco ty Ui ins C n TRA T O.department. N lUSE ZONE MAP NO. Dat¢ Ap icon ASSESSOR MAP BOOKPARCEL SPECIAL CONDITIONS I CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER C T /, COMPENSATION INSURANCE J f� �(.j� WITHIN IDDD FT.OF SCHOO5PR SCESSED;, (This section need not be completed if the permit is for one hundred ADDRDISTRICT GROUPdollars($100) or less.) CITY ZIPI certify that in the performance of the work far which.this permitis issued, I shall not employ any person in any manner so as to ggCHITECT OR ENGINEER TEL NO0le`Sbecome subject to the Workers Compensation Laws. STATISTICAL CLASSIFICATIONDate Applicant ADDRESS - CLASS NO. � DWNOTICE TO'APPLIC4NT. If, after making this Certificate of REQUIRED Exemption, you' Should become subject t0 the Workers' CONTRA / T /t SETBACK YARD Compensation provisions of the Labor Code, you must forthwith fL✓• !_LJ FRONT comply with such provisions or this permit shall be deemed revoked. ADDR LI FF L LICENSED CONTRACTORS DECLARATION �O /n SIDE - CITY- LIC:CLASSf ` P L hereby affirm that am licensed Un vision viol the ot.Chapter 9 `-'� SEWER MAP } (commencing with-Section 7000)of Division 3 of the Business and SO FT.SIZE NO,OF STORIES NO.OF FAMILIES y Professions Co Be se Is in full force eL�(� NEW ❑ BK PG 0 License Nu�LL_L_LLLL— Lic.Class DESCRIPTION OF / )�} ADD ❑ VALUATION �r a� Dhk" V Contractor Date r ` ALTER. ❑ $ ❑ 1 am exempt under Sec. REPAIR ❑ BAP.C.for this reason (ben ��S//l r�l�J DEMOL ❑ A PIC r . . W CL Date: USE OF EXI TI G BLDG. URM ❑ 'y N Signature APPLICANT(PRINT) TEL N0. LDMA Perm x ACCT.AT ? - ❑ I, as owner of the property, or my employees with wages as Z .......... � _ their sole compensation, will d0 the work and the structure is ' ADDRESS _O 5-Is7 145.11: not intended or offered for sale (Section 7044, Business and FINAL DATE ~ Professions Code.) iTE�' VALL THE UREAPRCONT OR G A HA ARDOUSBUILDING MATERIAL UAL T q RA2AgDOUS MATERIAL _ ❑ 1, en owner of the property, am exclusively contracting 44, AM A AMOUNTS CONTAINING A HAZARDOUS OUS MATERIAL EQUAL TO OR GREATER THAN THE a TOTAL 1-49 - 10 AMOUNT$SPECIFIED ON THE HAZARO'JUS MATERIALS INFORMATION GUIDE? FINAL BY 7 I I licensed contractors t0 construct the pr01¢Cf (Section 7044, YES❑ NO❑ Business and Professions Cade.) CHECK 14 i•10 WILL THE INTENDED USE OF THE aUIDUNG BY THE APPLICANT OR FUTURE BUILDING CONSTRUCTION LENDING AGENCY COAST ANT..REQUIRE A PERMITMANAGEMENT FOR CONSTRUCTION OR EE PERMITTING FROM THE SOUTH HANG3E .I it1 COAST AIR DUALITY MANAGEMENT OCONSTT CONSTRUCTION O SEE PERMITTING FROM TH IST FOR t\ GUIDE GUIDELINES hereby affirm that there is or which this p lending agency for YES❑ No❑ IN the performance of the work for which this permit is issued(Sec. - _ O+ IHAVEgEAOTHE HAZARDOUS MATERIAL51NFOgMATIONGUIDEAND THE SCAOMO PERMITTING 1 r ((�� C! (I N .'$D97.CIV.(...) CHECKUS�I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ��flf!"!'LIVU L .)J (/ TITLE 2.CHAPTER 2.20 SECTIONS 220 100 THROUGH 2,20.140 CONCERNING HAZARDOUS 2Lender's amt MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Cp o Lender's Ad ress 7�JI�F 1 y� t•��L 0 GINNER OR AGENT o certify t t I have read this application and State under penalty of perjuf tht the abo information is correct. agree to comply P.C.FEE PERMIT FEE with &, ,2 Ordi es a SO laws relate to building m cons he aufhon r¢pn senta4ves ih County ISSUANCE FEE to ev t n p ty for o..do ses. INVESTIGATION FEE TOTAL FEEa= SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1110110109 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 19341 IT: 1 RL: .001 SQ. FT STORIES TYPE OCCUP GROUPI 9232 BROADWAY ( (STRUCTURE: 0 2 V-B R-3 TEMP CA917802401 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: ENCINITA 18588-030-044 OTHER: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: USE ZONE: (ISS DED ON: PROCESSED BY i 1EXIST OCC GRP: 110/17/11 SR OWNER: TEL. N0: IBLDGS, NOW ON LOT: VALUATION: (FINAL DATE FI Y: CODE: RANG, THIO - 1 20,000 19232 BROADWAY I ITEMP 917802401 1 FEES PAID DESS CfaI PTI OF WORK IINSTALL OF ROOFTOP SOLAR ARRAY , IIEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( (APPLICANT: TEL. N0: INEW ENERGY CONSTRUCTION (310) 621-1728- 1D7 ADDNL PLANCHECK FEE 1.00 HOD 109.40 1563 31ST ST IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1 IMANHATTAN BEACH IAB STATE GREEN BLDG FEE 20000.00 VAL 1.00 1 I IAC STRONG MOTION RESID 20000.00 VAL 2.00 1 IGO PERMIT W/O EN-HC 20000.00 VAL 109.40 CONTRACTOR: TEL, NO: TOTAL FEES 249.60 (APPROVALS DATE INSPECTOR SIGNATURE INEW ENERGY CONSTRUCTION, INC. (310) 621-1728- 1� 1563 31ST STREET LIC. NO _ ILOCATION AND SETBACKS I I IMANHATTAN BEACH, CA 90266 90903IBC10 1 I ISOILS ENGINEER APPROVAL I I I_ I (ARCHITECT OR ENGINEER: TEL NO: IFOUNDATION/TRENCH FORMS I LIC. N0: ' SLABjONpER FLOOR IRAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (UNDERFLOOR INSOLATION 3 OOI (1ST LEVEL FLOOR SHEATH INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 0 NO 21 2ND LEVEL FLOOR SHEATH I SCHOOL WITHIN HAZARDOUS IROOF SHEATHING (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO IFIRE'DEPT. FRAME INSPECTI I I IBLDG DEPT. FRAME INSPECTI I I I ISHEAR PANELS I IINSUTATION/WEATHER STRIPI I I I IINTERIOR LATH/DRYWALL I I II IEXTERIQR LATH I I I I I I I I (LOT DRAINAGE I I I � ISMO KE DETECTION DEVICES I I (FIRE DEPARTMENT APPROVAL I I I I I I I I I I I IRF,POR't' ID OP R261 ROUTE TO 850508 I I I