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Home My Public Portal About9303 BROADWAY_Building__ .e.e.., Eg,o.✓.o APPLICATIONFOR BUILDING PERMIT 1 COUNTY OF LOS. ANGELES / BUILDING DEPARTMENT OF COUNTY ENGINEER AD°REss k3c `BUILDING AND'SAFETY DIVISION LOCALITY JOHN A.'LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUP'TOFBu,LDING CROSS ST. DISTRICT NO. 'GROUP TYPE P EGGED BY FOR APPLICANT TO FILL IN _ CONST. �( BUILDING n yI n STATISTICAL CLASSIFICATION' SEWER MAP ' BK ADDRESS 933 .E I �TDH+CX ZL/Wy • CLASS.NO. - DWELL. UNITS " LOT NO: BLOCK MAP G STATE NUMBER .50 D HWY. TRACT USEZONE SPECIAL NO.OF SLOGSCONDITIONS _ SIZE OF LOT J - NOW' N LOT O USE F - -( EXISTING BLDG. .+ LDING sui - TELl�' T/ TBACK YARD HWY STREET NAME WI H OSOWNER 401NO. •. VJ FRONT 1 P.L. ADDRESS .3O /- y`O LZ G�[!JQ ;IDE / ARCHITECT OR L. �• r I , ENGINEER O. �- INSPECTION RECORD ADDRESS TEL. C/✓D ADG — GO �!✓� - w - CONTRACTOR / NO. - O ADDRESS - _ V DESCRIPTION OF WORE TF//s. PMT 'RY, Alel7- AlFM lltl NEW ADD ADD 1/ALTER REPAIR DEMOLISHSO S ZE �p N. ES FAMIO ' OF LI ES �iQA/✓//1V� /All r E/I �.,rK USE OF / - q _SC/'F.07" /) 11,4-APAP d y'5'.P' • 4 STRUCTUR `. ... O _ •N, rrr/f G�/i✓Da�✓/W>Hict, DOErr " SIGNATURE OF APPLICAN I ? VALUATION$ ,36Oo/TDOG SH�,Q, h Ire/�6/v`+ t APPROVALS DATE INSPECTOR'S SIGNATURE -P.C., PMT. FOUNDATION: LOCATION - - - - - -FEE $ �- =+ FEE $' ��' FORMS. MATERIALS ' FHEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, ' B ROCATS AGREE PLICATION AND STATE THAT THE ABOV EJS CORRECT AND FURNACE:' .DUCTS ON, - AGREE TO COMPLY WITH ALLCOUNTYORDINANCES AND GAS VENT.DUCTS STATE LAWS REGULATING BUILDING .CONSTRUCTION. .1 CERTIFY THAT IN DOING THE WORK AUTHORIZED ,[ LATH. INT. (f ' .WILL NOT EMPLOY- NY PERSON IN VIOLATION OF THE 'Sy : - _ WORKMEN'S C N ATION-LAWS OF FORNIA. LATH,IEXT. SIGNATURE OF. � HOUSE NUMBER COR- - V �yj r / . PERMITTE RECT AND POSTED /yy' I (Y N p°DRESS' _ FINAL J CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL'ENG R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK.- M.o.? ' Sn l .lo� � u � �f,a Dass APPLICATION FOR BUILDING PERMIT 1 u.ee DIVISION OF BUILDING AND SAFETY BUILDING ADDRESSc Deportment of County Engineer . County of Los Angeles - LOCALITY ""'jw JOHN A. LAMBIE:COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. l; '/"OM NO DIST CT . GROUP SEWER MAP FOR APPLICANT TO FILL IN D�' TYPE Qod BK 3 c CONST. BUILDING O� �a _ NUMAP MBER O S ADDRESS HWY - YES • LOT NO. - BLOCK USE ZON SPECIAL - - CONDITIONS TRACT C NO. OF SLOGS. SIZE OF LOT.5'!7 � NOW ON LOT BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH USE OF .vwto FRONT EXISTING BLDG. OWNER SIDE P.L. MAIL ADDRESS y �203 O TRACT DWELL. 1UNIT 7 ((// ✓✓✓"'�1��...�(((TTT'TJJIJ--O[/[O •"- �J� TEL. 5 INDUSTRIAL CITY - NO. i DWELL. 1 UNIT 6 PUBLIC BLDG. E ENGINEER WIP. 6 TEL.IIJ/1W-' pr' 2 DUPLEX 2 UNITS ENGINEER /t% d I NO. 't6( U! 7 ADDN.,ALT.: ETC. 3 APT. _UNITS B MISCEL. ADDRESS Gsa "& 4 COMMERCIAL CONTRACTOR cc NO.' - S INSPECTION RECORD ADDRESS f f DESCRIPTION OY WORK NE ADD ALTER REPAIR DEMOLISH. . FT. NO. OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE • -C J . SIGNATU RE OFs LI APPLICAl APPROVALS NT ADDRESS DATE I NSf E/C'T'OR'S SIGNATURE S r Q FOION MATERIALS ION I -G O'9 FEE JO FRAME: FIRE STOPS. "VALUATION $ BRACING. BOLTS FEE FURNACE: LOCATION. I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGU TING BUILDING CONSTRUIC- TION. LATH, EXT. _ SIGNATURE O - - - HOUSE NUMBER COR- PERMITTEE RECT AND POSTED �01 ADDRESS FINAL 1 sic. _ JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION CLYDE N: DIRLAM. CHIEF BLDG. INSPECTOR CK NO CASH J1C08*7 4 3N JUL31 1 6 5..001 u, 1 1 0 �8 9 8 C;� AIfG .. .. _ .- �_._. t• _ _f - o'COMPENSATION DECLARATIONcertificate Ih<!I haver certificate of consent to self AP LIC�41'i®� F�� VILDING ��Me4 Pied certificate of ANorkers�Com'pensarion Insurance, r R e e� 9 poro 'copy thereof (Sec 3800, Lab. C. -' - - '-' V COUNTY OF LOS ANGELES BUILDING AND SA ETY Policy.No.—Company.. - E Certified copy is hereby furnished. . , FOR APPLICANT TO FILL IN BUILDING ADDRESS sJO 3i ❑ Certified copy is filed with the county building inspec- BI I IDING I i ,Q tion department. ADDRESS 1113 tLJ Date• Applicant . CITY ,4 ZIP LOCALITY 1 CERTIFICATE OF EXEMPTION FROM WORKERS' r." r yJ4,0 OF BLDG . - - NEAREST-_ - COMPENSATION INSURANCE SIZE OF LOT t NOW ON LOT CROSS ST. +f (This section need not be•completed if the permit is for one - - - _-_ ASSESSOR + ' hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGEPARCEL USE t TEL. ZONE ~ I certify that in the performance of the work for which this OWNER i ,dicy5 I NO. V permit is issued,1 shall not employ any person in any manner - _ ADDRESS 9303 1"o-Qj(1..r - - - �� SPEEIAL - -- - — - -- — d so as to became subject to the Workers'Compensation Laws. CONDITIONS ' O U Date" '- Applicant CITY ZIP ARCHITECT O - TEL: V NOTICE TO'APPL ICANT: If, after making this Certificate of DISTRICT GROUP TYPE '_FIRE PROCESSED BY Exemption; •you should become subject to the ,Workers' ENGINEER NO _ /I,// 7 CONST., ZONE Compensation provisions of the Labor Code, you-must forth- ADDRESS 5 L with comply with.-such provisions or th is.perm it shall be deemed..revoked. TEL STATISTICAL CLASSIFICATION APT. NDO. Z CONTRACTOR NO. z� , _ LICENSED CONTRACTORS DECLARATION - LIC . . CLASS NO. DWELL. UNITS - I hereby affirm that.l am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and _ LIC SEWER MAP r + Professions Code, ah'd my license is in full force and effect. CITY ' CLASS BK - '- -VALIDATION _ SQ. FT. NO. OF NO.OF CHECK ._ License Numb°er "Lic.Class " SIZE STORIES FAMILIES I" ONE ' - ' VALUATION 6O DESCRIPTION OF WORK Q11 Q NEW ❑ /(1 Contractor ' Date rADD $ (� 00. am exempt under Sec Z4_1 A ALTER ❑ .. ;R., 7 1••8 A, L .�B.BP.C. for this reason - REPAIR ❑ $ -- "-# e s a • s Date: USE OF 1 EXISTING BLDG. DEMOL ❑ ( . 1-99.88 ( - -Sii3n6ture APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. .DATE ' -G - - . • - 19 9••8.8 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL 'Professions Code): ' _ '" PRESENT BY 0320.=85 BUILDING I, as owner of the property, or my employees with ADDRESS /' ? wages as their sole compensation,well do the work and the structure is n a t intended or offered for sale(Section LOCALITY ( I U.`:,�,•` ' 7044, Business and Professions Code). MOVING - TEL.' I, as owner of the property, am exclusively contracting CONTRACTOR NO. " with, licensed contractors to construct the project (Sec- ADDRESS �'1 •- '.� \ tion 7044, Business and Professions Code). \+`V -- -- - -CONSTRUCTION LENDING AGENCY SETQBACKD YARD HWY TOTA SETPROBLINE FR M WIDTH, - ,'-1 .-t3\�{� r v t "\•' _ ._ I hereby affirm that there is a construction lending agency for FRONT -the performance of the work for which this permit is issued P.I. (Sec. 3097, Civ. C.). SIDE - - m Lender's Name -' - - P.C. e$ - Permit Fee LDMA Ref .C. :#. ^ • - ' Lender's Address 0. S V certify that tion is read this.application.and state that the Issuance Fee LDMA P/C,# a above information s correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, - Total Fee J Q '6 LOMA Perm. u and hereby authorize representatives of this County to enter I m upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent - "J Date it 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 0111080020 PHONE: (626) 285-0488 EXT: L 0. OF CONST BUILDINGADDRESS; TR: 12410 LT: 7 SQ. FT STORIES TYPE 9303 BROADWAY STRUCTURE: VN TEMP CA 917802404 ASSESSOR N M NEAREST CROSS STREET: HILTON 8588-002-007 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY ANT: EXIST BLDGUSE: ESI E: - SU D 0 SS EXPIRES ON: EXIST OCC GRPkh 11/08/01 JK 05/07/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE �t U / `Eq ODE: JIMENEZ; CARLOS (626) 309-9505- 1 5,000 X 6039 GOLDEN WEST AVE TEMP 917802404 AID DESCRIPTION OF INSTALL INSULATION AND REPLACE DRYWALL AND WINDOWS (9) APPLICANT: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: THROUGHOUT HOUSE, REPLACE FRONT DOOR EL. SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL COND TIONS: D2 PERMIT W/O EN:HC5000.00 VAL 132.60 GELES 160.85 CONTSAMERASTOWNER TEL. N0: Oc> P GT APPROVALS DATE INSPECTOR SIGNATURE LIC. NO LOCATION AND SETBACKS SOILS ENGINEFR APPROVAL ARCHITECT OR ENG R: TEL. 0: rOUNDA ENC LIC. N0: / I �� — SLAB/UNDER FLOOR WUSEUD LO R NG _ .-qi2- 14SEW R MAP BOOK: PAGE: FIRE ZONE: LMPUNDROOR INSULATION 7H265 3O' LD) � FLOOR S EA NGif LL 0mr(10 '[PDL) NO. OF FAMILIES; D LL G S: PT/C : STAT SS:_NO 21 21 \-� - - 6f -- RDOF S FCATT FFING SCHOOL WITHINUS Y O G /r bF,�6 AN AIR QUALITY: 1000 FEET MATERIALS �.7;�**� �••� ( —_ NO NO NO (` It )I_ FRAME INSP CTION REQUI 0 L S ACK 0 E 4 - O�\l E SPRINKLER GER SET BACK- YARD: HWY: PROP LINE: WIDTH: b/jC 0 t INSULATION/WEATHER SFROTRIP T PL SIDE PL- `SeLVICO Thi E OR LATH/DRYWALL EXTERIOR LAT- ED FLOOR7CElT ASSEM. R TED WALL ASSEMBLIES NAILU SHAPENING9— T-BAR CEILIWGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508