HomeMy Public PortalAbout9315 BROADWAY_Building__ 76A636A CE N803 A/] �T N FAPPLI& O;RUILDING PERMIT
COUNTY OF LOS ANGELES FADDRESS
SESSOR
DEPARTMENT OF COUNTY ENGINEER P BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
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,IIA FE_ CHECKS PA VA BLE TO:
HARVEY T. BRANDT, COUNTY ENGINEER CA LI.
FOR APPLICANT TO FILL-IN NEARE
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SIGNATURE OF REPAIR❑
APPLICANT Q1.tiL� DEMOL ❑ -
VALUATIONS Sod APPROVALS .. • DATE INSPECTOR•$ SIGNATURE
P.C. -7�� PMT. FOUNDATION: LOCATION.
FEE S �•C FEE'$ /Z.0 0 FORMS, MATERIALS
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1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATFIRE STOPS,
ION FRAME:BRACING BOLTS -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- 'GAS VENT, DUCTS -
STRUCTION. I CERTIFY THAT IH.DOING THE WORK AUTHORIZED
HEREBY I WILL NOT' EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. - -
LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE.
y LATH, EXT: -
SIGNATURE OF// y G / ¢fF
OUSE NUMBER COR-
PERMITTEE CT AND POSTED
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PLAN CHECK VALIDATION CK, M.D. CASH _ PERMIT VALIDATION (c, M.O. CASH
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76A838A CE#8038-83 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 9315 F-. BrinAdway
'BUILDING AND SAFETY DIVISION LOCALITY „l,e
JOHN A. LAMBIE• COUNTY ENGINEER NEAREST ipl _C1t /
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. IFF _
OI ST Ca(C/T Np. GROUP TYPE P C BY
FOR APPLICANT TO FILL IN — CONST.
BUILDINGSTATISTICAL CL�q�J��IFI CATION SEWER MAP
ADDRESS9315 F6 Broadway lC B-1p l-§-1-
LOT
NO. !� DWELL. UNITS J� 'S
LOT NO. - BLOCK WATER NOT REQUIRED ®. RECEIVED ❑
CERTIFICATE:
TRACT O4LOT
MAP 4 O 0 HIGHWAY STATE MAJOR SECOND. OCA
NO. OFNO. ICIRCLEI
SIZE OF LOT NOW OUSEZONE S ECTAL
USE OF � ���--fffCONDITIONS
EXISTING BLDG. TOWNER BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONTARCHITECT R P. L.
ENGINEER SIDE
P. L. N
ADDRESS
TEL
. V
CONTRACTOR NO. 287-0150
CC
ADDRESS 600 So. San Gabriel Blvd. S Gabx iel p
DESCRIPTION OF WORK _ ri
A IL
NEW ADD ALTER REPAIR PEMOLISH / N
SO. FT. NO. OF NO. OF ?
SIZE STORIES FAMILIES
USE OF O
STRUCTURE
over w in -.
SIGNATURE OF
APPLICANT
VIRGIN ROOF CQ-
VALUATION $ wo).00
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C- PMT. .FOUNDATION: LOCATION
FEE $ FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS.
I HEREBY AC R NOWLEOGE THAT I HAVE READ THIS APPLICATION BRACING, 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
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HERE Y 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LAB COOS OF THE STATE OF CALIFORNIA RELAT-'
TNG TO WORKMEN' COMPENSATION INBVRANCE.
VIRGIN RO 1 CO. LATH. EXT.
SIGNATURE O HOUSE NUMBER COR-
RECT AND POSTED -�
ADDREss Marcia Madden Secb' • FINAL V�
JOHN F. LEWIS� PRINCIPAL STRAL ENGINEER
R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.G. CASH
. Lfiuo 471 4 0`0 Us 16 1 0 6.00—
I
9
iC5 76A63eA = �L
4E 0803(REV.6/181 � '1
. APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY `
FOR APPLICANT TO FILL IN' ADDRESSI
BUILDING /� [''' '
ADDRESS 3 .� C 1Va 0 A Y LOCALITY
NEARE5T �+
CITY 'Q, "' .ZIP / 0 'CROSS ST. C.
OF BLDGS. /� ASSESSOR
SIZE OF LOTS3 X S .W ON LOT of MAP BOOK PAGE PARCEL
DISTRICT I GROUP TYPE FIRE PROCESSED BY
TRACT �/ BLOCK LOT NO. 00 ,� CONS ZONE /J
_ TEL//�� dr—' A
OWNER C C NOstg'��tt1
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 3 LEI w Q CLASSNO. WEL
DL.UNITS BK G
CITY �p.� e C ZIP 0 D
ARC ITECT OR TEL.NO. VALUATION $'3' 00 6
JbI
ENGINEER -
ADDRESS01 BLDG.SETBACK FROM
TEL FRONT PRO P.LIN E OF ISTREETI
CONTRACTOR NO. HIGHWAY ,+ .YARD _ TOTA LSE T BACKF ROM TYPE OF EXISTING
LIC FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO. ,
LIC +
CITY CLASS
CONSTRUCTION LENDER BLDG.SETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF ISTREETI
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING - 6
ADDRESS CITY SIDE PROP.UNE HIGHWAY WIDTH O
SO.FT. NO.OF NO.OF CHECK + _ - V
SIZE 570RIE5 FAMILIES ONE. OL
DESCRIPTION OF WORK A NEW ❑ P.C.Fee 5 Permit Fee
C
C ADD ❑ Issuance Fee a
I T ALTER
REPAIR ❑ Total Fee
USE OF DEMOL
EXISTING BLD/GG.. M IIANT �`' �[❑ 2
APP IPRNTI O
QL_ C
f
1� BV SGNATUREI
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE S
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF -V
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. QZ
{ PENSATION INSURANCE.
L///yyff��� / J
SIGNATUREVF
PERMITTEE
ADDRESS :3 S
Z
_
/L�r O
CITY N0.2� 7-T'� o ; Q
USE ZONE M P pa e e
NO. F
SPECIAL I' SN SsI R- in
CONDITIONS -,7 O O :E CT
FINAL /O RV W O O 'euS
DATE
�—�/ CH o
•'� W9RKERS'COMPENSATION DECLARATION ,t;,•; , .
X'I hereby•a ce, that I have r certificate of consent to self - _APPLICATION FOR BUILDING PERMIT
insure•, or a certificate of Workers' Compensation Insurance,
or o certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company _
E. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 2
DDt.l _
Certified coy is filed with the county building inspeo BUILDING L r /"' r RES!'
WAV A
tidmdepartment. ADDRESS .7 C
Date ' Applicant -- CIT;re
M.1 rx ZIP O t LOCALITY -
CERTIFICATE OF EXEMPTION FROM WORKERS' I -NO. OF BLDGS. - NEAREST
COMPENSATION INSURANCE' , SIZE OF LOT h 7 S$ NOW ON LOT a CROSS ST.
(This section need not be completed if the permit is for one ASSESSOR
TRACT BLOCK LOT NO. _ -- -
hundred dollars ($100)or less.) FI-- p ,`p MAP BOOK PAGE PARCEL
OWNEXIs; L. C NO.SI3_•� - USE ZONE MAP -•�_
I certify,that in-the performance of the work for which This
permit is issued, I shall not employ any person in any manner �o 1 SPECIAL
so as to become subject to the Workers'CPmpensaf oh Laws. ADDRESS J 5 /� 1 - �71
p - CONDITIONS O
Date'4_221 -91 Applicant � v`r CRv _e ��. lei
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT
O TEL.
ENGINEER NO. DISTRICT GROUP, TYPE. SSED BY
FIRE O
Exemption, you should become subject to the Workers' CONST. ZONE P O' V d
Compensation provisions of the Labor Code, you must forth- �// ./ W
t'� �._. (/ .3
ADDRESS
with comply with such provisions or.this permit shall be _ - y
deemed revoked. JffTEL
CONTRACTOR NO, STATISTICAL CLASSIFICATION APT. J(YNDO. Z
LICENSED CONTRACTORS DECLARATION - LIC - CLASS NO, 14 DWELL UNITS_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.
(commencing with Section 7000)of Division 3 of the Business and _ ., _ _ LIC SEWER MAP
Professions Code, and my license is in full force and effect. CITY CLASS SK.'49 PG �' 3 VALIDATION
SO. FT.' Ly NO. OF NO. OF CHECK
License Number Lic.Class SIZE ! $TORIES FAMILIES ONE
VALIJ yAJION
WORK
Q
DESCRIPTION OF �"' NEW ❑ D
Contractor Date A !"' $
I am exempt under Sec. ICn 9 M- G w I ♦ FL •r ADDALTER ❑
B.BP.C. for this reason ? REPAIR ❑ $'
Date: USE OF
EXISTING BLDG. f.t r -f Y C. DEMOL ❑
Signature APPLICANTy.- =• — TEL FINAL
OWNER-BUILDER DECLARATION PRINT G,L. �� NO. n� -Y3 DATE- -
I hereby affirm that I am exempt from the Contractor's License gDDRESS .3 L, G. -/ 17 p LJ z' - ;26433A
Law for the following reason (Section 7031.5, Business and w
Y�
Professions Code): -' PRESENT � # e o e o old. -
I, as owner of the property, or my employees with BUILDING
ADDRESS , r• , S( o , $.1. 13
wages as their sole compensation,will do the work and c j ^�
the structure is not intended or offered for sale(Section LOCALITY `o'q., $ ,, 135 3 czi
7044, Business and Professions Code). MOVING - TEL. -
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO, O1.2 9i$7
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
CONSTRUCTION TENDING AGENCY SETOBACK YARD HWV .IOTA pROP.LCNEFROM '-WIDTH' -
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L. - -
(Sec. 3097, Civ. C.). SIDE '
P.L.
Lender's Name n _ -
Lender's Address P.C. Fee E Permit Fee V , LDMA Ref. # - -
i `
certify that I have read this application and state that the Issuance Fee LDMA P/C M
m above informal' n is correct. I agree to comply with all County Investigation Fee /
$ ordinances
ano State laws relating to building construction, Total Fee
v and hereby o thorize representatives of this County to enter rl'3 LDMA Perm. N-
$ upo'Ufnny/the aKb/oy e-mpentio ed property for inspection purposes. ,
SEE REVERSE FOR EXPLANATORY LANGUAGE
'Signature of Applicant or Agent Data
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 0203190007
PHONE: (626) 285-0488 EXT:
_ll): NO. OF - CONIT BUILDING ADDRESS:
TR- 12410 - LT: -9 - SD. FT STORIES (TYPE 9315 BROADWAY -
STRUCTURE: VN TEMP CA 917802404
S SSOR ORMAT ON NUMB '-_ _ "� NEAREST CROSS STREET: ENCINITA.
8588-002-009 - - THOMAS PAGE:. 596 GRID: J4 LOCALITY: TEMPLE yLITY
I
N
EXIST BLDGUSE:t'RESIDS 0 E: - ISSUED
ON:
RO D.B -
EXIST OCC GRP: 03/19/02 JK 09/15/02 .
0 E FINAL OA!.i TEL0: BLDGS. NOW ON OT: VALUATION: L FIN DATE FINAL BY: CODE:
TSENG KRIS L;ANNE F ' (626) .286-8310- 3,000
9315 BROADWAY �3
TEMP 917802404 FEES PAID VL5UKlPllUN OF WORK
REPAIR LIVING RM WALL - DAMAGED BY CAR
FEE DESCRIPTION: QUANTITY: LION: AMOUNT:
APPLICANT: TEL.
MAA (626) 795-5886- AA BLDG PERMIT ISSUANCE 27.75
56 S VIRGINIA AVE AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS:
PASADENA 91107 82 PERMIT W/ENERGY--3000'00 VAL 108.90
GE TOTAL--FEES 137.15
MAA
CONTGENERAL CONTRACTING CO (626) 795-5886-RACTOR: TEL. NO: �.�5 ��Ay APPROVALS DATE INSPECTOR SIGNATURE
56 S VIRGINIA AVENUE LIC. NOLOCATION AND SETBACKS
PASADENA, CA 91107 7115216HIHIC
SOILS ENGINEER APPROVAL
ARCHITECT ENG TEL. NO: FOUH ON/TR FORMS
r. •
.'" LIC NO:,"- I - - .I 1111711 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: O ! O ( O 1' UNDERFLOOR INSULATION -
147X265 __ 3 ._-01 �./� ��j J\1
. "t':! ?li-fir, ::..__ ._ _ _ DDR - -
0. FAMILIES: DWELLING S A CON AT CL
Q S'NO If{ti. -' -21'x' - I �..., ROOF SHEATHING w
SCHOOL IN ...HAZARDOUS aSHEAR PANELS -
AIR QUALITY: 1000 FEET_ _MATERIALS
NO NO 1O NO -'� Oiu•"-�y FRAME INSPECTION
0
RE ! SAC EXIST
SET BACK. YARD: HWY: PROP LINE: WIDTH:
IDTH ___� `_`a�ZC t�C` R SPRINKLER HANGER'9--
FRONT PL- �T� _ -`��rVIC67ha INSULATION/WEA HER STRIP
SIDE PL-
NTER OR LA ALL
i
EXTERIOR LATH ! G
AT ASS
RATED WALL ASSEMBLIESRATED -
___ SHAFTS/OPENINGS
-BAR CEILINGS
. LOT DRAINAGE .
REPORT ID: DPR261 ROUTE TO: BS0508 -