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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 ?/ ,IIA FE_ CHECKS PA VA BLE TO: HARVEY T. BRANDT, COUNTY ENGINEER CA LI. FOR APPLICANT TO FILL-IN NEARE Print or tvDe onl =CROSS ST.- BUILDING - - 'DISTRICT NO. GROUP TYPE CESSED.BY 3/(- CONST. ADDRESS -J G� prC•AD K'rS r BP STATISTICAL CLASSIFICATION SEWER-M , BLOCK LOT NO. wt - q / CLASS NO.S�DW ELL.0 NITS_ BK , PG TRACT /Q - - USE ZONEMAP NO.OF,BLDGS. NO. Qe. SIZE OF LOT NOW ON LOT - _ SPECIAL USE OF .J - CONDITIONS ' EXISTING BLDG. G r _ TEL. y•..r / _. i OWNER NO. 6 BLDG.SETBACK FROM - ADDRESS r o )D A bw# FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD TOTAL CITY +" . F L - IGHWAY WIDTH FROM C.L. - - ARCHIT CT OR' TEL. } I ENGINEER q$S Lfi �NlO:. •-GY` E3LOG, BACK FROM - y ADDRESS (.(' �TM Al 14 S SIDE PRO . EOF - (STREET) p ((,,�� TI�� TYPE OF EXISTING 5 HWAY } YARD = TOTAL- U CONTRACTOR Z4 (/Offy � HIGHWAY WIDTH FRO D.L: - O LIC ADDRESS QHSI NO. - } - w Ll� CITY /f, CLASS. �� CORNER CUTOFF' YES El N ❑ Z N NAMETAND BRANLENDER -/6-,•,c' -- SE_E REVERSE SIDE FOR R SPECIAL APPRO ALS ADDRESS ' Sq. FT. j/ NO. OF NO NEW ❑ - - SIZE STORIES FAMILIES. USE OCTURE A / IrfIO . UG7C ADOSTRU ALTER ❑ SIGNATURE OF REPAIR❑ APPLICANT Q1.tiL� DEMOL ❑ - VALUATIONS Sod APPROVALS .. • DATE INSPECTOR•$ SIGNATURE P.C. -7�� PMT. FOUNDATION: LOCATION. FEE S �•C FEE'$ /Z.0 0 FORMS, MATERIALS . 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 ADDRESS 'A ^� l) INAL J e, PLAN CHECK VALIDATION CK, M.D. CASH _ PERMIT VALIDATION (c, M.O. CASH 0 5'2. 473 AFR 11 2 3 D 720- 1 G 0- .vi t_� _ 0 5 2 573 AR 1 1 1 D' ' 12.0 O 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 -