HomeMy Public PortalAbout9318 BROADWAY_Building__ APPLICAT V, N FOR
BUILDN-G: ERMIT
4.
BUILDING
•A
FORPPLICANT;T :fILLIN ADDRESS
BUILDING
ADDRESS LOCALITY
CITY C� ZIP CfK)SS 57. a✓ •
O.OF BLDGS. ASSESSOR -
SIZEOFLOT NOW ON LOT MAPBOOK PAGE PARCEL
DISTRICT GROUP TYPE �— FIRE PR ESSED BY -
TRA / BLOCK LOT NO. p /J� CONST - 7
OWNER LO' STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS .�J f�• CLASS NO. �! DWELL.UNITS BK PG
CITY ZIP USE ZONE- NO •� �j'
ARCHITECT OR TEL. SPECIAL
ENGINEER NO. CONDITIONS
ADDRESS - ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
TEL
CONTRACTO BLDG.SETBACK FROM .
FRONT PROP.LIN E OF 'ISTREETI
ADDRESS TOTAL SETBACK FROM TYPE OF EXISTING
LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
CITY CLASS C -
CONSTRUCTION LENDER + d
NAME AND BRANCH BLDG.SETBACK FROM OV
ADDRESS CITY SIDE PROP.LINE OF ISTREETI p
SO.Fi.^^ �^L NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPEOF EXISTING w
SIZEO� STORIES FAMILIES' ONE .SIDE PROP.LINE HIGHWAY WIDTH r1
z
❑ + Z
DESCRIPTIONOP WORK - P NEW/�O ADD CORNER CUTOFF YES Ll NO El
ALTER ALTER ❑ IN OPEN SPACE YES' ❑ NOUSE ❑
REPAIR ❑
E ISTTIING BLDG.' �K DEMOL ❑ IN COASTAL PERMIT ZONE .YES ❑. NO ❑
APPLICANT TEL
IPRINTI
BY(SIGNATURE)
I HEREBY OWLEDGE THAT HAVE READ THIS APPLICATION AND STATE
THAT THE AB VE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HE BY WILL
NO EMPLOY ANY PE N VIOLAiIO OF
THE LABOR CODE OF T EOFC RNIA IN.RE N 0 ORKMEN W - -
PENSATION INSU //�
SIGNATURE OF � DA FINAL
e`�h
PERMITTEE
ADDRESS
TEOL
P.C.
CITY N .Fee$ Permit Fee
— - Issuonce Fee '• (J CR
VALUATION s - -
TotDl
'PLAN CHECK VALIDATION Ck, M.O: "CASH _ PERMIT VALIDATION cK.' M.o. " CASH
5 2 9�-t Y 19' r1 D 2 5.0 CJ Asa
CP.S 76A638B CE 08038 8/77 -
TEMPLE CITY
I
76AG38ACE=8032-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ,
BUILDING AND'.SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST J I
WILLIAM A. DENS EN, SVP'T of Bw LOING CROSS ST.
DIS ICT NO. -TYPE P SSED BY
FOR APPLICANT TO FILL IN (- CONST.
BUILDING �J -'O �J O �( STATISTICAL CLASSIFICATION SEiV RMAP
ADDRESS J o (i(J _
CLASS. NO. DWELL. UNITS
LOT NO. 51Z :BLOCK WATER NOT REpUIRED ❑ RECEIVED ❑
G OERTIFICATE:
TRACT MAP l� HIGHWAY '
NO.OF BLOGS. , `Gr' (CIRCLE) STATE MAJOR SECOND. L CA
SIZE OF LOT Q NOW ON LOT
USE OF USE ZONE CONDITIONS
EXISTINTEL
G BLDG.,! n �^ r//J / '
Ll C. L1 &NO.Wr
OWNER BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS/'o1/E FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE I
P. L.
ADDRESS p _ O
TEL, �y_�
CONTRACTOR O NO. � 1 / - y
ADDRESS
DESCRIPTION. OF WORK i
i w
JE _ ADD ALTER REPAIR DEMOLISH
SO. FT. n NO. OF .NO. OF
SIZE ^" STORIES FAMILIES
STR -
STRU4 E
SIGNATURE OF
APPLICANT
VALUATION $ Q- -
qq APPROVALS I DATE IN ECT SSIGNATURE
P.G. tJ PMT. FOUNDATION: LOCATION i2:5_4( _
FEE ((� FEE $15 FORMS, MATERIALS N _:5
FRAME: FIRE STOPS. /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -
FURNACE: LOCATION.
WITH ALL COUNTYONSTRU ORDINANCES CES ANp STATE LAWS REGULATING GAS VENT. DUCTS
BUILO RIZ CONSTRUCTION. CERTIFY THAT IN DOING ERSO THE'WORK
AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN RELVIOLA- LATH. INT. 7 /
TION OF THE LABOR COOL OL ION INSTE OF CALIFORNIA RELAT-
ING TO WORKMEN S COMPENSATION INSVRPNCE.
LATH, EXT.
SIGNATURE OF HOUSE•NUMBER COR-
PERMITTEE RECT AND POSTED I _
ADDRESS_ _ - FINAL
/� JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION (' M.O CASH PERMIT VALIDATION cK: M.G. GASH
8 8:;1`to AUG-14 2 3°'D
9;-8't' AUG 0 1 D 5 7.0 0'" V
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 0304300019
PHONE: (626) 285-0488 EXT:
GAL NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9318 BROADWAY
STRUCTURE: VN TEMP CA 917802403
ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: ENCINITA/CLOVERLY
8588-030-040 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
TENANT: BLDG USE: RESID USE SS 0 EXPIRES 0 :
EXIST OCC GRP: 04/30/03 JK 04/24/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: / CODE:
YIN HUADONG;LU MING - 3,000r,q,
9318 BROADWAY
TEMP 917802403 FEES PAID DESCRIPTION OF WORK
T/O; INSTALL NEW 30YR SHINGLE OVER EXISTING PLYWOOD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT--. L. 0:
RICHARD CHANG (562) 882-1109- AA BLDG PERMIT ISSUANCE 27.75
7942 LOUISE LANE AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS:
LA PALMA 90623 D2 PERMIT W/O EN-HC 3000.00 VAL 99.00
TOTAL FEES 127.25
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
RICHARD CHANG (562) 882-1109-
7942 LOUISE LANE LIC. NO LOCATION AND SETBACKS
LA PALMA, CA 90623 818420 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: L. FOUNDATION/TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J UNDERFLOOR INSULATION
147H265 3 01
FLOORSHEATHING
0. OF FAMILIES: DWELLING UNITS: AP OND: Cl SS:
NO 21 ROOF SHEATHING V�
SCHOOL WITHIN HAZARDOUS S
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL AC OM IST- FIRE SPRINKLER H GERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FL /CEIL ASSET.-
RATED
SS .RAT D WALL ASSEMBLIES
RATED SHAFTS/OPENINGT--
T-BAk-CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508