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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