HomeMy Public PortalAbout9336 BROADWAY_Building__ 70A638A CE#8038-63'APPLICATION FOR BUILDING PERMIT LJ
COUNTY OF LOS ANGELES BUILDING _
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY PO
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. /
DISTRI T NO. GROUP TYPE P SSED BY,
FOR APPLICANT TO FILL IN CONST.
BUILDING 3w STATISTICAL CLASSIFICATION SE ER MAP
ADORE SS GL.`!///J C� K PCa�
CLASS. NO. DWELL. UNITS L_
LOT NO. (p BLOCK WATER NOT REQUIRED RECEIVED ❑
'' / Gl CERTIFICATE:
TRACT w, / pL` MAP HIGHWAY ""
NO.OF BLDGS. NQ (CIRCLE, STATE MAJOR SECOND. L CAL
SIZE OF LOT 2� NOW ON LOT Z USE ZONE SPECIAL �\
USE OF I CONDITIONS
EXISTING BLDG.
OWNER /LN O.� BUILDING YARD HWV STREET NAME ` EXIST.
y SETBACK . WIDTH
ADDRESS `�� FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
ADDRESS TEL. I�'�' /L'7 ✓J.Y.AtIIiGL;{ _ �� >'�W 0
CONTRACTOR NO. 'f_.
ADDRESS _ �'�j YJ,IG/:4 i�f/)�
ESCRIPTION OF WORK `" G" ✓ ` ri
NEW AJDD ALTER REPAIR DEMOLISH
SQ. FT./JX G"' AylO. OF NO. OF
SIZE T�STORI ES FAMILIES
USE
1 / N
STRUOCTURE
SIGNATUREKA
0 �•'G .2—1144
APPLICANT_
VALUATION $ {�Q
�l APPROVALS DATE��/ INSPECTOR'S 5(GNJJA..//TURE
P.C. PMT. Q FOUFORMS. MATERCALS N IGH' r'N/
FEE $ FEE S
FRAME: FIRE STOPS. _
HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION BRACING. BOLTS
V ,
AND STATE THAT THE ABOVE IS
CORRECT AND AGREE E COMING FURNA,
VE. LOCATION.
WITH ALL COUNTY TI O. I CES AND STATE LAWN REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFO RELAT.
INC TO WORKMEN'S COMPENSATIONINSURANC
LATH. EXT.
SIGNATURE F HOUSE NUMBER COR-
PERMITTEE .u,Q RECT AND POSTED
ADDRES
FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL EiN R
PLAN CHECK VALIDATION CK. M.O. DAB. PERMIT VALIDATION CK. M.O. CABH
�W 6 2 2 4 NOV 2 7 1 D 1 1 .5 0" v
ArMIUAIIUN NUK FEKMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �A T1f��1f1�T�
WM. J. FOX, CHIEF ENGINEER 1J 11 111 r1
NO.OF BLDG. - AT
o ORD. NO. DISTRICT NO. PLAN CK. NO. ^P/ERMIT NO.
PLANS I SETBACK LINE ✓� ��
FIRE \ APPROVED _
ZONE BY DRECEIVED BY GATE OFA�/PPI`L� DATE ISSUED
USE I APPROVED DATE C/I M ��T`+ �U
ZONE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
Itrt jq ILl t6
m . 1 BUILDING 10T-1
O C NAMEhiq con0mictinn mcry be. in volct'cn OI ADDRESS 4q e0A•DkJ3
0 w War Production Board orders. You c-e
w z ADDRA __ LOCALITY
ZI7 Call oncC o COnSLLll v;nll 'uul mUCai NEAREST /
U w cITM ; n dG{;ice beforoaL.c'o�mmene- ceoss sr. �T '.�/.S'1DAND'pn
Q LIt
TAE T p work authorized tELlauy 20g4L �q-YAlF /N .D
LICEINYJ' NO. - W NAME i AUUEi-�
Z MAIL
C NAME /( 3 ADDRESS I(r r\ ( UJC 7L\
0 n
Q ADDRES9Z, Z ' CITY lq-LPJgMRRF7 ?JOLc
, ,j/
/ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
CITY
O h qpp L ICp
Z TION AND STATE THAT THE ABOVE IS CORRECT
U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. / �J AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
O LOT NO. SIZE OF LOTIN I/((F. Y SIGNATUR
J,- E OF
1 NO. OF BLOCS.
< /,) ,� // R ♦Ll f/..nom/1Jy, Vaf-�� 'v�•L
BLOCK NOW ON LOT AUTHORIZED AGT.
Ul - i
J0 TRACT 141 AlR ��-�� 2'1 ���'•3� ,PORECTIONS
O USE OF SLOGS.
NOW ON LOT
DESCRIPTION OF WORK
SULDING� r- LL. / �g�ynirp
0
A
Gl
Z
D
r
NEW TYPE GROUP
NO. OF NO. OF /
ALTERATION ROOMS FAMILIES '
ADDITION SIZE 'J u. y
REPAIR STORIES /
MOVING WALL COVERING
DEMOLISH ROOF COVERING A'OA JH//YW�GJ
FINAL APPROVAL
A� FEE
r V S INSPECTOR'S
VALUATION / / D FEE DATE I NAME
76A638A CEu8038.63APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING 33r o 4
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY /L-
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. Yup
TYPE Pft ESSED_ BY
FOR APPLICANT TO FILL IN �- CONST. _
BUILDING /
ADDRESTATISTICAL CLASSIFICATION SEWER MAP
SS G/ J-BG
/ CLASS. NO DWELL. UNITS--A DBK4J`
LOT NO. [O vBLOC WATER NOT REQUIRED RECEIVED ❑
A / T� CERTIFICATE:
EA
TRACT 4 MAP ^^'�� HIGHWAY
R.1-B) STATE MAJOR SECON , LOCAL
pe NO. OF B GS. NO_ G 8� mIRULEI
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF �^ CONDITIONS
EXISTING BLDG. ISI
L.
OWNER BUILDING EXIST.
G
ADDRESS5Fj
SETBACK YARD HWY STREET NAME WIDTH
FRONT �`-- // /�
ARCHITE TOR EL. P. L. Zo �"`�r
ENGINEER NO. SIDE
P. LJ/ (I n /1 Y IF
ADDRESS T ff i/ O
CONTRACT • - y
ADDRESS • A /1 A �YY.'2 �"
DESCRIPTION OF WO Ji d3 u ^ tN.AK.< iia G
NEW ADD ALTER REPAIR DEMOLISH // rr WI
SIZE T. 7 _ NO. OF NO. OF O ?
./� STORIES FAMILIES /^ '• - �/� _ .1JQ�E'
USE OF C `EV
STRUCTURE /1 � � / Ayyyyq yH
SIGNATURE OF -/ � /�'•l'l y D wN d/4- .r1r14• /I V
APPLICANT /— �/ / �
ed ��ASNr rw 1P.t u:4 ILA' m. / w+
VALUATION 5 ��
APPROVALS ,DATE INSPEGTORf551GNATURE
�( FOUNDATION: LOCATION
FEE $ FEE 5
T' FORMS. MATERIALS (/ YT ✓�S_SYe�d/l
FRAME: FIRE STOPS.
HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION BRACING. BOLTS R 7 /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. Y
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS ^
BU I LOINO CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- `LATH. INT. vI
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT-
INGTO WOR KM EN'5 COMPENSATION INSURANCE.
�y� i.LATH'. EXT.�✓.�It'�� K�jLai/(S'1 �, ;^•j� y
SIGNATURE OF 'HOUSE NUMBER COR. ( J
PERMITTEE �// RECT AND POSTED / /
ADDRESS FINAL -7 '� 'G'^�
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGI
PLAN CHECK VALIDATION Cl(. M.O. CASH PERMIT VALIDATION ILK. M.O. EASH
229oG AUG 5 1 v 11.50-
��
d 25M.G2T9 117-4e CT 1
EPARTMENT OF BUILDING AND SAFETY APPLICATION FOR.PERMIT
QOUNTY OF LOS ANGELES f7 Il ® f�fl
WM. J. FOX, CHIEF ENGINEER U N
FOR APPLICANT TO FILL IN 1 FOR OFFICE USE ONLY
S UILDING / DISTRICLNO. PLAN CK. NO. PE�RMIT NO./
ADDRESS
4 D // �(.J✓7./'�'�/jyl�'<
LOCALITY� RECEVE4 Y
M DATE OF APPL. DATE/I'BSUUED
NEAREST �jor
V,CROSS ST.
_ ii •. /i,� -��� / —/7 '- /
BUILDING
OWNER , /^ Q ADDRESS j
MAI L
ADDREEJ'99/ !//�,.�{�' _LOCALITV _
CITJ/ ,,// L�✓ �In///ppp NO-w/ /� CROSS 9T.
FIRE ARCHITECTGRA y TEL. ZONE I NO. OFTVPEy GROUP17—
ENGINEER
ENGINEER ACJ/� NO. ��17�'
t �] � .✓� L,✓/✓ 1311313, ORD. NO.
SETBACK LINE '
ADDRE99 ��/C/� �» ✓�'
TEL APPROVED
CONTRACTOR NO. BY DATE
- USE /,n( APPROVED
ADDRESS ZONE/ / / By
DATE
LEGAL / / / CORRECTIONS
DESCRIPTION L//O��T-�N'.. //// BLOCK
TRAC. OrBL
SIZE OF LOT Y.�C'Y I NOW ON LOGS / —4
USE OFND.OF NO.OF /
EXISTINGSLDG. � FAMIu[5 / I RI ll6,J
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
- O
A
REPAIR MOVING DEMOLISH Q
SO• FT. - /� NO.OF Z
91,E �/ V ROOMS / STORIES / D
WALL. Roarr
COVER IN8�t7 �•1 I COVERING
USE NEW ICJ V fYJ ��N
BUILDING
V
1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES i FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 1
FRAME: FIRE STOPS,
SIGNATURE OF - BRACING, BOLTS
OWNER
�. LATH, INT.:
AUTHORIZED AS LATH,
LATH,EXT.:
✓b P.C.9 n PLASTER. INT.
4 ( O FEE PLASTER, EXT.
O L ® J
y
VALUATIONI FINAL
FEE
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER M
Lq
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING '/(, P/ /�✓1 /�yyyJJJ1�. y..p/�//� DISTRICT NO. PLAN CK.NO. PERMIT
INO,
ADDRESS :./r+�/ �+ �/"'� `� -_' �"F �/ � t � 6
LOCALITY: � RECEIVED BY DATE OF APPL DATE ISSUED
NEAREST
CRT
/1 BUU.DI NG
1 OWNERAILy/�Q 'nf C, ADDREBB
DOR[SC'
B //'�/ 4 �'�^O I LOCALITY
NEAREST 4 L LL� 5- tz) Z 0
CITY / —Aoop4 N0.�'G �' y CROBBST.
ARCHITECT.O13 Q.
� FIRE NO.OF TYPE ryg�' pROUP�
V TEL, ZONE —PLANS
l
ENGINEER NO.
BLDG.
ADDRESSSETBACK LINE LO+ 1I Iii 1. IMS
APPROVED
TE
CONTRACTOR ' NO` BY DATE
USE APPROVED
ADDRESS // "NIA -1 BY DATE
DESCRIPLEGATIONN LLOT NO. CO BLOCK —` O � CORHEGTIONB
TRA4; C
a NO.OF BLDGB.
912E OF LOT/��� �r I NOW ON LOT /_
EXISTINGFAMu[e I ROOMS V
DESCRIPTION OF WORK
v
NEW ALTERATION ADDITION D
U
REPAIR MOVING DEMOLISH p
GO
M E f FT. 21 �- NO.OF Z
912ROOMS STORIES
WALL I- ROOF /� /.
WAVERING COVERING G/y/yrn
USE Or NEW / }` T ��
BUILDING `I y n( d
�eIV� I CIA G I t -
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION INSPECTOR DAT[
FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF
A BRACING,BOLTS
PERMITTEE -'- (�j 4 '�'
LATH, INT.
AUTHORIZED ADT LATH. EXT.
76w59eq-9 2-so $ P.C.III 1 PLASTER,INT.
It7& 0. �
� PEE _ PLASTER.EXT. �
VALUATION FEE �6 l--' _ FINAL /� .� Y►`II�~
ti � v
7GA438A,08'33.80
APPLICATION FOR BUILDING PERMIT
DIVISION OF BUM DING AND SAFETY BUILDING
At
Department of County Engineer q
County of Los Angeles LOCALITY
WM.J. FOX, COUNTY ENGINEER NEAREST
_ CASSATT D. GRIFFIN, SUr'T of BUILDING CROSS ST.
DISTRICT NO. GRO TYPE SE ER BK MA P
FOR APPLICANT TO FILL IN r� I nT
�1 ,f BUILDING '.rY CONST
ADDRESS /�//� (/ JI.p`q��/ iN-Iq _ NUMBER STATE
LOT NO. 4 le � BLOCK USE NFA SPECIAL
CONDITIONS
TRAIM-pa C ('xv
SIZE OF LOT J /1' I NOW ON LOTBLDGS f'� BUILDING YARD HWY STREET NAME WIDTH
SETBACK
USE OF `J � FRONT r _
EXISTING/L�G. p L - Q
OWNER!-IA �6! v-! /`�`�"T� SIDE
MAILP. L.
ADDRE/SS /,SJ ! (N�"K��/ ✓+'�' -O r q `` O TRACT DWELL. 1 UNIT 5 INDUSTRIAL
CITY✓� NO. I / �l' t DWELL. 1 UNIT 6 PUBLIC BLDG.
ARCHITECT/6R TEL. 2 DUPLEX 1 UNIT ADDN.. ALT.. ETC.
ENGINEER NO. 3 APT. _UNITS
8 MISCEL.
ADDRESST�)� 4 COMMERCIAL
CONTRACTOR✓�1/AGI �be6'►� L 5�i f (( INSPE�C�TI/O6N RECORD
ADDRESS �'1 11 'CSI•�1>-f> T'ir-t'�T.4..-..-___
DESCRIPTION OF WORK
NEW ADD ALTER _/��(( REPAIR DEMOLISH
SO� FT. ,4/ SyD NO.OF / - NO. OF
SIZE STORIES FAMILIES ,
USE O STR CT RE
u.ar.
s� >
SIGNATURE OF_�, APPROVALS
APPLICANT n
ADDRESS �J G DATE INS ECTOR'S SIGNATURE
FOUNDATION: LOCATION I I
S P.C. S FORMS, MATERIALS I
00 FEE FRAME:BRACING,BOLTS
` �UC�S •Jr'� _
VALUATION OO $ /�Qy
FEE /-�- FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE 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 REGULATING BUILDING CONSTRUC-
TION. ` LATH. EXT. I Ln
SIGNATURE OF � '�/� HOUSE NUMBER COR-
PERM ITTEE' RECT AND POSTED
ADDRESS FINAL
WM.J.FOX.COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR
_JC6 0 7 3- JUL28 4.0 0
r
a 'e M 6E16 I1-46
DEPNETMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
CI�UWM- J.
F LOS ANGELES U 9 p ® 0 X
WM. J. FOX, CHIEF ENGINEER Bn ��i'
r
FOR
/APPLICANT
� TO FILL IN � FOR OFFICE USE ONLY
ADDRE99 //9jGO / V.o-Y G°'(/' / DI9TRICyYNO. PLAN CK. NO. PERMIT NO.
° 8UILOINp
lyl
LOCALITY i. -- ' //�- �"� !"/ U REC VED BY DAT�AAA ATE ISSUED//��
NEAREST
OWNER-F JLIVJ4 -,J!,'� �4A-tlV� ADDREBUILDISS /�lJ NG LL f ^ Z /
MAIL
ADDRESS /j I/l [�py/Y (/�tij/'Gp��yJ/��/ LOCALITY__,o�„pQnQjA-rL_�/y�
�,{' NEAREST
CITY / '��!/ NOLVY• •�uj (jJ Y CRO995T.
�I/ FIRE NO.OF TYP GROUP
ARCHITE��C'��T�,�D/R� � /� / TEL. ZONE PLANS 1�
ENBINEER;yfyv��(/bj•/ 141✓` NO.
SLOG. p ORD.NO.
ADORE
SETBACK LINE / C�/y
TEL APPROVED
CONTRACTOR NO,
BY DATE
USE APPROVED
ADDRESS ' ZONE'-/-/ BY DATE
DESCRIAL
PTION /I LOT NO. BLOCK '� / CORRECTIONS
TRACT e- ZWa� ;/ -e AG F/ r /l� q. //O �, , _
SIZE OF LOT S,�7�yG 1 I NOW ON LOOT
p��_
EXISTING
TF rF ILIE6 / RDOM9
E%19TINp BID G.
DESCRIPTION OFWORK
_ _ w
NEW t-•I ALTERATION JAADDI�'T'ON
I 7(/µ. 9/s/T/�
A
REPAIR MOVING DEMOLISH �
Sq. FT. p Q NO. OF / Z
SIZE (/ B ROOMS STORIES y
WALL ROOF
r
COVERING ro(.r I COVERING
USE O%NEW
BUIL IN nlo,4
�7 /2-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS vcaroJ
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME:
SIGNATURE OF BRACING,G, BOLTS,
OWNER ��
LATH, INT.:
AUTHORIZED AOT.
im LATH,EXT.:
/ l P.C.$ / PLASTER. INT.
FEE PLASTER, EXT.
VALUATION L ID 2
Q
' FEE 8 _F I
BB.3 2SM SETS 0.M 4„ -- 4
DEPAKTMLrNT OF BUILVING AND SAFETY 'PLICATION' FO PCIA
COUNTY OF LOS ANGELES SuMc6MEgTARY N(�!
'O RLDI
'WM.J.FOX, CHIEF ENGINEER tRN CK 49939 �! 1i1 V `iJ1
NO. OF 'l BLDG. OR ND O: '�DiSTR NO. PLAN CK. NO. }PERMIT NO. ,
PLAN9 i•• SETBACK LIN
FIRE APPRO VpO
ZONE \ I DATE REnCE�I(VE/D�/�BY DAT£•OF-APPL. DATE ISSUED
USE APPROVED C #M //��2_I,� /.2_ -29- V4
ZONE BY DATE li ,•I S{. a(i / Y�•`f'
APPLICANT FILL IN HEAVILY OUTLINED PORT ION ONLY - 0,6
BUILDING /) / -Y'3� �./h
0 E NAME ADDRESS t FE— �J /l?Q RD_ T�'Y i7
W Z ADDRESS . LOCALITY �/t' P C/rY
F
U W CITY : \ \ CROSS ST. FI"T. /�-L F_S.i'�9/✓D 12 d
STATE - - TEL. j� p 1/� /' ./
LICENSE NO.r. - NO. NAME T11/�� /� =t h1l )3//7�//�lY/T"/Y
0 NAME / 3 MAIL
ADDRESS �'•.Y. Jr C6 / I
Q ADDRESS _ I 0 CITY /LCL 17419 MR- NoL'/TT L 0 4
Z
. - -•""� - I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
0 CITY r APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. / NO. / p AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Z LOT NO. VCS SIZE OF LOT,?.? I( I(y p SIGNATURE OF ,Dnnnn_
O OWNER
NO. OF BLDGS. ��� /is2CJ SJLQ✓IM J
Al n/E /
Q'd BLOCK NOW ON LOT AUTHORIZED AGT.
U �
a m TRACT E W Me RPEE M8 /6-/Z-7 /. /Q —.PA,RRECTIONSi
D USE OF SLOGS.
NOW ON LOT
DESCRIPTION OF WORK f
USEDI 6✓ELL I✓G
BUILDING
G !
This construction may be in violation of
War Prociuction Board oruera. i uu
fir'.:e--d '- 1,1 Wnr o
Production Board Office before co^.v..enc- z
vi
(ng she work authorized in this permit. z
a
NEW t/ TYPE GROUP
NO. OF NO. OF
ALTERATION ROOMS FAMILIES
ADDITION SIZE 20 Y .SL
REPAIR STORIES /
MOVING WALL COVERING 'J f.RP F RLOrk'
DEMOLISH ROOF COVERING SFf//ytti_ F SuPPzem-/✓TARYll"cd ' opA 'RR'E/PT
S
i B-y P.C.s
FINAL
APPROVAL
VAL '4L9fJf
S300 FEE INSPECTOR'S
VALUATION FEE TOVIDATE E
—_I
TEMPLE COW
7m...C.p.» ' APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING 33J
DEPARTMENT OF COUNTY ENGINEER ADDRESS J
BUnDING AND SAFETY DMSION LOCALITY i
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN D1s�cr No G TYPE PROF eY
� /n/ a /�� CON T �l
ADDRESS �fl/ � /Y�/1 (,(/ STATISTICAL CLAS FICATION K=MAP
CLASS.NO. DWELL. UNITS J
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
TRACT CERTIFICATE:
L +� NO.OF BLDGS. �, NOP' C II CGRC LE S TE MAJOR SECON LOCAL
SIZE OF LOT /( �}t I',II NOW ONLO
(' Us2 ZONE SPECIAL
USEOFEXISTING BLDG. /✓ (1�/C/H fi" Y4 /lv IPJ IA CONDITIONS •�
OWNER [J• , clyh Lz �,�I•/L NO. B ILDING EXIST.
ADDRESS ] '76 �C /�I•'�(/I�� SETBACK YARD HW STREET N ME
WIDTH
FRONT / O
ARCHITECT OR �• IA� ft-. F. L. l n
ENGINEER ./• ^LVF Z.L O. SIDE
ADDRESS
CONTRACTOR J,�Lf/E L L Cn/k'f NO d I EC N RE O
ADDRESS/,;j',0/ d O
DESCRIPTION OF WORK G
W
NEW ADD ALTER REPAIR DEMOLISH I j N
SQ.FT. ,Q NO.OF NO.OF ?
SIZE Yd� STORIES FAMILIES_ I
USE OF ��/� / �.f/✓
STRUCTURE
URE OF v O O - /,`
SIGNAT
APPLICANT 'LLL/// lllttt"�-«�iiiiii✓✓/
VALUATION$ �"�
ROVALS DATE INSPECTOR'S SIGNATURE
FOUNDA ION: LOCATION
F E $ v/ • FEE $ FORM MATERIALS
FRAME: RE STOPS.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLN ICATIOBRACH 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
SUILOING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR GO EEO OF THE STAT OF CALIFORNIA RELAT�
ING TO WORKMEN'S ENS TION RANGE.
SIGNATURE OF L/�„(II��/ LATH.EXT.
PERMITTEE HOUSE NUMBER COR;
RECT AND POSTED L
ADDRESS d 'A• ��� '
FINAL
CLYDE N. DIRLA_M, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDMIT,VATION cK M.G. CASH PERMCK. M.D. CASH
L� o$ 623FEB 1923D 15,001
WORKERS'COMPENSATION DECLARATION /� I�I�p /� p FF��FI -�r�^(- + t M/(�� gyp}I��(�y/-L��
hereby affirm that I have a certificate of consent to calf - jpT IJ1�17 �� jpV��Olryll �OL1v�,BUILDING.\J. 11 IS U�IU C/U�� L,lull
's• insua, ora certificate of Workers' Compensation Insurance, //1111 Il LS !/"Q U V
or a certified copy thereof (Sec. 3800, Lob. C. '
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company _
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BWLDING
❑ _ _ ADDRESS i'ZOW n(,(}T((;,
Girtified copy is filed with the county building inspec- BUILDING +
tion deportment. ADDRESS Al 96,00m"ro Ie Q4
Date Applicant CITY L I� Qf� ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' '1 NO. OF BLDGSNOW ON LOT CROSS ST., NEAREST / �UrU
COMPENSATION INSURANCE SIZE OF LOT
(This section need not be completed if the permit is for one ASSESSOR r
hundred dollars ($100)or less.) TRACT BLOCK LOT NO, MAP BOOK PAGE PARCEL
OWNER' h USE ZONE MAP
TEL
I certify that'in the performance of the work for which this T H F NO. NO. _
permit is issued, I sholl not employ any person in any mannergDDRESS V•ol9 cl L..0 jQ-„C SPECIAL -
so as to become subject to the Workers'Compensation Lows. CONDITIONS _
Date �_zL�. App licoi;uk lVp CG1.D• 2usG n / CITY �u1 ( F C ZIP ':1 C..1
ARCHITECT OR "� TEL.
NOTICE Exemption, APPLICANT: If, after subjec tris Certificate of )V DISTRICT GROUP TYPE FIRE PR ESSED BV Q
ENGINEER NO. L57 2 �,
Compesat you should become subject to the Workers- OV CONST:' ZONE
Compensation-provisions of the Labor Code, you must forth- ADDRESS - taV.l
with comply with such provisions or this permit shall be /1� TEL, STATISTICAL CLASS ION - APT. CONDO. N
deemed revoked. - CONTRACTOR f'C NO. Z
LICENSED CONTRACTORS DECLARATION UC -CLASS NO. DWELL. UNITS_
I hereby affirm that I am licensed under provisions of Chopter 9 ADDRESS NO.
Is 11
(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 9K. PG. VALIDATION
SO. FT. NO.OF NO.OF CHECK
License Number Lic.C1055 SIZE STORIES FAMILIES ONE
VALUATION '
Contractor - Date DESCRIPTION OF WORK n (y1 NEW ❑
n
I am exempt under Sec. ' � ADD C] I.
B.BP.C. for thls'reason kid. ALTER ❑
USE OF REPAIR ❑,FS
! - —99826ADate: EXISTING BLDG. DEMOL (] f7{
Signature - APPLICANT TEL FIN 'f ' • �L Q Jr•(�
OWNER-BUILDER DECLARATION - PRINT • �• U NO. r� Y DAT l� ✓•.• (},Q506
I herebyaffirm that I am exempt from the Contractor's License pr^���y, o
Law fothe following reason(Section 7031.5, Business and ADDRESS _;&� Vr pQ gy O FIN - 0609-88 .
Professions Code): PRmNYB
frr'11 BUILDING
1, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and ' D
the structure is not intended or offered for sale(Section LOCALITY
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 '
tion 7044, Business and Professions Code).
REQUIRED BACK TOTALS TBA
CONSTRUCTION LENDING AGENCY SET BACK YARD HWV _ PROP. LINE WIDTH
hereby affirm that there is a construction lending agency Tor FRONT
the performance of the work for.which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Nome -
m a O LDMA Ref.'-If
m Lender's Address - P.C. Fee$ Permit Fee ♦ II�J j
I certify that I have read this application and.state that the Issuance Fee ! Q LDMA P/C is V z.
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, • "` _
Total Fee LDMA PeTm..R'�` v
and hereby authorize representatives of this County to enter �•_r
upon the above/-mfa/n}/t' edJpert f r inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Dote ,
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
-- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0201090007
- PHONE: (626) 285-0488 EXT:CLEGAL ID: NO. OF ONST . NEW BUIl-DfNGADDRESS: -
ON FILE - SQ. FT STORIES TYPE OCCUP GROUP 9336 BROADWAY'
STRUCTURE: 473 1 VN; R3 TEMP CA-917802403
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST:CROSS STREET: ENCINITA/CLOVERLY -
8588-030-042 _ OTHER: - THOMAS PAGE: 596. GRID: J4 LOCALITY: TEMPLE CITY
EXIST BLDG S - ISSUED ON: PROCESSED BY: S N:
EXIST OCC GRP: 01/22/02 'JK 07/21/02'
- OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL AT _ FINAL BY: CODE: ..
LASALA; OSCAR - (626) 287-1827- 30,000
9336 BROADWAY , /
TEMP--917802403 R
-
ADDITION OF 473SF TO EXISTING HOUSE (EXTENDING 3BR,LVG RM & "
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: FAMILY RM) AND 50SF FOR PORCH
P IC T:
TEL. NO: _
SAME AS OWNER - AA_BLDG PERMIT ISSUANCE 27.75
- - AC STRONG MOTION RESID_ 30000.00 VAL 3.00 SPECIAL CONDITIONS: .
61 PLANCHECK,D W/ENERGY- -730000L00 VAL 501.80
- B2 PERMIT,W/ENERGY= „ - -30000::00 VAL 590.37 -
- TOTAO;F.EESi- 1,122.92 -
CONTRACTOR: TEL. NO: ,�j✓f J "•''�- \.y� ,� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER ' -
y
LIC- NOLOCATION AND SETBACK
SOILS• ENGINEER APPROVAL
ARCHITECT R G E E 0: / �. If�r / ' \L \
�- 1 fFO JND IO /TRAYS NCIHFSO M
7
LIC. N0: i C -=�. - �'�k. SLAB/UNDER FLOOR - d'7
RAISEU FLOOR FRAMING - L-
MAP NOSE ER AP 00 PAGE: FIRE ZON3: O.CMP' ..�i v '.� 1 ;,� UNDERFLOOR-INSULA ION..
ST LEVEL FLOOR SHEATH
0. OF,FAMILI EL I N T5: APT/COMUT STT A ' -- _ - -- - -- - _ - -
- NO _ 21 �.� j J ND LEVEL FLOOR SHEATH.
l
S H 0 -1 WOOF-SHEATH
" NG .
AIR QUALITY: 1000 FEET' _ MATERIALS -
NO NO . NO �\ FIRE DEPT. FRAME INSPECT REQUIRED 0 L SETBACK FR5F--EXr§T— +\ G,�� , / 0'/i�� DEPT. FRAME INSPffC7
SETBACK. YARD: HWY: PROP LINE: WIDTH: !��\�7�C� S,
FRONT PL- `\="f VTCB �hu��/ SHEAR PANELS 7T�V?SIDE PL-
ir.r�a _ ,.N .ON SIS RIP s�
NT TERIOR LATHR LATH/D� -
MOR� Tom— Y:JE
LOT-DRAINAGEo _ , `i-
.
- SMOKE DETECTION D_ . e.q
"
FIRE DEPARTMENT APPROVA / . 4 l�gi
. . - REPORT;. ID: DPR261 ROUTE TO: BS0508 r•- +� t'} }hh','
i 1
COUNTY OF LOS ANGELES TEMPLE CITY # 0506 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0610250040
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9336 BROADWAY
STRUCTURE: VN TEMP CA 917802403
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ALESANDRO
65BB-030-042 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/25/06 JK 10/20/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL.SY:, CODE:
, LOURDES (626) 590-3603- 800
9336 B /
9336 BROADWAY �Jf�
TEMP 917802903 FEES PAID DESCRIPTION OF WORK
INS7 ALL 2 FRENCH DOORS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 600.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 800.00 VAL 65.40
TOTAL FEES 93.65
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - I
LIC. NO I LOCI.TION AND SETBACKS
SOI:.S ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUI'DATION/TRENCH FORMS
LIC. NO: SLA:'/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H265 3 01
FLOUR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
_ NO 21 ROOP SHEATHING
SCHOOL WITHIN HAZARDOUS SHE7J PANELS
AIR QUALITY: 1000 FEET MATERIALS - ' -
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTF.RIOR LATH/DRYWALL
EXTZRI0R LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS -
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
I