HomeMy Public PortalAbout9421 BROADWAY_Building__ 76A 63 BA CE41103 9-67
APPLICATION FOR _BUILDING PERMIT LJII
COUNTY OF LOS ANGELES `
.BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 4� i IF• v?kC,,,Uc(e, cc
BUILDING AND SAFETY DIVISION LOCALITYt�
JOHN A. LAN IE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST. -e r�1.LC1 H
FOR APPLICANT TO FILL 117
DISTRIOTN . GROUP TYPE PROCESSED BY
(Print or type only) - - �7 Q D I
CONST/ tc-
C
BUILDINGpp - STATISTICAL LASSI FICATION SEWERMA VPI�
ADDRESS L� k�dDWA CLASS NO. DWELL.UNITS= D BK PG13�
LOT NO. t- BLOCK U'SSSE ZONE MAP .-2
'TRACT Mr _ Jp O W- SPECIAL
NO.OF BLDGS. „ CONDITIONS
SIZE OF LOT g-{ X Id 3 NOW ON LOT '/
USE OF
EXISTING BLDG. 1Ne ale, BLDG,SETBACK FROM -
fA• (�CthTL pL. -G66Z FRONT PROP.LINE OF NC'1' '� -ISTREETI. -
OWNER ./ NOTYPE OF EXISTING SETBACK HIGHWAY _ + YARD - TOTAL '
ADDRESS
sf2/ QA' AVA HIGHWAY WIDTH FROM C.L.
L
CITY d LQI � + 20 0
= 2
BLDG.SETBACK FROM - -
ARCHITECT OR O T TEL- .1 p �6 SIDE PROP.LINEOF (STREET)
ENGINEER 4 V O TYPE OF EXISTING SETBACK HIGHWAY + YARD - _ TOTAL -
ADDRESS fj 421 L-, psHIGHWAY WIDTH FROM G.L. '
L + _
CONTRACTOR O.
ADDRESS NO. CORNER CUTOFF YES ❑ _ NO �' U
C
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVAL'S
DESCRIPTION OF WORK
/f.' WAXm.. Z
NEW „AD8- ALTER REPAIR DEMOLISHa �. IAl,
SO. FT. c •'f NO. OF NO. OF ZC LC -
SIZE 35 4 STORIES ) FAMILIES I L, '
USE OF GIYGD/ '
STRUCTURE _,D.V P� / Ar
Qh
SIGNATURE OF O C J
APPLICANTyry�
keg 10"e.
VALUATION S -��
Z6 a APPROVALS DATE INSPEC Toa'S51 GN r aE
P,C. PMT..' -FOFORMSIMATLOC LION
FEE S FEE 5 .71'7,5
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION BRACING BOLTS14
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT, DUCTS G
BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN.VIOLA- !!'�
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT.IX;
ING TO WORKMEN'5 COMPENSATION INSURANCE. ' '/ r
LATH, EXT: 03 c S'
SIGNATURE OF HOUSE NUMBER CORIf
-
, PERMITTEE' RECT AND POSTED
ADDRESS I'32 W 'OHfo2r.�,� �1(7NQV FINAL � L 6.
JOHN F. LEWIS.PRINCIPAL ST RAL ENGINEER
,PLAN CHECK VALIDATION _ CK. M.O. CASH _ PERMIT VALIDATION QCK. M.D. CASH
LALO.5 0 0 0�S . JUN 1.0 1 D 2 7_7 5
A ROAD D--PT.
FOR
yc + DONE 'IN t}iE ROAD Of
• es•.�•aao,•'•• APPLICATION FOR "BUILDING PERMIT �.
COUNTY OF LOS ANGELES ADDRESS -
BDORESS
DEPARTMENT"`OF COUNTY ENGINEER_ (� -
BUILDINGAND S_AFETY'DIVISION LocnuTv
'-JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT.D. GRIFFI N,.SUPT of BuiLOING CROSS ST. -
rt r ,. DISTRICT NO. ' GROUP TYPE7 - P
FOR APPLICANT, TO FILL IN I coNsr.
BUILDING 'I - ST ATISTICAL`CL1ASSIFICATION SEWER MAP
rADORESS �� �31?N''� W v - 'CLASS.NO. ^' DWELL..UNITS / BK / G,
LOT NO.A O I�OT l.: t MAP • - STATE -- L
_ NUMBER HWY. YES' O
TRACTAA,i 1'0/( V,-gW A IZCS i�J, ,USE ZONE SPECIAL -
NQOF BLDGS. ' {{{'1��7 CONDITION
SIZE OF LOT G�I• 44-410 3 NOW ON LOT ( (, -
USE OF n IO
.EXISTING BLDG. ',C5 BUILDING, HWY STREET'NAME EXIST. :
^ SETBACK WIDTH
OW NER.''I•U I3'eL4) S.TZ CiV..IT,` ,FRONT-
'P.
MAIL pL
'..ADDRE/S�S f('�,�7C 'MISSI'V rJ'�YZ-'20StM'eQD SIDE _
�\=a 1 L rv.Lz C O TEL..
CITY NoG/•44n42 —I 'INSPECTION RECORD' .
ARCHITECT OR TEL.
ENGINEER - - NO.
ADDRESS �J
/� / TEL-. q_ 'f-1 CL//J� /��/IM /Y/ /I/FF'//�//STI_j •a
'CONTRACTORCO@WnI CV•'ISTRvCTI e..r Cp.NO.�T/ ;G4s1
ADDRESS ��+1
DESCRIPTION OF WORK
f , 3 ro.�-I.A obi
EW ADD _ALTER REPAIR- DEMOLISH. -
S PT. / - NO. OF' NO. OF: I
SIZE .1� 7L STORIES . FAMILIES rr�� // /�gypprrqq '/
_[VALUATION
E OF (� �J<- ,�'. (ir 4- 46/ /�lyYl I+.K - —Mm- F/IWaSHFn
RUCTURE
• i . „/iUD OArF HFPF_,.){)p rr� /y�
GNATURE OF 0' �"' 1I �J�VI �•
PPLICANT APPROVALS DATE 'INSPECTOR'S SIGNATURE
DRESS ',6.L- £, J•n.l.M-.-o-�- '� I�:AW`i�-MG FOUNDATION: LOCATION q O C I� -Al
��n r FORMS, MATERIALS - J-GL 41,') E-P22 -._1 • -
RAME.'FIRE STOPS
_BRACING, BOLTS ORJJr '•
.l FP.EE S U FEEFlJHNACE; LOCATION,
_ GAS VENT,DUCTS /,y� ��4��� �I,�
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP.` L.YTH. INT. '�,/A�0 ,4a-60 �4Anut1e60
PLICATION ANDSTATE THAT THE ABOVE IS CORRECT AND _
COUNTY ORDINANCES AND
STATE;LAWSAGREE XO COM RE) LATING WITHL BUILDING CONSTRUCTION. LATH, EXT. ' V V' :�•'�'.~i �IH!'f d1-}A((A.��-YK,{,,/�J�� A{�p1i�,� '
SIGNATUROUSE.NUMBER COR-
E OF V h� HRECT AND POSTED -l.n P�1VLLf.Ct�e.Gi'-
PERMITTE_ , �}•
ADORES- FINAL.
CLYDE N.DIRLAM, PRINCIPAL STCT RAL ENGINEER
PLAN CHECK VALIDATION M'o'' =ASR PERMIT VALIDATION cK. M.S. CASH
LACO,7'-4:O-3 i'l R 8 z 3 A 1 '9.5 0
L 75 42 KAR1q . 1 'n 39.00 .
X11
0
76A638A CE 9803 3-69
APPLICATION FOR BUILDING PERM
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS J .L
BUILDING AND SAFETY DIVISION LOCALITY, ., i�
JOHN A. LAMBIE, COUNTY ENGINEERUr
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT N0. GRO TYPE CONS R C S BY
y
--IPR.I N-T..O R.T.V.PE ONLY) { D
BUILDING n.��-I o. STATISTICAL CLAS ICATION _ SEWER MAP -
AOORESS 21 Broadwa CLASS' N0. k' "DWELL:UNITS SK
LOT NO. BLOCK USE ZONE --
/�/J�
TRACTSPECIA '
N0. OF BLOCS. CONOIT'L.NS
SIZE OF LOT - - ---' NOVON LOT -
USE OF _- - ' -
EXISTING SLOG.
Anthonyy.•�� BLDG. SETBACK FROM
OWNER AnT&-JO SephineDLPreChtel. FRONT PROP. LINE OF (STREET),'
YPE OF EXISTING SETBACK HIGHWAY + YARD c "TOTAL
ADDRESS 9/.-21--Broadway NWAY WIDTH FROM C.L.
CITY Temple Cit
ARCHITECT OR TEL. BLDG.SETBACK F - -- (STREET)
ENGINEER NO. SIDE PROP, LINE OF
TYPE OF' EXISTING'I SETBACK HIGHWA YARD- -TOTAP-
ADDRESS - --- -- -- HIGHWAY WIDTH FROM C.L.
-- _.._..
CONTRACTOAD- ]' '- �' --IR y-_ ..••f
TEL
- c
ADDRESS p.0i Boa if 2gft 6700. 159496 CORNER CUTOFF YES ❑ NO ❑
CITY E.L.A. 22
LIC C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER U
NAME AND BRANCH
z
ADDRESS
SO. FT. N0. OF NO. OF
SIZE STORIES FAMILIES NEWUSE OF El
❑
STRUCTURE Reroo - ADD
ALTER
REPAIR
SIGNATURE OF DEMOL E]APPLICANT /
XvAXY
r VALUATION $ W APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ FEE $ 12.00 FOUNDATIFORMS,MATERAALSN
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT, DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY
WILL NOT EMPLOY ANY PERSOWIN VIOLATION OF THE LABOR CODE LATH, INT.
.:OF THE STATE OF CALIFORNIA IN RELATING TO,WORKMEN'S COM-
_ PENSATION INSURANCE. Rigid 4fg. LIIompany LATH, EXT. -
SIGNATURE OF - / -'// ' '�'- HOUSE NUMBER CORRECT
-;PERMITTEE / GC/C- AND POSTED
ADORESq 337 S. Woods Ave. FINAL ly
JOHN F. LEWIS, PRI NCI AL ST R URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH -_ _ PERMIT VALIDATION. CK. M.O. CASH
��.2 0 2 8-� SEP 2 6 ::_ 1 0 1 2.0 017,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT - TEMPLE CITY CA 91780 BL 0508 0701040034
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUPI 9421 BROADWAY
1 (STRUCTURE: 1000 1 VN R3 I TEMP CA 917802996
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET:
-18588-003-022 I OTHER: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE.CITY, Cl
(TENANT: LEX ZST BLDG OSE: USE ZONE: (ISSUED ON: PROCESSED BY: EXPIRES ON: _
(EXIST OCC GRP: 105/29/07 SR 05/23/08 1
TOWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION . AL DATA F BY: CODE:
MAR
1QUEZ, ANTONIO (626) 488-4342- 107,:900
c��-yv^ _
19421 BROADWAY
TEMP 917802446I FEES PAID ID SCA PT ON OF WORK
I I I (ADD 1 MASTER BEDRM W/BATHRM, 1 BEDRM, WALKING CLOSET, 1 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:(STUDY, 1 BATH, STORAGE & CONVERTED BEDRM INTO LAUNDRY.
(APPLICANT: TEL. NO: II
ILAW (909) 869-0732- 181 PLANCHECK W/ENERGY 107400.00 VAL 1,254.40
I IAA BLDG PERMIT ISSUANCE 27.75 (SPECIAL CONDITIONS:
IAC STRONG MOTION RESID - 107400.00 VAL 10.74
182 PERMIT W/ENERGY 107400.00 VAL _-1;475.76
1 ` TOTAL FEES 2,768.65
CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IJENN CONSTRUCTION CO. (818) 634-7294- 1 I I
116321 BINNEY ST LIC. NO I (LOCATION AND SETBACKS
HACIENDA HTS CA 91745 514992 B I _
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: .TEL. NO: I (FOUNDATION/TRENCH FORMS X11 T
(ABLE DESIGN (909) 869-0732- 1
1732 N DIAMOND BAR BLVD LIC. NO: (SLAB/UNDER FLOOR
1#212 NONE - I
TDIAMOND BAR CA 91765 I IRAISED FLOOR FRAMING
MAP NO: SEWER MAP HOOK: PAGE: FIRE ZONE: CMP:I 1UNDERFLOOR INSULATION 1
I I I '
1 3 011 - (1ST LEVEL FLOOR SHEATH
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 1
NO 21 12ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS IROOF SHEATHING
1AIR QUALITY: 1000 FEET MATERIALS I - T
1 NO NO NO 1 1FIRE DEPT. FRAME INSPECTI
REQUIRED TOTAL SETBACK FROM EXIST i 18LDG DEPT. FRAME INSPECTI
ISET BACK YARD: HWY: PROP LINE: WIDTH:
IFRONT PL- SHEAR PANELS
I SIDE PL-
(INSULATION/WEATHER STRI
I I
(INTERIOR LATH/DRYWALL
IEXTERIOR LATH
I ILOT DRAINAGE
I I (SMOKE DETECTION DEVICES I I I
I I
I
FIRE DEPARTMENT APPROVAL(
I I I I I I
IREPORT ID: DPR261 ROUTE T0: BS0508
I
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ,, BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0706260052
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE
9421 BROADWAY
STRUCTURE: VN
TEMP CA 91]802446
)ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18588-003-022 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
I I
TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1
106/26/07
ISSUED ON: PROCESSED BY: EXPIRES ON:
IEXIST OCC GRP:
I 06/26/07 SR 06/20/08
1 II
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: IF TE FI CODE:
19421 BR 3,000 ANTONIO (626) 988-4392- I
19421 BROADWAY
ITEMP 917802446 FEES PAID IDESCRIPTION OF WORK
IREPLACE 7 WINDOWS & 1 SLIDING DOOR
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT:)
AP PLICANT: TEL. N0:
ILAW (909) 869-0732- AA BLDG PERMIT ISSUANCE 27.75
1AC STRONG MOTION RESID 3000.00 VAL 0.50 1SPECIAL CONDITIONS:
_ ID2 PERMIT W/0 EN-HC 3000.00 VAL 99.00
TOTAL FEES 127.25
CONTRACTOR: TEL. NO: JAPPROVA1,S DATE INSPECTOR SIGNATURE
1JENN CONSTRUCTION CO. (818) 634-7299- 1 1 I
116321 BINNEY ST LIC. NO 1LOCATION AND SETBACKS
HACIENDA HIS CA 91745 514992 B
ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: . . 1 1FOUNDATION/TRENCH FORMS I
(ABLE DESIGN (909) 869-0732-' I I
732N DIAMOND BAR BLVD LIC. NO: I SLAB/UNDER FLOOR
1#212
NON
DIAMOND BAR CA 91765 I IRAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION I I I
147N265 3 011
I I IFLOOR SHEATHING
1N0. OF FAMILIES: DWELLING UNITS: APT/CONO: STAT CLASS: .1
NO 21 i (ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
1REQUIRED TOTAL SETBACK FROM EXIST 1FIRE SPRINKLER HANGERS
1SET BACK YARD: HWY: PROP LINE: WIDTH: 1 I
FRONT PL- I INSULATION/WEATHER STRIPI I I
I SIDE PL-
11NTERIOR LATH/DRYWALL
I I I
1EXTERIOR LATH
I I I
(RATED FLOOR/CEIL ASSEM.
(RATED WALL ASSEMBLIES I
I I I
RATED SHAFTS/OPENINGS
' I iT-BAR CEILINGS
LOT DRAINAGE
I
IRSPORT ID: DPR261 ROUTE T0: BS0508
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY H 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT, TEMPLE CITY CA 91780 BL 0508 0707180046
PHONE: (626) 285-0486 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9421 BROADWAY
ISTRUCTURE: VN I TEMP CA 917802446
ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET:
18588-003-022 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
TENANT: IEXIST BLDG USE: RES ID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXPIRES ON:
1EXIST OCC GRP: 107/18/07 SR 01/14/08 1
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F AL ATE�/ FIN CODE:
IMARQUEZ, ANTONIO (626) 488-4342- 1 61000 11/
19421 BROADWAY I �1(
ITEMP 917802446 FEES PAID IDESCRIPTION OF WORK I
(CHANGE ROOF SHINGLES TO LIGA WEIGHT ROOF TILES FOR EXISTING(
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:(HOUSE AND NEW ADDITION
(APPLICANT: TEL NO:
(LAW (909) 869-0732- IAA BLDG PERMIT ISSUANCE 27.75
IAC STRONG MOTION REBID 6000.00 VAL 0.60 (SPECIAL CONDITIONS:
ID2 PERMIT W/O EN-HC 6000.00 VAI, 149.40
TOTAL FEES 177.75
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IJENN CONSTRUCTION CO. (818) 634-7294- I
116321 BINNEY ST LIC. NO (LOCATION AND SETBACKS
HACIENDA HIS CA 91745 ' 514992 B
ISOILS ENGINEER APPROVAL
I
(ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS
ABLE DESIGN (909) 869-0732- 1 1-1-
1732 N DIAMOND BAR BLVD LIC. NO: SLAB/UNDER FLOOR I 1 I
1(#212 NONE 1
DIAMOND BAR CA 91765 RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( UNDERFLOOR INSULATION
1147H265 3 011 I I 1 11
I I FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/CONDI-STAT CLASS:
NO 21 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS I
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
I i I
IREQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS
ISET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- I INSULATION/WEATHER STRIPI I
I SIDE PL-
1ZNTERIOR LATH/DRYWALL
IEXTERIOR LATH
I I I I I I
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
1 l
RATED SHAFTS/OPENINGS
IT-BAR CEILINGS I
ILOT DRAINAGE
RE PORT ZD: DPR261 ROUTE T0: H50508
I
I I I I I I