HomeMy Public PortalAbout9423 BROADWAY_Building__ t
76A638A CE#8038-63 APPLICATION FOR BUILDING PERMIT LJ
COUNTY OF LOS ANGELES ABU
DDREIN L
DEPARTMENT OF COUNTY ENGINEER«
BUILDING AND SAFETY DIVISION LOCALITY L
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DIST T NO. GROUP I TYPE ESSED BY
FOR APPLICANT TO FILL IN S CONST. G[
BUILDING STATISTICAL CLASSIFICATION S WER MAP
ADDRESS CLASS. NOa DW ELL. UNITS �� BK PS'
LOT NO., •�(J CO BLOCK WATER NOT REQUIRED RECEIVED ❑ `'
CERTIFICATE:
TRACT O G MAP HIGHWAY
NO.OF BLOCS. NO. (CIRCLE) STATE MAJOR SECOND, OC
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
No')EL.
OWNER O S6 G EXIST,
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT
ARCHITEC O EL. P. L. U�
ENGINEER NO. SIDE /
P. L.nr
ADDRESS �rLha 41 — _A4_4
, �/ d
TEL. cr /.JX4� 1 O
CONTRACTOR NO.
ADDRESS b' r / C
DESCRIPTION OF WORK u
W
d
NEW A ALTER REPAIR DEMOLISH - 1A
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES _
USE OF
STRUCTURE F O A
SIGNATURE OF
APPLICANT
VALUATION $ OD
APPROVALS PATE wsPEcroR's SIGNATURE
FOU
NPAT `MATN: LOCATION /
FEE $ � FEE $ —� FORMS, ERIALS
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK y
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. QATH1 INT. yl/
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. pA)� /'/
ING TO WORKMEN'5 COMP NSAT ON INSURANCE, C&IIJ. EXT. _5 lV bl I/ / �!✓'�')
SIGNATUREOF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED �J
ADDRESS_ FP' FINAL IA. fj
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION DK. M.D. DASH
LPIC05 3 3 3�- DCT 28 1 D 8.00- �'
IISCGSADBB-L APPLICATION FOR BUILDING PERMIT
DIVF$ION OF BUILDING AND SAFETY 'U"1S 9SlZ 7Za:a►7 w.4 X,Department of County Engineer /1 5
County of LOB Angeles LOCALITY �•nq •1,.�$, /' "• l ' .
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST. C'6 0-a a-i
FOR APPLICANT TO FILL IN DISTRICT NO, GROT UP ,HPE _ ,r SEWBEK MAP
PG
,....L'i CONST.BUILDL 'Z
ADORE NG��Z� 13P ORT liAy MAPC _ ,+
ADDRESS NUMBER .[:"�5 p� HAAT YES ND��
LOT NO. (p O Y BLOCK USE ZONE SPECIAL 7' _//•..�
/� CONDITIONS[�Cf 1� Z
TRACT'�i S S ,ON VIQ t� 4cA c?'S
;1;jj 7 NO. OF BLDGS. �V
SIZE OF LOT jTj I( L C NOW ON LOT BUILDING EXIST.
SETBACK YARD HWV STREET NAME WIDTH
USE OF
EXISTING BFRONT
JLDG. FP L L / R
OWNER. , SIDE / �L—
P. L. LE7L -�z¢�?lfu>'
MAIL p
ADDRESS iLl Z JL..0,4 0 C,3.0, O TRACT DWELL. 1 UNIT
T 1- TEL.�1 p 5 INDUSTRIAL
< CITY ( Ey„1fLo ITY NO./{j-7jQ Sl9 I DWELL. 1UNIT 6 PUBLIC BLDG.
ARCHITECT O TEL. n 2 DUPLEX 2 UNITS
ENGINEER NO. 7 ADDN..ALT.. ETC.
q 3 APT. _UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL
CONTRACTOR•y'. MA 6 .
TEL A j •r 6.i .8 INSPECTION RECORD
ADDRESS J ' 1S - IYAK AVE
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. ^ NO. OF NO. OF
SIZE ��67 STORIES {/�� FAMILIES
u Fro S FyJCT11R ' • �-' •� T aU.1 .1 SLC.
SIGNATURE OF
APPLICANT /� ��LT APPROVALS
ADDRESS 17�J` C.5(C *a-- 1'` C• DATE INS ECTOR'S SIGNATURE
$ "S/fy GT - FOUNDATION: LOCATION
�:3,Y P. CS �?J(T FORMS. MATERIALS
/I` FEE.
FRAME'
: FIRE STOPS.
VALUATION BRAING. BOLTS '•1 S l
FEE FURNACE: LOCATION.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECTnn 11
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. ® 3� 1'n lLn..�..�.. �.
AND STATE LAWS REGULATING BUILDING CORUG-
TION. LATH. EXT. U M
SIGNATURE OF _ HOUSE NUMBER COR- ,
PERMITTEE RECT AND POSTED IA
l rLL 7
ADDRESS J 7�J ��� � , .FINAL 'S
JOHN A.LAMBIE. COUNTY ENGINEER VALIDATION CLYDE N. D LAM, CHIEF BLDG. INSPECTOR
OK II MO GSH
7 9 9 5 i41?'t 9 1. 6 1(�5.0 0 9 n
U 1L'Q 8 2 9 7 i'n MAY 17 1 3 2.0 0
' COUNTY OF SAS 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 0709170006
PHONE: (626) 285-0488 EXT:
LEG IID: NO. OF CONST
FILE SQ. FT STORIES TYPE BUILDING ADDRESS:
N
9923 BROADWAY
(ASSESSOR INFORMATION NUMBER: (STRUCTURE: VN TEMP CA 917802446
18588-003-0201
0NEAREST CROSS STREET 'CLJVERLY
II THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON:
I
IEXIST OCC GRP: 109/17/07 SR 03/15/08
IOWNER: TEL. N0: 1BLDG5. NOW ON LOT: VALDATI1FINAL DATE F CODE: 1
1EN, MARY L (626) 309-0005- i 5,5,000 I I �j
194239423 BBROADWAY /1(,•t'
IT
(TEMP 917802446 1 FEES PAID (DESCRIPTION OP WORK 41
I I 1BATHROOM REMODEL 1
I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( 1
(APPLICANT: TEL. NO:
IL & W KITCHENS 6 BATHS (626) 287-1131- IAA BLDG PERMIT ISSUANCE 27.75 1
18812 LAS TUNAS IAC STRONG MOTION RESID 5000.00 VAL 0.50 ISPECIAL CONDITIONS: I
ISM GABRIEL CA 91776 IB2 PERMIT W/ENERGY 5000.00 VAL 145.86
TOTAL FEES 174.11
(CONTRACTOR: TEL. N0:
(APPROVALS DATE INSPECTOR SIGNATURE
IL AND W KITCHEN AND BATHS (626) 287-1131- 1 1 I
18812 LAS TUNAS DR. LIC. NO (LOCATION AND SETBACKS
ISM GABRIEL, CA 91776 2053448 1
(SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I
LIC. N0: ISLAP/UNDER FLOOR
- IRAISED FLOOR FRAMING I
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( UNDERFLOOR INSULATION
1147H265 3 011
1FLOOR SHEATHING
1N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1
NO 21 (ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 1SHEAR•PANELS I I
1AIR QUALITY: 1000 FEET MATERIALS 1
NO NO NO IFRAME INSPECTION I
IREQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS
SET HACK YARD: NW-Y: PROP LINE: WIDTH:
(FRONT PL- (INSULATION/WEATHER STRIPI I
SIDE PL-
(INTERIOR LATH/DRYWALL i
(EXTERIOR LATH Y
I I
(RATED FLOOR/CEIL ASSEM. I
RATED WALL ASSEMBLIES I
RATE` SHAFTS/OPENINGS
jT-BAR CEILINGS I I I
LOT DRAINAGE
IRE PORT ID: DPR261 ROUTE T0: HS 0508 I
1 I I I I
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 0509140028
PHONE: (626) 285-0488 EXT:
LEGAL ZD: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9423 BROADWAY
STRUCTURE: 24 VN TEMP CA 917802446 ,
ASSESSOR INFORMATION NUMBER: NEAREST.CROSS STREET:
8588-003-020 - THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/14/05 - JK 09/09/06
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FIN�AL ATS FINAL BY: CODE:
JACO9423 SENS,BROAI MARY - S,600 / ���
9423 BROADWAY
TEMP917802446 FEES PAID DB RIPTTON OF WORK -
T OFF HOUSE & GARAGE INSTALL PLYWOO NSTALL 30
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: YEAR SHINGLES CLASS A
APPLICANT: TEL. NO
FINE CONSTRUCTION, INC. (818) 652-2138- AA BLDG PERMIT ISSUANCE 27.75
1435 LA CIENEGA BLVD AC STRONG MOTION RESID 5600.00 VAL 0.56 SPECIAL CONDITIONS:
LOS ANGELES CA 90035 D2 PERMIT W/O EN-HC 5600.00 VAL 149.40
TOTAL FEES 177.71
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
FINE CONSTRUCTION, INC. (310) 623-4402-
1435 S.LA CIENEGA BLVD LIC. NO LOCATION AND SETBACKS
LOS ANGELES, CA 90035 B/L LOMI -
SOILS ENGINEER APPROVAL
t
ARCHITECT OR ENGINEER TEL. N0: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR E
• RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
UNDERFLOOR INSULATION
147H265 3 01 /
y
- FLOOR-SHEATHING -3
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOF SHEATHING +
SCHOOL WITHIN HAZARDOUS SHEAR 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-
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
' RATED SHAFTS/OPENINGS -" - -
T-BAR CEILINGS
ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BSOSOB
1
f -
COUNTY OF LOS--ANGELES TEMPLE CITY - k 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0509230013
PHONE: (626) 2BS-0488 EXT: - -
LEGAL ID: NO. OF - CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9423 BROADWAY
STRUCTURE: 24 VN TEMP CA 917802446
ASSESSOR INFORMATION NUMBER: , NEAREST'-CROSS STREET:
8588-003-020 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: 09/23/05 JK 09/18/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: - VALUATION: FINAL DATE FINAL BY: CODE:
JACOBSENS, MARY (626) 286-5974- 9,981
9423 BROADWAY - ��/��- _I..
TEMP 917802446 FEES PAID DESCRIPTION OF WORK
REPLACE 10 WINDOWS AND 2 ENTRY DOORS, SAME SIZE AND OPENING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
AL SALAZASR (310) 214-2222- AA BLDG PERMIT ISSUANCE 27.75
2411 ARTESIA BLVD. AC STRONG MOTION REBID 9981.00 VAL1.00 SPECIAL CONDITIONS:
REDONDO BEACH 90278 D2 PERMIT W/0 EN-HC 9981.00 VAL 216.60
TOTAL FEES 245.35
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CLARK ADAMS CO. (310) 214-2222- -
2411 ARTESIA BLVD LIC. NO LOCATION AND SETBACKS
REDONDO BEACH, CA 90278 390226 B -
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO FOUNDATION/TRENCH FORMS
LIC. N0: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
14711265 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS _
NO NO NO l FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES _
t
RATED SHAPTS/OPENINGS
T,BAR CEILINGS
LOT.DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
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 0810160046
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST
BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 4
9423 BROADWAY
(STRUCTURE: V-B TEMP CA 917802446
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18588-003-020 1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
I 1
ITENANT: (EXIST BLDG USE: RESIN USE ZONE: R-1 ISSUED ON: PROCESSED BY:
1EXIST OCC GRP: 110/16/00 SR 1
OWNER: TEL. NO: 1BLDGS. NOW.ON LOT: VALUATION: (FINAL DATE FINLABY: CODE: 1
JDONOFRIO, WENDY (626) 286-5974- 1 1,500 A
19423 BROADWAY
TEMP 91 802446I FEES PAID MSCRIP91ION 101E WORK 1
REPLACE EXISTING PATIO DOOR SAME SIZE
EEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
1APPLICANT: TEL. NO: I -
1AL SALAZAR (310) 214-2222- IAA BLDG PERMIT ISSUANCE 27.75
12411 ARTESIA BLVD. 1AC STRONG MOTION ESSID 1500.00 VAL 0.50 ]SPECIAL CONDITIONS:
1REDONDO BEACH 90278 1D2 PERMIT W/O EN-HC 1500.00 VAL 82.20
TOTAL FEES 110.45
CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
CLARK ADAMS CO. (310( 214-2222- 1 I
12411 ARTESIA BLVD LIC. NO 1
IIJCATION AND SETBACKS
REDONDO BEACH CA 90278 390226 B
I � �
1 (SOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
.p
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMp:J UNDERFLOOR INSULATION
1147H265 3 001 1_ 1
I I IFLOOR SHEATHING
IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I i
NO 21 11 1ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS I SHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS _
1 NO NO NO 1 FRAME INSPECTION
1REQUIRED TOTAL SETBACK FROM EXISTFIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
(FRONT PL- 11NSULATION/WEATHER STRIPI
SIDE PL- i
1 INTERIOR LATH/DRYWALL
1 EXTERIOR LATH
1 I 1RATED FLOOR/CEIL ASSEM. I I I
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
I I I
(LOT DRAINAGE
I I I
1REPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I