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HomeMy Public PortalAbout9543 BROADWAY_Building__ APPLlCATI N FOR: UILDING PERMIT- , FOR APPLICANT TO-FILL IN (Pd I OI_rroB oo IY) BUILDING ADDRESS 9543 BYOadwaBUILDING O� - gDDR ESS- CITY Temple City. ZIP 9178 _ 'LOCALITY' ` -' ;� NO.OF SLOGS. . / SIZE OF LOT NOW ON LOTTNEAREST - CROSS ST. ASSESSOR TRACT BLOCK I LOT NO MAP BOOK PAGE PARCEL TEL. . DISTRICT GROUP TYPE FIRE OC SSED BY OWNER T NO. CONST•^ ZONE 1 ' ADDRESS 9551 Bmoadwa _ 0r0� —K" STATISTICAL C 2--/LLASSIF ICA_TI ON SEWER MAP - CITY Temple Cit ZIP 91'780 CLASS NO. .DWELL,UNITS - BKi3 ARCHITECT OR TEL. ENGINEER 1 NO. - USE Z MAP 2 NO. ADDRESSI,-, {/�• �:,J SPECIAL - ? CONTRACTOR Lytle Roof in NO /92 5171 CONDITIONS ^� •J/� ROAD DEPARTMENT APPROVAL REQUIRED YES❑ O❑ ADDRESS 2948 E Walnut •No 186303 BLDG.SETBACK FROM CITY .Pasadena LIC', FRONT PROP.LINE OF ISTREETI, CLASS C39 CONSTRUCTION LENDER _ HIG WAY } YARD p TOTAL SETBACK FROM TYPE OF EXISTING UIG NAME AND BRANCH' � HOWn. FRONT PROP. LINE HIGHWAY WIDTH, ADDRESS -' - CITY- } SO. FT. NO. OF NO, OF CHECK BLDG, TBACK FROM - - - C7 SIZE - STORIES 2 FAMILIES ONE SIDEPRO . NEOF' (STREET) cJ CC NEW ❑ HIGHWAY } YARD ' - T TA SET N .ROM '? "OF EXISTING C) DESC RIPTION OF WORK - SIDE PR ..LINE HIGH WIDTH U DD ❑ 1 + _ N —ALTER ❑ Z and one layer Flexstone EPAIR® CORNER CUTOFF YES C:] NO ❑ USE OF ' __ - EXISTING BLDG. Residence DEMOL ❑ IN OPEN,SPACE y YES:❑ - NO.,❑ 'APPLICANT TEL IN COASTAL ZONE YES ❑- NO ❑ (PRINT) N_G. H ❑ ❑. BY (SIGNATURE) � ENV IRONMENTpL CATEGORICAL E%EMPTIOYESNO IMPACT - EXEMPTION.DECLARATION SIGNED (Oq TE) •� VALUATIONS -1659..-00 /�(•�4) I M PAC T REPORT'PROCESSED IDATEI I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION - ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - WITH .ALL ORDINANCES 'ANDLAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED H EREBY 'I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THF STATE OF CALIFORNIA IN RELATING TO'. WORKME N'5 COMPPq SSAATION INSU ANC F' E. SIGNATURE O - FINAL BY PERMITTEE -DATE ADDRESS - Box 5327 P.C. Qr� '- PMT.$' .SSSWWW' ' Pasadena. CA TEL792 5171 FEE FEE 75 Y CITY' -� � NO. : PLAN"CHECK VALIDATION CH-- M.O. CASH PERMIT VALIDATION- 6 5 O -G'5 9E:APR .1.4 1"-D Al .7.5✓ - - • - , - 76A638B CER803A 5/73. 76A63BARCE4803, APPLICATI FOR:..BUI DING ..PERM..IT-- -_- . COUNTY OF LOS ANGELES BUILDING. " - DEPARTMENT OF COUNTY ENGINEER. ADDRESS.. "L BUILDING AND AND SAFETY DIVISION- LC; LI TY JOHN A. IIA MBI E, COUNTY ENGINEER NEAREST COLEMANLW. JENKINS.Suvr.oR BUILDING - CROSS ST. 'n FOR APPLICANT TO FILL IN OIs icr No, G ou CONST BUILDING ^ _ STATISTICAL CLASSIFICATION SEWER MAP A" 1 ADO RESS s - LlJ.Q CL' SSA NO '' DWELL UNITS ( -BK^1 y L' •PG J ,LO T;NO _.� .=_ .,..'B LOCK/.'. ;USE ZONE -.MAP TRACT Q /j' (� SPECIAL '•d- - )G p /� CONDITIONS SIZE OF LOT !- u� : �` NOW ONBLOTS USE OF r• - .. - _. .. I " o-� NQ RI DID. BLDG. SETBACK FROM. - TEL. FRONT'PROP. LINE OF - (STREET) >p. OWNER el4o, No �a_ TYPE OF . EXISTING I SETBACK+ HIGHWAY--+- YARD = TOTALT ADDRESS -/f ' HIGHWAY WIDTH IFROM C.L. I•! + _ CITY - � BLOC SETBACK FROM --- A RC HITECTppR TEL -I " L _ ENGINEER(�O(/ NO. O SIDE.PRO P:LINE OF -' (STREET)" .. G••�� TYPE Oi EMI STI NO 9ET84 CK HIGHWAY } YARD TOTAL ADORE" / gq r /- . - .}' r HIGHWAY- WIDTH ' FROM C.L: - ` N . _ f T L. CONTRACTOR - ' 'ADDRESS' . NO. .. ES,El El\`NO 1- NOC CORNER CUTOFF Y a CITY CIL` SEE REVERSE SIDE FOR SPECIAL H L APPROVALS 'DESCRIPTION OF WORK E ADD. 'ALTER' REPAIR DEMOLISH .FT ' .NO. OF -NO. OF +{' SIZE' ,' - STORIES FAMILIES' F /,�_ /1 - r �,. USE OF STRUCTURE m` - 41 ylr Y SIGNATURE OFS '.f�I 1%4C ::_NIAks .B}•Af .;; .CAKI?-J4 _ :y'' APPLlC ANT �--�/ •" / ' „f7� VALUATION111000 -��-;e5 (J - . 1 APPROVALS DATE - INSP_ECTOR'SSIGNATURE , ( P.C. �, S(/ _ PMT. Gi-(J FOUNDATION,LOCATION FEE$ �� FEE$ FOR TERIALS _ - _ •FR AME,FIRESTOPS, I HEREBY ACKNOWLEDGE THAT I HAVE BEAO'THIG APPLICATION BRACING BOLT AND STATE THAT THE ABOVE I$ CORRECT AND AGREE TO COMPLY -FURNACE: LOCATION iry r' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS SUIUOING CONSTRUCTION. ( CERTIFY THAT IN DOING THE WORK l� _ AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA" 'LATH INT:' +' /'yrJ TION OF THE LAG DC OF THE STATE OF CALIFORNIA R�LLAT" _ -ING'TO WORKMEN' CO PENSATION INSVR + g LATH EXT. - q /£17 SIGNATURE O. •HOUSE'NUMSER COR- / (� PERMITTEE RECT AND POSTED 'i � ek / ✓jam ,;{,. ADDaess. _ FINAL ' ",�i%� /+ - JOHN F.+LEWIS PRINCIPAL ST URAL ENGINEER, PLAN CHECK VALIDATION cK. M.D. CASH PERMIT'VALIDATION ,cK. M.o. CASH APP, 2 0 2 3 x 1 5_1 .5 0 LYI�o.1 4'5 ,9 0 RAY 11 1 0 3-0 3.00 c APPLIGATION'. FOR �� x t: BUILDING_ PERMIT,: BUILDING FOR APPLICANT TO FILL IN - — 'ADDRESS BUI LDINGC - F ADDRESS 3 - LOCAL ✓' - ' —41 .'� . NEALE$ _ _ _ .va CRY• `ZIP .CROSS �•� 6N OF SLOGS. * ASSE - /.f` 512E OF LOT (/ UNOW ON LOT ',\ ;MAP.B OK ;�^ ,3."� �"'�° PAGE 'T. �-: P RCL + t 1. DIS�T�ICi GROUP' TYPE \ r I D B;Y`' TRA BLOCK LOT NO. 11 '��" -CONSic�' ,.Tec OWNER . TEU i u ANO I l" OWNER ' MAFV ADDRESSCLASS NO. - DWELL UNITS ;'� BK` PG CITY: - ZIP US Qjfl MAP - ARCHITECT OR - TEL . _ _ ENGINEER NO, CONDITIONS T'l ADDRESS - RO D DEPARTMENT APPROVAL REQUIRED "1'" 'YES ❑ NO ❑ TEL CONTRACTO NO (• BLDG.SETBACK FROM /J LIC. FRONT PROP.LINE OF ' r' (STREET) ADDRESS � NO _ TOTAL SETBACK FROM - TYPEOF EXISTING LIC 'HIGHWAY '+ .YARD - FRONT PROP..LINE HIGHWAY WIDTH CITY .CLASS e -., . __ •. 'CONSTRUCTION LENDER NAME AND BRANCH O 'BLDG:SETBACK FROM U ADDRESS SIDE PROP.LINE OF - (STREET) CITY O SO..Ei.. NO.OF NO.OF ' CHECK HIGHWAY + - YARD TOTAL SETBACK FROM TYPE OF EXISTING w SIZE STORIES FAMILIES 7 ONE SIDE PROP.LINE HIGHWAY WIDTH . DESCRIPTION OF WORK - NEW ❑ + - Z ADD ❑ CORNERCUTOFF' - "YES• ❑ NO ❑'. ! ' ALTER ❑ IN OPEN SPACEYES ❑, NO ,❑ REPAIR - . USE OF ell ❑ IN COASTAL PERMIT ZONE ___AYES. ❑ - NO ❑ '"- -- EXISTING BLDG., - _ - -- - APPLICANT - TEl (PRINT) NO. _BYISIGNATUREI , '��HEREBY ACKNOWLEDGE THAT 1 HAVEAPPLICATION AND'STATE /vO-0NAi iHE'ABOVE IS{ORRKFANDAGREEWITH.ALL ORDINANCES.AND LAWS REGULATING BUILDING CONSTRRTIFY THAT IN DOING THEWORK AUTHORIZED'HEREBY I WILL NOT EMERSON IN VIOLATION OF /"f'/r'/�c/TSV/ ///THE LABOR CODE OF THE STATE OF UFORNG iO WORKMEN'S COM- PENSATION INSURAN - G�FINAL BYa aDATE'ADDRESSSEL. P.C. Fee.$ PermitFeeCITYN /)Olo�n- - •Issuance Fee ' VALUATION - 7 ' 'Y` - Total Fee �f 'PLAN CHECK VALIDATION CK. : M.o: usH' PERMIT VALIDATIONcnsH': 2 4 'APR :14 1 p . 3 .&0,499 ©5 7SA638B CE#8038 8/77 ,WORKERS' COMPENSATION DECLARATION . _ ��pON .FOR B"MO�[r�IC PERMIT �I .l hereb affirm that I have a certificate of consent to self APPLIC + insure, or a certificate of.Workers' Compensation Insurance,- .- _,. or a certified copy thereof..-.(•,S�ec. 3800, Lab C.) COUNTY OF LOS ANGELES. . BUILDING AND'SAFETY 1Policy NoCor( any ❑ 'Conified copy.is,hereby furnished. FOR APPLICANT"TO'FILL IN BUILDING Certified copy is filed with the count 'ng inspec- BULLRING: / Q. - -• - - .. ADDRESS tion department. �' • �\ LeY' U— . . T . Z'IP Date Appica ni NO OF BLDGS, O LOCALITY NEAREST T N - ERT�OF EXEMPTION FROM WO R5, _ SIZE�OF'LOT - -".NOW ON.LOT CROSS 5i... •COMPENSATION INSURANC ASSESSOR ' 4 (This sectionneed'not be completed if the permit is for one - TRACT - _ BLOCK' LOT NO.,• MAP BOOK PAGE PARCEL :hundred dollars ($100)or less.) . TEL - . OWNER E W NO. 8 USE ZONE MAP /.� �.42i'f/ h. ,I certify that,in the,performance of the work for which this NO. V7 `A permit is issued,"I shall not.employ any person inanymanner ADDRESS Q p 7 - -U:'1, - SPECIAL - - - } V A. J CONDITIONS 'd so as to.become subject to the Workers' Compensation laws. - - O cl CiT ZIP. 9 i 7 p _ - Date � Applicant - - ARCHITECT OR - TEL. DISTRICT GROUP TYPE ' _ FIRE PROCESSED BY cic NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER _ NO. . _ CONST. ZONE 0 ExempLon yoo+should become,subject to the,Workers' - Ori V Compensation pro,islons_of the Labor Code, you must forth ADDRESS with comply with such provisions or"this permit shall,.be ' �/ TEL STATISTICAL�CLASSIFICATION,- . APT. CONDO. Z deemed revoked - C OR NO2 . -+ LICENSED CONTRACTORS DECLARATION /•9 t' trfl UC. (�, CLASS NO. DWELL. UNITS— I hereby affirm that)am'licensed under provisions of Chdpter 9` ADDRESS b jf�/✓ & B� NO. � d,7 LIG SEWER MAP (commencing with Section, en 7000)of Division 3 of the Business p t ' and Professions Code and my licse is in full force and effect. CIN Lrrs �ZES - CLASS C�3 a-.—BK—PG�_ _VALIDATION NiZ -- SQ.-FT.— 'NO OF �-'' NO OF," —CHECK Lcense Number �� — LIF- Class,` SIZE'- Q a'0-'STORIES '— FAMILIES' '-' "ONE"- VALUATION ConttocI r0- � /V*71W, oG ��. / - DESCRIPTION OF WORK .1 » - ADD ❑ $ y.-79� �O " + ADD ❑ Mi D Elam exempt under Sec. ALTER El B.BP.C. for this reason �n $ USE OF - REPA IR.K Date: B 6 EXISTING BLDG. _ /N iV/Q U Lr OW.f/E DEMOL ❑ Signature * .- APPLICANT TEL. OWN R-B LDER DEC TION - (PRINTI;� /. NO. - p �-�,,.�/' hereby affirm that am exempt fro the Contractor's License - 7JT'� ��: �W" � �.O .,. Law for the following reason tion 7031.5, Business and. ADDRESS i✓ r� 7V fINAL T Professions Code): PRESENT.. _ - > By _ ❑ 1, as owner of theproperty, or m em Io employees with BUILDING' Y P Y ADDRESS +' wages as their sole compensation,will do the work and -^ - - - - - 14' the structure,is not intended br offered for sale(Section LOCALITY D {A l 7044, Business and-Professions Code.) MOVING - TEL - - r IT ❑ I, as owner<of the property, am exclusively contracting CONTRACTOR NO. _ t-tA€_-9 ,c withdicensed contractors to construct the Project ADDRESS _ - TOTAL .t 3a3 �`~ ` m Sav ' 'tion 7044, Business and Professions Code.). - _ .REQUIRED . . YARD 'HWV TOTAL SETBACK FROM EXIST - » .. _ CHECK CONSTRUCTION LENDING AGENCY - SET BACK. PROP. LINE WIDTH- ' I hereby affirm'that there is a construction lending agency far. FRONT= - the performance of the work for which this permit'is issued Pi. - - - - - - - '(Sec. 3097, Civ. C.). .SIDE P. .Lender's Name Fee U 05-31 I ;_fl LII C/I&/P; 1 - - . - - mit a� - DMA Ref. N _ Ls Lender's Address P.C. Fee$ Per ess � a' I certify that I have read this application and state,that the Issodnce•FeeA-P/C 8. above information is correct. I agree to comply with all County Investigation Fee p p oidinanceg and State laws relating to building construction, i Toml FeeA O "LDMA Perm. q - - - and hereby authorize representatives of this County to enter ' upon the above-mentioned property for inspection purposes. "' ^ ' - - -- - - •- ' SEE REVERSE FOR EXPLANATORY LANGUAGE ` Signature of Applicant or Agent COUNTY OF SAS ANGELES TEMPLE CITY q 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR - BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - BE 0508 0903240006 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF . CONST BUILDING ADDRESS: ITR: 30243 ON: 37 - SQ. FT . STORIES, TYPE 9543 BROADWAY 8 T I ISTRUCTURE: V-B I TEMP CA 917803163 (ASSESSOR INFORMATION NUMBER: _ NEAREST CROSS STREET:. � - 1 18588-005-071 THOMAS PAdE7 596 GRID: J4 LOCALITY:-TEMPLE CITY, Cl TENANT: (EXIST BLDG USE: RESID USE ZONE: R-3 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 103/24/09 SR I I TOWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATION: TF�NAL PATE FINAL BY: CODE: I GRAHAM, BARBARA (626) 930-0689- 1 3,600 1 19543 BROADWAY 1 ITEMP 917803163 I FEES PAID 1DEEEEEE'''"SSSSSSCRIPTION OF WORK - I GARAGE REPAIR FRAMING E STUCCO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I (APPLICANT: TEL. NO: I I I CONNER (714) 893-2953- IDE PLANCHECK W/O EN-HC 3600.00 VAL 98.43 1 1 111408 KNOTT ST. AA BLDG PERMIT ISSUANCE 27.75 (SPECIAL CONDITIONS: (GARDEN GROVE 92841 AB STATE GREEN BLDG FEE 3600.00 VAL 1.00 I IAC STRONG MOTION RESID 3600.00 VAL 0.50 - ID2 PERMIT W/O EN-HC 3600'>00 VAL 115.80 (CONTRACTOR: TEL. NO: 'TOTAL FEES 243.46JAPPROVALS DATE INSPECTOR SIGNATURE SEACO CONSTRUCTION (714) 893-2953- 1 ? 111408 KNOTT STREET LIC. NO I ILOCATION AND SETBACKS (GARDEN GROVE CA 92841-1425 765826 B I I SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: (FOUNDATION/TRENCH FORMS [BOR, JOHN (714) 993-7516- I 116691 MYTINGER LANE LIC. NO: ISLA3/UNDER FLOOR T HUNTINGTON BEACH CA NONE (RAISED FLOOR FRAMING I I (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CmP: JUNDERELOOR INSULATION 197H269 3 OO L`� - I I C'%wtc ia\ - �N�( e D�.� 6 (]' FLOOR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 �¢¢ IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS l (SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO ��'(— (FRAME INSPECTION [ IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS ISET BACK YARD: HNY: PROP LINE: WIDTH: I IFRONT PL- I [INSULATION/WEATHER STRIPI I I I SIDE PL- 'I 1 11 1 1 (INTERIOR LATH/DRYWALL I I I I I I IE%TERIOR LATH I I I (RATED FLOOR/CEIL ASSEM. I I (RATED WALL ASSEhIDLIES I I I RATED SHAFTS/OPENINGS ' I I IT-BAR CEILINGS I I I I • (LOT DRAINAGE 1REPORT ID: DPR261 ROUTE T0: 850508 1