HomeMy Public PortalAbout9568 BROADWAY_Building__ +
.E 46036.62 4,,2PLICATION FOR BUILDING PERMIT
COUT"TY OF LOS ANGELES BUILDING i
DEPARTIvENT OF COUNTY ENGINEER ADDRESS P-3 - %0. it7;GL- C� -c
BUILDING AND SAFETY DIVISION LOCALITv yf� i
JOY.N A. LAM BI E. COUNTY ENGINEER NEAREST /
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. {;77� J )
71�/4;�t�tj
DISTRIC N .� GR P TYPE _FTROC B£p BY PPLICANT TO FILL IN $" (3 �' CONST.Bf /1 vDx/� STATISTICAL CLA S FfCATION V R MAP
A �L (,/S/� CLASS. NO.— WEL /LCT 1-/o {4!) BLOCK • WATER
CERTIFICATE- NOT REQUIREDRECEIVED
T /L/ 14 �.� s' iyr O M.APLDGS. I NO. I`' f Ia RCLEI STATE MAJOR SECOND, LOCALS �.tj O NOW ON LOT USE ZONE SPECIAL
USE OFEXISTING BLDG. j•�iL•!` Y l�lftl NAL _ CONDITIONS
OWNER �+' n1]Ch NO. 'BUILDING EXIST.
ADDRESS •J. V r�,Oh-U 111 'SETBACK YARD HWY STREET NAME WIDTH
FRONT v ✓ -C`�L"L - .•�v.: C�
ARCHITECT OR TEL. FRONT
ENGINEER NO. SIDE
P. L.
ADDRESS
I I
CONTRACTOR J ,i 4+ -wd tm NOL
s I✓/�1 / O I/j L/�GI�-3/:/fi. / _f
f� =( 'LY•f
ADDRESSDESCRIPTIONOF WORK
"1]e-pJ, V.(is✓Ae tI
NEW ADD ALTER REPAIR DEMOLISH
SFT._ NOOF
1
SIZE
STORIES I V STORIES I FA. (LIES
USE
of '//f r,/,3 iit,�+t r� J %✓
STRUCTURE lllll ./���-L/v
I / / tt t 5ei2s fCt. ')6•.l
SIGNATURE O
! APPLICANT
VALUATION
APPROVALS ,DATE INSPECTORSSIGNATORE
P.C. PMT. .FOUNDATION: LOCATION
FEE $ FEE $, FORMS. MATERIALS
FRAME: FG, DOLTPS,
HEREBY ACKNOWLEDGE THAT 1 HAVECORRECT
READ THIS APPLICATION BRACING BOLTS
AN UWITH
STATE THAT THE ABOVE IE CORRECT ANO AGREE REGULATING COMPLY FURNACE: LOCATION. \
WITH ALL COUNTY ORDINANCES ANO STATE LAWS THWORK GAS VENT, DUCTS
1 9UTHORAUILDING CONSTRUCTION. CERTIFY THAT IN DOING THE WORK
VIOLA-
TION
THE
HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA /
TION OF THE LA60q COOL OF THE STATE OF CALIFORNIA RELAT- LATH, INT. /
ING TO WORKMEN' COMPENSATION INSORAI CE. 'L 'j,� • %�/
i LATH. EXT. '/�✓./D-.I ..'_�1�!^�S SD
SIGNATURE F_ i HOUSE NUMBER COR-
PERMITTEE L RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION K. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH
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 9904130005
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9568 BROADWAY`
STRUCTURE: 0 VN TEMP.CA 917803135
ASSESSOR INFORMA ON NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8588-026-009 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES 0
EXIST OCC GRP: - 04/13/99 UT 04/13/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
D'EGIDIO MARIE L - 1 4,800
9568 BROADWAY ll F
TEMP 917803135 FEES PAID DESCRIPTION OF WORK
TEAR OFF,INSTALL 1/2" COX AND APPLY 25 YR. ELK COMP.
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: SHINGLE
APPLICANT: TEL. NO:
DOWD ROOFING (626) 857-1070- AA BLDG PERMIT ISSUANCE 27.75
932 SANDSTONE AC STRONG MOTION RESID 4800.00 VAL 0.50 SPECIAL CONDITIONS:
GLENDORA, CA 91740 D2 PERMIT W/0.EN;Ht7-4800.00 VAL 132.60.
O "PNGE LE STOT 0 160.85
CONTRACTOR: TEL. NO: S APPROVALS DATE INSPECTOR SIGNATURE
DOWD ROOFING (626) 857-1070- �, y
932 SANDSTONE DR. LIC. NO LOCATION AND SETBACKS
GLENDORA, CA 91740 380611 C39
/ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: 9
FOUNDATION/TRENCH FORMS
LIC. N0 1111111 - SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,:' �/��/``rn/ ����' UNDERFLOOR INSULATION
147H269 3 IOW UBUC ll V ®U LIKS
FLOOR SHEATHING
NO. Of FAMI LI S: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 (1' '� q ROOF SHEATHING ,/
\` I ,I , /
SCHOOL WITHIN HAZARDOUS \ . �ILr '. SHEAR PANELS
�0-T !?
AIR QUALITY: 1000 FEET MATERIALS 0 _ U
NO NO NO - 4 FRAME INSPECTION
TOTALREQUIRED SETBACK FIRE
SET
BACK YARD: HWY: PROP LINE: WIDTH:WIDTH: `6�ZC `SC CVj�C6 Tf\3t VY�t� INSULATION/WEATHER HANGERS
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508