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HomeMy Public PortalAbout9569 BROADWAY_Building__ APPLICATION FOR BWLDING PERMIT FOR APPLICANT TO FILL IN (P,im., DIYI BUILDING BUILDING ADDRESS 9569 BroadwayADDRESS CITY TemplF, City ZIP �- NO.OF BLDG,. - LOCALITY, �L. T SIZE OF LOT NOW ON LOT NEAREST t,-. ) CROSS ST. ( , TRACT BLOCK LOT NO ASSESSOR , MAP BOOK PAGE PARCEL . OWNER T C Town Houses Np972 L285 DISTRICT GROUP TYPE FIRE ESSED BY CONST. Z E ADDRESS 9551 Broadway STATISTICAL CLASSIFICATION WE MAP CITY Temple Cit ZIP 91780 CLASS NOC�,2- -DWELL.UNITS BK ARCHITECT OR TEL. ENGINEER NO. U/S5 ZONE NOP ADDRESS �/ '_ CONDIIT ONS ­7 CONTRACTOFIX tle Roofingdo 792 517 ROAD DEPARTMENT APPROVAL REQUIRED YES NO O ADDRESS 2948E Walnut N`,o'1863 3 BLDG.SE FROM LIC. FRONT PROP.OP.LI LINE OF (STREETI- CITY ASS(139 CONSTRUCTION LENDER HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING NAME AND BRANCH Unknown FRONT PROP. LINE HIGHWAY WIDTH ADDRESS CITY + d SQ. FT. NO. OF NO. OF CHECK BLOG.SETBACK FROM (STREET( SIZE STORIES 2 FA LIE ONE SIDE PROP. LINE OF U NEW ❑ HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING DESCRIPTION OF WORK _ 0 SIDE PROP. LINE HIGHWAY WIDTH F, Reroo£ 2/15# felt and AD° ❑ + _ L er of flexstone ALTER El z onela Y EPAIR CORNER CUTOFF YES ❑ NO USE OF EXISTING BLDG. Residence EMOL ❑ IN OPEN SPACE YES ❑ NO APPLICANT TEL IN COASTAL ZONE YES I] NO ❑ (PRINT) NO. CATEGORICAL EXEMPTION YES C] NO O BY (SIGNATURE) ENVIRONMENTAL IMPACT EXEMPTION DECLARATION SIGNED.(DATE) VALUATIONS GAO IMPACT REPORT PROCESSED (DATE) 1 HEREBY ACKNOWL AT AVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITHALL OR 0INANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA 1 RELATING TO WORKMEN'S COUPE ATION INSURANCE. - SIGNATURE OF /'�/J FINAL BY y^_/ PERMITTEE DATE ADDRESS P.C' Q PMT ,Q Pasadena, CA TEI.792 517 FEE Y FEE Y 21. 75 CITY NO. PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION cK. M.o. CASH ' 6 5 Si Aen iv U, - 5 76A6386 CE9803A 5173 APPLICATION FO . •- ' BUILDING PERMII 0)(2 FOR APPLICANT TO FILL IN = ^ ADDRESS gr BUILDING ADDRESS �(p LOCAL V"' ✓ /' NEAR CITY/ _ .ZIP CROS ,�..�N 0.OF BLDGS. ASSESS ` ' ' ' SIZE OF LOT V- CJNOW ON LOT MAPBOOK �- PAGE. PARC � _ DISTRICT GR_OUP', •TYPE 1 '',F �P DBY TRACTc�U�+j�J 3. BLOCK LOT. t � CONST. TEL OWNER NO. STATISTICAL CLASSIFICATION Y - S ER MAP ADDRESS CLASSNO.�DWELL.UNITS BK CITY _ ZIP - US SO E MAPARCHITECT OR ,TEL - NO. ENGINEER NO. SPECIAL , '� CONDITIONS ' ADDRESS 'ROAD DEPARTMENT APPROVALREQUIRED _ YES ❑ NO„❑ .�ry CONTRACT R EL NO>y�p./19” BLDG.SETBACK FROM p LIC. FRONT PROP.-LIN E OF_' - (STREET) ADDRESS3;'/6 NO 2aC � TOTAL SETBACK FROM TYPE OF EXISTING, LIC. 'HIGHWAY + YARD - FRONT PROP.LINE HIGH WAV' WIDTH CITY. RCLASS -' - - CONS UCTION LENDER NAME AND BRANCH _ BLDG SETBACK FROM 0 ADDRESS CITY SIDE PROP._LINE OF '_ ISTREETI - p SO.FT. NO.OF - NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM, TYPE OF EXISTING w SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY. WIDTH N .❑ - + _ Z DESCRIP71 NOF WORKNEW ADD ❑ " CORN ER CUTOFF YES' ❑ NO ❑' ` ALTER ❑ IN OPEN SPACE YES -❑ ' NO ❑ REPAIR .EXISTINGOF' BLDG. DEAAOL [-] IN COASTAL PERMIT SON E ,VES ❑ NO ❑.,.",,��/� L APPLICANT T , E ✓3 (IC NTI T L BY,ISIGNATUREIREO f rin')/V-/�1w I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE S -/sV 6/F(`i 7� /11 11✓- THAT THE ABOVE 15-CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.1 CERTIFY THAT IN DOING THE WORK AUTHOR ZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF T2JE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- - - - - PENSATION INSURA SIGNATURE O FINAL - BY PERMITTEE ' DATE ADDRESS nn TEL , o6G P.C. Fee$ - Permit Fee CX CITY Nk - _ - Issuance Fee. I . VALUATION otblf 'PLAN CHECK VALIDATION c, m.o. CASH' PERMIT VALIDATION cK. o. CASs 9 2.Z APR' 14 -oZ 1) . 3 ,1'..0 0 a ,1 OES 76A6368 OE/8030 8/77 • 5 ,76A638ACE'#8036-64 APPLICATION FOR BUILD F•NG PERMIT COUNTY OF LOS ANGELES BUILDING ✓ . DEPARTMENT OF COUNTY ENGMER AODRess �h n $UILDING AND SAFETY DIVISION LOCALITY- JAOHN A. LAMBIE-. COUNTY ENGIN'cER NEAREST ;pCO LEMAN W. JENKINSSUP•i.oi BUILDING CROSS ST. DIST ICT NO. ,OR UP/ TYPE R ESSED BY 4FOR APPLICANT TO FILL IN t CONST. r 1/P _ BUILDING - STATISTICAL C ASSIFICATION WER MAP_ 7 ADDRESS CLASS NO. - DW,ELL UNITS ©K PG %)L LOT NO. BLOCK USEp ZONE MAP of �- TRACT ,jy 01.11/ • 1�e- / S ��C SPECIAL r, _ f NO. OF SLOGS. O CONDITIONS_ SIZE'OF LOT lPe r- e,J S NOW ON LOT USE OF EXISTING D BLOC. SETBACK FROM ' _ TEL m IRONY PROP. LINE OF '(STREET) .\ OWNER / V97t O. TYPE 0/ I EXISTING I SETBACK HIGHWAY + _ YARD 'TOTAL ADDRESS DDRESS IDT [FROM C.L. CITY ARCHITECT R. TEL - p BLDG. SETBACK FROM ENGINEER NO. T J ( ,O SIDE PROP. LINE OF 19 TRE ET) TYPE OF 'Ef19TING SETBACK HIGHWAY + YARD = 'TOTAL ADDRESSMFF //} .yr HIGHWAY wIOTX FROM C.L. a TEL _ .+ = 0 CONTRA CTO p O U LIC. - CORNER CUTOFF YES NO O ADDRESS. NO. CITY LC LASS IC SEE REVERSE SIDE FOR SPECIAL APPROVALS u W DESCRIPTION OF WORKp w s- 1 Z NEW ADD ALTER REPAIR DEMOLISH -Stl.-F - 'NO. OF NO. OF SIZE n'9 STORIES FAMILIES f) Z STRU ,/.- //, a� ,(('�� r y•.l USE C .. Gil �/ V iClb./ STRUCTURE AeQ S- R' -2 w -- Of SIGNATURE.OF - J l7 9 /)y/ .{/ p4 APPLICANT / f�. /u 'VALUATIO b'U APPROVALS DATE 1NNNtvvilfyyTtl;_ FOUNDATION, LOCATION FEE$ )/ �Q FEE S • FORMS, MATERIALS _. 5. 11, 'FRAME, FIRE STOPS, Ql t1G' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT ((77 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS O'V 4J 9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. �/ ATION OF TME LABOR COOC OF THE STATE OF CALIFORNIA.RELAT. Q ING TO WORKMEN'SENSATION INSURA LATH. EXT. L, �(/�.IY'-V•� n SIGNATURE OF .HOUSE NUMBCOR-� / I PERMITTEE RECT AN. PEROSTED ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL STR RPL ENGINEER PLAN CHECK VALIDATION nK. M.O. DASH _ PERMIT VALIDATION cN. MO CASH L ,.00 7 1 1� t:PR20 2 3 )1 5 1 .501 X014633 W11 1 � 303.00 Q COUNTY OF,LOS ANCLILES TEMPLE CITY # 0508 BUILDING PERMIT N DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT. TEMPLE CITY CA91780 BL 0508'0612190032 PHONE: (626) '285-0488 EXT: S \ • ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 30243 UN: 16 SQ. FT STORIES TYPE )'[9569�BROAL?WAY 1 I (STRUCTURE: 1800 VN ._r p TEMP—CA,917803161 (ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: TEMPLE CITY v 18588-005-050 - THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE YCITY, Cl I I I ITENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ONi PROCESSED BY: EXPIRES ON: (TEMPLE TOWNHOUSE UWER$ ASSO. IEXIST OCC GRP: _ 104/13/07 JK 04/07/08 .. I TOWNER: TEL. N0: iBLDGS NOW ON LOT - VALUATION: FINAL DA'y�XPI NAL BY: - 'CODE: I OWNERWORRAIL JOHN ARTHUR;ATKINSON JEAN A - T N L ,` qa. f i' ^' 250'000 CL 'NA I 19569 BROADWAY ITEMP 917803161 1 FEES PAID (DESCRIPTION OF� 1 JRGOF STRUCTURE FIRE DAMAGE REPAIR FOR UNIT 1, UNIT 2, & ` IFEE DESCRIPTION: - - QUANTITY: UOM: AMOUNT:-(UNIT #3 T (APPLICANT: TEL. NO: I - (ANDERSON (626) 938-1595- 1131 PLANCHECK- W/ENERGY 250000.00 VAL 2,130.68 1 1228 E. BADILLO ST- IAA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: - 1 ICOVINA,-'CA 91723 IAC STRONG MOTION RESID 250000.00 VAL 25.00 32 PERMIT W/ENERGY 250000.00 VA ' " 2,506.68 I• iTOTA&.FEES,-.-{ -- 4,690.11, (CONTRACTOR: TEL. NO: " -` APPROVALS DATE - INSPECTOR SIGNATURE IPROTECH CONSTRUCTION (626) 359-8283- I. 111626 GOLDRING ROAD _ LIC. NO 1LOCATTON AND SETBACKS. IARCADIA, CA 91006 - 452024B. - •' ° _ - (SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: - TEL. NO: IFOUNDF,EION/TRENCH FORMS I IANOERSON, J. BRUCE (626) .938=1595 - :�. 'J^•. T' 1228 E. BADILLO ST. LIC. NO: (SLAB/UNDER]FL0OR ICOVSNA, CA 91723 NONE RAISED.FLOOR FRAMING MAP NO: SEWER MAP, BOOK: . -PAGE: FIRE ZONE: CMPel IUNDERFLOOROINSULATION - XX - 3 O11 - 'IFLOOR SHEATHING NO. OF FAMILIEB: DWELLING [(NITS: APT/GOND: STAT CLASS: 1 NO 21 I {ROOF SHEATHING I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS IAIR'QUALITY: 1000 FEET MATERIALS NO N0. NO - (FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS „ ISET BACK YARD: HWY: PROP LINE: WIDTH: (FRONT PL- I INSULATION/WEATHER STRIPII I SIDE PL- '" p (INTERIOR LATH/DRYWALL (EXTERIOR LATH (2y RATED FLOOR/CEIL ASSEM'. (RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS ' T-.BAR CEILINGS LOT.DRAINAGE f .,: .•.,� IREPORT IO:. DPR261 ROUTE TO: SS0508 -I -I n COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9704020056 , PHONE: (818) 285-0488 EXT: LEGAL D: No. or– -COS . BUILDING ADD TR: 30243 UN: 12 SQ. FT STORIES TYPE 9569 BROADWAY 5 STRUCTURE: 0 V TEMP CA 917803155 ASSESSOR 0 NUMBER: NEAREST CROSS STREET: 8588-005-046 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: EXIST S : R S D USE 0 - SS ED 0N: PROCESSED 9Y: EXPIRES 0 : EXIST OCC GRP: 04/02/97 TC 04/02/98 OWNER: TEL. NO: BLDGS. NOW ON-LOT: VALUATION: FINAL DATE FINAL BY: CODE: MIELKE DONALD D;ERLENE D TRS (818) 286-4310- 4 5,000 1/`'1 9569 BROADWAY `Y U TEMP 917803155 FEES PAID D SC T 0A- REPLACE OF V R REPLACE TERMITE 8 DRYROT DAMAGED T LLIS FRAMING BETWEEN FEE DESCRIPTION: QUANTITY: UOM; AMOUNT: FIRST TWID BUILDINGS ABOVE WALKWAY AREA APPLICANT: TE NO: SPARTAN TERMITE CONTROL, INC. (818) 289-2745- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: - D2 PERMIT W/0 EN-HC' 05000.00 VAL 133.05 11��DTAL FEES � 161.30 - CONTRACTOR: TEL. N0: APPROVALS. DATE INSPECTOR SIGNATURE SPARTAN TERMITE CONTROL, INC. (838) 289-2745- 10946 ELLIOTT ST. LIC- NO ,�'^ �/ LOCATION AND SETBACKS 1 EL MONTE, CA 91733 PRO694 20 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: E—Y L. GO:. �� r .. - H IO T C _ . _ 1 7 - LIC- NO: f �,1,.�. \\. 1, SLAB/UNDER FLOOR RAISED FLOOR FRAMING - r _al v MAP N0: SEWER M P.BOOK: PAGE: FIRE ON : CMP: ) �., li l d UNDERFLOOR I SUL TIO - 147X269 3 -. 01 ,- �`-/� L j TC ACHEATxIFr- 0. 0 FAMILIES: L S: APT/COND. S C ASS: YES 21 ROOF SHEATHING S 0 L WITHIN `� / (J � , `V 511IF A EIS AIR QUALITY: 1000 FEET - MATERIALS NO NO NO - U FRAME INSPECTION REQUIRED OT L SETBACK 0 EXIST Tj FIRE SP R N 5 SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP ``��ii u SIDE PL- R. L H/D WA L I EXTERIOR LATH FATS R/C S E . RAT D WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR'CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BSO5O8 WORKERS'-COMPENSATION DECLARATION a There affirm that I have a certificate of consent to self O 'pg1p� FOR* �F��{s 1�I��1��{l/��s 1p}�rr��[�y/�� insure, or a certificate of Workers' Compensation Insurance; - /%-Vu '����� �®.LL V. t+ ®yam" �=/����,�.0 V,V PERMT or art f' p t ereof (Sec: 3800n,.Lob. C.) - ;.Po iTcy t �ompany.lY/ ��IJ 14 COUNTY•OFrLOS,ANGELES: _ .BUILDING AND SAFETY '? • - - ❑ Certified co .is,hereo furnished.' "- '- FOR APPLICANT-TO FILL IN BUILDING ' PY Y _ 'ADDRESS / ❑ . Cenifiedmpy is filed with the county b ' n nspeo- BUILDING ' rtion deportment:` � ADDRESS 71P pp - CITY 70O LOCALITY e Date l7 Cyd Applicant NO. OF BLDGS. - NEAREST - ERT ICATE.DF#XEMPTION FROM WORKE SIZE OF LOT - - _ NOW ON LOT - -' CROSS ST: -" - COMPENSATION INSURANCE ASSESSOR (This section need not be completedifthe permit'is for one TRACT" - BLOCK - LOT NO. - MAP BOOK hundred dollars ($100) or less.) - - TEL PAGE PARCEL r , - OWNER -- O, _ USE ZONE MAP �6 I certify that in the performance of the work.for which this NO. - .rtJ_2. SPECIAL-.. Y sperm it i5 issued, shall not employ any person'in any manner` ADDRESS Q - - - Q� `f CONDITIONS d so as to become subject to the Workers'Compensation Laws. ' - O Date Applicant - • ARCHITECT OR TEL. - DISTRICT. , . GROUP TYPE FIRE PROCESSED BY t'� NOTICE TO APPLICANT: If, after making this Certificate of - ENGINEER NO. _ CONST. ONE r Exemption, you, should <become subject to the Workers' - Z Compensation provisions of4he Labor Lode,.you must forth- ADDRESS a[/ �J V d'. with comply with such provisions or this permit shall be L. TELSTATISTICAL CLASSIFICATION - -APT. CONDO.' N deemed revoked. - CONTRACTOR J NQ -. - Z_ LICENSED CONTRACTORS DECLARATION -' - UC. "p CLASS NO. � DWEu. UNIrS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES O ��O NO. Q© SEWER MAP (commencing with Section 7000)of Division 3 of the Business - LK. .- -and Professions Code,and my license is in full force and effect. CITU -1 . - CLASS 'C�'^� BK PG. VALIDATION g//� e a SO FT" NO. OF NO.'OF AS ' CHECKi -License'Number���/rz'] Lia Class `_3 SIZE �Q� STORIES FAMILIES 0 .ONE VALUATION p Contractor / �'/L�P' Date:- DESCRIPTION O/F�WORK NEW 1-1S S/-./.O 0O , ❑I am exempt under-Sec.-' -'ADD. ❑ D _ ALTER ❑q - - ' B.BP.C.'for this reason REPAIR CSJ S Date: USE Of /N /✓Y 4 'DEMOL ❑ t t - EXISTING BLDG. O n1 .5 SignatureAPPLICANT TEL. - C ; - - FINAL Y CS a PRINT OW R-BUILDER DE RATION ( )�j� ,/��, '�e jNO�'�• -�� /+ DATE (O �Z� -� T'ti + Ihereby affirm that 1 am exempt om the Contractor's License - e ADDRESS /J 7IC'S�L.1 /r /. ' y „c% • Law for the following reason ection 7031.5, Business and - FINAL A - " Professions Code): , . PRESENT _ ey I1E�ia ❑ I, as owner of the ro ert ,.or m employees with BUILDING "I�j;�l -. P P Y YADDRESS wages as their sole compensation,will do the workand - -• - - - - - - - - - _ the structure is not intended or offered for sole'(Section � LOCALITY - D _ .HELI' � �11 _ 7044, Business and Professions Code.) - MOVING .. - oTEL. _ _ 1 ❑ .I; as owner of the property,.am exclusively contracting CONTRACTOR NO. ,.;. +..i�,9HUr .1:11 .. with licensed contractors to construct the project.(See ADDRESS tion 7044, Business and Professions Code.) - .. REQUIRED- .ryARD HWV TOTAL SETBACK FROM .EXIST. CONSTRUCTION LENDING AGENCY .SET BACK PROP, LINE I WIDTH .. I hereby affirm that there is a-construction lendingagency.for- FRONT the performance of the work for which this permit is issued, P.L. ' - + '(Sec. 3097, Civ. C:). SIDE Lender's'Name - .. _ G°�•a f� LDMA Ref. M .. . . -. [Investigation C Fee$ Permit fee .Lender's Address - - -- � - • tl certify that I have read this application and state that the Issuance Fee - � LDMA P/C u ' D 8 above information is correct. I agree to comply with all County Fee - R 'ordna inaes,and State"laws relating to building construction, Total Fee I�' LDMA Perm. N < 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' Date - - - - '