HomeMy Public PortalAbout9600 BROADWAY_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print D. IYPe DI110
BUILDING V D BUILDING
ADDRESS L{ LAR
CITY �' r tyyt ZIP yY G ��
SIZE OF LOT J('C96OW0.OON LOTF B S /� L_
`Q,ss� v/�. r T. �i I"` '7L✓/.l
RfK�TY BLOCK �O•N^X71 �7 CMAPBOOKPAGE PARCEL
OWNER,: i.0 t T CT GROUP TYPE FIRE PROCESSED BY
CONST.�� ZONE
ADDRESS /OICAL CLASSIFICATION SEWER MAP
CIT '�'� GSS NO.�L.DWELL.UNITS BK PG
ARC ITECTTELENGINEER NO. E MAP
NO. 6
ADDRESS ) SPECIAL
TEL. CONDITIONS
CONTRACTOR AIi NO ROAD DEPARTMENT APPROVAL REQUIRED YES NO C]
LIC,
ADDRESS NO, BLDG,SETBACK FROM
CITY LIC. FRONT PROP.LINE OF (STREET)
CLASS
CONSTRUCTION LENDER HIGHWAY } YARD TOTAL SETBACK FROM TYPE'OF EXISTING
NAME AND BRANCH
FRONT PROP. LINE KIGHWAV WIDTH
ADDRESS CITY
i
SO. FT. NO. OF NO. OF CHECK BLDG.SETBA FROM
SIZE STORIES FAMILIES ONE SIDE PROP.LIN F (STREET(
V
TOTAL SETBACK FROM TYPE OF EXISTING
DESCRIPTI N OF WORK NEW ❑ HIGHWAY } YARD E PROP. LINE HIGHWAY WIDTH
ADD ❑ v
/ } a
ALTER ❑ z
EPAIR CORNER CUTOFF Y NO {
( USE OF EMOL
EXISTING BLDG'.' / p s . ❑ IN OPEN SPACE YES NO ❑
API'FINT)NTNOL 9 IN COASTAL ZONE YESO
CATEGORICAL EXEMPTION YE$El, NO
BY (SIGNATURE) ENVIRONMENTAL
Q IMPACT EXEMPTION OEG LG RA TION SIGNED (DATE)
VALUATION Y V �– IMPACT REPORT PROCESSED TE)
HEREBY THEABACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ` V� � D ' iI � ,.�F�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,(,J'�{ �1/ B ljVyJ_l/Y_/
WITH ALL ORD(NAHCE$ AND LAWS REGULATING. BUILDING CON-
STRUC
TIOH. CERTIFY THAT IN DOING THE WO N ION OF EEE
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIO ATION OF TME 7� ✓/�� / Jy�//ul ` o— V
LABOR COOL OF THE -STALE OF CALIFORNIA II RE ATIHG
S T 4e—
SIGNATURE
WORKMEN' COMPENSA/ II
INSRANCE.F . 'T/J� .Ne — �� /�j // C �~�•��.
SIGNATURE OF / (/� -!' / / Z FINAL `�` BY .
PERMITTE LLL DATE
ADORE55 PEC $ FEE
/
CITY NOL /. —
PLAN CHECK VALIDATION K. M.D. CASH J ERMIT VALIDATION aN. M.D. CASH
7 63/ e3 i 1 1D 2 1.7 5
76A638B CE9803A 5/73
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 0411030020
PHONE: (626) 285-0488 EXT:
I-EGAL ID: NO. OF CONST BUILDING A RESS:
ON FILE SO. FT STORIES TYPE 9600 BROADWAY
STRUCTURE: 22 VN TEMP CA 917803210
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8588-023-019 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST DG USE: RESID USE ON : R- ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 11/03/04 JK 10/29/05
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT FINAL BY: CODE:
JOHNSTON EDWIN W CO TR JOHNSTON TRU (800) 241-2416- 3,220
1905 SANTA ANITA AV L
ARCD 910064608 FEES PAID / IOhT� Nom`'
TEAR OFF COMPOSITION SHING AND REPLACE WITH 30YR COMPOSITION
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES HOUSE AND GARAGE
APPLICANT: TEL. N0:
HUNTERS ROOFING - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3220.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 3220.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
HUNTERS ROOFING (818) 996-6120-
18328 EDDY ST LIC. NO LOCATION AND SETBACKS
NORTHRIDGE CA 91325 633938 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H269 3 01
0. OF FAMILIES: DWELLING UNITS: APT CO STAT CLASS: FLOOR SHEATHING
NO 21 ROOF SHEATHING �-
SCHOOL WITHIN A ARDOUS SHE PA E S
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOT L SETBACF-FROFF EXIS1 FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SF /OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508