HomeMy Public PortalAbout9624 BROADWAY_Building__ 76A638A CEA03 8-64APPLICATION FOR BUILDING P RMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY 'leei
JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSAUPT.OF BUILDING CROSS ST.
DISTRICT N GRr TYPE O E V
FOR APPLICANT TO FILL IN L7 Q Tc..E+. '1/ N.
SUI LDING STATISTICAL C ASSIFICATION SEWER, MAP
ADO KESS ,� CLA55 NO. DWELL UNITS EK L PG /
LI
LOT NO.'� BLOCK USE ZONE MAP L-
' NO. (J
TRACT V,[� Cj CIIMIZ,J SPECIAL,
/ ,.ABLOGS. CONDITIONS
SIZE OF LOT yP 6 /` �J Now ox LOT
USE OF
E%IS G. L BLDG, SETBACK FROM 1
//� ,, p TEL. FRONT PROP. LINE OF (STREET)
OWNER X/VYX W ti. `.) NO. TYPE OF EXISTING SETBACK HIDNWAY } YARD = TOTAL
ADDRESS XIGX WAY WIDTH 'F OM C.L.
CITY
ARCHITECT OR TEL BLDG.
(� I BLDG. SETBACK FROM
ENGINEER NO. 6t LY-( ( y SIOE PROP. LINE OF (STREET)
TYPE OF E%15T1 NG SETBACK HIGHWAY + YARD = TOTAL
kR
SS HIGHWAY WIDTH FROM C.L. a
TEL. + = O
ACTOR NO V
LIC' CORNER CUTOFF YES NO O
ADDRESS NO.
LIC
L SEE REVERSE SIDE FOR SPECIAL APPROVALSDESCRIPTION OF WORK ZADD ALTER REPAIR DEMOLISH
. - NO. OF NO. OF
STORIES FAMILIES
TURE7 }�URE OFCANTTION��
APPROVAL$ DATE INSPECTOR'S SIGNATURE
P.C. PMT. �G... FOUNDATION, LOCATION
FEE$ FEES FORMS. MATERIALS
FRAME, FIRE STOPS, / V t
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT —OOdv$
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. }t
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TOWORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE OF � Uy't'l / �/-� HOUSE NUMBER COR
PERM TTEE
o � RECT AND POSTEP
ADDRESS AcA+l. FI NAL � /,'--�
JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION DK. M.D. CASH PERMIT VALIDATION. CK. M.D. CASH
L 6 9 2 5 w Jt1N 3'.1 1 D 6,Q 0
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
tUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1103070016
PHONE: (626) 285-0488 EXT:
LEGAL ID: N0, OF CONST I BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9624 BROADWAY
(STRUCTURE: V-B TEMP CA 917803205 1
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY
18588-023-015 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1(TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 103/09/11 SR
1OWNER: TEL. NO: III BLDGS. NOW ON LOT: VALUATION: 1
CAMEFIFAI�ATEI FW: CODE: 1
LIBBRECHT FRANK (626) 286-9730- 4,500 /Y `j
14948 N. CAMELLIA AVE 1 1
1TEMPLE CITY CA 91780 FEES PAIDIDE C P�N OF WORK
1 (REMOVAL OF EXISTING BAY WINDOW/MODIFICATION OF EXISTING
JIBE DESCRIPTION QUANTITY: DOM: AMOUNT: IFOOTING FURNISH AND INSTALL (2) 21X 5' SINGLE HUNG WINDOWS
(APPLICANT: TEL. NO: I IAND (1) 4'X 5' FIXED WINDOW
ILIBBRECHT, FRANK (626) 286-9730- 1B1 PLANCHECK W/ENERGY 4500.00 VAL 124.20 1
AA BLDG PERMIT ISSUANCE 27.80 SPECIAL CONDITIONS:
JAR STATE GREEN BLDG FEE 4500.00 VAL 1.00 1 1
J JAC STRONG MOTION RESID 4500.00 VAL 0.50
IB2 PERMIT W/ENERGY 4500.00 VAL 146.10 1
CONTRACTOR: TEL. NO: 1FR INV WORK W/O PERMIT 257.00 DOL 257.00 1APPROVALS DATE INSPECTOR SIGNATURE
1DIAMONDBACK CONSTRUCTION INC. (951) 738-8441- 1 TOTAL FEES 556.60 1 1
16564 DIAMONDBACK ROAD LIC. NO ILOCATION AND SETBACKS 1
KORONA, CA 92860 878987 B I 1
I SOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: FOUND--ION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
1 RAISED FLOOR FRAMING
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSOLATION I I I
1147H269 3 001 1 1 1 1
[FLOOR SHEATHING
1NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS 1 1
J NO 21 (ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS
1 NO NO NO (FRAME INSPECTION + 1
PIRE SPRINKLER HANGERS
1NSDLATIDN/WEATHER STRIP�'j_
NTERIOR LATH/DRYWALL �A 1
IEXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
1
_
RATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS
IT-BAR CEILINGS
1 II 1LOT DRAINAGE 1 1 1
IREPORT ID: DPR261 ROUTE TO: BS050B
I I I I I I