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Home My Public Portal About9628 BROADWAY_Building__ >eAeaep Z185.3 APPLICATION FOR BUILDING PERMIT 70AS DIVISION OF BUILDING AND SAFETY BUILDING f! DAD�AY Department of County Engineer ADDRESS County of Los Angeles LOCALITY--7&—,"-2,q,/e ry - JOHN A. LAMBIE, COUNTY ENGINEER NEAREST . CASSATT D,GRIFFIN,SUPT or BIIILCING CROSS ST. A> A- C-I DISTRICT NO. ROUP �TV�S 'j SEWER MAP FOR APPLICANT TO FILL IN 5 I CONST,j- BK PG BUILDING ADDRESS -A'IjA 1j�,�y MAP �Go$ STATE YES NO NUMBER LOT NO. y 7 BLOCK USE ZONE SPECIAL �D j 1 /�N •'y�� j f CONDITIONS 7 ZZ Z-1e TRACT ///,.Lp4AM•LJ V-✓CL A /'1 J NO, OF BLDGS. �/ .7000 _SIZE OF LOT (oa X Sf 4�9 /y I NOW ON LOT T BUILDING YARD HWY STREET NAME EXIST. USEOF yJ SETBACK y WIDTH EXISTING SLOG. �(ryJ<(�C/ .J � �� Fp. LT LO 30 � OQDA b J-0 Y. OWNER /_ N.V V 00 J..J SIDE O � MAIL , P. L. 3 ADDRESS 9G 7,SiAp 13,e pA D �,�J�p�J�/ O TRACT DWELL. I UNIT [.../ J % N06GI�F_(p70 Z, 5 INDUSTRIAL CITY T/Jf t I DWELL, I i UNIT 6 PUBLIC BLDG. ARCHITECT R TEL. 2 DUPLEX 2 UNITS 7 ADON.,ALT.. ETC. ENGINEER NO. 3 APT. UNITS - 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTOR . Lj ///at�M E'f�.NOO;w- INSPECTION RECORD ADDRESS-f'7/S joAk AL e_ - I e C, _ DESCRIPTION OF WORK NEW t- ADO ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE �D�J STORIES / FAMILIES US OF•ST CT �/ SIGNATURE Lan✓? APPLICANT /J�A� APPROVALS ADDRESS Jl1 t DATE INSPECTORS SIGNATURE 1116, � v E P. C. $ /;3 a� FOUNDATION: LOCATION _ FORMS, MATERIALS - J FE �^ FRAME:BRACING.BOLTTSS VALUATION $� �-�.- FEE FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUILDING CONST C. TION. LATH. EXT. I L SIGNATURE OF �'� - HOUSE NUMBER COR- PERMITTEE .ELT AND POSTED ADD FINAL I \I .JOHN A.LAMBIE, COUNTY ENGINEER PALIDATION CLYDE N.DIRLAM, CHIEF BLDG. INSPECTOR CK MO CASH &5 9 8 a U MAR 13 1 6 1 3.0 0 A Ia ILIKCO 6 1 4 7 MAR 18 1 2 6.0 0 COUNTY OF LOS ANGELES TEMPLE CITY 8 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0710260017 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: I I ON FILE I SQ. FT STORIES TYPE 9628 BROADWAY I I (STRUCTURE: VN TEMP CA 917803205 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: TEMPLE CITY 18588-023-014 THOMAS PAGE : 597 GRID: A3 LOCALITY: TEMPLE CITY, CI I I TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: I (EXIST OCC GRP: 110/26/07 SR 04/23/08 TOWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATIONFKAL FyL�BY: CODE: BROWN DAVID A;SUSAN L TRUSTEES (626) 288-2091- 12,:000 1646 HAZEL AV IROSM 917704314 1 FEES PAID IDESCRIPTION OF WORK ' I I IFIRE DAMAGE REPAIR 3X3 HOLE IN ROOF, PLASTER 1 BEDROOM, 2 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 'WINDOWS, DOOR AND STUCCO AND PAINT (APPLICANT: TEL. NO: ICARE CONSTRUCTION SERVICES INC. (562) 404-7444- IAA BLDG PERMIT ISSUANCE 27.75 1 113610 IMPERIAL HWY IAC STRONG MOTION REBID 12000.00 VAL 1.20 (SPECIAL CONDITIONS: (SANTA £E SPRINGS IB2 PERMIT W/ENERGY 12000.00 VAL 275.22 1 TOTAL FEES 304.17 (CONTRACTOR: TEL. N0: ' - (APPROVALS DATE INSPECTOR SIGNATURE ' CARE CONSTRUCTION SERVICES (562) 404-7444- 113610 IMPERIAL HWY STE 2 LIC. NO (LOCATION AND SETBACKS (SANTA FE SPRINGS CA 90670 B/L 33799 (SOILS ENGINEER APPROVAL IARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I I - I I 11 I I LIC. NO: I ISLAB/UNDER FLOOR I I I I I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 UNDERFLOOR INSULATION 147H269 3 011A \ 1y� /�� tJ w� \ IFLOOR SHEATHING INC. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: I V ` NO 21 1 'ROOF SHEATHING I SCHOOL WITHIN HAZARDOUS VV VV t ' ISHEAR PANELS IAIR QUALITY: 1000 FEET MATERIALS I �� t ��NJ NO NO NO 1I��l�,L vV b FRAME INSPECTION (REQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: IFRONT PL- 'INSULATION/WEATHER STRIP' I SIDE PL- W4 � ( tt, Cv.l (INTERIOR LATH/DRYWALL Oris Q(�t-\vt` S( �er Ufl`�1I I 1 D (EXTERIOR LATH I RATED FLOOR/CEIL ASSEM. (RATED WALL ASSEMBLIES ' 'RATED SHAFTS/OPENINGS IT-BAR CEILINGS I ADDITIONAL DATA ON FILE 1 11 I ILOT DRAINAGE I 1 II. IREPORT ID: DPR261 ROUTE TO: BS0508 '� d \ I 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 0410280064 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9628 BROADWAY STRUCTURE: 1373 VN TEMP CA 917803205 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: 8588-023-014 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TE EXIST BLDG USE ZONE: R- ISSUED PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/28/04 JK 10/23/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: BROWN DAVID A;SUSAN L TRUSTEES (818) 288-2091- 3,450 _ TEMPLE628 /CITTYBROADWAY 91780 FEES PAI CSCR��ON v 144/ TEAR OFF SHINGLES 30 YEARS COMPOSITION SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (ONLY MAIN DWELLING ON 9628 3/4 BROADWAY). APPLICANT: TEL 0: KWANG (213) 388-8030- AA BLDG PERMIT ISSUANCE 27.75 3106 JAMES M. WOOD B AC STRONG MOTION RESID 3450.00 VAL 0.50 SPECIAL CONDITIONS: LOS ANGELES CA 90006 D2 PERMIT W/O EN-HC 3450.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE S. P. ROOFING, CO. (213) 388-8030- 3106 JAMES M. WOOD BLVD. #205 LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 90006 756180039 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISEDLOO FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FDWELLING UNITS: APT : STAT CLASS:' NO 21 ROOF SHEATHING SCHOOL WITHIN HA LS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RRATED FLOOR/CTASSEM. RATED WALL ASSEMBLIES RAS/�AAFTOPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 0502070031 PHONE: (626) 285-0488 EXT: LEGAL NO. OF CONST BUILDING-ADDRESS: ON FILE SQ. FT STORIES TYPE 9628 BROADWAY STRUCTURE: 1373 VN TEMP CA 917803205 ASSESSOR IN 0 NATION NUMBER: NEAREST CROSS STREET: 8588-023-014 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C EXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/07/05 VG 02/02/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: BROWN DAVID A;SUSAN L TRUSTEES (818) 288-2091- 1,600 9628 3/4 BROADWAY TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK T/O EXIST GARAGE ON GARAGE ONLY AND INSTALL COMP SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO- KWANG (213) 388-8030- AA BLDG PERMIT ISSUANCE 27.75 3106 JAMES M. WOOD 8 AC STRONG MOTION RESID 1600.00 VAL 0.50 SPECIAL CONDITIONS: LOS ANGELES CA 90006 D2 PERMIT W/0 EN-HC 1600.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. N0: ' APPROVALS DATE INSPECTOR SIGNATUR S. P. ROOFING, CO. (213) 388-8030- 3106 JAMES M. WOOD BLVD. #205 LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 90006 756180039 SOILS ENGINEER APPROVAL ARCHITECT 0 TEL. NO: FOlJNDAT`Fo-N7FRWW FORMS LIC- NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: Fl--ZONE. CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: S: P COND: STAT CLASS: NO 21 ROOF SHEATHING STR66F W I THIN H A Z-A-RD-07 SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER R SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CE RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self - fISI insure, ora certificate of Workers' Compensation Insurance,- APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) - Policy NaiV83-225154ompanyFremont Indemnity COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING Q�rs ADDRESS ® Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 9628 Broadway LOCALITY i NEAREST Date 9/20/83 Applicant Virgin Roof Co. CITY Temple City ZIP CROSS ST, CERTIFICATE OF EX6VPTION FROM WORKERS' E7 x 4'4 �T NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE - SIZ{{OF LOT Z-GY1 ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if.the permit is for one [ba. r s USE ZONE oP ,Z_.® hundred dollars ($100)or less.) RACT - BLOCK LOT NO. - TEL. SPECIAL I certify that in the performance of the work for which this OWNER Mrs. Her en ther NO. CONDITIONS 6 permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE' FIRE PROCESSED BY 0 so as to become subject to the Workers'Compensation Laws. ADDRESS 9628 BroadwayCONST. ZONE I� V Date Applicant - CITY TemDle City ZIP STATISTICAL Cl.q�51FI�ATION APT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. V Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL UNITS_ w d Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP z with comply with such provisions or this.permit shall be TEL � deemed revoked. CONTRACTOR Virgin Roof Co. NO. 257-0507 BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION ' LIG. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P,0, BOX J NO. 160650 VALUATION (commencing with Section 7000)of Division 3 of the Business andLIC. Professions Code, and my license is in full force and effect. CITY San Gabriel 91778 CLASS C39 s 1040.00 160650 C39 SIQZEFT S ORIIEES FAM°ES CHECK , r 5 6 0.4 A. License Number Lic.Class DESCRIPTION OF WORK Re-roof art Of NEW $Convector Virgin Roof �m 9/20/83 P ❑ #.a o e I am exempt under Sec. house and arae with 2200 ADD- El ALTER E] 2, o 49.88 FINAL a B.BP.C. for this reasonREPAIR ❑ 'DATE �� 4 'opo e 49,886 Date: USE OF EXISTINGG. shingles. DEMOL E] FINAL By � .,J 0427 83 Signature APPLICANTICANT TEL. ' OWNER-BUILDER DECLARATION PRINT NO. 987-0507 1 hereby affirm that I am exempt from the Contractor's License ADDRESS P.O. BOX J San Gabriel 91778 Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT Eli BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and - the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ' I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044,.Business and Professions Code), CONSTRUCTION LENDING AGENCY REQUIRED TOTAL SETBACK FROM EXIST. , I hereby affirm that there is a construction lendinSET BACK YARD HWY PROP. LINE WIDTH g agency for • FRONT the performance of the work for which this permit is issued e,P.L. (Sec 3097, Civ. C.). SIDE - P.I. Lender's Name Lender's Address P.C. Fee$ Permit Fee $39.38 I certify that I'have-read this application and state that the Issuance Fee - $11 10.50 above information is correct.I agree to complywith all County Investigation Fee- - g Ord inagqces and State Caws relating to building construction; Tarot.Fee 49 SS G and h¢reby authorize representatives of, is County to enter - � upo fifie above-rJnentioned pr p t for i e ion purposes. _ •' SEE REVERSE FOR EXPLANATORY LANGUAGE ' Sig at re of Applicant or Agent pots � - ®s