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76A638A C608038-64 APPLICATION FOR UILDING HERMIT
'COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADOREss
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,BUP T.OF BUILDING CROSS ST. .. .
DISTRICT NO. "'U"
U TYPE P SSED BV
FOR APPLICANT TO FILL IN CoNs4. K� 1
BUILDING STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS 9634 Broadwa front hse — BK
CLASS NO. OW ELL UNITS �� X.
LOT NO. - ti' BLOCK USE ZONE MAP
NO. �
TRACT SPECIAL
N0. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. SETBACK FROM
OWNER`�1ZCe P/I• Binnie TEL.AT7-3856 FRONT PROP. LINE 01 _ T)
IF�T a OtT,.. TYR OF E115TIN0 SE BACK HIGHWAY + YqR — TOTAL
ADDREss9642n Broadwav, XRX HI WAY FROM C.L.
CITYTemP1e City, Calif. BLDG. SETBACK FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO, TYPE OI EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH iROM C.L.I 1
TEL. + = O
C O ff OCA( P N O P.R - S V
ADD1aEW So. San GabriE 160650 CORNER CUTOFF YES E] NO 0 O
CITYa cls r a SEE REVERSE SIDE FOR SPECIAL APPROVALS u
w
DESCRIPTION OF WORK
Z_
NEW ADD ALTERE AIR DEMOLISH
SQ.FT. NO. O NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE Reroof house only over
5/2 wood with 235# compo. shin es
SIGNATURE OF
APPLICANT
VALUATIONS �.
ucr APPROVALS DATE %INSPECTOR'S SIGNATURE
FOUNDATION, LOCATION / A
FEE S FEE S FORMS, MATERIALS /I
FRAME, FIRE STOPS, ' I
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT. DUCTS
SUILDI NO CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. 1
TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN' C MPENSATI ON IN URANCE.
LATH. EXT. f
SIGNATURE OF HOUSE NUMBER COR- �/ \
PERMITTEE RECT AND POSTED
—moi(-C1]. Vi ^� p�
ADDRESS6QQSn- ftbpi FI NAL CrI 47h
JOHN F. LEWIS, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION OK. MG. GASH PERMIT VALIDATIO c._/ M.D. DASH
: 5 2 4 1:^ SEP j 1 D 6.0 0' D
i
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER
FOR OFFICE USE ONLY
BUILDNG FOR APPLICANT TO FILL IN�/ / DISTRICT NO. PLAN CK. NO.
ADDRESS y f^ _ GL yy _�'
LOCALITY C�1rL• RECEIVED BY DATE OF APPLL. DATEISSUE(D�
NEAREST � " ' (�� J
Q (
CROSS ST. ..n BUILDING
OWNER �` I ADDRESS / /"�A9�.✓N
jr
MAIL `l_
• LOCALITY (Q� I Cl
ADDRE69 11 C1 NEARESTI/
- / ,' TEL CROSS ST. C/ y
CITY f NO. FIRE NO. OF GROUP
ARCH ITECT OR TEL. ZONE PLANS —�✓K- �.
ENGINEER NO. BLDG. } - ORD.
SET,
SETBACK LINE /� T
ADDRESSAPPROVED
TEL. BY DATE
CONTRACTOR NO. USE �J APPROVED
ZONE �J BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO. BLOCK MAP NUMBER FIELD CHECK BY
TRACT NO. ASSIGNED BY DATE
ly/ •``�����----.jyyyy 7 NO. OF 81-OGS. CORRECTIONS
SIZE OF LOT L/ I NOW ON LOT
UEXSISONO. OF
TF FA. '
L.E.
DESCRIPTION OF WORE
NEW I I ALTERATION I I ADDITION
REPAIR I DEMOLITION I 116-x Ml O
lJ
SIZE 7 ROOMS �ORIES�� D
Z
EXT. W)(LL ROOF
t '.. y�
COV fiR NG �Li I COVERING Off( 41 r
USE OF STRUCTUREny U
I IV V I
APPROVALS/
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRESTOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS `
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE OF ' �'R< / �//�n� GAS VENT, DUCTS
PHRMITTE ) l/V! /
ADDRESS
�Pb _ I ` o n a�a�Ciu c�>z LATH, INT.
LATH, EXT.
AUTHORIZED ACT. _
PLASTER, INT.
FEE PLASTER, EXT. a•..,
VALUATION 7 V FEE $ `]�� FINAL
I v
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0709170026
PHONE: (626) 285-0468 EXT:
(LEGAL ID: N0. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ, FT STORIES TYPE OCCUR GROUP 9634 BROADWAY
STRUCTURE: 246 1 VN R3 I TEMP CA,917803204
ASSESSOR INFORMATION NUMBER: GARAGE: • NEAREST CROSS STREET:
ISSBB-023-032 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
11-
TENANT: (EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 109/25/07 SR 03/23/08
IOWNER: TEL N0: IBLDGS. NOW ON LOT: VALUATION: FINAL(DATE FINAL,BY: CODE:
IDAVIS MARIA H - 33,060
19634 BROADWAY I 1
ITEMP 917803204 FEES PAID IDESCRIPtION OF WORK
ADDITION TO (E) SINGLE FAMILY HOME NEW BEDROOM, BATHROOM
_IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:I246 S.F. PORCH 61 S.F. S REMOVE (E) STORAGE
(APPLICANT: TEL. N0:
IE. A LINE DESIGN (818) 402-3906- B1 PLANCHECK W/ENERGY 33060.00 VAL 550.61 1
15337 "D" COLDWATER AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
ISHERMAN OAKS 91401 JAC STRONG MOTION REBID 33060.00 VAL 3.31
B2 PERMIT W/ENERGY 33060.00 VAL 647.79 -
�11 TOTAL FEES 1,229.46
CONTRACTOR: TEL. NO: i (APPROVALS DATE INSPECTOR SIGNATURE
EXCEL CONSTRUCTION 6 REMODELING (688) 568-2525-
I14416 HAMLIN STREET #208 LIC. NO ILOCATION ANO SETBACKS jV i
(VAN NUYS, CA 91401 894819 B 11 I
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS q
E. A LINE DESIGN (888) 402-3906-
15337 "D" COLDWATER CANYON AVE LIC. NO: SLAB/UNDER FLOOR
SHERMAN OAK, CA 91401 NONE I
(RAISED FLOOR FRAMING
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION
3 Oil
_I (1ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APN/COND: STAT C 21-
O
/ pQj�� �y-� 2ND LEVEL FLOOR SHEATH
SCHOOLWITHIN HAZARDOUS
(AIR QUALITY: 1000LS` rr1\� "I I � (ROOF SHEATHING i /�'"' IV
NO NO NO Y l,•.l T 1FIRE DEPT. FRAME INSPECPI V/
IREQUIRED TOTAL SETBACK FROM EXIST - 1BLDG DEPT. FRAME INSPECTI
ISET BACK YARD: HWY: PROP LINE: WIDTH: SHEAR PANELS
IFRONT PL-
SIDE PL-
INSULATION/WEATHER STRI
(INTERIOR LATH/DRYWALL
/ (EXTERIOR LI- I YR
ATH 1,
I LOT DRAINAGE
ISMOKE DETECTION DEVICES
1FIRE DEPARTMENT APPROVAL
I 11 11 I I I
- IREPORT ID: DPR261 ROUTE T0: BS0508
1 I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY n 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0809040037
PHONE: (626) 285-0488 EXT:
(LEGAL ID: N0. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9634 BROADWAY
(STRUCTURE: V-B TEMP CA 917803204
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 1
18588-023-032 1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 1SSDEp ON: PROCESSED BY: EXPIRES ON:
IEXIST OCC GRP: 109/04/08 SR 03/03/09 1
I
OWNER: TEL. N0: BLOG5. NOW ON LOT: VALUATION: FIjIA FINAL BY: CODE
JDAVIS :
0AVI5 MARIA H (626) 309-2880- 1 9,100
19634 BROADWAY 1
TEMP 917803204 FEES PAID D-.SCR PTION OF WORK U
NEW STUCCO LATH & COLOR COAT TO 800 S.F. AND 11 NEW WINDOWS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:JREPLACEMENTS
1APPLICAN T: TEL. NO:
(CORONA (310) 704-2656- IAA BLDG PERMIT ISSUANCE 27.75 1-
14101 MARCASEL AVE. 1AC STRONG MOTION RESID 9100.00 VAL 0.91 SPECIAL CONDITIONS:
LOS ANGELES CA 90066 B2 PERMIT W/ENERGY 9100.00 VAL 238.26
TOTAL FEES 266.92
1CONTRACTOR: TEL. NO: I IAPPROVALS DATE INSPECTOR SIGNATURE 1
1VICTOR CORONA GENERAL CONTRACTOR (310) 704-2656-
14101 MARCASEL AVENUE LIC. NO LOCATION AND SETBACKS I I
ILOS ANGELES, CA 90066 638254 B I
I I ISOILS ENGINEER APPROVAL I
I I I
1ARCHITECT OR ENGINEER: TEL. NO: I FOUNDATION/TRENCH FORMS
I - I I
I LIC. NO: I SLAB/UNDER FLOOR
I
I I IRAISED FLOOR FRAMING
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION I I I
1147H269 3 O11 I
1 _1 IFLCOR SHEATHING
1NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
NO 21 1 1ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
I
REQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS
1SET BACK YARD: HWY: PROP LINE: WIDTH:
1FRONT PL- I INSULATION/WEATHER STRIPI I I
SIDE PL- I 1 11 1
11NTERIOR LATH/DRYWALL
0 EXTER10R LATH
RATED FLOOR/CEIL ASSEM IJ
RATED WALL ASSEMBLIES
I
I I (RATED SHAFTS/OPENINGS I I
I I 1T-BAR CEILINGS I I I
I
1 I ILDT DRAINAGE 1 I
I I I I
(REPORT ID: DPR261 ROUTE TO: BS0508