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Home My Public Portal About9637 BROADWAY_Building__ >aACD.A=•x.�.-•• APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING /J q DEPARTMENT OF COUNTY ENGINEER LOCALITY BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. UP TYPE�JeP `ESSED BY FOR APPLICANT TO FILL IN ✓`6 CONST. ' ze- 2 , BUILDING STATISTICAL CLASSIFICATION ER MAP ADDRESS K 1p CLASS. NO DWELL.UNITS LOT NO. BLOCK MAP q STATE YES O . ` NUMBER ,p� HWY. TRAC US ZONE SPECIAL O.OF SLOGS. / CONDITIONS SIZE OF LOT NOW ON LOT - a USE OF EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER FRONT *9 MAIL P. L. J ADDRESS SIDE clrr TEL INSPECTION RECORD ARCHITECT O ENGINEER NO. ADDRESS CONTRACTOR ADORES DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO. FT. - NO. OF NO. OF SIZE �� STORIES FAMILIES USE OF STRUCTUR SIGNATURE OF µ,.c APPLICANT APPROVALS IJ/.wL- DATE INSPECTOR'S AASIGNATURE ADDRESS I FOUNDATION: LOCATION /� n y9D RIALS VALUATION $ JOQ,�' I FRAME:FIRE STOPS. _ BRACING. BOLTS P.C. PMT. ✓O FURNACE: LOCATION, FEE $ I FEE $ I GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDINGRUCTION. LATH.EXT. SIGNATURE OF / HOUSE NUMBER COR- - PERMITTEFj�� —� Q�L€` RECT AND POSTED ADDRESS FINAL �u- "Q t] •'✓"�' CLYDE N. DIRLAM, PRINCIPAL STPUCCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH U3480� JUL1223D 5.75 • •n LAf 3 4 8 1 0 JUL 12 1 0 1 5 .0 n A ROAD DEPT. PER'Aii MATERIIS REQUIREb DONE FOR ANY AL STORAGE OZ WORK IN THE ROAD RIGHT Q� APPLICATION FOR BUIL mt PERMIT 1 COUNTY OF LOS - ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS t BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. I GROO TYPE PRO SED BY FOR APPLICANT TO FILL IN _ZZ—I CONST. G dt BUILT NGA STATISTICAL CLASSIFICATION I SE ER MAP ADDRESS CLASS.NO. DWELL.UNITS LOT NO. iO BLOCK NUMAP ® TAyTE YES TRACT USEZONE SPECIAL CONDITIONS NO OF.BLOCS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BUILDING YARD HWY STREETNAME EXIST. SETBACK WIDTH OWNER D �a O /-CJ D FRONT MAIL •� n P.L. ADDRESS /, Q r SIDE CITY w TE F D 1�'y6 P.L. ARCHITECT OR TEL, INSPECTION. RECORD ENGINEER NO. ADDRESS ` /r r/ TTEL I CONTRAC ADDRESS )I- '` LII SA 7-r a DESCRIPTION OF WORK NEW ADDQ ALTER REPAIR DEMOLISH SO S ZET. / / v - NO.OF NO.OF STORIES FAMILIES USE OF STRUCTURE .- - �x� /Y7(pr� SIGNATURE OF l/�°L ' '1 McP, " m APPLICA APPROVALS ADDRESS FOUNDATION: LOCATION�{/r W DATE INSPECTOR'S SIGNATURE FORMS.MATERIALS VALUATION Q@o FRAME: FIRE STOPS, BRACING.BOLTS P.CFURNACE:LOCATION. FEE $ZZ FEE Is '!YI _GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. Z /'+ PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL C UNTY ORDINANCES AND nn / n / �L STATE LAWS RE EATING B ILDING ONSTRUCTION. LATH,EXT. /]LL 7- ,?4( / / /01 SIGNATURE OF HOUSE NUMBER COR- / PERMITTEE RECT AND POSTED ✓ ADDRESS ` G� FINAL k7--'T!-g6' CLYDE N. DIRLAM, PRINCIPAL S/�R/,�} URAL ENGINEER PLAN CHECK VALIDATION M.D. CASH PERMIT VALIDATION'/ c%' M.O. CASH LACp,5,0:6 7%ro 'Jm'l 2 2 3 A 2 2.55.0 A _ _ .._ ®. LACO5 3 2 1'2 JAN 18 1 A 4 55.0 0 M APPLICATION FOR, BUILDING PERMIT COUNTY OF LOS ANGELES c BUILDING AND SAFETY VICIA :R'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN !• BUILDING ADDRESS Ttw DING ADD hereby affirm that I have a certificate of consent to self insure, REPig .. \-- - t I B or a certificate of Workers' Compensation Insurance,or a certified oADW • r copy thereof(Sec.S 00 tab.O) CITY - +„ 21P r'-f�� j:WD Inc C/ Policy NO COmpaoy, I SIZE OF LOT NO.OF BLDGS.NOW ON LOT El Certified copy is hereby furnished. NEAREST CROSS S . C7Certified copy is filed with the county building inspection TRACT BLOCK LOT No. department, USE ZONE MAP N0. DZAB4& /p,,p((Applicant ✓ ♦r�� +��/��r�fC71V ASSE R�GAP BOOK PAGE PARCEL //n 5 1 �J� �J' j{/-'/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWN b0A ^ ��4 TEL No. WITHIN 1000 Ff..of ECHooL? YES NO COMPENSATION INSURANCE �4+L�d' , (This section need not be completed if the permit is for one hundred Ao R s dollars ($100)or less.) s �7 B. �l A IDISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit CITY ZIP /O� LLL�e� is issued, I shall not employ any person in any manner so as t0 ARCHITECT OR ENGINEER TEL NO. f - become Subject t0 the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. —'�/ DWELL UNITS NOTICE TO APPLICANT,, If, after making this Certificate of REQUIRED' TOTAL SETBACK FROM EXIST Exemption, you should become Subject t0 the Workers' CONTRACTOR �'r_.,,._ TEL NO SET BACK YARD HWY PROP CINE WIDTH Compensation provisions of the Labor Code, you must forthwith V l 5 Jq 6V N.n> R�t'V (j� -5 71'Y FRONT _ comply with such provisions or this permit shall be deemed revoked. ADDRESS / LIC.NO. P L l + s LICENSED CONTRACTORS DECLARATION Z• Z ,�r SIDE ----.. g _ CITY/+ p �: LIG.CLASS P L .tiU_' '_`•.+- - I hereby affirm that I am licensed underprovisions of Chapter 9 �R-NiR /n0 � ' SEWER MAP > a (commencing with Section 7000)Of Division 3 of the Business and SQ.FT SIZE NO OF TORIES NO,OF FAMILIES CIL- Professions Professions Code,and tic se is in full force and effect /". - 2 �DR� NEW ❑ BK PG o LL -i 1 t=iL 67=4 atm D W DESCRIPdION OF WORK VALUA ON License Number �f lass - g� ADD 1 �� •L'B � t , to nr f D-1!T/ ALTER ❑ $ Contractor L6.t9.S�" El Qb� $ Do I am exempt under Sec. REPAIR ❑ ' )� z BAP.C. for this reason �ff}�[-i DEMOL ❑ USE OF EXISTING BLDG. LOMA POO M - Date: URM ❑ Signature " +./'i# { y;;iy;y_; APPLICANT(PRINT) TEL NO. LDMA Perm 4 , ❑ I,as owner of the property, or my employees with wages as T Z y Their sole compensation, will do the work and the structure is ADDRESSO not intended or Offered for sale (Section 7044, Business and . . FINAL DATE" Q7-107 - - Professions Code.) -�• `�' WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL / J ❑ I, a5 Owner Of the property, am exclusively contracting with T2 _ OR AWIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE. "AMOUNTS,SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE?- FINAL BY 7 licensed contractors to construct the project (Section 7044, Business and Professions Code.) YES❑ NO❑ ✓ L = WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH "12 "/"�' ' CONSTRUCTION LENDING AGENCY coAST AIR ouqury MANAGEMENT DISTRICT IscAomm SEE PERMITTING cewrcusT FOR ' NL'.: _!2 :-r GUIDEUNEs. P :' I hereby affirm that there is a construction lending agency for YES El NO t'ilrtitT'Ut- "- N the performance of the work for which this permit is issued(Sec. d m 3097, CIV.C.) I HAVE READTHE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTNG CHECKLIST. UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. I /•� _ Lender's Name TITLE 2,CHAPTER 2.20SECTIONS 2 20.100 THROUGH 2,20 140 CONCERNING HAZARDOUS MATERIALS REPORTING AND FOR ODTAIM1'ING A PERMIT FROM THE SOAOMD. Lender's Address c?r,t ;S_,j,: p Q•YNim OP PAENT -�- o I certify that I have read this application and state under penalty of perjury that the above information is Correct.I agree to comply P.C.FEE / �{ n i L PERMIT FEE N with all county ordinances and State laws relating to building '�/ / i aDL'. mcons ruction, and by authorize representatives of this County ISSUANCE FEE - ,o toe terupo a e-n entiened,.pr�opjet y for inspection purposes. - n7N-// ��1�-9� INVESTIGATION FEE TOTAL FEE Imre a rowa.m a,A,Fv wm SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0606010067 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9637 BROADWAY STRUCTURE: VN TEMP CA 917803211' " ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BSBB-009-020 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON• PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/01/06 SK 05/27/07 OWNER: TEL. NO: HLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: IVDA EDUARDO A;MONICA M (626) 285-0180- 400 9637 BROADWAY 1� TEMP 917803211 FEES PAID DESCRIPTION OF WORK KITCHEN REMODELING DRYWALL REPAIRS AS NEEDED FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. N0: MORAD (010) 519-7706- AA BLDG PERMIT ISSUANCE 27.75, 12348 MAGNOLIA BL. AC STRONG MOTION RESID 400.00 VAL 0.50 SPECIAL CONDITIONS: VALLEY VILLAGE 91607 B2 PERMIT W/ENERGY 400.00 VAL 48.02 TOTAL PEES 76.27 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HIGH STAR CONSTRUCTION (888) 272-6868- 18375 VENTURA, BLVD. %206 LIC. NO LOCATION ANO SETBACKS TARZANA, CA 91356 877520 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEA': PANELS 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 RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: ES0508