HomeMy Public PortalAbout9641 BROADWAY_Building__ 70A638A CE -1803 3.69 APPLICATION FOR BUILD ING PERMrr
COUNTY OF LOS ANGELES BUILDING / /
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN IST ICT 0. GROUP TYPE NSS. P Es By
{PRINT OR TYPE ONLYI 6
BUILDING STATISTICAL CLASSIFICA ION SEWER/��MAP
ADDRESS c CLASS NO. —DWELL. UNITS BK j PG13
LOT N0. ) ¢�J BLOCK U5 ONE NOP O (/
TRACT 4j��BdC-�SiC�t.. .�J / SPECIAL
l4E N0, OF SLOGS. CONDITIONS
SIZE OF LOT��� X NOW ON LOT
USE OF
EXISTING BLDG. BLDG. SETBACK FROM
TEL FRONT PROP. LINE OF (STREET)
OWNER n �' N0. _
PE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS �6 //// HI Y W10 TH FROM C.L.
CITY 7�%y/ /Q_ (i/� CQ �/ SLOG.SETBACK FRO M
ftOM +
ARCHITECT 0 TEL. (S TR EET)
SIDE PROP. LINE OF
ENGINEER N0.
TYPE OF EXISTING SETBACK HIGH + YARD = TOTAL
ADDRESS HIGHWAY WDTH FROM C.L.
TEL. -
CONTRACTOR J NO.
LIC. CORNER CUTOFF VES ❑ NO
ADDRESS N0. C
LIG l
CITY / CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER _ F
NAME AND BRANCH I.
LL
ADDRESS 4
V
50. FT. NO. OF NO. OF ❑ 2
SIZE STORIES FAMILIES NEW
USE STRUOCT URE �' ADD ❑
ALTER ❑
REPAIR ❑
SIGNATURE OF tlY A- DEMOL ❑
APPLICANT Q/
v
VALUATION $ ^0 APPROVALS GATE INS PR fro Res slcrvATL RE
P.C. PMT. FOUNDATION: LOCATION 9 Zen { Ay�''7F�sf
FEE $ FEE $ FORMS MATERIALS �! �V/ ` ✓� _/ !
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY BRACING BOLTS
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION,
TION. ICERTIFY THAT IN GOING THE WORK AUTHORIZED HEREBY I GAS VENT DUCTS
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE. LATH, EXT.
SIGNATURE OF ��/J/J HOUSE NUMBER CORRECT
PER MITTEE ah-A�=�uV/ AND POSTED
ADORES LC'"GL FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGHUZR
PLAN CHECK VALIDATION CK. M.C. CASH - PERMIT VALIDATION Ck. M.P.
{ � ,- 2922 DEC 1 1 D 9.00" v
7BA638A CERB03 B-64 APPLICATION F BUILDING'PERMIT
COUNTY OF LOS ANGELES BUILDING _/�:_
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY r
JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSAUP•T.OF BUILDING CROSS ST. F
pISTRI T N GR - TYPE, P ESSED B
FOR APPLICANT TO FILL IN SI CONST: ;
BUILDING ) STATISTICAL CLASSIFICATION SIVWER MAP
ADDRESS 6 /1 1� _L BK� PG
CLASS NO. DWELL UNITS
LOT NO. D z BLOCK USE ZONE MAP
L NO.
TRACT �iG C. SPECIAL
N0. OF B1005. CONDITIONS
512E OF LOT NOW ON LOT
USE OF
ISTIN) L. BL00T 6ETBACKNROM
POP
- (STREET))FROMLE OF
TYPE OF EXISTING SETBACK HIGHWAY - } YO TOTALOWNE CC G 111)F4
ADDRESS 7-6
HIO WAY MOM C.L.
+ ?
CITY BLOU. SETBACK FROM
ARCHITECT OR TEL.
ENGINEER NO. 910E PROP. LINE OF (STREET)
TYPE OF E W%19TING SETBACK HIGHWAY } YARD = TOTAL >
ADDRESS XIOXWAY IOTM FpoM C.L. y
TEL. } = O
CON T RA CTO Oj y( l.7
ADDRESS NO.t,IC. CORNER CUTOFF YES ❑ NO ❑ O
F—
CITY /� LID SEE REVERSE SIDE FOR SPECIAL APPROVALS w
ESCRIPTI N OF WORK a
Z
NEW ADD ALTER REPAIR DEMOLISH
S0.FT. NO. OF
SIZE TORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATIONS � �� APPROVALS DATES INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEES FEE$ FORMS, MATERIALS _
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION / I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAB VENT. DUCTS
9UILOING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
HIO
AUTHORIZED EREBY I WILL NOT EMPLOY ANY PERSON IN VLA- LATH. INT.
TION OF THE LABOR CODE- OF THE STATE OF CALIFORNIA RELAT.
ING TO WORK MEN L
MPENSATI ON BU RANGE. It
AT H. EXT.
SIGNATURE OF �� HOUSE NUMBER COR-
M '
PERITTEE L REC AND POSTED � \•
ADDRESS IFINAL
JOHN F. LEWIS. PRI CIPAL STRUCTURAL E
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.G. DAs
L-r(i,o ,4 1 2 5 Un .!UL 2 9 1 D 4.0 0— `''
,6A63aA� Boaz-.'APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES. BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST _
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST.
DISTR T NO. GR P TYPE LSLU BY
FOR APPLICANT TO FILL IN CONST.
[ADDRESS
UILDING STATISTICAL CLASSIFICATION *S WEIR MAP
9641 E . Broadwe rT .C. _ . BK —PG�
1CLASS. NO. ' DWELL. UNITSOT NO. POrI Ion 35 BLOCK WATER NOT REQUIREDRECEIVEDCERTIFICATE:RACT Mission View Acres MAPO /t HIGHWAvSTATE MAJOR COND, OCA. OF BLOCS. NOGG j ICIRCLE)IZE OF LOT 7 4 X WON LOT USE ZONE SPECIAL
USE OF JIDN IONS Y-e
EXISTING BLDG. residence
OWNER Charles E . SnyderNO BUILDING
er RICK YARD HWV ST EET NAME IST.
WIDTH
ADDRESS 56 Da I nes Dr . T .C . FRONT
ARCHITECT OR TEL. P. L.
ENGINEER - NO. SIDE
P. L
ADDRESS .- A+�)� �/ n 0 0
CONTRACTOR VALLEY CRAFT NO,443-174 ICURB, GUTTER, DRIVEWAY AP ROACH, O
ADDRESS 10523 Lower Azusa Rd. , T . AND PARK
DESCRIPTION OF WORK
Note: Permit: for oDrb, a
gu++6r, SId BWL[, .',iid /If;•JE Way approach m-Z
(NEW ADD ALTER REPAIR DEMOLISHshouldEn e a OU a t. Dep+., Altad na
SO. FT. r� NO. OF NO. OF Office, or T. C. Co. En ine-r' F ':- I lid
SIZE 1 5BO STORIES 1 FAMILIES 1 a lengthy delay. Survey & Design ODA iAestime and I$ not start d
USE OF
STRUCTURE residence uI Pei City ell y or par way tree perm( .
at x garage / "�� i,
SIGNATURE
O OF �"
APPLICANT IN .
- 'C T /' � �`" "— /
VALUATION Q�O +a
APPROVALS IDATE. INSPECTOR'S SIGNA_Tu_q€
FOUNDATION: LOCATION o
FEES FEE $ /Y/ FORMS. MATERIALS O
FRAME: FIRE STOPS. I I
/
I HEREBY ACNNOWLED THAT I HAVE READ THIS APPLICATION BRACING. BOLTS 1YI I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. yT �l/•" 1 F /e/l./)�I�
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS `. l/l ���•(!
BUILD INGCONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'5 COMPENSATION INSURANCE.
SIGNATURE Oq� / ,�finn LATH. EXT.
PERMITTEE / i r �� HOUSE NUMBER COR-
SIGNATURE
i RECT AND POSTED F •Q
ADDRESStO S - 44 EKYrFINAL
JOHN F. LEWIS. PRINCIPAL STR RAL FINGHFIFFR
PLAN CHECK VALIDATION G
M:O GASH _ PERMIT VALIDATION(GK' M.O. ASH
;'jI3434t2 JUL 823- D 33.75n
Lk'o 4 0 2 5C JUL 2'f 1 D 6/�'�/.�
r•';t..' % WORKERS'COMPENSAT)ON DECLARATION ` •:' - _
hereby affirm that I haler certificate of consent ra =elf .` , >..*A.PPLICATION FOR BUILDING PERMIT
' insure' or'a certificate of Workers' Com ensation Insurance,
or Ccertified copy thereof (Sec. 38Qp, Lab. C ) - , -- - . - -
Poli<yNoOS-1+�3 y0/�amPCA . �i,�40. E_rC�. . COUNTY OF LOS ANGELES BUILDING AND SAFETY
❑ BUILDING
Certified copy,is hereby furnished. FOR APPLICANT TO FILL IN ADDR
rtmESS
® Certified copy is filed with the c o ty building inspec- BUILDING q�i{� 4,0(w"tion depaent p ADDRESS 17 '7
6, •2S �C Applicant' �GeOLC�ltw rEi�J B �/ ZIP ky
9178 ocnDTY
Date . CITY
F O
TE
CERTIFICATE EXEMPTION FROM WORKERS' - - NO. OF-BLDGS. / - -' NEAREST - -
AOF SATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. t
(This section need not be completed if the permit is for one - - - .. _ ASSESSOR ,�. -
-hundred dollars ($100)or less.) TRACT N BLOCK LOT NO. �Aj MAP'BOOK' PAGE PARCEL
OWNER 9/Q/141Ad'Om CIR TEL
zZy7"7� USE ONE MAP
I certify that in the performance of the work for which this 1 NO.
permit is issued, I shall not employ any person in any manner (�6 lL/ _ -aw �1 SPECIAL.
so as to become'subjectto the Workers'Compensation Laws. ADDRESS TT - q CONDITIONS O
._. CITY o e_ CL ZIP -L V•~ _ _. . _ _ .. .
of
Date " Applicant ARCHITECT OR TEL. [GROUP - _
NOTICE TO APPLICANT: If, after making''this Certificate of DISTRICT. NPE_J- FIRE- _ PROCESSED BY O
ExemptENGINEER. NO. ^ CONST. ZONE H
Compensation
i you should became subject ,o the Workers- _ _ , ./ W
Compensation provisions r .the Labor Code, you must forth ADDRESS c I'`, V 6
deemd rev .with such provisions.or this permit shall be" -
deemed revoked. , 1 ._ / TEL (J (�� STATISTICAL CLASSIFICATION APT. CONDO. Z
' CONTRACTOR R•sL� �f NO. �! - • pp 1'
LICENSED CONTRACTORS DECLARATION +. - - Cl LIC p CLASS NO. 26WEL1. uNnS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 7 y't E � 7y
APER EWM
(commencing with Section 7000)of Division 3 of the Business and _ _ LIC St � '
Professions Code, and my license is in full force and effect. CITY ZUSA CLASS as -BK PG - VALIDATION
• yy Z _ _ SO. FT.. /47_7 NO. OF NO. Of _ CHECK
License Number ' a S, Li<.Class SIZE STORIES FAMILIES ) ONE
. QQ U . - pp�pLOs7>Jq q� NEW
❑ VALUATION
,7yvs{c/)0 U_GH4RL � DESCRIPTION OF WORK $ T
Cbntiacto ate
ADD
I am exempt under Sec. _ - - 'A' ' -O
LTER
B.BP.C. for this reasonv / REPAIR E] $ -' --- -
Date: - USE OF BLDG. /T)� / _ °/�E DEMOLEXI ❑ _
APPLICANT /' /p//� TEL. ,Q69-T/
Signature � - PRINT �/L!6(. (�. r� /r•4/Q!Q/LO NO. 77 77 7 FINAL
OWNER-BUILDER DECLARATION p / _ n / /�-.I'l� DATE �i0� - - - - - - --- -
-
Iherebyaffirmthatl.am exempt from the Contractor's License ADDRESS �j./y0 /1CNw«r' KQ_ /T G•''+'r' pl "'c�-' -
Low for the following reasori.(Section 7031.5, Business and
-Professions Code):- -"" - - -' PRESENT :9 4 8 a 9 A
OBUILDING -__ . .
I, as owner of the property, or my employees with ADDRESS
wages os 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 • '1 061 3
I, as owner of the property, am exclusively contracting CONTRACTOR NO -< 1
with licensed contractors to construct the project (Sec- - ADDRESS , \\ • • 1 0 1 .3
tion 7044, Business and Professions Code). - \ \� y EXIST ) '\\ -
- CONSTRUCTION LENDING AGENCY - - SETT BACK YARD HWY TOTAPROPLINEFR M WIDTH s t -`` * ,=— �' 0 &2 5'x:8 6
I hereby affirm that there is a construction lending agency for FRONT \ -
the performance of the work for which this permit is issued P.L. - - - - •I
(Sec. 3097, Civ. C.). SIDE '
PAL
Lender's Name LDMA-ReE # �` '
J
0
m - - - - - - P.C. Fee$ Permit Fee O !
Lenders Address ,� ,e .y�F
w LT'
_ I certify that I have read this application and.state that the-.. - --� --.- � - IssuanceFee - - ���(/- - LDMA-P/C#
m aboLreb
ation is correct. agree ro comply with all County Investigation Fee
m
ordnd State.laws relating to building construction, .,_ _ . _ _. Total Fee - �-• LDMA Perm: #- - - -
v anduthorize representatives of this County to enter
$ upove-menti ned property rinspection purposes. !.
SEE REVERSE FOR EXPLANATORY LANGUAGE
-- -
Signature at Applicant.,Agent - Date
OI
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1309300057
PHONE: (626) 285-0488 EXT:
(LEGAL ID; NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUPI 9641 BROADWAY
_ISTRUCTURE: 481 1 V-B R-3 I TEMP CA 917803211
(ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: BARELA III
18588-009-018 'OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI I
(TENANT: 1EXIST BLDG USE: PHOTO ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: R-3 09/30/13 SR
I
TOWNER: TEL. N0: BLDG5. NOW ON LOT: VALUATION: FINAL DATE FINAL H CODE:
9641CHUA BROADWAELVIS A ELEANOR G - 13,000 / ��
19641 Y
(TEMP 917803211 FEES PAID IDES T�F ORK
1NSTALL SOLAR SYSTEM 6.37 KW 26 MODULES
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1
APPLICANT: TEL. NO:
ICARRERA, CARLOS (805) 410-0494- IAA BLDG PERMIT ISSUANCE 27.80 1
15244 TOWNSEND AVE IAB STATE GREEN BLDG FEE 13000.00 VAL 1.00 (SPECIAL CONDITIONS:
ILOS ANGELES 90041 IF'1 RES PV PC<10KW 153.90 1
P2 INSPCT RES PV <IOKW 138.00 1
_ TOTAL FEES 320.70
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IVEGA, CARLOS (805) 410-0494-
5244 TOWNSEND AVENUE LIC. NO ILOCPTI �� AND SETBACKS
ILOS ANGELES CA 90041 873760 r'
ISOILB E GIB APPROVAL
I I I
ARCHITECT OR ENGINEER: TEL. N0: FOONDATI05/TRENCH FORMS
LIC. N0: SLAB/UNDER FLOOR
I I
RAISED FLOOR FRAMING
I
MAP N0: SEWER NSP BOOK: PAGE: FIRE ZONE: CMp: I IUNDRRFLOOR INSULATION I I
3 001 1- 1
IFLGOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
1 NO 20 (ROOFSHEATHING
SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME' INSPECTION
I
1FIRE SPRINKLER HANGERS
1 I I
1NSOi,ATION/WEATHER STRIPI
I I
11NTERIOR LATH/DRYWALL
I I I
I IEXTERIOR LATH I I I
I I II RATED FLOOR/CELL ASSEM. I II I
(RATED WALL ASSEMBLIES
(RATED SHAFTS/OPENINGS
I I II I
IT-BAR CEILINGS
ILOT =RAINAGE
IREPORT ID: ❑PR261 ROUTE TO: HS0508
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 0407090002
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9641 BROADWAY
STRUCTURE: 21 VN TEMP CA 917803211
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST
8588-009-018 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 07/09/04 JK 07/04/05
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINA�Y CODE:
CHUA ELVIS C;ELEANCR G (818) 287-6839- 3,800 �–�(–p
9641 BROADWAY
TEMP 917803211 FEES PAID DESCRIPTION OF WORK
T/0 OLD ROOF AND REPAIR ROTTED WOOD INSTALL 30 YR CLASS
'FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: COMPOSITION SHINGLES.
APPLICANT: TEL. NO:
LAU (626) 285-9016- AA BLDG PERMIT ISSUANCE 2.7.75
4533 SHIRLEY AVE AC STRONG MOTION RESID 3800.00 VAL 0.50 SPECIAL CONDITIONS:
EL MONTE, CA 91731 D2 PERMIT W/O EN-HC 3800.00 VAL 115.330
TOTAL FEES 144.05
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN KEY INC (626) 285-9016-
4533 SHIRLEY AVE LIC. NO LOCATION AND SETBACKS
EL MONTE, CA 91731 NONE
SOILS ENGINEER APPROVAL
LARCHiTECT OR ENGINEER: TEL. NO:� FOUNOATiON/TRENCH FnRsj�t ---
LIC. NO: :.A75i UUNDER FL00. I – --
3 —.__.
� �PA:SED FLOOR FRAMING --
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMF: �UN�ERFLOOR INSULATIOf?
XX 3 03
--
N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT FLOOR SHEATHING
CLASS:
NO 2i ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS / 7
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGE S
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STR1P
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED F OOR C L AS$EM.
RATED WALL ASSEMBLIES — —
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508