HomeMy Public PortalAbout9667 BROADWAY_Building__ " _(6G7 UWiiC'
- - A ROAD EPT PERAA;T /}�/REQUIRE /�1- L \``�G64'(A't"+
FOR ANY,feIAT RI L STORcxGtGR N/ORK' -' -
DONE IN THE- ROAD RIGHT F ,
l�AC56A G[A.C9 YI:G APPLICATION FOR BUIL I5II PERMIT
COUNTY OF LOS ANGELES BUILDING /�/ / srP�ERRE= undE4
ADDRESS 'l6 PJ �(
DEPARTMENT OF COUNTY ENGINEER G6
BUILDING AND SAFETY DIVISION LOCALI l7i✓
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST I
WILLIAM A. JENSEN SUPT OF BOILOINQ CROSS ST. �
DISTRICT NO. GROUP TYPE PR CESSED BY
FOR APPLICANT TO FILL IN ""(12 CONST.
BU ILDIN - STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS - I I B "
�( CLASS.NO. DWELL, UNITS
MAP LOT NO. C C �3 n`��0� NUMSER:�CS C7 STATE
YES" N0 -
TRACT A4 U�Sz�EZONE SPECIAL
�/ J OF SLDGS. /� CONDITIONS _
SIZE OF LOT r/� A 7 [� NOW ON LOT
USE OF
EXISTING BLDG. - BU14DING EXIST.'
TEL. SETBACK YARD HWY STREET NAME WIDTH
OWNER NO. FIONT j a
'P1.L. CCJI
ADDRESS BIDE
ARCHITECTOR TEL. P.1-.'
ENGINEER NO. INSPECTION RECORD
ADDRESS t - - -
TEL
CONTRACTOR -NO.
0- 0
ADDRESS
DESCRIPTION OF WORK
NEW � ADD ALTER REPAIR DEMOLISH q.� -/ n
SO.FT. NO.OF NO.OF . �✓/t �/�[ �/y iJd/G'-A '/L �UP� Y3F✓ a
SIZE �. ST ES FA ILIE N
USE OF
'ST CTUREq � ^GNATU E OF - I XE SD as l/_
APPLICANT ..yy'1
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VALUATION
/UtJ`�
APPROVALS DAATE/ INSPECTOR'S SIGNATURE r-
FEE FEE F'FORMS!MATERIIAL9 N
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,
BRACING, BOLTS /1 ' `n/ bl/n
V,,(All .7 Y
PLICATION AND STATE THAT THE ABOVE IS-0ORRECT AND FURNACE: LOCATION. // /p 6 &d/ j A��
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT.DUCTS �F J+8 l(
STATE LAWS' REGULATING BUILDING CONSTRUCTION. n - -
1 CERTIFY THAT IN DOfNg THE WORK AU ORIZED I LAITH, INT.
WILL NOT EMPLOY ANY P R IN VI A N OF THE V �V !Y l/v voo-awitf�
WORKMEN'S CO P SAT O OR IA. LATH,EXT. ;
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE - - RECT AND PED
OST ,l,ss/�//..Nn���l �7,
ADDRESS FINAL �I��//n 4&F /�
CLYDE N. DIRLAM, PRINCIPAL STR T AL ENGINEER
PLAN 'CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION
LZo3.3 71b JUL 1.1 r 3 D 2 1 .0011
L1lC �o"' 4. 0 C)
3 3 -0 5 JUL
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18A 830PLICATION FOR BUILDING PERMIT u
,r A`CE#803 8-83
COUNTY OF LOS ANGELES I
BUILDING '/ O
DEPARTMENT OF COUNTY ENGINEER nooREss
BUILDING SAFETY DIVISION LOCALITY j
JOHN A. LA 61 E. COUNTY ENGINEER NEAREST /� ''/-�/ 1...C1
WILLIAM NSEN. SUPT OF BUILDING CROSS ST. LE C /7-y( lJ LVO
DISTRICT NO. GROUP TYPE PROCESSED BY
F APPLICANT TO FILL IN S•0 CONST.
DI - STATISTICAL CL PSIFICATION SEWER MAP
D 5 C
_BK PG /
D Q g ! CLASS. NO. DWELL.UNITS^ G /�
OT N l,� BLOCK WATER NOT REQUIRED ® RECEIVED
f �j CERTIFIIC�A/TgE: ._-.
TRACT. !JS%(J %L `5 NOP p oLgE IQRCLEI /
NO. OF BLDGS. STATE MAJOR SECOND,LOCAL\)
SIZE OF LOT /3O SQ NOW ON LOT NE USE Z NE SPECIAL
USE OF fO A AQP CONDITIONS
EXISTING BLDG. C' n
L
OWNER BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS
ARCH EC�OJJtt�' cc TE'Lr. FP.. . O
ENGINEER SIDE
/ ADDRE /I/- ✓/� �Cz P. LJ . A I
r� TEL. Q
CONTRACTOR /JX NO. / L /' V
ADDRESS 2
DESCRIPTION OF WORK aew-
A v
(a
NEW AD ALTER REPAIR DLCMOLISH �
l >Z
SO. ST FT. LL NO. OF �
SIZE STORIESS7/YC FAMILIES I C •��(/.(,+V �"
USE OF
STRUCTURE .eFHf�i� C� �[/GD•C OO/✓/ /
SIGNATURE OF
APPLICANT _
VALUATION • VA (/j l% " '✓ O •/ APPROVAL$ ` DAT9 INSPECTOR'S SIGNATURE
P.C. / OQ PMT. FOUNDATION: LOCATION
FEE $/ / FEE S FORMS. MATERIALS A '
FRAME: FIRE STOPS. 1 r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY OROINAN C AS AND STATE LAWS REGULATING GAS VENT. DUCTS !• .A
BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PARSON IN VIOLA- LATH. INT.
TION OF THE LABOR COPE OF THE STATE OF CALIFDRNIA
ING TO WORKMEN'S CCYIENSATIO. INSURANCE/ LATH. EXT. ✓(
SIGNATURE OF ( Y// ,G �, / HOUSE NUMBER COR-
PERMIT TEE/y J��e= �( -�-2'�,wy- RECT AND POSTED LTJ
ADDRESS `��� / %-+>'c.CJ //L.FINAL - ✓ iL
JOHN F. LEWIS. PRINCIPAL STR CTURAL EN NEER
PLAN CHECK VALIDATIONGK. M.D. GASH PERMIT VALIDATION CK. M.D. GASH
L 604 c 3 1vS OCT 14 2 3 D 1 1 .000 v
�Y, � 5084G OCT21 1 D 22.0/0 v
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN . wnr t or type only)
COUNTY OF LOS ANGELES
BUILDING
ADDRESS ` O l�u .. DEPARTMENT OF COUNTY ENGINEER
air —7 ZIP �/7 O BUILDING ANDS FETY DIVISION ,
BUILDING /
SIZE OF LOT NOW ON LOT ADDRESS (�" zo^
TRACT BLOCK LOT NO, LOCAUT
Com. _ NEAREST
OWNER S/, / - COSSST.
J - ASSESSOR -
ADDRESS yO a.-1�ec-'-AMAPBOOK - PAGE RCEL
DISTRICT GROUP [;YPE FIRE PR ESSED BY
-CITY - ZIP �`O� NSL j04i1- 1
ARCHITECT OR TEL
ENGINEER Lie+'t.� -` NaO. STATISTICAL CLASSIFICATION SEWER 4AP
ADDRESS CLASS NO. DWELL.UNITS BK PG
CONTRACTOR —�. r. / TEL
�i`/2" /!Wv NQ /J��OSS-E ONE MAP
.LIC. V- NO.
ADDRESS NO. V� BEEC .
LIC -PO' CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED -YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCHLEG.SETBACK FROM
RONTPOP.LINEOF - (STREET)
ADDRESS CITY TOTAL SETBACK FROM TVPEOF EXISTING
SO.FT. NO.OF NO.OF CHECK IGH WAY + YARD FRONT PROP.LINE HIGHWAY WIDTH
SIZE - STORIES FAMILIES ONE - y
_ d
DESCRIPTION OF WORK - NEW + O
V
/e�� s-� D', G ADD ❑ SIDE PRO P,LBLDGCK FROM (STREET) O
/� LOG/
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w
(/ D, CC�j.. /" HIGHWAY + YARD - EPROP.LINE HIGHWAY WIDTH . N
�S. �7S �6�X�. I REPAIR ❑ - - _ Z
DEMO( ❑ +
APPRINTNT ( / T CORNER CUTOFF YES ❑ NO ❑
� \J IN OPEN SPACE VES ❑ NO ❑
BY(SIGNATUREI .L'C'.O_� ,L- C��
pp � IN COASTAL PERMIT ZONE VES ❑ NO ❑
VALUATION$ /J `�"� �— "
HEREBY ACKNOWLEDGE THAT 1 HAVE READ COMPLY
WITHA ALL
AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWSAUTHORIZED
HER BUILDING CONSTRUCTION. Y PERSON
THAT IN DOING THE "
WORK AUTHORIZED HEREBY WILL LIF EMPLOY ANY PERSON IN WORKMEN
ION OF
W
THE LABOR CODE OF THESTATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM
PENAATION INSURANCE
-SIGNATURE ���tih�J
PERMI EE
ADFINADRESS �'C 2/q J
TEL. DATE L ��✓ / /� Y /
IN
MAKE CHECK AYABLE TO: P.E $ y FET
HARVEY T. BRANDT,COUNTY ENGINEER -
PLAN CHECK VALIDATION CK M.o. CASH PERMIT VALIDATION cK. MO. CASH
R 7 5 2 1.7 5A90
®s 76A638ACE0803375' -
COUNTY OF LOS ANGELES TEMPLE CITY # 05081 BUILDING PERMIT
• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1101030001
PHONE: (626) 285-0488 EXT:
LEGAL ID: N0. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9667 BROADWAY
ISTRUCTURE: 3300 V-B TEMP CA 917803211
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BARELA
18568-010-016 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1TENANT: IEXIST BLDG USE: RESID USE ZONE:. A-1 TISSUED ON: PROCESSED BY: 1
IEXIST OCC GRP: 101/03/11 SR
TOWNER: TEL NO: IBLDGS. NOW ON LOT: VALUATION: iFINALElATE I FINAL Y: CODE:
IST PIERRE, GENE k KATHY (626) 287-2611- 3,300 /_/'y//(/ �/
9667 BROADWAY Y
TEMP 917803211 FEES PAID IDESCRIPTION OF WORK
IDEMO (E) 3300 SQFT. MILTI LAYER COMP/CAP SHEET ROOFING MATER(
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: (IAL. REPLACE DRY ROOTED SHIP LAP STARTER BOARD AT HOUSE, GAR(
(APPLICANT: TEL. NO:
ISTP ENTERPRISES INC. (626) 287-7544- AA BLDG PERMIT ISSUANCE 27.80 I I
5454 TEMPLE CITY BE. IAB STATE GREEN BLDG FEE 3300.00 VAL 1.00 (SPECIAL CONDITIONS:
(TEMPLE CITY CA 91780 1AC STRONG MOTION RESID 3300.00 VAL 0.50
ID2 PERMIT W/O EN-HC 3300.00 PAL 116.00
TOTAL FEES 145.30
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ISTP ENTERPRISES, INC. (626) 287-7544-
15454 TEMPLE CITY BLVD. LIC. NO ILOCATION AND SETBACKS
ITEMPLE CITY, CA 91780 598157BC36 I
' ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: IPGUNDATION/TRENCH FORMS I
LIC. NO: JSLASIUNDER FLOOR
RAISED FLOOR FRAMING
I I I
1GAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFL00R INSULATION I
114]H269 3 001 'I-
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 i' I- FN
I-
`�itSNG �(N�
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS (�
AIR QUALITY: 1000 FEET MATERIALS III
NO NO NO (FRAME INSPECTION
1 IFIRE SPRINKLER HANGERS
I I I
(INSULATION/WEATHER STRIPI I I
I
IINTERIOR LATH/DRYWALL
IEXTERIOR LATH
I I
RATED FLOOR/CEIL ASSEM.
I I I I I I
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
jjT-BAR CEILINGS
ADDITIONAL DATA ON FILE
ILOT DRAINAGE
(REPORT ID: DPR261 ROUTE TO: BS 0508
I