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HomeMy Public PortalAbout9705 BROADWAY_Building__ _ ~ : r-00400,0 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES AooRDIN 9705 E. $roadway DEPARTMENT OF COUNTY ENGINEER Temple, Cit BUILDING AND SAFETY DIVISION L6CALITY p Y JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. OR OU TYPE 'P CESSED BY FOR APPLICANT TO FILL IN j CONST. ' BUILDING STATISTICAL CLASSIFICA ION SEWER MAP ADDRESS 9705 E. Broadway - Q I K gG CLASS.NOM OO Mq WELL.UNITS sY ICONTRAVOWIbny LOT NO. 3 BLOCK NMA ER �•`-C� (2 HWY.STATE YESWb v 11 '( USEZONE 'SPECIAL TRACT b .A ^I -NO.OF.BLOGSdCONDITIONS SIZE OF LOT CLvDNOW ON LOT /'USEOF, HoL�se I-TaragO•e YARD HWY STREET NAMEEXISTING BLDG. bBUILDING EXIST. SETBACK WIDTH OWNER John E. Shea, Jr. FRONTMAIL E. Broad*aa ADDRESS 9705 5 SIDE C,T Temple Vlt TEL. P.L. "O. INSPECTION RECOARCHITECT OR TEL.ENGINEER TNO. ADDRESSIlow nc ....cin -BrOS • TE S X32 - ' C'j� a •2.9-fin -1:9/ l Mb*l iV =;9P,'-V ADDRESS871 Firestone Bl. So Gate ' DESCRIPTION OF WORK NEWX ADD ALTER REPAIR DEMOLISH SO.FT. NO.OF NO.OF- SIZE STORIES FAMILIES - USE OF n 1 STRUCTURE Private Swim O ` St,d lan 16 SIGNATOR O APPCIC APPROVALS.d-S�Iry. DATE INSPECTOR'S SIGNATURE ADDRESS 71 Fire sto B1. 1 S a . .FOUNDATION:LOCATION •• j' j /J/ -/��� , FORMS,MATERIALS i / !•' // VALUATION$ 3200.00 FRAME: FIRE5TOP5. - _ - - - -BRACING,BOLTS I ` PMTFURNACE:LOCATION. FP FEE $ IsoOI GAS (ENT DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE fitffTHIS AP- LATH.INT. I PLICATIO/AND T -THAT THE ABOVE CRCTAND�yNG B DI STRU ON. LATH,EXT.HOUSE R gl RECT AND POSTED PERMITT ADDRESS FINAC-Ir. CLYDE N. DIRLAM. PRINCIPAL ST URAL ENGINEER PL CHECK VALIDATION CK� M.0. CASH PERMIT VALIDATION OK. M.O. CASH 1106.03;5 F0 ' .323A 3.75 -!W 4 � ,0 3:6 F£B, 3 1.-A 1 5;.Q'0 -`-' 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 0305280012 PHONE: (626) 285-0488 EXT: LEGAL BUIL SS: ON FILE SQ. FT STORIES TYPE 9705 BROADWAY STRUCTURE: VN TEMP CA 917803213 ASSESSOR INFORMATION R: NEAREST CROSS STREET: GOLDEN WEST 8588-010-031 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: L S : R S D USE ZONE: - ON: PROCESSED BY: EXPIRES . EXIST OCC GRP: 05/28/03 JK 05/22/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: ) CODE: ASHWORTH JERRY L - 900 (v - 9705 BROADWAY TEMP 917803213 FES PAID DESCRIPTION ORK REMOVE EXISTING FLAT ROOF AT REAR OF HOUSE & REINSTALL NEW FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ROLLED ROOFING APPLICANT: TEL. KEVIN STANTON (626) 627-5112- AA BLDG PERMIT ISSUANCE 27.75 433 E GRAVES #B AC STRONG MOTION RESID 900.00 VAL 0.50 SPECIAL CONDITIONS: MONTEREY PARK 91755 D2 PERMIT W/O EN-HC 900.00 VAL 65.40 TOTAL FEES 93-65 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE KEVIN STANTON ROOFING (626) 242-7712- 433 E GRAVES #B LIC. NO LOCATION AND SETBACKS MONTEREY PARK, CA 91755 799655C39 SOILS ENGINEER APPROVAL ARCHITECT ENGIN TEL. 0: FOUNDATIONPRENCK FORMS LIC. NO: SSL B/U.NOER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: ONO: CLASS: NO 21 ROOF SHEATHING e-, 3 �l SCHOOL WITHIN HAZARDOUS R PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER ANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- I INSULATION/WEATHER STRIP SIDE PL- TN7�II1R L H LL EXTE—RIC1R LATH RATED rLOOR ASSEM. RATED WALL ASSEMBLIES S AF-Ts75n'WrFds- T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 e �z ]?�638A-w',E #803 3.69 I �I APPLICATION FOR BUILDING PERM( u • CPUNYY_ OF-LOS ANGELES BUILDING D / DEPARTMENT OF COUNTY ENGINEER ADDRESS �7 _ BUILDING AND SAFETY DIVISION LOCALITY J JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GRO TYPE C T. PR E r (PRINT OR TYPE ONLY) V G7 BUILDING nn\/��� STATISTICAL CLASSIFICATION SEWER MAP ? ADDRESS tf'�� (fF+�,JI(J CLASS N0. DWELL.UNITS BK� PG 113 LOT NO. BLOCK USE ZONE MAP NO. TRACT SPECIAL N0. OF BLDGS. CONDITIONS 512E OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM 7EL. FRONT PROP. LINE OF (STREET) OWNER � NO. TYPE OF EXISTING SETBACK HIGHWAY - YARD = TOTAL j� HI GHw AY WIDTH FROM C.L. ADORES /'� CITY ow - a ARCHITECT OR TEL. BLDG. TBACK FROM ENGINEER ) N0. S1DE PROP. LINE OF (STREET) 'TYPE OF EXISTMG SETBACK HIGHWAY i YARD = TOTAL ADDRESS `` ��jj HIGHWAY WIDTH FROM C.L. CONTRACTOR NO 6�JJ^1d�L ; a ADDRESS Q .�Q �p,(.t. LI0. C ✓s $ I CORNER CUTOFF YES ❑ NO ❑ 0 . O �NCLASS P> SEE REVERSE SIDq FOR SPECIAL PR V LSCITY CONLA NAME AND BRANCH V ILL, _ d ADDRESS (J ^ Z S0. FT. N0. OF N0. OF SIZE .'3 STORIES FAMILIES NEW ❑ USE OF _YyC A00 Y . i STRUCTURE W S ALTER ^� S/ / 4:✓/b 6{ REPAIR SIGNATURE OF DEMOL ❑ APPLICANT VALUATION S LC7 w — APPROVALS DAT IN L .R's c roec PMTFOUNDATION: LOCATION ,{ FEE $ FEE $ A .' O FORMS MATERIALS U I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS FRAME: FIRE STOPS, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING UC- GAS VENT DUCTS TION. HEREBY CERTIFY THAT IN GOING THE WORK AUTHORIZED HEREBY 'NILE NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OA A IN RELATING TO WORKMEN'S COM- PENSATION INSNRATH, E%T. SIGHOUSE NUMBER CORRECT PERMITTEEAND POSTEDAODRESg FINAL JOHN F. LEWIS, PRINCIPAL ST15RPSJURAL ENGINEER PLAN CHECK VALIDATION c, M.O. CASK PERMIT VALIDATION CK. r.I.o. eASK � pr.13483JiM27®�1 A 2 2.5 0 DEPARTMENT OF COUNTY ENGINM `bMSION OF WELDING AND SAFETY 4 COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER APPLICATION l! CASSATT D. GRIFFIN. SUPT of BUILDING �I FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUMS UILDING- t �/ DISTRICT NO. PUN CK.OR REc.No. PERMIT NO. ADDRESS O4 ��/�i�D�'U.��y. 4IP 410 3 �' 7G / .LOCALITY �Q („/ ( (� RECEIVED BY% DAT FAP L. DATE ISSUED NEAREST 1 CROSS 9T. IAI-e.. / BUILDINGOS 20T'DWY S #A 0 n G' a N ADDRESS OWNER ADDRMAILESS O S c Q LOCALITY CITY _T 0 /P r) NEAREST fit•T _•. t TEOL. - b l CROSS ST.GO GDE.�/ �V / ARCHITECT OR TEL 2S ZONE i_ I PLANS TYPE GROUP ENGINEER NO. LA ADDRESS SETBACK LINE `O TEL. �(�/ S USE _ APPROVED 'C c ��• CONTRACTOR �• u O'D�QY NOMI .V'1�©'Jj ZONE BY DATE /.V � ADDRESS 31 7 U Oe Nl a de h HOUSE NUMBERING LEGAL MAP NUMBER2-go®? NO. ASSIGNED BY DESCR PTION LOT NO. BLOCK TResT r 6 6 a S o •` 2 m 7 le _ CORRECTI NS Pla ... 662- 9 912E OF LOT ,� NOW ON LOT$ ' G &_ Y f{o �s USE OF NO. OF I ••� EXISTING BLDG. e S . I FAM OF EXISTING - DESCRIPTION OF WORK - I p NEW (� ALTERATION �� ADDITION Z G GuT /ALO dCI / ��/C�i/J�u' y REPAIR DEMOLITION _ / SO. FT. '7 NO. OF (� ' //JjS� l/�Z.V.+`• r SIZE /✓ ROOMS J STORIES T EXT. WALL [•1 ROOF COVERING S-FIA KC O I COVERING aV1 l / Kt:). UBE OF STRUCTURE �ez . ale/s G@ -- aP � S ro d ni 6GL e �� a + c 4 4, 4f Qa2- --/- 46F ( i — PROVALS f INSPECTOR'S SIGNATURE DATE • ` � Z6 41 ( FOUNDATION: LOCATION FORMS, MATERIALS \1, HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- s FRAME: FIRESTOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTSY�h� CORRECT. FURNACE: LOCATION. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAN VENT. CADUCTS AND ST TE LAWS REGU TING BUILDING CONSTRUCTION. 31GNATUR OF I• / �4/.SYdA n...�•L LATH, INT. A PERMITTQq LK ADDRE85 J ��• LATH. EXT. PLASTER. INT. � • �� AUTHORIZED AGT. �G /_'• / y1� _w_ PLASTER, EXT. (J $ �/l/ FEE $ d HOUSE NUMBER COR_ V FEE RECi ANO POSTED VALUATION FEE 6 /p�� FINAL Yom/ TGA"" 0863 E-E2 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 0404200016 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SO. FT STORIES TYPE 9705 BROADWAY STRUCTURE: 1600 VN TEMP CA 917803213 ASSESSOR FORMA ION N MBEP.: NEAREST CROSS STREET: TEMPLE CITY 8588-010-031 - THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED N: PROCESSED I SON: EXIST OCC GRP: 04/20/04 VG 04/15/05 OWNER: TEL. NO: BLUGS. NOW ON LOT: VALUATION- FINAL DATk FINAL BY: CODE- 9705 BROADWAY JERRY L (626) 309-1422- 4,000 A_ J 7/ I/ 9705 BROADWAY TT '��+ 7 TEMP 917803213 FEES PAID DESCRIPITIUN OF WORK T/O EXIST ROOF, RESHEAT AND INSTALL COMP SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 IAC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 4000.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. ND LOCATION AND SETBACKS 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: LMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/CONDO ST T CIASS: i NO 21 - ROOF SHEATHINGG�- SCHOOL WITHIN HAZARDOUS SHEAR 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- INT R OR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/C [ ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OT-90-NGS T-BAF. CEILINGS LOT DRAINAGE- REPORT GREPORT ID: DPR261 ROUTE TO: SS0508 WORKERS" COMPENSATION DECLARATION ' I hereby affirm that I hover certificate of consent to self /n� PPn �0�!�' 12 l�0OM [FOR �n 0 D0 MG PIER OlT insure, or a certificate of Workers' Compensation Insurance, �l� �rL l�y�/'y� u uv v �L u� �f�U u or'a certifi'ekl copy;lhereof (Sec.3800;Lab. C.) . COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING' ADDRESS ❑ Certified copy is filed with thecounty building inspec- BUILDING /gnu, L7�OA ✓�� - tiondeparini ADDRESS Date Applicant CITY c/n/0h' 17 ZIP /71705p0 LOCALITY / V CERTIFICATE OF EXEMPTION FROM WORKERS' No OF SIZE OF LOT .V a3 NOW ONLOT - CROSS ST. C COMPENSATION INSURANCE C-! (This section,need not be completed if the permit is for one TRACT BLOCK LOT NO, ASSESSOR _ hundred dollars ($100)or less.) 3� MAP BOOK PAGE PARCEL TEL' USE ZONE MAP r��'L`K/ I certify that in the performance of the work for which this OWNER C—d`R ,S pld�r/7y NO. "' 3Zf NO permit is issued, I shall not employ any person in any manner SPECIAL so as to become subject to the Wor ers' Compensation Laws. ADDRESS $ C .PO OC✓fi �� CONDITIONS. _ y Dote 3-y Applicant n ap�� CITY r r - zip 9/7J°O NOTICE TO APPLICANT: If, afte ki g this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER NO. CONST. ZONE Exemption, you should become subject tg the Workers- �`/�>79 Compensation provisions of the Labor Code, you must forth- ADDRESS ` c.'J ' with comply with such provisions or this permit shall be E . STATISTICAL CLASSIFIC TION APT. CONDO. deemed revoked. CONTRACTORS NO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO: DWELL. UNITS— LIC. hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO, SEWER MAP (commencing with Section 7000)of Division 3 of the Business and UC Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION } SQ. FT. NO. OF NO.OF CHECK d License Number Lic.Class SIZE STORIES FAMILIES. ONE 0 VALUATION U DESCRIPTION OF WORK ssG9%x I6 T/TC/�rN NEW Contractor DaleADD f D U 1 am exempt under Sec. �'f GSL`iJ ✓/� GrA/"+S R-;y T Cu=.d ALTER tbl W B.BP.C. for this reason G'.�YJ l i d F iivTrTtrL�XO.V6V .. `•AIR f _ N Date: USE OF DEMOL EXISTING BLDG, ❑ z .Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO, DATE I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS FINAL Prqfessions Code): PRESENT BUILDING BY I, as owner of the property, or my employees with ADDRESS /IpW�`1 wages as their sole compensation, will do.the work and the structure is not intended or offered for sale(Section LOCALITY / i ' _ 7044, Business and Professions Code). MOVING TEL. D / y TTF'i7 TRACTOR NO. ...--/// I, as owner of the property, am exclusively contracting CONryTlry=al .. with licensed contractors to construct the project (Sec- t` t"`= tion 7044, Business and Professions Code). ADDRESS CAS i 4i:_0 REQUIRED TOTAL SETBACK `I CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTHt: ,I II �:�. I hereby affirm that there is a construction lending agency for FRONT - CHANGE the performance of the work for which this permit is issued Pl. (Sec. 3097, Ci, C.). SIDE _ P.L, J I !.N; Lender's Name - M.; 7 Q LDMA R.I. If I]4=7 1 $� 7=-r; m P.C. Fee E Permit Fee, 1D Lender's Address 3 I certify that I have read this application and stole that the Issuance Fee � O LDMA P/C N above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws retailing to building construction, Told l Fee LDMA Perm. N and hereby authorize representatives of this County to enter upthe above-mentioned property for inspection purposes. EEE REVERSE FOR EXPLANATORY LANGUAGE Sig fare of Applicant or Agent Date