Loading...
HomeMy Public PortalAbout9716 BROADWAY_Building__ �I......Eo APPLICATION FOR BUILDING PERMIT �. COUNTY OF LOS ANGELES BUI BINS 7/ ( �. / o ac�Nd DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY ` P ci c -4 t JOHN A. LAMBIE. COUNTY ENGINEER NEAREST / WILLIAM A. JENSEN BUP•i on BOILOIUG CROSS ST. 6 FOR APPLICANT TO FILL IN DISTRICT NO. GR IJP' TYPE P OCESSED BY '�'.• Q CONST.!- Iy BUILDING o / STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ( 7/4P Or-6ckl4y 4PG . of CLASS. NO.9 DWELL.UNITS I l.�- LOT NOBLOCK MAP ��// ( STATE YES NO c•c �/ NUMBER '76 G HWY. TRACT J/.I/�^�' 1/ (Z w' Cres USEZONE SPECIAL SIZE OF LOT Gy X� YDj NO.OF SLOGS. �I II CONDITIONS NOW ON LOT' USE OF EXISTING BLDG. BUILDINGEXIST. TEL. -/' SETBACK YARD HWY STREETNAME WIDTH OWNER /) NO. FRONT 1�� P. L. ✓ ADDRESS SIDE ARCHITECT OR p CT ENGINEER yI Y'0 I\ J X71+ N0. 6�y� •p INSPECTION RECO ADDRESS / 6 u 7 6v w �. CONTRACTOR /"I hb IsY/J ADDRESS 7 �' PO2O�Oi/a- U DESCRIPTION OF WOAK .P 4 A e—.E a.K 0 O NEW ADD ALTER REPAIR DEMOLISH U SO Fl D cf I NO.OF NO.OF H-D/pS �� �a � L4 D STORIES FAMILIES y SUSE OF TRUCTURE Paft ac,� ' - �' �_, C BY!?s'�- 7'E /•.z.��0� 7u SIGNATURE OF �h-OL•I.C�J -/U ^' APPLICANT [[" VALUATION dO _ APPROVALS GATE INSPECTOR'S SIGNATURE P.C. PMT.53 �O FOUNDATION: LOCATION FEE S FEE _FORMS.MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- BRACING BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, - AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT, DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH. INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS OF LIPDRNIA. LATH, EXT. SIGNATURE OFi - ��.<J HOUSE NUMBER COR- PERMITTEF RECT AND POSTED ADDRESS FINAL .CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN PLAN OMCS VALIDATION CK. M.O. c 14 PERMIT VALIDATION CK. M.O. CASH L r11�cJ 7 ais 2 n 11Uu � 0 1. D � S:.( t} r, ®. E FI fl U LED U 1"�17 Q ADDRESS I'�u+(l U ILIJ IIlJ1�4VVII ('�vie,\I ADDRE59 APPLICATION LOCALITY P v. /e 0_1-1-w DIVISION OF BUILDING AND SAFETY NEAREST �( y 1 Department of County Engineer DISTRICT NO. ' RECEIPT NO. PERMIT NO. County of Los Angeles T— 5 3 9—ZC/ WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CA'SATT D. GRIFFIN, SUPT OF SU1401NO 5-13 T� FOR APPLICANT TO FILL IN TYPE T. RECEIVED BY ISSUED BY OWNER tiF\ STATE MAIL / L /��•. NUMBER 2��a HWYE D ADDRESS [ v ` Rr_ 0.� USEZONE SPECIAL /� D TEL / �/ CONDITIONS, CIN6O /� \' V'`/ ND. .7. 4 5-36s � _ ARCHITECT OR TEL. ENGINEER NO, BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS ^ FRONT LOr I TEL. P. CONTRACTOR � `P ND. SIDE P.L. ADDRESS BUILDING 7 ` e� DATE CORRECTIONS INSPECTOR ADDRESS 4 bra ® ( .� "t LOT NO. 37 BLOCK 1 F.?wiT� �• .4!G/J tr-E1 TRACT I / O N 1 P NO.OF SLOGS. L-'�F.Vz�L' 'iflAA RaJ.LT-- -..iiY.✓ SIZE CF LOT O D I NOW ON LOT ^ USE OF EXISTING BLDG. IMP I DESCRIPTION OF WORK ! a_ NEW ADD ALTER REPAIR DEMOLISH Z SG. FT. NO. OF NC.OF r SIZE .� 1 'TORICS FAMILIES USE OF STRUCTURE �vh 4 W ca l 5 sspa� o t= V-r Y 'f t 1'n. OY C` k C:7� C�Cll cl �O[ \ S��IV�r W� OIIINf� NO. DF EMPLOYEES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 19 APPROVALB INSPECTOR'S SIGNATURE DATE CORRECT. I AGREE TO COMPLY WITH ALL COUAIIPDINATNCFOUNDATION: LOCATION AND STATE LAWS REGULAnTINf3 BUILDING CONSTRUCTION. FORMS,MATERIALS W ��rFRAME: FIRE STOPS, BIGNATURE OF BRACING,BOLTS PERMITTEE FURNACE: LOCATION, ADDRESS GAS VENT, DUCTS LATH. INT. AUTHORIZED AST. LATH. EXT. HOUSE NUMBER COR- FEE RECT AND POSTED VALUATION S /' OO FEE �O�• FINAL Gl J 76A63BA DBS 3 12-53 ' DIVISION OF BUILDING AND SAFETY p ,p Department of County Engineer F� IlV County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN MW I FOR OFFICE USE ONLY D IBTRIDT ND. PUN Cc.OR Rau.No. PERMIT NO. R EIVED BY DATE OF APPL. DATE ISSUED LOCALITY 2 W1 I/ 0 %+%qr u.t�v S l— `M 9T NEAREST T� �� !� �1 ' 4 G V� BUILDING CR099 . 1 c 1 Q I rj/ W a I fie Y ADDREBO / / i// q,4Q 1/ OWNER I. LOCALITY MAIL `d 71 a vj Q NEAR BY ADDRESS 1 H 3i TEL � CRD9S ST. .t CITY Tz( _ 1 NO. FIRE I NO. OF /TYPE GROUP ARCHITECT OR /� TEL ZONE r- PLANE �- E11GIlIEER ('/W�'p �/ N0. BLOB. ORO. NO. SETBACK LINE ADDRESS UBEAPPROVED CONTRACTOR N- ZONE/V� BY DATE w� � � NO. � HOUSE NUMBERING ADDRESS F MAP NUMBER NO. ASSIGNED BY LEGAL _ DESCRIPTI/ON LOT NO. � BLOCK CORRECTIONS TRACT GAICSlOH 0-0PUl A YfQ s'X !.}� NO. OF BLDGO. SIZE OF LOT ! ^ NOW ON LOT USE OF N0. OF EXISTING SLOG. r l -tby� e FAMI Lite DESCRIPTION OF WORK n a_ NEW ALTERATION ADDITION Z D r REPAIR DEMOLITION 9 ZE �� RO 60mrs STORIW I EXT.WALL ROOF 1� COVERING 1 I HOVERING SA,VI e1 USE OF STRUCTURE 6a ,rnae INSPECTION FOR APPROVALS GCCUPANCYAS - INSPECTOR'S SIGNATUR E DATE FOUNDATION: LOCATION FARMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAME: FIRE STOPS, L,p CORRECT. BRACING, BOLTS I✓�. --- �/T, I AGREE FUR TO COMPLY WITH ALL COUNTY ORDINANCES LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. pN VENT, DUCTS SIGNATURE OF W 'A LATH, INT. PERMIURE /WWWW/���/���///��� „� ��,1 I III///��� ADDRESS I 1 1� l ICY OOIWN/ G� PATH, EXT. PLASTER, INT. AUTHORIZED AUT. PLASTER. EXT. FEE HOUSE NUMBER COR- //"� RECT AND POSTED VALUATION FEC Gtr �- FINALP/.-r<�• (� y 353 96A63BA DBB3 1-52 �� / JDEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ' -COUNTY OF LOS ANGELES BUILDING W.M. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING ,$ DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS T 33 7 p 7Z 310 RECEIVED BY DATE OF APP". DATEISSUED LOCALITY NEAREST CROSS ST. BUILDING ADDRESS OWNER MAIL LOCALITY ADDRESS NEAREST �L ' L P TEL. CROSS BT. / �/ CITY NO. FIRE NO. OF TYPE GROUP ARCHITECTOR TEL. ZONE PLANS _ ENGINEER NO. BLDG. / OR SETBACKLINE ADDRESS APPROVED TEL BY DATE CONTRACTOR NO. USE APPROVED ZONE BY DATE ADDRESS - HOUSE NUMBERING LEGAL DESCRIPTION LOT NO. - I BLOCK MAP NUMBER__; FIELD CHECK BY TRACT NO. ASSIGNED BY G.31 AT No. OF SLOGS. CORRECTIONS SIZE OF LOT NOW ON LOT USE OF NO. OF EXISTING BLDG. FAN1ues DESCRIMION OF WORK NEW I I ALTERATION I I ADDITION O REPAIR DEMOLITION I m SQ. FT. NO. OF `I D SIZE ROOMS STORIES / zavr D EXT. WALL ROOF T' COVERING ( COVERING / S SL vFo USE OF STRUCTURE APPROVALS INBPECTO SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRESTOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS y < LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, ,./6. i s• SIGNATUREOF GAS VENT, DUCTS PERMITTER LATH. INT, ADDRESS LATH, EXT. G •r AUTHORIZED AGT. PLASTER, INT. T6wl8lw DB98 fOW S P. C. $ TQ O FEE PLASTL ER, EXT. VALUATION lOO $ FEE 3 FINA l WORKERS'COMPENSATION DECLARATION V30 Q "` "" 3 in ureboracertif cote of WorkersrtComipensaton eInsural tonelf �°- ppdOC� ,IMH FOR URDONG PERM57 o certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY yNo.IV83-225154npanyFremont Indemnity �y / n Certified co is hereby furnished: _ ADDRESS q / G � E {Rwc& �Z/ M Pv v FOR APPLICANT TO FILL IN c ® Certified copy is filed.with the county building inspec- BUILDING Mr)dtr l ( L .tion department. _ 'ADDRESS 9716E BroadWa 1 r�1 LOCALITY T c NEAREST Date 11/28/83 Applicant Virgin RoofCo. CITY Temple t ZIP _ CROSS ST. G- CERTIFICATE OF EXEMPTION FROM WORKERS' t /' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT Lp Te ® NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one vO 7 $ USE ZONE MAP - hundred dollars ($100)bTEL r less.) TRACT Of BLOCK LDT. NO. ZO . � SPECIAL Y I certify that in.the performance of the work for which this OWNER NO. CONDITIONS 11 T permit is issued, I shall not employ any person in any manner ADDRESS 716 $ dW GROUP CYPEONST. ZONE V FIRE PROCESSED BY 0 so as to become subject to the Workers'Compensation Laws. Date Applicant O � CITY Temple City ZIP W 3 � O = STATISTICAL CLASSIFICATION APT. CONDO. h NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL, W Exemption, you should become subject to the Workers' ENGINEER NO, C1A55 NO.�DWELL. UNITS_ A Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions or this permit shall be TEL Z deemed revoked. CONTRACTOR Virgin Roof CO. NO.287-0507 BK. FPG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 160650 VALUATION (commencing with Section 7000)of Division 3 of the Business and UC Professions Code, and my license is in full force and effect. CITY San Gabriel CLASS C39 $990.00 D 50. FT. NO. OF NO.OF CHECK License Number 160650 Lic.Class C39 SIZE STORIES FAMILIES ONE Contractor Virgin ROOF CO. pate. 11/28/83 I DESCRIPTION OF WORK — NEW ❑ $ ❑ am exempt under Sac ADD 2206 C1896 A Fiberglass ALTER ❑ FINAL ® B.BP.C. for this reason comp. shingles. (8 Sq$) REPAIR DATE Date: USE OF ❑ FINAL AZS S EXISTING BLDG. Garage b C8 O DEMOL APPLICRINTANT Virgin Roof CO. 287-0507 TEL Y Signature - P - . NO OWNER-BUILDER DECLARATION /!, hereby affirm that I exempt from the Contractor's License D `�• Law for the followingg r reason (Section 7031.5, Business and ADDRESS P. O. BOX J, San Gabriel 'Professions Code): - PRESENT ❑ BUILDING _ :—07 6 4L 3 A I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' e a . e o the structure is not intended or offered for sale(Section LOCALITY r 7044, Business and Professions Code). MOVING TEL. 2 ^ ° 3 0.i 0 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the, ro ect Sec- - c o 30,505 tion 7044, Business and Professions Code)P 1 ( ADDRESS REQUIRED YARD HWV TOTAL SETBACK FROM EXIST. D ( ? 0 5-83 CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE w1DrH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.I. Lender's Name Lender's Address P.C.Fee$ Permit Fee $20.00 all I certify that I have read this application and state that the Issuance Fee 10.50 a above information is correct. I agree to comply with.all County Investigation Fee g ordi nces and State laws relating to building construction, Total Fee G and ereby authorize represen atives of this County to enter. _ up the above_mentio ed pro erty for inspection urposes. J,T Y3 SEE REVERSE FOR EXPLANATORY LANGUAGE ®s nature of A p icant or Agent Date 1 WORKERS'COMPENSATION DECLARATION hereby affirm that I havecertificate of consent to self aPPL0C A1rM - FOR o UOLO G PERNT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) CC20 �24-10632 Argonaut Ins . COUNTY OF LOS ANGELES BUILDING AND SAFETY Pobcy o. ompany Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDINGD / C ® Certified copy is filed with the county building inspec- BUILDING 7 tion department. ADDRESS 9.716 E . Broadway LOCALITY 11-1-84 Randol Roofing NEAREST Dote Applicant g CITY Tem' le Cit zip .91780 CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. - ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit isfor one USE ZONE MAP < hundred dollars ($100)or less.) TRACT BLOCK LOT NO. f_-, NO. Ir TEL. / I SPECIAL Y I certify that in the performance of the work for which this OWNER M Fon Smith No. 286-4409 CONDITIONS d permit is issued, I shall not employ any person in any manner - DISTRICT .GROUP TYPE FIRE PR ESS'D BY U so as to become subject to the Workers'Compensation Laws. ADDRESS 9 716 E . Broadway CONST. ZONE 6-27-84 Ran'dolp Roofing CITY Temple - City zip - 91780 5 �3 �'� 3 O Date Applicant - STATISTICAL CLASSIFICATION APT. CONDO. 1•— ARCHIT NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER ORER _ TEL v ENGINENO. CLASS NO. DWELL. UNITS fL Exemption, you should become subject to the Workers' 4 Compensation provisions of the Labor Code, you must forth- ADDRESS — SEWER MAP N With comply with such provisions or this permit shall be / deemed revoked. - TEL' /3 VALIDATION CONTRACTOR Roofing No. 288-4040 BK, PG, LICENSED CONTRACTORS DECLARATION LIC. - I hereby affirm that l am licensed under provisions of Chapter 9 ADDRESS 529 E . Valle No. 451937 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY San Gabriel iel CLASS C—3 9 $ 1 0 3 3 0 0D SQ. FT: NO. OF NO. OF CHECK License Number d S T Q'2 7 -Lic.Class /`_7 A - SIZE STORIES FAMILIES ONE ControctorRandol Roofin�ote 6-27-84 DESCRIPTION Partial re-roof NEW ❑ $ — ( I am exempt under Sec. 'house with 3— l F�G & ADD Elp ALTER ❑ FINAL / I _ ® 9.8P.C. for this reason 240# shingles. � REPAIR DATE Date: USE OF ❑ FINAL EXISTING BLDG. SF'D - - DEMOL B Signature APPLICANT TEL. Y OWNER-BUILDER DECLARATION PRINT Randol Roof in N0288-40.40 I hereby affirm that I am exempt from the Contractor's License D Law for the following reason (Section 7031.5, Business and ADDRESS5 2 9 E . V a 11 e Sari G ab r i e 1 n Professions Code): PRE.,EN �9 2 5 5 7 A ❑ BUILDING I, as owner of the property, or my employees with ADDRESS # e e a a o wages as their sola compensation,will do the work and r t the structure is not intended or offered for sole(Section LOCALITY 2 -1- 49.88 7044, Business and Professions Code). MOVING - TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. o o o 49,886 with licensed contractors to construct the project (Sec- ADDRESS ' I 'tion 7044, Business and Professions Coda). 0-7. 06-8a REQUIRED .'TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FROM D - the performance of the work for which this permit is issued P.L. (Sec 3097, Civ. C.). SIDE Zo P7. .l. i Lender's Name . Lender's Address P.C. Fee$ u Permit Fee 39 . 3 8 I certify that I have read this application and state that the. Issuance Fee i in co above information is correct. I agree to comply with.all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 49 . 8.8 b and hereby authorize representatives of this.County to enter - - _ upon the above-mentioned property for inspection purposes. n CV•{f l co' cl' SEE REVERSE FOR EXPLANATORY LANGUAGE ���•666SignatLre of SAPFpliica�nt or Agent Date ®t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUII:UING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0503090055 PHONE: (626) 285-0488 EXT: DUPLICATE LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUR GROUP 9716 BROADWAY STRUCTURE: 0 1 VN R3 TEMP CA 917803212 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: TEMPLE CITY 6588-022-011 OTHER: 471 1 VN R3 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/14/05 JK 04/09/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA FINAL BY: CODE: KWAN, JOSEPH (310) 416-2566- 28,000 2 �- 9716 BROADWAY to TEMP 917803212 FEES PAID DESCRIPTION OF WORK REMODEL EXISTING BEDROOM W/2NEW BATHROOMS 6 CLOSET ADDING FEE DESCRIPTION: QUANTITY: NOM: AMOUNT: NEW DOORS FOR THE EXISTING HOUSE AND REPLACE 4 NEW WINDOWS APPLICANT: TEL. NO: FRONK (310) 416-2566- �BI PLANCHECK W/ENERGY 28000.00 VAL 477.40 9059 WOOLLEY ST IAA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 AC STRONG MOTION REBID 28000.00 VAL 2.80 B2 PERMIT W/ENERGY 28000.00 VAL 561.66 TOTAL FEES 1,069.61 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE P S REMODELING CORPORATION (626) 378-2761- 9059 WOOLLEY ST LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 754089B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL NO, FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 Oi 1ST .EJEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL /✓ ,,/�vC/ EXTERIOR LATH 9 C7 LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGF,LES 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 1205110016 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1 ON FILE SQ. FT STORIES TYPE 9716 BROADWAY ISTRUCTURE: 3200 V-B TEMP CA 917803212 IASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: 1 18588-022-011 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI I I I TENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 105/11/12 SR I I IOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: A' DATE FINAL BY: CODE: 1SWAN, JOE (626) 241-0092- 2 22,280 1F(�.N /7//(/(x7Hc\^t') 9716 BROADWAY ITEMP 917803212 FEES PAID C P ION OF WORK I IREMOVE AND REPLACE ROOF WITH ASHPHALT 30 YEAR COMPOSITION I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT:ISHINGLES, HOUSE (APPLICANT: TEL. NO: I I 1 IMETRO, RYAN (626) 463-7049- IAA BLDG PERMIT ISSUANCE 27.80 I 1 170 S LAKE AVE IAB STATE GREEN BLDG FEE 22280.00 VAL 1.00 ISPECIAL CONDITIONS: I PASADENA CA 91101 JAC STRONG MOTION RESID 22280.00 VAL 2.20 D2 PERMIT W/O EN-HC 22280.00 VA , 435.00 I _ TOTAL FEES 466.00 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE I (BEACH CITIES ROOFING- (949) 661-0147- 1 I 25775 PEDREGAL AVE LIC. NO ILOCATION AND SETBACKS I I I ISAN JUAN CAPRISTRANO CA 92675 697489 1 11 1 I ISOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL. NO: _ FOUNDATION/TRENCH FORMS I I _ I I I LSC. NO: ISLAB/UNDER FLOOR I I I I (RAISED FLOOR FRAMING IIMAP NO 14]H269 SEWER MAP BOOK: PAGE: FIRE ZONE: CMp: I 1UNDERFLOOR INSULATIO IN IFLOOR SHEATHING I I I IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 0 NO 21 IROOF SHEATHING 1 I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 1 AIR QUALITY: 1000 FEET MATERIALS NO NO NO (FRAME INSPECTION I I (FIRE SPRINKLER HANGERS I INSULATION/WEATHER STRIPI I I I I I 1 IINTERIOR LATH/DRYWALL 1 I IEXTERIOR LATHI I I I (RATED FLOOR/CEIL ASSEM. 1 (RATED WALL ASSEMBLIES I IRATE]) SHAFTS/OPENINGS I T-BAR CEILINGS I I I LOT DRAINAGE IREPORT ID: DPR261 ROUTE TO: BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1205110020 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9716 BROADWAY STRUCTURE: 3200 V-B TEMP CA 917803212 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18588-022-011 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI I (TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 11SSUED ON: PROCESSED BY: I IEXIST OCC GRP: 105/11/12 SR 10WNER: TEL. N0: 1BLDG5. NOW ON LOT: VALUATION: 1F AL DATE FINA,,,,,L,((((����B Y: CODE: I KWAN, JOE (626) 241-0092- 1 2 1,000 1 A DATE N 19716 BROADWAY YY 1 - Y � ITEMP 917803212 FEES PAID 1DDr RIPTION OF WORK REMOVE AND REPLACE ROOF WITH ASHPRAL 30 YEAR COMPOSITION IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ISHINGLES GARAGE I 1APPLICANT: TEL. NO: I I I IMETRO, RYAN (626) 463-7049- 1AA BLDG PERMIT ISSUANCE 27.80 1 I 170 S LAKE AVE AB STATE GREEN BLDG FEE 1000.00 VAL 1.00 ISPECIAL CONDITIONS: PASADENA CA 91101 1AC STRONG MOTION REBID 1000.00 VAL 0.50 ID2 PERMIT W/0 EN-HC 1000.00 VAL 65.40 TOTAL FEES 94.70 CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE IBEACH CITIES ROOFING` (949) 661-0147- 125775 PEDREGAL AVE LIC. NO (LOCATION AND SETBACKS SAN JEAN CAPRISTRANO CA 92675 697489 (SOILS ENGINEER APPROVAL I I 11 ARCHITECT OR ENGINEER: TEL. NO: 1 11 FOUNDATION/TRENCH FORMS I I I I I I I I LIC. NO: I 15LAB/UNDER FLOOR 11RAISED FLOOR FRAMING I 11MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 11 11 UNDERFLOOR INSULATION I 1147H269 3 001 1I 11 I (FLOOR SHEATHING INS. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 0 NO 21 1 1ROOF SHEATHING l SCHOOL WITHIN HAZARDOUS (SHEAR PANELS HAIR QUALITY: 1000 FEET MATERIALS NO NO NOFRAME INSPECTION I 11 I 11 11 I I (FIRE SPRINKLER HANGERS (INSULATION/WEATHER STRIPI (INTERIOR LATH/DRYWALL I IEXTERIOR LATH I I (RATED FLOOR/CEIL ASSEM. I I I (RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS I IT-PAR CEILINGS I _ (LOT DRAINAGE REPORT ID: DPR261 ROUTE T0: 850508 I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _ _ BL 0508 9811120046 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9716 BROADWAY STRUCTURE: VN TEMP CA 917803212 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD. 8588-022-011 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R- ISSUFD ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/12/98 UT 11/12/99 i OWNER: TEL. NO: BLOGS. NOW ON LOT: VALUATION: FINAL. DATEINAL BY: CODE: 9716H BROADWAY � MYRON ;MARIE E (818) 286-4409- 1 2,590 Z r2-lf�� � TEMP 917803212 FEES PAID DESCRI TIO OF WORK TEAR OFF AND REROOF W/ 1/2" CDX A(l) OWENS CORNING 25 YR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COMP SHINGLE APPL CAN E N0: RANDOL ROOFING (626) 288-4040- AA BLDG PERMIT ISSUANCE 27.75 529 E. VALLEY BLVD. AC STRONG MOTION RESID--X2590.00 VAL 0.50 SPECIAL CONDITIONS: SAN GABRIEL, CA D2 PERMIT W/O EN=HC— 2590:00 VAL 99.00 GELLTOTAL�UES 127.25 CONTRACTOR: TEL. NO: G5 ��✓A APPROVALS DATE INSPECTOR SIGNATURE RANDOL ROOFING AND CONSTRUCTION (626) 288-4040- 529 88-4040529 E. VALLEY BLVD LIC. NO LOCATION AND SETBACKS SAN GABRIEL, CA 91776 451937/B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: \,11 SLAB,NNDER FLOOR NJ RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMI': UNDEf:FLOOR INSULATION 147H269 3 01 L �i,��_..� '_�" __ `J FLOOR SHEATHING 90. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:`_ . NO 21 Q- �! c� �/ RODE SHEATHING SCHOOL WITHIN HAZARDOUS �l �� �,_. fit5 S14 EAI: PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST VBA. L �pQ� FIREiSPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SerVOce aha INSULATION/WEATHER STRIP SIDE PL- N EI:IOR LAS /DRYS EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508