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
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(RATED WALL ASSEMBLIES
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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