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Home My Public Portal About9723 BROADWAY_Building__ 1 11 TBA698pti Bj9.9,66 - ' APPLICATION FOR BUILDING PERMIT DIVISION OF BUILDING AND SAFETY BUILDADDREIBe NG 27-Z,3 "OAP k14 L Department of County Engineer County of Los Angeles LOCALITY 7 1--f/0L-'T WM.J. FOX, COUNTY ENGINEER NEAREST Goy ar CASSATT D. GRIFFIN, SUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN r K PG �j 'J / / •' ' -. 'r p�/ ICONST ADDREBUILD'SS_ /2J f 3 'YUCLG'I w Q/ NUMBER ER PN O� o STATE y66 NO i HWY. t}t'.4T �j�.�BLOCK USEZONE CONDITIONS ONS TRACT 'e J Q / GY t' 4 , ..4 C+" SIZE OF LOT' [ y / I NO. OF BLOTS. )I/V U I BUILDING YARD HWY STREET NAME EXIS _F P NOW ON LOT TSETBACK WIDTH MST. USE OF EXISTING BLDG. FRONT L OWNER `-..—e -P� SIDE / O P. L. MAILADDRESS O W ilal V TRACT DWELL. 1 UNIT 5 INDUSTRIAL TEL. y[LC 1,I DWELL. i UNIT 8 PUBLIC BLDG. CITY NO. `T/ ARCHITECT OR TEL. 2 DUPLEX i UNIT .7 ADDN..ALT.. ETC. ENGINEER NO. 3 APT. _UNITS $ MISCEL. ` ADDRESS �T 4 COMMERCIAL fS/CCi1ti7k N D�{1,f'f No'C INSPECTION RECORD ADDRESS I:I4'14 4 -4LdsK 1_IIVA rAr--. DESCRIPTION OF WORK Co Li. t A�otsc ��.til IL St" NEW ADD ALTER REPAIR DEMOLISH 1r� CO KA 6L.III IT-F •�R- SO. FT. NO. OF / NO. OF (� !� r SIZE STORIES ` FAMILIES / tALSpQ U EOF TUR - 10 1 1.: 7 lLl4. 9 a 4,t1 Pl�eh •C�o L, V �L�L1ee e_�. is SIGNATURE OF 1(p1I II APPLICANT -APPROVALS ADDRESS DATE 1 NSPkCTOnR'S SIGNATURE P. C. $ FOFORMSTION: LOCAT M TERIALSION �I.5� I LL 1, FEE �� F BRACING,BOLTTSB S YIAS(� J\_j A�- �- VALUATION ([ FEE -7 FURNACE: LOCATION. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS -GAS VENT, DUCTS ' 1 APPLICATION AND STATE THAT THE ABOVE IS CORRECT rI AND AGREE TO COMPLY WITH ALL CO TY ORDINANCES LATH. INT. AND STATE LAWS EGULATING B ING CONSTRUC- TION. LATH. EXT. 1 11 SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED 't/ Y ADDRESS FINAL p WM.J. FOX, COUNTY ENGINEER VALIDATION C.N. DIRLAM.CHIEF BLDG. INSPECTOR L, l o u.o `� 3 F,R 17 1 5 1 7.0 0 ^ ': � FEB 23 1 3 4.0 0 " OAD (/ � F , - . FEPh17 ;S REQUIRED FOR AN( JAl <LOOR WORK - - ��• y ONE IN THE ROAD RIGHT OF WAY. 74.4l.A .OllCAPL A'T�ION FOR BUILDING PERMIT �. - • �. COUNTY OF LOS ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER ADpREss BUILDING AND SAFETY DIVISION LocwuTY JOHN A. LAMBIE, COUNTY ENGINEER :NEAREST WILLIA M A. JENSEN SUPT OF BUIL)ING - CROSS ST. - DISTRICYN OUP TYPE P BY FOR APPLICANT TO FILL IN ,3 I Q �d4 CONST. BUILDING y- STATISTICAL CLASSIFICATION I SEWER MAP ADDRESS ' G CLASS.NO.` DWELL.UNITS — .LOT NO. ^>r •1" BLOCK MAPF'1 BQ H ATE YES NO NUMBER >C TRACT t E SPECIAL ' NO.OF BLDGS. / CONDITIONS SIZE OF LOT NOW ON LOT. '� � 0 USE OF EXISTING BLDG. BUILDING YARDETBAC . HWY RE NAME EXIST:. OWNER XI v�VLS.S 6r NO,• SFRONTK _ I -WIgDTH ADDRESS �/ / LPi 2/ QA'isA��,u�/ SIDE ARCHITECT OR TELt�— ENGINEER NO. INSPECTION RECORD ADDRESS - I� TEL QI CONTRACTOR S^ OL NO. O ADDRESS isQel V,- �0 V DESCRIPTION OF WORK �tD T E.. F ( KIEW` ADD ALTER REPAIR DEMOLISH W Z NO,OF NO.OF i M SIZE / J jC,�s STORIES FAMILIES - �NUSE OF, y STRUCTURE "- �Cv e SIGNATURE OF / APPLICANT - VALUATION$ �OaC*k • APPROVALS DATE INSPECTOR'S SIGNATURE ` P.G dV RMT. 71 FOUNDATION: LOCATION �_/_ �•O SGS'�1 FEE $ r FEE $ (J FORMS.MATERIALS F FRAME:FIRE STOPS,_ - iHEREBY ACKNOWLEDGE THAT l 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 1 LATH, INT. ' WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION W OF ALIFORNIA. LATH, EXT. _ SIGNATURE OF HOUSE NUMBER COR- .. PERMI] BE RECT AND POSTED ADDRESS - FINAL �"' RYA �JI7/Yi'0./AFL/i1 CLYDE N. DIRLAM, PRINCIPAL ST CTUR L ENGINEER PLAN CHECK VALIDATION cK. M.O. .usH PERMIT VALIDATIO CK, M.O. CA H L iu�2 9 6 8_ ;iota 7-y 2 3 D 3 .0 J { v0 2..3.6`9 iid ?r) 1 D' i .lJ `t COUNTY OF LOS ANGELES-. BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION - FOR APPLICANT TO FILL IN BUILDING ADDREss I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS �+ 3 or a certificate of Workers' Compensation Insurance, or a certified G On0WA copy thereof(Sec.3800, Lab.C.) CITY IP 2� _�_ �..�l YY�� -7 ' LOCALITY ' Policy NO. Company�/+--r� "'WV SIZE OF LOT' N0.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS S S]Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. !! department. USE ZONE MAP NO: Date -2-2-ti Applicant ASSESSOR MAP BOOK PAGE PARCEL 8 6 (0!)a S SPECIAL CONDITIONS -gsCERTIFICATE OF EXEMPTION FROM•WORKERS' OWNER . TEL No COMPENSATION INSURANCE me•FMK &)q0 '4 /cR 2?J'-11 SSS WITHIN 1000 FT.OF SCHOOL? ves No (This section need not be completed if the permit is for one hundred ADDRESS, dollars ($100)or less.) CITY DISTRICT GROUP TYPE ONST. FIRE ZONE PROCESSED BY ZIP 4- -� ARCHITECT OR ENGINEER TEL NO I certify that in the performance of the work for which this permit �j is issued, I shall not employ any person in any manner so as to �Qa & �rL become subject to the Workers'Compensation Laws. . STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.TL/S DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of REQUIREDTOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR �! TEL NO SET BACK YARD HWV PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith t o0-FS 2 8�"L ! I Q FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO, PL LICENSED CONTRACTORS DECLARATION ) E 3 S'29-3S SIDE CITY LIC CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 M _I �•-- SEWER MAP ' (commencing with Section 7000)of Division 3 Of the Business and SO.FT.SIZE NO.OF ST RIES NO.OF FAMILIES Professions Code,and my license is in full forceand effect. ,. pb NEW ❑ BK PG D } Q o_ License Number 29 3�� Lic. Class ti • DESCRIPTION OF WORK ADD 7] r0 Q ContractorCU9S SiC Ii Date a g ob2f 30ye- C-Omii ALTER El $ ` S�Q U cc L Lf4 — le V-CS - 96 o'VS REPAIR El $ 0 ❑ I am exempt under Sec. 8.8 P.C. for this reason pL.<6p p-I I s E EMOL ❑ �LOMA PIC x W Date: USE OF EXISTING BLDG. URM ❑ a CO Signature APPLICANT(PRINT TEL N0. LOMA Perm k 1 Z 11I, as owner of e property, or my employees with wages as S Z their sole compensation, will do the work and the structure is ADDRESS O H'A. •T not intended Or offered for sale (Section 7044, Business and FINAL DATE Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE M ❑ 1, en owner Of the property, am the project contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BYY i I ti 1 licensed contractors to construct the project (Section 7044, _. Business and Professions Code.) ves❑ No❑ I U7AL134 - 25 WILL THE INTENDED USE OF THE BUIOUNG BY THE APPUCANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK 134.2CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT AI SEE PERMITTING CHECKLIST FOR . GUIDELINES - I hereby affirm that there is a construction lending agency for YES LI No El CHANGE •131, the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATIONGUIDE AND THE SCAOMD PERMITTING 3097,CIV,C.) CHECKLIST,I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2,20.140 CONCERNING HAZARDOUS ,' T 3 Lenders Name MATERIALS REPORTING AND FOR OBTAINING APERMIT FROM THE SCAOMD. 01010 J-i SOhI f rl)1 i 1153 $ Lender's Address isNrF aR XsHm iju_f I AM 9:1J 0 oI certify that I have read this application and state under penalty o P.C.FEE PERMIT FEE /D n of perjury that the above information is correct.I agree to comply OY � with all county ordinances and State laws relating to building construction, and hereby authorize representatives of,this County ISSUANCE FEE to ant on the above-menOti d property for inspection purposes. r ��w.acyC. INVESTIGATION FEE TOTAL FEV /1 i] SEE REVERSE FOR EXPLANATORY LANGUAGE ` COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1205070014 PHONE: (626) 285-0488 EXT: LEGALON ID: NO. OF CONST BUILDING ADDRESS: SQ. FT STORIES TYPE 9723 BROADWAY ISTRUCTURE: V-B TEMP CA 917803213 1ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: 8588-010-025 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 105/07/12 SR OWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE I : 1 WONDERFUL INVESTMENT INC. (626) 512-5863- 200 1 �}�� 177 W. LAS TUNAS DR_ 1 u -2 zrp 1ARCADIA, CA 91007 FEES PAID IDESCRIPTION OF WORK (ENCLOSED WALL BETWEEN GARAG AND BEDROOM (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.80 IAB STATE GREEN BLDG FEE 200.00 VAL 1.00 (SPECIAL CONDITIONS: IAC STRONG MOTION REBID 200.00 VAL, 0.50 ID2 PERMIT W/O EN-HC 200.00 VAL 43.70 TOTAL FEES 73.00 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO I ILGcn.TION AND SETBACKS I I I I 1 ISOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS LIC. NO. (SLAB/UNDER FLOOR I I I I I (RAISED FLOOR FRAMING I I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I147H269 3 001 I I I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I 0 NO 21 1 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION (FIRE SPRINKLER HANGERS I INBULAT ION/WEATHER STRIP( IINTERIOR LATH/DRYWALL (EXTERIOR LATH 1 II I 1RATED FLOOR/CEIL ASSEM. I I I (RATED WALL ASSEMBLIES I I ( RATED SHAFTS/OPENINGS IIT-HAA CEILINGS I I I ILOT DRAINAGE 1REPORT ID: OPR261 ROUTE T0: BS 0508 ' COUNTY OF LOS ANGELES TEMPLE CITY M 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1204250068 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE - SQ. FT STORIES TYPE 9723 BROADWAY ISTRUCTURE: V-B I TEMP CA 917803213 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18588-010-025 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 104/25/12 SR (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION IFINAL DATE FINAL Y: CODE: WONDERFUL INVESTMENT INC. (626) 512-5863- 2,500 V �r �4 77 W. LAS TUNAS DR. ARCADIA, CA 91007 FEES PAID (DESCRIPTION OF WORK REPLACE 7 WINDOWS IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( 1APPLICANT: TEL. NO: SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 IAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 (SPECIAL CONDITIONS: IAC STRONG MOTION RESID 2500.00 VAL 0.50 ID2 PERMIT W/O EN-HC 2500.00 VAL 99.00 TOTAL FEES 128.30 CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE J SAME AS OWNER - LIC. NO (LOCATION AND SETBACKS I (SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0. FOUNDATION/TRENCH FORMS 1 LIC. N0: 1 (SLAB/UNDER FLOOR RAISED FLOOR FRAMING NAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I UNDERFLOOR INSULATION 1147H269 3 001 I I FLOOR SHEATHING I I I IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 0 NO 21 1 IROOF SHEATHING I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS HAIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION I (FIRE SPRINKLER HANGERS I I I I I INSULATION/WEATHER STRIP( 11NTERIOR LATH/DRYWALL I IEXTERIOR LATH I I I RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES 1 i 11 RATED SFIAFTS/OPENINGS I I T-BAR CEILINGS I I I ILOT DRAINAGE I I I REPORT ID: DPR261 ROUTE T0: 850508 ' COUNTY OF LOS ANGELES TEMPLE CITY 1 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 BL 0508 1203290032 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9923 BROADWAY (STRUCTURE: V-B TEMP CA 917803213 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18588-010-025 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, CI (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 103/29/12 SR I I I A N: IOWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: F�NAL D � RAI: CODE: WONDERFUL INVESTMENT INC. (626) 512-5863- ON: 77 W. LAS TUNAS OR. JARCADIA, CA 91007 FEES PAID IDESCRIPTION OF WORK I REMODEL KITCHEN, REMODEL FULL BATHROOM, 3/4 BATHROOM, REPLAC FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IE 2 WINDOWS, 1 SLIDING DOOR, FRONT DOOR AND GARAGE DOOR 1APPLICANT: TEL. NO: SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27,80 1 IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 (SPECIAL CONDITIONS: IAC STRONG MOTION RESID 5000.00 VAL 0.50 IB2 PERMIT W/ENERGY 5000.00 VAL 145.90 IFR INV WORK W/O PERMIT 342.20 DOL 342.20 CONTRACTOR: TEL. NO: TOTAL FEES 517.40 (APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - LIC. NO (LOCATION AND SETBACKS 1 II II SOILS ENGINEERi APPROVAL I I 1ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS I LIC. NO: (SLAB/UNDER FLOOR (RAISED FLOOR FRAMING (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I147H269 3 001 I I IFLOOR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 0 NO 21 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS I 1SHEAR PANELS I I 1AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION (FIRE SPRINKLER HANGERS .. . •11NSULATION/WEATHER STRIPII I I IINTERIOR LATH/DRYWALL EXTERIOR LATH 1 RATED FLOOR/CEIL ASSEM 1 1 (RATED WALL ASSEMBLIES 1 I 1 I (RATED SHAFTS/OPENINGS _- T-BAR CEILINGS I I I ILOT DRAINAGE (REPORT ID: DPR261 ROUTE T0: 850508 I I I I I I