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Home My Public Portal About9841 BROADWAY_Building__ Y 1 • /' d f 76A638A CE#8038-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS { BUILDING AND SAFETY DIVISION LOCALITY 611 JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRIC NO i�ftOU TYPE PR G b By FOR APPLICANT TO FILL IN / c.NST. / �� BUILDING - STATISTICAL CL FICATION SEWER MAP \ ADDRESS EB- P CLASS. NO. DW ELL. UNITS LOT NO. BLOCK WATER RTIFICATE: NOT REQUIRED RECEIVED CE TRACT 3 D,S MAP +HIGHWAY NO. OF TL DIGS NO. O�C.� ICIRCLEI STATE MAJOR SECOND, LOCAL SIZE OF LOT IN OON LOT € SPECIAL USE OF •� U ON CONDITIONS EXISTING BLDG. / �y{ TEL OWNER ( - NO. SU LDING EXIST, AA JJ SETBACK YARD HWY STREET NAME WIDTH ADDRESS rl Q& Q P FRONT ARCHITECT OR TEL, P. L. 'GIfZ(iG iJO ENGINEER NO. SIDE ADDRESS 0 TEL U CONTRACTOR NO. CC ADDRESS O DESCRIPTION OF WORK G IL E ADO ALTER REPAIR DEMOLISH WIZ q:FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OFR ` .TR SIGNATURE OF APPLICANT - VALUATION $30p APPROVALS SATE INSPECTOR'S SIGNATURE PM FOUNDATION: LOCATION FEE $ FEE $ ,�. p�L� FORMS, MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS C�✓� ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I GAS VENT. DUCTS BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK I \ AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE- OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. g SIGNATURE OFHOUSE NUMBER COR- PERMITTEE �I ,RECT AND POSTED ADDRESS / 6144912#m ` FINAL 11041,E i JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION CK. M o. GASH PERMIT VALIDATION CK. M,O. GASH C9 4 8 4e MAY29 ID 3.00- Q T'7"e ' 76A63AA-CF411035-65 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 98� .2�OAfl�/ DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY 7-F C , JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / �•--{ COLEMAN W. JE NKINS SUPT OF BUILDING CROSS ST.' �OZOp.v �•/ DISTRICT NO. GR TYPE l- PROCESSED BY FOR APPLICANT TO FILL IN S(/ CONST. BUILDING STATISTICAL C ASSIFICATION SEWER MAP ADDRESS Q D`L / C CL q55 NO.-DWELL UNITS BK 1'PG f LOT NO. / IF BLOCK USE ZONE MAP •tel if/� -GJ NO. (iVV TRACT _?qo SPECIALqrX ' NO. OF BLOCS. , �/ CONDITIONS SIZE OF LOT LJ JO NOW ON LOT USE OF ��++ Y ..'ST, NG L G. C E BLDG. SETBACK FROM fJ (' TEL FRONT PROP. LINE OF '" (STREET)' OWNER W JC OR 0.4 NO A&-41#67 TYPE OF EIISTING SETBACK HIGHWAY + YARD TOTAL ADDRESS 0.4D Fy HIGHWAY WIDTH FROM CL 'I— R . CITY hM-pZF Q 1T + Z / O = Z-a ARCHITECT OR TEL. BLDG. SETBACK FROM ENGINEER NO. 51DE PROP. LINE OF (STREET) TYPE OF 1'STING SETBACK HIGHWAY + YARD = TOTAL ADDRESS //', '' HIGHWAY WE FROM C.L. CONTRACTOR OWTEL. + =N1 O O LIC CORNER CUTOFF YES NO V ADDRESS NO LIC C CITY C LASS SEE REVERSE SIDE FOR SPECIAL APPROVALS 2 DESCRIPTION OF WORK w a N NEW ADD ALTER REPAIR DEMOLISH // Z SO.FT. / NO. OF NO. OF SIZE STORIES FAMILIES J�A\�/ USE OF //�� / IuT4 1 I[17l(/1/S STRUCTURE UMILY SIGNATURE OF APPLICANT GI ry. �_ S^� / �I'� Q'tA�•`M1ii� �' VALUATIONS OBJl ••• APPROVALS DATE - INSPfC R'S SIGNATURE a FOUNDATION, LOCATION - }i •N P.C. . PMT. (J FEE ry FEES FORMS, MATERIALS S FRAME, FIRE STOPS, ...f �/ HEREBY HATACKNOWLEDGE ABOV THAT HAVECORRECT READ THIS APPLICATION BRACING BOLTS •-��-�'� /IJLn ANO STATE Tg4T THE ABOVE IS CORRECT ANO AGREE E COMPLY FURNACE: LOCATION WITH ALL COUNTY CONSTRUCTION. .LACES AND STATE LAWS DOING REGULATING GAS VENT. DUCTS AUTHOR UILO RIZ D HEREBY I WILL CERTIFY THAT IN OOING TRE WORN MONO F TH HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA LATH. INT. �� /yj/ff j//�• TION OF THECOPE OF THE STATE CALIFORNIA RELAT- INC TO WORKMENEN5'S COMPENSATION INsuRANCNGF, LATH. EXT. G� • �/•(_��( SIGNATURE OF /^+ j�/ , / HOUSE NUMBER COR- PERMITTEE ` ••/I�• �!-+giGL��n•�/ RECT AND POSTED ADDRESS= � / 64LS/q JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION GN. M.P. CASH _ PERMIT VALIDATION CK. M.G CASH LAl o - 6 6 p- .UL 2 2 1D 8.0 0 APPLICATION FOR BUILDING PERMI;IT, COUNTY OF LOS ANGELES BUILDING AND SAFETY, FOR APPLICANT TWILL IN BUILDING ADDRESS G BUILDING ADDRESS Q.. - ... LOCALITY_ --f' NEAREST CITY77- PleZIP CROSSST. 7 NO.OF BLDGS ASSESSOR SIZEOFLOT 13J NOW ON LOT MAPBOOK PAGE PARCEL' TRACT �t) �~ BLOCK LOT NO. S DISTRICT GROUP ,CONTy EST, ZONFIREE PROC SSED BV �_ S uY 3-- 3 OWNER 3 �- STATISTICAL CLASSIFICATION' SEWER MAP 4G-CIADDRESS �. ' CLASS NO.�DW ELL.UNITS t G SKI 24G- Cl Ty TY I -' 'ZIP ARCHITECT OR TEL. VALUATION $ ENGINEER NO. - — - i .• ADDRESS_ _ _ BLDG.SETBACK FROM TEL' FRONT PROP.LINE OF - ISTREETI CONTRACTOR NO,�" " 0� -' TOTAL SETBACK FROM T EOF EXISTING LIC.. HIGHWAY + YARD = FRONT PROP.))LINE H16WAFY /WIDTH - ADDRESS NOLIC. .._ - Q CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF ISTREETI NAME AND BRANCH N .HIGHWAY + YARD = TOTAL SETBACK FROM I TVPEOF 1EXISTING Y. ADDRESS CITY SIDE PROP.LINE IHIGHWAYI WIDTH 0 u SO.FT/ NO.OF NO.OF CHECK - + _ p� SIZE • STORIES' - ' FAMILIES ONE " - 0 ❑ USE ZONE MAP DESCRIPTION OF WORK NEW- �T. NOSPECIAL . �JG ADD Cyt �/� �tlp- CONDITIONS RQ - N ALTER FINAL 37 /—?/ BY a REPAIRC] DATE .•JJ I o - ' USE OF ��/—� DEMOL LJ EXISTING BLDG. I"Y .. - _ . . ' Z - - APPLICANT TEL (' O IPRINTI p w N0.?JJf- BY(SIGN TUR .- Q 91 7.4 A HEREBY ACKNOWLEDTHAT I HAVE READ T APPLICATION AND STATE LY /# THAI THE ABOVE IS CORRSI AND AGREE TO COMPLY WITH ALL ORDINANCES /// AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE - S WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V L o o J 4.0 0 THE LABOR CODEOF THE STATE OF CALIFOR,NIA44 RELATING TO WORKMEN SCOM-. _ _ 2 - PENSATION INSURANCE.' ti q o o 0 3 4,0 0 V NATURE .• s. 0228—BO RMITj. �SGE . . ADDRESS G- �- - _ - - O E CITY L.'S�� NO.� . G _ Y P.C. Fee$ Permit Fee - > r IssuanceFee n __ II-�� 6 Totol Fee U _ _ _ _ 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 9906080044 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BU DI G ADDRESS: TR: 13805 LT: 15 SQ. FT STORIES TYPE 9841 BROADWAY STRUCTURE: 0 VN TEMP CA 917802634 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: GOLDEN WEST 8588-015-015 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED B : EXPIRES ON: EXIST OCC GRP: 06/08/99 UT �A 12/05/99 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINALB�1: CODE: INGRAM CHRISTOPHER M;DEBORAH J (626) 287-2436- 1 2,100 � 9841 BROADWAY TEMP 917802634 FEES PAID ESCRI TION OF WORK TEAR OFF AND RECOVER WITH 25 YR. COMP SHINGLE - FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID__--,2100.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O.EN'HC-- - --2100.00 VAL 99.00 CONTRACTOR: TEL. NO: �P�E LE STOT?p��A 127.25 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO r LOCATION AND SETBACKS ' SOILS ENGINEER APPROVAL vw f ARCHITECT OR ENGINEER: TEL. NO: // I ( OUNDATION/TRENC ORMS LIC. NO•!� -_ I I \ LAB/UNDER FLOOR RAISED FLOOR FRAMING M47H269 SEWER MAP BOOK: PAGE: FIRE ZONE: C'P01,J !;��II. 1 n I \fin \ �. UNDERFLOOR INSULATION - U '� 00FLOOR SHEATHING NO. OF FAMILIES: DWELLING NITS: APT/GOND: STAT CLASS:--_ - - - - --"'---" --- -- NO -NO 21 /, l 3 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS / �, rT / 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: C INSULATION WEATHER STRIP FRONT PL- / SIDE PL- INTERIOR - " �"'----� INT RIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508