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Home My Public Portal About9845 BROADWAY_Building__ l ....;.a Ex;..:i.o. APPLICATION FO BUILDING PERMIT COUNTY OF LOS ANGELES SUl'LDlNG DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY as a JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ,I A WILLIAM A. JENSEN SuwT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT �D.' GROUP TYPE ESSED BY � I �- I CONST. BUILDING v�� STATISTICAL CLASSIFICATION ER MAP ADDRESS 0 — _.&Kr' CLASS.NO. DWELL.UNITS, * LOT NO. BLOCK MAPNUMBERYES N & TRACT ' L-J USEZONE SPECIAL NO. OF SLOGS. 9 CONDITIONS SIZE OF LOT I NOW ON LOT I , USE OF EXISTINGB G. BUILDING YARD HWY STREET NAME EXIST. _ TEL. SETBACK WIDTH OWNER NO. FRONT ADDRESS 7 J SIDE ARCHITECTOR EL. P.L. ENGINEER O. INSPECTION RECO ADDRESS X.1 CONTRACT ,/ CJ ADDRESS % V DESCRIPTION 'OF WORK _ F NEW ADD ALTER REPAIR DEMOLISHo W SO.FT. NO.OF NO.OF Q1 SIZE STORIES FAMILIES ,. W USE OF STRUCTURE F7 SIGNATURE OF - APPLICANT VALUATION$ v 8 ,_, - " APPROVALS DATE INSPECTOR'SSIGRATURE P.C. c� PMT. �^. (JJ FOUNDATION: LOCATION ' FEE S - .FEE FRAME: FIRE STOPS.FORMS, MATERIALS READ THIS AP- 1 HEREBY ACKNOWLEDGE THAT I HAVE 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 PERS.9N IN VIOLATION OF THE , WORKMEN'S COMPENSATI NWS OF CALIFORNIA. LATH, EXT. ' SIGNATURE HOUSE NUMBER COR- PERMITTE RECT AND POSTED �J ADDRESS FINAL ,QA30 O CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL Ery PLAN CHECK VALIDATION CK. M.G. C H PERMIT VALIDATION CK. M.O. cash LAG:'o 6 05 9 5 SEP i 1. 3 .00 ; Or WORKERS' C,APENSATION DECLARATION I hereb,' affirm that I have a certificate of consent to self D D 'insure, or a certificate of Workers' Compensation Insurance, ^/!"11 P P d I C LIAU V Ir 10 - FOR - BURON V PEpUN7 of a certified copy thereof (Sec. 3800,_Lob.-C.) COUNTY OF LOS ANGELES - BUILDING AND SAFETY ' Policy No. - 'Company - ' ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDREss Id7' ❑. Certified copy is filed with the'countybuilding inspec- BUILDING - - tion department, _ ADDRESS II G /J CITY CA ZIP 1 O LOCALITY keI i. . Date Applicant' - rG. NO. OF BLDGS. NEAREST - CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT�;J - NOW ON LOT CROSS ST. COMPENSATION INSURANCE q C ASSESSOR, G c� (This section need not be completed if the permit is for one - TRACT . J Ud BLOCK LOT NO.- MAP BOOK✓ p ,�rQ PAGE Oy`A PARCEL Qf hundred dollars ($100) or less.) r' e NO /�� USE ZONE MOP • OWNER / I certify that in the performance of the work'for which this ` _ /J permit is issued, I shall not employ any person in any manner ADDRESS t /" —' SPECIAL - - - so as to become subject to the �7 •-•�r/ /" CONDITIONS Workers'Compensation Laws. CITY '614w %ji /po' O ZIP Dote ' Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT:.'If,--after making this Certificate of ENGINEER NO - DISTRICT GROUP TYPE FIRE PROCESSED BY CONST. ZONE O Exemption, you should become subject to. the. Workers' _ tq�/ ® , w Compensation provisions of the Labor Code, you must forth- ADDRESS .. �J. `"u - L' - .LG'�.dd� a with,comply with such provisions or. this permit shall beTEL STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. - CONTRACTOR - ly yg' NO. q � Z LICENSED CONTRACTORS DECLARATION UC. CLASS No.19 _DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chopter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of'the Business LIC. and Professions Code,and my license is in full force and effect. _ CIN CLASS BK. E PG. �� - VALIDATION SO: FT. NO. OF FAIND OF CHECK License Number Lia. C16ss SIZE STORIES FAMILIES ONE VALUATION ConfrdctorDate DESCRIPTION OF WORK NEW El f./ El " y - ADD - D am exempt under Sec. ALTER - Elr 8.8P.C. for this reason REPAIR ❑ $ ' Date:. USE OF - - - EXISTING BLDG DEMOL ❑ . TEL Signature APPLICANT FINAL - � - .. OWNER-BUILDER DECLARATION (PRINT) NO. DATE '] I hereby affirm that I am exempt from the Contractor's License ..- .. /' Law for the following reason (Section 7031.5, Business and ADDRESS FINAL� Professions Code): PRESENT - - B ❑ I, as owner of theproperty, or m em to employees with BUILDING Hili°r Y P Y ADDRESS - wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ' 7044, Business and Professions Code.) MOVING TEL CONTRACTOR NO. _ _ ® I, as owner of the property, am exclusively contracting � -7e with licensed contractors to construct the project (Sec-' '• - - - - (II IHL 41' 11 � =° ADDRESS ci -7 tion 7044, Business and Professions Code.) _,j.,jF f.}. _,5.r RET BRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY - SETBACK YARD HWV ' PROP. LINE WIDTH -i I hereby affirm that there is a construction lending agency for FRONT _ ?-HANGE the performance of the work for which this permit is issued PL' - (Sec. 3097, Civ. C.), SIDE - PAI Lender's Name LDMA Ref. M P.C. Fee$ Permit Fee / D Leader's Address . . - I certify that I have read this application and state that the Issuance Fee �� ' rte' LDMA PIC if 8 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee �d d LDMA Perm. p a 'and hereby authorize representatives of this County to enter _ y upon the above-mentioned property for inspection purposes. - - - / /7 SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature of Applicant or Agent D e /�G6gfFor �A�/� 6urfia . y � COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 1, — RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9702120062 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 13805 LT: 14 SQ. FT STORIES TYPE OCCUP GROUP 9845 BROADWAY STRUCTURE: 465 1 V R3 TEMP CA 917802634 ASSESSOR INFORMATION NUMBE : GARAGE: NEAREST CROSS STREET: 8588-015-014 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENAN EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/12/97 TC 02/12/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA}E FINAL CODE: GUSTIN PAULINE M TR GUSTIN TRUST - 1 34,400 y� I h n,1 n 9845 BROADWAY EEE...VVV"` "1 „."1 TEMP 917802634 FEES PAID DESCRIPTION OF WORK rJ ADDITION OF BEDROOM AND BATH 465 SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: MISSION BUILDERS (619) 244-4442- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID p�34400.00 VAL 3.44 SPECIAL CONDITIONS: AX BUILDING REVIEW F,EE Fr•• �.� 54.70 B2 PERMIT W/ENERGY C�L� 344000 VAL 660.66 �1 � _ TOTAL FEESU 746.55 CONTRACTOR: TEL. N0: � APPROVALS DATE INSPECTOR SIGNATURE MISSION BUILDERS (619) 244-4442- 17537 MAIN ST. LIC. NO �j \ LOCATION ANDS BACKS HESPERIA, CA 92345 197673 /`� f0-Jq � SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: , FOUNDATION/TRENCH FORMS ` d 7 LIC. NO: I'I �I�6I''I "`r lh SLAB/UNDER FLOOR [ r L_l. R IS T MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: , .y ..��ul(�e UNDERFLOOR INSULATION 3 - 01 - _. _ _ ._ _ _ .' TST LEVEL FLOOR—SRFXTH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 T�� 5x '.• ND LEVEL FLOOR SHEATH a SCHOOL WITHIN HAZARDOUS `✓��Q� �� `i� �� ROOF SHEATHrffG AIR QUALITY: 1000 FEET MATERIALS NO NO NO ��\ � _ FIRE DEPT. FRAME INSPECT BLDG DEPT- FRAME INSPECT REQUIRED TOTAL SETBACK FROM ST SET BACK YARD: HWY; PROP LINE: WIDTH: SHEAR PANELS FRONT PL- fl �B �A J SIDE PL- INSULATION/WEA HER STRIP INTERIOR LATH/DRYWALL Y EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BSO508