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HomeMy Public PortalAbout9851 BROADWAY_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT t.. "COUNTY OF LOS ANGELES p p © I tl�J n J. V FOX, CHIEF ENGINEER F� �7 FOR APPLICANTqIN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO., PERMITNO. BUILDING /ADDRESS LOCALITY � R39Y DATE OF PPL. DATE ISSNEAREST ��V�'/' /�/J5 ST. I,G/JI1DRINGOWNER `[/UMODRESSMAIL (/ LOCALITY 71 / ADDRESS NEAREST h " TEL. CROSS ST. CITY NO. _ FIRENO.OF TYPE GROU ARCHITECT OR T ZONE PLAN, ENGINEER BLDG. O D O. ADDRESS SETBACK LINE TEL. APPROVED /y BY_ - DATE- "-CONTRACTOR / /.tiB!/YJ�wIrNO.%J - - A UBE APPROVED ADDRESS I� ZONE BY DATE LEGALCORRECTIONS DESCRIPTION LOTNO. BLOCK TRACT C9? Y NO.OF SLOGS. SIZE OF LOT /\ NOW ON LOT L/✓n /H USEOF cI.< ��- NO.DF NO.OF - - EXISTING BLDL��jiVT�I FAmluEs ROOM9 �Q, j= /G / �. Y3 . DESCRIPTION OF WORK f� s s . I NEW ALTERATION ADDITION O REPAIR MOVING I DEMOLISH L 0 SI&FT. '1 \ NO.OF / J _ Z SIZE � q (.� ROOMS Ls STORIES / D WALL ROOF �'/'�L' . _ r COVERING I COVERING- /La . ' USE OF NEW/ X 'J I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. lAA"4� FRAME: FIRE,STOPS, SIGNATURE OF BRACING, BOLTS 7/ J _ DWNER / /O a LATH, INT.: AUTHORIZED ACT.T.. _ I - � G . r LATH,EXT.: E. . a-a'� 1 ' PLASTER,INT. EE PLASTER, EXT. FEE J L -FINAL WORKERS'COMPENSATION DECLARATION I hereby affirm That I have a certificate of consent to self BUMMINGpIER��� insure, or o certificate of Workers'Compenstion Insurance, or . QppLpCQ7pON FOR BUMMINGM -a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING'AND SAFETY Policy No.- 5501 Company tate _ Cmm�encatic . BUILDING Certified Copy is hereby furnished. I n S u r�j n @ Fund . FOR APPLICANT TO FILL IN ADDRESS S� Certified,copy is filed with the county building'inspec- BUILDING tion department; ADDRESS 9 LOCALITY - NEAREST . Date 1 20 Appl icar�tt ' Co. CITY'JT ZIP CROSS ST: IAV CERTIFICATEOFEXEMPTION 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 is for one USE ZONE MAP -hundred dollars ($100) or less.) TRACT ,3Q QJ BLOCK LOT NO. �3 ,// NO. �� } TEL. /�� SPECIAL 6L 1 certify that in the performance of the work for which this OWNER IN _ /` / . CONDITIONS O DISTRICT GROUP TYPE FIRE PRO ESSED BY permit is issued, shall subject to employ any person in any manner - ADDRESS CONST. V ZONE so as to become subject to the Workers'Compensation Laws /v� P� _ ad O Date ',3a1y-81 Applicar�t� - CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO. ~ C U• ARCHITECT OR TEL. V •NOTICE-To APPLICANT: If, after making ihls �erti icate o W Exemption,'-you should become subject to the Workers' ENGINEER NO. CLASS NO. oZ. DWELL. UNITS_ d N Compensation provisions of the Labor.Code;you must forth- gDDREgSSEWER MAP Z with comply. with such provisions or this permit shall be -J — deemed revoked. CONTRACT TEL,Oaa _ BK PG 2 VALIDATION LICENSED CONTRACTORS DECLARATION - . I hereby affirm that I am licensed under,provisions of Chapter 9 ADDRESS NO. VALUATION.—. (commencing with Section 7000)04 Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY d n d b CLASS. $ . 2639 . 00 SO. FT, NO. OF NO. OF CHECK License Number -186086" Lic.Class SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK Re- NEW $ ' eon,�get�loward-L . RandolDo,G:o. 3=c6-81 � - Elam exempt from the licensing requirements as Iam a d nd ADD - licensed architect or a registered professional engineer ALTER" FINAL - acting in my.professmri capacity (Section 7051, REPAIR ❑ DATE Business and Professions Code). USE OF EMOL FINAL - � EXISTING BLDG. D - .Lic,or Reg. No. Date APPLICANT - El By - - OWNER-BUILDER DECLARATION (PRINT)KQ ow.drd L . Rdndol . 288— 04 I hereby affirm that I am exempt from the Contractor's License ADDRESS �5 29 'E d 1 1 e B Low for the following reason (Section 7031.5, Business and Professions Code): PRESENT - _ G�_ i7/- ❑ BUILDING. - I, as owner of the property, or my employees with ADDRESS b A wages as their sole compensation,will do the work and 4 3 9,the structure is not intended or offered for sale(Section LOCALITY- - - 7044, Business and Professions Code). MOVING TEL i ,# • o.e s;s �" 0 I, os owner of the property, am exclusively contracting CONTRACTOR NO. Q s e Q 3.0 0' with licensed contractors to construct the project (Sec- ADDRESS t tion 7044, Business and Professions Code). - - CONSTRUCTION LENDING AGENCY .o.• a_Q 3.0 Q'� SET BACK PROP. LINE WIDTH REQUIRED YARD HWV TOTAL SETBACK FROM EXIST. ' hereby affirm that there is a construction lending agency for- FRONT 3.,1 l3--8 1 the performance of the work for which this permit is issued P.I. - (Sec. 3097,Civ. C.). SIDE P,I. .. Lender's Nome P.C. Fee S - Permit Fee - Lender's Address _ w 1 certify that I have read this application and state that the aabove information is correct. I agree to comply with all County fnvesngotion Fee - Issuance Fee g• - . . - ' ardinonces o Stare laws relating to building construction; - - Tocol Fee S►S�L/L/ J• d m and hereby uihorize representatives of this County to enter _ mupon t r' r &�o�nedppysfor inspection purposes. TJg� SEE REVERSE FOR EXPLANATORY LANGUAGEIglnt or Agent _ D �t Flof1w WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compenstion Insurance, or o certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. 5501 CompanyStAgw ('AlApeacati Certified copy is hereby furnished. nce FOR APPLICANT TO FILL IN D InsuraF Sln AADDDRESSRESS ® Certified copy is filed with the county building inspec- BUILDING bon department. ADDRESS 9 + LOCALITY p NEAREST Date 11-IwFf) Appiicarl + Co CITY ® 9 zip CROSS ST. } ASSESSOR CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. 0. COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PA RCII 0 (This section need not be completed if the permit. Is for ono - USE ZONE MAP V hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO j TEL SPECIAL I certify that in the performance of the work for which this OWNER It C t 0 NO -1. CONDITIONS LL permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY } so as to become subject to the Workers'Compensation Laws. ADDRESS h i - - CONST. V ZONE OC cc pp1 K:. .. K Date 3.6"OY AppliconHOW\rd I _RAPirlAT Co. CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO. O NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL 1 Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO - DWELL. UNITS— Compensation provisions of the Labor Code, you must forth- m with comply with such provisions or this permit shall be ADDRESS SEWER MAP deemed revokedTEL' �FP6 VALIDATION CONTRACT Panda! 14 404 BK. LICENSED CONTRACTORS DECLARATION " FIC '{ 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 529 F V NO q t1 R . 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 - CLASS r atS O n SO. FT. NO. OF NO. OF CHECK 186035 C-39 STORIES License Number Lic.Class SIZE AMIDES ONE Cont act Howard {..Randa 9afE�• 3-6-8i DESCRIPTION OF WORK r) )IIIt- n NEW ❑ ADD I am exempt from the licensing requirements as I am a and p '( 7 licensed architect or o registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051, shi it l filla'alat REPAIR DATE Business and Professions Code). - USE OF FINAL EXISTING BLDG DEMOL Lic.or Reg.No. Date APPLICANT, JEt By ---- OWNER-BUILDERDECLARATIONPRtrvr,T{GLIA1"tl andG1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 529 t Val let, III Chn n.nfi,i Professions Code): PRESENT ❑ I, as owner of the property, or my employees with BUILDING 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 I, as owner of the properly, am exclusively contracting: CONTRACTOR NO " with licensed contractors to construct the project (Sec-, ADDRESS tion 7044, Business and Professions Code). _ CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM , DT - SETBACK PROP LINE V, DTH I hereby affirm that there is a construction lending agency for FRONT the performance.,of the•.paobk for which this permit is issued PI (Sec. 3097, Civ. C.). SIDE / " Pt Lender's Name $ Lender's Address PC Fee$ Permn Fee t Z•P �> I certifythat I have read this application and state that the "ten" PP Issuance Fee eq;in above information is correct. I agree to comply with all County h.vesngoron fee ordinances and State laws relatingto buildingconstruction, C u and hereby authorize representatives of this County to enter Tonal Fee m-f •L+Lt a upon the aba've-mentioned properly for inspection purposes. , a SEE REVERSE FOR EXPLANATORY LANGUAGE a 5 gnaw a o1 AOpI cn•or Agent Dote ?s ..... -tom. 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 1110280019 PHONE: (626) 285-0486 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 13805 IT: 13 SQ. FT STORIES TYPE 9851 BROADWAY (STRUCTURE: 400 V-B I TEMP CA 917802634 ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: 18588-015-013 1 1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI I I I I ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 110/28/11 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF N\AL AAT`2 F Y: CODE: TU NHI;HUYNH NAM (626) 560-7420- 1 21000 1� 1/ `1 9851 BROADWAY ITEMP 917802634 1 FEES PAID 1DE�CRI TIO OF WORK 41 1 1 IT/O 400 SQ FEET TO INSTALL A CLASS 30 YR COMPOSITION ON 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I GARAGE 1APPLICANT: TEL. NO: IB&G ROOFING (626) 679-1284- AA BLDG PERMIT ISSUANCE 27.80 1 16252 TEMPLE CITY BL JAR STATE GREEN BLDG FEE 2000.00 VAL 1.00 SPECIAL CONDITIONS: ITEMPLE CITY CA 91780 1AC STRONG MOTION RESID 2000.00 VAL 0.50 D2 PERMIT W/O EN-HC 2000.00 VAL 82.20 TOTAL FEES 111.50 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE IS & G ROOFING* (626) 679-1284- 1 16252 N. TEMPLE CITY BLVD LIC. NO 1 ILOCATION AND SETBACKS 1 1 1 ITEMPLE CITY, CA 91780 903492C39 I 1 1 ISOILS ENGINEER APPROVAL I I (ARCHITECT OR ENGINEER: TEL. N0: 1 1FOUNDATION/TRENCH FORMS I I I I I I I I I LIC. NO: (SLAB/UNDER FLOOR I RAISED FLOOR FRAMING I 1 NAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSOLATION 1147H269 3 001 I I IFLOOR SHEATHING 1 1 N0- OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 If 0 NO 22 1 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS 1 1 1 1 1 NO NO NO FRAME INSPECTION IFIRE SPRINKLER HANGERS I I (INSULATION/WEATHER STRIP( I I IINTEFIOR LATH/DRYWALL I I I I I I (EXTERIOR LATH I RATED FLOOR/CEIL ASSEM. 1 I 1 (RATED WALL ASSENHLIES 1 I 1 (RATED SHAFTS/OPENINGS T-BAR CEILING$ I I I (LOT DRAINAGE I I I I 1REFORT ID: DPR261 ROUTE TO: 850508 I I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY q 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY-CA 91780 BL 0508 1110280016 PHONE: (626) 285-0488 EXT: (LEGAL ID: N0. OF CONST BUILDING ADDRESS: ITS: 1.3805 LT: 13 I SQ. FT STORIES TYPE 9851 BROADWAY 1 I ISTRUCTURE: 2100 V-B TEMP CA 917802634 1 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8588-015-013 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CA ITENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 ISSURD IEXIST OCC GRP: 110/28/11N: PROCESSED BY: OWNER: TEL. NO: 18LDG5. NOW ON LOT: VALUATION: FINALE '\ FINN, BY: CODE: 1 TO NHI;HUYNH NAM (626) 560-7420- t 1 5,500 19851 BROADWAY (TEMP 917802634 FEES PAIDDE CRIPT ONS 1 IT/O 2100 SQ FEET TO INSTALL)A CLASS 30 YR COMPOSITION ON I (FEE DESCRIPTION: QUANTITY: COM: AMOUNT: IHOUSE AND GARAGE 1 (APPLICANT: TEL. NO: I I 1 IB&G ROOFING (626) 679-1284- IAA BLDG PERMIT ISSUANCE 27.80 I 16252 TEMPLE CITY BL IAB STATE GREEN BLDG FEE 5500.00 VAL 1.00 ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 IAC STRONG MOTION REBID 5500.00 VAL 0.60 ID2 PERMIT W/O EN-HC 5500.00 VAL 149.70 TOTAL FEES 179.10 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE IB & G ROOFING• (626) 679-1284- 1 1 16252 N- TEMPLE CITY BLVD LIC, NO ILOCATION AND SETBACKS I I 1 ITEMPLE CITY, CA 91780 903492039 I I I 1 I ISOILS ENGINEER APPROVAL I I 1 I ARCHITECT OR ENGINEER: TEL, NO: FOUNDATION/TRENCH FORMS I LIC. NO: (SLAB/UNDER FLOOR I I 1RAISeD FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION I I I 147H269 3 001 1 IFLOOR SHEATHING p INC. OF FAMILIES: DWELLING OMITS: APT/GOND: STAT CLASS: I 0 NO 22 (ROOF SHEATHING I SCHOOL WITHIN HAZARDOUS III ISHEAR PANELS f AIR QUALITY: 1000 FEET MATERIALS NO NO NO (FRAME INSPECTION AFIRE SPRINKLER HANGERS I INSULATION/WEATHER STRIPI 1 -I 11NTERIOR LATH/DRYWALL I I IEXTERIOR LATH I IRATED FLOOR/CEIL ASSEM. IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS 1 T-BAR CEILINGS I LOT DRAINAGE I I IREPORT ID: DPR261 ROUTE T0: BS0508 I 1 I I COUNTY•OF LOS ANGELES TEMPLE CITY # OS08. - BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS + RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _ BL 0508 0005040005 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 13805 LT: 13 SQ. FT STORIES . TYPE OCCUP GROUP 9851 BROADWAY STRUCTURE: 550 1 VN R3 TEMP CA 917802634 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GOLDEN WEST 8588-015-013 OTHER: - - THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/05/00 VG 11/01/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: INAL DATE FINAL BY: CODE: TU/HUYNH, NHI/NAM (626) 291-5129- 1 40,700 p_��-60 9851 BROADWAY UU TEMP 917802634 FEES PAID OLSLKIPTION OF WORK ADDITION OF MASTER BEDROOM/BATH A DINING ROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: NGUYEN (626) 960-8078- AA BLDG PERMIT ISSUANCE 27.75 1208 MARYLAND AVE AC STRONG MOTION RESID 40700.00 VAL 4.07 SPECIAL CONDITIONS: VALINDA, CA AX BUILDING REVIEW-FEE 54.70 B2 PERMIT W%ENERGY,-1 -40700.00 VAL 748.28 AI,�•_�_. TOTAL-"FEES 834.80 CONTRACTOR: TEL. NO: Jj el APPROVALS DATE INSPECTOR-SIGNATURE P S CONSTRUCTION CO. (323) 223-7785- 3211 MINNESOTA ST., #C LIC. NO j r-, --''= LOCATION ND SETBAKSC LOS ANGELES, CA 90031 754089B .f' < ARCHITECT OR ENGINEER: TEL. NO: � iY" - - �� TION/TRENCH FORM LIC NO., ��, AB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: - UNDERFLOOR INSULATION 3 01 " ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: AP /COND: STAT CLASS: NO 21 �� - ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ".� _ ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS - NO NO NO IRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST / BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: - _ " FRONT PL- - ;-y . SHEAR PANELS - SIDE PLAZ4 X - INSULATION/WEATHER STRIP S INTERIOR LATH/DRYWALL !I EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPR VAL REPORT ID: DPR261 ROUTE TO: BS0508