HomeMy Public PortalAbout9909 BROADWAY_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT 1
-- -dOUNTY OF LOS ANGELES n U B® e e ® a N®p G�o
WM. J. FOX, CHIEF ENOINEE P)
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING /`d' �/J DISTRICT NO. PLAN CK�NO'-"- —PERMIT NO:
ADORERS 6'0 AV V/ = S !) 14-5 , l:1 Q E1
n /_ ./.'
LOCALITY _ �lq� �RECEIVED BY DATE OF APPL. DATE SSU
NEA BY 1(�. . Y' , —/� •� �( �y� - -J 1
CROBB STBUILDC
OWNER ?2•� . MVM ADDRESS
MAIL -- 1 LOCALITY
NEAREJUT
CITY (IL-i/�/(IM�W/lRV \NO. V`�I �+" CROBBST.
FIRE NO.OF TYPqLr DRP UP
ARCHITECT OR TEL ZONE PLANE Y
ENGINEER —T NO.
BLDG. 1 _ pRD.N .
ADDRESS
SETBACK LINE ~ d L
APPROVED --
TEL BY DATE
CONTRACTOR NO. 1
UBE �(/ APPROVED
ADDRESS - ZONE T� BY DATE
LEGAL CORRECTIONS
DESCRIPTION �7 LOT BLOCK NO. �I n ! I
TRACT 3 bO'/�
SIZE OF LOT �O n JC I '2'O I NO.OF BLDDO.
NOW ON LOT
USE OF NO.OFNO.OF
EXISTING BLDG. FANR.IEB I R'DMB
DESCRIPTION OF WORK T-
NEW ALTERATION ADDITION r O
REPAIR MOVING DEMOLISH p
NO.OF / Z
SIZE '7 ROOMS STORRIIIE -//
ES �1� f
WALLROOF
COVERING COVERINGJCb/W.rT/�G
USE OF NEW[ -
SUICDING
.� je-,V � -tee,.
o J
Be
1 HEREBY ACKNOWLEDGE THAT 1 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 REGULATIN BUILDING CONSTRUCTION. 4N3 �p,e�- Yd!
FRAME: FIRE STOP& I y
SIGNATURE OF SRACINp,BOLTS 1 �d
PERMITTEE / „" ) `
LATH,INT.: -s7a7 7
AUTHORIZED ABT LATH,EXT.: (( h
DES-3 50M SETS 1-48 $ ww P C S PLASTER,INT.
FEE 0 0 PLASTER,EXT. A
VALUATION FEE 1 OQ , FINAL
T 9As3BACE#ao3..9-09 APPLICATION "POR BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION BUILDING 1" -6
Department of County Engineer ADDREss ��q rOfldt"rao
County of Los Angeles LOCALITY Temple City
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST. (tel
DISTRI��NO. I GROUP ITYPE5jV I$EWER MAP
FOR APPLICANT TO FILL IN ceryl _BK PG
CONST.
BUILDING
ADDRESS 9909 E. .FJ'r Oadlyay STATISTICAL C ASSI FICATION
LOT NO. 11 ,. BLOCK CLASS. NO� DWELL. UNIT$ I
MAPSTAT
r�
NUMBER r DO HWYE YES NO
TRACT 138Oti US ZONE SPECIAL
L ] NO. OF BLDGS. CONDITIONS
SIZE OF LOT 60 X 120 NOW ON LOT Z -'
USEOF 11e Sidential SOON
EXISTING BLDG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
Albert f\ratochvil II
OWNER �ICI.�1 FRONT
MAILS y / P. L.
ADDRESS aame �� SIDE
CITY Temple City TE At617 C P L
ARCHITECT ORR,, 11' TEL, INSPECTION RECORD _
ENGINEER V. homson NO.C}7�hrr��Q7K 1�?
� I—I It 1 � I.1~lR�l� �'PG� rG �1 5�.6.•S_. �.
ADDRESS /(�17 Brlarwood -1 ane \ -
CONTRACTOR., Somoa, Poo1S TELNO.Ea 23 g
(� a [}g ow1n rark 4) 2c t2 LAR N S
AbD ss• 11�:: > i�7Otl• ..
DESCRIPTION OF WORK
X
NEW X ADD ALTER REPAIR DEMOLISH A p
O . OFOORSQZEFT. 17x 35 AVNTF ON
SIILES
1
USE OF STRUCTURE private Swi . Ilin- .o �f
poolStandar plan # 8
APPROVALS
SIGNATURE OF
APPLICANT DATE INSPECTOR'S SIGNATURE
ADDRESS Bwon dc FOUNDATION: LOCATION
dalI-�
GFORMS. MATERIALS
s 2OC - P. . $ +j D FRAME: FIRE STOPS.
FEE .JCS BRACING. BOLTS
$ 60 FUR NACE: LOCATION,
FEE
VALUATION GAS VENT. DUCTS
— _
1 HEREBY ACKNOWLEDGE THATI HA /�2EAO THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOV IS CORRECT AND
AGREE TO COMPL TH AL COU ORDINANCES AND LATH. EXT.
STATE LAWS "ATN
UI 1 CONSTRUCTION.
SIGNATURE OF HOUSE NUMBER COR- _
PERMITTEE RECT AND POSTED
ADDRESS FINAL le
JOHN A. LA' 91E. COUNTY ENGINEER. CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL 'EER
PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION cN. M.o. CAS.
L&6713APR 2 16 2 -U; [ 6 7 1 4 _ APR 2 1 8.� Q
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1209170042
PHONE: (626) 285-0488 EXT:
(LEGAL ID: 1 NO. OF CONST NEW I BUILDING ADDRESS:
ITR: 13805 LT: 11 1 SQ. FT STORIES TYPE OCCUP GROUPI 9909 BROADWAY 1
I (STRUCTURE: 408 1 VN R-3 I TEMP CA 917802635 1
(ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: BALLWIN
18588-015-011 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
TENANTS (EXIST BLDG USE: USE ZONE: IIS SUED ON: PROCESSED BY
IEXIST OCC GRP: 109/26/12 SR
OWNER: TEL. NO: IIBLDGS. NOW ON LOT: VALUATION: 1FINAL D TE FINAL BY: CODE: 1
YAP, HAMIDJAYA (626) 285-2727- 60,478 1(
19909 BROADWAY -` /
ITEMP 917802635 FEES PAID IDESCRIPTION OF WORK
ADD MASTER BEDROOM, MASTER H THROOM AND WALKING IN CLOSET
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1
(APPLICANT: TEL. N0: I I I
IYAP, HAMIDJAYA (626) 285-2727- IB1 PLANCHECK W/ENERGY 60478.00 VAL 850.60 I
19909 BROADWAY AA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS:
ITEMPLE CITY CA 91760' IAB STATE GREEN BLDG FEE 60478.00 VAL 3.00 1 1
1 IAC STRONG MOTION RESID 60478.00 VAL 6.10
1 IB2 PERMIT W/ENERGY 60478.00 VAL 1,000.80
CONTRACTOR: TEL. NO: I08 CERTIF OF OCCUPANCY 101.40 JAPPROVALS DATE INSPECTOR SIGNATURE I
I HAMIDJAYA YAP (626) 285-2727- TOTAL FEES 1,989.70 1
19909 BROADWAY LIC. NO LOCATION AND SETBACKS
ITEMPLE CITY, CA 91780 -- NONE
I ISOILS ENGINEER APPROVAL
I
ARCHITECT OR ENGINEER: TEL. NO: iFOUNDATION/TRENCH FORMS
I LIC. NO: SLAB/UNDER FLOOR
I I
I iRAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION I I I
3 00I (1ST LEVEL FLOOR SHEATH
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I - I
1 0 NO 21 12NO LEVEL FLOOR SHEATH
I SCHOOL WITHIN HAZARDOUS (ROOF SHEATHING
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO IFIRE DEPT. FRAME INSPECT
IHLDG DEPT. FRAME INSPECT(
I
SHEAR PANELS
INSULATION/WEATHER STRIP( Y I
' IINTERIOR LATH/DRYWALL 1 (/
IEXTERIOR LATH �(
ILOT DRAINAGE
I I I
ISMOKE DETECTION DEVICES
\j
FIRE DEPARTMENT APPROVAL
I I I I I I
IREPORT ID: DPR261 ROUTE TO: BSQ508
I
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0607190024
PHONE: (626) 285-0488 EXT:
LEGAL ID: I NO. OF CONST NEW -I BUILDING ADDRESS:
ITR: 13805 LT: 11 1 SQ. FT STORIES TYPE OCCUP GROUPI 9909 BROADWAY
I (STRUCTURE: 384 1 VN R3 I TEMP CA 917802635
(ASSESSOR INFORMATION NUMBER: I GARAGE: NEAREST CROSS STREET: BALDWIN
18588-015-011 1 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
TENANT: IEXIST BLDG USE: USE ZONE: JISSUED ON: PROCESSED BY: EXPIRES ON:
IEXIST OCC GRP: 106/26/07 SR 06/20/08 1
1 1
IOWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA BY: CODE:
BROADWAY
1YAP, DAYA (626) 285-2"12]- i 31,]20 XPIR ED
19909 BROADWWAY
TEMP 917802635 1 FEES PAID (DESCRIPTION OF WORK
IADD MASTER BEDROOM AND BATHROOM 384 S.F.
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:(
1APPLICAN T: TEL. NO:
IYAP (626) 285-2727- 1B1 PLANCHECK W/ENERGY 31720.00 VAL 526.21 1
19909 BROADWAY IAA BLDG PERMIT ISSUANCE 27.75 (SPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 IAC STRONG MOTION RESID 31720.00 VAL 3.17
1 IB2 PERMIT W/ENERGY 31720.00 VAL 619.08
I I TOTAL FEES 1,176.21
ICONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
IHAMID.IAYA YAP (626) 285-2727-
19909 BROADWAY LIC. NO LOC.TION AND SETBACKS
ITEMPLE CITY, CA 91780 NONE
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. N0: I (FOUNDATION/TRENCH FORMS I I I
LIC. N0: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
I I
(MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: cMpwj JUNDERFLOOR INSULATION
3 Oil I
11ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 j2ND LEVEL FLOOR SHEATH
I
I SCHOOL WITHIN HAZARDOUS I (ROOF SHEATHING I I I
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO IFIRE DEPT. FRAME INSPECTI I I
1 1
IREQUIRED TOTAL SETBACK FROM EXIST (BLDG DEPT. FRAME INSPECTI I I
SET BACK YARD: HWY: PROP LINE: WIDTH: 1 1
FRONT PL- ISHEAR PANELS I I I
SIDE PL- i I
INSULATION/WEATHER STRIPI I I
I I
I (INTERIOR LATH/DRYWALL
I
EXTERIOR LATH
I
LDT DRAINAGE
ISMOKE DETECTION DEVICES
(FIRE DEPARTMENT APPROVAL(
I I I I I I
I
(REPORT ID: DPR 261 ROUTE T0: H50508