HomeMy Public PortalAbout9914 BROADWAY_Building__ 76A630A CE1803 5-6S APPLICATION FOR BUILDING _-
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY' ENGINEER ADDRESS 7 c
BUILDING AND SAFETY DIVISION LOCALITY J `
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST / -
COLEMAN W. JENKINSSUP'T OF BUILDING CROSS ST.
DISTRsI i NO. GROUP TYPE' P O s (T0
FOR APPLICANT TO FILL IN 771 'J ) � Z CONS
BUILDING / STATISTICAL SSIFICATION . SEWERWAP
ADDRESS CLASS NO. pWELI UNITS BK PG. /
LOT NO. BLOCK USE ZONE MAP 20 O
/� NO.
TRACT SPECIAL
O N0. OF SLOGS, CONDITIONS
SIZE OF LO U 2Ot NOW ON LOT
USE OF
E%I STING BLDG. BLDG. SETBACK FROM X '
l FRONT PROP. LINE OF I TREET)
OWNER NO. TYPE OF .EXISTING SETBACK XIGHWAY + YARD = TOTAL
ADDRESS C' HIGHWAY WIDTTHH� FROM C.L.
CITY -✓ / ��/ } ZCIK= yO
LOG. SE
.ARCYiITECT O TEL. SACK FROM
ENGINEER NO. 510E PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY' } YARD = 'TOTAL
ADDRESS n / ,((� HIGHWAY WIDTX FROM C.L.
CONTRACTOR // /_ - � TOL +
ADDRESS Lp O
NQ � � � CORNER CUTOFF YES � NO V
CITY G CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS G
DESCRIPTION OF WORK
LU
70 AI,
NEW ADD ALTER REPAIR DEMOLISH •-l��`J Z
SQ.FT. NO. OF IN OF f
SIZE STORIES FAMILIFS
USE OF
STRUCTURE,
SIGNATURE OF
APPLICANT
VALUATION.$
APPROVALS DATE INSPE OR'SSIONATURE
P.C. 'PMT. O-CJ FOUNDATION, LOCATION /
FEE FEE$ �- FORMS, MATERIALS
FRAME, FIRE STOPS, /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
[-
AND STATE THAT THE PROVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION _
WITH .ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS '
SU ILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
%AUTHORIZED HEREBY I-WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE. - -
,;� LATH. EXT.
SIGNATURE OF HORECT MBER COR-
PERMIT
OR
PERMITTEE ECAND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION OK. M.O. CASH _ PERMIT VALIDATION cK. M.c CASH
a'I LA,0 5 .1 2 7 ZS OCT 5 ID 8.00-
,e
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to-self
nc, > APPLICATION FOR BUILDING PERMIT
insure, or o certificate of Workers'
rance,kers' Compensation Insu _
or a certified dopy thereof s(S((ec. 3800((, lab. C.) ((L COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No.64f36057— 'mpony s?"}A'�C .i✓re`Y BUILDING C
Certified copy is hereby furnished. - FOR APPLICANT TO FILL IN ADDRESS C -
Certified copy is filed with the county b ildirr�Lg 'nspe<- BUILDING
tion department. 5 y('� ' !f/' Cy( 1" ADDRESS ' u LOCALITY
_ n / NEAREST ' e
Date '7�f(�—.SY Applicant CITY ^ ♦ 1 ZIP / 7s0 CROSS ST C-L�
CERTIFICATE OF EXEMPTI FROM WORKERS' r rNO. OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT J X I��NOW ON LOT 'Z MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one ) �7 '7 USE ZONE MAP
hundred dollars ($100)or less.) TRACT U BLOCK LOT NO. �Z'/ NO. v{
•' /7 TEL J J SPECIAL d
I certify that in the performance of the work for which this OWNER Nei T '7-S Or NO. 4' J:7 CONDITIONS O
,n DISTRICT GROUP TYPE FIRE PR ESSED BY
permit is issued, I shall not employ any person in any manner ADDRESS / t^t'� LG�(i CONST. ZONE V
so as to become subject to the Workers'Compensation Laws. U :3
P CITV fP' e / /Q
Date L ZIP 9 Applicant STATISTICAL CLASSIFICATION A CONDO. !—
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. V
Exemption, you should become subject to the Workers' ENGINEER NO. d
CLASS NO. DWELL. UNITS_
Compensation provisions of the Labor Code, you must forth- ADDRESS - SEWER MAP
with comply with such provisions or this permit shall be _ _ ?
CF VALIDATION
deemed revoked. CONTRACTOR '(.1 v C!I' r NO. Y�7 BK. PG,�/
LICENSED CONTRACTORS DECLARATION LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS-Z / NO. L'I? S y L' VALUATION
(commencing with Section 7000)of Division 3 of the Business and / LIC
E)
Professions Code, and my license is in full force and effect. CITY Aq vH e CLASS 1 $ 4099
p SQ. FT. NO.OF / NO.OF CHECK
License Number H.S.-•^S I'f L Lic.Class SIZE 7 f} STORIES ( FAMILIESIf ONE
( O NEW ❑ $
Contractor-/�s.� t 1 �rYY /�zDote 2-30-15'�"[1 L! � DESCRIPTION OF WORK '
I am exempt under Sec r7 lid ADD
ALTER FINAL
❑ DATE
8.8P.C. for this reason ' REPAIR F� , 3 O A
Date: USE OF DEMOL F
EXISTING BLDG. i) 4 e ❑
Signature C' t {rj APPLICANT o •TEL _ r 2 .# e e s e
OWNER-BUILDER DECLARATION PRINT S - cx - O.Ivy
I hereby affirm that I am exempt from the Contractor's License / ► // 3 7.d-
Low for the following reason (Section 7031.5, Business and ADDRESS �/� L� FI^ � -/?A PrE
Professions Code): ADDRESS
2 - 209. 2 5
❑ BUILDING n / '
I, as owner of the property, or my employees with ADDRESS P� (� I/ 2 0 9,2 5 c=i
woges os their sole compensation,will do the work and �� 1 -
the structure is not intended or offered for sale(Section LOCALITY -'8 4
7044, Business and Professions Code). MOVING TEL.
1, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWV PROP. LINE WIDTH ,
1 hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). - SIDE
P.I.
m Lender's Nome
Lender's Address P.C. Fee$ Permit Fee
_ I certify that I have read this application and state that the Issuance Fee
a above information is correct. I agree to comply with all County Investigation Fee
g ordinances and State laws relating to building construction, Total Fee a
d and hereby authorize representatives of this County to anter
9 upon the bove-m nt' ned property for inspection purposes. !
7-3a � SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant ms
<•WORKERS' COMPENSATION DECLARATION
hereby affirm that I have r certificate of consent r self' APPLICATION. FOR BUILDING PERMIT
insure, or a certificate of Workers' Compensation Insuran< .. ,
or o certified co�hof
(Sec. 3800COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. / clmpcmBUILDING❑�y�e�fled ereby furni ed. FOR APPLICANT TO FILL IN ADDRESS
Ifo Certified copy is filed with t o ty bu ding inspec- BUILDING -
tion department. ADDRESS
DateAPPIi nt ITy- ZIP LOCALITY
NO. OF BLUGS. . NEAREST
CERTIFICAT OF EMPTION FRO WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK , /�Q PAGE 6916 PARCEL 0/0-
'.hundred dollars ($100)br less.) TEL
OWNER NO. USE ZONE MAP (
I certify that in the performance of the work for which this (/ SPECIAL 0-
permit is issued, I shall not employ any person in any manner ADDRESS / CONDITIONS d
so as to become subject to the Workers' Compensation Laws. - 0
CITY ZIP
Date Applicant - ARCHITECT O TEL DISTRICT GROUP TYPE FIRE P CESSED BY
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. -- CONST. ZONE F-
Exemption; you should become subject to the Workers' n _ aU,l
.Compensation provisions of the Labor Code, you must forth- ADDRESS.
.with comply with such provisions-.or this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. - _ CONTRACTOR NO. 2 Z
LICENSED CONTRACTORS DECLARATION IGlh CLASS NO. / DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS O.
(commencing with Section 7000)of Division.3 of the Business - LIC. SEWER MAP
and Professions Code,and my lice se is in full force and effect. CITY CLASS ` < BK VALIDATION
�f' jX�' /'�7 7 f� SQ. FT: 111. 01 NO. OF HECK
License Number V Lic. Clan 1 SIZE STORIES FAMIUES ONE
t ((��
VALUATION _
Contractor Dote `3 --11��I -1 I DESCRIPTION OF WORK . PQ4 NEW ❑ADD $ 0/.0 L�L�/-'7/7
❑ �/) ,
❑I am exempt un r S. - ' _ - ALTER ❑
B.BP.C. for If Basan REPAIR El $
Date: ( 3/4 --����— III- - USISTOING BLDG. • - DEMOL ❑
Si otur - APPLICANT L. - FINAL n
WNER-B DER D CLARATION (PRINT) {jl( NO. D
DATE
I hereby affirm that g r exempt from(Section
7 Contractor's License -
ADDRESS FINAL
Law for the following season (Section 7031.5, Business and I
Professions Code): PRESENT - BY
❑ I, as owner of the property, or m employees with BUILDING ;� ,a
P P a YtADDRESS _ _
wa tr as their sole compensation,or on,will f o the work and LOCALITY the structure is not intended or offered for sale(Section 7:307
7044,
j=1''•--
❑ 7044, Business and Professions Code.) MOVING -TEL. '• R - 2' 77.
El
CONTRACTOR NO.
I,as owner of the property,am exclusively contracting -NQ
T _ _
with licensed contractors to construct the project (Sec-. ADDRESS -TOTAL TTL x-03 ® `".—' 3
tion 7044, Business and Professions Code.).' .REQUIRED TOTAL SETBACK FROM E%IST. r '" ���t_iN 't.1 ,
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH "-
t.
I hereby affirm that there is o construction lending agency for FRONT _ f_f{I?�33F .,-IT( •
the performance of the work for which this permit is issued P.L
'(Sec. 3097, Civ. C.). - - .SIDE
P.I. 1lilii!-11;[ii : liir 1:'' 1
_Lender's Name P
crO LDMA Ref. N - - [.7O F,
P.C. Fee $ Permit Fee ��
Lender's Address `(
�
a I certify that I have read this application and state that the - - Issuance Fee 1/' LDMA PTC#
above information is correct. I agree to comply with all County Investigation Fee /O z
ardinonaes and State laws relating to building construction, Total Fee/ .J LDMA Perm. It
a and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes. -
SEE REVERSE FOR EXPLANATORY LANGUAGE .. . . . .. ..
Signature of Applicant or Agent Dale
WORKERS- COMPENSATION DECLARATION
hereby affirm that I have certificate of consent ta.self
APPLICATION FOR BUILDING PERMIT
insure, or acertifimte of Workers'-Compensation Insurance,, _
or a certified copy thereof (Sec. 300,00, Lab COUNTY OF LOS ANGELES BUILDINGAND SAFETY
Policy No. Company
❑ Certified copy is hereby Furnished. . FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- BUIILDING Q` W
tion department. , ADDRESS 1
CITY ZIP LOCALITY
Date .Applicant �µ . NO. OF BLDGS. /J NEAREST _
CERTIRCIATE OF EXEMPTIO FROM WOR4S' SIZE OF LOT NOW ON LOT '(i•. CROSS ST. '
%COMPENSATION INSURANCE - ASSESSOR O1�- 61Z
(This section need not be completed if the permit is for one TRACT " ' BLOCK ' ' LOT NO. MAP.BOOK PAGE ( PARCEL ll
hundred collars ($100).or less.) - , - Wen
TEL
USE ZONE MAP /
OWNER N NO:
I certify that in the performance of the work for which this SPECIAL- - - d
'permit is issued, I shall not employ any person in any manner ADDRESS
so as foto
be to the W ers'-Compensation Laws. -
CM ZIP
.Dote on
O Applicant ARCHITECT OR TEL. „ DSTRICT GROUP. TYPE FIRE PROCESSED BY K
NOTICE O PPLICAN7;. If, after akin this Cer ficate of - ENGINEER .°NO.
9 CONST. ZONE V
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth- .. ADDRESS _ \/•�r/ ":J �' i N
with comply with such provisions or this permit shall be TEL. ( STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR 5 NO. ()Ci - qq
LICENSED CONTRACTORS DECLARATION LIC. ((�� CLASS NO. DWELL. UNITS_
hereby affirm that am licensed under provisions of Chapter 9 ADDRESS �. Jt NO. U
�/ LIC SEWER MAP .
(commencing with Section 7000)of Division 3 of the'Business CITY y ��\ CLASS s-• Z( BK PG. VALIDATION
and Professions Code,and my license is in full force and effect.
�+ SQ. FT. NO. OF NO. OF CHECK _
License Num6er� `�Lic. Class `• 17 SIZE STORIES FAMILIES ONE
VALUATION
Contte O
DESCRIPTION OF WORK I NEW L❑
ractor a - ADD ISL
Elf am exempt under Sec. loop.ALTER 1:3
B.BP.C. for this reason oo � REPAIR 11S '
Date: - -
EXISTING BLDG. ve !� 'DEMOL ❑ -
Signature - APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT). NO. DATE
I hereby affirm that Iam exempt from the Contractor's License - • .`�,
Law for thefollowingreason(Section 7031.5, Business and ADDRESS FINAL __ a
Professions Code): PRESENT' .. _ _ By. T
BUILDING
❑ I, as owner of the property, or my employees with - ADDRESS ?t_i7 - _-
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.) I -❑ MOVING. - _ TEL..
I, as owner of.the.property,am exclusively contracting CONTRACTOR 'ing NO. ,T
With licensed contractors to construct the project (Sec- gDORESs• Stj;'
tion 7044, Business and Professions.Code.) - -"-`
REQUIREDTOTAL SETBACK,FROM- EXIST. n -
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 2
I hereby affirm that there is a construction lending agency for FRONT t -
the performance of the work for which this permit is issued P.L. - f 44 IN
AL " 32�
(Sec. 3097, Civ. C.). - SIDE
FT
Lender's Name
m - r'/. %� •rJ O t7 _DMA Ref. N
P.C. Fee B Perrtiif Fee
Lender's Address _
a I certify that I have read this application and state that the Issuance Fee o2 7S LDMA P/C N-
above information is correct.i agree to comply with all County Irivesti9ation Fee p a _ 'JrlUU 1•L{I E# s'I/�>'7�
dordinances and State laws relating to building construction, - Total Fee 0 �L •� ✓ LDMA Perm, iy{j)a c
a and hereby authorizerepresentatives of this County to enter -
m upon the above=mentioned property for inspection purposes. -' - -
SEE REVERSE FOR EXPLANATORY LANGUAGE ;
Signature of Applicant or Agent Date - - `
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 0705170027
PHONE: (626) 265-0488 EXT:
(LEGAL ID: NO. OF CONST .BUILDING ADDRESS:
ITR: 13005 LT: 37 SQ. FT STORIES TYPE _ 9914 BROADWAY
I (STRUCTURE: 545 VN TEMP CA,917B02618
(ASSESSOR INFORMATION NUMBER: - T NEAREST CROSS STREET:
18588-016-012ITHOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I I
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON:
(EXIST OCC GRP._. (OS/17/07 SR 05/11/08
I I I I
TOWNER: TEL. NO: SLUGS. NOW,ON-LOT:., K .� A VALUATION: (FINAL DATE /� FIN Y: CODE:
(PERSON NEAL R;NANCY (626) 664-6616- _ 15,000 1 / T
19914 BROADWAY -2�
(TEMP 917802618 FEES PAID JD�RIPTION OF WORK
(1) 14X20 LATTICE COVER (ICC #264 OP) (2) 12'-6'X 11 LATTICE(
(FEE DESCRIPTION: QUANTITY: OOM: AMOUNT: I (ICC 4264 OP) (3) PATIO ENCLOSURE PER ICC #5262P
(APPLICANT: TEL. NO:
INEGRETE (951) 232-6668- 1A BLDG PERMIT ISSUANCE 27.75 1 7/ 10.•
1299 N. SIERRA PL 1AC STRONG MOTION RESID 15000.00 VAL 1.50 SPECIAL CONDITIONS:
UPLAND, CA 91786 1A BUILDING REVIEW FEE 54.70
1 ID2 PERMIT W/0 EN-HC.• 15000.00 VAL .300.60 T
1 TOTAL FEES - '384.55
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
(AMERICAN HOME REMODELING INC. (909) 393-8932- 1
15370 FAIRFIELD RANCH RD LIC. NO TLOCATION AND SETBACKS T
(UNIT 1 807029 B
ICHINO HILLS CA 91709 T (SOILS ENGINEER APPROVAL
T ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. N0: T (SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( T UNDERFLOOR INSULATION
1147H269 3 011
I I (FLOOR SHEATHING '
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
NO 21 (ROOF SHEATHING
-I
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO (FRAME INSPECT IDN
(REQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS /
ISET BACK YARD: HWY: PROP LINE: WIDTH:
(FRONT PL- _ TINSULATION/WEATHER STRIPI
SIDE PL- 11
INTERIOR LATH/DRYWALL
T jEXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
(RATED.WALL ASSEMBLIES I I I
.I
RATED'S RAFTS/OPENINGS '
II II I
I I I
IT-HAR'CEILINGS
_ ILDT DRAINAGE TI TI
I
(REPORT ID: DPR261 ROUTE TO: DS0508
I I I I I I
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 0707230007
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING.ADDRESS:
ITR: 13805 LT: 37 SQ. FT STORIES TYPE 9914 BROADWAY
ISTRUCTURE: VN I TEMP CA 917802618
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BAE)WIN
8588-016-012 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON:
IEXIST OCC GRP: 07/24/07 SR 01/20/08
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DATE FI Y: CODE:
PERSON REAL R;NANCY (626) 285-0441- 1 28,000
19914 BROADWAY I II O 1
ITEMP 917802618 1 FEES PAID ISCRIPTION OF WORK 1
IKITCHEN REMODEL REPLACE WINDOW, BAY WINDOW AND RELOCATE (E) `
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: WINDOW
APPLICANT: TEL. NO: I I _
1WATSON (626) 836-8350- AA BLDG PERMIT ISSUANCE 27.75 1
1150 S. BALDWIN AVE (AC STRONG MOTION RESID 28000.00 VAL 2.80 (SPECIAL CONDITIONS:
I
ISIERRA MABEE 91024 AX BUILDING REVIEW FEE 54.70 1
1 IBE PERMIT W/ENERGY 28000.00 VAL, 561.66 1
TOTAL FEES 646.91
(CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE +
WATSON CUSTOM CONSTRUCTION INC. (626) 836-8250-
1150 S. BALDWIN AVENUE LIC. NO ILOCATION AND SETBACKS
ISIERRA MADRE, CA 91024 388016 B
I (SOILS ENGINEER APPROVAL 1
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS /
LIC NO: ISLAB/UNDER FLOOR rrtt
RAISED FLOOR FRAMING
I I
(NAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J (UNDERFLOOR INSOLATION
I147H269 3 01
1FLOOF SHEATHING +
(N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOT' SHEATHING
1 SCHOOL WITHIN HAZARDOUS SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO (FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS
15ET BACK YARD: HWY: PROP LINE: WIDTH:
IFRONT PL- IINSULATION/WEATHER STRIP
SIDE PL- I I /
(INTERIOR LATH/DRYWALL
I (EXTERIOR LATH
(RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
)RATED SHAFTS/OPENINGS
I
IIT-BAR CEILINGS
I ILOT DRAINAGE
I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 1
I-
' 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 1211010057
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 13805 LT: 37 SQ. FT STORIES TYPE 9914 BROADWAY
; (STRUCTURE: 4 V-B TEMP CA 917802618
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18588-016-012 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI
I TENANT: IEXIST BLDG USE: DETAC USE ZONE: R-1 (ISSUED ON: PROCESSED BY: T
IEXIST OCC GRP: 111/01/12 SR
TOWNER: TEL. N0: JBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE:
IWONG, KENNY (626) 502-6810- 1 3,500 19914 BROADWAY
(TEMP 917802616 1 FEES PAID CRIPTl N OF WORK 1
I (REMOVE AND DISPOSE COMP SHINGLES INSTALL NEW COMP SHINGLES
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT:;ON ROOF DETACHED GARAGE
(APPLICANT: TEL. NO: I I
IMETRO, RYAN (626) 432-1914- IAA BLDG PERMIT ISSUANCE 27.80 1
1305 S LAKE AVE 201 IAB STATE GREEN BLDG FEE 3500.00 VAL 1.00 ;SPECIAL CONDITIONS:
PASADENA 91101 IAC STRONG MOTION RESID 3500.00 VAL 0.50 ;
I ID2 PERMIT W/O EN-HC 3500.00 VAL 115.80 T
1 1 TOTAL FEES 145.10 T
CONTRACTOR: TEL. NO: I ;APPROVALS DATE INSPECTOR SIGNATURE
IMANOLIS ROOFING CO (562) 599-7900- 1 1
12172 PACIFIC AVENUE LIC. NO I OakTION AND SETBACKS I
HANG BEACH CA 90806 878959
I ISQILS ENGINEER APPROVAL
I
(ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS 1
I LIC. NO: I ;SLAB/UNDER FLOOR
I I IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I IUND-RFLOOR INSULATION I 1
1147H269 3 001 I_ 1
I I IFLOOR SHEATHING I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I_ I
1 0 NO 21 IROOF SHEATHING I�
I SCHOOL WITHIN HAZARDOUS ISH2AR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
I NO NO NO ;FRAME INSPECTION 1 1
IFIRE SPRINKLER HANGERS
(INSULATION/WEATHER STRIP;
(INTERIOR LATH/DRYWALL I
I I I
;EXTERIOR LATH 1
IRATED FLOOR/CEIL ASSEM. I
;RA'PED WALL ASSEMBLIES
I
IRATED SHAFTS/OPENINGS
T-BAR CEILINGS
I- ADDITIONAL DATA ON FILE I
ILOT DRAINAGE
;REPORT ID: DPR261 ROUTE TO: BS0508 I
I_
' COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1211010056
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 13805 LT: 37 SQ. FT STORIES TYPE 9914 BROADWAY
,STRUCTURE: 16 V-B _ TEMP CA 91"1904.618
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1
18588-016-012 1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI
ITENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ONE PROCESSED BY:
EXIST OCC GRP: 11/01/12 SR
II OWNER: •TEL. N0: 1BLDGS. NOW ON LOT: VALUATION: IFI AL D FI L CODE:
IWONG, KENNY_ (6261 502-6810- 1 11,000
19914 BROADWAY I I ITEMP 917802618 1 FEES.PAID DEE5`CRIPTVON OF WORK
I I (REMOVE AND DISPOSE COMP SHINGLES INSTALL NEW COMP SHINGLES 1
1
_IEEE DESCRIPTION: QUANTITY: UDM: AMOUNT ION ROOF HOUSE 1
APPLICANT: TEL. NO:
(METRO, RYAN (626) 432-1914- IAA BLDG PERMIT ISSUANCE 27.80 1-
1305 S LAKE AVE 201 IAB STATE GREEN BLDG FEE 11000.00 VAL 1.00 ISPECIA1, CONDITIONS:
(PASADENA 91101 IAC STRONG MOTION RESID 11000.00 VAL 1.10
I ID2 PERMIT W/0 EN-HC 11000.00 VAL 233.40
1 1 TOTAL FEES - 263.30
CONTRACTOR: TEL. NO: I 1APPF.OVALS DATE INSPECTOR SIGNATURE
IMANOLIS ROOFING CO (562) 599-7900- • _
12172 PACIFIC AVENUE LIC. NO LOCATION AND SETBACKS
LONG BEACH CA 90806 878959
SOILS ENGINEER APPROVAL
I_' I
(ARCHITECT OR ENGINEER: TEL. N0: .WNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
1 1 (RAISED FLOOR FRAMING 1 1 1
I I h I I I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( JUNDERFLOOR INSULATION
147H269 3 001 1
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I-
0 NO 21 1 IRODF SHEATHING I
SCHOOL WITHIN HAZARDOUS ISHPAR PANELS
1AIN QUALITY: 1000 FEET MATERIALS 1
NO NO NO PRAmE INSPECTION
FIRE SPRINKLER HANGERS
I
(INSULATION/WEATHER STRIP
(INTERIOR LATH/DRYWALL
I
I I (EXTERIOR LATH
I
1 IRATED FLOOR/CEIL ASSEM.
I-
IRATEDWALL ASSEMBLIES
RUED SHAFTS/OPENINGS
T-BAR CEILINGS
1 ADDITIONAL DATA ON FILE
_ 1LOT DRAINAGE
(REPORT�ID:- DPR261 ROUTE TO: BSO508
_1 I