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HomeMy Public PortalAbout9944 BROADWAY_Building__ jMEW*6F BUILDING AND SA'F'ETY APPLICATION FOR PERMIT . COUNTY OF LOS ANGELES BUILDING �Vp f L® I N G 1 WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY //L 1 DISTRICT NO.• `PLANCK. NO. P(EERR(MMITI NO. BUILDINGADDRESS ,i 5 J3 LOCALITY RECEIVED BY OATJOFAPPL. DATEISSUED NEAREST A ` ' / .12� E CROSS ST.fZj . I /�//�C/"( / µ y L' DDRE ADDRESS S ADDRESS Gf ,8 Y•Q� OWNER r- s} `_ � 'q MAIL LOCALITY /—`�/4 y-� / /' Lj• _ AD DR NEAREST TEL. CROSS ST. —64 CITY J>/ ,A. NO.DO 3 FIRE NO, OF I TYPE il . I GROL ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. SETBACK LINE ADDRESS �.-✓'' ' APPROVED T- (.yO "QOL^ ryGLL G.G TEL. BY DATE CON RACTO�R/ �JNO. APPROVED ADDRESS�• /YQ^/`/✓�� ^ ^�Y+ ZONE BV DATE HOUSE NUMBERING / LEGAL LOT NO. BLOCK MAP NUMBER FIELD CHECK B 111 CRIFTION TRACT NO. ASSIGNED BY E r- DATE v NO. OF BLDGS. /- �qq ' CORRECTIONS - _ SIZE OF LOT \ O I NOW ON LOT ex USEOF • N . OF EXISTING BLDG. FA. LIES 7 DESCRIPTION OF WORK ©Sae o aLo�r ria.e Je.rr ,o•+- �O NEW I L/F ALTERATION I I ADDITION REPAIR I I DEMOLITION I I I S 60. FT, NO. OF '97' SX IE /•� ROOMS STORIES Z ET. WAL pv GO. I ROOF Lf/O O�Q �p L / C E COVERING Q COVRING •� r"✓ USE OF STRUCTURE i A AjC _ -7-- m✓ / Titnr� > •-a APPROVALS, INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION CA PLITION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT, 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, L_ ' . HEREON AND WITH ALL COUNTY-ORDINANCES AND STATE BRACING. BOLTS LAWS REGULATING BUILOIING ONSTRUCTION. FURNACE: LOCATION, SIGN ATUREOF GAS VENT, DUCTS PERMITTE^ f LATH. INT. ADDRESS �✓ f•� G ' •� �, "� ; LATH. EXT. � �- AUTHORIZED AGT. - ll.ZL PLASTER, INT. 98A899A OB99 10-80 A P. 0. $ +7 ZS �� LI J PLASTER, EXT. VALUATION FEE S/9 FINAL I APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS _ /L�� ZeelA DEPARTMENT OF COUNTY ENGINEER Clrv� ��fw— /Gj ZIP 9117,P&) BUILDING AND SAFETY DIVISION NCI,CFBLDGS. BUILDING SIZE OF LOT�L. ( NOW ON LOT �i ADDRESS TRACT 30 pJi BLOCK LOT NO. �- LOCALITY TEL. NEAREST 1 OWNER p_a$ NO,Ve-S- %0 CROSS ST. ASSESSOR [APIL:CAAN DRESS , 6 1j U/ MAPBOOK PAGE P (�' p DISTRICT UP VPE FIRE PROC ED BY ZIP jpQ �VO ZQQNST. ZO , V HITECT O TEL. INEER NO, STATISTICAL CLASSIFICATION SEWER MO RESS CLASS NO. DWELL UNITS BK PG EL. TRACTOR U 1 V/fJC NO. /LJ�$/EZONE NMOP LIC. !/�' ' SPECIA RESS NO.LIC. CONDITIONS CLASS ROAD DEPA MENT APPROVAL REQUIRED YES ❑ NO ❑ STRUCTION LENDE ME AND BRANCH �j E�- BLDG.SET ACK FROM FRONT P P.LINE OF (STREET) RESS j LI�Jj CITY LE C% TOTAL SETBACK FROM TYPE OF EXISTING FT. NO.OF NO:OF CHECK HIGHW + YARD = FROM PROP.LINE HIGHWAY WIDTH STORIES FAMILIES ONE y _ a CRIPTION OF WORK NEW ❑ + O V BLDG.SETBACK F 1 �L,01 y Q .rADD SIDE PROP.LINE OF ISTREETI O _6r P-7' 6- ALTER ❑ HIGHWAY + YARDT TYPE OF EXISTING OF .[I REPAIRDEP .LINE 16 V WIDTHTING BLDG. � DEMOL ❑ + LICANT TEL CORNER CUTOFF YES ❑ NORINT( CS NO,�S��� IN OPENSPACE YES ❑ NOSIGNATUREI ') .. IN COASTAL PERMIT ZONE VES ❑ NO ❑ VALUATION$ /�LfQ. O` - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. PENSATION INSURANCE. - SIGNATURE OF - PERMITTEE _ ADDRESS C- TEL,��Lryry` FINAL / BY CITY L't- L� j' NOInS- O DATE g.. \= 7 MAKE CHECKS PAYABLE TO: FEE $ J FET $ HARVEY T. BRANDT.COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH.J 6 4 5 tiAP.R. 13 .1 0 2 1.7 5 °o OS 76A636ACEK803375 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, B L ANdl D r�y or a certificate of Workers'Compensation Insurance,or a certified n I 44 �. copy thereof(Sec.3800,Lab.C.) PCE Cl ZIP l 1 �,O / 'TY _LOCAL Policy NO. Company SIZE OF LOT NO.OF 6 5.NOW ON T N FiteElCertified copy is hereby furnished. .�. NEAREST CROSS ST. 13 Certified copy is filed with the county building inspection TR OO BLOCK LOT NO.41- department. o USE ZONE MAP NO. Data Applicant ASSES p, OK PlLGF� PApCF�I� JS 00/ O// SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TE NO. COMPENSATION INSURANCE — WITHIN 1000 FL OF SCHOOL? YES JCESSED (This Section need not be completed if the permit is for one hundred AD� (,� DISTRICT 'GROUP TYPE CONST.' FIRE ZONE t1011eB(;,DO)Or les.) CITY opu C)T ZIP 9 , / SoI certify that h the performance of the work for manner s permit RCHIjTyrL ` ) is issued. I shell not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. ✓ become Subject t0 the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APi ONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, I CO COR TEL NO. p you provisions become rCode, t0 the Workers' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ® FRONT comply with such provisions or this permit shell be deemed revoked. ADDRESS LIC,NO. P L LICENSED CONTRACTORS DECLARATION CITY LIC.CUSS FIDE Q_ I hereby affirm that 1 am licensed under provisions of Chapter 9 SEWER MAP ' (commencing With Section 7000)of Division 3 Of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES K Professions Code,and my license is in full force and effect. NEW ❑ BK PGpop. w _ CD License Number Lit.Dies DESC@IPTIO OF K ADD ❑ YILLUATION �T nno V N Contractor Date ALTER ❑ $ Z ❑ I am exempt under Sec. Lfilbasn7o A) REPAIR B.BP.C.for this reason DEI ❑ Date: USE OF EXISTING BLDG. .URM ❑ LDMA PIC# Signature APPLICANT(PRINT) TEL.NO. LDMA Porn M 1 ❑ I, as owner of the property, or my employees with wages as _ O Ta their Sole compensation,will do the work and the structure is ADDRESS F I'9lL l �g not intended or offered for sale (Section 7044, Business and FINAL (�n� -C L`Y. Professions Code.) WILL THEAPPLICANTOR FUTURE BUILDING OCCUPANTHANDLEAHAZARDOUSMATERIAL �( v ''�I�7 ❑ I, as owner of theproperty. am exclusive) COD(r8CIl0 With OR A MIXTURE CONT NTNG A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN �i y g THE AMOUNTs SPEC IED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE] FINAL BY S ITEMS i licensed contractors to construct the project.(Section 7044, YES❑ No� T TFfL Business and Professions Code.) - i i 70 6 318 WILLTHE INTENDED USE OF THE BUILDING BY THE APPLICANT OR OMUPATREOUIREFUTURE BUILDING _ COAST ArIR OUAUTYA NN GEMENT DISTRRICT(SCAGMD)SEE PERMITTING CHEC�ST tlV LI II T-�•'+'J CONSTRUCTION LENDING AGENCY FOR GUIDELINES tHEC I hereby affirm that there is a construction lending agency for YES❑ No CHANGE ,rjrl the performance Of the work for Which this permit Is issued(See. I HAVE READ THE HAZARDOUS MAT` ALB INFORMATION GUIDE AND THE ScNQMD qq 3097,CIV.C.). pERMITT JG'HECKLI$L UNDjRBTANv MY REOUIREMFMS UNDER THE LOS ANGELES - L COOETITLE2.CHAP.IR2.'N ICTIONS21.100THROUGH2W.1000NCERNING u CSI-1U31 U r�dd Lender's Name M is. MATEHIALB RFPQ TNG FOR OBTAINING APEBMIT FROM THESCAOMD. ,� I 7fijYl1 Lender's Address .rt (,fir; f �0 wm aR wr 1830 1 FII11l :45 I certify that I have read this application and state that the above P.C.FE PERMIT FEE $ information is correct. I agree to comply with all county ,Q ordinances and State laws relating to building construction,and hereby authorize repreen Lives of this County to enter upon ISSUANCE FEE ' n t ve-mentioned propR for inspection ?Tot -90 AA INVESTIGATION FEE TOTAL FEE spew a Iapxn oma SEE REVERSE FOR EXPLANATORY LANGUAGE. COUNTY OF LOS ANGELES TEMPLE CITY # C508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1210030076 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITS: 13805 LT: 42SQ. FT STORIES TYPE 9944 I III STRUCTURE: V-B TEMP CA 919802618 - 1ASSESSOR INFORMATION NUMBER: 18588-016-017 NEAREST CROSS STREET: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: IEXIST BLDG USE: RESIp USE ZONE: R-1 IEXIST OCC GRP: 11ON: PROCESSED BY 110/03/0/03/12 SR III OWNER: TEL, NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: CHEN, KAY (626) 872-2897- - 2,700 9944 BROADWAY ITEMP 917802618 FEES PAID IDEIl ( CRIPTTI�F WORK III IKITCHEN REMODEL - COUNTER TOP - OVEN STOVE FEE DESCRIPTION: QUANTITY: DOM: AMOUNT 1APPLICANT: TEL. NO: VESAR, STEPHANIE (818) 523-0474- 1 AA BLDG PERMIT ISSUANCE 27.80 IAB STATE GREEN BLDG FEE 2700.00 VAL 1.00 ISPECIAL CONDITIONS: AC STRONG MOTION RESID 2700.00 VAL 0.50 IB2 PERMIT W/ENERGY 2700.00 VAL 108.90 IFR INV WORK W/O PERMIT 342.20 DOL 342.20 (CONTRACTOR: TEL. NO: TOTAL FEES 480.40 1APPROVALS DATE INSPECTOR SIGNATURE TACE EXPERT BUILDERS INC. (818) 988-9730- 1 14804 LAUREL CANYON BLVD #1021 LIC. NO ILOCATION AND SETBACKS VALLEY VILLAGE, CA 91607 - 9522221 E �SOII.S ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS 1 LIC. NO: (SLAB/UNDER FLOOR I II I . (RAISED FLOOR FRAMING I I I NAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 1UNDERFLOOR INSULATION 1147H269 3 001 1-_ 1 I I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 1-1- 0 NO 21 1 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS iSHEAR PANELS AIA QUALITY: 1000 FEET MATERIALS NO NO NO i - FRAME INSPECTION IFIRE SPRINKLER HANGERS INSULATION/WEATHER STRIPI (INTERIOR LATH/DRYWALL (EXTERIOR LATH RATED FLOOR/CEZL ASSEM. (RATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS i T-BAR CEILINGS LOT DRAINAGE REPORT ID: ppA261 ROUTE T0: BS0508