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Home My Public Portal About9951 BROADWAY_Building__ TSA636A CE Y6�] d-63 APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDING cj IS r= r o 0 DEPARTMENT OF COUNTY ENGINEER ADDRESS / BUILDING AND SAFETY DIVISION LOCALITY j C ' JOHN A. LAMBIE. COUNTY ENGINEER NEAREST /�G✓ T WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST, FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE __ EssEDBY S` O 1 CONST. ti� BUILDING T.C . STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 9951 BroadwayC CLASS. NQ�DW ELL. UNITS =BK SPG LOT NO, BLOCK WATER NOT REQUIRED ❑ RECEIVED //❑ TRACT �D� CERTIFICATE: p HIGHWAY SIZE OF LOT SOD �Z NO.OF BLDGS. NO. .7 aU p (CIRCLE) STATE MAJOR SECOND LOC S NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. ResidenceTJ—/ TEL. OWNER A. Bornhauser NO, BU IL DIN G EXIST. SETBACK YARD HWY STREET NAME - WIDTH ADDRESS 9951 Broadway T.C. FRONT p ARCHITECT OR TEL, P. L. ENGINEER NO. SIDE ADDRESS P L CONTRACTOR Virgin Roof COi+oAT70507 u ADORESS 600 S•San Gabriel Blvd. o H DESCRIPTION OF WORKSan Gab W o. N NEW ADD ALTER DEMOLISH - Z SO. FT. NO.REPAIR OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE Re-ro f ouae garage. SIGNATURE OF APPLICANT VALUATION .$ 4402•OO APPROVALS DATE;h INSPECTOR'S SIGNATURE P.C. PMT FOUNDATION: LOCATION ( { 1 FEE $ �_ FEE $6•OO FORMS. MATERIALS f F 1 FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS / AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. t 9 WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTI N. I CERTIFY T T IN DOING THE WORK ` I AUTHOR ZED HERE Y ILL NOT EM O ANY PERSON IN VIOLA- LATH. INT. I ' TION OF THE LABO - K T E E O IFORNIA RELAT- ING TO WORKMEN' Ct � ZZ�LLF LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- f PERMITTEE '" - RECT AND POSTED ? ^ ' 'ADDRESS 600 • San Gabriel Blvd• FINAL Zo�'(l�' ;�✓'� dh S$n Ga rJ.el JOHN F. LEWS. PRINCIPAL ST C RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION «. M.O. CAEH_ LATO3 8 1 7Z SEP ] 6 1 D 6.00- owl �/ �• • '� WORKERS' COMPENSATION DECLARATION ,• tereLy affirm that I have a certificate of consent to self ensure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT -or a certified copy thereof (Sec. 3800; Lab. C.) - \a COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ' ❑ Certified copy is hereby furnished. FBu)LDRE APPLICANT TO FILL IN BUILDING ADDRESS y ❑ Certified copy is filed with the county building inspec- � .�Of�OGi'fx 7 �� C�tion department. - L' zIP / �U LocAury ?Dat¢ Applicant NO. OF BLDGS. NEARESTCERTIFICATE OF EXEMPTION FROM WORKERS' NOW ON LOT6Ro55 ST. COMPENSATION INSURANCE ASSESSOR - _ {...(This section need not be completed if the permit is for one BLOCK LOT NO. MAP BOOK/- 6 50 fAGE 0/,5 PARCEL 0 hundreddollars ($100) or less.) �L TEL. / . O �/IC� j� NO. USE ZONE MAP I certify that in the performance of the work for which this NO. �6 permit is issued, I shall not employ any person in any manner ADDRESS (%/1_S�_/AAy_x.T_k / SPECIAL CONDITIONS d so as to become subject to the Workers' Compensation Laws. •�� A �/T O CITY /c-•"/ C:/ el/ -- zip 9 17�rJ U Date Applicant ARCHITECT OR TEL, X NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' (, CONST.' / %NE 0 Compensation provisions of the Labor Code, you must forth- ADDRESS o � y J ,ale a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR OZMii /La' NO. - z LICENSED CONTRACTORS DECLARATION LIC. CLASS N0._9 1 DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP VALIDATION CITY CLASS and Professions Code,and my license is in full force and effect. BK. PG. SO. Fr. NO. OF NO. OF CHECK License Number Lic. Class SIZE O STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ $ /Q OO o, ,f f 0,0 Elam exempt under Sec �i`i�/-(� � 'TIC �' ADD ❑ 1 ALTER ❑ , B.BP.C. for this reason _ REPAIR ❑ $ Date: USE OF --= - EXISTING BLDG. DEMOL ❑ APPLICANT - I L_I=s`_! Signature TEL. _ OWNER-BUILDER DECLARATION (PRINT) NO. DATEFMAL D 'LIY11L 16:3 a 46 ' I hereby affirm that I am exempt from the Contractor's License �_., Law for the following reason (Section 7031.5, Business and ADDRESS FINAL :.}ECK Professions Code): PRESENT B L1 '�'^' ❑ I, as owner of theproperty, or m employees with BUILDING T I"��1iL'� J. aYADDRESS 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. poll. %.G.: I, as owner of the property, am exclusively contracting CONTRACTOR NO. f+�yG with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. -•`��v a r -s CONSTRUCTION LENDING AGENCY SET BACK YARD HWV PROP. IINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.I. (Sec. 3097, Civ. C.). SIDE P.I. 3 Lender's Name ' �O• / LDMA Ref. q P.C. Fee$ Permit Fee (O � Lender's Address a I certify that I have read this application and state that the Issuance Fee LDMA P/C k 8 above information is correct. agree to comply with all County Investigation Fee / / r R ordinances and State laws relating to building construction, Total Fee /N 25v `�0 LDMA Perm. N < and hereby authorize representatives of this County to enter upon th99 bove-mention/d property for inspection ur oses a ` Li-C�G G t / SEE REVERSE FOR EXPLANATORY LANGUAGE Signature r pplicant or Agent kat. i i f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY 1 LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0306030009 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. 05 CONST NEW BUIL ING ADDRESS: TR: 13805 LT: 4 50. FT STORIES TYPE OCCUP GROUP 9951 BROADWAY STRUCTURE: 495 1 VN R3 TEMP CA 917802635 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: BALDWIN 8588-015-004 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/05/03 ,IK 05/30/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION; FIN L AT FIN BY: CODE: LO;STEVEN OADNAYND DONNA Y (626) 286-8228- 37,000j�/p-3 TEMPLE CITY 91780 F PAID b c TION�ORK /hM� ADD FAMILY RM & MASTER BEDRM W/BATH (TTL 3BR/3BA) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TTL N0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 37000.00 VAL 3.70 SPECIAL CONDITIONS: 81 PLANCHECK W/ENERGY 37000.00 VAL 587.22 62 PERMIT W/ENERGY 37000.00 VAL 690.86 TOTAL FEES 1,309.53 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS y� ' ABLE DESIGN AND CONSTRUCTION CO. (909) 869-0732- [l v 20160 PASEO DEL PRADO #H LIC. NO: SLAB/UNDER FLOOR WALNUT, CA. 91789 668681 B �7-/6- 3 YL RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 Ts-T LEVEL FLGOP SN EATH - N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: CC// NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATH NG Q AIR QUALITY: 1000 FEET MATERIALS V• -. NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXI T BLDG DEPT. FRAME-INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: 1- 1`- D3 (L� FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL �c b3 EXTERIORLATH Q (0 O LOT DRAINAGE SMOKE DETECTION DEVI S FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 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 0308050023 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF-- CONST BUILDING ADDRESS: TR: 13805 LT: 4 SQ. FT STORIES TYPE 9951 BROADWAY STRUCTURE: VN TEMP CA 917802635 ASSESSOR ORM ON NEAREST CROSS STREET: BALDWIN 8588-015-004 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY EXIST BLDG USE: SI USE ZORET: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/05/03 JK 07/30/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL 0 E FINAL BY: CODE: LO;STEVEN Y AND DONNA Y (626) 286-8228- 2,000 / 9951 BROADWAY d l TEMPLE CITY 91780 FEES PAIDION UP WORK T%0 XISTING PORTION OF HOUSE; INSTALL NEW SHEATING 8 30YR FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: ASPHALT SHINGLES APPLICANT: TEL. N0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 2000.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT NG NE R: TEL. NO: FOUNDATION/TRENCH FORMS ABLE DESIGN AND CONSTRUCTION CO. (909) 869-0732- 20160 PASEO DEL PRADO #H LIC. NO: SLAB/UNDER FLOOR WALNUT, CA. 91789 668681 B RAISED FLO W FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION X 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE WINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WE THER STRIP SIDE PL- INTERIOR LATH/DRYWALL- EXTERIOR LATH RATED L /C IL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 91760 BL 0508 1107180034 PHONE: (626) 285-0488 EXT: LEGAL ID: NO, OF CONST BUILDING ADDRESS: ITR: 13805 LT: 4 SQ. FT STORIES TYPE 9951 BROADWAY 1 (STRUCTURE: V-H TEMP CA 917802635 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 18588-015-004 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl 1TENANT: (EXIST BLDG USE RESID USE ZONE: A-1 IISSOED ON: PROCESSED BY 1 IEXIST OCC GRP: 107/18/11 SR (OWNER: TEL. N0: JBIDGS. NOW ON LOT: VALUATION: iFIIy.AI. DATE FINAL BY: CODE: ILO, STEVEN (626) 378-7319- 1,900 ))� J 19951 BROADWAY Il 1 ITEMP 917802635 FEES PAID D SC IPTIO OF WORK IREMOVE THE OLD WOOD REPLACE WITH STUCCO FRONT HOUSE ONLY 1FEE DESCRIPTION: QUANTITY: OEM: AMOUNT: (APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.80 1A STATE GREEN BLDG FEE 1900.00 VAL 1.00 SPECIAL CONDITIONS: JAC STRONG MOTION RESID 1900.00 VAL 0.50 1D2 PERMIT W/O EN-HC 1900.00 VAL 82.20 TOTAL FEES 111.50 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO ILOCATION AND SETBACKS I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNUATION/TRENCH FORMS I I I LIC. NO: ISLAH/UNDER FLOOR I I I - (RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSOLATION 1147H269 3 001 I I 1FLOOR SHEATHING I I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: - 1 0 NO 21 1ROOF SHEATHING I I 1 I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAi PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO FRAME. INSPECTION I I (FIRE SPRINKLER HANGERS I I I I I I I I (INSOLATION/WEATHER STRIP( I I 1 I I IINTEF IOR LATH/DRYWALL 1 I (EXTERIOR LATH I 7-3 1A - (RATED FLOOR/CEIL ASSEM. I I (RATED WALL AESEN®LIES I I I I RATEC SHAFTS/OPENINGS I I IT-BAR CEILINGS 1 1 1 - LOT DRAINAGE (REPORT ID: DPR261 ROOTS TO: 850508 I I I I I I