HomeMy Public PortalAbout9956 BROADWAY_Building__ vaw�aw Paas n-ss
APPLICATION FOR BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY BUILD1nG
AUIL;IK
Depmiment of County Engineer
County of Los Angeles LOCALITY
WM.J. FOX, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SuwT OF BUILDING CROSS ST. 4 V f`'
DISTRICT NO. GROUP I T�,_ ISE 9K M'/z
FOR APPLICANT TO FILL IN S JT CONST. Fc
BUILDING // ./� BR
Q^ i I A> MAP �n��(� STATE YES NO
ADDRESS "Y7-'_IW-:1 11 }' V/Yt NUMBER��+�+' A HWY
TEAS eI-v :- USEZON SPECIAL
LOT NO.
TRACT V O O RNO OF ae
SIZE OF LOT /` /?"O I NOW ON LOT YARD B LDING YARD HWY STREET NAMEUSE OF EXIST.
* � ¢� �lL SETBACK WIDTH
EXISTING BLDG. IJbi ) i0aJ 10 U LL.f ; FRONT O 't'' ;:
//�� SIDE t� C.�
OWNER // , T-1 t P. L.
MAILADDRESS `f "-` ��.01�1DLv� O TRACT DWELL. 1 UNIT
5 INDUSTRIAL
`�-��. M1 RTEL, 1 DWELL. 1 UNIT
CITY 1 C� -E ��f 1 V NO. - 6 PUBLIC BLDG.
ARCHITECT OR TEL 2 DUPLEX f UNI - DDN.,ALT.. ETC. -
ENGINEER NO• 3 APT. —UN
8 MISCEL.
ADDRESS 4 COMMERCIAL
CONTRACTOR A M LTT�1 t TI�o' i^ 6 - INSPECTION RECORD
ADDRESS "4 i�•4 dlPtnSFc� V AR.CAhA
DESCRIPTION OF WORII/
NEW ADD Y ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE 7_2,0 eTORl E3 FAMILIES
USE' F STRUCT RE
%
T _7
i1_I vS
SIGNATURE OF L� ! ✓, Aa L` y�P APPROVAL$
APPLICANT "T::0
,,TT��,,pp (1��
ADDRESS "T::0(za Ae'r. DATE INSPCTOR'S SIGNATURE
$ P. C.77FOUNDATION:-- FORMS. MATERIAL810N
FEE FRAME:
VALUATION �J"•O'� $ /�/1 0BRACING.BOLTS lL7I DII �j� �C� QA�•`—_.
FEE 0! FURNACE: LOCATION, y� y
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. to C.ISS t [ '
AND STATE LAWS REGULATING BUILDING CONST UC- 4
TION. LATH, EXT.
Z� H
61GNATU RE OF I OUSE NUMBER COR-
PERMITTEE�. RECT AND POSTED
ADDRESS FINAL
WM.J. FOX.COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR
Co& 2 5 4— SEP22 1 1 0,00
DIVISION OF BUILDING AND SAFETY p ® �
Department of County Engineer
County of Los Angeles U
NG
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO qL�
FOR OFFICE USE ONLY
BUILDING
GISTS, -- PLAN Cc. OR REC.No. /PERMIT O.
ADDREBB S �/
R IVED BY DATE OF APPL. OATEI UED
LOCALITY
NEAREST
CROSS BT. BUILDING
ADDRESS J
OWNER L� T .O r
MAIL LOCALITY /•.•
ADDRESS /��[� NEAREST /I. ..
`, CROBB ST.
CITY �'S��Y�L�• FIRE NO.OF I TYP GROUP'7`--
ARCHITECT OR ZONE PLANE �L.
ENGINEER BLDG. ��r� �� / ORO. NO.
SETBACK LINE.
ADDRESS
USE qA_r _ APPROVED
.y ZONE BY DATE
CONTRACTOR 4z"' �A'<75.4
s`. r .R� /�/,H(O/USwENUMBERING
AODRCSB�R GT !'� MAP NUMBER _, `� NO. ABBIONED BY
LEGALyCORRECTIONS
DESCRIPTION LDT NO.
TRACT /- ��JJ)o S
SIZE OF LOT O j ' •`� I NONIL OF -
USE OF _ (�.r N4CW
EXISTI NO BLDG, I �(-jZCiGLL AMILIES
DESCRIPTION OF WORK a
NEW XI ALTERATION ADDITION A/
Z
D
REPAIR DEMOLITION F
BO. NO.OF
SIZEFT. l ROOMS STORIES
EXT.WALL ROOF
COVERING COVERING
USE O/Fy9TRUCT .yE
INSPECTION FOR AP ROVALS
OCCUPANCY AS INSPECTORiSSIGNATURE DATE
FOUNDATION: LOCATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FORMS, MATERIALB � � "_ �ie yy
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME, FIREBTOP . aC A-1", �••-•"— �1-$-7`�
CORRECT. BRACING, SOI TB '
I AGREE TO COMPLY WITH ALL-COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. DAN VENT, DUCTS
SIGNATURE OF �, LATH. INT. /
PERMITTEE �� '� l'
ADD REBB / {•..may LATH. EXT. -G'� /��G.�F. -/ Z�Y��•-'
AUTHORIZED AS �I/„i A/ PLASTER, INT.
J ,
$ A PLASTER, EXT.
P.C.8 HOUSE NUMBER COR-
rae
RECT AND POSTED
VALUATION
rae '� FINAL ��� � jA G�—cj7 7
96A638A DB53 1-52 �✓ V
DEPARTMENT OF BUILDING AND SAFETY APPLICATIU14 t Utt Pr tcmir
�* COUNTY OF LOS ANGELES ® LD
® �
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
_ DI9TR1'T No. PLAN CK. NO. PERMIT NIL
BUILDING L „I. (/ _ /�_ .,�� /_ �y 2
ADDRESS (/ 1/L.O`9�-d' t.:J p pC /'J%rJ lI �P )
LpCALITY .O (`�-'�+L. 1 //ARECEIVE' BY DAT[,�g�y�3l YP� DATE ISSUED
NEAREST �/lCJ/- (/h/ n
CROSS ST.
BUILD NO
OWNER a."-'a ADDRESS�. ) ��� !V/'� nA-1-/7 zai�
ADORES? � 1 LOCALITY �<���I�L l��/ / 'H
�/l�(�l NO. �,�yL4 NEAREST
TEL
CITY CR0398T.
FIRE NO.OFTYPE HROIJP
ARCHITECTOR L ZONE PLANS .,-`�/�'
ENGINEER ND. _
HLDO. FV-
APPROVED /
ADDRESS SETBACK LINE l/�� / ,f -
APPROVED
CONTRACTOR /ai �1N NO. BY DATE
1 /a /
USE ) APPROVED
ADDRESS/ ��+ / GAO /�L/4�a'�-/�R7 ZONE / IS DATE
LEGAL p ♦ ,IONS
DESCRIPTION I LOTNO. I BLOCK ��RP l
TRACT // !J
NO.OF BLDG9.
SIZE OF LOT/4,0 x NOW ON LOTUSE OF N . r 140,OF
EXISTING BLDG FAMILIEe-�rROOM9Y_ L
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
0
REPAIR MOVING DEMOLISH /� �
B ZE T. // /// R ROOMS la STORIES�i.. D
WALL ROOF
COVERING COVERING
USE OF NEW
BUILDING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIB APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS v
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
iRAME:FIRE STOPS,
SIGNATURE OF
OWNER / HRADING,BOLTS y
(IG/ ' LATH,INT.: �p.-✓`in CJ ' �7 `9
AUTHORIZED AGT. 'V LATH,EXT.:
DBS-3 25M SET.1-97 P.D.® Q I PLASTER. INT.
/ 7 FEE- /�.- PLASTER, EXT.
VALUATION C� V FEE '! !� FINAL
DEPARTMENT OF BUILDING AND SAFETY "k'LJl.Al1VP1 rvn eLnv&LL
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX, CHIEF ENDINEER
i FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
ABUILNG
D REBS d �' r•��.IbWW N DISTRICT NO. PLS K.NO. PERMIT�' 1�,
LOCALITY F y �//'� [�( � RE6.114EE�Dy1BY DATE IFIAPPL. 'DATE ISSUED
NEAREST -/"'!/ '"lig J ISI��7 •••J r��
CR0H9 9T.
BUILDING
' OWNER G N/ �� /,Q /y4 fl' ADDRESS !�,}
MAILFLcs rumor-5 T�/v'a <"
ADDRESS LOCALITY
'qI. q NEAREST ��e 4/
CITY a ler I / O�' / a• CROSS 9T. I9 �✓
FIRE NO.OF TYPE�..�•
ARCHITECTOR TEL ZOpROU,P�.NE I PLANS I 'T/ ^/
ENGINEER NO. ll�
BLDG. �f (,' ORD.NO.
ADDRESS SETBACK LINE
APPROVED
t TEL BY DATE
CONTRACTOR /,W N 9- Y i a NO.
USE APPROVED
ADDRESS
ADDRESS �� ZONE /Y' -/BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOTNO. BLOCK
TRACT /3 D S
NO or
SIZE OF LOT 6�x/�-�� Oe� I NOW ON LOTS
USE OF frlfyl NO.Or I NO.Of
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW x ALTERATION ADDITION
O
A
' REPAIR MOVING DEMOLISH p
SO. FT. p NO.OF Z
S¢E (� ROOMS STORIES r
WALL I ROOF O
COVERING •i�/aJ COVERING
USE OF NEW
BUILDING
o 00 ) e CTVLrat 4e
vLCo ss L �
I HEREBY ACKNOWLEDGE THAT I HAVE,READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION INSPECTOR r'4. DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
OWNER 16 LATH,INT.: q•
AUTHORIZED AST. LATH,EXT.:
Gas-a zsm sErs l-a9 PLASTER. INT.
FFEE-G
�_
/ PLASTER. EXT.
!B �•�.•�
VALUATION `L.. FINAL
APPLIC_A,TION FOR .BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION 4 FOR APPLI51ANT TO FILL IN . • - BUILDING AD E `� '
hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS " - .Q/el�
Or a certificate of Workers' Compensation Insurance,or a certified 1 ef/1 /�. ii'�
copy thereof (Sec.3800,Lab.CJ
Of ^ ZIP - .7JG
�1Jf EL— LOCALITY
Policy No: Company SIZE OF LO NO.OF BLDGS.NOW ON LOT
❑ Certified copy is hereby furnished. I NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. /I
department. USE ZONE MAP NO.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER / TEL NO.
17 COMPENSATION INSURANCE �J! WITHIN 1000 FT.OF SCHOOL? ves NO
(This section need not be completed if the permit is for one hundred ADDRESS ^ (�� y
l
dollars(S 100) or less.) DISTRICT GROUP TVP CONST FIRE ZONE PROCESSED BY
CITY , ZIP mod3 3
I certify that In the performance of the work for which this permit 't
is issued, Shall not employ any person in any manner SO a5 t0 ARCHITECT OR ENGINEER TEL NO.
become subjec to the Workers'Co pensation L s.
STATISTICAL CLASSIFICATION APT CONDO
Date Applican� � ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APPLICANTIf, after ma g this ertificate of cU 11 REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become Subject to the Workers' CONTRACTOR ` moi' TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith /Al FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS ( UO O PL
LICENSED CONTRACTORS DECLARATION 1 0 SIDE
CITY PTJ T A % LIC.CLASS 'L
1 hereby affirm that I am licensed underprovisions of Chapter 9 ` wr
SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO. IZE NO.OF SIL71ES NO.OF FAMILIES
Professions Code,and license tis in full force an effect. v NrD
❑ BK PG , }.
License Numbers` Lie.Class DE CRIPTI WORK I ❑ VALUATIONiU Contractor%Date -' _ .GA`s / ❑ V
Ir
Elam exempt under Sec. '��SIX ` REPAIR ❑ $ 0
B.&P.C.for this reason TM D OL ❑ D
w
USE OF EXISTING BLD MA P/C
Date:
❑ d
0)
Signature APPLICANT(PRIN ) TEL NO. LDMA Perm n Z
❑ I, as owner of the property, or my employees with wages as 62 ZO
their sole compensation, will do the work and the structure is ADDRES ( _
not intended or offered for Sale (Section 7044, Business and Gam— L NAL DATE a ''=
PfofeS510OS.COde. WILL THE PPLICA OR FUTURE BUILDING OCCUPANT Al A HAZARDOUS MATERIAL
OR A MIX URE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE I
❑ 1, en owner co Of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE4 FINAL BY �� j {
licensed contractors to construct the project (Section 7044, Yes❑ NG❑ r[l i Hl 1--6 e 15
Business and Professions Code.) !! _ {,_
WILL THE INTENDED USE M THE BUIDLINGCONSTRUCTION
BY THE MODIFICATION
OR FROM T EBUILDINGSOUTH j�H "' ..1
OCCUPANT REQUIRE A PERM FOR CONSTflUCTION OR MODIFICATION FPOM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKUST FOR
GUIDELINES =_til
I hereby affirm that there is a construction lending agency for YES El No El
tf12 performance Of the Work for which this permit IS ISSUed LS'aC. I HAVE READ THE HAZARDOUS MATERIALS INFORMA➢ON GUIDE AND THE SCAGMDPERMITTING
3097, Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 'ft�P',�[T TI j+ ! fi i ' _
m t li .L. i 1
TITLE I CHAPTER TING SECTIONS 2 20,OBTAINING
THROUGH FROM 0 CONCERNING HAZARDOUS ..]I_y_ -
Lendef S Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. _
o Lender's Address - P• --
o avuerr OR AcervT
o I certify that I have read this application and state under penalty
of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE �y
with all county ordinances and State laws relating to building
m construction, and hereby authorize representatives of this County ISSUANCE FEE '
fo enter so b mend --d A^rJoperty for inspection purp se
mam�. "`SC � INVESTIGATION FEE TOTAL FEE /• /
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY 8 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0310030047
PHONE: (626) 285-0488 EXT:
LEGAL NO. OF CONSTNEW U NGADDRESS:
TR: 13805 LT: 44 SQ. FT STORIES TYPE OCCUP GROUP 9956 BROADWAY
STRUCTURE: 1033 2 VN R3 TEMP CA 917802618
ASSESSOR INFORMATION NUMBER: GARAGE: 509 1 VN U1 NEAREST CROSS STREET: BALDWIN
8588-016-019 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: EXIST BL USE OI ISSUED 0 PROCESSED BY: E% IRES ON:
EXIST OCC GRP: 06/07/04 VG 06/02/05
OWNER: TEL. N0: BLDGS. N07 ON LOT: VALUATION: FI L AT FINAI,.BY CODE:
LUO, YONG HUA - 96,422
9956 BROADWAY
TEMPLE CITY 91780 FEES PD CRIP 0 CF WORK
1 T FLR:ADD FAMILYRM& .SBA;ADD 2ND FLR(BED&BATH);DEMO EXSTG
APPLICANT:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GARAGE;ADD ATT 2CAP. GARAGE;TTL WHEN OONE:3BR,3.5RA,SITTINGRM
L. NO:
STEVE WU (626) 912-3289- B1 PLANCHECK W/ENERGY 96422.00 VAL 1,183.84
18403 VILLA CLARA Sr AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
(ROWLAND HTS, CA AC STRONG MOTION P.ESID 96422.00 VAL 9.64
B2 PERMIT W/ENERGY 96422.00 VAL 1,392.77
TOTAL FEES 2,614.00
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
LUO, YONG HUA (626) 912-3289-
9956 BROADWAY LIC. NO LOCATION- D SETBACKS
TEMPLE
/
TEMPLE CITY, CA 91780 NONE
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINE Ro T -N0; FOUNDATION/TRENCH FORMS
WU, STEVE C Y (626) 912-3289- _
18403 VILLA CLARA ST. LIC. NO: SLAB/UNDER FLOOR
ROWLAND HEIGHTS, CA 9171-8 26073 C RP.ISED FLOOR(RAMING
MAP NO: SEWER MAP BOOT:PAGE: FIRE ZONE: CMF: UNDERFLOOR INSULATION
3 01
S LE1 E LE-FLOOR SHEA I -
NO. OF FAMILIES: DWELLING UNITS: PT/COND: ST T-CLAS : /
NO 21 TND LEVEL FLOOR SHEATH
SCHOOL WITHIN -HWZVRDOUS R-0-0 SHHF..I NG //'/( // rte''-•-'
AIR QUALITY: 1000 FEET MATERIALS /1
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST B DG E FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATIONiWEATHER STR P f
INTERIOR LATH%DRYWALL
T ERIO LAT
L
LOT DRAINAGE
SMOKEDETECIION DEVICES
FIRE7DEPARTMENT APPROVAL
* ADDITIONAL DATA ON FILE
REPORT ID: DPR261 ROUTE TO: BS0508