HomeMy Public PortalAbout10786 BLACKLEY ST_Building__ 76A638A CE#803 8-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS r Q
BUILDING AND SAFETY DIVISION LOCALITY �2�yyL
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST
DISTRICT NO. GROUP TYPE PR ES BY
FOR APPLICANT TO FILL IN �, CID 1 ' 051m
BUILDING �/� STATISTICAL CLASSIFICATION SE 7ER MAP
ADDRESS IG. _ K /P '
CLASS NO. DWELL UNITS-
LOT
NITS LOT NO - .BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
/
TRACT = C L� MA
NOPNO OF BLDGS �J� ) (CIRCLE) STATE MAJOR SECOND. LOCAL
SIZE OF LOT NOW ON LOT U ONE SPECIAL '
USE OF CONDITIONS
EXISTING BLDG Ir
TEL
OWNER C. FQ�- o`'y4t/fp�i'w N0 C(1� BUILDING YARD HWY STREET NAME EXIST.
J SETBACK WIDTH
ADDRESS j('J ofr 40--" FRONT t
ARCHITECT OR TEL. P. L. 216 -GC•G �✓`
ENGINEER NO. SIDE
P L
ADDRESS >_
CURB, GUTTER, DRIVEWAY APPROACH a
r V A-" I
Co vi-te_ff . e..s7 h TEL TRACTOR 1 NOC2fls'7 AND PARKWAY TREE REQUIRED V
ADDRE s 3 1-- L9 S '/11 rJ l�•t� >D/L. cJ h9✓, 1b1 �"j r
CRIPTION OF WORK Note- Permits for curb, guffer, sida•Na% 8ld driVOWB a r® ciIr-
sta atioos slid$ be taker, c;jf of f;lo C. A. floa4 Dt.of,, ,fit fa n�
NEW ADD ALTER EPAIR DEMOLISHC>Mqeor ""' """' Fel c��llrp�ld
SQ. FT. NO OF NO OF a lengthy delay. Surreyy Design wcA foes fl.t.6 srd 14 n&i qalqa$
SIZE STORIES FAMILIES heep humu.'-"poy ¢cr pwkygy #re pwm# f♦ e/r
USE OF,
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION S l_;?' h- .0 - 1
v9
APPROVALS DATE INSPECTOR'S SIGNATURE
PC PM FOUNDATION LOCATION
FEE S FEE _ FORMS. MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. )
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH. EXT
SIGNATURE OF HOUSE NUMBER CORS
PERMITTEE RECT'AND POSTED /
ADDRESS ' FINAL
JOHN F.-LEWIS P INCIPAL STRI'JCTURAL EN ER
PLAN CHECK VALIDATION _CK M O. CASH PERMIT VALIDATION CK M O CASH
LAbo y a 3 JUN 13 1 D 2 2,50-
��
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 9903290056
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 13613 LT: 54 SQ. FT STORIES TYPE 10786 BLACKLEY ST
STRUCTURE: 0 VN TEMP CA 917803501
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PARMERTON
8573-006-008 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 03/29/99 UT 03/29/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CO
RODRIGUEZ, CECELIA (626) 579-0134- 1 5,000
10786 BLACKLEY ST
TEMP 917803501 FEES PAID DESCRIPT(ION OF WORK
TEAR OFF AND INSTALL 1/2" CDX APPL IGHTWEIGHT TILE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICBO ER 3523
=APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION=RESID=X5000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/.O,EN-HC:: �5000,00 VAL 132.60
GELQSTOTAL;�FEES 160.85
CONTRACTOR: TEL. NO: b®� ��/�� APPROVALS DA E INSPECTOR SIGNATURE
SAMELIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
?ARCHITECT OR ENGINEER: TEL. NO: �fFOUNDATION/TRENCH FORMS
LIC. NO.
1111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
,,,,MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,:_ U n L 1-01 nJ UNDERFLOOR INSULATION147H277 3 R0 - g) NK,
11 FLOOR SHEATHING
,. Na. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS,•
NO 21O p ROOF SHEATHING
i 3 l
SCHOOL WITHIN HAZARDOUS ( + SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS �� U O `
NO NO NO u FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST 4��. _w�0FIRE SPRINKLER HANG-ERS
SET BACK
YARD: HWY: PROP LINE: WIDTH:
FRONT PL- aL' Sery0-e �Cl111`"' INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL A SEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
t
q 4
4
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
D€PARTMEHT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT T•EMPLE,CITY CA 91780 BL 0508 9904010074
PHONE: (626) 285-0488 EXT:
LEGAL ID• NO. OF CONST BUILDING ADDRESS:
TR: 13613 LT: 54 SQ. FT STORIES TYPE 10786 BLACKLEY ST
STRUCTURE: 0 VN TEMP CA 917803501
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER
8573-006-008 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 04/01/99 UT 04/01/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT I BY CODE:
CECELIA E. RODRIGUEZ (626) 579-0134- 1 900 /_ G 10786 BLACKLEY ST CEJ CJ1/01
TEMP 917803501 FEES PAID DESCR PTI OF WOR
REPLACE WINDOW TH 9 NEW WI Wows
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION,RESID�900.00 VAL 0.50 SPECIAL CONDITIONS:
:{ D2 PERMIT W/,0%EN:HC�900.00 VAL 65.40
GE LE.STOTA-FEES 93.65
CONTRACTOR: TEL. NO: �® �� APPROVALS DATE INSPECTOR SIGNATURE
t SAME AS OWNER LIC. NO LOCATION AND SETBACKS
yF
A SOILS• ENGINEER APPROVAL
I
ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRENCH FORMS
t
LIC.-NO 1111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP
SEWER MAP BOOK: PAGE: FIRE ZONE: GMPO,:,� I� O ��C W O R UNDERFLOOR INSULATION
v FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS' '
NO 21 \\\ O 0 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 19 0 z7 0 �+ SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS % ''i
NO NO 0 FRAME INSPECTION
NO ��
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- %,�e r vic a INSULATION/WEATHER STRIP
SIDE PL
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL• ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
I