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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