HomeMy Public PortalAbout10787 BLACKLEY ST_Building__ D?VISION OF BUILDING AND SAFETY EBOUILDING
Department of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEERAPPLICATION
BUILDING +�
FOR APPLICANT TO FILL IN ADDRESS �•, ii n, G ,��**-LL���2,II �� ,
BUILDING "^ 1
ADDRESS 7 m' / ' LOCALITY
NEAREST
CROSS ST.
LOCALITY rDISTRICT NO. PLAN CK. OR REC. No. PERMIT NO.
CROSN EA S ST. ` O C A
cu
'OWNER �} or//,�� &t ' RECEIVED BY DATE OF APPL. DATEISSUED
AMAIL
DDRESS I / L.�I _ t/
�" USE ZONE NO' OF TYPE GROUP -FIRE ZONE
CITY �em /� �i TE
NOI. I PLANS -.Ter—
ARCHITECT
I� I'
ARCHITECT OR TEL. / ZONING-
ENGINEER
ONING-ENGINEER ' «r APPROVED BY-
BUILDING ''1 0 B ORD.NO.
ADDRESS SETBACK LINE: p�C
TEL. _ APPROVED DATE
CONTRACTOR NO. BY.
HOUSE NUMBERING
ADDRESS
LEGAL MAP NUMBER- ��� �(� 'NO.'A891GNED BYA� ' �
_ DESCRIPTION LOT NO. k� BLOCK ® '
�
DATE ('
I ORR ' 'TIQNS I INSPECTOR
^'
TRACT / �
6 �l I NO. OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF /� �y NO. OF Q/(
EXISTING BLDG. / f- LJ S M/ •I FAMILIES/ ��/ +�- � !4 I Affil ✓/�IIJ'� O
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
DEMOLITION
REPAIR
SQ. FT. g "®' NO. OF 1 r
SIZE ROOMS / STORIE
EXT. WALL ROOF
COVERING I COVERING COVERING I COVERING���/S
USE OF STRUCTUR
APPROVALS
INSPECTOR'S SIGNATURE DATE
i
• FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS Al" FRAME: FIRE STOPS, J 7 G C
PLICATION AND STATE THAT THE INFORMATION GIVEN IS
CORRECT. BRACING, BOLTS
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATUREOF �t LATH, INT.
PERMITTE ���- !!! /
ADDRESS 7 7'` LATH, EXT.
AUTHORIZED AGT. PLASTER, INT. (� -/ L• G�I� ��•
PLASTER, EXT. J /{! ��- ✓ '(�•��7'�l
.$ HOUSE NUMBER COR-
FEE
RECT AND POSTED f /
VALUATION / FEE �- FINAL �p/�•dF� r
76AS38A DBS 3 2-59 -
F DBS-3 25M SET - •• , , - „ '`
DEPARTMENT ',OF BUILDING AND ,SAFETY , APPLICATION FOR PERMIT '
COUNTY OF -LOS ANGELES
' WM. J. FOX, CHIEF ENGINEER •1.•
FOR APPLICANT- TO FILL IAT FOR•OFF,ICE,,USE''ONLY
DISTRICT-NO.. PLANS-CK.`lNG. PERMIT. NO. '
BUILDING •• - - '' / _ -"
ADDRESS 3171 Blackley Street
LOCALITY'• Temple City,' Cal'ifarnle' RECEIVED BY DATE-OF APPL. 'DAT�Ej IMBUED '
NEAREST
locTi'Ave{nve'� ��• - /• -?
(�Ja?Tla LL112La s5• uai¢: ILP NG I /l� Wt% /. •_ .a
OWNER' � _ ADDRES9 '• v��__. � 7 -. ,
MAIL 9855 PALMER,DRIVE - .LOS ANGELES 41,CAL
ADORES 9 _ LOCALITY ,(;G p•
• NEARESTCITY
-TEL. " CRO55 5T•
FIRE NO.OF TYPE• �'_GROUP ,
ARCHITECT OR• - ''.TEL. 1 ZONE SII--PLANS ' •. k -I'; RO'
_ ENGINEER, (h.T}•1p'I+ NO. - � a
' BLDG. •� /i ORD. NO. '-
"i4DDRE99, "s•:
SETBACK LINE "•�4 ' ��:i • J �'�
a -11ne''LL Ovl4J:a1'lpAPPROVED, - "z: �,BY.` DATE, .w. ,
z 777
' 'CONTRACTOR '_ _ - N
USEAPPROVED 22
—ADDRESS 1FJ888'PALM ER•bk'IV'i• - ;LOS'•ANGELEB 41, CALL +BY - DATE-
APPROVED
-
`'" CO ECTIONS T;
' LEGAL , ., .. -
„'DESCRIPTION I. LOT,`NO._�7 BLOCK, _ •� •� �• -
TRACT - TRAQT'.No. 13613' -
✓
,NO. OF.BLDGSy';
,SIZE OF LOT• 60 'x,'_6,2 .
. I NOW ON LOT- None'__ a�•i
USE OF NO.OF NO. OF'
_LX ISTING BLDG. .I FAMILIES I'ROOMS " '•
DESCRIPTION•OF 'WORK.
NEW ALTERATION. ADDITION - ( -
y_ b
REPAIR MOVING DEMOLISH Gl..
Sq. FT. NO.OF /1� Z
SIZE •1 2.3.3 ROOM9', 6 STORIES, 'l ••b
n WALL c�ladoGj _ ROOF 1O
''COV.ERING +�}i$�as I'COVERING' Shinlam - - • _ "'1
USE,, NEW _ ;a
BUILDING:- . 'Sin le''FamilT Residence
Plan T46-'-`3 PS _
Standard 'Plan No.X74703 , --
APPROVALS'..
` 1 HERESY. ACKNOWLEDGE'THAT I HAVE READ THIS - ` -
INSPECTOR' *"'DATE. '
APPLICATION AND-STATE THAT THE ABOVE IS CORRECT FOUNDATION:'LOCATION' ply. e+'
FORMS: MATERIALS
AND'AGREE•TO COMPLY-WITH ALL COUNTY ORDINANCES •
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. `FRAME: FIRE.STOPS
SIGNATURE.OF; d5all`a 9'lila squaii C1HC.
BRACING,. BOLTS•+"
OWNER - 'LATH, ,INT.:
AUTHORIZED•.AGT j-
- LATH, EXT.: - � / •
P. C. S. - PLASTER, INT.
8,,600.00 ' FEE5.00 PLASTER, EXT. !
:VALUATION:-
-FEE ,-20.00 FINAL