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Home My Public Portal About9113 BLACKLEY ST_Building__ DEPARTbUM OF COUNTY ENGMM \_"i!iSION OF BURDING AND SAFETYILDING - • .�,_ COUNTY OF LOS ANGELES BU WILLIAM J. FOX, COUNTY ENGINEER PR APPLICATION 5 195 f CASSATT D GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING (� J� DISTRICT N O �N CK.,og Rec No PERMIT NO ADDRESS I �� ` . ,P' (/D-Y® LOCALITY RE-E VED BY DATE OF APPL D E 18 UED NEAREST 7-' CROSSOT 4&4 BUILDING OWNER _ ) ADDRESS MAIL (`�► ' rLft' LOCALITY _ """I j ADDRESS+� e \Yfe.rd NEAREST) CITY / .! pL �� CROSS ST ARCHITECT OR TEL FIRE NO OF TYPE- _ GROUP .T TE ZONE PLANS 1 NO BLDG / D O ADDRESS SETBACK LINE d TEL USE APPROVED { r CONTRACTORN ZONE �/ BY DATE ADDRESS HOUSE NUMBERING LEGAL - MAP NUMBER Q ( NO ASSIGNED BY DESCRIPTION I L OT NO BLOCK CORRECTIONS " TRACT a-� � ' ,� _ .�� NO OF BLDGS I SIZE OF LOT I NOW ON LOT USE OF NO. OF EXISTING BLDG FAMILIES p Cry - DFSCRTPTION OF WORK �� '- .40` e o - 0 REW ALTERiTION PADDITION IR 1–(::f–DEMOLTiON —_I �3� G 7-- D SQ FT / , / d OOOSSIZE RMSTORIES r / ! E�� ROOF rAIG 'ham 1T COVERING I COVERING USE OF STRUCT4URE - r:J T pad _ f U D fi a �,!��_ -APPROVAL'S v,c,,evV INSPECT 'S SIGNATURE DATE FOUNDATION LOCATION f/ FORMS, MATERIALS /!�!P .-a /� 1'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS, ,{r'� PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS V J CORRECT FURNACE LOCATION. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ' AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS,VENT, DUCTS SIGNATURE OF�/,�� ///j' { LATH;jANT- PERMITTE .n Pw aiut Q / p„ �/ y �/,(� n. �-/f - +�„ LATH' EXT ADDRESS 6 ` �„�Q4 i6 l,C. `I PLASTER, INT AUTHORIZED AGT PLASTER, EXT $ UZTd P C. '$ o HOUSE NUMBER COR- $(� 'D o L FEE / O RECT AND POSTED ' VALUATION d 0 FEE �( FINAL 7GA63aA DRS 3 9-52 t I JR WORKERS' COMPENSATION DECLARATION ' 'I hereby affirm that I have certificate of consent to Self APPLICATION FOR BUILDING` PERMIT ,insure, or a certificate of Workers'Compensation Insurance, or a r i copy thereof (Sec 3800, L C ) COUNTY OF.LOS ANGELES BUILDING AND SAFETY Pohc v_ompany Certified copy is hereby furnished' 'FOR APPLICANT TO FIL IN — - BUILDING ADDRESS , Certified copy is fi d with-The county building inspec- BUILDING e tion departure ADDRESS LOCALITY NEAREST Date►r Applicant / CITY ZIP 0 CROSS ST CERTIFICATE OF EXEMPTION OM WORKERS' OF BLDGS ASSESSOR COMPENSATION,INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not'be completed if the p mit is for one USE ZONE ' MAP /]j hundred dollars ($100)or less ) TRACT B K LOT NO NO LGl TEL / SPECIAL } I certify that in the performance of the ork for which this OWNER N r CONDITIONS d DISTRICT GROUP TYPE - FIRE PR E D BY O permit is issued, I shall not employ any rson in any manner ADDRESS CONST ZONE V so as to become subject to the Worke Compensation Laws 6166 /6 p Date Applicant CITY ZIP _ STATISTICAL CLASSIFICATIONr API; NDO O NOTICE TO APPLICANT If, aft making,this Certificate of ARCHITECT OR TEL V, Exemption, you should be- a sublect to the Workers' ENGINEER NO _ CLASS NO-DWELL UNITS - - d'_ Compensation provisions of a Labor Code, you must forth-'" ADDRESS SEWER MAP with comply with such ovisions or-this permit shall be _ deemed revoked CONTRACTOR 'NO BK _ PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC ,r I hereby affirm that I am licensed under provisions of Chapter,9 ADDRESS O 63L4 77 VALUATION ' (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, a license is in full force and effect CITY CLASS $ SQ FT N NO OF CHECK ► License Nu ber Lic Class SIZE IES FAMILIES ONE NEW $ ConiracTo + Date DESCRIPTION OF WORK f� I am exempt under ec /s r ADD _ E] J ALTER DA E ;22452A L B&P C for this reason REPAIR Date USE OF ❑ FINAL #-a 0 0 0 0 1 EXISTING BLDG . DEMOL By 1 � Signature APPLICANT d TEL NO ( ° ° 5 9.2 5 . OWNER-BUILDER DECLARATION rz PRINT ��a I hereby affirm that I am exempt from the Co ractor's License : ADDRESS r o 0 o 5 9,2 5 5 Law for The following/de n (Section 70 5, Business and 12 - Professlans'Code) -, T 31 3,$ P' c ' BUILDING n 0 Z'1 5 8 5 I, as owner ofroperty; o my,employees with ADDRESS wages as their smperisati will do the work and the structure is nnded o offered for sale(Section LOCALITY 7044, Business aofessi s Code) MOVING TEL CONTRACTOR NO I, as owner of thpro pert am exclusively contracting . _ 24 5 3 A with licensed coors o construct the project (Sec- ADDRESS r . # o • 0 0 2 1 Tion 7044, Busind rofessions Code) REQUIRED TOTAL SETBACK FROM EXIST CONSTRLENDING AGENCY' SET BACK` YARD HWY PROP LINE WIDTH ° ° 4 �,45 I hereby affirm that thconstruction lending agency for FRONT- pool.the performance of thk for which this permit is issued P L 2 -° 4 (Sec 3097, Civ C ) SIDE ° ° 1.-4.5 P L - . 3 15-85 Q Lender's Name 07, , PC Fee$ Permit Fee -» 's Lender's Address - - ,r I certify that I have read this application and state that the . Issuance Fee above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, s ' Total Fee and her by authorize representatives of this County to enter upon t a v -mento property for ins ction purposes - - - ^ SEE REVERSE FOR EXPLANATORY LANGUAGE ., Signature of Applicant or 43anto Date ®s 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 0906040019 PHONE (626) 285-0488 EXT (LEGAL ID 11 NO OF CONST BUILDING ADDRESS ON FILE I SQ FT STORIES TYPE 9113 BLACKLEY ST 1STRUCTURE 1800 V-B ( TEMP CA 917803015 (ASSESSOR INFORMATION NUMBER 1 ( NEAREST CROSS STREET 15388-011-005 1 1 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY, Cl TENANT JEXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY (EXIST OCC GRP 106/04/09 SR 1 (OWNER TEL NO 1BLDGS NOW ON LOT VALUATION 1F AL DAT FIN BY CODE 1 1WEN GUI XING (626) 320-7376- 1 4,500 1 19113 BLACKLEY STREET 1 1 1TEMPLE CITY CA 91780 1 FEES PAID IDESCRIPTIO OF WORK 1 I 1 1TEAR OFF & REROOF HOUSE, GARAGE INSTALL 30 YR COMPOSITION 1 I IFEE DESCRIPTION QUANTITY DOM AMOUNT 1 1 (APPLICANT TEL NO I1 1 1SUNSHINE ROOFING (626) 581-7688- IAA BLDG PERMIT ISSUANCE 27 75 1 1516 DIAMOND BAR BL IAB STATE GREEN BLDG FEE 4500 00 VAL 1 00 1SPECIAL CONDITIONS 1DIANMOND BAR 91765 IAC STRONG MOTION RESID 4500 00 VAL 0 50 ID2 PERMIT W/O EN-HC 4500 00 VAL 132 60 TOTAL FEES 161 85 1 1CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1 1SUNSHINE ROOFING, INC (626) 581-7688- 1 1 1516 N DIAMOND BAR BLVD #183 LIC NO 1LOCATION AND SETBACKS 1 1 1 1DIAMOND BAR CA 91765 755126 C39 1 1 1 1 I I 1SOILS ENGINEER APPROVAL 1 1 (ARCHITECT OR ENGINEER TEL NO 1 1FOUNDATION/TRENCH FORMS I I - 1 LIC NO i 1SLAB/UNDER FLOOR 1 1 1 I I I 1RAISED FLOOR FRAMING 1 1 1 I I I 1MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I 1144H265 3 001 1 11 1 1 1 1FLOOR SHEATHING 1 1 1NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I I 1 NO 21 1 (ROOF SHEATHING ,/ 1 1 SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS 1 1 1 NO NO NO 1 1FRAME INSPECTION I I I 1REQUIRED TOTAL SETBACK FROM EXIST 1 1FIRE SPRINKLER HANGERS 1 1 1SET BACK YARD HWY PROP LINE WIDTH 1 I I I I 1FRONT PL- 1 (INSULATION/WEATHER STRIPI I 1 SIDE PL- 1 11NTERIOR LATH/DRYWALL 1 1 1 1 1 (EXTERIOR LATH 1I 1 1 I I 1 1 1RATED FLOOR/CEIL`ASSEM I I I I I I 1 1RATED WALL ASSEMBLIES 1 1 I I I 1RATED SHAFTS/OPENINGS 1 1 I I I 1 1 1T-BAR CEILINGS I I1 1 1 ILOT DRAINAGE 1I 1 1 I I 1 (REPORT ID DPR261 ROUTE TO BS0508 1 1 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1104120006 PHONE (626) 285-0488 EXT (LEGAL ID I NO OF CONST NEW BUILDING ADDRESS 1 ON FILE I SQ FT STORIES TYPE OCCUP GROUPI 9113 BLACKLEY ST 1 (STRUCTURE 140 1 V-B U I TEMP CA 917803015 (ASSESSOR INFORMATION NUMBER I GARAGE1 1 5388-011-005 I OTHER 110 1 V-B U I NEAREST CROSS STREET 1 1 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY, Cl I (TENANT IEXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY 1 EXIST OCC GRP 106/02/11 SR TOWNER TEL NO IBLDGS NOW ON LOT VALUATION (FINAL DATEF NAL BY CODE 1 IWEN, YING (626) 286-8629- 1 8,000 19113 BLACKLEY ST ITEMPLE CITY CA 91780 J FEES PAID it)LSCftPTiON OF WORK 1 1 INFW 1218"X 14'-0" WOOD PAT O COVER, 11'-7" X 12'-0" ENCLOSEDI I IFEE DESCRIPTION QUANTITY UOM AMOUNT IPATIO 140 SQ FT 10-0 X 11'X 11-0" WOOD COVER PER COUNTY ' 1 JAPPLICANT TEL NO I ISTD PLN 110 SQ FT 1 (JAMES, RALPH (818) 427-0467- IDI PLANCHECK W/O EN-HC 8000 00 VAL 155 90 1 1 J IAA BLDG PERMIT ISSUANCE 27 80 (SPECIAL CONDITIONS 1 I JAB STATE GREEN BLDG FEE 8000 00 VAL 1 00 I I JAC STRONG MOTION RESID 8000 00 VAL 0 80 1 I ID2 PERMIT W/0 EN-HC 8000 00 VAL 183 40 I ICONTRACTOR TEL NO I TOTAL FEES 368 90 JAPPROVALS DATE INSPECTOR SIGNATURE I JDB CONTRACTING (909) 394-3030- J 1- 11251 CITRUS AVENUE LIC NO 1 (LOCATION AND SETBACKS I 1 I ILA HABRA, CA 90631 832929 B I I ISCILS ENGINEER APPROVAL I I I JARCHITECT OR ENGINEER TEL NO 1 JFG[TNDATION/TRENCH FORMS I I (PLUMP ENGINEER (714) 385-1835- I 1914 E KATELLA AVE LIC NO 1 ISLAB/UNDER FLOOR I 1 (ANAHEIM, CA 928058 NONE J R7,ISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I _ (UNDERFLOOR INSULATION 1 I I I 3 OGI (1ST LEVEL FLOOR SHEATH I 1 INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I_ I 0 NO 21 1 12DD LEVEL FLOOR SHEATH I I I I SCHOOL WITHIN HAZARDOUS J IROOF SHEATHING 1 1 JAIR QUALITY 1000 FEET MATERIALS 1 I I 1 NO NO NO IF1RE DEPT FRAME INSPECTI I 1 I I IBLDG DEPT FRAME INSPECTWI I 1 - IShEAR PANELS I III'SULATION/WEATHER STRIPI I J IIC'TERIOR LATH/DRYWALL I E-TERIOR LATH J ILOT DRAINAGE I I ISMOKE DETECTION DEVICES I I (FIRE DEPARTMENT APPROVALI II I* ADDITIONAL DATA ON FILE REPORT ID DPR261 ROUTE TO BS0508 1