HomeMy Public PortalAbout9122 BLACKLEY ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN YFOR OFFICE USE ONLY �� T
DISTRICT NO ----PLAN CK:NO. PERMIT NO.
BUILDING J q a t ���
ADDRESS J /1 `
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LOCALITY �- RECEIVED BY DATE OF APPL. ` DATE ISSUED
NEAREST +X
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BUILDING
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NEAREST / 1
• ' TEL. �j/�" CROSS ST.
CITY NO !v FIRE i� NO OF TYPE GROUP
ARCHITECT O TEL ZONE PLANS '�
ENGINEER NO
BLDG � �� � ORD: NO
ADDRESS
SETBACK'LINE "f�•"' �� '
APPROVEDTE
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CONTRACTOR NOL BY { i { + DATE
USE d APPROVED
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ADDRESS ZONE - BY
DATE
CORRECTIONS
LEGAL ! ,
DESCRIPTION LOT NO. BLOCK
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TRACT Ac-7 i-/3.
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SIZE OF LOT % NOW ON LOT
SS l NO OF BLT
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USE OF NO OF NO OF
EXISTING BIDS �5 I FAM ILlC9 I ROOMS -
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH
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Bq FT. Jy NO OF .- °ZC _+JTi�,,.L���`_ •JOa.
SIZE � Z
V Aq ROOMS - / STORIES D
WALL ��J ROOF
COVERING 4 , �j�"6i 6p I COVERIN13 F
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USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS - APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION INSPECTOR DATE
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS, MATERIALB_
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FRAME-
'FIRE STOPS
SIGNATURE,OF /(// � /L� BRACING, BOLTS •` % L i��"Y/> t ���^r�
PERMITTEEl-
LATH,-I NT.
AUTHORIZED AOT.
LATH, EXT
7GA63BA-3 10-50 $ P C.$ PLASTER, INT.
FEE PLASTER, EXT.
VALUATION FEE C s FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA BL 0508 9611070031
PHONE (818) 285-0488 EXT:
LEGALID: NO OF CONST BUILDING ADDRESS.
ON FILE SQ. FT STORIES TYPE 9122 BLACKLEY ST
STRUCTURE 0 V TEMP CA 91780
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SERENO
5388-011-008 ' THOMAS PAGE: 596 GRID: H5 LOCALITY- TEMPLE CITY
I
TENANT: EXIST BLDG USE: I S ON ED PROCESSED BY: EX
EXIST OCC GRP: 11/07/96 TC 1 07/97
I
OWNER. TEL. NO BLDGS NOW ON LOT. VALUATION: FINAL, DATE FINAL BY CODE:
HALL VERNE A;JEAN E TRS (818) 288-1684- 3 2,200 Z
3655 MUSCATEL AV
ROSM 917701817 FEES PAIDOF WORK
STUCCO EXISTING HOUSE/REPAIR PORCH D PORCH STEPS
FEE DESCRIPTION: QUANTA TY�UOM': /1 AMOUNT
APPLICANT: 0: ��� /�
SAME AS OWNER - AA BLDG PERMIT ISSUANCES 27 75
AC STRONG MOTION RESIDl 2200.-00-VAL nO0 50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HCv 2200.00-VAL 99,-15
& TOTAL FEES / 12714
CONTRACTOR. TEL 0: r �r / APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC NO v�J ,rte 0 0 LOCATION AND SETBACKS
- --- -- - - -- ` — - -- SOILS ENGINEER APPROVAL
ARCHITECT ENGINEER TEL. NOIL�G _� l� FOUNDATION/
�l�
LIC. NO 1 I o SLAB/UNDER FLOOR
U � FLOORFRAMING
MAP NO SEWER MAP BOOK. PAGE: FIRE ZONE: CMP: G UNDERFLOOR INSULATION
140265 3 01 C U
SHEAT NG
NO 0 ES: DWELLING U /CO CLASS: FLOOR
NO 21 ROOF%SHEATHING
SCHOOL WITHIN HAZARDOUS PANELS
AIR QUALITY: 1000 FEET MATERIALS �
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROMFIRE SPRINKLER HANMff
SET BACK YARD: HWY PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
NTERI R LL
EXTERIOR LATH Z�
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS NGS
T-BAR CEILINGS
OT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508