HomeMy Public PortalAbout9228 BLACKLEY ST_Building__ BUILD
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BUILDING
UIL ® 1NG ADDRESS 0 P�LCAL/f��I C/�4ffA
APPLICATION LOCALITY s_V
NEAREST
DIVISION OF BUILDING AND SAFETY CROSS ST J
Department of County Engineer DISTRICT NO. RECEIPT NO. /PERMIT NO,
County of Los Angeles 15-
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT D GRIFFIN, SUPT OF BUILDING
T -3 /-s7-
FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY ISSUED BY
OWNER /W^nY� MAP STATE YEB NO
MAILADDRESS pt NUMBER HWY
USE ZONE SPECIAL
^ TEL CONDITIONB
CITY V^P/ 1MLn_ NO O �13i
ARCHITECT Olt TEL
ENGINEER NO
BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS
(J �-{- FRONT -
CONTRACTORY ' NO WI � ���7 SIDE
ADDRESS C" L P.L
DATE CORRECTIONS INSPECTOR
BUILDING
ADDRESS
LOT NO. BLOCK
TRACT
NO OF SLOGS.
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
DESCRIPTION OF WORK a°
0
NEW ADD ALTER REPAIR DEMOLISH Z
SQ. FT. NO.OF NO.OF ID-
SIZE STORIES FAMILIES
USE OF STRUCTURE
D
NO OF
EMPLOYEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION
AND STATE LAWB REGULATING BUILDING CONSTRUCTION FORMB,MATERIALS
^ FRAME* FIRE STOPS,
SIGNATUREpr .1! BRACING,BOLTS
PERMITTEE //MVV�M���C� - -
FURNACE LOCATION,
.- QAS VENT,DUCTS
ADDRES � I
LATH, INT.
AUTHORIZED AQT.
All
LATH, EXT.
$ P.C III HOUSE NUMBER CDR-
e-"— FEE RECT AND POSTED,
VALUATION III FI NAL
76AS38A DBS 3 12-53 1
City of Temple City
76A838A CE1*8033-8e APPLICATION FOR BUILDING PERMIT _
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS "
BUILDING AND SAFETY DMSION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY 7/
COLEMAN W. JENKINS, SUP T OF BUILDING NEAREST <
CROSS ST
FOR APPLICANT TO FILL IN DIS�RICT�NO c�jF UP CONST P�RC'ESSED B
(Print or qty a only) � � G / 4'_ �( '
BUILDING 9228 Blackley, Temple City STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS N6_6r_7DWELL UNITS BK PG/d7
LOT NO BLOCK USE ZONE MAP
NO G '
TRACT SPECIAL -
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BLDG SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
OWNER NO TOP OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 9228 Blackly HIGHAd WIDTH FROM C L
CITY Temple City, Cal-if. + _
ARCHITECT OR TEL BLDG SETBACK FROM (STREET)
SIDE PROP LINE OF
ENGINEER NO _
TYPE OF EXIST -
ING SETBACK -HIGHWAY YARD- TOTAL
ADDRESS - - HIGHWAY WIDTH FROM C L
CONTRACTORAlhambra RoofiTEL A 282-19 t = a
ADDRESS 772 So. Marengo NO 2503163 U CORNER CUTOFF YES ❑ NO ,❑ V
CITYA am ra, a 8�a CL SS oo ina SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK c-
z
NEW ADD ALTER REPAIR DEMOLISH ,-
SO FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF reroo ik
STRUCTURE
lei
SIGNATURE O
APPLICANT
VALUATION $ 199.00
6.()o APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE $ FORMS, MATERIALS
FRAME FIRE STOPS,
I HEREBY ACKN WLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT HE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL COUNT ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTR CTION 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREB I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH, INT f
TION OF THE LADD CODE OF TME STATE OF CALIFORNIA RELAT
ING TO WORKMEN S OM ENSATION INSURANCE
LATH, EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE � p�� l7f"71 , RECT AND POSTED f
ADDRESS FINAL Ss�
PLAN CHECK VALIDATION CK M o CASH _ JOHN F LEWIS PRINCIPAL STR C URAL ENGINEER �I
PERMIT VALIDATION cK M o CASH
L�Lo,7 19 3�s NOV 7 1 0 6,0 o 11
1 -
76A638A CE 4803 4/72-
• • APPLICATION FOR BUILDING PERMIT ]
r COUNTY OF LOS ANGELES \ ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION \ BUILDING �C::2":?
,HAKE CHECKS PAYABLE TO F\lY ADDRESS
HARVEY T BRANDT, COUNTY ENGINES � LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
Print or tvDe only)
DISTRICT NO I GROUP TYPE PRO ESS BY
BUILDING CONST
ADDRESS 228 Blackley S T C
TA�ISTICAL CLASSIFICATIONgEWER MArP
LOT NO BLOCK L
'1 CLASS N DWELL UNITS BK U
TRACT 11'-F 2 U ZONE MAP /
NO OF BLDGS NO
SIZE OF LOT NOW ON LOT I SPECIAL
USE OF CONDITIONS
EXISTING BLDG Residential
,.,
OWNERcJohn T. Wagner NOLLCK - 1 BLDG SETBACK FROM
ADDRESS 9228 E. Blackley Street FRONTPROP LINEOF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY Tem le City-, HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL + _
ENGINEER NO BLDG SETBACK FROM a
ADDRESS SIDE PROP LINE OF (STREET) CD
an ani o S rUC 1OnEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL V
HIGHWAY WIDTH FROM C L
CONTRACTOR NO - p
AODRESSl 1 E Las Tunas NO 172 +LIC
- W
CITY San Gabriel Ca. CLASS B-1 CORNER CUTOFF YES ❑ NO ❑ z
CONSTRUCTION LEND
CH
NAME AND BRANCH Tontractors Funding SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS 16290 Ventura Blvd.Encamo
SQ FT '� NO OF NO OF NEW ❑ 6-Xs -7y /�S ,!5 r_-7 C/- -. 6V1rr,
SIZE -� STORIES FAMILIES
USE OF ADD ® C O tP&,CCSOTW/A/m' A OAQ-C
STRUCTURE R TER ❑
-1
❑
SIGNATURE O REPAIR
APPLICANT DEMOL ❑
VALUA`ON $ 2 50 .00 APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE $ I��� FORMS, MATERIALS
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
ST RUC
TI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED c
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'SCOMP ION I CE
LATH EXT
SIGNATURE O'
H
�� OUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL 44,mm -Oru-,I:
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK M'o CASH
s s 7 r-_MAY 9 1 u1i 8 2.5 0 m