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HomeMy Public PortalAbout9228 BLACKLEY ST_Building__ BUILD NG 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