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HomeMy Public PortalAbout9231 BLACKLEY ST_Building__ tS 76A638.14, CIE VG3(Rey 6/78) •- ;d APPLICATION R BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADIDRESS 1-231 c BUILDING a+ ADDRESS y ° / S LOCALITY ' / ! NEAREST CITY ` 't + Cl ZIP / CROSS ST SIZE OF LOT V 0x/� NOW ON LOT 121, MAP BOOK PAGE PARCEL / DISTRICT UP TYPE ESSED BY TRACT 1 BLOCK LOT NO G CONST FIRE, OWNER L �� STATISTICAL CLASSIFICATIONSEWER ADDRESSZZZ0c CLASS NO DWELL UNITS BK PG CITY I IP ARCHITECT OR TEL VALUATION $ ENGINEER NO / Q ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) CONTRACTOR NO HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO LIC + CITY CLASS BLDG SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH SO FT I NO OF NO OF CHECK + _ v SIZE STORIES FAMILIES ONE at DESCRIPTION OF WORK NEW ❑ PC Fee$ Permit Fee ✓ r ✓ j�q' ADD El Issuance Fee ALTER �7 REPAIR ❑ Total Fee v e USE OF EXISTING BLDG DEMOL ❑ z APPLICANT TEL, - C (PRINT) ~ Q BY(SIGNATURE) Q a I HEREBY ACKNOWLEDGE THAT HAVE READ"T APPLICATION AND STATE Y THAT THE ABOVE S'CORRECT AND AGREE,,TO,C PLY„WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTYN I CERTIFY THAT IN DOING THE, 'r = WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF „ C d V 0 9 a 1 A THE LABOR CODE OF THE STATE FCALIFORNIA IN RELATI WORKMEN S COM ' h z ' PENSATION INSURANCEft �/ ' O O 0,0'0 1 - SIGNATURE OF _ x'y 2 o 1 42-00 PERMITTEE ° { ADDRESS TEL '42010f � - � ` z o -.1 IR25-78 r W CITY t NO � Q D USE ZONE MAP+ �/ NO ; -• SPECIAL CONDITIONS A-- FINAL / BX _ 4' ` l Lu DATE! 70AGZI8A DBS 8 12-54 P APPLICATION FOR BUILDING PERMIT ;DIVISION OF BUILDING AND SAFETY BUILDING ✓f Department of County Engineer ADDRESS d- gz - County of Los Angeles LOCALITY WM J FOX, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, SUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO I GROUP TYPE �� ISEWER MAP PG BUILDING ADDRESS.' -�� NUMAP MBER 7C) / CONST HWY LOT NO- / BLOCK USE ZONE SPECIA[Ln I TRACT CONDITIONS 1 � ��� �� _ / I NO OF N BLDGS SIZE OF LOT �C,/d+ 1 EGA, NOW OLOT BUILDING YARD HWY STREET NAME EXIST ys, SETBACK WIDTH USE OF /� *�` �.l( �/6..� I.� r FRONT EXISTING BLDG 1y OWNER SIDE ' MAIL ADDRESS 1 ' s � EOL L 1 DWELL I UNIT 5 INDUSTRIAL CITY ,/ O DUPLEX_UNIT 6 PUBLIC BLDG ARCHITECT OR d TEL ENGINEER NO 3 APT UNITS 7 ADDN ,ALT, ETC z ADDRESS 4 COMMERCIAL 8 MISCEL TEL CONTRACTOR NO INSPECTION RECORD, / ADDRESS .. SSI \ .[+(l OJ`►}'i u�.a `4J,1�7�n S6.Cn r -.�-„ .�..1 r- DESCRIPTION OF WORK 1 rte '•�. %A. L L^�Y- CAO,!h '� �..'tl"t;(T-%r NEW ADD ALTER ko, REPAIR DEMOLISH SO FT / qy q y NO OF NO OF SIZEES FAMILIES USE/OF TRUCTURE vb: 'cc�cv— iLivL. --I y SIGNATURE OF � APPLICANT /J APPROVALS ADDRESS `�J U I Ley DATE INSPECTOR S SIGNATURE $ P C. SU FFORMSTION MATERIIALSION FEE FRAME FIRE STOPS. VALUATION 1-76 5- $ 6 tl BRACING, BOLTS FEE �' FURNACE LOCATION, GAS VENT, DUCTS Z. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT 1 AND STATE LAWS REGULATING BUILDING CONSTRUC- TION LATH, EXT ”SIGNATURE OF HOUSE NUMBER COR- PERMITTEE � RECT AND POSTED nn ° ADDRESS PINAL Sz O� d_— VVM. J. FOX. COUNTY F-NGINKM VALIDATION BY - DEPUTY '" - DEPUTY By BY ® DEPUTY DEPUTY 76A638A CE #803 3-69 i APPLICATION FOR BUILG ERMIT 'COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS G BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING NEAREST CROSS ST FOR APPLICANT TO FILL IN OISTF31CoT N0, JGROUP TYPE CONST, ESSED-BY (PRINT OR TYPE ONLY) •S Com( ,,,�� BUILDINGSTATI�� CLASS NIDAL CLAS..$SSWELLONUNITS SEBKELMA PG�D7' ADDRESS v ([J LOT NO BLOCK USE ZONE MAP If NO U��p TRACT 1 SPECIAL p NO OF BLDGS a I CONDITIONS Y SIZE OF LOT a X / NOW ON LOT USE OF L EXISTING BLDG O C :T �• r BLDG SETBACK FROM ^ ' TELFRONT PROP LINE OF �4"4�-1C� �--(STREET). OW NER J'.A�M ,'.s tsdl �G✓T NO "s4/,;2-7/ _ TYPE OF EXISTING SETBACK HIGHWAY + YARD - 'TOTAL i gg HIGHWAY WIDTH FROM C L - ADDRESS ©/ A' L CITY 7 / - BLDG SETBACK FROM' ARCHITECT OR TEL SIDE PROP LINE OF (STREET), ENGINEER '-A NO TYPE OF EXISTING SETBACK FIIGHWA'Y + YARD =^TOTAL-j ADDRESS HIGHWAY WIDTH FROM C L � �) ^� TEL + } 0- CONTRACTOR (�IV NO - C LIC ADDRESS NO CORNER CUTOFF- _ . YES .Q ._ NO LIC ` CITY CLASS SEE REVERSE,SIDE FOR SPECIAL,APPROVALS t- CONSTRUCTION LENDER ,�1 4 I w NAME AND BRANCH /V L. / �ir _ ,'1� _ N ADDRESS �j .1 5 r p 3lefZ - SO FT JS-NO OF NO OF SIZE (}.7 STORIES / FAMILIES NEW ❑ , t / USE OF ADD r STRUCTURE ALTER REPAIRVAPPROVALS � SIGNATURE 0 1 DEMOL —/ APPLICANT Ate VALUATION $ ee ATE INSPECTOR'S SIGNATURE P C PMT FOUNDATION LOCATION FEE $ FEE $ D FORMS, ORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, ' BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE � � LATH, EXT SIGNATURE OF PERMITTEE HOUSE NUMBER CORRECT �j AND POSTED ��N ADDRESS / FINAL � ',/ JOHN F LEWIS, PRINCIPAL ST TURAL ENGINEER PLAN CHECK VALIDATION CK M O CASH - PERMIT VALIDATION CK m 0 CASH I , �', 4074c— M;a13 1 D 9.00l. WORKERS'COMPENSATION DECLARRrIONs,�•, _ I-hereby ,affirm that I haver certificate of cion I nf,r s61ft'"• I A' PLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, �Y � or a certified copy thereof (Sec 3800, Lab C } 1 I — COUNTY: OFA0S ANGELES BUILDING AND SAFETY Policy No Companywe'st [(N Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county lding inspec- BUILDING 9 tion yepalment ADDRESS LOCALITY wV NEAREST Date I Applicant CITY P I -,ZIP"- ♦ CROSS ST RTIF ATE OF EXEMPTION R WORKERS' q� �+ O OF BLDGS 7 - t ASSESSOR COMPENSATION INSURANCE SIZE OF LOT t�{ Iy NOW.ON`LOT ♦ r t MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one - - ' USEINE NE MAP �t hundred dollars ($100)or less ) TRACT BLOCK LOT NO ♦ -/ NO (p �"� r`^�":TEL (�/ SPECIAL I certify that in the performance of the work for which this 6WNER (�(/ r;y�,NO y _ CONDITIONS permit is issued, I shall not employ any person in any manner aa DISTRICT GROUP TYPE FIRE/ PROCESSED BY O so as to become subject to the Workers'Compensation Laws ADDRE YJ "r G �� CONS ZONE U C !7 = Date Applicant AIRCHITECT OR ZIP TEL STATISTICAL CLASSIFICATION • APT CONDO 0 -NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO CLASS NO _DWELL UNITS d Exemption, you should become subject to the Workers'` Compensation provisions of the Labor Code, you must forth- SEWER MAP -1 with comply with such provisions or this permit shall be Z deemed revoked CONTRACTOR Q �}!Q NO 0 BK /_PG. a) VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS gh4aAgeNO 2 J^ VALUATION (commencing with Section 7000)of Division 3 of the Business and /r LIC I7 _ a /� OO Professions Code, and my license is in full force and effect CITY CLASS �J f lr[7 SQ FT NO OF NO OF CHECK License Number I�� Lic Class X7 SIZE STORIES FAMILIES ONE !Z1 KC!±Pf31(-6 _ote DESCRIPTION OF WORK Q NEW $ Contractor ❑ ADD ❑ I am exempt under Sec ALTER ❑ FINAL B&P C for this reason REPAIR ❑ DATE F USE OF FINAL Date _ EXISTING BLDG 1 DEMOL E] By Signatur APPLICANT �A NT) D r TEL O NER- ILDER DECLARATION /� �(s�T s J' NO ��tt �+ I hereby affirm that I am exempt from the Contractor's License ADDRESS / �S�t,d � J/ K , Law for the following reason (Section 7031 5, Business and ' Professions Code) PRESENT BUILDING 1, 1, as owner of the property, or my employees with ADDRESS , wages as their sole compensation,will do the work and e� !'o� £ w 2 - 199,88 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL 0 1 99885 _ E3 1, as owner of the property, am exclusively contracting CONTRACTOR NO ' with licensed contractors to construct the project (Sec- ADDRESS, 1 6—8 3 tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH t hereby affirm of there is a construction lending agency for FRONT the performancea of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE FD PL ' Lenders Name a � •�a..• 1 ±, �� _ P C Fee$ Permit Fee Lender's Address Zzz &Z I certify that I have read this application and state that the Issuance Fee a above information is correct I agree to comply with all County Investigation Fee g ordinances and State jaws relating to building construction, Total Fee and hereby out onze representatives of this County to enter upon the a -mentioned property for inspectio pure es "} k,3 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent ate i ®s WORKERS'COMPENSATION•DECLARATION hereby affirm that I have certificate of consent 4a self APPLICATION FOR BUILDING PERMIT Insure, or a certificate of Workers' Compensation Insurance, � or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ❑ Certified copy is hereby furnishedFOR APPLICANT TO FILL IN ADDRESS Z n d 1b S ❑ Certified copy is filed with the county building inspec- BUILDING yy c tion department ADDRESS Z�1 E� �uGkle 1G. 1 p– ^�- LOCALITY NEARE Date Applicant CITY 1 C C1 11� ZIP / CROSS ST n CERTIFICATE OF EXEMPTION FROM WORKERS' - NO OF BLDGS %� ASSESSOR COMPENSATION INSURANCE SIZE OF LOT �{jC✓l� 16,0 NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO OWNER p– VJ 6} 0 TEL SPECIAL I certify that in the performance of th work for which this NO '2i�7�1v� CONDITIONS' ' � p (STRICT GROUP TYPE FIRE PROCESSED BY O permit is issued, I shall not employ an J person i any manner ADDRESS D�E R CONS ZONE 09 so as to become subject to the Wo kers'Co p nsation /�/ Date Applicar� F, CITY ZIP STATISTICAL CLASSIFICATION APT CONDO 0 NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL ENGINEER NO CLASS NO /�/ DWELL UNITS LU Exemption, you, should become subject to the Workers' a Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions or this permit shall be _C5'0—' w �7 ,'z deemed revoked CONTRACTOR IJC5' —' NO BK PG G l VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION IV—P, (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect CITY CLASS $ SQ FT NO OF NO OF CHECK License Number Lic Class SIZE STORIES I FAMILIES ONE $ Contractor Date DESCRIPTION OF WORK NEW ❑ ❑ j am exempt under Sec �� �� ��T� ADD ❑ ` ALTER ❑ FINAL B&P C for this reason ST 1709c4DATE REPAIR USE OF �r Date EXISTING BLDG 1���Il��A1CO DEMOL ❑ FIN Si nature APPLICANT j TEL By SigOWNER-BUILDER DECLARATION PRINT n LIZ V zz p� NO I hereby affirm that I am exempt from the Contractor's License ADDRESS v�L F l�L�{ 5t TG , Law for the following reason (Section 7031 5, Business and Professions Code) PRESENT ❑ BUILDING ,I' - , as owner of the 12roperty, o• my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section X7044, Business and Pr}ofessions Code) MOVING TEL z9 7 g 8 6 A fL�JI I, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS # 0'0"0'0 0 1 tion 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY REQUIRED TOTAL SETBACK FROM EXIST Z�o 0 4 SET BACK YARD HWY PROP LIN WIDTH 300 I hereby affirm that there is a cbnstruction lending agency for FRONT -e`o e 4 Q r the performance of the work for which this permit is issued P Lpop- ' r ' m (Sec 3097„ Civ C ) SIDE .�' _�a r :4 1.24 1'5 2 h Lender's Name tit _i A. Lender's Address P C Fee$ Permit Fee �— 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 jaws relating to building construction, Total Fee d and herebyuthorize representatives of this County to enter Upon The ve- ioned pro erty for inspection purposes o % SEE REVERSE FOR EXPLANATORY LANGUAGE n ' Signature of Applicant or Agent Dote ®s C UNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT r ~DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0301280026 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. ADDRESS: TR: 11492 LT: 14 BL: .001 SQ. FT STORIES TYPE 9231 BLACKLEY ST STRUCTURE: VN TEMP CA 917803137 INFORMATIONASSESSOR NEAREST CROSS STREET: ENCINITA 8590-001-018 THOMAS PAGE: 596 GRID: J4 LOCALITY TEMPLE CITY TENANT: EXIST DG - --PROCESSED BY: EXPIRES ON EXIST OCC GRP: 01/28/03 JK 01/23/04 1 OWNER: TEL N0: 8LDGS. NOW ON OT: VALUATION FINAL DATE FINAL BY: CODE: WOO JANICE (626) 285-7363- i 6,000 2� 0 3 9231 BLACKLEY ST ql TEMP 917803137 FEES bT§NrMON OF WORK9` T/O,INSTALL #30ASTM FELT,25SQ 30YR COMP SHINGLE,4SQ MODIFIED FEE DESCRIPTION QUANTITY: UOM. AMOUNT BITUMEN TORCHDOWN APPLICANT: L0. ISLAND PACIFIC ROOFING (714) 579-7663- AA BLDG PERMIT ISSUANCE 27.75 9169 EL VERDE CIRCLE AC STRONG MOTION RESID 6000 00 VAL 0 60 TlyrCIAL CONDITIONS. FOUNTAIN VALLEY D2 PERMIT W/O EN-HC—­�6000 00 VAL 149.40 kO555 G E L E�TOT®FEES 177.75 CONTRACTOR: ISLANDPACIFIC ROOFING (714) 579-7663- ®� ���A� R A DINSPECTORSIGNATURE 9169 EL VERDE CIRCLE LIC. NO LOCATION AND FOUNTAIN VALLEY CA B/L 27394 * SOILSI APPROVAL ARCHITECT OR ENGINEER TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0 SLAB/UNDER FLOOR RAISED FLOOR FRAMING 1111111 MAP NO: SEWER MAP BOO GE: FIRE ZONE: TMP: _U0_R7LOOR INSULATIffiT__ 147H265 3 � l�N 0(_l u l"RI L j { �1 I ) � SHEATHING FAMILIES:NO. OF LL / D A CLASS — IJ �J L/� NO 21 SHEAT G ?S�-y3 SCHOOL HAZARDOUS \� ���* SHEAR PALS TU CO[� \\ ( "t AIR QUALITY: 1000 FEET MATERIALS e � � �r, ,t NO NO NO Q �ij'� FRAME i SPECT IO EDTOTAL AC S Q� RESPRINKLER SET BACK YARD HWY• PROP LINE- WIDTH. ��B' Q7v®� FRONT PL- �� �°�a5(�p$1� INSULATION/WEATHER STRIP SIDE PL- INTERIOR L EXTERIOR LATH R . RATED WALL ASSEMBLIES SHAFTS/OPENINGSRATED T-BAR CEILINGS * ADDITIONAL DATA ON FILE DRAINAGELOT REPORT ID: DPR261 ROUTE TO: BS0508 %- - %w 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 0701260034 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST I BUILDING ADDRESS I ITR 11492 LT 14 BL 001 I SQ FT STORIES TYPE 1 9231 BLACKLEY ST 1 ISTRUCTURE VN I TEMP CA 917803137 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET ENCINITA I 18590-001-018 I I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl I I I I ITENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY EXPIRES ON 1 IEXIST OCC GRP 101/26/07 JK 01/21/08 I (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE 1 IWOO ARTHUR,ANNA TRS (626) 285-7363- 1 4,360 1 ��i 1 19231 BLACKLEY ST I It"�7 1 7 ITEMP 917803137 1 FEES PAID IDESCRIPTION OF WORK I I IREPLACE 7 WINDOWS (SAME SIZE) I IFEE DESCRIPTION QUANTITY UOM AMOUNT I 1 (APPLICANT TEL NO I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 I I IAC STRONG MOTION RESID 4360 00 VAL 0 50 ISPECIAL CONDITIONS 1 I ID2 PERMIT W/O EN-HC 4360 00 VAL 132 60 1 1 TOTAL FEES 160 85 1 I ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I 1 I LIC NO I ILOCATION AND SETBACKS I I I ISOILS ENGINEER APPROVAL I 1 I (ARCHITECT OR ENGINEER TEL NO I IF,OUNDATION/TRENCH FORMS I I I I I ly I I I LIC NO I ISLAB/UNDER FLOOR I I I I I IRAISED FLOOR FRAMING 1 1 I I I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 (UNDERFLOOR INSULATION I I I 1147H265 3 O11 _ 1 1-1 1 ' 1 _) - IFLOOR SHEATHING I 1 1 INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I NO 21 IROOF SHEATHING 1 I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I (AIR QUALITY 1000 FEET MATERIALS I I 1 I I NO NO NO 1 (FRAME INSPECTION I I IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRP SPRINKLER HANGERS I I I ISET BACK YARD HWY PROP LINE WIDTH I -1-1 IFRONT PL- I IINSULATION/WEATHER STRIPI I I I SIDE PL- I I I I I I I _ IINTERIOR LATH/DRYWALL I 1 I (EXTERIOR LATH I I I IRATED FLOOR/CEIL ASSEM I I IRATED WALL ASSEMBLIES I I 1 IRATED SHAFTS/OPENINGS I I I 1 11 IT-BAR CEILINGS I I I 1 I 1LOTIDRAINAGE I I I I I I I I I IREPORT ID DPR261 ROUTE TO BS0508 1 I I I I I I I I I 1 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 1101240018 PHONE (626) 285-0488 EXT (LEGAL ID NO OF CONST I BUILDING ADDRESS ITR 11492 LT 14 BL 001 SQ FT STORIES TYPE 9231 BLACKLEY ST STRUCTURE V-B I TEMP CA 917803137 I ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET ENCINITA 18590-001-018 I I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl I I I I ITENANT 1EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY 1 (EXIST OCC GRP 101/27/11 SR 10WNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DAE FINAL BY CODE IWOO ARTHUR (626) 285-7363- 1 4,000 19231 BLACKLEY ST 1 11 ITEMP 917803137 FEES PAID IDESCRIPTION OF WORK 1 I REPLACE 4 WINDOWS & 1 DORR WITH VINYL PRODUCT I I IFEE DESCRIPTION QUANTITY UOM AMOUNT I i (APPLICANT TEL NO I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 80 1 I IAB STATE GREEN BLDG FEE 4000 00 VAL 1 00 ISPECIAL CONDITIONS IAC STRONG MOTION RESID 4000 00 VAL 0 50 ID2 PERMIT W/O EN-HC 4000 00 VAL 116 00 I TOTAL FEES 145 30 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I I I I LIC NO ILOCATION AND SETBACKS I I I ISOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I I 1 LIC NO ISLAB/UNDER FLOOR I I I I I I I IRAISED FLOOR FRAMING I 1 I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I I I147H265 3 001 I 11 I I I IFLOOR SHEATHING I 1 1 INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I NO 21 1 IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I 1AIR QUALITY 1000 FEET MATERIALS I I 1 NO NO NO 1 (FRAME INSPECTION I I I I IFIRE SPRINKLER HANGERS 1 I I I I I IINSULATION/WEATHER STRIPI I I I 11NTERIOR LATH/DRYWALL I I I I I I I I I I IEXTERIOR LATH I I I I I I I I IRATED FLOOR/CEIL ASSEM I I I IRATED WALL ASSEMBLIES I I I I I I IRATED SHAFTS/OPENINGS I I I I IT-BAR CEILINGS I I I ILOT DRAINAGE I I I I I I I I IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I