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HomeMy Public PortalAbout9240 BLACKLEY ST_Building__ 11.55 A°88.9 n•aa APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING I A `I.fj'G ADDRESS F-'►'Gill�/+ Deportment of County Engineer County of Los Angeles LOCALITY Pr �� tq JOHN A LAMBIE, COUNTY ENGINEER NEAREST V CASSATT D GRIFFIN. SUPT OF BUILDING CROSS ST v FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE SEWER MAP CONST BUILDLK ING MAPSS 9240 Blackley NUMBER O SH,A�,Y YES ADDRE BLOCK C LOT NO US�ZONE SPECIAL 'T ` CONDITIONS TRACT 71492 6Od NO OF BLDGS SIZE OF LOT I NOW ON LOT 1 BUILDINGEXIST SETBACK YARD HWY STREET NAME WIDTH USE OF FRONT F ! 1� EXISTING BLDG Dwelling&�;ara�e - P L i- ►"'� OWNER Leonard H Cline SIDE P L IMAIL ' ADDRESS 9240 Blackley O TRACT DWELL I UNIT Temple Cit TEL NO At 6-635 DWELL 1 UNIT 5 INDUSTRIAL CITY P Y 6 PUBLIC BLDG ARCHITECT OR TEL 2 DUPLEX f 2 UNITS 7 ADDN.ALT. ETC. 3 APT � ENGINEER NO UNITS 8 MISCEL ADDRESS 4 COMMERCIAL CONTRACTOR Marshall Bldr '0 013-0858 INSPECTION RECORD ADDRESS 8428 Melrose Place. LA46 DESCRIPTION OF WORK NEW X ADD ALTER REPAIR DEMOLISH SQ FT NO OF' NO OF SIZE 240 '- STORIES- 1 FAMILIES ` USE OF STRUCTU obby shop - redwood _ SIGNATURE OF APPLICANT Marshall Builders APPROVALS ADDRESS 8428 Melrose Place, LA46 DATE INSPEC OR S SIGNATURE FOUNDATION LOCATION 9-d P C S FORMS.MATERIALS �J .2 'FEE FRAME FIRE STOPS. VALUATION $ O BRACING BOLTS u& Sc / A. FEE I FURNACE LOCATION. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT ' AND STATE LAWS REGULA UILDING CONSTRUC- TION LATH EXT SIGNATURE OF '1- HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 8428 Melrose Pl ce LA46 FINAL lO '" JOHN A.LAMBIE. COUNTY ENGINEER V-4LIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR 0 MO CASH j 0"4,.6.8 L SEP 21 8.0 0 to ' d 76A638A<A+t�P35-65 APPLICATION FOR BUILDING ERIVII I COUNTY OF LOS ANGELES BUILDING a DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY- JOHN A LAMBIE COUNTY ENGINEER NEAREST_ COLEMAN W JENKINS SUP T OF BUILDING CROSS ST DISTRICT NO- GROUP TYPE PRO SED-B FOR APPLICANT TO FILL IN , © CONS BUILDING /n� STATISTICAL CLASSIFICATION _� SEWER MAP ADDRESS Q rI'✓ G CLASS NO DWELL UNITS _ 8 P �� LOT NO - BLOCK USE ZONE MAP NO �L _ TRACT SPECIAL -NO OF BLDGS CONDITIONS 21 SIZE OF LOT N__OssW ON LOTQ - t- USEO SNG ��41- t,5 BLDG SETBACK FROM TEL FRONT PROP LINE OF , (STREET) OWNER i 3 Q NO TYPE OF E%ISTI_NG S_ETBACK HIGHWAY_ "} YARD = TOTAL ADDRESS sqAq c HIGHWAY WIDTH FROM C L CITY L 4� ARCHITECT OR TEL BLDG SETBACK FROM ENGINEER L NO Qa 9u' SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD- = TOTAL' ADDRESS / � eX ^-),o�Y HIGHWAY WIDTH FROM C L CONTRACTOR ' / N NOL 1J � �/ + _ 0 LIl ADDRESS / Q,�. .1v i; �CA)4 NO Q Q ' O CORNER CUTOFF YES NO V CC CITY CCLIL SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORKG a NEW ADD 4 ALTER REPAIR DEMOLISH SIZE3/5'315' NO OF N OF STORIES FA M LI ES/ "�- USE F CC STRUOCTURE Sc SIGNATURE OF APPLICANT VALUATIO OO O APPROVALS DATE INSPECTOR'S SIGNATURE ,v-�cy��.• FOUNDATION, LOCATION FEE$ FEE$ / FORMS, MATERIALS FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVEIIS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LJENCZ11MN�:0N Co OF THE STATE OF CALIFORNIA RELAT ING TO WORKMIN URANCE LATH EXTSIGNATURE HOUSE NUMBER COR- PEf2MITTEE RECT AND POSTED ADDRESS S Fl NAL JOHN F LEWIS PRINCIPAL STRUCTURAL ENGI R PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK" M O CASH LAo 0 2-6 4--§ MAR 7 1 D 8.0 ._� APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLI ANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure BUIL G ADD SS or a certificate of Workers Compensation Insurance or a Certified copy there f 380 ab C) CITY � IP (J ,LOCALITY17, Policy NO Compa SIZE OF LCT NO OF BLDGS NOW LOT ❑ Certified copy is hereby furnished NEAREST CROSS ST Certl ed co y Is filed with th ounty budding Inspection ACT BLOCK LOT NO IS t ent USE ZONE MAP NO Dat Applicant ASSESSOR MAP BOOK PAGE O PAR EL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKE o ER TEL NO COMPENSATION INSURANCE s .v WITHIN 1000 FT OF SCHOOL? YES No (This section need not be completed If the permit Is for one hudred ADDRESS n DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars ($100)or less) CITY ZIP •On �� 1 I certify that In the performance of the work for which this permit Is Issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws ARCHITE TIO ENGINEER TEL NO STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADD S ! CLASS NO DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exempti6n, you should become subject to the WorkersT L NO SET BACK YARD HWY PROP LINE WIDTH TRACTO Compensation provisions of the Labor Code you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS ` t}C yp P L IDE LICENSED CONTRACTORS DECLARATION F PLL } T LIC CLASS I hereby affirm that I am licensed underprovisions of Chapter 9ff7 SEWER MAP > (commencing with Section 7000)of Division 3 of the Business and SO� F SIZE NO OF TORIES NO OFMILIESIL Professions Code,an my I e s is in full force an ffect p N W ❑ BK L- PG �a ► Q License Nu er Lic Class DESC IPTION OF WOR e ADD VALUATIO p V �^ Contr Date DdZA(IS MET E $ 0 ElI am exempt under Secst $ U BBPC for this reason O-- DEMOL ❑ W LDMA P/C# d Date USE OF EXISTING BLDG F r URM ❑ N Z Signature APPLIC T(PR T) L NO LDMA Perm# -- T 3. ❑ I, as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS 2 not intended or offered for sale (Section 7044, Business and FINAL DATE S 0 {–{- Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 2— OR — ❑ I, as owner of the property am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q P y y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE licensed contractors to construct the project (Section 7044 FINAL eY > Business and Professions Code) VES❑ ; 1`� WILL THE INONTEND D USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING j^t I_ I OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR _ T T L n�_ GUIDELINES J 11 I hereby affirm that there is a construction lending agency for YES❑ No tr ' the performance of the wor or which this permit Is issued(Sec TOTAL'AL __60 3097 CIV C IRAVE READ TH HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING C CHECKLIST I NDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE j-�G� f j ' t a TITLE 2 C ER 2 20 SECTIONS 2 20 100 THROUGH 2 20 1 0 CONCERNING HAZARDOUS HEC i'�'°L' Lenders Name MATE IA P STAINING IT FRO OMD Lenders Address 06yCHAWGr °EI_i OWNER OR AGENT O o I certify that I have read this application and state under penalty O of perjury that the above information Is correct I agree to comply PC FEE PERMIT FEE { N with al ounty ordinances and State laws relating to building d' . 4 0130I�r-I}I�4}� < cons on and hereby authorize represen fives of this ounty ISSUANCE FEE / / of tiiij� `HY �s I5 1h to a upon the a ntione operty inspection p ses !p (D CID INVESTIGATION FEE TOTAL FEE •3q�uWre a m Aged oNe SEE REVERSE FOR EXPLANATORY LANGUAGE