HomeMy Public PortalAbout9246 BLACKLEY ST_Building__ DIVMION OF BUILDING AND SAFETY
Department of County Engineer ' 1` '
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL,IN FOR OFFICE USE ONLY
DIBTRIp?NO. PLANCK Da'Rec No: ® PERMIT NO,�
BUILDING J` ��
ADDRESS 7
LOCALITY y REOEIV B DATE OFAPPL. DATE IBBUED
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UBE � � 1 APPROVED
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V 0• t HOUSE NUMBERING
ADD RESPI kAL MAP NUMBER 7 n 1 /_ NO ABSIONED BY
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DESCRIPTION L4 NO. BLOO
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_ _NO.�OF SLDOB.- -
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INSPECTION FOR APPROVALS
OCCUPANCYAS INSPECTO SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS.,,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE BTOPB, V
PLICATION AND STATE THAT THE IN
GIVEN IB
CORRECT. BRACING,BOLTB
1 AGREE TOgCOY WITH ALL CD ORDINANCE8 FURNACE: LOCATION,
AND STATE LAULATINO BUILD CONSTRUCTION GAS VENT,DUCTS
SIGNATURE � /4 LATH, INT.
PERMITTE �J
ADD ` I LATH, EXT. l�/�G._.- ♦�./ /Z
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VALUATION FEE , �_._- FINAL �`a •Q .T's�
76A639A DSS 3 1-67
DO< 11.42 25,M GRTS r, r ' _ I APPLICATION FOR PERMIT
DEPARTMENT Off`'BMLDING AND SAFETY 1
COUNTY OF LOS ANGELES BUILDING i
WM J. FOX, CHIEF ENGINEER
NO.OF BLDG. ORD:NO. DISTRICT NO PLAN CK NO PERMIT NO
PLANS SETBACK LINK T__ G q3FIRE APPROVED
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ZONE By DATE RECEIVED BY DATE OF APPL DATE ISSUED
USE APPROVED �rrf
ZONE I BY DATE 7 T
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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LICENSE NO NO NAME 6-1 15-A0 07 jv)6 W'9
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F- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
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U CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO NO AND STATE LAWS REGULATING BUILDING CONSTRUCTION
SIGNATURE=OF— -,v=T z
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O LQT NO 4 6 L` —SIZE OF LOT
OWNER �jfff
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DESCRIPTION OF WORK
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ADDITION SIZE '1
REPAIR STORIES
MOVING WALL COVERING
DEMOLISH ROOF COVERING �' C
s P.C $ f FINAL APPROVAL
�V �7 INSPECTOR'S /. � ,
YALUATI N FEE DAT C. I NAME V
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7YAG38A CH#803 1- 1 APPLICATION FOR BUILDING PER �
COUNTY OF LOS ANGELES BUILDING /
DEPARTMENT OF COUNTY ENGINEER ADDRESS C
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DIST IC��JO GROUP TYPE ESSED BY -
� aV� CONST
BUILDING 9 (, / /� STATISTICAL CLASSIFICATION S ER MAP
ADDRESS / ir�(p 2 �' lJ? BK PG
CLASS NO WELL UNITS - _ 0
LOT NO BLOCK l.. WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT f'I H- .c MAP . / HIGHWAY
q NO OF BLDGS NO (2o�p " ICIRCLE) STATE MAJOR SECOND LO L
l
SIZE OF LOT '60 x a 1, I NOW ON LOT USE ZONE SPECIAL
USE OF ) CONDITIONS
EXISTING BLDG
TEL
OWNER 1 7,167 NO BUILDING YARD HWY STREETi EXIST
SETBACK WIDTH
ADDRESS FRONT /
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L
ADDRESS TEL INSPECTION RECO O_
CONTRACTOR NO 0
ADDRESS
DESCRIPTION OF WORK O
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NEW ADD ALTER REPAIR DEMOLISH d
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SQ FT NO OF NO OF Z
IZE �` f S� STORIES FAMILIES
USE OF l7tj
STRUCTURE J2 C o 7>7
SIGNATURE OF
APPLICANT ll
VALUATION$ _
APPROVALS DATE INSPECTOR SSIGNATURE
PC PMT FOUNDATION LOCATION
FEE $ FEE $ l` FORMS MATERIALS
FRAME FIRESTOPS,- 1�1/(�v rkv- -
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATHINT / �f /
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT , A
ING TO WORKMEN S COMPENSATION INSURANCE
M LATH EXT
SIGNATURE OF 1 � A/o ' HOUSE NUMBER COR-
PERMITTEE ter" RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATION CIC. M O CASH CLYDE P DP v= VALIDATIONTRcKTURMALo EN HER
LA,`_.,2 4 7 :s 110 HAi 8.00
0
76A638A CE$ 803 5-61 APPLICATION FO G 'ERMI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALIrY.F7
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. ✓ .�> iF.�--''
DISTRICT N GRO P TYPE '"OC'
C ED BY
FOR APPLICANT TO FILL IN �' _ CONST.
BUILDING G/ .+J STATISTICAL CLASSIFICATION SEWEE,RMAP
ADDRESS J •� (� .YQ(� Yo.� ,�' a 1-GPC''
�^ CLASS.NO. DWELL. UNITS
LOT NO. BLOCK WATER NOT REQUIRED ® RECEIVED
CERTIFICATE:
TRACT f G� NOP HCIRc AI STATE MAJOR SECOND, CALF
SIZE OF LOT (;��x a�� I NOW ON LOTS / USE ZONE - SPECIAL
USE OF CONDITIONS
EXISTING BLDG. /,l� A
OWNER ,�i.�CT Ult./Y/d)sz NO BUILDING EXIST.
YARD HWY STREET NAME
SETBACK WIDTH
ADDRESS FRONT
ARCHITECT OR TEL, P. L.
ENGINEER NO. SIDE O
P. L.
ADDRESS ,.,C3 TEL. INSPECTION RECORD'-
CONTRACTOR� J�l/�,�22--y / NO. Q
ADDRESS V
W
DESCRIPTION OF WORK N
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NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. +%_� - r �-- NO.OF NO.OF
IZE t _� STORIES FAMILIES
USE OF
ST CTURE 312 l (G'1J�9 " 6144 ,
SIGNATURE OF
APPLICANT
VALUATION S
APPROVALS DATE INSPECTOR'S SIGNATURE
�-^`} FOUNDATION: LOCATION
FEE FEE S FORMS, MATERIALS
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORK ME ' COMPENSATION INSURANCE.
n i LATH, EXT.
SIGNATURE OF_- V �' HOUSE NUMBER COR-
PERMITTEE CCC///��� �� RECT AND POSTED
ADDRESS --- FINAL
I� CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN�CI#EfR
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.o. %H
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 9910130064
PHONE: (626) 285-0488 EXT:
LEGAL ID. NO. OF CONST BUILDINGADDRESS
TR- 11492 LT 8 BL C SQ. FT STORIES TYPE 9246 BLACKLEY ST
STRUCTURE 0 VN TEMP CA 917803136
ASSESSOR 0 0 UMBER• NEAREST CROSS STREET:
8590-009-009 THOMAS PAGE- 596 GRID: J4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG E: RESID USE ZONE: ISSUED ON: PROCESSED XPIRES
EXIST OCC GRP: 10/13/99 UT 04/10/00
OWNER: TEL N0: 8LDGS. NOW ON LOT: VALUATION: FINAL AT FINA Y: CODE:
NORTHERN TRUST COMPANY TR - 1 15,000
1�11-7 a-.�-•-•-
FEES PAID DESCWIPT N OF WO
INSTALLING CHANCE ANC 0 SUP RT RONT OF RESIDENCE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO
ROSSMOYNE, INC. (818) 249-8397- AA BLDG PERMIT ISSUANCE 27.75
3500 OCEAN VIEW BLVD AC STRONG MOTION RESID 15000.00 VAL 1.50 SPECIAL CONDITIONS
GLENDALE, CA 91208 D2 PERMIT W/O sEN'HC--—X15000.00 VAL 300.60
,gGELES T`�®�EES 329.85
CONTRACTOR: TEL. NO APPROVALS DATE INSPECTOR SIGNATURE
�9 �/,,�
ROSSMOYNE INC (818) 249-8397-
3500 OCEANVIEW BLVD. LIC NO LOCATION AND SETBACKS
GLENDALE, CA 91208 501O52B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGIWEER. TEL. NO: FoM EFTWUO�
t
LIC. N0: lllllll SLAB/UND R FLOOR
ISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP � DERFL R NSULAT
147H265 3 U 1ULQ) CVV O S G
K�S:)
0. OF FAMILIES: DWELLING U CO LASS:—
NO 21� 0 SHEATH NG
SCHOOL WITHIN HAZARDOUS O r+, PANELS
AIR QUALITY: 1000 FEET MATERIALS 19
NO NO NO ® ®� FRAME INSPECTION
REQUIRED TOTAL SETBACK ��� �oi� IRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: ZC
FRONT PL-
a�•@ rvic a'Ta►a� INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR--LATH/DRYWALL
EXTERIOR LATH
RATED OOR/CEIL ASSER7.
i
RATED WALL ASSEMBLIES
r
RATEDH NGS
T-BAR CEILINGS
I
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BSO5O8
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