HomeMy Public PortalAbout9306 BLACKLEY ST_Building__ APPLICATION FOR BUILDING PERMIT �I
FOR APPLICANT TO FILL IN (Print or type only) lJ
B _ -,IG - ' - COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY�em 1p City ZIP rfi BUILDING AND SAFETY DIVISION
/ NO OF BLOGS BUILDING / �a
SIZE OF LOT Q X/(� NOW ON LOT ADDRESS oG
TRACT BLOCK LOT NO / LOCALITY
TE NEAREST
OWNER Rod Ornelas NOL2 - 2 CROSS ST
ADDRESS 9306 Blakeley St. MAPESSOR BOOK PAGE PARCEL
// DISTRICT GROUP TYPE FIRE PRESSED BY
CITY Temple ZIP 7(/ �� b /' CONST ZONE
ENGINEER ITAOR e NOL 339-41 0 _� 3
• STATISTICAL CLASSIFICATION SEWER MA
ADDRESS 21313 Greenhaven ,CLASS NaAL—DWELLUNITS le-1 BK UG
TE
CONTRACTORProf. DeV CO NOL - USE ZONE NOP J
ADDRESS 12 S.San_ta Anita,No 279486 _ SPECIAL /
/LIC CONDITIONS
CITY Arcadia , ralif- C ASS BZ ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
NAMEAND BRANCHON Glendale
ERI,lenda le ed BLDG S TBACK FROM C}
V K FRONT ROP LINEOF (STREET)
ADDRESS 100 S.First CITYA cadiaHIGHWAY } YARD -
TOTAL SETBACK FROM TYPE OF EXISTING
$Q NO OF- NO OF. CHECK FRONT PROP LINE HIGHWAY WIDTH C
SIZE STORIES FAMILIES ONE
} = LL
DESCRIPTION OF WORK N, NEW
BLDG SET CK FROM
DD ' (STREET) ?
Enlar e Master' Bedroom an SIDE PROP L EOF
add two bedrooms ALTER ❑ HIGHWAY } YARD = MTYPE OF EXISTING
REPAIR❑ SI E ROP L E AWAY WIDTH
USE OF
NG BLDG Residence DEMOL El +
EXISTING
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
PRINT) NO
IN OPEN SPACE YES ❑ NO ,❑
BY (SIGNATURE)
Q IN COASTAL ZONE YES ❑ NO ❑
VALUATION Y 14.850.00, CATEGORICAL EXEMPTION AYES❑ NO ❑
ENVIRONMENTAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION "� ''IO
AND STATE THAT THE ABOVE IS CORRECT,AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) '
WITH-ALL ORDINANCES AND LAWSREGULATING BUILDING CON- - j
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT Y PERS
TEL DATE ON IN VIOLATION OF THE
LABOR CODE OF E STATE t! CALIFORNIA IN L"ATI NG TO
WORKMEN'S C ENSATION ANC ED Sbbbb
SIGNATU ,'0 �/ JAIJCP All- "n"M67
PERMITT E
ADDRESS
_ FINAL BY r'
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CITY ti NO
MAKE CHECKS PAYABLE TO FEE 1 ^ PEE
HARVEY T B DT COUNTY-ENGINEER 70 l J
PLAN CHECK ALIDATION CK O CASH PER/MIT VALIDATION CK f O CASH
348 � 4 pa� r+
65.70 J
— 'k - 7 1 7 sFP 18 1 p 1 0 9.5 0 e98
176A638A CE#803 7/73 '
76A6�18A CE 4803 4/72
APPLICATIO OR B LDING PERMIT f�
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
AIA KE CHECKS PAYABLE 70 ADDRESS _
HARVEY T BRANDT, COUNTY ENGINEERLOCALITY
FOR APPLICANT TO FILL IN NEAREST
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BUILDING DISTRICT NO GROUP TYPE PRO !SS BY
ADDRESS I 30 '37 0 ON
STATISTICAL CLASSIFICATION S WER
LOT NO BLOCK
--77 CLASS N DWELL UNITS 'BKPG Q
lz:Kf2
TRACT , U ZONE MAP Q
NO OF BLDGS / NO
SIZE OF LOT 6 NOW ON LOT �I SPECIAL
USE OF JJ CONDITIONS
EXISTING BLDG
TEL
OWNER NO BLDG SETBACK FROM
ADDRESS FRONT PROP LI NE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY L, HIGHWAY WIDTH FROM C L -
ARCHITECT OR TEL }
ENGINEER NO BLDG BACK FROM
ADDRESS (� �J'7 SIDE PROP - (STREET) O
CONTRACTOR 5/' NOL (5_A772 HIGHWAY TYPE OF EXISTING
IG SETBACK TOTAL
WIDTH FROM C L H + YARD =
ADDRESS J l ! •NO '} — w
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CITY KC a
14 CLASS CORNER CUTOFF YES ❑ N ❑ Z
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROV LS
ADDRESS
SO FT NO OF NO OF NEW ❑
SIZE STdO�RIIEs / FAMILIES
USE OCTURE E C/VU//V d�j ADD
STRU ❑
ALTER ❑
osiweZ IS REPAIR❑
SIGNATURE OF
APPLICANT Q/t DEMOL ❑
VALUATION $
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APPROVALS DATE iNBP C DR'S SIG 1�T RE
ON
FEE $ FEE$ �;0 0 rOFORMS I MATERIA SION 3 717 Z
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS -
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOL TION OF THE LATH INT
LABOR CODE OF THE STATE
�,//UyJ,�O FF�//�CALIFORNIA I RELATING TO
WORKMEN'S COMPE NSA INS I: CE
C LATH EXT
SIGNATURE OF �/ r HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS
FINAL _
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDA IONCK M O CASH
1 2 9 1 D 12.0 O N
76A638A CE#803 9-68
. APPLICATION FOR BUILD NG PIER , IT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ((}
BUILDING AND SAFETY DIVISION LOCALITY
l '
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUP T OF BUILDING CROSS ST
DISTRICT NO GR P TYPE P D BY
FOR APPLICANT TO FILL IN CONST
(Print ort a only)
/
BUILDING / STATISTICAL CL FICATION SEWER MAP
ADDRESS �1306 �GcrEle CLASS NO DWELL UNITS BK PG
LOT NO / BLOCK USE ZONE NOP �0
SPECIAL
TRACT / COEDIT ONS
NO OF BLDGS
SIZE OF LOT NOW ON LOT Q
USE OF
EXISTING BLDG BLDG SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
OWNER �,� NO _
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS 93 b IG IGG HIGHWAY WIDTH FROM C L
//
CITY em ��, CjT BLDG S BACK FROM
ARCHITECT OFf TEL SIDEPROP LINEOF (STREET)
ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
Y
TEL + = C
CONTRACTOR NO L
LIC
ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ C
CITY
LIC
SS SEE REVERSES E FOR SPECIAL APPROVLS LL
CONSTRUCTION LENDER a
NAME AND BRANCH �J / ) / I Z
ADDRESS / / b —1
SQ FT -NO OF NO OF NEW ❑ ��
SIZE STORIES FAMILIES
r
USE OF ADD II _
STRUCTURE . = ALTER ❑
d e REPAIR❑
SIGNATURE OF P ✓�L ❑
APPLICANT DEMOL
Q
VALUATION S APPROVALS DATE k.S PE C TOR'S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE $ + CS"Z) FORMS MATERIALS
FRAME FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ) BRACING BOLTS 1AAA
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, • I B
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GASOVENT, DUCTS
STRUCTIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT I
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO 1
Ij
WORKMEN'S COMPENSATION Z;4�4�
�� LATH, EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE
91306
a T RECT AND POSTED
ADDRESS 9306�AaG�F/a& /� e• FINAL V
PLAN CHECK VALIDATION CK M o CASH .JOHN F LEWIS PRINCIPAL STRUCTURAL En..
R
PERMIT VALIDATION CK M o
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0G45v' 6 Q 12.JQ- c
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7+�a63�liA tC803 3-66 APPLICATION FOR BU L 1 NG PEIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OFCENGINEER A D D R E 55
BUILDING AND SAFETY DIVISION L O C A L I T Y1001,
JOHN A LAMBIE. COUNTY ENGINEER NEAREST n
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
DI STRICT - G TYPE P S B
FOR APPLICANT TO FILL IN CONST
BUILDING STATISTICAL C ASSIFICATION S WE MAP X
ADDRESS -906 BlackleyCLASS NO DWELL UNITS BK PG
LOT NO 11 BLOCK 11CI USE
Z V� MAP V
No
TRACT 11492 SPECIAL
SIZE OF LOT 60x160 I NO OF BLDOS CONDITIONS
NOW ON LOT 1
USE EXISTING pLpG single family .resBLDG SETBACK FROM
John ars a TEL2 22 FRONT PROP LINE OF (STREET)
OWNER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 1010 E. Las Tunas Drive HIGHWAY T F OM C L
CITY San Gabriel - t �
BACK FROM
ARCHITECT OR TEL
ENGINEER �J (^j NO E SIDE PROP LINE OF — (STREET)
TYP01 EXISTING SETBACK HIGHWAY + YARD — TOTAL
ADDRESS "1014' E La DriveHIGHWAY WIDTH FROM C L '
T +
CONTRACTOR EL d
ADDRESS1010 Las Tunas NO LIC 165015CORNER CUTOFF YES NO U
CITY San Gabriel LIC B1 SEE REVERSE SIDE�F,OR;SRECIAL�APPROVALS' o
DESCRIPTION OF WORK
NEW Y, ADD ALTER REPAIR DEMOLISH �� Z
SQ FTNO OF NO OF
SIZE __1355 STORIES 1 FAMILIESl J ap
USE OF C'U
STRUCTURE - FAe7 �- •..y�
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SIGNATURE O I .�,. ha�rr+ias �o� cu-i�� r1I s 1 ..dBR9
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APPLfCANT - '
'(I�dlons s:'ou'd b•+ ' `' + order to Bv91d
$ 'ar00
VALUAT O - 1 „ O
tdfpci,h$TgAIP�j{PRpOVjALB Fs Dosl�r }�cDATE"� INSP 0 �� E
PC ^ PMT .5� �IM'I#MSalr1ATERIALSTV ONIF;I�r V L
FEE$ FEE$ ARM
STOPS, b 444
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ITV ISRIACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL T EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC THE STATE OF CALIFORNIA REL `
INC TO WORKMEN S C PE 5 ION INSURANCE ATH EXTILI
PERMITTEE OFJ>/ HOUSE NUMBER COR- 7-q� / r i .�Lr�e� 1
R E AND POSTED iL Ca S ,4L��
ADDRESS FINAL
JOHN
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION STIR RM O ENGINEER
4 1 8 8 1 APR 82 3 D 5 3 2 5 A w
4 3 0 1:Q AFR 2 3; 1 D 1-0 6.5 0- Q
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)8A 838A C #�8
E03 8-67 7ILJI
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING A �+
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY '
JOHN A LAMBIE, COUNTY ENGINEER
`COLEMAN W. JENKINS, SUP T OF BUILDING NEAREST
CROSS ST
DISTRICT. GROUP TYPE PRO SSED Y
FOR APPLICANT TO FILL IN CONST
(Print ort a only) r
BUILDING - -" " - - - STATISTICAL CLASSIFICATION EW7AP
ADDRESS CLASS NO�c�[DWELL UNITS E3
LO6
NO
OT NO BLOCK U ONE MAP /
TRACT ` 9� SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT ` NOW ON LOT
USE OF
EXISTING BLDG BLDG SETBACK FROM
FRONT PROP LI NE OF (STREET)
OWNER TYPE OF EXISTING SETBACK HIGHWAY } ARD = TOTAL
HIGHWAY WIDTH FROM C L
AODR S
e + _ �d
CITY d BLDG_ SETBACK FROM
ARCHITECT OR TEL SIDE PROP LINEOF (STREET)
ENGINEER J" NO _
TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL
ADDRESS WAY WIDTH HIGHFROM C L
TEL + _
CONTRACTOR NO O
LIC C.D
ADDRESS NO CORNER CUTOFF YES ❑ NO
O
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
W
DESCRIPTION OF WORK p—
z
NEW ADD ALTER REPAIR D OLISH
SQ FT NO OF
SIZE STORIES FAMILI S
USE OF
STRUCTUR
SIGNATURE OF
APPLICANT -
VALUATION
APPROVALS DATE IN5PECTOR•S SIGNATURE
P C PMT GU FOUNDATION LOCATION
FEE $ FEE $ ✓ FORMS, MATERIALS
FRAME FIRE STOPS,
I HEREBYIACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I 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 W LL NOT EMPLOY ANY PERSON IN VIOLA LATH, INT
TION OF THE LABOR CODE OF STATE OF CALIFORNIA RELAT
ING TO WORKMEN 5 CO 5 . INSURANCE
ATH, EXT
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS
JOHN
PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION TRCK RM O 1 CASH
_y 4 3,3 2"o' 'APH23 1 D 6.00- 1�7
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 1205010032
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 11492 LT 11 BL C SQ FT STORIES TYPE 9306 BLACKLEY ST 1
STRUCTURE 3600 V-B TEMP CA 917803138
(ASSESSOR INFORMATION NUMBER 1 NEAREST CROSS STREET FRATUS 1
18590-009-012 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
TENANT 1EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY
(EXIST OCC GRP 105/01/12 SR
OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FIN/AL BY CODE
IORNELAS RODERICK M,LILY (626) 286-8246- 1 6,400 1 � `
19306 BLACKLEY ST IL r //
ITEMP 917803138 FEES PAID IDESCRIPTION OF WORK
I ( IT/O COMP/USE EXST'G SHTH'G NSTALL TWO LAYERS 15# FELT,
I _(FEE DESCRIPTION QUANTITY UOM AMOUNT 11NSPALL OWENS CORNING 50 YR COMP 36 SF REPAIR FLAT 1
APPLICANT TEL NO I
IFERGUSON, LEWIS R (714) 777-4040- IAA BLDG PERMIT ISSUANCE 27 80 1
11260 N HANCOCK ST IAB STATE GREEN BLDG FEE 6400 00 VAL 1 00 ISPECIAL CONDITIONS I
1ANAHEIM, CA 92807 1AC STRONG MOTION RESID 6400 00 VAL 0 60
I ID2 PERMIT W/O EN-HC 6400 00 VAL 166 20
I _1 TOTAL FEES 195 60
CONTRACTOR TEL NO I IAPPxOVALS DATE INSPECTOR SIGNATURE I
MCCORMACK ROOFING AND WINDOW CO (714) 777-4040- 1 I
11260 N HANCOCK, SUITE 108 LIC NOLOCATION AND SETBACKS 1\
(ANAHEIM, CA 92807 643700-C39 *1 I I �- 1
SOILS ENGINEER APPROVAL I
(ARCHITECT OR ENGINEER TEL NO 1 IFOU,,DATION/TRENCH FORMS \ I
l)
I LIC NO I ISLAB/UNDER FLOOR
1 IRAI4LD FLOOR FRAMING \
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I IUNDFRFLOOR INSULATION I I \ I
1147H265 3 001 1-
1
-1 _1 1FLO)R SHEATHING 1 1 \ 1
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I 1
1 0 NO 21 IROor SHEATHING
I SCHOOL WITHIN HAZARDOUS I SHEAR PANELS (1 fffiii
(AIR QUALITY 1000 FEET MATERIALS I 1_ 1 1 1
NO NO NO I FRAME INSPECTION 1
IFIRL SPRINKLER HANGERS
INSULATION/WEATHER STRIPI I I
11NTERIOR LATH/DRYWALL
i I IEXTERIOR LATH I
1 IRAT,D FLOOR/CEIL ASSEM
1 (RATED WALL ASSEMBLIES I
I I IRATFD SHAFTS/OPENINGS 1 I 1
I IT-BAR CEILINGS 1 I 1
I* ADDITIONAL DATA ON FILE I
I ILOT DRAINAGE
(REPORT ID DPR261 ROUTE TO BS0508 I
I - I I_ I I