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Home My Public Portal About9437 BLACKLEY ST_Building__ 11 i gyp, p q 7eAB9BADBB.99.eAPIPLICATION FOR BUILDING PERMIT d. DIVISION OF BUILDING AND SAFETY BUILDING Department)of County Engineer ADDRESS County of Los Angeles LOCALITY WM J. FOX. COUNTY ENGINEER NEAREST I CASSATT D GRIFFIN, SUP T OF BUILDING CROSS ST. DISTRICT GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN % corlaT 9 % 9i6 BUILDING MAP STATE ADDRESS NUMBER HWY O LOT NOW/ S, CONDITIONS 40 BLOCK USE ZONE SPECIAL TRACT NO OF BLDGS. ' EXIST. SIZE OF LOTS A I NOW ON LOT BUILDING SETBACK YARD HWY STREET NAME WIDTH USE OF EXISTING BLDG �' AP L. 01 � I ( � c �— OWNE SIDE P L MAIL ADDRESS O TRACT DWELL 1 UNIT 5 INDUSTRIAL TEL ,,t/ 1 DWELL I UNIT CITY NO ZZU/44 6 PUBLIC BLDG ARCHITECT TEL 2 DUPLEX 1 UNIT 7 ADDN, ALTS ETC. ENGINEER NO 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL rfit. CONTRACTOR NO INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW A ALTER REPAIR DEMOLISH SO FT NO OF NO OF SIZE STORIES FAMILIES USE4F STRUCTURE 1 SIGNATURE OF APPLICANTi�`"`��'��'' CCC APPROVALS J ` ADDRESS pOil DATE INSPE TOR S SIGNATURE $ O d D Q P.C $ FOUNDATION FORMS, MATERIALS ION y �+/ I / C ,''w.Llld.. FEE FRAME FIRE STOPS, VALUATION $ 6� BRACING, BOLTS Z� FEE FURNACE LOCATION, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS A� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH, EXT. SIGNATURE OF C. d HOUSE NUMBER COR- PERMITTEE RECT AND POSTED n� ADDRESS J FINAL ` " S1 — J., WM.J. FOX,COUNTY ENGINEER U VALIDATION C. N. DIRLAM. CHIEF BLDG INSPECTOR 3 4 7 5 M27 1 6.0 0 to 'de-7 � ® r'I 7BA638A CE#80311}87 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING CY411 J / �� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY I L/IixQi JOHN A.LAMBIE,COUNTY ENGINEER NEAREST �J CASBATT D GRIFFIN,SUP T OF BUILDING CROSS ST (/ TK RICT NO GROUP—I TYPE �/ SEWER MAP FOR APPLICANT TO FILL IN PG CONST BUILDING A'��R _. ISTICA LASSIFICATION ADDRESS Ilv-�f'.t -G II II ss�� SS NO DW EL UNITS LOT NO L�l ��cam s+ D l BLOPSTATEyE5 NOBER HWYTRACT ,i A _..tO. i Jt�'!/JONENO OF SLOGS CONDITIONS SIZE OF LOT 0 CA NOW ON LOTUSE OF EXISTING BLDG DING YARD HWY STREET NAME EXIST ,�f� �'/• ,_,�,,y`�,,, (/ _,.n SETBACK WIDTH OWNERf�U1lSd�.4 if�Jfi'.��5�LfXJ✓i��l. .+.n"v:. FRONT MAIL }�/l1• P L ADDRESS ./��E:d.�. �C�`� 2 SIDE CITY_<' ../i / `..�t+`L7�1 GNO'idu7 7VSA P L ARCHITECT OR �/ TEL INSPECTION RECORD ENGINEER Y NO J _ ADDRESS ' TEL / CONTRACTOR 1 O,t4,1`�.A NO ADDRESS 1� ' DESCRIPTION OF WORK NEW JADP ALTER REPAIR DEMOLISH SQ FT / NO OF NO OF SIZE ,rjr STORIES _ FAMILIES USE OF STRU TURES SIGNATURE OF(l , j f ' APPROVALS APPLICANTy �"� �'J I DATE INSPECTOR S'SIGNATURE ADDRESS FOUNDATION LOCATION / FORMS MATERIALS / s, P C 5 FRAME FIRE STOPS f -700 '� v� FEE BRACING BOLTS / VALUATION 0 0 s Q C7 FURNACE LOCATION FEE — GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP. LATH, INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION �CONSTRUCTTIIO�N LATH EXT H SIGNATURE OFft � � "L� RECT AND POSTEDR PERMITTE ADDRESS X33 • ��'* �-�� T C • FINAL �� , �r CLYDE N DIRLAM PRINCIPAL ST RALE GINEER PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION cK 19-0— CASH V ' 4.00 - X 7GA638A DBS 3 12 54 APPLICATION FOIA- BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY ADDRESS `f– Department of County Engineer County of Los Angeles LOCALITY„ WM J FOX, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, SUP t of BUILDING CROSS ST /Y DISTRICT NO GROUP .r�,P EIS SEWER MAP FOR APPLICANT TO FILL IN s J-- II �T BK PG BUILDING /� CONST J'� ADDRESS i MAP //_ STATE 'YES Nv` '' // 77 / NUMBER (� HWY LOT NO�, �'�Yli�� 1� O 10 BLOCK USE ZONE SPECIAL, ,4. CONDITIONS TRACT NO OF BLDGS SIZE OF LOT GQ ,Ya o eNOW ON LOT BUILDING EXIST - YARD HWY STREET NAME USE OF '�- SETBACK WIDTH EXISTING BLDG I`�_/o FRONT q /�J OWNER /n (SIDE MAILPI L ADDRES,/IS�� CITY -yrs -DWELL I UNIT 5 INDUSTRIAL / 2 DUPLEX UNIT 6 PUBLIC BLDG ARCHITECT;OOR TEL , ENGINEER NO 3 APT UNITS 7 ADDN ,ALTA ETC ADDRESS 4 COMMERCIAL 8 MISCEL ��.✓�- TEL CONTRACTOR --eJ r ylQ_n NO _ INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW/_ ADD ALTER REPAIR DEMOLISH SO FT NO OF NO OF SIZE 400 STORIES FAMILIES - USEOFSTRUCTURE - A Q - SIGNATURE APPLICANAPPROVALS r ADDRESS DATE INS PECTOR S SIGNATURE FOUNDATION LOCATION �1 $ 0-160 P C S FORMS, MATERIALS FEE FRAME FIRE STOPS, c� s VALUATION (J S / tBRACING BOLTS - L� C'JLd'_ FEE /fJ'n "�� FURNACE LOCATION GAS VENT, DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT AND STATE LAWS REGULATING BUILDING CONSTRUC- TION LATH EXT RE SIGNATURE OF HOUSE NUMBER COR- PERMITTEE � � � RECT AND POSTED ADDRESS FINAL WM. J.- FOX. COUNTY ENGINEER VALIDATION 6Y ._ACo4-1 -�9 4' MAY 27 1 6:0 0 DEPUTY - DEPUTY BY BY � - �— ® DEPUTY DEPUTY 1 DEPARTMENT OF BUILDING AND SAFETY _ COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER _ _ APPLICATION FOR APPLICANT TO FILL IIrL FOR OFFICE USE ONLY = !/� yLI �/� / DISTRICT NO. PLANCK OR REcc No PER�MIITQN[,0�., f ADDREBUILDSS �/ A/ / .��+4 C�'1 i 4F �� /� t� 5� _0O Q 1 LOCALITY 4Aq /OL,t` GITYRECEIVED BY DAT OFL. DAT SBU�ED t ylj uJ NEAREST CROSS STAB G� F• BUILDING ADDRESSOWNER 44 0MAIL �/ //�� LOCALITYADDRESS Z 2, /✓ 4�llj'RT�r�Tr • LUCNEARESTw� CROSS ST. �CITYNO�/#�" FIRE NO OF TYP O _ ZONE PLANS Z ARCHITECT OR TEL I ENGINEER ND BLDG SETBACK LINE 4P ADDRESS ~� USE APPROVED APPROVED �� Q' ��NEOL� '73�� ZDNE/V'/ BY HODS NUMBER NG DATE / a� CONTRALTO / `/+/�/T ADD RES, / V � L�/�L'�'�L'• J MAP NUMBER ��Z_ #NO ASSIGNED BY- DESCRIPTION -L❑T�1 / �� BLO K• 'A T CORRECTIONS TRACT A4_$ SiON ,,,,// NO OF BLD09. pp•. �.� - 'DB /a/a/ s�s%i$C 6'�M/�� SIZE-OF,LOT jj 0 ,/x/30 I NOW ON LOT V> USE OFNO OF ��tl/O �G�f`'F.�T�Q TS=�'• EXISTIN BLDG �— I FAMILIES - DESCRIPTION OF WORK J NEW ALTERATION ADDITION r REPAIR DEMOLITION SQ FT. NO.OF C f/ GtP SIZE ROOMS ANN, EXT WALL I ROOF COVERING COV ERIN ' US F STR T R6/ f INSPECTION FOR 1 (22APPROVALS �. OCCUPANCYAS ' V � INSPECTO 'S SIGNATURE DATE I FOUNDATION: LOCATION G� FORMS, MATERIALS 1 �,� ./itr•�.-6�, l�lG'� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- 1 PLICATION AND STATE THAT THE INFORMATION GIVEN 13 FRAME FIRE 9TOP9, CORRECT I BRACING, BOLTS P w � I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ; FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION I GAN VENT, DUCTS SIGNATURE OF /� l/ �4+L�� /� LATH, INT. A , PERMITTEE �✓ [/ �w ' ,�/� w LATH, EXT ADDRESS a PLASTER, INT. AUTHORIZED AGT. yv PLASTER, EXT. Woo FEE � �,o. HOUSE NUMBER COR- RECT AND POSTED VALUATION OQ�', FINAL <74_-e-'--`� /W-5 76AS38A DSS 3 7-51 ' WORKERS'COMPENSATION DECLARATION hereby affirm that ! hive' certificate of consent to self A P P L I C AT I®N FOR BUILDING PERMIT insure, of a certificate of Wor m kerc' Copewh sapn Insurance, a certified copy thereof (Sec 3800, lab Policy _� ompany ) COUNTY OF LOS ANGELES BUILDING AND SAFETY PoN,t� o�J � , Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING �^ Certified co is filed with the count ` sec- ADDRESS / /f 14 PY 9 P BUILDING �//� � � tion department ADDRESS 7 - rL�: Date �^ � App CITY �• G ZIP �d LOCALITY CERTIFICATE OF EX44P`TQ1q FROM WORKERS' NO OF BLDGS'_ ?� NEAREST - COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST �-- (This section need not be completed if the permit is for oneTRACT BLOCK ? LOT NO ASSESSOR hundred dollars ($100)or less) MAP BOOK PAGE PARCEL T USE ZONE MAP I certify that in the performance of the work for which this OWNER N NO _ permit is issued, I shall not employ any person in any mannerSPECIALi so as to become subject to the Workers'Compensation Laws ADDRESS CONDITIONS T CITY V 116 Date Applicant - ZIP 0�O NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL DISTRICT G U TYPE FIRE OCEND BY O ENGINEER NO -�� ' Exemption, you should become subject to the Workers' CONST Z � - Compensation provisions of the,Labor Code, you must forth- ADDRESS La with comply with such provisions or this permit shall be > A�� TEL 7 a deemed revoked CONTRACTOR 7 / eV N L STATISTICAL CLASSIFICATION APT C DO z LICENSED CONTRACTORS DECLARATION Z /� �p ZU CLASS NO DWELL UNITS— LI I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS V� NO (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect CITY / �• CLASS P BK PG VALIDATION S / �77 '' SQ FT�.55 NO OF NO OF CHECK License Number ✓ N! Z 19 �Lic Class SIZE J�� STORIES FAMILIES / ONE VALUATIONQV ' Coniractof" "` �'�r- Date DESCRIPTION OF WORK C/ B�1 -��..Z NEW ❑ _ —r"� ADD $ , I am exempt under Sec ❑ I B 8P C for this reason ALTER REPAIR $ a USE OF DEMOL EXISTING BLDG EJ'� ❑ L'M �' w Si atur APPLICANT TEL FINAL NER-BUILDER DECLARATION PRINT r NO DATE I y affirm that I am exempt from the Contractor's License C Law for the following reason (Section_7031 5, Business and ADDRESS FINAL 1 Professions Code) By /� T a ❑ I, as owner of the property, or my employees with BUILDING ACt_i �T ,; h ADDRESS ;� iii _ i wages as their sole compensation,will do the work and - I �„ , the structure is not intended or offered for sale(Section LOCALITY f 7044, Business and Professions Code) „ MOVING TEL. 1 ITEC I, as owner of the property, am exclusively contracting CONTRACTOR NO TOTAL y ,..�2 33 iii O with licensed contractors to construct the project (Sec- ADDRESS ' tion'7044, Business and Professions Code) t^ �� Ir tt ` 22 REQUIRED TOTAL SETBACK u,�'i � LH��[v -+-,.eJr CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH ,4� �• } ',,Vuq�Yx I hereby affirm that there is a construction lending agency for FRONT "•`v\ •` _ ri�i�G the performance of the work for which this permit is issued -P L (Sec 3097, Civ C ) SIDE PL f i ' Lender's Name '0000-0011 Jib/iii LDMA Ref' # Lender's Address PC Fee a Perm.,fee .,33 , , 91-27 1 AM10: .y I certify that I have read this application and state that the Issuance Fee 131 kLDA P/C# o above information is correct I agree to comply with all County Investigation Fee 8 ordinances and Stat laws relating to building construction, Total Fee LDMA Perm # and hereby a representatives of this County to enter upon t ve-mentioned ert for inspech n purp ses SEE REVERSE FOR EXPLANATORY LANGUAGE 1 y' Signature of ar gent Date > WORKERS'COMPENSATION DECLARATION hereby affirm that I havecertificate of consent to 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 BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑' Certified copy is filed with the county building inspec- BUILDING x tion department. ADDRESS f7. Date Applicant CITY ZIP /� •` LOCALITY :/! CERTIFICATE OF EXEMPTION FROM WORKERS' NO, OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK I LOT NO. MAP BOOK PAGE PARCEL iz TE I certify that in the performance of the work for which this OWNER L.USE ZONE AP 0 NO permit is issued, I shall not employ any person in any manner SPECIAL ADDRESS CONDITIONS so as to become subject to the Workers'Compensation Laws. 1—y I CITY ZIP ;" >„ Date Applicant ARCHITECT OR TEL. DISTRICT GROUP I TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. Exemption, you should become subject to the Workers' CONST, ZONE 0:: Compensation provisions of the Labor Code, you must forth- ADDRESS a with comply with such provisions or this permit shall be TEL. -" STATISTICAL CLASSIFICATION APT CONDO. 2 deemed revoked. CONTRACTOR NO. Lil LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and _ LIC. SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK NEW ❑ Contractor Date ADD � $ , I am exempt under Sec. ALTER j B.BP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By El1, I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and , the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SET�BACKD YARD HWYk TOTAPROP.SETBACK LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.I. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # P.C. Fee$ Permit Fee Lender's Address }} /Z I certify that I have read this application and state that the Issuance Fee t _ ( `. LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee y ordinances and State laws relating to building construction, Total Fee ,. LDMA Perm. # and hereby authorize representatives of this County to enter < upon the above-mentioned property for inspecIt npurposes. � G. a , �y';74 �� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Dote' II-- 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 1104120018 PHONE (626) 285-0488 EXT (LEGAL ID NO OF CONST I ' BUILDING ADDRESS 1 ON FILE I SQ FT STORIES TYPE 9437 BLACKLEY ST J ISTRUCTURE V—B TEMP CA 917803141 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ENCINITA 8590-003-002 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl ITENANT JEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY I 1 (EXIST OCC GRP 104/12/11 SR I (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IF NAL DATE FINAL $Y CODE I ITAMANAHA, GLENN (626) 230-5668— 1 8,000 I y��\J I 19437 BLACKLEY ST I V TEMP 917803141 FEES PAID DESCRIPTION'OF WORK IREMOVE & REPLACE COMPOSTION SHINGLES'L7 SQUARES, REFRAME IFEE DESCRIPTION QUANTITY UOM AMOUNT IA/C COMBO UNIT DECKING INSTALL BLOWN IN FIBER GLASS, INSULATI APPLICANT TEL NO I ZION AND INSTALL ONE TUBE SKYLIGHT W/LIGHT IBAUTISTA, HERMAN (626) 202-5481— IAA BLDG PERMIT ISSUANCE 27 80 I I 111232 WILMOT ST JAB STATE GREEN BLDG FEE 8000 00 VAL 1 00 ISPECIAL CONDITIONS I (OAK HILLS, CA 92345 JAC STRONG MOTION RESID 8000 00 VAL 0 80 I I I ID2 PERMIT W/O EN—'IC 8000 00 VAL 183 40 I 1 TOTAL FEES 213 00 1 ICONTRACTOR TEL NO I JAPPROVALS DATE INSPECTOR SIGNATURE IJJ HERMAN HOME IMPROVEMENT INC (626) 202-5481— 1 I I 111232 WILMONT STREET LIC NO ILOCATION AND SETBACKS I DOAK HILLS, CA 92345 870022 B ISOI—S ENGINEER APPROVAL I I I I I I I I JARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS I J LIC NO 1 1SLA3/UNDER FLOOR 1 I J JRAISED FLOOR FRAMING I I I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDERFLOOR INSULATION I 1147H265 3 001 1 1-1 I I IFLOOR SHEATHING I I I 1NO OF FAMILIES DWELLING-UNITS APT/COND STAT CLASS I I 1 NO 21 I IROOF SHEATHING I I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS JAIR QUALITY 1000 FEET MATERIALS• I _ I I J I NO NO NO I (FRAME INSPECTION I I I I 1 'IFIRE SPRINKLER HANGERS 1 1 1 I I I I (INSULATION/WEATHER STRIPI I I I I JINTERIOR LATH/DRYWALL J J (EXTERIOR LATH I I IRATED FLOOR/CEIL ASSEM I I I I • J IRATED WALL ASSEMBLIES I J IRATED SHAFTS/OPENINGS IT—BAR CEILINGS I I I ILOT DRAINAGE n _ A REPORT ID DPR261 ROUTE TO BSO508