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Home My Public Portal About9445 BLACKLEY ST_Building__ 76A63SACE,809-758 APPLICATION FOR BUILDING PERMIT BUILDING AND SAFETY DIVISION ABUILDING DDRESS L Department of County Engmeer County of Los Angeles LOCALI Y JOHN A LAMBIE, COUNTY ENGINEER NEARE CASSATT D GRIFFIN, SUPT OF BUILDING CROSS- T Q L DISTRICT�O GROUP TYPE SEW MAPMAP G FOR APPLICANT TO FILL IN L_ CONST Q ADD DBUILDRESS NG �� STATISTICAL CLASSIFICATION LOT NO f',� 9 �♦ ISO, BLOCK CLASS NO DWELL UNITS MAP STATEy+s NO NUMBER 'C� HWY TRACT `C�.FlTv1"Y1 USS ZO E SPECIAL / NO OF BLDGS r CONDITIONS SIZE OF LOT4 NOW ON LOT USE OF " "00 ID EXISTING BLDG 7l- BUILDING EXIST SEK YARD HWY STREET NAME WIDTH TBAC OWNER j'!f'V/t ♦ _ fIY� �.d..J +FRONTMAIL P I- ADDRESSSIDE SIDE Q'/� r CITY t.!'��2•d''-fir ��'`�f No i 9-f�r'�+ P L INSPECTION RECORD ARCHITECT OR �r�9 TEL ENGINEER // y{/� NO ADDRESS _ ,�,� p � � TEL CONTRACTOR �j-^� NO ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SIZFT E �� NO OF / NO OF STORIES/I-,,,. FAMILIES/ USE OF STRUCTURE f. IP: +��tA� APPROVALS A SIGNATURE OF APPLICANT DATE INSPECTOR S SIGNATURE ADDRESS /p `(/l��i / a P FOUNDATION ATE IALS LOCATIONFORMS 30151 01 a _ $ P C S FRAME FIRE STOPS lam. �11I.�► /� Jf C� FEE _ BRACING BOLTS .r�1�[� 1�� VALUATION (/ O $ �p,8- FURNACE LOCATION Im FEE GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- 'LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND LATH EXT STATE LAWS RE ING BU NG CONSTRUCTION SIGNATURE OF HOUSE NUMBER COR- PERMITTEE _ RECT AND POSTED ADDRESS FINAL �� JOHN A LAMBIE, COU TY ENGI ER CLYDE N DIRLAM, PRINCIPAL STRUCTURAL EER PLAN CHECI VALIDA N CK M o CASH PERMIT VALIDATION M o SH (AC 7 5 6 E APR 2 6 1 6.0 V 4 _ WORKERS' COMPENSATION DECLARATION f het eaffirm that I have a certificate•ofconsent' self APPLICATION FOR BUILJMG 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 x- Policy No. Company BUILDING � ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS i% C�7 ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 9445 Blackley Street try Temple City, ZIP 91780 LOCALITY Date—Applicant NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 6 0 X 12 0 NOW ON LOT 2 CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT 221 2 7 BLOCK LOT NO. 61 MAP BOOK/ �� PKGE eQ PARCE15�/� hundred dollars ($100)or less.) TEL. OWNER Ping Ping Hsu NO. 287-1 1 1 5 USE ZONE MAP I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS Same As Above —/ SPECIAL CL CONDITIONS so as to become subject to the Workers'Compensation Laws. to O CITY ZIP Date Applicant ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PROCESSED BY Q NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER Steven Louie NO 446-9'51 8 CONST. ZONE Exemption, you should become subject t the Workers' `�� _Q / Sv a Compensation provisions of the Labor Code, you must forth- ADDRESS , �/ G with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 2 _DWELL.'UNITS I hereby affirm that.l am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS B J PG /1 VALIDATION SQ. F.T. NO. OF NO. OF CHECK l/ License Number Lic. Class SIZE 585 IdSTORIES One FAMILIES One ONEVALUATION j� L� Contractor Date DESCRIPTION OF WORK NEW ❑I am exempt under Sec. Addition two Bedrm & ADDEl 1 lb poll.B.&P.C. for this AVER reason TWO Bathrm. $ REPAIR El Date: USE OF EXISTING BLDG. Re Sl.dentlal DEMOL ❑ Signature APPLICANT TEL. g (PRINT). Ping Ping Hsu No. 287-11;15 FINAL OWNER-BUILDER DECLARATION DATE V 7_ 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 9445 B11aek1e St. T C. Ca.' FINAL Professions Code): PRESENT By I, as owner of the property, or my employees with BUILDING Same as above 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. ❑ CONTRACTOR NO. I, as owner of the property, am exclusively contracting ;. t F with licensed contractors to construct the project (Sec- ADDRESS Kr tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT theerformance of the work for which this permit is issued P.L. a''-P- (Sec. Civ. C.). SIDE $ P.L.. Lender's Name. i LDMA Ref. # t'ij'._"":., - P.C. Fee$ PermitFee it � Lender's Address a1 certify that I have read this application and state that the Issuance FeeLDMA P/C# , _ above information is correct. I agree.to comply with all County Investigation Fee ai 11_I– 8 ordinances and State laws relating to building construction, Total Fee LDMA Perm. # a and,hereby authori representatives of.this County to enter _»°�'i L �'•t "- m upon,fhe above-meet oned proper?y for inspection purposes. Assessor's #8590-003-001 -09281 J �v '} U L ( SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur'of%Applicant r'Agent Date ' �' ` 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 1108080018 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 9445 BLACKLEY ST 1 STRUCTURE V-B TEMP CA 917803141 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET CLOVERLY 18590-003-001 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl TENANT 1EXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY 1 EXIST OCC GRP 108/16/11 SR OWNER TEL NO JBLDGS NOW ON LAT VALUATION IFINAL DATE FINAL BY CODE IQIN, ZI-RAN (626) 466-5695- 1 7,000 {� 19445 BLACKLEY ST (TEMP 917803141 FEES PAID IMSCRYPTION OF WORK LEGALIZE EXISTING PATIO 240 S F AND CONVERT EXIST LAUNDRY IFEE DESCRIPTION QUANTITY UOM AMOUNT ITO BATHROOM (APPLICANT TEL NO (SAME AS OWNER - ID1 PLANCHECK W/O EN-HC 7000 00 VAL 141 60 1 1 1 IAA BLDG PERMIT ISSUANCE 27 80 (SPECIAL CONDITIONS IAB STATE GREEN BLDG FEE 7000 00 VAL 1 00 1 1 IAC STRONG MOTION RESID 7000 00 VAL 0 70 JB2 PERMIT W/ENERGY 7000 00 VAL 183 20 J I ICONTRACTOR TEL NO I TOTAL FEES 354 30 JAPPROVALS DATE INSPECTOR SIGNATURE I SAME AS OWNER LIC NO 1 1LOCATION AND SETBACKS 1 1 (SOILS ENGINEER APPROVAL 1 J I JARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS 1 J JARTECH BUILDING PLUS (626) 264-1638- 1 I 1 1 112121 EAST VALLEY BLVD LIC NO 1 SLA3/UNDER FLOOR I I IEL MONTE, CA 91732 NONE 1 1 IRAISED FLOOR FRAMING 1 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I IUNDERFtOOR INSULATION I I 1147-265 3 001 11 1 I I (FLOOR SHEATHING 1 1 IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I 1-1---_ 0 NO 21 1 1RCCF SHEATHING SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I (AIR QUALITY 1000 FEET MATERIALS I1 1 NO NO NO 1 1FRAME INSPECTION lv (FIRE SPRINKLER HANGERS I 1 1 JINSULATION/WEATHER STRIPI I 1 1 (INTERIOR LATH/DRYWALL I I I 1EXTERIOR LATH 1 IRATED FLOOR/CEIL ASSEM 1 1 (RATED WALL ASSEMBLIES 1 1 1 (RATED SHAFTS/OPENINGS 1 1 1 1 IT-BAR CEILINGS J 1 I 1 1 ILOT DRAINAGE 1 I I I I 1 (REPORT ID DPR261 ROUTE TO BS0508 I 1 I I I I I I