HomeMy Public PortalAbout9467 1/2 BLACKLEY ST_Building__ DOS 17 10 58 APPLICATION FOR PLUMBING PERMIT 1
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DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of LOS Angeles BUILDING 6
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS / .✓
CASSATT D GRIFFIN, SUP T OF BUILDING
LOCALITY 1
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER DISTRICT NO GROUP I 1 1 ZONE
I Y FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL NO
WASTE APPROVAL
PLUMBER u h INSPECTION RECORD
ADDRESS
CITY TEL NOT-
LICENSE NO gQ/ �
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $100 $
` BATH TUB @ $100
SHOWER @ $100
LAVATORY (WASH BASIN) @ $1 00 O \�
KITCHEN SINK @ $100 `'"••'^ n pm 6-t�,S('a )7/V A
DISHWASHER @ $1 00 /I✓H L [�PrS FDS 1iVS/DFS
LAUNDRY TUB OR TRAY @ $100 0 0 u�_ /c(I
(/L/)
CLOTHES WASHER @ $1 00 49 ID L°�j--r y �/ _P1 a gg
WATER HEATER @ $100 C
GAS SYSTEM @ $1 00 �����„''E��it=�
Y
DATE INSPE�TOR_S"SIGNATURE
UNDER SLAB WORK L /
PERMIT $ 1 00 ROUGH PLUMBING /
D GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
a
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST /C I I7L. Z-Z},s-r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED.RESIDENTIAL PROPERT `
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK !L O CASH
.'M05451 DEC31 3 8.00 M
76AG38ACE#803.6.57 ,APPLICATION FOR BUILDING PERMIT 1
COUNTY-OF LOS ANGELES BUILDING % c
DEPARTMENT OF COUNTY ENGINEER ADDRESS (�
BUILDING AND SAFETY DIVISION LOCALITY o LL
JOHN A LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN,SUP T OF BUILDING _ CROSS ST
DISTRICT NO GROUPn PE SEWER MAP
FOR APPLICANT TO FILL IN BK SPG
CONST
BUILDING �/�'�/L STATISTICAL CLASSIFICATION
ADDRESS c
LOT Fa'f CLASS NO DWELL UNITS
. LeCICK -MAP STATE
YES
NUMBER HWY O
TRACT U E Z NE SPECIAL ) '
a�+ NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT /`�/�
USE OF
EXISTING BLDG Al WI BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL P L
ADDRESS SIDE
TE P L
CITY ND INSPECTION RECORD
ARCHITECT O TEL
ENGINEER NO
ADDRESS
TEL
CONTRACTOR 0N1
ADDRESS
DESCRIPTION OF W
NEW ADD ALTER REPAIR DEMOLISH V
SO FT ��f// ANO OF NO OF ,rte
SIZEqp" (/n STORIES FAMI IESUSE OF STRUCTURE & ivc
b
SIGNATURE OF APPROVALS
APPLICANT DATE - INSPECTOR S-SIGN'9TURE
ADDRESS v� FOUNDATION LOCATION
$ �® ® P C $ FRAME
MATERIALS
FIRE STOPS
FEE BRACING BOLTS
VALUATION $ ' 0' FURNACE LOCATION
FEE GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE REA THIS AP- LATH,INT /f
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING C NSTRUCTION LATH EXT -.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE a RECTAND POSTED
ADDRESS FINAL T V
JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PR NCIP L STRUCTURAL ENS EER
PLAN CHECK VALIDATION M o CASH PERMIT VALIDATION M o CASH-
5 6 9.25AM -
®F'
sus 3,819S DEC 27 1 1. 8.5 '
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9609170020
PHONE- (818) 285-0488 EXT
LEGAL D: NO. OF C099T BUILDING ADDESS:
ON FILE SQ FT STORIES TYPE 9467 1/2 BLACKLEY ST
STRUCTURE: 0 V TEMP CA 917803157
ASSESSOR OR T ON NUMBER: NEAREST CROSS STREET' OLIVE
8590-004-016 THOMAS PAGE- 596 GRID• A LOCALITY. TEMPLE CITY
TENANT* EXIST BLDG USE RMD ISSUED ON. PROCESSED B • EXPIRES N•
EXIST OCC GRP- 09/17/96 TC 09/17/97
OWNER- TEL NO BLDGS. NOW ON LOT VALUATION: FINAL DATEMN
CODE-
MCCONNELL ANN N TRUSTEE;MCCONNELL A (818) 285-4956- 1 5,090 lo-?4b 9465 BLACKLEY ST
TEMP 917803157 FEES PAID UESICTRUPTION OF WORK
REMOVE/RECOVER WITH 25KELK CLASS' A FIBERGLASS SHINGLE
FEE DESCRIPTION: QUANTITY. UOM. AMOUNT:
APPLICANT: TEL NO:
SEXTON ROOFING (818) 963-6882- AA BLDG PERMIT ISSUANCE 27.75
718 ALOSTA AC STRONG MOTION RESID 5090 00 VAL 0.51 SPECIAL CONDITIONS:
GLENDORA, CA D2 PERMIT W/OEN. V-H.C' � 1;Q5090�_.�00 VAL 150.00
((UTOTAL FEES 178 26
CONTRACTOR. TEL. NO: �� APPROVALS DATE INSPECTOR SIGNATURE
SEXTON ROOFING (818) 963-6882-
718 E ALOSTA LIC NO �'^ �I! LOCAlION AND SETBACKS
GLENDORA, CA 91740 601896/C39 ��� ((�
SOILS ENGINEER APPROVAL
ARCHITECT R ENGINEER. TEL. NO FOUNDATION/TREWEH-F-oTzm-g-
LIC. NO SLAB/UNDER FLOOR
���
RAISED FLOOR FRAMING
MAP N0. SEWER MAP BOOK: PAGE FIRE ZONE: CMP. 0��C' WO m,D{I:� UNDERFLOOR INSULATION
147H269 3 01 u u �1
N . OF FAMILIES- DEL NG UNITS: APT/COND. STAT CLASS: , O 0 a FLOOR SHEATHING
NO 21 O O �' p�co ROOF SHEATHING
SCHOOL H N HAZARDOUS �/' Q SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS �JJ ` �
NO NO NO 4v 0 FRAME INSPECTION
REQUIRED TOTAL SETBACK 0 ST IRE S R N E S
SET BACK YARD: HWY: PROP LINE WIDTH:
FRONT PL- UUUUUp a�p c
INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FL 0 / EI SSE .
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO. BS0508