HomeMy Public PortalAbout9471 BLACKLEY ST_Building__ -�
C0U1-? CF Lt73 ANGELES TEMPLE CITY # 0508 iraO P=RFiIT
DEPARTM`_";' OF PuCLIC WORKS 9701 LAS TUNAS - `';1.:=L ADD/ALT/REP
BUILDING AND `3„.=TY I LAND DEVELOPMENT TEMPLE CITY CA 91760 D. ^5 ''Y10180005
i, PHONE: (616) 285-0t,83 EXT:
LEGALD: N0. OF CUN—sT NEU !! BUILDING
Ot: FILE SQ. FT STCRIES TYPE OCLUN L'=PI 9471 BLACKLEY ST
!STPOCTURE: 54 1 VN R3 IIlII! TEMP CA 9178^�j58
ASSESSOR INFORMATION UMBER: �! CARAGE: NEAREST CROSS STREET: CLOVERLY
8590-004-015 OTHER: " THOMAS PAGE: 595 GRID: J4 LOCALITY: i,-,4,P: E CITY, C
TENA\1T: — c I T BLDG USE: USE MON ff ISSUED ON: n(TESSEO BY: PIRES 6,14:
LXIST OCC GRP: 113/18/04 L�lk so JK 10/13/0`
(OWNER: TEL. NO: — 3LDGS. NOW ON LOT: VALUATION: �IF,NAL DATE I COD::
IBOELE NANCY E TR NANCY E BC,ELE TRUS I 6,410
19471 BLACKLEY ST
?EM? 917803158 I FEES PAID DESCRIPTION OF
WORK
ADD BATHROOM 54 SF. H,:p REROOF OVER EXISTING Ca4POSiiION
°E= DESCRIPTION: QUANTITY: UOM: : S INGLES.
ATP IC ,T: TEL. N0:
SAME AS OWNER AA PLDG t)ERMIT ISSUA.CE ,'.75
�A. STRONG MOTION RESIC 610.00 VAL �0.64 SPECIAL CONDITIONS:
!'V Si,ILDING REVIEW FEE 5/ 7C
IF- I)ERMIT W/ENERGY A-I.13.00 %AL _62.82
I r'rt ,i+v WORK W/O PERMIT 27.00 DOL 2�7.G0 _
1 CTOR: TEL. NO: --- I TOTAL FEES .9i !., Yt2CVALS --- „'.IE INSPEChr',1GNA!W,E
(SAME AS OWNER
LIC. NO iT3LA3'IGN ATD SEiBAC — j
I I
I IF(_LS EN INEER CP?u3"';�
_I
1 TrITEC1 OR �N INFER: — �E� Nu ---- I ISDIra�TiCR;i�=:'<tr.
S-_4t//NDER FLOOR +—
I
J !IRK-16D
--
- 'NSUL� 3tJ _1___
MAP NO: SEWER MAP FCJK: �L�E:—'- FIRE ZG;JE: .:::�=^� IL�'�.L�FLGUR
i 3
1 — — --
T T`- EL-FLOOR SHFA H �
!N0. OF FAMILIES: DWELL TG EMITS: APT/GOND: STAT CIrtSS.
NO 21 — l2ND LEVEL FLOOR SHEAT'n ,--
SCHOOL WI HIN HAZARDOUS I IP.00F SHEATHING
IA:h wuoL1TY: 1000 F_�11' MATERIALS —
rIO NO NO ( (FIRE DEPT. FRAME 1NISP--
REOUIRED TOIAL SETBACK FROM EX SC I (BLDG DEPT. FRAME :�iS=ECT( -
SET BACK YARD: HWY: . PROP LINE: WIDTH:
FRONT FL-
ISHtAR PANELS
SIDE PL- + !_
_ l 11-1 SULAT ON/WEATHERMIF
— IINTERIOR LATH/DRYWpIf
!EXTERIOR LATH Y—!
I
LOT DRAINAGE�CMOKE DETECTION DEVICES I�
FIRE DEPARTMENT APPROVAL`
I I
—I-
I
REPORT ID: DPR261 ROUTE TO: BS0508
ti
q,W9-.T OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES � '
WM'.,J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN. FOR OFFICE'USE-ONLY _
BUILDING " DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS , �— •, L,G Q O� 0 _ ,����
" RECEIVED BYr• DATE OF APPL. DATE ISSUED
LOCALITY _ /
NEAREST' lJ•.5.3 d / 0��! �/ d _�l
CROS_8 ST. BUILDING / l
ADDRESS
OWNER
MAILq • LOCALITY Ci
ADDRESS iG TNEAREST
49
TEL. �f , CROSS ST. �iQ,vp FG�y
CITY -�Q NO. ��% i FIRE NO. OF,I PLANS Z•TYPE I GROUPt.�
ARCHITECT OR TEL. ZONE -GROUP,-,ri
ENGINEER' NO.• BLDG. I L� ORdjN.O.
SETBACK LINE �� Y
ADDRESSAPPROVED
+ _
i �
TEL. BY DATE
CONTRACTOR NO. USE
APPROVED'
ZONE �� BY
DATE
ADDRESS _ HOUSE NUMBERING ,
LEGAL
DESCRIPTION- T N . • ,BhOCK MAP NUMBER FIELD CHECK BY
TRACT ! # NO:,ASSIGNED.B a a'd ATF '
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT,- �'Q NOW ON LOTPilo /P -
D
USH OF - I NO. OF i
EXISTING BLDG. �" FAMILIES '
DE CRIPTION OF WORK
NEW '•I ALTERATION I I ADDITION
REPAIR 'I. I DEMOLITION I I I ��_�� - -•-� •• -- - --- - •�•
SQ. FT. NO. OF
SIZE �d ROOMS 'STORIES ` / p
EXT. WALL ROOF C� r
COVER I COVERING
USE T UCTURE
- APPROVALS
INSPECTO 'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ -THIS AP- FOUNDATION-,LOCATION
A
PLICATION AND STATE THAT THE" INFORMATION GIVEN IS FORMS, MATERIALS` •fJ�.- Q-�(J
CORRECT. _ -
1 AGREE TO-COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,'
HEREON' AND WITH AL -COUNTY ORDINANCES AND STATE BRACING, BOLTS �-
LAWS REGULATING B D TRUCTION. FURNACE: LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERMITTE • -•
LATH, INT.
ADDRESS-11
LATH, EXT.
AUTHORIZED AGT.
• PLASTER, INT."
7BABSBA• DDSS ,10-BO�� �� P. C. $. -
(rj 4 •7��• FEE PLASTER, EXT.
, r,. J .
VALUATION _ FEE $30• FINAL �' -^�