HomeMy Public PortalAbout9474 BLACKLEY ST_Building__ : DEPAH'!NMQ'r OF COMM ENGIIQEBB BUILDING-----,DIVISION
1 ON OF BUILDING AND SAFETY
�y COUNTY OF LOS ANGELES
i 1 WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
LL FOR OFFICE USE ONLY' .
FOR APPLICANT TO FI
DISTRICT NO. PUN CK.OR REc.No. PERMIT N
BUILDING 47 �m'fa
ADDRESS r i479
RECEIVED BY DATE OF APPL: DAT SSU D
LOCALITY �2. �
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CRO88 ST SUILDINd
ADDRESS / 9 0
OWNER —r
MAIL LOCALITY J
ADDRESS
— TEL. -NEAREST,
may
CITY / c— O CROSS ST.-
ARCHITECT
T.ARCHITECT OR TEL. FIRE NO OF ZONE I PLANS I TYPE G
ENGINEER NO.
BLDG. O ORD. NO.
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TEL. USEAPPROVED
CONTRACTOR NO. ZONE BY DATE '
ADDRESS HOUSE NUMBERING
A ��
LEGAL MAP NUMBER_ �r n0. ASSIGNED BY
1
DESCRIPTION LOT NO. BLOCK-� CORRECTIONS
TRACT
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SI
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NEW ALTERATION• ADDITION
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COVERING COVERING /
USE OF S=
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/Y.Sbro�
APPROVALS-
- - INSPEC�T�OOR'S SIGNATURE DATE
FOUNDATION: LOCATION' gy�/
FORMS, MATERIALS I !v'
I
HEREBY ACKNOWLEDGE THAT.1 HAVE`READ THIS AP- FRAME:"FIRE STOPS. � C
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS 1A,
�J�
CORRECT. /
I AGREE TO COMPLY WITH ALL COUNTY, ORDINANCES FURNACE: LOCATION,
GAS VENT, DUCTS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ,
SIGNATURE OF LATH: INT.
PERMITTEE
LATH. EXT.
ADDRESS
' PLASTER, INT.
AUTHORIZED AGT.
- PLASTER, EXT.,
P. C. $ HOUSE NUMBER COR-
go 0, ", FEE qq RECT AND POSTED /
VALUATION - $ V'�
FEE FINAL
76A888A Deas a-an V
76A638A CE#803 5-65 APPLICATION_ FOR BUILDIN PERMIT = -
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCA LFTY r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST -
COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST - - '-
DISTRI T N GROUP - TYPE PROC p Y.',
FRE
APPLICANT TO FILL IN CONST.
/� - STATISTICAL IrSIFICATION SEWER MAP
C/\�� CLASS NO'-' --DWELL�U,NITSf - 'BK PG
(J�/
BLOCK - USE ZONE .MAP' -- - •' ",
NO
NAR
- SPECIAL
NO OF'BLDGS, -CONDITIONS '
T NOW ON LOT _ - ' -•-}
.S OV -BLDG SETBACK FROM
TEL X07 FRONT PROP LINE OF (STREET)
NO TYPE OF. EXISTING' SETBACK HIGHWAY YARD ='� '1 TOTALI
HIGHWAY WIDT 'FROM C L- -- -- -
.C. f 2� + '// vl 'BLDGE BACK FROM OR TEL SIDE PROP `LINE OF- -(STREET)
NO �. _
TYPE OF EXISTING SETBACK__ HIGHWAY +. YARD. — TOTAL .
ADDRESS HIGHWAY WIDTH FROM C L ' ^'
TEL �- I ✓�I Q
CONTRACTOR NO
LIC - CORNER CUTO F,F AYES NO V
ADDRESS NO
LIC
` CITY - CL SEE REVERSE SIDE FOR SPECIAL,APPROVALS _O -
DESCRIPTION OF WORK w
N
NEW ADD ALTER,L/ REPAIR DEMOLISH �i l n • Z
SQ.FT .NO OF NO .OF - •M
SIZE STORIES FAMILIES/ -
US
STRUCTURE
S GNA TU RE OF` ( - -
APPLICANT,
VALUATION gPpROVAlLS DATE I N SPE C TOR'S'816_NATU RE
•FOUNDATION, LOCATION
p-C= ,PMT SZJ -
'FEE FEE$ - FORMS, MATERIALS �/
FRAME, FIRE STOPS, f. '
I HEREBY"ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,FURNACE. LOCATION
WITHALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING , 1 ' GAS VENT DUCTS
9UILOI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY-I,WILL,NOT EMPLOY ANY PERSON IN VIOLA- 'L'ATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S CO EN ATION INSURANCE• - LATH EXT Y
SIGNATU RE_OF HOUSE NUMBER COR-
PERM ITTE RECT AND POSTED
ADDRESS
r JOHN F LEWIS RINCIPAL STRUURAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH _ PERMIT'VALIDATION cK M U CASH' ;
Goa 4 C� 'O� JUL 13 .-1 D 1 1 .50 � - -
I
DEPARTMENT OF COUNTY ENGIII W
: DMSION OF MWING AND SAFETY L ''
COUNTY OF LOS ANGELFM "Nkm G
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OP"BUILDING'
FOR APPLICANT. TO FILL IN FOR OFFICE USE ONLY
_ - DISTRICT NO. i PLANCK.OR Rec.No. ,PERMIT NQ.
BUILDING `� f / / =
ADDRESS ! L J �+
LOCALITY -I' REC IVED BY � DATE OF AP/. QDATE ISSUED
NEAREST LR1Y/ 1-- lSJ
CROSS ST I BUILDING
I ADDRESS
OWNER v-`
MAIL 'Tr LOCALITY
ADDRESS LL NEAREST.
TEL V CROSS ST.
CITY �!' O - ,
.ARCHITECTOR TEL. ZONE- �� I PLANS (F c JI
FIRE NO. OF I GROUP'- T
ENGINEER NO. I
BLDG
ADDRESS SET ACK LINE- Q / QiQp,:`NO.
TEL. USEI APPROVED
CONTRACTOR NO. ZONE — f BY DATE
• HOUSE NUMBERING ,
ADDRESS-
LEGAL �� MAP NUMBER - NO. ASSIGNED BY
DESCRIPTION LOT NO. BLOCK - CORRECTIONS
TRACT 7NBL-�
SIZE OF LOT .J� / I NO OON LOTS +`-
'. Co•v
USE OF NO. OF
EXISTING BLDG. FAMIL13 -
DESCRIPTION OF,WORS J3 `Z c�7:7& Oe,— o —
NEW ALTERATION ADDITION
REPAIR_Ill I DEMOLITION I D
r
SQ. FT NO. OF
SIZE ROOMS STORIES _
EXT. WALL f ROOF
COVERING .Ad .G� I COVERING eR
—
USE OF TRUC UR/E�
'APPROVALS .
INSPECTOR IGNATURE DATE
FOUNDATION:•LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT.
-1AGREE TO COMPLY WITH ALL COUNTY,ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION., GAS VENT, DUCTS
SIGNATURE OFLATH, INT.
PERM ITTE j
' LATH. EXT.
ADDRESS
PLASTER, INT.
AUTHORIZED AGT. -
PLASTER, EXT.
HOUSE NUMBER COR-
FE6 RECT AND POSTED
VALUATION - FEE FINAL G••+-^ 2 S
76A6SBA OBH,S- 8-8>i _ _
�RTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BOU 1 L ® 1 N G
t WM. J. FOX. CHIEF ENGINEER ®®
FOR APPLICANT TO FILL IN FOR OFFICE'USE ONLY
DISTRICT O. PLAN CK.NO. PERMIT NO.
BUILDING ��11 .
ADDRESS �� • / A" /. .��� �J/'
LOCALITY RECEIVE Y DATE OF APPL. DATE ISSUED
NEAREST
CROSS ST. -G•s �A' �'"' 7 �//J� _ sqF
BUILDING
OWNER • ADDRESS dV ]-��G��
MAIL LOCALITY —7 ' /
fil
ADDRESS NEAREST
TEL 9� CROSS ST. '(�V U {1—T./✓
CITY NO. • J
FIRE + NO.OF TYPE GROUP
ARCHITECT OR T LZ_. - ZONE PLANS /1F „ ,
ENGINEER O.
BLDG. — ORD.NO:
ADDRESS
SETBACK LINE
APPROVED
TEL. BY + t DATE
CONTRACTOR NO.
USE APPROVED '
ADDRESS ZONE 1 BY ' DATE
LEGAL ',),,) 6 CORRECTIONS '
DESCRIPTION LOT NO. BLOCK
TRACT - �
' s
��I NO.OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF NO.OFNO.OF
EXISTING BLDG. FAMILIES
ROOMS
DESCRIPTION OF WORK '
f
NEW ALTERATION ADDITION � •-__,-„ ,_..� .. ... ., ,,,,.,.,._._-_ �. ,..._ ,.,, ,
REPAIR MOVING DEMOLISHNOOF
SIZE ROOMS } STORIE®
WALL ROOF -
COVERING I COVERING �•
USE OF NEW . •
BUILDING
•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS w APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
r AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,'MATERIALS '+•
'j% .2 5
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
• FRAME:BRACING,BOLTS STOPS,
SIGNATURE OF
PERMITTE LATH, INT.
G f
AUTHORIZED AOT LATH, EXT.
76A630A 9 4 PLASTER, INT.
DSS-3 SOM SETS • P.C. 4,[^�•
FEE ' V PLASTER,EXT. L
VALUATION / (/ FEE / !Y(f 61 !� F
✓v FINAL _ ,"ZB
76A638A CE#80311-57 APPLICATION FOR BUILDING PERMIT y
COUNTY OF LOS ANGELES BUILDIADDRENG
1 Al
DEPARTMENT OF COUNTY ENGINEER J
BUILDING AND SAFETY DIVISION _LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. 1 t
DISTRICT NO. GROUP TY SEWER MAP
FOR APPLICANT TO FILL IN I ,� I BK PG
CONST. �'
BUILDING
ADDRESS STATISTICAL CLASSIFICATION
CLASS. NO. DWELL.UNITS
LOT NO. BLOCK MAP STATE
NUMBER HWY. YES NO
TRACT USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT .._J
USE O F
EXISTING BLDG. BUILDING EXIST.
YARDSETBACK YARHWY STREET NAME WIDTH
OWNER FRONT
MAIL P.L. -
ADDRESS SIDE -
TEL P.L:
CITY TE INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL,.. .
CONTRACTOR NO..
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF - APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS
- P•C• $ FRAME: FIRE STOPS.
FEE BRACING.BOLTS
VALUATION $ FURNACE: LOCATION,
FEE GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT I 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. _LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE -RECT AND POSTED
ADDRESS FINAL
CLYDEN. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
®F
76A638A CE#803 9-67
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES
BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN CISTRICT NO. _ GROUP TYPE - r' PROCESSED BXY
-"'" ,..% - CONST.
(Print or type only) .- _
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS .�
CLASS NO. DWELL,UNITS BK PG '
LOT NO. .. BLOCK USE ZONE MAP
NO.
TRACT -d'" SPECIAL
NO.OF BLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG, BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
OWNER NO, TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
ADDRESS
CITY BLDG.SETBACK FROM
ARCHITECT OR TEL, SIDE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR NO.
+ ��
LIC. LIJ
ADDRESS NO, CORNER CUTOFF YES ❑ NO ❑ J
CITY CL SS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
0
a
NEW ADD ALTER REPAIR DEMOLISH
w
SQ. FT. NO. OF NO. OF ~"
SIZE - STORIES f FAMILIES
USE OF
STRUCTURE /
SIGNATURE OF
APPLICANT
VALUATION S
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT.
'y ,j f FOUNDATION: LOCATION
�f'
FEE $ FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
1 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAY. LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M 0. CASH _ PERMIT VALIDATION CK. M.O. CASH
76A636A CE 4;A3 9-67 ,
APPLICATION- FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF ,COUNTY ENGINEER ADDRESS
BUILDING AND SAF`HTY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP T OF BUILDING NEAREST y
CROSS ST
FOR APPLICANT TO FILL IN DISTRICT No. GROUP TYPE /// P D
CONST
(Pant or type only) X�
BUILDING gy7y fllack Je, remp,/c C)E.� STATISTICAL CLAS IFICATION SEWER P
ADDRESS / CLASS NO. DWELL.UNITS BKPG
LOT NO.. BLOCK `� USE ZONE MAP 7 NO /
Off-U
TRACTS PECIA L
NO.OF BLOGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF Jj��
EXISTING BLDG. Home f GgYCt E - BLDG.SETBACK FROM
TEL
3 FRONT PROP LINE OF (STREET)
OWNER •be Z SG ;,! NO
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS
HIGHWAY WIDTH FROM C L
' Qf _ - -
CITY 1.
_ BLDG SETBACK FROM
ARCHITECT OR TEL. SIDE PROP LINE,OF (STREET)
ENGINEER i Q' NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL
CONTRACTOR NO O
LIC
ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ U
CITY
LIC' SEE*SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK N
NEWADD ALTER REPAIR DEMOLISH
SQ FT NO OF NO. OF
SIZE S STORIES FAMILIES '
USE OF pp
STRUCTURE he fOON7$
SIGNATURE OF p
APPLICANT C
VALUATION $ 2QQ- VQ APPROVALS DATE INSPE OR's SIGNATURE
P.0 6 PMT �-'�) FOUNDATION: LOCATION
FEE $ FEE $ (/ FORMS, MATERIALS
FRAME: FIRE STOPS,
1 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK _
AUTHORIZED HEREBY I WILL NOT,EMPLOY ANY PERSON IN VIOLA-
TION OF THFH
LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT_
SING TO WORKMEN S COMPENSATION INSURANCEz/kid
,
,/n LATH„EXT -
SIGNATURE OF N HOUSE NUMBER COR-
PERMITTEE_z&-t7,
AND'POSTEO
-_ADDRESS Q - FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK _ MO CASH PERMIT VALIDATION CK MI CASH
4,b-,3 9,” MAY 10 1 D 2 2.5 0-
r_ _
�� • 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 1110100016
PHONE (626) 285-0488 EXT
(LEGAL ID: NO OF CONST 1 ( BUILDING ADDRESS-
ITR 14572 LT- 57 SQ FT STORIES TYPE 19474 BLACKLEY ST
I ISTRUCTURE V-B TEMP CA 917803140
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET CLOVERLY
18590-008-024 ;THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
TENANT IEXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY
IEXIST OCC GRP 110/107/11 SR
10WNER TEL NO _ 1BLDGS NOW ON LOT VALUATION 1FINAL• DATR FI Y CODE 1
1BRANDES BRYAN K (626) 287-1047- 1 200 VCR
19474 BLACKLEY ST � "-•1TEMP 917803140 FEES PAID 1DP�PIUN! F WORK f
- - I (REPLACE (2) 3'X4' WITH (1) 6'X'4 WINDOW
1FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO I1
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 80 1
I IAB STATE GREEN BLDG FEE 200 00 VAL 1 00 ISPECIAL CONDITIONS 1
IAC STRONG MOTION RESID 200 00 VAL 0 50
ID2 PERMIT W/0 EN-HC 200 00 VAL 43.60 1 1
I TOTAL FEES 72.90 1 1
ICONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I 1 1
I LIC NO ILOCATION AND SETBACKS I I
I I I I I
I 1 1SOILS ENGINEER APPROVAL I
I I I I I I
1ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I I
LIC NO 1SLAB/UNDER FLOOR 1 1
I I i I I I
1RAISED FLOOR FRAMING 1 1
IMAP NO SEWER MAP BOOK ' PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION 1 I I
I147H269 3 001 I 11 1
I 1FLOOR SHEATHING 1 1 1
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I 1 11 1
0 NO 21 1 1ROOF SHEATHING
I I I I I I
SCHOOL WITHIN HAZARDOUS 1SHEAR 'PANELS 1 I 1 .
(AIR QUALITY 1000 FEET MATERIALS I 1 I I
NO NO NO (FRAME INSPECTION,\
1FIRE SPRINKLER HANGERS Imo-
1 11NSULATION/WEATHER STRIPI 1
i .1-1
1 (INTERIOR LATH/DRYWALL
I I I I I I
1 IEXTERIOR LATH 1
1 I 1RATED FLOOR/CEIL ASSEM I 1
I I I I I I
1 (RATED WALL ASSEMBLIES
I I I I I I
I 1 IRATED SHAFTS/OPENINGS 1 1
I I I I I I
1 IT-BARICEILINGS 1 1
I I I I I I
(LOT DRAINAGE
• - _ _ _ '#REPORT ID.1bDPR261 ROUTE TO BS0508
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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 0501250056
PHONE: (626) 285-0488 EXT: '
LEGAL BUILDI-N(; ADDRESS:
TR 14572 LT: 57 SQ. FT STORIES TYPE 9474 BLACKLEY ST
STRUCTURE: VN TEMP CA 917803140 ,
ASSESSORINFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
8590-008-024 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CA
TENANT: _ EXIST DG USE: ES ZONE: - U D ON: PROCESSED EXPIRES-ON-
EXIST OCC GRP: 01/25/05 JK 01/20/06
ION: FINAL BY: CODE:OWNER: EL. N0, BLDGS. NOW ON OT: VALU
BRANDES BRYAN K/JACKIE (626) 287-1047- 300 /^j� �r
_
9474 BLACK[EY ST �/'�G
TEMP 917803140 FEES PAID D99CRIPTION OF WORK
FRONT WINDOW REPLACEMENT 81W X 41H.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
PL N : TEL. NO:
SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 300.00'VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 300.00 VAL 43.65
FR INV WORK W/O PERMIT 128.50 DOL 128.50
TOTAL FEES 200.40
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS _
SOILS ENGINEER
APPROVAL-
OR ENGINEER: TEL. 0: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED NG
MAP NO: SEWER MAP,BOOK: PAGE: FIRE ZONE: CRP-. UNDERFLOOR INSULATION
"XX 3 Oi
TEC-)OR SHEATHING
F I S: AP OND: STAT C
NO 21 ROOF SHEATHING
SCHOOL p S SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIREDTOTAL SETBACK FROMIS FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATIO /W ATHER STRIP
SIDE PL-
INTERIOR-LATH/DRYWALL
EXTERIOR LAT
RATED FLO /CEIL ASSEM.
RATED WALL ASSEMBLIES
A ED S AF S/0 G
-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508