HomeMy Public PortalAbout9477 BLACKLEY ST_Building__ APPLICATION FOR -BVILDING PERMIT-
ION OF BUILDING.AND SAFETY BU I LD I NG
Deportment of County Engineer ADDRESS �y
County of-Los Angeles, LOCALITY [ ,�
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST f
CASSATT D.GRIFFIN, SUPT OF BUILDINGCROSS ST �! �.-• '
FOR APPLICANT TO FILL IN' . G UP SEWER -MAP
DISTRICT NO. TYPE - yE� r_PG�
CONST. _ C�
BUILDING �•'� /
ADDRESS - NUMBER, G f SCJ STATE
YES NO '
LOT NO. LOCK- USE Z N SPECIAL
ln(p CONDITIONS
_ - NO OF BLDGS.
SIZE OF LOT I NOW'ON LOT. BULDING YARD HWY STREET NAME EXIST.
,USE OF SETBACK I WIDTH
EXISTING BL�G. FRONT'
V46 Q11, '1`��(?_
OWNELR,, SIDE - -
MAIL P. L.
ADDRESS O TRAC-T DWELL. - I UNIT.
TE2 �7 ,y 5 INDUSTRIAL
CITY T�IT% 0i C- � � { NO. 9 __, g / 1 DWELL.4 1 UNIT
6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 2 UNITS
ENGINEER NO. 7 ADDN.,ALT., ETC.
3 APT. UNITS
8' MISCEL:
ADDRESS 4 ,COMMERCIAL
EL. INSPECTION RECORD
CONTRACTOR O.
ADDRESS
tiC
DESCRIPTION OF WORK
-NEW ADD' ALTER REPAIR- DEMOLISH -
SO. FT. NO OF (( NO OF
SIZE STORIES 1- FAMILIES
USE OF STRUCTURE`� �;•e <Gt;U�ld f�cA�
SIGNATURE OF `ry; - '
APPLICANT APPROVALS
ADDRESS r� •y - _ DATE INSPE'TORS SIGNATURE
$
FOUNDATION* LOCATION
P. C. $� FORMS,MATERIALS
FEE FRAME' FIRE STOPS. -
VALUATION $ =� BRACING, BOLTS
FEE FURNACE: LOCATION, w
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS '
APPLICATION AND STATE THAT,THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LA REGULATING' BUILDING CONSTRUC-
TION. LATH. EXT.
SIGNATURE OF C/ HOUSE NUMBER COR- F v
PERMITTEE / / RECT AND POSTED �1 _
ADDRESS - FINAL
JOHN A'.LAMBIE,COUNTY ENGINEER VALIDATION CLYDE N. DIRLA&, CHIEF BLDG. IN CTOR.. :.
CK MO CASH -
[_AC,,5 5 0-8• MAY 29 1 X3.0 0
i
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT,
COUNTY OF LOS ANGELES I
WM. J. ,FOX, CHIEF.ENGINEER I
«,. .,,FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
,J J/ DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING t• 7R I * ./P� ...7 f.
ADDRESS f �"
LOCALITY / T EC VED BY DATE OF APPL.` DATE ISSUED
11 P 1 ♦ R
NEAREST �•_/� �S
CROSS ST. 0 L ove_,/aL (/ BLTILDING
�SLADDRESS
OWN E . IAI Jy. IF / a O" /
r---
MAIL �� `�� 2/pq-C�/ Y — LOCALITY
•ADDRE59 .1S NEAREST
CROSS ST.
TEL -
+�'� � ��/ �
CITY _ J{ / / t/ NO. $J FIRE - NO OF TYPE GROUP,-7
ARCH ITECT OR TEL. ZONE I PLANS ISI '-
ENGINEER NO. L_ BLDG � NO
SETBACK LINE
ADDRESS
TEL. BY DATE
CONTRACTOR• �y(i�f.Q NO. t - USE APPROVED f
•. J ZONE / •BY DATE '
ADDRESS ' S - •r HO SE 'NUMBERING _
^J� _ I i
DESCRIPTION 'LOT NO. G�'LEGAL BLOCK MAP NU `U IELD CHECK BY
TRACT , '�_ �! NO. ASSIGNED,BY DATE
NCr. OF BLDGS. CORRECTIONS.
SIZE OF LOT • NOW ON LOT r
USE OF //D SS 1 FA OF
EXISTING BLDG. fd 5• ��}�Q pq c�� FAMILIES / - `
DESCRIPTION OF WORN
NEW _ Y I ALTERATION I I ADDITION
REPAIR - ,I I DEMOLITIONI I I ./moi/pL C ca�
S ZE •• Q �-., ROOMS STORIES ,/ Z
EXT WALL' °' r ROOF c J 1 r'
COVERING e-Al
1 I�COVERING Corr ,Sh/)Vt.
USE OF STRUCTURE
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS AP-• FOUNDATION. LOCATION
PLICATION, AND STATE THAT, THE INFORMATION GIVEN IS FORMS, MATERIALS '
CORRECT. '
1 AGREE ,TOCOMPLY WITH THE CORRECTIONS LISTED FRAME. FIRE STOPS, '
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS -
LAWS REGULATING BUILDING CONSTRUCTION.
SIGNATURE OF � �
FURNACE:GAS VENTDUCTS LOCATION,
PERMITTEE�R,•hhh 2,9�1 (l�.-tom /ic(((( .�
ADDRESS'
7 �/ / �. A! L-2_'p lr�P P t t LATH. INT.
• (� 4 LATH, EXT.
AUTHORIZED AGT. �Y
PLASTER, INT.
76AWBA• DB33 10-80P. C. $
O Q FEE VIC- PLASTER, EXT.
VALUATION --- FEE V j FINAL /
0EPARTIv�ENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT'
'\ ----90UNTY OF LOS ANGELES JA N �g 4 ' L 'N
WM. J. F+JX', OFf1`EF ENGINEER G 4�!4.9 ®�9
FOR APPLICANT TO FILL IN I FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. 'PERMIT NO.
BUILDING _ s f
ADDRESS SP �
LOCALITY ' JW RECEIVEDYf DAT
/E OF�AP'P'L�./��!'' /{DATE IHS UED�7^
y
CROSS ST.
NEAREST
/� ADDRESS
OWNERUILDING
IC arc /A�
MAIL � LOCALITY
DDRESS NEAREST
/l.�t./f/�VI NO. ,i"7.f1.�
CITCITYCROSS ST.FIRE NO.OF Z TYP J GROUP
ARCHITECT OR ( TEL ZONE PLANB
ENGINEER \ No. d r"'
BLDG. --•� / ORD.NO.
ADDRESS
SETBACK LINE .w�•h
APPROVED
.TEL By DATE
CONTRACTOR NO.
USE // APPROVED
ADDRESS ZONE / BY DATE
LEGAL
�1 "N � CORRECTIONS
• DESCRIPTIONLOT N/O.U V BLOCK "a
TRACT 11-41 Z. —/ i� /�
NOW ONLOTB�y/JA/EI � � ' id �• S /, S--3,
SIZE OF LOT y "' J
USE OF ND.OFNO.OF '
EXISTING BLDG. I FAMILIES I ROOMS
DESCRIPTION OF WORK -
-y
NEW � r ALTERATION ADDITION `
_ o
z
REPAIR MOVING DEMOLISH
Bq.FT. NO.CF
�j Z
61ZE �� / ROOMS STORIES
7� _ y
WALL ROOF Go Ja ,S/'`/�, r
COVERING ( COVERING .f �IV,A/le cc!. '
USE OF NEW �"� / ps -
-BUILDING ,/�� ;�,�' F`l e N I qF— V4Eib"1"
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS_ - -
APPLICATION AND STATE THAT THE ABOVE IS CORRECT" FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES, FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. `-A.v-s 3
f � •FRAME 3
FIRE STOPS, 1
SIGNATURE OF BRACING,BOLTS
PERMITTEE Q'Plb .�L l �n LATH, INT.: r 3
AUTHORIZED AOT LATH, EXT.:
DBS-3 SOM BETS 1-4e $ P.C.6 PLASTER, INT.
,9/'C/� FEE ! (9! '� PLASTER,EXT.
VALUATION
FEE `S 4s� `t� FINAL
COUNTY OF LOS ANGELES' TEMPLE CITY - # 0506 ` BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0506190024
PHONE (626) 285-0486 EXT
LEGAL ID _ NO. OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 9477 BLACKLEY ST _
STRUCTURE 580 VN TEMP CA,917803158 `
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET• ,;,,�°`• -
8590-004.-014 - ; THOMAS~PAGE '596 GRID J4 LOCALITY TEMPLE CITY, C
TENANT - EXIST BLDG USE RESID USE 'ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 09/22./05 JK 09/17/06
OWNER TEL NO BLDGS NOW ON LOT VALUATION FI AL AT FINAL BY CODE
ALBERT LEON H,ANA M (626) 285-8337- _ - 5,900 Y7 {",//
9477 BLACKLEY ST v / -r
TEMP 917803158' FEES PAID DES LITT ON OF WORK -
BURN OUT DAMAGE RESTRUCTURE WHERE NEEDED ON GARAGE &
FEE DESCRIPTION QUANTITY UOM AMOUNT ATTACHED'WORKSHOP & STORAGE _
APPLICANT TEL NO .
THOMAS CONST (909) 599-0121- D1 PLANCHECK W/O EN-HC 5900 00 VAL 126 99
609 N SAN DIMAS AVE AA BLDG PERMIT ISSUANCE 27 75 SPECILL CONDITIONS
SAN DIMAS, CA 91773 AC STRONG MOTION RESID 5900 00 VAL 0 59
02 PERMIT W/O EN-HC 5900 00•VAL 149 40 _
_ TOTAL FEES _ 304 73
CONTRACTOR TEL NO - - APPROVALS DATE 'INSPECTOR SIGNATURE
THOMAS CONSTRUCTION (909) 599-0121- _
609 N SAN DIMAS AVE LIC NO _ LOCATION AND SETBACKS -
SAN DIMAS, CA 91773 563397B -
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER - TEL NO. FOUNDATION/TRENCH FORMS
LIC NO - - - SLAB/UNDER FLOOR
RAISED,.FLOOR FRAMING -
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP - UNDERFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/COND. STAT CLASS _
NO 21 ROOF SHEATHING - -
SCHOOL WITHIN HAZARDOUS SHEAF.-PANELS '
AIR QUALITY 1000 FEET MATERIALS It -
NO NO NO 1FRAMF INSPECTIONz 7j
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INSULATION/WEATHER STRIP -
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED'FLOOR/CEIL ASSEM ,
RATED'WALL ASSEMBLIES
RATED SHAFTS/OPENINGS ,
T-BAR CEILINGS tz
.� LOT DRAINAGE
• IREPORT ID 'DPR261 ROUTE TO DS0508