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Home My Public Portal About9502 BLACKLEY ST_Building__ PLICATIO'IV FOR e?z " BUILDING PERMIT / FOR APPLICANT TO FILL IN A DDRESS �d Z /` L,� 5J'`•' BUILDING- yy�� 1' 9 �^ ADDRESS 5O� 6LA6k„L-E` Y' CITY E M Q ZIP _ T 17$rj ST NO OF BLDGS R SIZE OF LOT NOW ON LOT OK PAGE EL ICT GROUP TYPE FIRE PR ESSED BY TRACT-� BLOCK 1r)T-NO ONST _ TEL "' � 7OWNER � M 122 NO'`- ICAL CLASSIFFICCATIION ' SEWER MAPADDRESS S�z Loii'LLE SS NO `" DWELL UNITSCITY, T,f-M L - ClT ZIP 17$ G NE MAP, ARCHITECT OR _, TEL ENGINEER NO 1 SPECIAL CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑- TEIL. CONTRACTOR w NO BLDG SETBACK FROM " LIC - FRONT PROP LINE OF (STREET), ADDRESS TOL I 'NO T ' TOTAL SETBACK ROM -TYPE OF EXISTING LIC HIGHWAY + YARD = FRONT LINE HIGHWAY -WIDTH CITY - -• CLASS _ CONSTRUCTION LENDER +' �� 2P> Zoe �� a NAME AND BRANCH BLDG SETBACK FROM / OU " SIDE PROP LINE OF (STREET) ADDRESS CITY, O SQ FT NO.OF. NO OF CHECK HIGHWAY +' 'YARD = TOTAL SETB • FROM TYPE OF EXISTING SIZE STORIES• FAMILIES ONE s SIDE PROP LINE_ HIGHWAY WIDTH nwU QQj � DESCRIPTION OF,WORK IJ LoC 'W ALL NEW ADD ❑ CORNER CUTOFF YES ❑ NO ❑ _1 ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ USE OING BLDG DEMOL '❑ IN'COASTAL PERMIT ZONE } YES ❑ NOEXI ❑ APPLICANT TEL + (PRINT) �0 rs 11�T Y. Noi-TE 2 NO 0� BY ISIGNATURE), aw- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION'-AND STATE - - THAT THE ABOVE IS CORRECT AND AGREE TO;COMPLY WITH ALL ORDINANCES - AND LAWS-REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE 'WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF - THE LABOR CODE OF THE STATE OF CALIFORNIA IN�RELATING TO WORKMEN S'COM' - PENSATION INSURANCE `j+'' ;�%• y ` - - SIG4`FURE OF PERMITTEE' ..1 FINAL /'� ^� BY DATE ,'ADDRESS CITY t I NOL 10.1'0, P C Fee$ Permit Fee �- ' Q f, Issuance Issuance Fee `�-- VALUATION y Totcdl Fee, 1 U v ( PLAN CHECK'VALIDATION • ;» cK,�M o��^C sH; ; PERMIT VALIDATION `C'K mo CASH- 3.2 5-AN •29": .1' 6.0.0 ®S 76A6388 CE/8038 6/76 4 - - - •• - CE #003 1/71 �y APPL.ICATION, FOR BUILDING PERMIT COUNTY Of LOS ANGELES ASSESSOR DEPARTMENT OF•COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING�AND SAFETY-DIVISION BUILDING ,r ,/' ADDRESS, L`j` ' a COLEMAN W. JENKINS, .,SUP T BF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print ort a onl J' CR GJ (� ADDRESS ,; G J�L£ s`. DISTRICT i O GRUP TYPE �• PRO SEyD�BY BUILDING -OZ Z, „ / CONST.^ L/y/iJ I STATISTICAL CLASSIFICATION SEWER'MAP LOT NO BLOCK CLASS NO,-AX-1—OWEL'L UNITS'' BK PG' TRACT /. - •. - , .USE ZONE MAP _ NO OF.BLDE, GS +_+ NO h' I SIZE OF LOT (p� p O NOW•ON'LOT / R USOFCON DIT ONS �l/V EXIST NG BLDG. M OWNERTE£rf"i;A. G✓/LL'f!? NOL�OJ �SJG �y t R1,i= Y"j/ rfs C _ BLDG SETBACK FROM ADDRESS S aZ - G - /,VlbL �£ , S,• FRONT PROP LINEOF 'l vfREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ',CITY J HIGHWAY WIDTH •FROM•CIL 'ARCHITECT OR /, TEL.., } _ ENGINEER f��. £,cc - NO. BLDG SETBACK FROM - -• ADDRESS SIDEPROP LINEOF - (STREET) s TEL TYPE OF EXISTING SETBACK H WAY } YARD = TOTAL d CONTRACTOR `� NO. HIGHWAY WIDTH .FROM C.L - _ CCD LIC t � ADDRESS - NO - p -,•LIC CITY CLASS CORNER CUTOFF - YES ❑' NO ❑ Ivy CONSTRUCTION LENDER' NAME AND BRANCH SEE REVERSE SIDE FOR SPECIp APPROVALS M ADDRESS - SQ FT ^ NO OF NO. OF NEW SIZE �� STORIES ,FAMILIES ❑ LAPPLICANT C / ADD Q •� �' ' �d lz49 - /� ALTER h-� NpS£ D � REPAIR❑OF (' /J ;/ i'�^C4�1/ • TL c} /y �/ ;[(�(J� DEMOL$• �� APPROVA S DAT a I P CTOR*S SIGNATURE i--- FOUNDATION: LOC ION FEE S FEE S �� - FORMS, MATERIALS-' FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1:, VE,REAO THIS APPLICATION BRACING, BOLTS" ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION, ' WITH ALL ORDINANCES AND' LAWS,REGULATING BUILDING CON- GAS VENT, DUCTS ' STRUCTIONI CERTIFY THAT IN,-DOING -THE WORK AUTHORIZED - HEREBY I WILL NOT EMPLOY ANY"PERSON IN VIOLATION OF THE LATH, INT LABOR CODE 'OF- THE ATE' Fi' CALIFORNIA IN 'RELATING TO , WORKMEN'S COMPENSA N I URANCE '_� ' LATH, EXT. SIGNATUREOF HOUSE NUMBER COR- PERMITTEE •� RECT AND POSTED ' ADDRESS �p1 4 7 FINAL �f 7� • - JOHN F LEWIS PRINeIPAL•S UC M RAL'ENGINEER PLAN-CHECK VALIDATION' r CK . o CASH _ PERMIT VALIDATION' •"cK M'0 I•CASH'. U,� •4 � .��: 21 ' 'ti1 , 2. 1.7 5 Qr 76A638A CE 803 9-68 APPLICATION FOR B ILDING RMIT -COUNTY OF LOS ANGELES BUILDING �O DEPARTMENT•OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUP T OF BUILDING CROSS ST DISTRICT N GFj¢L•P TYPE S BY FOR APPLICANT TO FILL IN CONST (Print or type only) ,, V Q. J FEXISTING G _ _ STATISTICAL ASSIFICATION S ER MAP �j C�,2 _ r3L�c�LF Si CLASS NO. WELL,UNITS BK PG BLOCK USE ZONE MAP NO SPECIAL NO.OF BLDGS CONDITIONS LOT C /sZ C NOW ON LOT _ // G BLDG• �/�✓ L E /-n�//� A£S/d£^�� BLDG.SETBACK FROM _ TEL. FRONT PROP LI NE OF (STREET) £�/t/� G+//1Lf/// / NO �/� TYPE OF EXISTING SETBACK HIGHWAY } Y = TOTAL S y�Q £ 3zAk CHIGHWAY WIDTH FROM C L�>`�'//-Lf �i// O } V = O ARCHITECT OR TEL SI BLDG.SETBACK FROM SDE PROP.LINE OF (STREET) ENGINEER NO. •TYPE OF EXISTING SETBACK HIGHWAY } ARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL .} 0 = D C CONTRACTOR /a'NO LIC. C RNER CUTOFF _ . YES ❑ NO •❑ ADDRESS A6/�fL GA.r Qw• L. NO, C LIC L. CITY ,57-11/6 CLASS 'SEE REVERSE•SIDE FOR SPECIAL APPROVALS CONSTRUCTION LENDER NAME AND BRANCH A.&I14 .S /�sS�/L��-CL ff / ; ° - `� ? ADDRESS 1G'f A,4, SQ FTNO OF NO. OF NEW SIZE .� 7C STORIES FAMILIES ❑ y� _ USE OF of ADD STRUCTURE d 4- L REPAIR❑ SIGNATURE OF / APPLICANT W DEMOL ❑ 07 VALUATION $ OQ ' APPROVAL'S ' ' DATE t- INs Toa's sic ATU qE • P C- MT FOUNDATION; LOCATION P FEE $ FEE $ ,�D FORMS`MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING-BOL TS v AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE• LOCATION, _ WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- 'GAS VENT, DUCTS' + STRUC TIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED _ HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE TATE OF CALIFORNIA IN RELATING TO ♦ n WORKMEN'S COMPE NSA ON NSURANCE LATH, EXT , "' -. SIGNATURE OF �- PERMITTEE HOUSE NUMBER RECT AND POSTED ADDRESS 0 rL�. FINAL JOHN F LEWIS PRINCIPAL ST �y RAL E PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION CK I M o 8 4FEB 14 -1 D 2 2.50~ I ' APPLICATION FOR BUILDING PERMIT. 7GAG>,a�cg#7.03,o-6a COUNTY OF LOS ANGELESBUILDIMG DEPARTMENT OF COUNTY,,ENGINEER ♦ '• '~ _ADDRESS - BUILDING AND SAFETY DIVISION LOCALITY JOHN-A•, AMBIE,.COUNTY ENGINEER NEAREST L CASSATT D. GRIFFIN, SU_P'T OF BUILDING CROSS ST. DISTRICT N OUP TYPE SRO CESSED BY 'FOR APPLICANT TO:FILL IN 'r 6'b CONST. ,,f BUILDING _ STATISTICAL CLASSIFICATION:- S/9�W,ER Al ADDRESS _ s CLASS.N WELL UNITS / 4 K ' .JP _LOT NO.. - BLOCK NUMBER (� '^SITyAyTyE' YES ,'NO TRACT S �' U ZONE 'SPECIAL - NO.OF:BLDGS CONDITIONS a . SIZE OF LOT UI •NOW ON LOTZ2 USE OF - •BUILDING -• EXIST. EXISTING BLDG G YARD HWY STREET NAME SETBACK '_ WIDTH' :OWNER - FRONT, L.`G(J�.f' -7 _ P L ' MAIL ADDRESS C3. .� _ "f/ =SIDE TEL P L. CITY — NO INSPECTION RECORD' ` ARCHITECT OR- TEL ENGINEER c'+_ NO OF ADDRESS' EL ✓ � _ CONTRACTOR 'TO - ADDRESS_ 0.1V - DESCRIPTION OF WORK . NEW, ADD ALTER REPAIR DEMOLISH •SQ FT.,• a NO OF: NO.OF,' -S - - SIZE d - STORIES FAMILIE USE OF-. STRUCTURE _ - C - ••• - SIGNATURE OF APPLICANT APPROVALS• DATE INSPECTOR'S SIGNATURE _ ADDRESST-a Q .,j,/ , r'FOUNDATION:,LOCATION' - -, !� FORMS,MATERIALS FRAME:FIRE'STOPS. BRACING,'BOLTS ,P CI PMT (1 I •- FURNACE:LOCATION. _ „I- �• 't •• FEE $ { FEE $ '� - - GAS VENT,DUCTS - -I HEREBY ACKNOWLEDGE THAT 1 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 OFr. HOUSE NUMBER COR- PERMITTEE- OR PERMITTE (' RECTAND POSTED ADDRESS V �' _FINAL />' -- CLYDE N. DIRL.AM,•PRINCIPAL STFt?CTURAL•E N R ,• PLAN,CACK,.VALIDATION CK MO CASK ->PERMIT,VALIDATION CK M.O'- CASH: " i_ACo 0 O 9;U.) qui :2 7 1' A 5-0--b s, WORKERS' COMPENS;ATION DECLARATION I hereby A4ffirrin thQt I have a certificate of consent to self T r� insure, or.a certificate of Workers' Compensation Insurance, AP P L I CA 1 F O R BUILDING PERMIT or a ce rtified'cop`` � the,l (Sec.of (S3800, Lab. C.) COUNTY �' Policrrnn V ll —�'� � , �GELES BUILDING AND SAFETY y IVa. Company ' BUILDING ❑ Certified copy is hereby furnished. FOR*APPLICANT TO FILL IN ADDRESS �jv� ❑. Certified copy is filed with thecou ty building inspec- BUILDING G� V �• n y� u� tion department. f / ADDRESS (� Y L` Cj �j �/ CITY /� CSG' C/T ZIP �f� 1!�ILOCALITY tem Applicant C NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT �- CROSS ST. COMPENSATION INSURANCE LOT NO. ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) y, TEL. OWNER _> T JA LS0.,3 NO -t��33 USE ZONE MAP I certify that in the performance of the work for which this SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS a .so as to become subject to the Workers' Compensation Laws. 0 CITY ZIP Date Applicant ARCHITECT OR TEL�r�. �9 (y DISTRICT GROUP TYPE FIRE PR ESSED BY l NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER (: LLYI�IJ NOA O� WSJ/O • / CONST. ZONE Exemption, you should become subject to the Workers' may',Q� W Compensation provisions of the Labor Code,.you must forth- ADDRESS C� & y a with comply with such provisions or this permit shall be TEL.' STATISTICAL CLASSIFICATION AOT. O. % h deemed revoked. CONTRACTOR L,� v p r NO. �6 i Z' LICENSED CONTRACTORS DECLARATION F LIC. - e CLASS NO. DWELL. UNITS -� '- I hereb affirm that I am licensed under provisions of Chapter 9 ADDRESS I �e t NOS <&"N Y P P SEWER MAP ..._......__.._._.._... _._-.- .....-. . (commencing with Section 7000)of Division 3 of the Business LIC. �/ AC! CITY In G.. CLASS ( /CIL DATION and Professions Code,and my license is in full force and effect. BK: PG: SQ. FT NO. OF NO. OF CHECK `.` C� I/ SIZE rT� 877. License Number v ( Lic. Class �� t STORIES FAMILIES ONE t.. VALUATION.. ...... --. .. �._.ITEC�;? . Contractor / • `ems `-"'� Date /'J DESCRIPTION OF WORK Sy t� J 1� NEW ❑ AOfot?�� -l47crt`� =��nst ADD 1 ITAL '877 6� ❑I am exempt under Sec. ► r• -, ALTER ❑ CHECK � /� 'l L'L B.&P.C. for this reason 1Yt/.l i`s^. ✓� /J� ^'�(f� REPAIR ❑ 000 t'.�„)A:GT ,ill, Date: USE OF ❑- EXISTING BLDG. �� DEMO' Signature APPLICANT 1 /� 1 TEL. � - �y , FINAL (PRINT) (�A.J' IV�c.ra:w�N N0 3 J �J r+'Y' (�,!O t OWNER-BUILDER DECLARATION c, DATE . (/`f .001300011�•�. Irt_t/''•_ I hereby affirm that I am exempt from the.Contractor's License ADDRESS lot g. � ��'✓ ��-• FINAL L 7 -I'2 r Law for the following reason (Section 7031.5, Business and r'vL� 1 Ah111.4 Professions Code): PRESENT BY es - iBUILDING ❑ I, as owner of the property, or my employees with 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. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. CU. CONSTRUCTION CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP. LINE WIDTH I herebyaffirm that there is a construction lending agency for FRONT % '''� 9 9 Y 33iir 1i96oma-'• the performance of the work for which-this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE i i,L E P.L. - -s T Lender's Name LDMA Ref. # _ht N< 11:'f�=a._-s P.C. Fee$ �//r Permit Fee 1 �� 7 i _5_ Lender's Address y `•� ' 1.6Q o I certify that I have read this application and state that The ,0 1 ' Issuance�10 Fee 24 LDMA P/C# , 's: E el;�ll 8 &rdinances mation is correct. I agree to comply with all County Investigation Fee ' Qt ` Rand State aws relating to building construction, Total Fee ((/ ' LDMA Perm. # a author'ze epr sentatives of this.County to enter bove-m ti ed roperty for inspectionrp s �.aSEE REVERSE FOR EXPLANATORY LANGUAGE 's 1 't" ,:gnature of Appl ani or Ageni Dat 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 0807280028 / PHONE (626) 285-0488 EXT / LEGAL ID NO OF CONST BUILDING ADDRESS ITR 14572 LT 58 SQ FT 'STORIES TYPE 9502 BLACKLEY ST I (STRUCTURE V-B I TEMP CA 917603142 ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET 18590-007-023 1 1 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl ITENANT IEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY EXPIRES ON: IEXIST OCC GRP 107/28/08 SR 01/24/09 OWNER TEL NO IBLDGS NOW ONLOTVALUATION IFINAL DBY CODE JACKSON, KEITH (626) 309-1733- _ - 100 1 19502 BLACKLEY ST I AXPIR TEMP 917803142 - FEES PAID IDESCRIPTION OF WORK SHOWER LATH NAILING FOR BATHROOM REMODELING 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT- 1 APPLICANT TEL NO I I ITURTZER (562) 631-3684- 1AA BLDG PERMIT ISSUANCE 27 75 I 116250 SKAGWAY ST IAC STRONG MOTION RESID 100 00 VAL 0 50 (SPECIAL CONDITIONS 1 1 1132 PERMIT W/ENERGY 100 00 VAL 48 02 1 1 I I TOTAL FEES 76 27 1 I I I I ICONTRACTOR- TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE i ID & T GENERAL CONTRACTING (562) 945-2083- 1 1 I 18407 ENRAMADA AVE LIC NO 1 (LOCATION AND SETBACKS 1WHITTIER CA 90605 B C10 I1 1 I I ISOILS ENGINEER APPROVAL 1 I 1ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I 1 LIC. NO 1 1SLAB/UNDER FLOOR I I I I (RAISED FLOOR FRAMING 1 IMAP NO- SEWER MAP BOOK PAGE FIRE ZONE CMP.( (UNDERFLOOR INSULATION I 1 1 I147H269 3 011 1 11 I I I (FLOOR SHEATHING I 1 INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I 1 11 I I NO 21 1 (ROOF SHEATHING I I 1 I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I (AIR QUALITY 1000 FEET MATERIALS 1 I I I NO NO NO 1 1FRAM- INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS 1 1 ISET BACK YARD HWY PROP LINE WIDTH (FRONT PL- 1 (INSULATION/WEATHER STRIPI I I 1 SIDE PL- I I 11NTERIOR LATH/DRYWALL I I 1EXTERIOR LATH I II I I IRATED FLOOR/CEIL ASSEM. I I I 1 I IRATED WALL ASSEMBLIES I I I I I (RATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I I I* ADDITIONAL DATA ON FILE I I I I I ILOT DRAINAGE I (REPORT ID DPR261- ROUTE TO BS0508 II I I I I