HomeMy Public PortalAbout9520 BLACKLEY ST_Building__ ,�e$Saeaoess A PER- 19
PP, LIVATIOi� FDi1 :BiJILDING ' i{
. .DIVISION•OF BUILDING,-AND SAFETY BUILDING`
, ADDRESS'
=Deport>nent'of County. Engtueei%
County of Loa°Angeles ° LOCALITY
„ 'JOHN A. LAMBIE, COUNTY ENGINEER NEAREST } ;
.CASSATT D..GRIFFIN,,SUP•T OF BUILDING CROSS ST. G
i,,FOR•APPLICANT.TO FILL IN DISTRICT NO. - 'GROUP, TYPE SEWBK .MA PG.
�/ CONST. - - -_
ADDRESS -�c iek.,Ll Y . MAP - 'STATE -
r� i^ !. NUMBER .HWY
LOT NO. (o RLOCK_� USE ZONE, SPECIAL
JJ CONDITIONS
TRACT',
TRACT
pr' NO._OFrBLDGS. BUILDING ^a EXIST.;
SIZE-OF LOT SO fa 1 Z 5 I NOW ON LOT
SETBACK YARD HWY' STREET'NAME a _ WU SE IDTH'
EXTING BLDG. 4tQ V g L� FRONT ' --
OWNER V._C L--R E - SIDE.
MAID _ _ _ �/ P. L •^
ADDRESS, 9'S�U �' LIQ E�K'L�•j' O TRACT DWE 1 UNIT -
TEL. l� I DWELL. 1 UNIT 5' INDUSTRIAL
CITY TL-'/y(� L L- CrT �l- NO. Jq j'jbS,U _ 6 PUBLIC BLDG..`'-...•
ARCHITECT OR •rd _ _TEL:,' `- 2 DUPLEX, 2UNITS Xr -
�ENGINEER- -NO.' - 7 ADDN.,ALT., ETC. .
3 APT. UNITS • ,
- -8 MISCEL.
ADDRESS 4 COMMERCIAL - -
CONTRACTORy//• V _• S (jl 1�i -No'I}T�'�973 - : INSPECTION-RECORD
ADDRESS �'jl,Z .SV I
DESCRIPTION OF WORK , ;
'NEW (AD ALTER REPAIR DEMOLISH
SQxFT. h10. OF _NO OF
SIZE 3 5 . STORIES I 'FAMILIES
USE OF STRUCTURE -
r'
SIGNATURE OFA �: e • - -
_ APPLICANT .4 APPROVALS • '`
ADDRESS (p�I�- .1 'b• /;F/I_I °-C r. DATE,' INSPE OR'S SIGNATURE
FOUNDATION:•LOCATION
�.`• 1 �D P:C.,.$ tom' FORMS:MATERIALS •\�' +" e..r✓-- ,k
.1> - FEEFRAME: FIRE STOP$. "r
VA'L'UAT_ION , _ $ C� BRACING, BOLTS R�. �, (�47'• '' �� a.,SCLV ''" t -
' y" - FEE' -- FURNACE: LOCATION, - -
['HEREBY ACKNOWLEDGE THAT-, 1� 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 LAWS REGULATING"BUILDING CONSTRUC-
TION. �' •' _ (� h
LATH. EXT.
SIGNATURE OF y!' HOUSE-NUMBER-COR-
_ ,PERMITTEE- RECT,AND POSTED
ADDRESS • - FINAL - - I
JOHN,A. LAMBIE. COUNTY ENGINEER: ATION ' ' CLYDE.N.'D RLAM, CHIEF BLDG:/INSPECTOR
MO :`CASH`
A.'9 X93 1 2r.0 0• #'
78Ae98A DBS-8 9-88 _
r '
APPLICATION FOR BUILDING PERMIT
r .DIVISION OF BUII.DING.AND SAFETY BUILDING
' ADDRESS
Depcirtment of County Engineer �
-County of Los Angeles LOCALITY /�e—A" le el
MNGINEER NEAREST
CASSATT DFGRIFF NOXu SUP'TNTY EOF BUILDING CROSS ST. -
DISTRICT NO. GROUP I TYPE �% S gER MAP
K
ApG
FOR'APPLICANT FILL TO IN S iT cooler. ''
G`BUILDINGO /31r���L/�y- �•L• MAP STATE =
ADDRESS YES> O'
- /a� 1 NUMBER HWY '
USE ZON5,1 SPECIAL
LOT NO. - BLOCK ' CONDITIONS ' r
V TRACTS ,r / � S
SIZE OF LOT ;J O /t �.LJ NOW ON LOT I BUI DING YARD HWY STREET NAME --EXIST.' ,
-- SETBACK - WIDTH _
USE OF
EXISTING BLDG. /i7 FRONT
P. L. ;70}
OWNER VjC7bR D�_ I<EIGN� ' SIDE _P. L.
MAIL
ADDRESS /SZ �lRC el-c- / O TRACT DWELL. t•-UNIT - -
p 5 INDUSTRIAL -
CITY
Tff , .� C fT Y NO _ ' 1 DWELL. 1 UNIT
2 DUPLEX I UN6
[T ' PUBLIC BLDG. _
ARCHITECT OR - o •TEL: ADDN..-ALT.. ETC:;-
ENGINEER O W LVE�S NO. _ '
. 3 APT. UNITS B MISCEL'. _ -
ADDRESS S 4 COMMERCIAL" - -
CO NT M ,If, Son 1•�Td�J p TE- A�•i�71f97S INSPPECTION RECORD
ADDRESS !r :JCJt / 14 NIT• 1 • C • De_fAc r-1C/S T•��! .2o�K2 ,
DESCRIPTION OF,WORK -,A) i4
NEW '- DD ALTER REPAIR DEMOLISH -
SQ. FT. bQ O. OF NO. OF
SIZE �_/% STORIES FAMILIES _
USE OF STRUCTURE
gt' D -i 9E Roc
ice,P7 cle r 746
SIGNATURE OF
'-APPLICANT
APPROVALS _ •.• '
ADDRESS Z111-1- -5v ,T N T`C + DATE - -INSPECTOR'S SIGNATURE' L.
FOUNDATION: LOCATION _ +
$ - P. C. -$ FORMS, MATERIALS - -
r O FEE ,FRAME: FIRE STOP$, '
VALUATION ,J-D' $ // O� BRACING,BOLTS
'FEE / ' ' FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE' THAT I HAVE READ THIS GAS VENT, DUCTS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -LATH, INT. -
AND STATE LAWS REGULATING BUILDING CONSTRUC-,
TION.. -
LATH, EXT. ^
SIGNATURE OF- /JAS HOUSE NUMBER COR=
PERMITTEE ��//�� RECT'AND POSTED -'
ADDRESS r FINAL
WM,'J. FOX,COUNTY ENGINEER VALIDATION" C.-N. DIRLAM, CHIEF BLDG. INSPECTOR
_ '
7WAVSSA De5-3 12-84
APPLICATION' FOR-. BUiL®ING PERMIT 1
DIVISION-OF BUILDING AND SAFETY.` BUDRILDINGESS A C�a OAe fC,)! li e'
Department of County Engineer.
AD _/�J
County of Los Angeles
LOCALITY
WM. J. FOX, COUNTY ENGINEER
{ CASSATT D.GRIFFIN,-SUP•r OF BUILDING • NEAREST /�v•�r
CROSS ST.
DISTRICT NO. GROUP SEWER MAP
FOR APPLICANT TO FILL' IN S J TYPE BK _ PG'
BUILDING rijvT! / CONST. -S
ADDRESS, J NUM ER D/(O HWY YES •rN
LOT NO. - BLOCK USE ZONE CONDITIONS-
TRACT
ONIT ONS•TRACT .I'4—'15_ /
_NO- OF BLDGS., _
SIZE OF LOT 5q _]� "Z3 - I NOW ON LOT / BUILDING YARD HWY STREET NAME EXIST `
USE OFSE B CK wry/� A WIDTH
EXISTING BLDG '^'•' w FRONT
OWNER M'-'F �y� f5 V•C.• o- !l ai'l f-j SIDE
MAIL P. L.
ESS
ADDR � //dSOS
'
T£
ARCHITECT OR NO �•�Ht DWELL'. 1 UNIT 5 INDUSTRIAL
CITY ? TEL 2 DUPLEX_UNIT 6 PUBLIC BLDG.
ENGINEER t�n(�,Al k-7- NO 3 APT UNITS 7 ADDN ALT, ETC. '
ADDRESS _ - 4 - COMMERCIAL H MISCEL.
CONTRACTOR, t•'�J �� NO -.., - - '
`e 'INSPECTION RECORD
ADDRESS 1`n �� clP�.��t��to
DESCRIPTION,OF WORK '
1CM�X C¢�vs-t�.�n Tgiwyo m Z-%LQT-r•
NEW ADD -ALTER' REPAIR DEMOLISH
SOFT •NO OF / NO. OF �T �F_l�cl IIO fc-C RY-'
SIZE• ' 4" STORIES / "FAMILIES
USE OF STRUCTUREC�-� 1 11/—,
, L�I IL L"SIGNATURE O� (�. G IY f/O 7��iLI11+.✓
APPLICANT-` _ ,y7 APPROVALS •
ADDRESS ?._7A 0- �(C1-l��i�dF -B�..n` - DATE INSPECTOR'S SIGNATURE
FOUNDATION. LOCATION I (� s
F. FEE
S +' FORMS. MATERIALSV.,E�..X ( --FRAME FIRE-STOPS,VALUATION 'f BRACING, BOLTS FURNACE LOCATION. _
. GAS VENT, DUCTS - 1
1 HEREBY ACKNOWLEDGE THAT .I- HAVE READ THIS _
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. ' `
AND STATE LAWS REGULATING -BUILDING CONSTRUC-
TION. LATH. EXT. 1 S� b-Y C.}�,^+-�^-•1r
SIGNATURE OF _ ..) HOUSE NUMBER COR
MITTEE - , •-
PER //rr/'w .�raw•w RECT AND POSTED I'
7 or
• ' ADDRESS FINAL ( t5 5 - '
WIA. J. FOX. CounrY ENGImma VALIDATION
BY - - _ --- ...: 00 5-'7"S'n-70 15
DEPUTY DEPUTY
BY - 1 r BY •I ,- - ,
i 24Z.
® _ DEPUTY ,- DEPUTY-
, � i
77-652 •Wallace APPLICATION FOR BU I;LDI NG PERMIT'
FOR APPLICANT TO FILL IN (Print or type only) IJ
BUILDING 9520_'E. Blackley St._, p COUNTY OF LOS ANGELES
ADDRESS ' _ _ _ DEPARTMENT OF COUNTY ENGINEER
C/
f~ �" "'91780 - � - =BUILDING.-AND .SAFETY DIVISION-
CITY Tepple._City, Ca. - zIP -
NO.OF BLDGS - - - -� BUILDING c,/67 C
SIZE OF LOT - NOW ON•-LOT' ADDRESS' d� -
\ pp
�TRACT� / S� LOCK LOT'NOJCP' /'•.- LOCALITY
t'���� TEL 286-65 NEAREST /
OWNER `Victor DeReign NO CROSS ST
ASSESSOR
ADDRESS 92tbc 9520 Blackley ,St. MAP-BOOK PAG PARCEL
DISTRICT - GROUP ITYPE FIRE PROCE SED BY
,CITY Temple-City, Ca. ZI P91780 -�. CONS Z E
',ARCHITECT OR - TEL -'- ' '-v `� �� •YI -�•- r
+ENGINEER - NO _ _
'_
STATISTICAL SEWE��R{{•MAP _
�'' _DWELL UNITS BFB �PG
((ADDRESS CLASS NO
,CONTRACTORRIGID MFG. C0:
TEL 263-5181 USE ZONE MAP �/
LIC NO 4+
ADDRESS - NO 15949.6 / SPECIAL
\ _ CONDITIONS
CITY L. A. , a.. 90022
LIC c-39
_ ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ '
CONSTRUCTION LENDER
NAME AND BRANCH - BLDG SETBACK FROM - - • - - per..
-- - -- - - - - FRONTPROP LINEOF ' (STREET) CD
ADDRESS CITY _ TOTAL SETBACK -FROM TYPE OF EXISTING
HIGHWAY } YARD -
SQ•.FT NO OF NO OF' CHECK FRONT PROP LINE HIGHWAY WIDTH
SIZE - STORIES FAMILIES ONE
_ ❑ } W
DESCRIPTION OF WORK �- `' NEW - - y
ADD ❑ BLDG SETBACK FROM Z
i • -prepared - _ HIGHWAY SIDEPROP LINEOF (STREET)
_
Ci••$,S•_ "C" CI
ALTER ❑ } YARD TOT SET BACK,FROM TYPE OF EXISTING
mate tial _
J� DE PROP LINE HIGHWAYI WIDTH,
REPAI9C®
USE OT DEMOL NG BLDG residence ❑ }
EXISTING -
APPLICANT TEL - CORNER CU_T YES ❑ NO ❑
(PRINT) NO. "•
BY (SIGNATURE) IN OPEN SPACE -- - YES ❑ NO-❑
IN COASTAL ZON YES ❑ + NO ❑
.VALUA.TION$ 1,.643•25 ' CATEGORICAL EXEMPTION YES[7]" NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONME AL
ANO STATE-THAT THE ABOVE IS CORRECT.ANO AGREE TO COMPLY. 'IMP T EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES 'AND LAWS REGULATING BUILDING CON-
STRUCTION I CERTIFY THAT SIN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY-ANY PERSON IN VIOLATION OF.THE - - • -
LABOR CODE OF THE STATE OF CALIFORNIA G TO
I, WORKMEN'S COMPE TION 10EMF� 7�c� �/1��n6� �d�•,,/�Lb v
SIGNATURE �'✓Q A)/ /0r7Z:,7ORI G� o
PERMITTEE
ACDRESS "33++7 S:" Wo Ave.,
L. Ca• - FINAL _ � I
CITY NO. _
TEL DATE D`� j`J/�/'Al �T77
TT
MAKF- CHECKS PAYABLE TO FEE $ FEE $
HARVEY T. BRANDT. COUNTY ENGINEER T
t
PLAN CHECK-VALIDATION _CK •,M O _ .CASH, _. PERMIT VALI IO cK M O CASH
^ 2 1.7 5
' 76A 638A CE#803 7/73 _ • - - -9 1�t_OCT 26 ••l ® ( m:.'tZ
COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 BUILDING PERMIT r
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY % LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0903300039
PHONE (626) 285-0488 EXT
ILEGAL ID NO OF CONST BUILDING ADDRESS I
ITR 14572 LT 61 SQ FT STORIES TYPE 9520 BLACKLEY ST
ISTRUCTURE 2400 V-B TEMP CA 917803142 1
(ASSESSOR INFORMATION NUMBER 1" NEAREST CROSS STREET )
18590-007-026 I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
ITENANT (EXIST BLDG USE RESID USE ZONE R-1- JISSUED ON PROCESSED BY I
I,EXIST OCC GRP 103/30/09 SR `
(OWNER TEL NO. IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY- CODE i
IDEREIGHN, EDITH (626) 285-6052- 1 5,100
19520 BLACKLEY ST
ITEMP 917803142 _ FEES PAID IDESICRIPTION OF WORK
' IREMOVE EXISTING COMP ROOF INSTALL 30 YEAR COMP CLASS A
IFEE DESCRIPTION QUANTITY UOM, AMOUNT ISHINGLES
(APPLICANT TEL NO I I
IKEEFER'S ROOFING CO (909) 608-0622- IAA BLDG PERMIT ISSUANCE ' 27 75 1
11216 BEGONIA COURT JAB STATE GREEN BLDG FEE 5100 00 VAL 1 00 ISPECIAL CONDITIONS
JUPLAND, CA 91784 JAC STRONG MOTION RESID 5100 00 VAL, 0 51
ID2 PERMIT W/O EN-HC 5100 00 VAL 149 40
TOTAL FEES 178 66
(CONTRACTOR- TEL NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
I KEEFER'S ROOFING- - - - -(909) 608-0622---1 = - - - - - `" - - -- •I _- - f - -
J1216 BEGONIA COURT LIC NO I ILOCATION AND SETBACKS 1
JUPLAND CA 91784 760903 C39 1 1 1
1 ISOILS ENGINEER APPROVAL �.
(ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS
LIC NO 1 ISLAB/UNDER FLOOR
I (RAISED FLOOR FRAMING 1
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDERFLOOR INSULATION I I I '
1147H269 3 001 1 -
IFLOOR SHEATHING - I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS: .( - I
NO 21 1 IROOF SHEATHING J
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I
JAIR QUALITY 1000 FEET MATERIALS 1
J NO NO NO _ IFRAME INSPECTION I -
IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS I -
ISET BACK YARD HWY PROP LINE WIDTH I1
IFRONT PL- I (INSULATION/WEATHER STRIPI
SIDE PL- i - - (INTERIOR LATH/DRYWALL I II
- JEXTERIOR LATH 1 1
1 IRATED FLOOR/CEIL ASSEM
(RATED WALL ASSEMBLIES - 1
(RATED SHAFTS/OPENINGS 1
1 1 IT-BAR CEILINGS J
ILOT DRAINAGE I1
I _ IREPORT ID DPR261 ROUTE TO BS0508
I I I I I I