HomeMy Public PortalAbout9523 BLACKLEY ST_Building__ �ARTMENT OF B ING AND SAFETY "APPLICATION FOR PERMIT
COUNTY C� ANGELES �4
WM. J. FOX. CHIEF ENGINEER OJ !f
FOR APPLICANT TO FILL IN FOR' FICE USE ONLY
I DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
c ADDRES 'S 1' ' C.i L �s�i
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LOCALITY RECEI ED BY DATE OF APPL. DATE ISSUED
NEAREST
C B ST � �
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AD RESS iZ ® �. LOCALITY
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CITY NO. ITEL. l 2 7 3 CROSS ST.
FIRE NO.OF TYPE. GROUP
ARCHITECT OR r TEL. ZONE PLANS
ENGINEER NO.
BLDG. ORD.NO.
ADORE SETBACK LINE
- APPROVED
,CONTRACTOR �� NO. Rt2.yA?1 .� BY DST[
/� USE APPROVED
ADDRE Rek m 0 I . .(� . ZONE BY DAT[
LEGALCORRECTIONS
DESCRIPTION I LOT NO, gg �BLOCK
TRACT
tt NO.OF BLDOS.
SIZE OF LOT Q X '�..fD I NOW ON LOT
UHE OF NO.OF NO:OF
EXIBTING SLOG. '�'��- FAMILIES I ROOMS 7 �
DESCRIPTION OF WORK
NEWS ALTERATION ADDITI1_314 �f,9+��� fJ
f` A_
REPAIR V t MOVING DEMOLISH+-"
S ZE ,,tR''OOMS G STORIES
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COVERING
WALL V'�+c.� Wa0 COVERING �'U.`o/1.0 nr2 pcl�'�,8.' •,_a�GfA_
USE OF NEW
BUILDING
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1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS _
APPLICATION AND STATE T AT THE ABOVE IS CORRECT INSPECTOR DATE _
rH FOUNDATION: LOCATION
AND AGREE TO COMPLY WI H ALL COUNTY ORDINANCES FORMS.MATERIALS
AND STATE LAWS E 1 G BUI DING CONSTRUCTION.
s FRAME: FIRE STOPS,
SIGNATURE OF BRACING.BOLTS1�.:.r= �
PER T_rrr
LATH. INT.
AUTHORIZED AOT
LATH, EXT.
s v
96A6313A-3 2-50 $ P C.8 PLASTER.INT.
/ % 7a' a ^!
FEE / 3`a O PLASTER.EXT.
Q,
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VALUATION FEE ' to FINAL
76AE3EA C6#B0]-9-60 APPLICATION "FOR BU LDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION - LOCALITY `
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST +
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST '
DISTRICT NO. I GROUP TYPE P ESSED BY.
FOR APPLICANT TO FILL IN CONST
BUILDING �' STATISTICAL CLASSIFICATION SE ER'MAP '
ADDRESS K
CLASS NO DWELL UNITS__n '
LOT NOBLOCK MAP - STATE YES
I NUMBER HWY
TRACT USEZONE SPECIAL ,
SIZE OF LOT Q' �[ 9 I NO OF SLOGS. CONDITIONS
NOW ON LOT
USE OF
EXISTING BLDG Ps BUILDINGEXIST
7 .ET BACK YARD HWY STREET NAME WIDTH
OWNER �^ 'eJC�1® RONT"
P L
ADDRESS ♦� 'SIDE ,
ARCHITECT OR - �_ TEL - •P L
ENGINEER NO INSPECTION RECORD
ADDRESS �! .✓' s a _
TEL - P".� ,A ,.+,5E+�°S'° iF dL� A O
CONTRACTORf� '�, ` � NO. ��;� - U -
ADDRESS !T 1,J� '��VLT id VLQ/ I c �. •" '�/ i��/'�"..�+"/`!�i OG
DESCRIPTION OF WORE
NEW LTE REPAIR DEMOLISH
SO FT P_ NO OF NO OF•, ?
SIZE G -STORIES FAMILI
USE OF ' I ;•
STRUCTURE •_ ,
SIGNATURE OF f` '
APPLICA - -
VALUATION -
APPROVALS DATE INSPECTOR S,SIGN TURE
PC – PMT / FOUNDATION LOCATION ,,, / J
FEE $ FEE $ [C 'FORMS, MATERIALS f
—_ FRAME FIRE STOPS, �y
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS,
BUILDING CONSTRUCTION •I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR'WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT /
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT .,, ,
TO THE;WOR KMEN OMP NSATION LAWS F IF RNIA
LATH, EXT
••2+?t, 7 HRECT AND POSTED R
SIGNATU LE_jg
PERM I,
ADDRESS• �! FINAL
CLYDE N DIRLAM, PRINCIPAL STRU RAL ENGINEER
PLAN CHECK VALIDATION ' CK. M.0. CASH PERMIT VALIDATION CK. M.O. CAPH '"