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HomeMy Public PortalAbout9527 BLACKLEY ST_Building__ DMSION OF BUIMING AND SAFETY Dep=taneml of County Engineer_ SI L.DING _ County of Los Angeles Vol WM. J. FOX, COUNTY ENGINEER i APPLICATIONBUILDING • .�`/� FOR APPUCAPT TO FILI. IN• ADDRESS S� 7 BUILDING �J ^ /�^ j�f -/_ / ADDRESS: / 2 L /J/QST/P-� a� - LOCALITY / NEAREST LOCALITY e A1'[ le- �/• CROSS ST. DISTRICT NO.; ' PLAN CK. OR REC. No. 'PERMIT NO. NEAREST o S sT. C/o v e r-� h'1 �a. „ - RECEIVE BY '"•,DATE OF APPL. DA ISSUED OWNERMAIL ADDRESS .S aL /4 G I,L '. J _ �. USE'ZONE OF TYPE I GROUP FIRE ZONE /T1�J77. TEL LANS• , CITY /. / _ NO. ARCHITECT OR TEL. /•'. ZONING ENGINEER s alz NO. APPROVED BY- •--+rr 1 BUILDING .2 40 aD.No. ADDRESS - �• SETBACK,LINE: _ TEL: CONTRACTOR .,NO. - By, �o•� � ROUSE NUMBERING ��— • ADDRESS " vAA / /�' �''• 'LEGAL, -I ""BLOCKMAP NUMBER "•-� I/ / _NO. ASSIGNED BY DESCRIPTION, LOT NO. ' TRACT- /3 r /� /y►— ,/,1ry � DATE I CORRECTIONS I INSPECTOR � NO. OF BLDG O n SIZE'OF LOT fj,�(pi �7 /� NOW ON LOT S. USE .L MOOF F F ING BLDG. Y`CS "QAC !Q AM STLIES I O DESCRIPTION OF' WORK NEW ALTERATION ADDITION REPAIR "DEMOLITION SIZE J (es ROOMS / STORIES EXT. WALL I ROOF - /'O I COVERING GG.O COVERING ` .S ' USE OF STRUCTURE V - APPR VALS INSI ECf 6R'S SIGNATURE JDATE _ - FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT, 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAME: FIRE STOPS, •- CORRECT. BRACING, BOLTS 1AGREE,TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS V`" ( �• •, ' SIGNATURE OF - •LATH. INT. PERMITTER �f r� ADDRESS /S a� f'�r /�7/4 c/l/L�C/ s�• LATH.' EXT. / •z PLASTER, INT. AUTHORIZEDAGT. �� nom_ LQI.1.���A ti ,� t� -� •PLASTER, EXT. '1�,4X C�,C.Q t J.0 �Z ot L'sy FEE•���� HOUSE NUMBER COR- RECT.AND OR- RECT.AND POSTED VALUATION FEE _ � FINAL \ I .70AGS8A DBS a •s-ss DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® � y: WM..J. FOX, CHIEF ENGINEER r r 'FOR,APPLICANT:TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS LLJJ ' RECEIVE BY ,DATE OF•APPL., DATE ISSUED LOCALITY NEAREST CROSS'ST. tI (� lUKDING I ADDRESS OWNER '•� MAIL LOCALITY' ADDRESS NEAREST ' TEL. CROSS ST. � � CITY �� �,/ NO. hQ YJ VFIRE ' OF I TYPEI•GROU ' ARCH I TECT ORS', TEL. ZONE• - PLANS ' ENGINEER J ee NO.' BLDG - - ORD. NO r / SETBACK LINE , ' ADDRESS ✓ APPROVED TEL. BY j 4- DATE CONTRACTOR 4 '�� / NO. 'USE APPROVED. ' ZON BY _ DATE ' ADDRESS HOUSE NUMBERING LEGAL .DESCRIPTION LOT NO. I BLOCK MAP NUMBER - FIELD CHECK BY TRACT - ,NO. ASSIGNED BY AT17 ,I NO. OF BLDGS. fy CORRECTIONS.., SIZE OF LOT NOW ON LOT USE T. @� FA OF , EXISTING BLDG. Y � FAMILIES i DESCRIPTION OF WORK r NEW I " I ALTERATION I I ADDITION t REPAIR; I I DEMOLITION 84. FT.- NO. OF ' SIZE �,.��• . ROOMS STORIES _ Z ~ EXT WALL I ROOF COVERING COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY -ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT \THE INFORMATION GIVEN .IS FORMS, MATERIALS CORRECT. ' 1 AGREE TO COMPLY- WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, , HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS , _ Q��� •G7 LAWS REGULATING"BUILDING CONSTRUCTION. 5��/^// yy_ FURNACE. LOCATION, SIGN PERMITTER,/ GAS VENT, DUCTS ERMITTER, ' ' ADDRESS /J �7 , aelac_k/LO(' �g( LATH, INT. J w , AUTHORIZED ALATHEXT. GT.- '" � t . PLASTER; INT. 76A638A• DBS3 , 10-80 P. C. $ © FEE PLASTER, EXT. - VALUATION $ �.� FINAL - /�•// /7 FEE P DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® .� WM. J. FOX. CHIEF ENGINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY L [' DISTRICT NO. PLAN CK.NO. PERMIT NO,_/ BUILDING �/ �, /QCn/ems ADDRESS J 7 / LOCALITY Lh, /t°. if/-) RECEIV D 9Y DATE OFAPPL. DATE ISSUED NEAREST EROS ST. CIO,/ BUILDING OWNER ,(/�� .s�i���'�Vl ADDRESS MAIL /� v ADDRESS�f A114 1;/1,ye J!. t LOCALITY / e rh /L° / � NO /A/ 4'�Q 9/ NEAREST ROSS ST. S C / CITY FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. ORSETBACK,LINE D.NO ADDRESS Y APPROVED s TEL. BY DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE BY DATE LEGALCORRE,CTIONS _5� ' DESCRIPTION LOT NO. BLOCK TRACT .�.{, /r�� s J,?6'of NO.OF BLDGS. S SIZE OF LOT .�� n �V I NOW ON LOT-,_ M�. USE OF NO.OFNO.OF EXISTING BLDG. FAMILIES ROOMS - -- - - DESCRIPTION OF WORK NEW x ALTERATION ADDITION O REPAIR ,`MOVING DEMOLISH _ SFT. // v U ROOMS STORIES ti+ • j Z SIZE �j/ D WALL - ROOF . . r COVERING I COVERING USE OF NEW BUILDING I lf�l �rAra c�F_ t 1 HEREBY ACKNOWLEDGE THAT I 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, ✓ L- ////�� FRAME: FIRE STOPS, SIGNATURE OF y= /hA /y BRACING,BOLTS / - Ste- PERMITTEE (/� Z LATH, INT. AUTHORIZED AOT LATH, EXT. 76A638A 9-48 PLASTER,INT. DBS-3 SOM 6ET8 � � P.C.41 FEE PLASTER,EXT. $ 1 VALUATION FEE FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' ® � 1 WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING f�1 C DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS /� , /► ) E /J/ G e A(„ rC/ c/' J ) LOCALITY a h'YI /o- j RECEIV���BY DATE OF APP L. DATE'I99UED NEAREST �� CROSSST. CIOV� IL. BUILDINT -2-1�/ OWNER (//_ ADDRESS MAIL / S LOCALITY T ADDRESS 2//W o V e �+ NEARESTTELA I �Yh a C,'} NO CITY aI -5jpy CROSS ST. FIRE 77� NO.OF TYPE GROUPJS+ ARCHITECT OR 'J TEL. i ZONE PLANE ENGINEER 0�,'1�i v— NO. BLDG. - /` ,,ORD.NO., SETBACK'LINE V �5�� ' / �y' �J iv ADDRESS APPROVED TEL. CONTRACTOR NO. BY ` DATE USE APPROVED - 1 ZONE BY• DATE ADDRESS LEGAL CORRECTIONS DESCRIPTION f' LOT NO. --_5' BLOCK QP � NO.OF BLDGS. SIZE OF LOT , I NOW ON LOT USE OF NO.OFNO.OF EXISTING BLDG. FAMILIES ROOMS ' DESCRIPTION OF WORK NEW ALTERATION ADDITION 1' REPAIRMOVING DEMOLISH 3 - SD.FT. }}�� NO.OF )/�[ Z SIZE - �`7'' ROOMS '/ STORIES y WALLROOF {,1 r r COVERING )0141� I COVERING coO1'erIl. S�i'bfiP _ USE OF NEW 1C ` ✓ - �� � BUILDING •)i Y/4�E �GJIr� �tr )'cs)'dee �c- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS ti^\ APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY,>>ORDINANCES FOUNDATION;: LOCATION AND STATE LAWS REGULATING BUILDING CC]NSTRUCTION., FORMS,MATERIALS V..(N f f/! , (O ;PRAM E: FIRE STOPS, L SIGNATURE OF n BRACING,BOLTS PERMITTEE LATH, INT. AUTHORIZED AGT LATH, EXT. f/` r 76A6 A 9-48 DBS-3�50M SETS $ FFEE .$ PLASTER,INT. l PLASTER,EXT. VALUATION FINAL ' APPLICATION FOR•'BUILDI'NG: PERMIT., FOR AP,P.LICANT TO-FILL IN"(Prinf or type only) - B ui L'A r�O^•i" n COUNTY OF°'LOS ANGELES ADDF�SS S• %? / .3�/F G L� ,•r,^ DEPARTMENT-Of ,COUNTY ENGINEER , clry �,�J Le r zlP` CJ/ ��7 BUILDING °AND SAFETY DIVISION OF.BLDGS`"' BUILDING ryl SIZE OF LOT'7�� �> NOW-ON LOT, ,4'DDRESS 4J P - �f 1 TRACTA/ ~ � B,� LOCK •LOT NOP--i-7 LOCA LIT TELT. NEAREST ' OWNER _ NO'��.i� CROSS ST --••- _ ter- - _ ASSESSOR �• - ADDRE �..�L I �� L(� MXP BOOK' PAGE - - PARCEL `• /y DISTRICT, GR TYPE FIRE OC SSED BY CITY (� �(� / f .ZIP r�� (JV (p C NS- ,ZONE - ARCHITECT OR �•• • , TEL (J ENGINEER c-.J STATISTICAL CLASSIFICATION �.` ^ T - _ SEWER_AP ADDRESS CLASS NO.r_21_ DWELL UNITS BK •+ PG TEL •USE ZONE NOP' Ul CONTRACTOR- " r` 'NO //�� •- - -' -LIC /�y'/ �• SPECIAL ADDRESS _ _ _,NO - V++-- '�• CONDITIONS ' LIC CITY ' CLASS ,ROAD DE PARTM EN•T APP 14OVA-1 REQUIRE D_ YES❑ NO❑� "� CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF ^(ST REETI C ADDRESS CITY _ HIGHWAY } YARD = TOTAL SETBACK FROM`TYPE OF 'EXISTING � SQ- FT '�••' O OF - _NO. OF- - -CHECK FRONT.PROP LINE HIGHWAY WIDTH 'C SIZE STORIES FAMILIES ONE }` d DESCRIPTION OF WORK 10 U NEW El - V, ADD' BLDG.SETBACK FROM •�- - - (STREET)' ? _ SIDEPROP LINEOF ALTER ❑ HIGHWAY } 'YARDT+OF TAL SETBACK FROM TYPE-OEXISTING • r '-•=• � REPAIRQ SIDE PROP LINE HIGHAY WIDTH , W• USE OF ��, ❑ -}. = a, '_ .EXIST BLDG_ - EMOL - ` APPLICANT TEL CORNER CUTOFF; YES-[:]' NO ❑ '• _ (PRINT) NO IN-O P.EN SPACE-i-. - - rY ES ❑,==r NO-E] - BY (SIGNATURE) " Q _ IN COASTAL ZONE` ❑ YES I- NO,'❑ V.ALUATION $ )' CATE GORI CAL•EXEMPTI ON•s` YES El - .NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL' AND STATE THAT.-THE ABOVE .IS CORRECT AND AGREE .TO COMPLY IMPACT' EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES-AND -LAWS REGULATING BUILDING CON-_ _4 ' ST RUC TION I CERTIFY THAT IN DOING THE 'WORK AUTHORIZED jN' IMPACT REPORT,PROCESSED (DATE) HEREBY I WILL NOT EMPLOY-ANY PERSON IN-VIOLATION OF'THE yy�� LABOR CODE OF THE S�TE OF CALIFORNIA IN RELATING TO i' QV12eD)s'_T" l �� WORKMEN'S COMPENSATION•INSURANCE - G4 /�/�•� , ' _ _.► 3 ; 1' SIGNATURE OF - � - PERMITTEE ADDRESS .7 _ FINAL _ C' BY CITY ~ - tJOL ��`/ .DATE y ` �� ./ - •. ... _ -.. P-C• �•/- r 1 PMT Q MAKE CIIECd .PA,YABLE'TO FEE r,�FEE HARVEY, T. BRANDT, COUNTY"ENG•INEER PLAN-CHECK VALIDATION- CK MO ` CASH _ _PERMIT.V,ALIDATIO -_CK "M O ;CABH- } ,_, _. ,.. ° - -' - 'i:NIAY_ `1�•r-.�1J, D 76A63BA CE# � 1.� Jr803'7/73 j �Q �,- --.v WORKERS'•COMPENSATION DECLARATION to insure, ora afcertif carte of Worke srtCompensat on ent Insuran elf m APPLICATION FOR° BU]L D I NG .PERMIT or a certified copy thereof (Sec 53800, Lab- C•)' ; COUNTY OF LOS ANGELES BUILDING AND SAFETY Paolcy_No 1039547-�npony :STATE,COMP. INS. FU Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS 9527 E. Blackley St. , Certified copy is filed with the unty-b dinLiec- BUILDING ' tion-department t ADDRESS 9527 E. BLackle St-. Tem le Cit Date 3-4-88 - Applicant CITY,Tem le Cit ZIP LOCALITY CERTIFICATE OF EXEMP,TION,FIR WO ERS' NO OF BLDGS NEAREST COMPENSATiION IN RANG SIZE OF LOT NOW ON LOT J CROSS ST Cloverly (This section need not be completed if the permit is for one ASSESSOR ' hundred dollars ($100)or,less ) -. TRACT BLOCK LOT NO MAP BOOK 3$ PAGE PARCEL OWNER Charlotte Ballard -.08182851089 USE NE MAP • IIce rtrfy that� m•the performance of the work_for which this - NO r permit is issued, I shall not employ'dny person in'any mannerSPECIALi ADDRESS 9527 E.. Blackle St. CONDITIONS so-as to become subject to the Workers'Compensation Laws O Date Applicant' CITY T ZIP ARCHITECT OR TEL DISTRICT t,guP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT If, after making 'this,Ceitrfcate of ENGINEER NONE NO CONST ZONE Exemption, you should become subject ,to Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS with,comjily with such provisions or this permit shall be TEL STATISTICALCLASSIFIC TION APT CONDO (n deemed revoked. CONTRACTOR Un'ited`'ROOfing Co.No 223-4081 Z Y LICENSED CONTRACTORS DECLARATION LIC _ CLASS NO, DWELL UNITS •1 hereby,affirm that)am licensed under provisions of Chapter 9 ADDRESS 1821 Dal 'St. NO 137 650 _ (commencing with Section 7000)of Division 3 of the Business and UC SEWER MAP Professions Code, and my license is in full force'and effect CITY L.-A.- CLASSC-39 BK ' PG VALIDATION SQ FT NO OF NO OF CHECK License Number Lic Class' C-39 SIZE' STORIES FAMILIES ONE ,. VALUATION - DESCRIPTION Or42M, off existing NEW ❑ Contractor Date 1-4—RR ADD $ 2962.00 I am exe pt un r Sec Roof install 3 1 built u fi erg1 ca s eet sqs on patioins 'Y B.BP C. for this reason Irl)4D otse-& garage - Date: LIPS S `� a DEMOL EXISTING BLDG E garage & ❑ Signature.* < - 'APPLICANT 2 patios. _ TEL -'FINAL`' OWNER-BUILDER DECLARATION - (PRINT) NO 223-4081 DATE , I hereby affirm that I am exempt from the Contractors License ADDRESS D FI Law for the following reason (Section 7031 5, Business and f�9 9:7,r� '"Professions Code)v ' • " '' . • #:e•e.010 oil • I • . '+; BUILDING 1.1:- I, as owner of the property, or my employees with' ADDRESS •, wages as their sole compensation,will do the work and o o �L ,.n�, the,structure is not-intended or offered for sale(Section kDDRE O6 [J',- 7044, Business and Professions Code) TEL EJj, as owner of the property,,am exclusively contracting OR NO with_licensed_cont�octors_to_construct the project (Sec- tion 7044, Business and Professions Code) CONSTRUCTION'LENDING AGENCY SET ' YARD'- HWY TOTAL A NE WIDTH I hereby affirm that,there is'a construction lending agency for the performance of the work for which this permit is issued(Sec 3097, Civ C ) " ' - _Lender's Name -- LDMA•Ref #Permit Fee 32.50 Lender's Address I certify that I have.read Phis application and'state that the Issuance Fee 10.50 LDMA P/C# above'mformation is correct I agree to comply with all County Investtgotion Fee "'. "` qordinances and State laws relating t building construction, 43.00 o Total Fee LD Perm and hereby outhonie re sentah of this County to enter upon the obo a-ment ed.pr y for inspecton purposes _ t y 3-4-88 o SEE REVERSE FOR EXPLANATORY LANGUAGE Signa a of ApKcant or.Agent Date