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HomeMy Public PortalAbout9531 BLACKLEY ST_Building__ 76A667 17 9-49"® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO F4 LL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER v RECEIVED BY 'READY FOR DATE ISSUED 1 ` FIRST INSPECTION ADDRESSBIJILD ADD EING S. CITY TEL N // COU TY y +� LOCALITY LICENSE NO EXPIRES NEAREST PERMIT FEES CROSS ST 6 NUMBER TYPE OF FIXTURE OR ITEM FEE /f�� OWNER WATER CLOSET (TOILET) @O 50 $ I MAIL ADDRESS / -U /0 `^ cd BATH TUB Q O 50 I I CITY ! 694 TEL NO. SHOWER ® O 50I 1 HEREBY ACKNOWLECIGE THAT I HAVE READ THIS A-10 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) Q O 50 i� AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK O 50I STATE LAWS REGULATING PLUMBING. LAUNDRY TUB OR TRAY Q -OSO ANI OR CERTIFY THAT I POSSESS THE ABOVE VALID LOS GELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER —I GAS SYSTEM OUTLETS Q O 50 I OF THE RESIDENTI L PROPERTY DESCRIBED ABOVE. t SIGNATURE PERM ITT EF { I WATER HEATER Q O 50 (...J SLOP SINK Q o Sol 6-�f INSPECTION RECORD FLOOR SINK Q O 50 1 FLOOR DRAIN o O 50 DISHWASHER Q O so DRINKING FOUNTAIN Q O Sol IURINAL Q O 501 ,J IHOUSE SEWER Q o Sol Z MISCELLANEOUS I �_ ( I � I I I APPROVALS DATE / INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT il. CESSPOOL Q 1 00 I I CESSPOOL SEPTIC TANK- I I SEPTIC TANK , DRAIN ( ) PIT ( Q 1.00 I SEWER PERMIT . 1.00 GAS TEST / I UTILITY CO NOTIFIED I TOTAL FEE $ FINAL DEPARTMENT OF BUILDING AND SAFETY- `I APPLICATION FOR PERMT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER ' L FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ^ DISTRICT NO. PLAN CK.NO, PERMIT NO. BUILDINQ �/1/ry�g ,-p I� �• / ps�,/ �w / ADDREB® /J J fl ) 'G Y \JJ l%C7� U v LOCALITY RECEIV B/Y DATE OFAPPL. GATE ISSUED NEAREST CROSS ST. 57.f 4 c B UILDING �2/ 2i OWNER DRESS MAIL ADDRESS , o' / }f•-- PITY -�C IIC� TEL. CROSSBT CROSS 8T. NO. FIRE NO.OF TYP$l GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER !1 NO.1 BLDG. -` / ORD.NC. A DRES 4 SETBACK LINE APPROVED TEL. BY DATE CONTRACTOR ♦NO• •, �� L USE /�/� APPROVED � ADDREB LS {firr. �j ZONE L�71 BY DATE LEGAL DESCRIPTION L � U BLOCK " CCORRECTIONSTRACT I / I S s I b Y t�'fl t13 n re S ' E1 7'i J'/ o + W Oof . -A 2 NO.OF BLDQ9. �+^ SIZE OF LOT O .I NOW ON LOT USE OF NO.OF NOO�� EXISTING BLDG. FAMivas RDi3% .�1-o DESCRIPTION OF WORK io ���,-�, " / NEW ALTERATION ADDITION 9d O� i� 6 Ew/• .iT O REPAIR MOVING DEMOLISHF Al,'n, G_ 9q.FT. NO.OF Z SIZE ROOMS STORIES �},(„�/)' ��G.T _ i+7'�' WALL R 130'r COVERING I COVERING 11 /�fi��• - UBE OF NEW GV BUILDING 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS/ APPLICATION AND STATE THAT THE ABOVE 19 CORRECT 1 SPECTOR DATE, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FFORM% IONR LOCATION AND STATE LAWS EGULATING 1 DI CONSTRUCTION. 1 FORMS.MATERIALS FRAME: FIRE STOPS, SIGNATURE OF - BRACING.BOLTSU`' PERMITTE '� LATH, INT. ` / � AUTHORIZED A T LATH. EXT. Y �B 76A63BA-3 2-SU $ P.C.III PLASTER.INT. FEE I Jn PLASTER,EXT. VALUATION FEE �/ FINAL DIVISION OF BUII.DING•AND SAFETY " x: M-�I' , Deportment of County, County of Los Angeles ` WM. J. FOX, COUNTY ENGINEER -APPLICATION ' BUILDING FOR _i�APPLICANT pv�7TO FML_IN �' ' - •ADDRESSBUILDING �• ADDRESS !� I '�_ I alaolrle LOCALITY . (J' N EAR EST3 Q. CROSS ST. �®� �`"� LOCALITY '� I W �' DISTRICT NO.,"'' PLAN CK.OR REC. No. PERMIT NO. t, NEAREST �'O V?ir' /,/ CR089 ST. g OWNER , 'S �•�.a �� REC�J Y DATE OF APPL. DATE.QB MAIL o /� e, ADDRESS �,� USE ZONE 150. OF TYPE GRO -FFIRE ZONE TEL. {�(g, Q /I-PLANS�_� CITY s\� Y �6 - NO. �e" ARCHITECT OR ` TEL. ZONING-. AT ENGINEER NO. APPROVED BY BUILDING .� RD o ADDRESS J /I ` ,E SETBACK LINE: • CONTRACTOR & !G' �"'p0• �. _,/ /.I. APPROVE 4w� k1�r r-� '' USE NUMBERING ADDRESS LEGAL - MAP NUMBER x®!96 •'•NO. ASSIGNED BY' DESCRIPTION .LOT NO. BLOCK i sS,/0� xew 9644F� D� CORRECTIONS INSPECTOR TRACT v y d� ' BLDG SIZE OF LOT (� / I NOW ON LOT S I I ' USE OF - EXISTING BLDG. tom. FAMILIES Q DESCREMON OF WORK _ a Z NEW / ALTERATION. ADDITION r P REPAIR DEMOLITION SQ. FT. I _ - NO. OF ' SIZE / •q +' ROOMS STORIES ROOF COVERING �J�Ldi►1e3 I COVERING �G VW USE OF STRUCTURE - r- 6/ i _ APPROVA�:S INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION ` FORMS, MATERIALS A HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION'GIVEN IS BRACING, BOLTS -- CORRECT. IAGREE TO COMPLY-WITH ALL COUNTY ORDINANCES• FURNACE: LOCATION, _ AND STATE LAWS REGULATING �BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF 6'�.�1�/ LATH, INT. PERMITTEE/ ADDRESS V///lll/fr/,l7"""yyyJJJ�fff/A�/' VVV /�/ ' G���G r7 4 4 LATH, EXT. _. • AUTHORIZED ACT. / �" PLASTER, INT. ©� PLASTER," EXT. $ P. C.ffi FEE ` HOUSE NUMBER COR- RECT AND POSTED -- VALUATION FEE ffi lrVAL . i 76ASSSA Des H 2-218 r