HomeMy Public PortalAbout9541 BLACKLEY ST_Building__ 7GA638A CE 8031-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING �rC
DEPARTMENT. OF COUNTY ENGINEER ADDRESS !o�
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST a
WILLIAM A JENSEN. SUPT OF BUILDING CROSS ST -�-
DISTRICT NO GROUP TYPE P OC 'ED BY '
FOR APPLICANT TO FILL IN �'J coNsr
BUILDING STATISTICAL CLASSIFICATION SEWER MAP,-
ADDRESS .� L/k LZ CLASS NO , DW ELL UNITS K
LOT'N C BLOCK WATER
/
CERTIFICATE NOT
NOT REQUIRED RECEIVED
TRACT •S;f/ ! P a o ( (iCIGCVL
NOE) STATE MAJOR SECOND, CA
NO OF BLDGS'
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL '
USE OF CONDITIONS
EXISTING BLDG ,.
-' TEL /� '
OWNER/Al j ' �• a NO �l BUILDING EXIST
lz SETBACK YARD HWY STREET NAME WIDTH
ADDRESS Oa'L p_17 G,�/✓/� ;, -fzi',I FRONT t
ARCHITECT OR TEL '" P L
ENGINEER NO SIDE ,fie
ADDRESS ,A° CLt
TEL fP A u.bl�Yf.1 V
CO NT RACTO RenL' /f'T�' U/1_,7trrlZ NO
ADDRESS r - r Y ,f 0O
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DESCRIPTION OF'WORR -j /py7 W
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EW ADD ALTER REPAIR DEMOLISH ✓ L ` �� j "" nn� •- /� Z_
FT= •-'h - NO OF NO OF :r7,,v I/�,(I• /.Y/rG/, v °, .�/Fl l>f t
SIZE /1��,5 STORIES FAMILIES/
USE OF
STRUCTUREV
�77 , ry✓�L� G py.�i ��/ lo& ���y
SIGNATURE OF .c%• [�V �, X/Y.�r�ti+'//.#�A_? �i/K"A
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APPLICANTA �' ,
VALUATION $ ��
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APPROVALS •O DATE INSPECTOR'S SIGNATURE {
aPCPMTFOUNDATION LOCATION^ /��
FEE $ ✓O S FEE $ Q FORMS, MATERIALS'
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS A� ,vA•i .,f''td...
AND STATE THAT THE ABOVE IS CORRECT AND AGREE"TO COMPLY FURNACE LOCATION �`d` I✓ `r "• `
WITH ALL COUNTY ORDINANCES AND STATE-LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY -THAT IN DOING THE WORK f
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT, - - �� ,� .H
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S CO NSATI//O//N INSURANCE --
^� IN � LATH. EXT
SIGNATURE HOUSE NUMBER COR-
PERMITTEE� - RECT AND POSTED j4hl Xt 1.81CdPAA
ADDRESS �D� °- ��• L QSz� FINAL
' r"; JOHN F LEWIS PRINCIPAL ST R URAL ENGINEER
PLAN CHECI{ VALIDATION CK mo CASH _ PERMIT VALIDATION cK M O CASH
Lii� t73 '7 i nPRr4 2 3 D.. "•3 0.255 n
4 Lnuo 4 8, G a l MAY 17 1- c , 60.50-
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 0403040043
PHONE: (626) 285-0488 EXT:
LEGAL 0 DD
ON FILE SQ. FT STORIES TYPE 9541 BLACKLEY ST
STRUCTURE: 76 VN TEMP CA 917803143
ASSESSORMA 0 NEAREST CROSS STREET: CLOVERLY
8590-005-020 THOMAS PAGE: 596 GRID: J4 _ LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLD E: R-1 ISSUED ON: PROCESSED BY: EXPIRES
EXIST OCC GRP: 03/04/04 VG 02/27/05
OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATION: FIN L D TE F NAL BY: COD
RIBEIRO EUGENE W (626) 625-4627- 4,000 G�
P. 0. BOX 1062
SGAB 91778 FEES PAID DESCRIPTION OF WORK
CONVERT EXISTING PORCH TO DEN - 76 S-.F.
APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING REVIEW FEE 54.70
B2 PERMIT W/ENERGY 4000.00 VAL 127.38
TOTAL FEES 210.33
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS, ENGINE R APPROVAL
ARCHITECT R ENGINEER: TEL. FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOORG
MAP NO: SEWER MAP-BOOK: PGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147-269 . 3 01
FLOORSHEATHING
NO. OF FAMILIES: DWELLI : A : STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHINHAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK ROM EXIST FIRESPRINKLER HANGERS /
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEA STRI �q
SIDE PL- Oa
INT RIOR LATUMPALL /
EXTERIOR LATH
RATED FLOOR/CEIL ASS5M. i
RATED WALL ASSEMBLIES
RATED "AFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508