HomeMy Public PortalAbout9545 BLACKLEY ST_Building__ ( �!�f'
76A636A CE rrt. 8031-62 APPLICATION FOR BUILDING 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 N.Q! GROUP TYPE RO E BY
FOR APPLICANT TO FILL IN CONST: n
BUILDING ( �. TE/./ice G��1"y STATISTICAL CLASSIFICATION \ EWER MAP
ADDRESS �� -.I ,� �:K "?q
CLASS. NO. DWELL. UNITS r
LOT N R' BLOCK WATER CERTIFICATE: NOT REQUIREDEl
RECEIVED ❑
TRACT - �'r NO f HCGRCWE, STATE MAJOR SECOND,�OCAL
�+ �(�a NO.OF BLDGS. V
SIZE OF LOT-5 �/` / NOW ON LOT USE ZONE SPECIAL
USE OF n CONDITIONS l \
EXISTING BLDG.
OWNER EW/S 0,913 2 NO. D Qty ,1
077dr BUILDING YARD HWY STREET NAME EXIST.
�"7 SETBACK WIDTH
ADDRESS `�,� / L�,�/jt— esFni_ FRONT
ARCH ITEdT OR TEL. P. L.
ENGINEER NO. SIRE }
PID
ADDRESS A.
TEL. 0
CONTRACTOR -L(/' /[3U/442Ah NO. '
OC
ADDRESS O
H
DESCRIPTION OF WORK Lu
a
N
EW HADD ALTER REPAIR DEMOLISH / Z
SQ. NO. OF NO OF
SIZE FT. /��S STORIES FAMILIES/
USE OF 7
STRUCTURE
SIGNATURE OF , -
APPLICANT-
VALUATION
PPLICANT VALUATION $ Y Y
APPROVALS DATB INSPECTOR'S SIGNATURE
FEE $� FEE $ O lS FO FORMSI, MATERIALS 9�' (! s'
FRAME: FIRE STOPS, I .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- -cAKT7f'INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN'ZCOMP SATION INSURANCE.
LATH. EXT. V
SIGNATURE OF % l HOUSE NUMBER COR-
PERMITTEE —4 RECT AND POSTED
ADDRESS �- 'L /�N IE,��1'',-1 FINAL r ='4 ..
JOHN F. LEWIS. PRINCIPAL STRU TURAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
L114.rC;
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS/ - 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT 1 TEMPLE CITY CA 91780 BL 0508 1210220092 .
PHONE: (626) 285-0488 EXT-
ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1
1 ON FILE I SQ- FT STORIES TYPE 1 9545 BLACKLEY ST
1 _ (STRUCTURE- V--B TEMP CA 917803143 1
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
18590-005-022 THOMAS PAGE 596 GRID- ,J4 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 IISSUED ON: PROCESSED BY: J
1 IEXIST OCC GRP: 110/22/12 SR 1
I I I I
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: - VALUATION. (FINAL DATE FINAL BY: CODE: 1
CH00 SOOYOUNG;SOOMYUNG (714) 669-8184- 1 15"900-
11292
5•,9001292 DEBORAH DR
ITUSTIN CA 92780 _ - J ;, - FEES PAID - 1DESCRIPTION OF WORK 1
1 J JKITCHEN REMODEL, 2 BATHROOM REMODEL, 12 WINDOWS AND 1 1
IFEE DESCRIPTION: QUANTITY: UOM: -AMOUNT: ISLIDING DOOR - I
JAPPLICANT: TEL. N0. I I -1
ICHOO, SOOYOUNG - (714) 669-8184- IAA BLDG PERMIT ISSUANCE 27.80 I 1
11292 DEBORAH DR IAB STATE GREEN BLDG FEE 15900.00 VAL - 1.00 ISPFCIAL CONDITIONS: 1
ITUSTIN CA 92780 IAC STRONG MOTION RESID 15900.00 VAL 1.60
.- JB1 PLANCHECK W/ENERGY - 15900.00 VAL 296.80 -
1 JB2 PERMIT W/ENERGY 15900.00-VAL 349.10 J
CONTRACTOR: TEL. NO. IFR INV WORK W/O PERMIT - 342.20 DOL 342.20 JAPPROVALS DATE INSPECTOR SIGNATURE
1R-JS GENERAL CONSTRUCTION (909) 503-2104- 1 TOTAL FEES 1,018.50 1 1
119624 EL RIVINO ROAD LIC. NO 1 "" ILOCATION AND SETBACKS I I 1
IRIVERSIDE CA 92509 928560 - 1 - I I 1
I _ _ •1SOILS ENGINEER APPROVAL , -
I I I I I I
JARCHITECT OR ENGINEER- TEL. NO: 1 IFOUNDATION/TRENCH FORMS
LIC' NO. I ISLAB/UNDER FLOOR I J I
I I i I
1 I IRAISED FLOOR FRAMING J 1
IMAP NO. SEWER MAP BOOK- PAGE: FIRE ZONE: CMP J - _ UNDERFLOOR INSULATION I '
1147H269 3 ODI 1 1
I I �- , - IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND STAT CL1.SS: 1 _ - - I ' . - 1 1
1 0 NO 21- 1 1ROOF SHEATHING 1 1 1
J SCHOOL WITHIN HAZARDOUS J - SHEAR PANELS
JAIR QUALITY: 1000 FEET MATERIALS
1 NO NO NO I - 1FRAME INSPECTION 1 1 1
I I 1FIRE SPRINKLER HANGERS
I I 11NSULATION/WEATHER STRIP) J 1
I .11NTERIOR LATH/DRYWALL
EXTERIOR LATH
1RATED FLOOR/CELL ASSEM. I I J
I IRATED WALL ASSEMBLIES J
I I IRATED SHAFTS/OPENINGS i I
I IT-BAR CEILINGS J
I I I I I I
I _ I ILOT DRAINAGE J J 1
J . I I
I - - (REPORT ID: DPR261 ROUTE TO: BS0508 I J J 1