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Home My Public Portal About9548 BLACKLEY ST_Building__ I , . - 0- ARTMENT'.OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF^-L6ANNGELESa I L I G 'If WM. J. FOX, CHIEF ENGINEER >; ) PERMIT NO. �^•.FSO^R APPLICANT TO FILL IN FOR OFFICE USE ONLY' BUILDINGADDRESS T•.�y �� ^ DISTRICT,NO_il �P��LAN q 6 �/44/_ LOCALIT J )RECEIVED BY DATE OF APPL. DATE ISSUED NEARES (\/ CROSS ST. BUILDING ADDRESSOWNER 9 S U Pyn rd°� MAIL LOCALITY ,( , +G(1l/ ADDRESS Cn ELA-d 2 /y'•"q NEAREST CIT '�G�- j✓�j/� N2c/ (�,(,,,� FIROESS ST. ( •NO. OF �jC—�` TYPE GROUP'r j'• ARCHITECT OR TEL. ZONE �� PLANS ENGINEER NO. -" BLDG. U / �/ NO. SETBACK LINE, ADDRESS �- APPROVED - -- EL. BY DATE CONTRACTOR O. �.2" USE APPROVED' ZONE A— I BY DATE - ADDRESS S�_/Y�� HOUSE NUMBERING LEGALLOT NO. I BLOCK MAP NUMBER/+ r� DESCRIPTION U _ FIELD CHECK BY TRACT NO. ASSIGNED BY DATE /y NO. OF BLDG ,� CORRECTIONS SIZE OF LOT33 -S. O,7 I•NOW ON LOT USEOF NO. OF EXISTING BLDG, I FAMILIES Ir p---��d DESCRIPTION OF WORK NEW "I"� I ALTERATION I I ADDITION I - O REPAIR I, .I DEMOLITION I I I -- - ,/ A SQ. FT. NO. OF O SIZfi Q Q ROOMS STORIES ' ' D EXT. WALL .. . ^' I ROOF rCOVERING J ��+�t7 COVERING � .USE OF STRUCTURE �. -.o j.vl-tea. F� APPROVA INSPECTO 'S SIGNATURE D TE I HEREBY•.ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION � /.� 7//� PLICATION -AND-,STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS / < ,./ CORRECT. t AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS, !® LAWS REGULATING I-DING CONSTRUCTION. 1 FURNACE: LOCATION, SIGNATURE OF" GAS VENT,.DUCTS' 'PERMITTE \� LATH, INT. ADDRESS _LATH, EXT. AUTHORIZED AGT. - PLASTER,•INT. 7iA638A- DES9'' 10-50, 00(JOU d� FP.EE. $ ? G''� OO PLASTER, EXT. VALUATION �r 1/ $ FEE ! FINAL APPLICATION FOR,ABUIL®ING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI ADDR s BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, 8c or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP' gopptq�r//eoYyf(Sec.3800,Lab.CJ Cly 17 6Q LOCALITY Policy Nd��6—n O—tiompany hL((—�L SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. IF �Certified copy is filed with the count building ins Y 9 ection TRACT BLOCK LOT NO.P USE ZONE MAP NO. depart ent. -_�^y, Dat 2 Applicantyvv5 ASSE OR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS DO dU CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL.NO.-1 -7-70 �O VES No ADDRES COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? S (This section need not be completed if the permit is for one hundred l C DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit , 7 E9 J"�Q� 1� is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. / DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' C ACTOR �TE7L.NO. Z SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �df ` S FRONT comply with such provisions or this permit shall be deemed revoked. DRE,SS"� LIC.NO. P L !� 7 Z *8 iSIDE d LICENSED CONTRACTORS DECLARATION CITE LI C S 3 P L CD 1 hereby affirm that I am licensed under provisions of Chapter 9 (1 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT_SIZE NO.OF TORES NO.OF FAMILIES S NEW ❑ BK PG C; Professions Code,and my license is in full force and effect. v �I SCR TION OF WggRK ADD ❑ CL VALUATIO License N�u iber Lic.Class r /c — Oiv 0 rn Contractllir ,yN� 3o Z ALTER ❑ z ❑ 1 am exempt under Sec. rfIx 6h�l REPAIR ' $ B.&P,C.for this reason v ('i DEMOL ❑ =DMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature AP NT(PRINT) < TEL.NO. LDMA Perm# Z `i •t- e 3 ❑ I, as owner of the property, or my employees with wages as their sole compensation,will do the work and the structure is ADDR F. --- -� - not intended or offered for sale (Section 7044, Business and FINAL DA ��. ^ p Q =•�MC Professions Code. 1 I ) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT NDLEAHAZARDOUS MATERIAL -J ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q -j i i F FSS 82 m00 Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY � licensed contractors to construct the project.(Section 7044, YES❑ NO❑ HEK "may Business and Professions Code.) `-L WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ti (-j�-E CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ No❑ the performance of the work for which this permit is issued(Sec. -;j j" 3 ,?s 1 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD J„1 3097,Civ.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING *. ia”-s''S) Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. 08 1 Lender's Address OWNER 0RAGENT o i certify that I have read this application and state that the above P.C.FEE PERMIT FEE g information is correct. I agree to comply with all county 9 — a ces and State law ing to building construction,and hereby a horiz resentative of this County to a ter upon ISSUANCE FEE the abov a toned party f inspection purpos n 0 INVESTIGATION FEE TOTAL FEE s�u�emre v � oem SEE REVERSE FOR EXPLANATORY LANGUAGE ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0108100009 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 17712 LT: 3 SQ. FT STORIES TYPE OCCUP GROUP 9548 BLACKLEY ST STRUCTURE: 420 1 VN R3 TEMP CA 917803142 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: CLOVERLY 8590-007-003 OTHER: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/15/01 UT 02/11/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FI BY: CODE: YIM, YING (626) 286-8939- 35,700 9548 BLACKLEY ST '��iJ TEMP 917803142 FEES PAID DESCRIPTION OF WOR ROOM ADIITION (420SQ.FT.): GAMEROOM, BEDROOM, & BATHROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 35700.00 VAL 575.01 AA BLDG PERMIT ISSUANCE - 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 35700.00 VAL 3.57 B2 PERMIT.W/ENERGY 35700.00 VAL 676.50 _ -TOTAL/'FEES 1,282.83 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS 2 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - - FOUNDATION/TRENCH FORMS Z, O LEE, MATTHEW S (626) 308-3843- 1218 A EDITH AVE #A LIC. N0: - SLAB/UNDER FLOOR ALHAMBRA CA 91803-2476 NONE RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 Z 1 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS K L/ NO NO NO FIRE DEPT. FRAME INSPECT (,14 D( REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT 1/ SET BACK YARD: HWY: PROP LINE: WIDTH- r FRONT PL SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL (i 7k EXTERIOR LATH ' -"- LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 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 1206280017 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST I BUILDING ADDRESS: 1 ITR: 17712 LT: 3 SQ. FT STORIES TYPE I 9548 BLACKLEY ST I (STRUCTURE: V-B I TEMP CA 917803142 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 1 18590-007-003 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 1 1EXIST OCC GRP: 106/28/12 SR 1 I I 1 1 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AL DATE FINAL Y: CODE: 1 ICHONG, TIM - I 700 1 1 19548 BLACKLEY ST I I ITEMP 917803142 1 FEES PAID IDESCRIPTION OF WORK II 1 I JENCLOSING ONE 24" X 48" WINDOW I 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( 1 1APPLICANT: TEL. NO: I I I IKWOK, TERENCE (323) 697-2120- JAA BLDG PERMIT ISSUANCE 27.80 1 1260 E. GARVEY AVE JAB STATE GREEN BLDG FEE 700.00 VAL 1.00 ISPECIAL CONDITIONS: IMONTEREY PARK 91755 JAC STRONG MOTION RESID 700.00 VAL 0.50 I I ID2 PERMIT W/0 EN-HC 700.00 VAL 43.70 I 1 I _I TOTAL FEES 73.00 (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I IBEN KWOK CONSTRUCTION CO. (626) 922-6181- 1 1 1 1720 HILL PLACE #3 LIC. NO I ILOCATION AND SETBACKS 1 I ILOS ANGELES, CA 90012 591589-B I I 1 I I I ISOILS ENGINEER APPROVAL 1 1 1 (ARCHITECT OR ENGINEER: TEL. NO: I 1FOUNDATION/TRENCH FORMS I I LIC. NO: I (SLAB/UNDER FLOOR I I I I I I I I I 1 1 IRAISED FLOOR FRAMING 1 I I I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J (UNDERFLOOR INSULATION I I 1147H269 3 001 1 I I IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 0 NO 21 1 IROOF SHEATHING I I 1 I I I I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I JAIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO 1 1FRAME INSPECTION 1 1 1 I I I I I I I IFIRE SPRINKLER HANGERS 1 I I I I I I I 11NSULATION/WEATHER STRIPI II I I I I I I IINTERIOR LATH/DRYWALL I I 1 I I I I I I 1 1 1EXTERIOR LATH 1 I I I I I I I I I IRATED FLOOR/CEIL ASSEM. I I I I I I I I I 1 I (RATED WALL ASSEMBLIES I 1 I I I I I I I I I IRATED SHAFTS/OPENINGS I I 1 I I I I I I I IT-BAR CEILINGS I I 1 I I I I I I 1 I ILOT DRAINAGE I I 1 I I I I I I 1 IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I I 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 1205220011 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 17712 LT: 3 SQ. FT STORIES TYPE 1 9548 BLACKLEY ST 1 I _STRUCTURE: 350 V-B TEMP CA 917803142 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 1 18590-007-003 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 IISSJED ON: PROCESSED BY: EXIST OCC GRP: - 106/06/12 SR (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IF L DATE FINA Y: CODE: CHONG, TIM - 20,000 1 9548 BLACKLEY ST �� TEMP 917803142 FEES PAID D SCRIPTI N OF WORK 1 (1) REMOVE 3 WINDOWS ADD 2 WINDOWS (2) REMODEL EXISTING 2 _IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IBATHROOMS & KITCHEN (APPLICANT: TEL. NO: I I JKWOK, TERENCE (323) 697-2120- JAX BUILDING REVIEW FEE 54.70 1 1260 E. GARVEY AVE JAA BLDG PERMIT ISSUANCE 27.80 SPECIAL CONDITIONS: 1 MONTEREY PARK 91755 JAB STATE GREEN BLDG FEE 20000.00 VAL 1.00 1 JAC STRONG MOTION RESID 20000.00 VAL 2.00 ___JB2 PERMIT W/ENERGY 20000.00 VAL 423.10 ICONTRACTOR: TEL. NO: IFR INV WORK W/O PERMIT 342.20 DOL 342.20 JAPPROVALS DATE INSPECTOR SIGNATURE (BEN KWOK CONSTRUCTION CO. (626) 922-618-= TOTAL FEES 850.80 1 1720 HILL PLACE #3 LIC. NO ILOCATION AND SETBACKS ! ILOS ANGELES, CA 90012 591589-B I__ I ISOILS ENGINEER APPROVAL JARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS !! LIC. NO: SLAB/UNDER FLOOR ! IRAISED FLOOR FRAMING 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J JUNDERFLOOR INSULATION 1147H269 3 001 1 I- I IFLOOR SHEATHING ! INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I ! ! 0 NO 21 ROO SHEATHING J SCHOOL WITHIN HAZARDOUS ISHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS I_ NO NO NO FRAME INSPECTION IFIRE SPRINKLER HANGERS INSULATION/WEATHER STRIPI I I INTERIOR LATH/DRYWALL (EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS IT-BAR CEILINGS ILOT DRAINAGE IREPORT ID: DPR261 ROUTE TO: BS0508