HomeMy Public PortalAbout9560 BLACKLEY ST_Building__ 'TyA 638A cEA03.5-65
APPLICATION "FOR 'BUILDIN & R`MIf
COUNTY OF LOS ANGELES BUILDING ,
DEPARTMENT OF COUNTY ENGINEER -ADDRESS
BUILDING AND SAFETY DIVISION - LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W JENKINS,SUP'T OF BUILDING CROSS ST -
DISTRICT NO,.' GRO P- TYPE. PROC USED BY
FOR APPLICANT TO FILL IN ,S` L CONST. _
BUILDING STATISTICAL CLASSIFICATION SEWER:MAP
ADDRESS `'/<� r 64 F
CLASS NO -DWELL UNITS ft
.LOT NO BLOCK• USE ZONE MAP
NO. L
TRACT 44 �_ - J _ SPECIAL - - -
j�X J��� NO OF BLDGS: CONDITIONS
SIZE OF LOT NOW ON LO7 ,
USE OF ^
EXISTING BLDG. BLDG. SETBACK FROM
L` TEEL�� FRONT PROP. LINE OF v (STREET)
OWNER TYPE OF EXISTING SETBACK HIGHWAY + /ARD - TOTAL
,4G' �G - HIGHWAY WIDTH FROM C.L '
ADDRESS
+CITY
ARCHITECT OR - T T . BLDG TRACK FROM
ENGINEER r �,� / O.EL-T37-�sO� SIDE PROP LINE OF - (STREET)
_ TYPE F. EXISTING SETBACK HIGHWAY + . _YARD - ._TOTAL
ADDRESS I�� 2, ��� HIGHWAY WIDTH FROM C L. '
CONTRACTOR NO _ _ O
LIC CORNER CUTOFF YES - NO V
ADDRESS NO '
LIC'
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK a
NEW. ADD ALTER REPAIR DEMOLISH �` ` �/`
SQ.FT NO. OF NO OF '+ _Z^' (N
SIZE - STORIES FAMILIES 1
USE OF v.
STRUCTURE =L) / OO -
SIGNATU E OF /ll -b'1- �.• ` /
APPLICANT �{
_ D � �_•_
VALUATION$ SQO A P P R OPV/rA L S7.+ OR' SIG5 DATE INSPECTNATURE
' P.C. PMT /�!f .FOUNDATION, LOCATIO
FEE$ � FEE$,ZL� FORMS, MATERIALS
FRAME, FIRE STOPS, `-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND 'STATE LAWS REGULATING i GAS VENT DUCTS
9UILDING CONSTRUCTION I CERTIFY THAT I.DJ DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY N�ERSON IN VIOLA- LATH INT
TION OF THE LABOR CODE O THE ST OF ALIFORNIA RELAT-
ING TO WORKMEN'S CRMPE CATION IN UR C
• � LATH EXT
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND.POSTED
ADDRESS F1 NAL
JOHN F. LEWIS PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M 0' CASH _ PERMIT VALIDATIO C.K MO' CASH
LAW— 6 1 .1 'FEB 18 2 -3 D- 1 .2..7 5
Ar �0 2 2 5 110MA4R 4 1 D 2 - 0
L�1 ~ d
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM. ,J. FOX, CHIEF ENGINEER
FOR•-APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT O. PL!�MCK. NO. PERMloT NO.
ADDRESS _1 y O
"' R CEIV D BY' DA E OF ADPL. D7 ISSUED
LOCALITY b��19 gyp_
NEAREST ' — / —sl-
CR SS
CROSS ST. C; L° BUILDING
A
ADDRESS ��� 41
OWNERJA 1Jr—RI Sc /1
MAIL - LOCALITY
ADDRESS „344 e./,14-1, "1 NEAREST
' J T y NO. _ � CROSS ST. y
CITY
/� /o FIRE _NO. OF G!TQ FP
ARCHITECT OR TEL. ZONE _j_NO.
'
ENGINEER ,a NO. BLDG. \ A A:
C / vq
Q•i
SETBACK LINE W� T5i
ADDRESS' —c, APPROVED
TEL
BY Tfi
DA
CONTRACTOR F NO, USEAPPROVED
ZONE t
BY DATE
ADDRESS _ HOUSE NUMBERING
LEGAL ^ h
_ DESCRIPTION LOT NO. g BLOCK MAP NUMBER bb FIELD CHECK BY
TRACT 7 !2_ NO. ASSIGNED BY' L ; ATF '
NO.,OF BLDGS. CORRECTIONS
SIZE OF LOT _ I NOW ON LOTr
USE OF NO. OF �1Z/2 _
EXISTING BLDG,- , g:c , e, IV 0,- FAMILIES
DESCRIPTION OF WORK /
NEW I. I ALTERATION I I ADDITION I /,.G QON1 T�?•ON 4%9'�� Vi�i./T�
REPAIR I I DEMOLITION
SQ. FT. NO. OF
SIZE V Z d ROOMS STORIES Z
EXT. WALLe ROOF r
COVERING J (J 0- 0 COVERING
USE OF STRUCTURE
A.d-tza V. x,44_ 4�AR
APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS AP- FOUNDATION: LOCATION /
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH,ALL COUNTY. ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION.
• FURNACE: LOCATION,
SIGNATURE OF /� /J GAS VENT, DUCTS
PERMITTE D R
LATH, INT.
ADDRESS Ire
LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
76AG38A- D8/3 10-80L ,h P. C. $ 1
U VL„� FEE drPLASTER, EXT.
$ y '
VALUATION FEE
DEPARTMENT OF BUILDING AND Alft IgS2 'APPLICATION FOR PERMIT
_f COUNTY OF LOS ANGELES ®�
WM. J. FOX, CHIEF ENGINEER
HIM
: NG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
It�f BUILDING DISTRICT NO. • PLAN CK. NO. • ERMIT NO.
ADDRESS S d 3 y
LOCALITY /RECEIVED BY DATE OFF APPL. DATEISSUED
NEAREST
CROSS ST. re BUILDING
g ADDRESS �J'�(o d
OWNER jZZ;A !/ N i
MAIL /� �•- 7Yx A LOCALITY
ADDRESS r NEAREST '
TPf,, C rj ! TEL. �`� f� 4 CROSS ST. C;OF
CITY
NO. / (/ FIRE NO. OF TYPE GROUP
ARCHITECT R TEL. ZONE I'PLANS
ENGINEER t`®. •1• NO /�G Joe BLDG. Q ,4 fI
SETBACK LINE Z 0 [ t l / (,L`7 U i
ADDRES lB• S T• L• APPROVED -
• TEL. BY - e DATE
CONTRACTOR S L NO. USE �% APPROVED,
ZONE ..I/-�BY DATE
ADDRESS HOUSE -NUMBERING
LEGAL-, I LOT NO. I BLOCK + MAP NUMBER •�0 /b -FIELD CHECK BY
DESCRIPTION
TRACT + NO. ASSIGNED BY (]SS ATE •�•
NO. OF SLOGS. CORR C�TIIONS
SIZE OF LOT l X l I NOW ON LOT B N
EXISTING BLDG. -�- I"FAMILOiES '
DESCRIPTION OF WORK ' i
NEW I,•A I.ALTERATION ,I I ADDITION
REPAIR I I DEMOLITION I I I •• - - •- _
_ SQ. FT. �� NO. OF `��� Z Y L /�Q,Y Se�e.iP�✓o�/ Te �l
SIZE ROOMS STORIES
EXT.,,WALLROOF / r
COVERINGS Uccl I COVERINGS
USE OF S,T CTURE— d
APPROVALS
INSPECTOR'S SIGNATURE DATE
I- HEREBY ACKNOWLEDGE THAT •1 HAVE READ THIS AP- FOUNDATION: LOCATION
(" PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS _� �Q
� ry.1
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AtID STATE BRACING, BOLTS.
LAWS REGULATI BUILDING CONSTR T •' FURNACE: LOCATION, �� �
SIGNATURE OF •��� r GAS VENT, DUCTS 631:�
PERMI A
i
LATH, INT.
ADDRESS4
LATH, EXT. N /n
AUTHORIZED AGT.
PLASTER, INT.
76A638A• DBSS 10-60 $ P. C. $ r•�Y
Lo a FEE PLASTER, EXT, /
VALUATION FINAL �/J +•�
FEE
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 0601170055
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 17712 LT: 5 SQ. FT STORIES TYPE 9560 BLACKLEY ST
STRUCTURE: VN TEMP CA 917803142
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
8590-007-005 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: - 01/17/06 JK 01/12/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
CHAN, SHU PING (626) 309-5035- 8,000
9560 BLACKLEY ST �"_����
60-
TEMP 917803142 FEES PAID DESCRIPTION OF WORK
REPLACE 11 WINDOWS (SAME SIZE) AND 2 NEW DOOR ENLARGED
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 8000.00 VAL 0.80 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 8000.00 VAL 183.00
FR INV WORK W/O PERMIT 257.00 DOL 257.00
TOTAL FEES 468.55
CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDE�2FLOOR INSULATION
147H269 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: - 1000 FEET MATERIALS 11
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE: SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508