HomeMy Public PortalAbout9564 BLACKLEY ST_Building__ TEMPLE
76A638A CE 16032-63 APPLICATION FOWBUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING . !
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DEPARTMENT OF COUNTY ENGINEER ADDREss
BUILDING AND SAFETY DIVISION LOCALITY '
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST
DISTRICeO TYPE P Y
FOR APPLICANT, TO FILL IN U coNsr
ILDING �` j��Q� / /� �,L STATISTICAL CLAS IFICATION _ SE ER MAP
ADDRESS CLASS NO DWELL UNITS• ' S BK
- LOT NO �' - BLOCK WATER '
CERTIFICATE:; NOT REQUIRED. - RECE117ED
TRACT MAP (iC ROLE) STATE MAJOR SECOND LOCAL
NO.OF BLDGS.
NO, ,
SIZE OF LOT �7+0� �1 b!'J NOW ON LOT G�l� `ti N SPECIAL
USE OF, - 9/11I� CONDITIONS '
EXISTINGTE�BLDG _/ p• a_a� ,' -
OWNER Lr-"� I/ .LYPI�r .pi NO •T BUILD(IjN GvEXIST.
-SETBACK YARDHWY STREET NAME WIDTH
ADDRESS S.J�C7 '/cam' /� � �/G'�/ ' ' FRONT '
ARCHITECT OR TEL _ P L
. __
ENGINEER NO
SIDE 'I
ADDRESSy y— ..��C1/O l! //�Y� .�1�!.rll�+-'Lf tNNI �4•NhYT '" - I O
' TEL
CONTRACTOR Cb �G�L /eVNO V
ADDRESS -0
S/`�L:�C�i�7 /E G!l/ ��Lf r
DESCRIPTION OF WORK W'
NEW ADD ALTER REPAIR 'DEMOLISH - •'.-_ 1
SQ FT t• NO OFNO OF? '
SIZE' 7 STORIES 2�1_ FAMILIES
USE OF
STRUCTURE
�t='S' y--• G!H -NVQ n
SIGNATURE OF I -
• APPLICANT
VALUATIO' y
%APPROVAL$ DATE INSPECTOR'S SIGNATURE'
PC n k-21PMT d' FOUNDATION LOCATION, t�
FEE S (/�/i_� FEE, $ /i ,FORMS. MATERIALS "tq •- a �jG"f' ,ra":s�•:�ls .,r•i!>,�,
FRAMES FIRE STOPS, j/�'• Ig/ ""�„„�jy�`�
' I HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION �/ ll''L,,'.• v f
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- LATH, INT
TION OF THE LABOR CODE OF THE STATE OF CALIFO NIA RELAT. '
ING TO WORKM�,�WS COMPE TIO INSURANCE • �• 'p
LATH, EXT. -SIGNATURE_ -_ r _ •_HOUSE•NUMBER COR-
PERMITTEE b/bb����.-�� ' / RECT AND POSTED f I L r
ADDRESS Z!v �'cIr/ �L- �i FINAL. ��r• '
JOHN F. LEWIS PRINCIPAL ST "CTURAL ENGINEER
PLAN CHECR VALIDATION. CK MO CASH _ PERMIT VALIDATION` cK M O CASH
' e't�_3 4 2-F�� SSP--�-�_ �—� v i,5 - `° •, _ • .
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4 .6- SE? 16 - 1 D ' 8'l.50
TEMPLE CITY
76A638A CE#8033-66 APPLICATION FOR BUILDING PERMIT,
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS �56q Blackley
BUILDING AND SAFETY DIVISION LOCALITY em le Cit
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DISTRICT N G TYPE -;?.,ES B.
FOR APPLICANT TO FILL IN coNsr /l
BUILDING STATISTICAL C PG SSIFICATION SEWER MAP
ADDRESS 9564 Blackley BI<
CLASS NO. DWELL UNITS ,j
LOT NO: BLOCK USE ZONE MAP - - -'
NO. /
TRACT SPECIAL -
NO OF SLOGS. CONDITIONS '
SIZE OF LOT NOW ON LOT -
USE OF
EXIST,
Ng BLDG, PpSidprInp BLDG. SETBACK FROM
TEL FRONT PROP. LINE OF (STREET)
OWNER NO.
-344' TYPE OF EXISTING SETBACK HIGHWAY +• YARD = TOTAL
HIGHWAY WIDTH 'g.
OM C.L.
ADDRESS
CITY Temple Cit
ARCHITECT OR TEL. BLDG. SETBACK FROM
ENGINEER NO. SIDE PROP. LINE OF - (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOFE rr En r.Inc. No�91-1728LI N
+ I
ADDRESS 15642 Russell St.NO208816 CORNER CUTOFF YES .0 Q
CITY Whittier 90603 �'c C-20 SEE REVERSE SIDE FOR SPECIAL APPROVALS C.:
m
DESCRIPTION OF WORK
�p CL
NEW ADD 9 ALTER REPAIR DEMOLISH
SQ.FT. NO OF NO. OF
SIZE STORIES FAMILIES /
t4-l�la7 J�! , Ove_ ai�0- Mme;fl
STRUc URE 1 Ton. Air conditioni , d'(� WU �� `�
Mit on south side of. house Ad. -`-Eu
,
SIGNATURE OF
APPLICANT
VALUATION$ 1,5 8: 0? 0! •00
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C PMT. FOUNDATION„LOCATION
FEE$ FEE$ FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDG H T I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE A VE CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY O INA ES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILOI NG CONSTRUCTi�O . C&EOY
DOING THE WORK
AUTHORIZED HERE BY`I I L NERSON IN VIOLA- LATH. INT
TION OF THE LABOR C EOFALIFORNIA RELAT-
ING TO WORKMEN%S C PENSALATH. EXT.
SIGNATURE OFPresident HOUSE NUMBER COR-
PE,RMITTEE I RE AND POSTED
ADDRESS Sittier Cal• FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN-CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.0 CASH
L 0 0 5 .3 AUG11 1 D 1725'
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 0703270001
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 29492 IT: 8 SQ. FT STORIES TYPE 9564 BLACKLEY ST
STRUCTURE: 1700 VN TEMP CA 917803142
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: CLOVERLY I
8590-006-028 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXPIRES ON:
I (EXIST OCC GRP: 03/27/07 JK 03/21/08
I I
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: (FINAL DATEBY: CODE: I
IALANIS, RAMON R (626) 291-5058- I 13,000 I
9564 BLACKLEY ST I I EXPI
TEMP 917803142 I FEES PAID (DESCRIPTION OF WORK I
IRE-ROOF HOME, REMOVE SHINGLE ROOF AND ADD STANDARD TILE ROOFI
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IWITH LAYER OF PLYWOOD. I
(APPLICANT: TEL. NO: I I
(SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 I
IAC STRONG MOTION RESID 13000.00 VAL 1.30 (SPECIAL CONDITIONS: I
ID2 PERMIT W/O EN-HC 13000.00 VAL 267.00 I
TOTAL FEES 296.05 I
(CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER LIC. NO ILOCATION AND SETBACKS
I I I
SOILS ENGINEER APPROVAL I I I
ARCHITECT OR EN TEL. NO:ENGINEER: IFOONDATION/TRENCH FORMS I I I
G I
I LIC. NO: SLAB/UNDER FLOOR I I I
(RAISED FLOOR FRAMING I I 3
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( JUNJERFLOOR INSULATION
1147H269 3 Oil I -1-1
(FLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
I
NO 21 (ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS I
NO NO NO (FRAME INSPECTION I I I
(REQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS
I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I
FRONT PL- (INSULATION/WEATHER STRIPI I I
SIDE PL- ( I 1-1
I (INTERIOR LATH/DRYWALL I I I
6U�r tr i (EXTERIOR LATH I
(RATED FLOOR/CEIL ASSEM. I I I
I (RATED WALL ASSEMBLIES I I I
I I I
(RATED SHAFTS/OPENINGS
I I I I
IT-BAR CEILINGS
I I I I
ILOT DRAINAGE I
REPORT ID: DPR261 ROUTE TO: BS0508 I
I I I I I I