Loading...
HomeMy Public PortalAbout9575 BLACKLEY ST_Building__ 76A638A CE#803 2_63-APPLICATION FOR BUILDING PERMIT F COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS two BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST -WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST DIST ICT Nkl GROUP TYPE ES BY' FOR APPLICANT TO FILL IN Q CONST. BUILDING- ^ STATISTICAL CLASSIFICATION ' SEWER MAP ADDRESS' J- • — QC CLASS NO � DWELL`UNITS BK PG LOT NO ,J BLOCK WATER 'CERTIFICATE- NOT REQUIRED RECEIVED El TRACT ' MAP HIGHWAY NO OF BLDGS 'NO �Q (CIRCLE) STATE MAJOR SECOND, LOCAL SIZE OF LOT 9Q �75� NOW ON LOT 4�H� USE ZO E SPECIAL--' USE OF CONDITIONS EXISTING BLDG f/ , TEL OWNER (/ r ,Deli a NO AT49281 B IL ING EXIST. '�'^ /SETBACK YARD HWY STREET NAME- - ADDRESSS9ZG-Tem /e e�` ����• WIDTH FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE w 0- ADDRESS ADDRESS I/Ifl���i•' A.l'�+'"��W r�i4.{�', �lY A7i.,��l"� � 0� CONTRACTOR TEL ' ADDRESS 5926`fEIYJ /e C%� {��uQ••' _ O •DESCRIPTION OF W ORK n, � � vi NEW r�" ADD ALTER ' REPAIR DEMOLISH - - SQ FT // GQ NO' OF 'FAMIILIES /' - NO OF SIZE f�J/u STORIES USE OF -y-f - STRUCTURE - ti: SIGNATURE OF • APPLICANT VALUATION V v APPROVALS, DATE INSPECT_OR'S SIGNb.TrjAE F FOUNDATION LOCATION 22 E cS �'��� FEE $ FORMS, MATERIALS �li✓ 1 FRAME- FIRE STOPS. 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 yy��� ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCT$ VY BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY IAT-WILL NOT EMPLOY ANY PERSON IN VIOLA. TION OF THE LABOR CODE OF THE STATE OF CALIFORNI REL LATH. INT - - / .�qtr _�_� ING TO,WORK MEN'S COMPE NSA N•I URAN - ^� LATH. EXT 1 SIGNATURE OF _ HOUSE NUMBER COR- PERMITTEE '' RECT AND POSTED 4'4 ADDRESS .JOHN F LEWIS:PRINCIPAL SOV"RAL ENGINEER PLAN CHECK VALIDATIONOmo CASH _ PERMIT VALIDATIONM o. CASH Lre a 4 s .SLP 16 1 0 -64.00- u - 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 0607050023 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 29492 LT: 2 SQ. FT STORIES TYPE 9575 BLACKLEY ST STRUCTURE: VN TEMP CA 917803143 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8590-006-022 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: 07/07/06 JK 07/02/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: BADARO OUBERTO J;JACQUELINE M (626) 653-2324- 9,500 � 9575 BLACKLEY ST !// —lp �- TEMP 917803143 FEES PAID ESCRIPTION OF WORK INTERIOR REMODELING KITCHEN AND RELOCATING BATHROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 9500.00 VAL 202.52 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 9500.00 VAL 0.95 B2 PERMIT W/ENERGY 9500.00 VAL 238.26 TOTAL FEES 469.48 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: UNDERFLOOR 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 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 Cs RATED'FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0210160038 PHONE: (626) 285-0488 EXT: LEG ID: NO. OF CONS NE9 BUILDING DRESS: TR: 29492 LT: 2 SQ. FT STORIES TYPE OCCUP GROUP 9575 BLACKLEY ST STRUCTURE: 95 1 VN R3 TEMP CA 917803143 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: CLOVERLY 8590-006-022 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: TSSUED N: —PROCESSED—BY: EXPIRES ON: EXIST OCC GRP: 10/16/02 JK 04/14/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F NAL/DATF FINAL BY: CODE: BADARO OUBERTO J;JACQUELINE M - 6,500 9575 BLACKLEY ST l� TEMP 917803143 FEES PAID DESCRIPTION OF WORK EXTEND LIVING RM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: G FELIX CONSTRUCTION (626) 401-1391- AA BLDG PERMIT ISSUANCE 27.75 4924 HALIFAX RD AC STRONG MOTION RESID 6500.00 VAL 0.65 SPECIAL CONDITIONS: TEMPLE CITY 91780 AX BUILDING-REVIEW-FEE - 54.70 B2 PERM IT;W/ENERGY-; . 6500,00 VAL 182.82 ="TOTAL FEES; 265.92 TEL. N0: APPROVALS - T� DATE INSPECTOR SIGNATURECONTRACTOR (626) 401-1391- G FELIX CONSTRUCTION 4924 N HALIFAX RD LIC. NO LOCATION AND SETBACKS TEMPLE CITY CA 91780 449477 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: I ��" —� '� i V ��� FOUNDATION/TRENCH FORMS LIC. NO? , J _1 �) i 1 1_ SLAB/UNDER FLOOR ' —— _! � RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01-- �! 1ST 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 ��-�� �' �� ��' �' r /�" NO NO NO �,,� i -;"� /, FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST �`�°2 I e�=�' BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- \� c � ,.p , =` r i`. i:% SHEAR PANELS / SIDE PL- _- _-- NSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL L �_ EXTERIOR LATH , LOT DRAINAGE ------ SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: OPR261 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 0209160020 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 29492 LT: 2 SQ. FT STORIES TYPE 9575 BLACKLEY ST STRUCTURE: VN TEMP CA 917803143 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8590-006-022 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/16/02 JK 03/15/03 OWNER,: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI L ATE FINAL BY: CODE: BADARO OUBERTO J;JACQUELINE M (626) 455-0978- 4,890 J -- 9575 BLACKLEY ST / [--_ TEMP 917803143 FEES PAID D ErSORIPN OF WORK REPLACE 2 WINDOWS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: GUSTAVO FELIX (626) 401-1391- AA BLDG PERMIT ISSUANCE 27.75 4924 HALIFAX AC STRONG MOTION RES_ID_ 4890.00 VAL 0.50 SPECIAL CONDITIONS: TEMPLE CITY 91780 D2 PERMIT W/0,_ENfHC7'1= -----4890.00 VAL 132.60 -TOTAL-FEES 160.85 CONTRACTOR: TEL. N0: �/���� %� �� V APPROVALS DATE INSPECTOR SIGNATURE �- G FELIX CONSTRUCTION (626) 401-1391- 4924 N HALIFAX RD LIC. NO LOCATION AND SETBACKS TEMPLE CITY CA 91780 449477 B \\ SOILS ENGINEER APPROVAL V." /;j L---- FOUNDATION/TRENCHFORMS ARCHITECT OR ENGINEER: TEL. N0: LIC. N0: ( II I SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ; f \ , i� UNDERFLOOR INSULATION X 3 09. 1 �, 1_ FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS - — - - NO 21 p.� � �, j'w 3 ROOF SHEATHING le l r SCHOOL WITHIN HAZARDOUS •'� �' •�/ SHEAR PANELS `'")'- AIR QUALITY: - 1000 FEET MATERIALS NO � NO NO �� �� FRAME INSPECTION REQUIREDTOTAL SETBACKFROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- ��, ,a •,. *: :=i-% INSULATION/WEATHER STRIP SIDE PL -_ ---_ IN ERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508 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 1205100061 PHONE: (626) 285-0488 EXT: (LEGAL ID• NO. OF CONST I BUILDING ADDRESS: ITR: 29492 LT: 2 I SQ. FT STORIES TYPE I 9575 BLACKLEY ST _ISTRUCTURE: 2300 V-B I TEMP CA 917803143 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: CLOVERLY 18590-006-022 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl I I 1 (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 105/10/12 SR 1 (OWNER. TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF , D TTE� F NAL BY: CODE: 1 IBADARO OUBERTO J;JACQUELINE M (626) 665-3118- 1 8,000 19575 BLACKLEY ST i!� (TEMP 917803143 I FEES PAID E RIPTION OF WORK 1 I I IREMOVE ONE LAYER OF WOOD SHA$E ROOFING INSTALL 1/2 IN OSB I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IROOF SHEATING INSTALL 30 YR CLASSRCOMP SHINGLES 1 (APPLICANT: TEL. NO: I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 1 I IAB STATE GREEN BLDG FEE 8000.00 VAL 1.00 (SPECIAL CONDITIONS: 1 I IAC STRONG MOTION RESID 8000.00 VAL 0.80 1 I I _ ID2 PERMIT W/O EN-HC 8000.00 VAL 183.00 I TOTAL FEES 212.60 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I S.ME AS OWNER - I I_ LIC. NO I ILOC'ATION AND SETBACKS I I 1 I (SOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL. NO: IFO!-DATION/TRENCH FORMS I 1 LIC. NO: I (SLAB/UNDER FLOOR I I I I 1 1 (RAISED FLOOR FRAMING I I IMAP NO SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I 1147H269 3 001 1 1-1 I ' I _I IFLGOR SHEATHING I I INO. OF FAMILIES DWELLING UNITS: APT/GOND: STAT CLASS: I I_ LI_ A AI 0 NO 21 1 IROOF SHEATHING 09U' 1 SCHOOL WITHIN HAZARDOUS ISHFAR PANELS (AIR QUALITY: 1000 FEET MA I I_ 1-1 NO NO NO I (FRAME INSPECTION I I 1 (FIRE SPRINKLER HANGERS 1 I I 1 11NSULATION/WEATHER STRIPI I I 11NPERIOR LATH/DRYWALL I I I I I EX•P RIOR LATH I 1 IRATRD FLOOR/CEIL ASSEM. • IRATED WALL ASSEMBLIES I 1 I I (RATED SHAFTS/OPENINGS I I I I I IT-BAR CEILINGS I I I I ILOT DRAINAGE 1 I I (REPORT ID: DPR261 ROUTE TO: BS0508 I I