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/
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TEL
OWNER (/ r ,Deli a NO AT49281 B IL ING EXIST.
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/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,
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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