HomeMy Public PortalAbout9585 BLACKLEY ST_Building__ 76A639A CE�6C32-63 APPLICATION FOR' BUILDING, PERMIT;..• '
COUNTY OF, LOS ANGELES BUILDING
- DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.-LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.,JENSEN, SUPT OF BUILDING CROSS ST e '
DIS �Y GROUP TYPE P OC ED BY
FOR APPLICANT .TO FILL IN Oy CONS
TYPE
`f STATISTICAL-CLASSIFICATION - .SEWER MAP
ADDRESS _�Q�� _ c:.J - ,BK PG
., CLASS No DWELL UNITS.,
LOT NO- - BLOCK WATER ❑
h{7 CERTIFICATE: NOT REQUIRED RECEIVED •-
TRACT. 1. , G� MAP HIGHWAY
NO OF BLDGS NO ,� (CIRCLE) STATE MAJOR SECOND, CAL
SIZE OF LOT. b �ti7 NOW ON LOT USE ZONE PECIAL
USE OF, • NDITIONS '
EXISTING BLDG
/G> ✓ TEL, -
OWNER (,/ �/ �►/'_a,N0 �- Z -
SETBACK YARD HWY STREET NAME - r' 'WIDTH
ADDRESS s9z� - /C.YYI �e Cr/ ,�$�f.1 FRONT
ARCHITECT OR tEL P L
ENGINEER NO SIDE - -
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DESCRIPTION OF WORK
NEW. 'Al. _ ALTER REPAIR DEMOLISH- fir' - Z"4
SQ,FT NO OF NO OF
SIZE ./7�Q STORIES FAMILIES
USE OF
STRUCTURE - Q�,`J46� C7ALC.r� ,
SIGNATURE OF^
APPLICANT-
VALUATION APPROVALS DATE INSPECTOR'S SIGNNA`TTUU`RFs
nn_ c/�✓ PM FOUNDATION ,LOCATION
FEE $,�' �J'C. FE $ (p FORMS. MATERIALS / 41
- FRAME• FIRE STOPS, _ I
A HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION !BRACING, BOLTS ,��,'��lj '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYFURNACE LOCATION,
WITH ALL.- COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS �� I
BUILDING CONSTRUCTION_ I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT I•
TION OF THE LABOR CODE OF THE STATE OF CALIFORNI RELAT-
ING TO WORKMEN'S COMPE TION I URANCE = '
.^ LATH. EXT
SIGNATURE OF HOUSE-NUMBER'COR-
PERMITTEE ' I - RECT AND POSTED
ADDRESS /_C�h •Ql yO�I�
_ FINAL d .• /
JOHN F LEWIS,,FJRINCIPAL S7_ --
URAL ENGINEER
0LAN 'CHECK VALIDATION CK M o CASH PERMIT VALIDATIO CASH
�'�.o 3 8'5� Q ,SEP,1-6.. 0 6 �4.0 0-
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 1011240003
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 29492 LT: 3 I SQ. FT STORIES TYPE I 9585 BLACKLEY ST I
STRUCTURE: 3000 V-B I TEMP CA 917803143 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18590-006-023 I I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
EXIST OCC GRP: 111/24/10 SR
IOWNER: TEL. N0: 1BLDGS. NOW ON LOT: VALUATION: iFAL DA FIN$L BY: CODE:
COLLINS, CHARLES (626) 285-3036- 1 6,000 Ali/jam � 'L-j/AIYC^/
19585 BLACKLEY ST I
ITEMP 917803143 I FEES PAID (DESCRIPTION Cl WORK I
ITEAR OFF EXISTING ROOF INSTALL 1/2" OSB, 30 LB FELT AND 30 I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IYEAR GAF ASPHALT SHINGLES CLASS A I
(APPLICANT: TEL. NO: I
IJN DAVIS ROOFING (626) 815-1279- IAA BLDG PERMIT ISSUANCE 27.80 I
11308 E. COLORADO BL. IAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS: I
(PASADENA, CA 91106 IAC STRONG MOTION RESID 6000.00 VAL 0.60 I 1
1 ID2 PERMIT W/O EN-HC 6000.00 VAL 149.70 1 1
1 1 TOTAL FEES 179.10 I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
IJ N DAVIS ROOFING CO. (626) 815-1279- 1 1 I
11308 E. COLORADO BLVD., #B LIC. NO I ILOCATION AND SETBACKS I I I
IPASADENA, CA 91106 572125C39 I I I I
I I ISD;LS ENGINEER APPROVAL 1 1 I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOLNDATION/TRENCH FORMS I I I
LIC. NO: I ISLAB/UNDER FLOOR I I I
I I I
IRAISED FLOOR FRAMING I I 1
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I
1147H269 3 001 - 1 1 11 I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I
NO 21 i (ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS I I 1 1
NO NO NO I IFRAME INSPECTION
I I I
IFIRE SPRINKLER HANGERS I I I
I I I
I IINSULATION/WEATHER STRIPI I I
(INTERIOR LATH/DRYWALL I I 1
I I I
I I 1EXTERIOR LATH I 1
I I I
IRATED FLOOR/CEIL ASSEM. I I I
I I IRATED WALL ASSEMBLIES 1
I I I
IRATED SHAFTS/OPENINGS I I
I I I
IT-BAR CEILINGS I I I
I* ADDITIONAL DATA ON FILE I
I I I
ILOT DRAINAGE I I
I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I
I I I I I I