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Home My Public Portal About9591 BLACKLEY ST_Building__ 76A630ACE✓.123 -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 DISTRICT N G TYPE R B FOR APPLICANT. TO FILL IN CONST. ` c BUILDING }� `,,�/�C� Ie s y, - STATISTICAL CLASSIFICATION SEWER MAP •• ADDRESS / / /' _ _ BK PG CLASS NO DWELL UNITS--d LOT NO •-7� BLOCK WATER CERTIFICATE. NOT REQUIRED ❑ RECEIVED TRACT O'� MAP /1/� HCC'CWA STATE MAJOR SECOND, LOCAL NO OF BLDGS /�/ NO C./ SIZE OF LOT ,S`UX lbs' NOW ON LOT ",V&YO USE ZO E SPECIAL - - USE OF CONDITIONS 'i'J EXISTING BLDG _ `^-•i. TEL. .. 'S;. '.' - -, OWNER �� [;{� (1. NO � BU LDING EXIST. YARD HWY STREET NAME /� SETBACK WIDTH ADDRESS 2G '-/e/�'1 L� G�/ T� FRONT, - I ARCHITECT OR EL P L ENGINEER ' NO SID � E rj ' ' { CL I PL ADDRESS � � /�_ T EL -/ �7 ! 'I/ l /y'•F`{a:J -� / ',/ CONTRACTOR V- �`/ -NO ' � 7- � ADDRS2' TQOS� V ' A ll�ni , W /, DESCRIPTION OF.WORK „ , i 01N fz NEW k ADD ALTER REPAIR DEMOLISH SQ FT 7 NO OF NO OF �'�pl(,�,,5'7_,'-v "'/ ` 0 '/✓'. �/�.•!rB IYC SIZE // U STO.RRIIESFAMILIES /•.• �I�t: �. � A USE OF' STRUCTURE " ,� , ✓ SIGNATURE OF APPLICANT VALUATION $ � APPROVALS ATE j INSPECTOFD'S SIGNATURt p C PMT �j E7" .FOUNDATION LOCATION FEE $• FEE $ (y/ � FORMS. MATERIALS FRAME FIRE'STOPS-_ / I HEREBY ACKNOWLEDGE THAT-t HAVE READ THIS APPLICATION BRACING, BOLTS I AND STATE THAT THE ABOVE'IS CORRECT AND AGREE TO COMPLY +FURNACE LOCATION _ WITH .ALL COUNTY 'ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCT$ -BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK j AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- •LATH. INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMP E ATION INSURANCE r I{ LATH EXT 1 '1 SIGNATURE OF _ HOUSE NUMBER COR- PERMITTEE // RECT AND POSTED % ADDRESS 6 ; ' V FINAL ' JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION c M o CASH _ PERMIT VALIDATIO cK M- CASH .t' . - E. 1 D C �� s 2.a s 16 8 1 .50 WORURS' COMPENSATION DECLARATION O of consent to insureboraa certrfcatteificate of WorkesrlCompensat on Insuran elf APPLIC 1 V F O R � B I L D I N G; P E RM I T ora certrfied copy thereof (Sec. 3800;lab. C.). ,, . " , .I . n COUNTY-OF LOS ANGELES BUILDING AND SAFETY Policy No. ' ..Company ❑ Cer{rfied co is hereb furnished. FOR APPLICANT TO FILL IN BUILDING' py y, ADDRESS G ❑ Certified copy is filed with the county building inspec- BUILDING ��, �� tion department. ADDRESS �7 ppCITY', �. •`i% ZIP /BD LOCALITY,, Date Applicant . y c� NO OF BLDGS / NEAREST - CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF.LOT_ /Oo �F NOW ON LOT CROSS ST. COMPENSATION INSURANCE 7 ASSESSOR (This .section need not be completed if the permit is for one TRACT �7 L- BLOCK LOT NO MAP BOOK PARCEL hundred dollars ($100) or less.) I TEL Q USE ZONE MAP LL`` �/ /^► OWNER . .,< �•�- Gv/7 NO NO. r I certify that in'the.performance of the work for which this _ FECIAL >_ permit i13 s issued, I shall not employ any person•in any manner ADDRESS /¢GlG�G CONDITIONS tl so,as to become subject to the Workers' Compensation Laws. �_, ` O CITY GiYt fG �G ZIP Date Applicant ARCHITECT OR V TEL. DISTRICT [GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If,-after making,this•Certificate.of ENGINEER - NO CONST NE F- Exemption, you should- become•subject to the, Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS -','� 1' ✓ 7 a with.comply-with such provisions or_this permit shall be TEL STATISTICAL CLASSIFICATION APT [CONDO.deemed revoked. CONTRACTOR L1 NO ,': Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO. -/ DWELL UNITS ' I hereby,offirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP tZ s (commencing with Section 7000)of Division 3 of the Business' LIC. - �f -and Professions Code,and my.ltcense is in full force and effect. CITY CLASS BK PG �� Wil_MALIDATION SQ FT �j�] NO OF �j NO OF CHECK _ SIZE !/ ! STORIES Z FAMILIES ONE License Number Lc. Class • - • .- . VALUATION Contractor 'Date DESCRIPTION OF WORK J� ;, � '.{{ _ /7��tT/O� NEW ❑ _0-TAL a.E = =r ADD ?- ❑I am exempt under Sec. / GI�i S(t �C� S ► -0-T.'0!, . : ALTER ❑ -CHANGE j`' A S 4,) 1,, . .B.&P.C. for this reason REPAIR ❑ ; '- ' Date: USE,OF EXISTING BLDG. Signature DEMOL ❑ Signature APPLICANT -� a « TEL. l ' 1_1I{ij!`- 'I_i3 (PRINT) Z_z •gab li NO ,"309-699 FINAL OWNER-BUILDER DECLARATION q DATE I here by,affirm that I am exempt from the Contractor's License ADDRESS gS�I �:< 13)4CWe 1 �C /08U Law for the followirig reason (Section 7031.5, Business and FINAL- Prof sions'Code): PRESENT-. By L BUILDING F ' I, as owner of.the property, or my employees with ADDRESS '' "` _• ,`_ wages as their sole compensation,will do the work and ;, _ ;q LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions"Code.) MOVING i TEL r'y ❑ I, as owher of the property, am exclusively contracting CONTRACTOR NO - with licensed contractors to construct the project (Sec' ADDRESS i}_t )i ��..�3 tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST... _• t :;c = �'t,�! 1 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm That there is a construction lending agency for FRONT i,y�-' ,1.iE_I the performance of the work for which this permit is issued P L (Sec. 3097, Civ. SIDE P.L• Lender's Name t'IL; ' •!_{_!: _ ' ' _ LDMA Ref. # P.C. Fee $" <�'�� Permit Fee / Lender's Address " o j certify that I have read this application and state that the Issuance Fee 7S LDMA P/C# S above.information.is correct._I agree to comply with all County Investigation Fee R ordinances State'laws relating to building construction, Total Fee (p ls� LDMA Perm '# a and her uth pres pentatives of this County to enter on ov me ed property for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE-- I ANGUAGE-i ature of Aqplicant or Agent Date =- - APPLICATION FOR �,�� PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AD Es r [BUIELGRESS z'I hereby affirm that I have a certificate of consent to self insure,or a certificate of Workers'Compensation Insurance,.or a certifiedf(Sec. 00,Lab.C.) c t Z% SO LOCALITY o. b Com any SIZE OF L T NO.OF BL—D[GS NOW ON LOT ❑ Certified copy Is hereby furnished. NEAREST CROSS ST V1'6ertified copy is filed with the county building inspection TRACT , BLOCK LOT NO. USE ZONE MAP NO. de a rye Dat ` Applicanta�+ft�IOP! ASSESSOR MAP0BOOK PAGE PARC SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER vlJ T .NO. L COMPENSATION INSURANCE - WITHIN 1000 FT.OF SCHOOL? YES No AD ESS ( (This section need not be completed if the permit is for one hundred 1 C C DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) - ZIP D I certify that in the performance of the work for which this permit G 0 U is issued, I shall not employ any-person in any manner so as to ARCHITECT OR ENGINEER TEL.NO: STATISTICAL CLASSIFI ATION become subject to the Workers'Compensation Laws. APT CONDO Date Applicant ADDRESS CLASS NO. �DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject t0 the Workers' CO OR TELNO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith v ZS FRONT comply with such provisions or this permit shall be deemed revoked. D�s__� LICj�I� P L d '�fT SIDE LICENSED CONTRACTORS DECLARATIONSIT/ Lam. PL CL I hereby affirm that I am licensed under provisions of Chapter 9 `- ee—_ SEWER MAP S (commencing with Section 7000)of Division 3 of the Business and S SI E NO.09TRES NO.OF AMILIES O Professions Code li se is in full force an ff l NEW ❑ BK PG R \ —ecyr CRI 1 OF WORK ADD ❑ VALUATIO ,�. / W 1, License Nu Lir.Class J O `S 60 y Contra Oatg 30 Z A ER ❑ $ z 5; c PAIR $ ❑ 1 am exempt under Sec. _ B.&P.C.for this reason wJo DEMOL ❑ LDMA P/C# Date: E OF EXIS I BLDG. /__S URM ❑ Signature (PRINT) c TE LDMA Perm# i 2 111, as owner of the property, or my employees with wages as O s their sole compensation,will do the work and the structure is ADD a !z °4 not intended or offered for sale (Section 7044, Business and FINAL DATE �. , Professions Code. 11315.'25 ) WILL THE APPLICANT OR FUTURE BUILDING OCCU ANDLEAHAZARDOUS MATERIAL (iL J E] I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN TT---� THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > I-1 licensed contractors to construct the project (Section 7044, ves❑ No❑ TOT-1±• Business and Professions Code.) fL x-05 ® 25 WILL THE INTENDED USE OF THE BUILDI ('NG BY THE APPLICANT OR FUTURE BUILDING _ 1 _ . - OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK � 25 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIS ° FOR GUIDELINES _ - hereby affirm that there is a•construction lending agency for YES❑ NO❑ `f �3E °'�I i the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES t - _ _ COUNTY CODE,TITLE2,CHAPTER 220 SECTIONS 2.20100THROUGH 220110 CONCERNING I77 lilt L.. �(' S 5 1 s Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. t f Cf IL}1 1I 1. 1/�'L. Lenders Address 3595 '1 ( 'K f y,0--.9 is OWNER OR AGENT - - 3 i"EIIA13 0 1 certify that I have read this application and state that the above information is Correct. I agree CO ply with all county P.C.FEE PERMIT FEE rdinances and State laws re g to bu' ing construction,and j ¢ here y horize repres atives Df t County to enter upon ISSUANCE FEE the above nt' ne op for i p Ction ur oses: ¢ 6 Q INVESTIGATION FEE TOTAL FEE om SEE REVERSE FOR EXPLANATORY LANGUAGE, _ WORKERS' COMPENSATION DECLARATION I hereby affirm that I have-'a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, A P RL I CAT I O,N FOR, BUILDING P E RiM I T - or a certified copy.the (Sec: 3800,'Lab..C,) .; COUNTY'OF LOS'ANGELES BUILDING AND SAFETY Policy No. Company BUILDING G'��/ ❑ 'Certified copy.is hereby furnished.. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy,is filed with the county building inspec- BUILDINGS tion department. ADDRESS Date' Applicant - CITY' �� /CY -•"l �� ZIP %j/V LOCALITY NO. OF'.BLDGS. NEAREST r CERTIFICATE OF EXEMPTION FROM WORKERS' ' SIZE OF LOT 00 Sr-' 'NOW ON LOT CROSS 5T I COMPENSATION'INSU RANCE` "��. ASSESSOR (� �f (This section need not be completed.if the permit is for one TRACT" -,_49� BLOCK' " " LOT NO. T MAP BOOK a��D PAGE OGS PARCEL �s hundied dollars ($f00) or less.) TEL pp �j�/�` OWNER Er}? G NO 206'O /(� USE ZONE MAP I certify that in the performance of the work for,which this `` / „ /� �� ;� NO permit is issued, I shall not employ any,person iii any'manner ADDRESS d�/ L` / ,�*& ty• / CONDITIONS so as to-become subject to the Workers' Compensation Laws. - ,p y rr, U CIN• J �Gf �er ZIP Date Applicant ARCHITECT OR TEL. 0 PP ,DISTRICT ..GROUP TYPE FIRE :.PROCESSED BY NOTICE TO APPLICANT-•If, after making this.Certificate of ENGINEER NO CONST. ZONE Exemption, you should become _subject fo.'the Workers' (� Compensation provisions of the Labor Code,-you must forth- ADDRESS• ��O _ +3 w a with.comply with'-such-provisions or this permit-shall be /� � � TEL STATISTICAL CLASSIFICATION APT. CONDO.• N deemed.revoked: CONTRACTOR NO z LICENSED•CONTRACTORS DECLARATION LIC. CLASS NO DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)'of,Division 3 of the Business LIC and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT.-�_ NO. OF Z NO OF - / CHECK ' License Number Lic: Class SIZE STORIES FAMILIES ONE ,• :- ��^�� VALUATION Contractor Date DESCRIPTION OF WORK' _/�.��wgv9'_ —��7� , NEW $ A� LGZ�A I !fir -ADD ❑ µ ❑I am exempt under Sec. , D/- ALTER ❑ 4 B.&P.C:for this reason u - ws ' REPAIR ❑ US OF ❑ EXISTI Dafe: NG BLDG. DEM_ OL Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION. (PRINT) .J, / ��j2C NO. t`c' �Ic _ DATE I herebyaffirm that I am exem t from-the Contractor's'License - /� a + Law fothe following,reason(Section 7031.5, Business and ADDRESS 7�i/ � ' /•'� U{ / FINAL, •T• Prof sions Code): PRESENT. By , tr BUILDING '7 ' j, as owner of*the property; or my.employees with ADDRESS wages as their sole compensation;will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions'Code.) MOVING .TEL. CONTRACTOR NO ❑ j, as ownerrof the property, am,exclusively contracting : with licensed contractors to construct the project,(Sec ADDRESS tion 7044, Business and Professions Code.) mmmmwm REQIRED CONSTRUCTION LENDING'AGENCY SETT BACK YARD i `HWY' TOTAPROPASETLINEFROM_ WIDTH ' I hereby affirm that there is.o construction-lending agency for FRONT °#�` ' ='!' the'performance of.the work.for �vhich-this`permit'is issued PL "(Sec. 3097, Civ. C.): SIDE d ? Lender's-Name, - `r `i' LDMA Ref:#. - - P C Fee$ Permit Fee ..__, - - •- tl•I: - ._. Lender's Address o l"certify that I,have read this application and state that the Issuance Fee %5 LDMA PSC It pol - abov information,is.correct. I agree to•comply with all County Investigation Fee 0 ordinances and State jaws relating to building construction, Total Fee %{3o LDMA Perm # a and hereb authorize re resentatives of this,County to enter upon tH ove- i d property for'inspection purposes.' " ' - �' 9 L SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ure of A icant or Agenttate - 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 1007220064 PHONE: (626) 285-0488 EXT: -ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 ITR: 29492 LT: 4 I SQ. FT STORIES TYPE 1 9591 BLACKLEY ST I (STRUCTURE: - V-B I TEMP CA 917803143 1 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: CLOVERLY 1 18590-006-024 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 1 (EXIST OCC GRP: 107/22/10 SR 1 I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1 Al ATE^ FINAL BY: CODE: 1 ITOOHEY ROBERT (626) 286-8476- 1 5,500 I I 1 19591 BLACKLEY ST I1 VVV 1 ITEMP 917803143 1 - FEES PAID IDA CRfPTAON OF WORK 1 I I IRE ROOF WITH CLASS A COMP SHINGLE 30 YR GAF/ELK 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 1 (APPLICANT: TEL. NO: I I I IJN DAVIS ROOFING (626) 815-1279- IAA BLDG PERMIT ISSUANCE 27.80 1 11308 E. COLORADO BL IAB STATE GREEN BLDG FEE 5500.00 VAL 1.00 ISPECIAL CONDITIONS: 1 (PASADENA, CA 91106 IAC STRONG MOTION RESID 5500.00 VAL 0.60 I I 1 ID2 PERMIT W/O EN-HC 5500.00 VAL 149.70 1 1 I I TOTAL FEES 179.10 I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IJ N DAVIS ROOFING CO. (626) 815-1279- I 1 11308 E. COLORADO BLVD., #B LIC. NO ILOCATION AND SETBACKS 1 1 1 (PASADENA, CA 91106 57212SC39 I I I I I I ISOILS ENGINEER APPROVAL 1 I I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I I I I I I I I I 1 I IRAISED FLOOR FRAMING 1 1 1 I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 _ (UNDERFLOOR INSULATION I I I 1147H269 3 001 1 1-1 I I I IFLOOR SHEATHING 1 I 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I r I 1 NO 21 1 IROOF SHEATHING 1 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS I I 1 1 NO NO NO IFRAME INSPECTION I I I I I I I I I 1 IFIRE SPRINKLER HANGERS I 1 I 1 (INSULATION/WEATHER STRIPI I I I I I I I I 1 1 (INTERIOR LATH/DRYWALL I I 1 I I I I I I I I (EXTERIOR LATH I I I I i I I I I I I IRATED FLOOR/CEIL ASSEM. I I I I I I I I I I 1 IRATED WALL ASSEMBLIES I I I I I I I I I I I IRATED SHAFTS/OPENINGS I I I I I I I I I I I IT-BAR CEILINGS I I 1 I 1• ADDITIONAL DATA ON FILE I I I I 1 I ILOT DRAINAGE II 1 I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I i I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9702130025 PHONE: (818) 285-0488 EXT: LEGAL ID• NO. OF CONST BUILDING ADDRESS: TR: 29492 LT: 4 SQ. FT STORIES TYPE 9591 BLACKLEY ST STRUCTURE: 500 V TEMP CA 917803143 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8590-006-024 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY e TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED'ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/13/97 TC 02/13/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE: TOOHEY ROBERT J;MARY M (818) 286-8476- 1 1,080 9591 BLACKLEY ST TEMP 917803143 FEES PAID DESCRIPTION OFORK REMOVE ROOFING TO WOOD BASE Od FLAT PATIO ROOF ONLY - FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RECOVER WITH 3 PLY BUILT UP HOT MOP APPLICANT: TEL. NO: J N DAVIS ROOFING (818) 821-4665- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1080.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HCS I, (C1080",00 VAL 82.20 vV 1� TOTAL FSO 110.45 CONTRACTOR: TEL. NO: O� APPROVALS DATE INSPECTOR SIGNATURE J N DAVIS ROOFING (818) 821-4665- 2 E. LA PORTE LIC. NO LOCATION AND SETBACKS ARCADIA, CA 91006 572125C-39 \ SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: q-- FOUNDA?ION/TRENCH FORMS LIC. N0: pJ( �- � ! � ) iiii; �I SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ��; �� _ ,�� 1J�� ,�(`•��7; '� 147H269 3 01 --_- - - - - - - - - FLOOR SHEATHING N0. OF FAMILIES: DWELLI NG UNITS: PT/COND: STAT CLASS: NO 21 ��`' �,��„ i� � � �r ''1 ��_�� ROOF SHEATHING SCHOOL WITHIN HAZARDOUS �✓�� \�� SHEAR PANELS AIR DUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION D n - � ��= REQUIRED TOTAL SETBACK FROM EXIST � FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- zs-e �1�n C, INSULATION/WEATHER STRIP L U� U 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 T COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR ""UT LDING AND SAFETY I LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0402170053 PHONE: (626) 285-0488 EXT: LEGAL _D,_. -� NO. OF CONST BUILDING ADDRESS: TR: 29492 LT: 4 SQ. FT STORIES TYPE 9591 BLACKLEY ST STRUCTURE: VN TEMP CA 917803143 ASSESSC2 '�=.RM;.i.f JPI NUMBER: NEAREST CROSS STREET: 8590-006-02- THOMAS PAGE: 597 GRID: A4 L CALITY: TEMPLE CITY, C TENANT: - EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/17/04 VG 02/11/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: TOOHEY ROBERT J;MARY M (626) 286-8476- 500 ^ _ 9591 BLACKLEYST r TEMP 917805143 FEES PAID DESCRIPTION OF WORK BATH REMODEL - REPLACE SHOWER PAN _ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: GLASS (818) 994-1853- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 500.00 VAL 43.65 TOTAL FEES 71.90 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ALL STAR REMODELING (800) 441-1758- 14039 SHERMAN 'dAY LIC. NO LOCATION AND SETBACKS SUITE# 102 740295 B VAN NUYS CA 91405 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING IMAP N0: SErJER NAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147-269 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 RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508