HomeMy Public PortalAbout9629 BLACKLEY ST_Building__ RP
76A638A CE 4x8032-63 APPLICATION FOR BUILDING, PERMITo z7
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS pL
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST /
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS,ST
DISTRICT NO GROUP TYPE PBJCLrESSED BY
FOR APPLICANT'TO FILL IN ;�U CONST.
BUILDING STATISTICAL CLASSIFICATION SE ER MAP
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ADDRESS ` --BK G
CLASS NOiDW ELL UNITS G
LOT NO !Q - BLOCK WATER NOT REQUIRED 1:1 ,RECEIVED El.+ CERTIFICATE.
TRACT , MAPyq ,�{{ HIGHWAY _
NO OF BLDGS y's NO p,[,(/` (CIRCLE) STATE MAJOR SECOND, CA
SIZE, OF LOT G� 1� NOW ON LOT �/w USEZONE' SPECIAL
USE OF ^ CONDITIONS
EXISTING BLDG �� - v�Il`,,J
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OWNER NO BUILDING YARD
I HWY STREET EXIST
SETBACK A EXIST
ADDRESS, Z FRONT
ARCHITECT OR TEL- P L
ENGINEER NO SIDEa-
, P L
ADDRESS O
I
-TEL �� V
CONTRACTOR NO
ADDRESS lf-••� - O
DESCRIPTION 6F',WORK W
a
NE ADD ALTER REPAIR DEMOLISH _ Z
SQ FT NO OF NO OF -- _
SIZE STORIES - FAMILIES
USE OF
STRUCTURE 49 (,P •f �+
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SIGNATURE
APPLICANT
VALUATIOd
77 APPROVALS DATE INSPECTOR'S SIGNATURE
PC FOUNDATION LOCATION
FEE $ FEE $ FORMS, MATERIALS
�• FRAME FIRE STOPS, _ p�
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 ALL COUNTY O ANCES AND STATE LAWS REGULATING GAS VENT, DUCTS 1�
BUILDING CONSTRUC ON I CERTIFY THAT-1 G THE WORK
AUTHORIZED HEREBY I LL NOT EMPLOY' ER N IN VIOLA. Y t
TION OF THE LABO C E OF THE S ATE F C L ORNIA RELAT. LATH, INT
ING TO WORKMEN' CO PENSATION,Y U NCE
/ LATH. EXT.
• SIGNATURE OF l HOUSE NUMBER COR- SS
PERMITTEE ! RECT AND POSTED 4 J
AODRES _ FINAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL-ENGI
PLAN VHECK VALIDATION, CK M O CASH _ PERMIT VALIDATION CK - MO CASH
LG :o 4 1 6 9 AN 7 1 D 6-00
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 0301230001
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDINGADDRESS:
ON FILE SQ. FT STORIES TYPE 9629 BLACKLEY ST
STRUCTURE: VN TEMP CA 917803852
SSESSOR ORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD
8589-002-013 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT: ST BL G USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 01/23/03 JK 01/18/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE � Ir FINAL BY- CODE:
YU JULIE (562) 401-7543-WK 2,000
9629 BLACKLEY STREET 73
TEMPLE CITY 91780 FEES PAID DESCR P ION OF WORK
T/0 HSE & GARAGE; INSTALL'30YR COMP SHINGLE OVER EXISTING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PLYWOOD SHEATING
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC X2000.00 VAL 82.20
(�9I�Gl���TO��FEES 110.45
CONTRACTOR: TEL. NO: ®� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
ASOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATJON/TRENCH FORMS
LIC. N0: / }111111 ` SLAB/UNDER FLOOR
J
-- I J RAISED FLOOR FRAMING
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MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP(:-- UNDERFLOOR INSULATION
147H269 3 0� �
u. FLOOR SHEATHING
NO. OFFAMILIES: DWELLING UNITS: APT/COND: STAT CLASS ---- - ---NO 21 \�- --- - ROOF SHEATHING
O 0 "i
SCHOOL WITHIN HAZARDOUS ,i� ;fi*� SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS ❑ r�, , �__
NO NO NO n ;� �� FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: Op �_
FRONT PL- o�°�PQ1��fvr% INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ASS M.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508