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HomeMy Public PortalAbout9639 BLACKLEY ST_Building__ DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES ` WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS 1 FOR APPLICANT TO FILL IN LOCALITY �a BUILDING / _ _ /j NEAREST ADDRESS j7 4_ {(' CROSS ST. LOCALITY `TaP�h tx��y DISTRICT NO. SERIAL NO. PERMIT NO. c NEAREST s A Ljl- A L- ���d l S CROSS ST. ri `� � � REC_ EIVED BY Ready for Inspection � DATE ISSUED OWNER N //1 C/ (n�c.rQ l —v ADDRESSMAIL C V USE 2 NE OCCUPANCY MAP t CITY TEL.NO. CONTRACTOR r I Q' d CO.IMP.N0. ( U 0 ' ADDRESS`5' � JOB.NO. '- CITY 2 y TRUNK PERMIT NO. REGISTRATION NOm �j ❑ STATE ❑ COUNTY, ROAD PERMIT N0. LEGAL DESCRIPTION LOT NO. '` P v{ STATE ENCROACHMENT PERMIT N0. BLOCK TRACT INDUSTRIAL WASTE APPROVAL SIZE OF LOT ® — N0, OF BLDGS. CHARGES NOW ON LOT USE OF BUILDINGS (/C�� �_ _- CONNECTION CHARGE FEE ` NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE-----___ EE--� PUBLICSEWER 0 $ 3.50 I � RECEIPT DATE Y IBY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TQ-H U,SE SEWER 1.00 NO. I DATE IBY ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT ANO: B•ANDON SEWER AND/OR DISPOSAL�"�SYS_T��,E_M t.00rl `' CONNECTION DATA SEPTIC TANK,SEEPAGE P,I;T OR �y PITS AND/OR DRAINFIEL'D- 2.00 I STATION 7� / 74:: DEPTH �. CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY ' '.'.'`'_. 2.00I MANHOLE REFERENCE — ��J� UPPER Zr_ C�F LOWER TYPE OF CONNECTION LENGTH FrROM ... Y. CURB=. —P:L. M.L.TO P.L. ff!! -OWNERS PERMIT $ I 1 00 5� AUTHORIZATION TOTAL FEE ICal -L I HAVE THIS DATE CONTRACTED WITH THE HEREI NAMED HAVE TO CONNECT THE ABOVE DESCRIBED EXISTING' APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE�PUBLIC'SEWER SIGNED THIS--•----- -.-..DAY OF.------J). 'NEW HOUSE SEWER �G Ea-27 19•-- = - OWNER OR -,CONNECT ADDITIONAL BUILDING OR WORK OWNERS .. _-.-..------� a•-••----•-cp J SEPTIC TANK,SEEP.PIT(S) ADDRESS-•----------•--------- - = _ ......... ARD/ORDRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. CESSPOOL[:] DRYWELL E]CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGN �� Y y`�r- ��� SEEP.PIT(S)� CESSPOOLS E] ATURE. � ��" OF PERMITTEE^- P,�_......= - t__...---•----f-... ` - 76A642D 663 1/53 D ARTNJE�N,T�OF COUNT ENGnq= t DMSIO o OUNT�t' OUILDOGMAND SAFETY- BUILDING WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING S FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING ADDRESS q DISTRICT NO. PLAN CK.-PR R�.No. / PERMIT N '7 / G e 5�-- �✓fY C��` �C,sQGs/� S e R VED BYy/ DA. E OF PL. E ISED LOCALITY ` !'i �°7�:,'9¢j= v q f0 L ,,•. ? NEAREST �/ C¢wj CROSS ST. T UILD G 1 ADD SS, (!7 OWNER d Q v MAIL LOCALITY 7n ADDRESS -NEAREST • /A TE?/ _a CROSS ST.._' CITY L ` NO -' ARCHITECT ORTEL. FIRE PLANS _TYPE-- GROMP-P-0 ENGINEER iY NO ZONE PLANS r `Ji BLDG. t - Rp` NO. ; }+, ADDRESS SETBACK LINE O �'. CONTRACTOR 'S NO. fkL USE p I APPROVED ZONE/t'I BY rj 'tJ DATE ADDRESS 560 O HOUSE NUMBERING LEGAL• I '; Ifje ... I MAP NUMBER a C G NO. ASSIGNED BY DESCRIPTION LOT NO. BLOCK ' =C R CTO S TRACT L/ G-�- J C y NO. OF BLDG8. SIZE OF LOT , J iL �J e I NOW ON LOT USE I FNO.AM OF EXISTING ` A• � CISTITING BLDG. FpMtl_I6e DESCRIPTION OF WORK— Z , �es;`/w- o — NEW I ALTERATION j_j__ADDITION C +QOM D T' /cid -/vGS G) REPAIR DEMOLITION Y SQ. FT. J - NO. OF f O 4/�n P6 SIZE I D �© ROOMS p STORIES Q,D 1L EXT, WALL ,/�y ROOF COVERING _! b V �irr�j I COVERING USE OF STRUCTURE .v " e_ St Loll9 G W m APPROVALS INSPECTOR'S SIGNATURE DATE FOU ATION: LOCATION FURMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- RAME: FIRE STOPS. PLICATION AND STATE THAT THE INFORMATION GIVEN IS' BRACING, BOLTS ! CORRECT. FURNACE: LOCATION, ✓ � `/,`�-• 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCE GAS VENT, DUCTS - fXH�el 11 , .•-- E AND STATE LAWS REGULATING BUILDING CONSTRUCTIO �.� G LATH, INT. Ar SIGNATURE OF ` �•y 4 " /7 PERMITTE {{,, `•LATH. EXT. � ADDRESS / e �'G.•y s P 'lKY t • - .�� PLASTER, INT. AUTHORIZED AG PLASTER, EXT. $ FEE 8 ..� HOUSE NUMBER COR- • 00,v� RECT AND POSTED VALUATION FEE i^ INAL 76A888A 056 3 8-82 76A638A CE 0803 1/71 T Ci f LE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE s PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS b COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL-IN tJEAREST CROSS ST. Print ort a onl BUILDING• •/►�+� i e DISTRICT O. GROUP, TYPE CONST. PRO ESSED BY ADDRESS .IJL G ` J�• �O -'�. I .' y STATISTICAL CLASSIFICATION, SEWER MAP LOT NO •% BLOCK --- - _ CLASS NO. a'� DWELL,UNITS BK PG TRACT S -t / •1 - USE ZONE MAP ' SIZE OF LOT k NOWOONBLOTS• VJ� � 7 a SPECIAL USE OF CONDITIONS EXISTING BLDG. OWNER VLN A OL•1r }BLDG.SETBACK FROM ADDRESS W 'FRONT PROP.LINE OF (STREET)' TYPE OF EXISTING SETBACK HIGHWAY .} YARD,• = TOTAL CITY HIGHWAY WIDTH 'FROM C.L. ARCHITECT OR TEL. ' + _ ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP,LINE OF (STREET) /1 TEL: TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL d CONTRACTOR (W40 r� NO. g� HIGHWAY WIDTH FROM C.L. r, � U LIC. 1 �� _ ADDRESS NO. J/ :1V + - O LIC. CITY I I F 9j CLASS .trL CORNER CUTOFF YES E] NO ❑ w CONSTRUCTION LENDER N NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL 'APPROVALS ADDRESS SQ. FT. NO. OF NO. OF /•�,,,,� USESIZEOF STORIES FAMILIES' r ADD ❑ ` J M C..rvovd�L STRUCTURE ' —7-1 .p • ALTER ❑ (, . // / G % ()-V - Gr � SIGNATURE OF REPAIR ��♦_5, -72t) APPLICANT �(j DEMOL' ❑ G�Y9�"'� ,��� � VALUATION $ V;S ' APPROVALS DATE 1N5PECTOR'S SIGNATURE P.C. PMT. D FOUNDATION: LOCATION J FEE $ FEE$ ��� FORMS, MATERIALS FRAME: FIRE STOPS, d I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIO : -BRACING, BOLTS ' 1 V AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMP Y FURNACE: LOCATION, 'WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.- , LABOR,. CODE OF THE STATE OF -CALIFORNIA IN RELATING TO .WORKMEN'S COMP NSATION INSURANCE. LATH, EXT. SIGNATURE OFHOUSE NUMBER COR- ' PERMITTEE RECT AND POSTED ADDRESS' {�VO 3 FINAL JOHN F.•LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CC M GB VALID. TI � CASH _ PERMIT VALIDATION CK M O CASH C,c3 rv� L-WS A P'I OR. 'OLICY HOLDER: OLICY NUMBER: . � , , WORKERS' COMPENSATION DECLARATION, irii-i A.insure, o6afcerti ate of Wo ke s' Comtpensat on eInsuran of �'� ���IO ' -q•"®R BUILDING PERM'T or a'cerhfied copy thereof (Sec. 3800, Lab C COUNTY.OF LOS'ANGELES BUILDING AND SAFETY Policy No:J ��1�� Company-,ria ,TIL 1 �'' EJCertified copy is hereby furnished FOR APPLICANT TO FILL:IN_`�' BuaDwG , ADDRESS Certified copy is filed with the county building mspec- 'BUILDING Yom:tion department. r ADDRESS U - � L— I Date rt�� Applicant A��A� C.;IJI't41' CITY lr `— ow ZIP LOCALITY ' CERTIFICATE OF EXEMPTION FROM WORKERS' LL �• NO OF BLDGS NEAREST COMPENSATION,INSURANCE SIZE OF LO7 T•77 �So, NOW ON LOT_ Z CROSS ST (This section need'not be completed if-the permit is for one .. ASSESSOR hundred dollars ($100)-or less.) r TRACT `w BLOCK�7, LOT NO MAP BOOK PAGE PARCEL OWNER v` SZ17• F2-1N TELNO �.' USE'•Z NE MAP'• I certify that'in the performance of the work'for which this NO permit is issued, I shall not employ any person in any manner SPECIAL• so as to become subject to the Workers'Compensation Laws. - ADDRESS' L. CONDITIONS O; CITY T P E/ ZIP U Date Applicant . NOTICE JO APPLICANT••If, after'making this Certificate of ARCHITECT OR TEL DISTRICT GROUP ,TYPE FIRE' P CESSED BY Q ENGINEER. -NO ✓? CONST ZONE `3 Exemption, you should become'subject to;.the Workers' /� ](�/ Compensotion,provisions of the Labor.Code,:you must forth= `. ADDRESS c•' V �•,�• W with comply with-,such provisions or'this,permit shall be a. deemed revoked TEL STATISTICAL CLASSIFICATION• APT ONDO N CONTRACTOR • NO 'z LICENSED CONTRACTORS DECLARATION , `• ^,''_ NO CLASS NO: DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS C�J�. (commencing with Section 7000)bf Division 3'of the Business and ' LIC SEWER MAP' Professions Code, and my license is m'full force and effect. CITY CLASS' BK` VALIDATION (� SQ FT u INC.OF NO OF CHECK License Number Lic.Class�l SIZE 413STORIES -' FAMILIES ONE �,cy�,�. '7 n /� VALUATIO -, Contractor L�Tl tt Vit/ 'Cmt- Date" +'3��GO DESCRIPTION•OF WORK Ai.ar m•1� k Q�� NEW ❑ ADD $ V-91` . ❑ I am exempt under Sec. . k.�� lmv-rt'rl .-P� `�/I ALTER ❑ B.BP.C. for this reason aJ$ E A�O L�.f�O REPAIR ❑ $ Date: USE OF DEMOL` ❑ EXISTING BLDG Signature APPLICANT _ TEL FINAL OWNER-BUILDER DECLARATION PRWT NO "L DATE I hereby affirm that I,am exempt from the Contractor's,License ' QL'l�O FINAL Low for the following reason (Section 7031.`5, Business and '" ADDRESS • Professions Code): PRESENT ❑ BUILDING r j, as owner-of the property, or my employees with ADDRESS T wages'as their sole compensation;will do the work andI ° 2 0'a 6 3 the structure is not intended or offered for sale(Section LOCALITY �• I � ' 7044, Business and Professions,Code 2',1 8 6 3 MOVING- _ TEL. t x °•° ❑ l,•as owner of the property, am`exclusively contracting wCONTRACTOR NO with licensed contractors to construct the project (Sec- -ADDRESS .� Q O -' tion.7044, Business and Profess ians'Code). REQUIRED TOTAL SETBACK—M=-ADDRESS "'N '( 6' 8 8 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH i`, `r•e` :1e - hereby,offirm that there is a construction lending agency for FRONT the performance of the work-for which this permit is issued P L (Sec. 3097, Civ. C.). s SIDE P L. Lender's Name m [investigation C. Fee$ Permit Fee 10 Lender's Address, g I -fy that I have,read this application and state that the Issuance Fee O..'� O LDMA:P/C# - ov' information is correct. I agree to comply with all County Fee r 1 ' S ridere s,' ia,State-lowssrelattng to building construction, Total-Fee LDMA Perm # $ t t nhy q :�z,4represenlatives.of this'County to enter' obo erlf` '�ed-pioperty?for inspection,purposes. `�<� a •. SEE REVERSE FOR EXPLANATORY LANGUAGE • •Signature•o Applicarivor Agent'; Date - - - •- - - - _ :. .. 76A638A CE#803 3-66APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING9 i6�7 DEPARTMENT OF COUNTY ENGINEER -ADDRESS ?� BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP'T OF BUILDING CROSS ST. DISTRICT NO. GRr I TYPE IVF O S D BY FOR APPLICANT TO FILL IN Jr' CONST. _ BUILDING STATISTICAL C SI FICA TION SEWER MAP ADDRESS 9639 Blacklev. TempleCLASS NO. DWELL UNITS BK PG LOT NO BLOCK USE ZONE I MAP NO. (� TRACT SPECIAL NO. OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF E,ISTI, 0 BLDG, BLDG. SETBACK FROM ` /� ,TEL FRONT PROP. LINE OF '(STREET) OWNER Charles C TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HI HWAY WIDTH F OM C.L. ADDRESS 96314 Rlirklomv Temple C 'tv y '�� CITY BLDG. SETBACK FROM - - , RCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. _ TYPE OF EXISTING SETBACK HIGHWAY + - YARD. — TOTAL ADDRESS HIGHWFR AY WIDTH OM C.L. TEL. + _ CONTRACTO NO 1 ADDRESS NO ng LIC CORNER CUTOFF YES NO ❑ CD CITY City of Industr CIC 1157 I SEE REVERSE SIDE FOR SPECIAL APPROVALSCD DESCRIPTION OF WORK LLI 4z C/Da NEW ADD 1 ALTER REPAIR DEMOLISH SQ.FT. STORIES ES NO OF 21 3/4/ � SIZE 1 FAMILIES USE OF STRUCTURE Re-roof Composition SIGNATURE OF APPLICANT VALUATION$ 62 6 ,Ou v APPROVALS DATE INSPECTOR'S SIGNATURE P.C. 7 PMT. n FOUNDATION, LOCATION FEE$ FEE$ 12.00 FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 13UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK 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 COMPENSATION INSURANCE. .. LATH. EXT. SIGNATURE OF HOSE NUMBER COR- PERCT AND POSTED MITTEE E ADDRESS 14760 RUThdLIStr)4FI NAL "I, PLAN CHECK VALIDATION CK. M o. CASH _ JOHN TR PERMIT VALIDATION RENGINEER C ER SNCK. %0 9'2 -5- SEP 2 7 1 D 12.0 0- i• 1 'JI "COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT r� DEPAATMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY\ CA 91780 BL 0508 0504120027 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP`GROUP 9639 BLACKLEY ST STRUCTURE: 590 1 VN R3 TEMP CA 917803852 ASSESSOR INFORMATION NUMBER: GARAGE: 430 . 1 VN U1 NEAREST CROSS STREET: TEMPLE CITY 8589-002-012 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: 07/13/05 VG 07/08/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE: RINCON ROBERT R;ANNA M (626) 285-1080- 61,580 •�,"�%�_, 9639 BLACKLEY ST �J TEMP 917803852 FEES PAID DESCRIPTION OF WORK BUILD NEW GUEST HOUSE 2BR/1BA W/ATTACHED 2 CAR GARAGE, 1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: REC. ROOM APPLICANT: TEL. NO: MELILLO (626) 237-0942- B1 PLANCHECK W/ENERGY 61580.00 VAL 859.87 9703 GARIBALDI AVE AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 AC STRONG MOTION RESID 61580.00 VAL 6.16 B2 PERMIT W/ENERGY 61580.00 VAL 1,011.62 TOTAL FEES 1,905.40 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE D T M CONSTRUCTION CO. (626) 237-0942- 9703 GARIBALDI AVE. LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 266616B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORM LIC. NO: SLAB,/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H269 3 02 41 •Z'� IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 01 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT / REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH. FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH q - 2 LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508