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HomeMy Public PortalAbout9677 BLACKLEY ST_Building__ 76A63BA Ce#803 f 0-68 APPLICATIONTOR BUILDING PERMIT, COUNTY OF LOS ANGELES BUILDING 6 7 7 L.1; (/� �- DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS STA4 xi DISjaXT NO. GRO ,TYPE' PR Y FOR APPLICANT TO FILL'IN .S �/ I CONS�I BUILDING // I SEWER MAP ADDRESS !O STATISTICAL CLASSIFICATION ' BK G CLASS. NO. DWELL. UNITS LOT NO.CU Sb %•3 BLOCK �� MAPQ� STATE YES. NUMBERNO .,�%� /l HWY. TRACT N/I S S/ A/ VI W USE ZONE- SPECIAL NO OF BLDGS. a CONDITIONS SIZE OF LOT i J Q J� :3o o NOW ON LOT USE O F F' C�'GZ !� _ XISTING BLDG. 4 BUILDING - EXIST. YARD HWY STREET NAME SETBACK y WIDTH 61v14A /: 4 FRONT* IL P. L. i O O C f✓ V� O ' _PiDDRESS �� 77 C- ,(]/GL.G/� GLI SIDE (44 C / T •� �/ P.L. CIT , C, cL AX/iD /INSPECTION RECORD - ARCHITECT R11 TEL.TEL. _ ENGINEER NO. —1 ` 4,,,x1019-v � ADDRESS -�/ z, TEL 1J. CONTRACTOR NO.A .- V6 ADDRESS D() !� !?114Z24& eil 2:� - - - DESCRIPT109 OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. '/ NO.OF NO.-OF SIZE .3-4/0 STORIES � FAMILIES � I USE OF STRUCTURE �S�re oI recxc r rcL -� SIGNATURE OF APPROVALS \ APPLICANT - S� � • , DATE ' INSPECTOR'S SI jATURE ADDRESS FOUNDATION:_LOC:4TION — _ FORMS.-MATERIALS �'S SIJ I/ $ /D G P•C. $ - FRAME: FIRE STOPS. •FEE BRACING. BOLTS.- VALUATION S / ® FURNACE: LOCATION. FEE (1J GAS VENT.DUCTS �1- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH,INT. ..r �/ •S "+�0'�N' �•`^- PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WAPTH ALL COUNTY ORDINANCES AND p 1~ STATE LAWS REG T G BUILDING NSTRUCTION." LATH,EXT. ' t SIGNATURE OF HOUSE NUMBERjCOR- PERMITTEE RECTAt(jrNO OSTED ADDRESS FINA3L�Y / ♦ � ZCLYDE'N. DIRLAM, PRINCIPAL STR TURAL ENGI`��Z, ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION -CK.J M.O. CASH LAC0 6 2 1 8°; HAY 12 1 ''A 6.00 l 76A638A CE#8031,.,, 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 CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TY SED BY. FOR APPLICANT TO FILL IN I CONST. P ES BUILDING -' S WER MAP ADDRESS ,¢.�, e STATISTICAL CLASSIFICATION I � CLASS.NO. DWELL. UNITS LOT NO.bh �" .-, 3U ��BLOCK MAP STATE TRACT /V 1 ' / ep ! NUMBER Cy�(J HWY. YES O �IDY� F!B e' m) Aer-<y USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOTS-® ��' I NOW ON LOT - USE OF EXISTING BLDG. BUILDINGEXIST. YARD HWY STREET NA / SETBACK WIDTH OWNER 9 e/' `d FRONT - MAILiy G / P.L. ADDRESS / 7 4-.. ��/� SIDE - P.L. CITY cr le if i 'NO all o INSPECTION REC RD ARCHITECT Oft TEL. - ENGINEER NO. ADDRESS A TELi q CONTRACTOR ,iS a NO..4-1 -a 2. ADDRESS - DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. / NO.OF NO.OF SIZE �ay / STORIES FAMILIES . USE OFSTAUCTURE .17 1 J `t, � v SIGNATURE OF APPROVALS APPLICANT T ADDRESS�lo (,,!' �NT� / �. FOUNDATION: LOCATION- DATE INSPECTORS-SIGNATURE p s� $ FORMS.MATERIALS 6� - !13 P.C. $ FRAME: FIRE STOPS. FEE -- BRACING, BOLTS 6 VALUATION /OO (J�' FURNACE: LOCATION. - FEE GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ITH ALL COUNTY ORDINANCES AND LATH,EXT. STATE LAWS RE A ING UILDING 6NSTRUCTION. SIGNATURE OF /� HOUSE NUMBER COR- PERMITTEE �•-r • RECTANDPOSTED // ADDRESS SD JAI FINAL / CLYDE N.DIRLAM, PRIN IPAL ST L E EER PLAN CHECK VALIDATION CK. M.O. CASH PERMT VALIDATION CK. M.0.7-CASH LAC0 6 4 6 5 14AY 15 1 A 2.00 `rIEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES I L ' N G 1 T WM. •J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILLJN DISTRICT NO. PLAN CK. NO./ PERMIT NO. ADD BUILDRENG LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED RECEIVED / NEAREST `� / s` / r / �_5 CROSS ST, Jt.aL ' ILDIN ADDRES , — OWNERMAIL r.'Q LOCALITY ADDRESS !O �� 'Z�GaI W �y' NEAREST , TEL. ` / G CROSS ST. `—LJ CITY ` NO.I 161 z "" I NO. OF , ZONE I GROUPg' ARCHITECT OR TEL. �,�s ENGINEER NO. BLDG. 100RD. SETBACK LINE - a ADDRESS APPROVED C TEL. BY DATE 4 CONTRACTOR NO.. „ USE APPROVED ZONE 4/ BY DATE ADDRESS HOUSE NUMBERING ¢ LEGAL DESCRIPTION OT LBLOCK MAP NUMBER - FIELD CHECK BY aacJ i�I�ATF TRACT � � NO. ASSIGNED BY f t I NO. OF BLDGS. CORRECTIONS SIZE OF LOT Y NOW ON LOTP'° USB OF - I NO. OF ,q _ EXISTING BLDG. FAMILIES DESCRIPTION OF WORK ' o _ NEW I ALTERATION I I ADDITION I _0 � ' � q Q O REPAIR I DEMOLITION SQ. FT. NO. OF SIZE 'O 'O ROOMS STORIES ,/ Z EXT. WALL ROOF nu-4e" 43�.. '?� /c1y" r COVERING COVERING ',A Al� �� ,fl__x USE OF STRUCTURE APPROVALSV, INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS _ FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING'B ILDING CONSTRUCTION. _ FURNACE: LOCATION, n SIGNATURE OF !� o. GAS VENT, DUCTS PERMITTE LATH, INT. Y DDRESS LATH, EXT. � THORIZED AGT. PLASTER, INT. '.838A• OBS2 10-50 ����`� P. C. $ FEE (/� PLASTER, EXT. /� 1 DATION FEE ' FINAL � i is f i WO't°KERS'COMPENSATION DECLARATION ` sure, o a cert hate have.� certificate of consent c self A.PPL I CATI U-FPUILDING PERMIT insure, or a certificate of Workers' , Lab. C stion Insurance,or a certified copy thereof (Sec. 3800, lab. C. COUNTY OF LOS ANGELES , BUILDING AND SAFETY Policy No. T Company- BUILDING Certified-copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 0 Certified copy is filed with the county building inspec- . BUILDING ) tion department. ADDRESS. /S � LOCALITY �3 NEAREST. /� Date Applicant TY' G14� -L �/t ZIP V CROSS ST. CERTIFICATE OF EXEMPTION,FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT _ NOW ON LOT MAP BOOK PAGE PARCEL (This section need riot be completed if the permit is for one USE ZONE MAP '7v hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. TEL. / ��/ I SPECIAL I certify That in the performance of the work for which this OWNER �, /1�!WO / j/O �` CONDITIONS O permit is issued, I shall not employ any person in any manner �'' DISTRICT GROUP TYPE FIRE P CESSED B (� so as to become subjecpto the Workers'Compensation LowsADDRESS �►, �5ONST. 7Date" Applicant CITY 47 ZIP STATISTICAL CLAS FI ATION U NOTICE TO APPLICANT: If, after making this Certificate of 1 ARCHITECT OR ' TEL. LU Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS Compensation provisions of the Labor Code, you must forth-, ADDRESS SEWER MAP with comply. with such provisions or this permit shall be deemed revoked. TEL' BK. PG, VALIDATION 111 CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION ? LIC. I hereby affirm that I am licensed under provisions of Chapter 9 . ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and, - LIC. /; /1 Professions Code, and my license is in full force and effect. CITY CLASS $ V V 0 'SQ. FT NO. OF / NO. OF CHECK License Number Lic.Class SIZE STORIES ! FAMILIES ONE DESCRIPTION OF WORK NEW Contractor _Date ADD I am exempt from the licensing requirements as I am a A#/n- . licensed architect or a registered professional engineer 1 ALTER 0 FINAL acting in my professional capacity (Section 7051, If I ! �W 1,t!7REPAIR DAT Business and Professions Code). USE OF EXISTING BLDG. DEMOL FI Lica or Reg. APPLICANT TEL. No. Date r - OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESSj�^ z 5 3 9, 1 A wages as their sole compensation,will do the work and the str -tore is not intended or offered for sale(Section LOCALITY 0 0 0 0 0 , Business and Professions Code). MOVING TEL. CONTRACTOR NO.. I, as owner of the property, am exclusively contracting �� 2 ° 2,(( 1.00 with Licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). o 0 2 4 1,005 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD NWY PROP. LINE' WIDTH I hereby affirm that there is a construction lending agency for FRONT 0 5 2 6­8 1 the performance of the work for which this permit is issued P.I. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name Lender's Address P.C. Fee$ �/ Perit „', I certify that I have read this application and state that the Issuance Fee / Qabove information is correct. I agree to comply with all County Investigation Fee ry ' 0 ordinances and State laws relating to building construction, Total Fe (J and hereby authorize representatives of this County to enter a peabove-mti enonepro erty inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature of Applid can or Agent Dote / ©s aNORKERS' COMPENSATION DECLARATION „i• re irm that I havecertificate of consent to Self APPLICATION FOR BUILDING PERMIT • insusuor'a re, or a cy?rtificate of Workers' Compensation Insurance, _ i,vr a''certified copy the (Sec. 3800, Lob.'C.) COUNTY OF LOS ANGELES BUILDING-AND SAF TY pal icyNo. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING V 7 ADDRESS I ❑ Certjfied'copy is filed with the county building inspec- BUILDING�Jl I tion department. ADDRESS Date Applicant CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS" -NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. . (This section'need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR hundred dollars ($100)or less.) MAP BOOK PAGE, PARCEL TEL`l� USE NE MAP' n I certify that in the performance of the work for which this OWNER N - NE NO. y r' permit.[s issued, I shall not employ any person in any manner -1�1 At 1l SPECIAL so as to become subject to the Workers Compensation Laws. ADD l It l 1�' CONDITIONS U II Date % Applican CITY ZIP c �. NOTICE TO APPLICANT: If; after making this Certificate of ARCHITECT OR TEL. .DISTRICT I-GkUJTYCONZONE PEST. FIRE PR CESSED BY Exemption', you should become subject ENGINEER NO.to the Workers r � ~ � Compensation prdvisions'of the Labor Code, you must forth ADDRESS +�L -- IL with comply with such provisions or this.permit shall be of deemed revoked. TEL. STATISTICAL CLASSIFICQ,TION APT. ONDO.' Z CONTRACTOR NO. qq4 LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC: SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK VALIDATION SQ. FT. J� NO. OF NO. OF CHECK License Number Lic,Class SIZE V STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK NEW ❑ Contractor Date D V (J CJ ❑ „ ADD El $ , I am exempt under Sec. (� �-' o u ❑ ALTER B.BP.C. for this reason - REPAIR ❑ $ 2 4 8 4 0 A Date: USE OF DEMOL EXISTING BLDG. ❑ '# • APPLICANT i TEL. �j Signature t � FIN FL�, OWNER-BUILDER DECLARATION PRINT NO. 1 DAT •1 ° - 49.88. I hereby affirmt hat I am exempt from the Contractor's License / Law for the following reason (Section 7031.5, Business and ADDRESS � 1 FIN o a o 4 9.8 8 c=r Professions Code): PRESENT BY , { BUILDING ❑ . I, as owner of the property, or my employees with ADDRESS , ` '• a6. 1 8'`8 b'• 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. r�sffCONTRACTOR NO. KillI, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETT BACK YARD ' HWY'REQUIREDTOTAPROBACNEFROM WIDTH I hereby affirm 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.). SIDE P.L. _ Lender's Name m LDMA Ref. # Lender's Address P.C. Fee$ Permit Fee I.certify that I have read this application and state that the Issuance Fee li (1 LDMA P/C# a above information is correct. I agree to comply with all County Investigation Fee $ ordinances and•State laws-relating to building construction, Total Fee LDMA P rm. u and hereby authorize representatives of this County to enter m u n the cLbove-m bonedproperty for inspection purposes. ` 8 SEE REVERSE FOR EXPLANATORY LANGUAGE r '• 'Signature of Applicant or Age - - -Date' - - '-- ."' O 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 0307150052 PHONE: (626) 285-0488 EXT: LEGAL ID• NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9677 BLACKLEY ST STRUCTURE: VN TEMP CA 917803850 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD 8589-003-030 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/15/03 JK 07/09/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: FRANZ NORMAN H;CYNTHIA (626) 287-3981- 7,000 �L - 9677 BLACKLEY ST TEMP 917803850 FEES PAID DESCRIPTION OF WORK T/0 HOUSE & GARAGE; INSTALL 1/2"PLYWOOD & 30YR COMP CLASS A FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 7000.00 VAL 0.70 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC 7000.00 VAL 166.20 TOTAL FEES 194.65 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 RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508