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Home My Public Portal About9112 OLEMA ST_Building__ 76A638A CE11803 3-68 , I APPLICATION FOR BUILDING PERMIT lul COUNTS( OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING LDING �� J BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GRQUP ED BY TYPE -- FrCES CONST. )- \I �,: Print or type only) BUILDING �C J STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL,UNITS BK PG LOT NO. BLOCK USE ZONE MAP NO. TRACT / SPECIAL /d y NO.OF BLDGS. CONDITIONS SIZE OF LOT n NOW ON LOT USE OF EXISTING ALDG. �Q-,..�_y BLDG.SETBACK FROM TEL q FRONT PROP.LINE OF (STREET) OWNER , NO.,,j TYPE OF EXISTING SETBACK I HIGHWAY f YARD = TOTAL ADDRESS C ' .�>� HIGHWAY WIDTH FROM C.L. CITY BLDG.SETBACK FROM ARCHITEC OR OFE L. SIDE PROP.LINE OF (STREET) ENGINEER p NO. TYPE OF EXISTING SETBACK HIGHWAY f YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTOR ^ NOL + a ADDRESS / NO. ❑ ❑ CORNER CUTOFF YES NO c Ix CITY ' CLASS SEE REVERSE SIDE'FOR SPECIAL APPROVALS' I DESCRIPTION OF WORK `' LL ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE , Q STORIES FAMILIES r- USE OF (F. STRUCTURE ✓L-- SIGNATURE OF a �f r I APPLICANT +�O' � VALUATIONS �_/� Q Al I - v APPROVALS DATE INS,P CTOR'S SI NATURE P.C. PMT. — FOUNDATION: LOCATION v FEE 5 FEE S �. ,2 S FORMS, MATERIALS FRAME: RE FISTOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION, 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR C OF THE STATE OF CALIFORNIA RELAT. LATH, INT. INC TO WORKMEN'S G PE SATION INSURANCEZ".—h—V LATH, EXT. SIGNATURE OF � HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL `s JOHN F. LEWIS. PRINCIPAL STAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH Lnuo n -:) 0 4%� SEP 6 ! D 1 725- APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS jj.� ��1 I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS / or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP copy thereof(Sec.3800,Lab.C.) 17 �/ 2_ LOCALITY Policy No. Company SIZE OF LOT NO OF BLDGS.NOW N LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. / , 1 7a El Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. FF��C%it!�L! department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL � SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER jf, 1 TEL NO. d� COMPENSATION INSURANCE y - 9_ WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDR ��^ }_ ' dollars($100)or less.) L flf' DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit t / IP e / YO is issued, I shall not employ any person in any manner so as to ''� � become Sjibje 1.O he Workers' rjlpegSltjpn u 1 ARC I d ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Dates�,/ ,`'C/ Applicant / L /JGr+e'�l�� ADDRESS CLASS NO. DWELL UNITS N077CE TO APPLICANT. If, after making this Certificate of I REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACT �i� �k TEL NO. / SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith E' n r - lG7 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS 7 UC.NO. FF L LICENSED CONTRACTORS DECLARATION S ! SIDE CITY K_ LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 E' �P LG '?ri a (commencing with Section 7000)of Division 3 of the Business and SQ.FT IZE NO.OF STORIES NO.OF FAMILIES ` SEWER MAP Professions Code, my license is in full force an 7,91:�Gy �, r-. NEW ❑ BK PG cC..7 �L,, // D RIPT NOF WORK ADD ❑ VALUATION License Number Lic.Class Contractor Date 0 r �f7 ' '' ALTER $ ^� '/ v �//�� a �{ �C[L'e' 2�• �?�` �' /+ ,/Z� REPAIR ❑' rn ❑ 1 am exempt unde Sec. �y2` $ Z BAP.C.for this reason /.•rsG ��(' JrrE/� f"�x 'UEMOL ❑ LDMA P/C S Date: US OF EXISTING BLDG. a S cur M ❑ 9 _. , Signature APPLICANT(PRIN ) /� tV C TEL ' ' LDMA Perm• ❑ I,as owner of the property, or my employees with wages as +'. — 4zt= /. Z -,�-:-. their sole compensation, will do the work and the structure is ADDRESS- ' -' / O o} not intended or offered for sale (Section 7044, Business and a c�� ., �h /� f FINAL DATE a _ Z. Professions Code.) WILL THE APPUCV OR FUTURE BUILDING OCCUPANT HANDLE A HAZA DOUS MATERIA ❑ 1, as owner of thero ert , am exclusive) contractin With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J fj--t• �} L p p y y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY a .j i AL i� 6 F c 5_R-� licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) r R� WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH r k� CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMDI SEE PERMITTING CHECKLIST FOR :•IYH�I�]':. v i): GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance of the work for which this permit is issued(Sec. _ 0) IHAVEREADTHEHAZARDOUSMATERIALS INFORMATION GUIDE AND THE SCAOMDPERMITTING N 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, Imo' '-tJ� t+ +• {If z TRUE 2•CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS tt Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. -3-22 ! �'� G o L•._, o Lender's Address C OWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building CO construction, and hereby u horize representatives of this County ISSUANCE FEE •)/'+ i7 a _ pon tJae_ab - ped)property for ins�tion Plr F, ro �C - T/ INVESTIGATION FEE TOTAL FEE if Oho I!� SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0304220074 PHONE: (626) 285-0488 EXT: LEGAL 10: INO. OF CONST BUILDING ADDRESS: TR: 12115 LT: 35 + SQ. FT STORIES TYPE 9112 OLEMA ST STRUCTURE: VN TEMP CA 917801339 ASSESSOR-INFORMATION NUMBER---5382-023-027 NEAREST CROSS STREET: ENCINITA THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: MIST SLOGUSE: R5SID USE ZONE: R--T— ISSUED 0 PROCESSED . ' EXIST OCC GRP: 04/22/03 JK 04/16/04 OWNER: TEL. N LD S. NOW ON LOT: VALUATION: — FINAL DTE FINAL BA CODE: TAM-WALLACE (626) 864-9112- 2,000 47- 0 .f(/ 911L OLEMA ST .a ) - 0 3 If z_1 CITY 91780 FEES PAID DESCRIPTIONOF WORK APPLICANT: TEL. 0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: VOLUNTARY FOUNDATION BOLTING (LA STD PLAN) WHITE CASTLE CONSTRUCTION (323) 937-1660- AA BLDG PERMIT ISSUANCE 27.75 743 N LA BREA AVE AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: LOS ANGELES 90038 D2 PERMIT W/O EN-HC 2000.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE WHITECASTLE CONSTRUCTION (818) 400-1485- 743 NORTH LA BREA AVENUE LIC. NO LO 0 AN SETBACKS LOS ANGELES CA 90038 B/L LOMITA * 1 r SOILS (ENGINEER APPROVAL - ARCHITECT OR ENGINEER: TEL. NO: -ENCH-0 / R LIC. NO: SLAB/UNDER FLOOR ISED FLOOR FRAFMNG MAP XNO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM01 II UNDERFLOOR INSULATION FLOOR S G . 0 FAMILIES: D E U / 0 STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN RAMR-56UTSHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAM INSPECTION REQUIRED TOTAL SETBACK R S R SPR R G S SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- - INSULA ION/WEATHER STRIP SIDE PL- T LATH/DRYWALL EXTERIPR-LATH OOR S RA ED WALL ASSEMB ES T-SAR CEILINGS * ADDITIONAL DATA ON FILE LOT-DRATNAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 1205090063 PHONE: (626) 285-0488 EXT: ILEGAL ID: N0. OF CONST I BUILDING ADDRESS: ITR: 12115 LT: 35 SQ. FT STORIES TYPE 1 9112 OLEMA ST 1 STRUCTURE: 500 V-B I TEMP CA 917801339 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LIVIA 15382-023-027 [ 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: GARAG USE ZONE: R-1 ISSUED ON: PROCESSED BY: ]EXIST OCC GRP: 105/09/12 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: �mmv m"Yi CODE: 1 LIN, SUNNY (626) 318-1690- 1 1,000 19112 OLEMA ST I 1 ITEMP 917801339 I FEES PAID IMSCRIPTIO19 OF WORK vI I I IRE-ROOF GARAGE TEAR OFF & INSTALL 30 YR SHINGLES 1 I IFSE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I (APPLICANT: TEL. NO: I I 1 IARCHADEL, INC. (310) 516-8400- AA BLDG PERMIT ISSUANCE 27.80 1 11859 W 169TH ST. #D AS STATE GREEN BLDG FEE 1000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 GARDENA, CA 90247 AC STRONG MOTION RESID 1000.00 VAL 0.50 �D2 PERMIT W/0 EN-HC 1000.00 VAL 65.40 I 1 1 IFR INV WORK W/O PERMIT 342.20 DOL 342.20 I 1 [CONTRACTOR: TEL. NO: 1 TOTAL FEES 436.90 (APPROVALS DATE INSPECTOR SIGNATURE IARCHADEL, INC. (310) 516-8400- I 1_ 1 11859 W 169TH STREET UNIT D LIC. NO 1 ILOCATION AND SETBACKS 1 1 1 IGARDENA, CA 90247 830661 C39 I I-. 1 I I I ]SOILS ENGINEER APPROVAL ] ] ] [ARCHITECT OR ENGINEER: TEL. NO: - [ [FOUNDATION/TRENCH FORMS 1 1 LIC. NO: I ISLAB/UNDER FLOOR I I 1 [RAISED FLOOR FRAMING 1 1 ] IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( JUNDERFLOOR INSULATION I I I 1153H265 3 001 1_ 1 1 1 I I IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 1. 1 1 0 NO 21 1 IROOF SHEATHING I SCHOOL WITHIN HAZARDOUS I [SHEAR PANELS [AIR QUALITY: 1000 FEET MATERIALS I I 1 NO NO NO 1 [FRAME INSPECTION 1 I I [FIRE SPRINKLER HANGERS I I ] I NSULATION/WEATHER STRIP( ] ] 1 NTERIOR LATH/DRYWALL 1 I 1EXTERIOR LATH I I ] RATED FLOOR/CEIL ASSEM. I [ I ] [RATED WALL ASSEMBLIES I I [ [ IRATED SHAFTS/OPENINGS 1 1 [ [T-BAR CEILINGS I 1 I 1 I I [ [ I ILOT DRAINAGE [ 1 [ I I [ I ] [REPORT ID: DPR261 ROUTE TO: BS0508 1 ] ]