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HomeMy Public PortalAbout9153 OLEMA ST_Building__ 76A.638AICE#909':-64 APPLICATION F .R BUILDI G. PERMIT ' COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER AD-DRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSAUP*,T.OF BUILDING CROSS S E E DISZJUJCTN UP TYPE„ O EBBED BY FOR APPLICANT TO FILL IN CONST BUILDING ��� STATISTICAL C ASSIFICATION S WER MAP ADDRESS �) , CLASS NODWELL UNITS IBKN PG LOT NO. BLOCK USE ZONEMAP NO. TRACT � ' [SPECIAL NO. OF SLOGS. CONDITIONS SIZE OF LO NOW ON LOT _ USE OF EXISTING-BLDG. - BLOC. SETBACK FROM T.E FRONT PROP. LINE OF (STREET) OWNEIYIJVNW TYPE OF ' EXISTING. SETBACK HIGHWAY + YARD - TOT AL HIGHWAY D 'FOM C.L. ADDRES � 30 s CITY ��� BLDG. 9 BACK FROM ARCHITECT OR TE gjDE PROP. LINE OF _ (STREET) ENGINEER TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL ADDRESSHIGHWAY WIDTH FROM C.L. ICL TEL. i. + = O CONTRACTOR NO - U LIC CR F 'O 99 O ADDRESS NO. 29 CITY - cI.c SS SEE REVERM%f'Jbr014T f!RAqDPROVALS W SCRIPTION OF WORK a Nate: Perna'_ ,. ' " s' v driveway approa h i Z NEW ADD ALTER REPAIR DEMOLISH s•a ' ol.. ollt 4 }� - o. nI>!®p4e� I don , f� NO. OF NO. OF c:�L SIZE V STORIES FAMILIES a 1!3n 'h dal. T ; i' .I USE of g y' y Survey & Dasign work takes "!me and is not starte ucTURE ray las Seen Issue p�iy for parkway tree perm at e Cify HaA tn Wf APfC1 gip 0_0_L'- SIGNAT R OF ? ".6'F APPLICANT • u • P �' . `- '�' '� • �. 7''7:��'9t�. .�,f�,u�'�:L��,�i.4a T;J. ""/5'�d1�1't..7.�i�+'dct•;�_ lk 60 S BATE INSPECTOR'S SIONAT}IRE P.C. ' PMT. �� FOUNDATION, LOCATION � / FEE$ FEE$ �� FORMS,.MATERIALS_ �; �7 FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION IBRACING BO).T AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING iGAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY•I WILL NO .EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF. H STATE OF CALIFORNIA RELAT- ING TO WORKMEN' OMP NS INSURANCE. LATH. EXT. SIGNATURE HOUSE NUMBER COR-• PERMITTEERECT AND POSTED ADDRES 'FLNAL -14,.� JOHN F. LEWIS. PRINC.IPAL STRUCTURAL E PLAN CHECK VALIDATION CK. M. cnsH _ PERMIT VALIDATION CK. M.O. _ CASH 5 9 2' 1 ,SEP 2 7 2 3 D S-11-25CY �AQ 5.9 2 2. SEP 27 .'1 D 1 '850- DEPARTMENT OF BUILDING AND SAFETY BUILDING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER APPLICATION [�F,�OR APPLICANT TO FILL IN FOR OFFICE USE ONLY ADDRESSL// DIST R NO. P CK®Q f.No. ` g)--o,NO,, A BUILDIN 7 '�pr �1/, E/® tl63 L/•/� RACEIVED BYE O/F�PL� %ISSUE LOCALITY ® .q7-- eJq�— NEAREST ' CROSS ST. • BUILDING . ADD EBB /4-3 -e 40Z 6i OWNER e MAIL LOCALITY 04/,. d ADDRESS NEAREST +•f� ---ITEL CROSS ST. NO.OF V-� Gi Y CITY NO. FIRE ZONE m� I PLANEeUP ARCHITECT OR TEL q �OJv ENGINEER NO. SETBACK LINE �N / �� O JS/� ADDRESSSETBACK APPROVED TEL ZONE All BY DATE CONTRACTOR Q ,Q� NO. HOUSE NUMBERING / llz__ ADDRESS MAP NUMBER �w � NO. ASSIGNED BY 9 A7(� 4) LEGAL DESCRIPTION LOT NO. BLOCK /, I iu a V CORRECTIONS l '3 TRACT 1 ,2 NO. OF G BLDS.44 SIZE OF LOT NOW ON LOT USE OF NO.OF EXISTIN BLDG. FAMILIES DES: TION OF WORK D NEW ALTERATION ADDITION / �� /A � �� "'/ D REPAIR DEMOLITION b - �,J' .-^� /, 1/ �CIIpI pI SIZE Cj ROOMS STORIES -c!d r,41,97 7/3� /f'✓�/XAl,0 COVERING EXT.WALL C!C'� I COVERING �`(f/►I,/If �.f,/ T`6�r" �e* V �7 USE OF STR RE a ` dor J1 �teeYf q-7 -,%.o j7a 3- SID " �^ n� INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS?�7 'r'3• yJ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- 1 AAA PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, CORRECT. BRACING BOLTS I AGREE TO COMPLY WITH ALL CCU // ORDINANCES AND STATE LAWS RE ING UILDIN ONSTRUCT FURNACE: LOCATION, GAS VENT,DUCTS SIGNATURE OF 7 - LATH, INT. PERMITTE V u 11�L V LATH. EXT. I V � ADDRESS _ PLASTER, IN AUTHORIZED AMT. P.Cwra PLASTER, OCT. FES A ��a� HOUSE NUMBER COR- ® RECT AND POSTED T VALUATIONFEE ��— FINAL ?AA SA DBS 3 7-51 WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -APPLICATION FOR BUILDING PERMIT LS insure,or a certificate of Workers'Compenstion Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS BUILDING Certified copy is filed with the county building inspec- BUILDING ** / tion department. ADDRESS �/J /� p��i�/' /� LOCALITY NEAREST Date Applicant CITY /G/i/ c[�-r L"% ZIP CROSS ST. ` CERTIFICATE OF EXEMPTION FROM WORKERS' (f �C �� O.OF BLDGS. ASSESSOR SIZE OF LOT COMPENSATION INSURANCE NOW ON LOT MAP BOOK IPAGE I PARCEL (This section need not be completed if the permit is for one USE ZONE MAP © ^a hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. >_ TEL. / SPECIAL ti I certify that in the performance of the work for which this OWNER NO. ' CONDITIONS O permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY U so as to become subject to the Workers'Compensation Laws. ADDRESS ) /f /� /f CONST. ZONE IX Date ' y Applicant ��/Q rw CITY ii �(X�= �%! ZIP STATIL CL SSIFTION APT. CONDO. U NOTI E TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. d ENGINEER NO. CLASS NO.&DWELL. UNITS Exemption, you should become subject to the Workers' h Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be `7 deemed revoked. CONTRACTOR /� e-,rivika azy3 BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATIONLIC. I hereby affirm that I am licensbd under provisions of Chapter 9 ADDRESS 1— Za/��i9Zr'N/�NO. _333 y ALUATION oa (commencing with Section 7000)of Division 3 of the Business andN.G=�fJ LIC. Q D Professions Code, and my license is in full force and effect. CITY eZ/�� CLASS /`" p(, ID r G�, SQ. FT. NO.OF f NO.OF CHECK License Number 3��j/✓�J r Lic.Class_c�Lt_ SIZE �Q STORIES / FAMILIES ONE Contractor&/f«�d i�-/J -e-VDate �r DESCRIPTION OF WORK NEW El $e 15 ` ElI am exempt from the licensing requirements as I am a v� ��Al /t7 �,�/STNG ADD licensed architect or a registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051, REPAIR DATE CCII Business and Professions Code). USE OF EXISTING BLDG. / 0 �mner DEMOL FINALS,,::, Lic.or Re No. _Date APPLICANT n TEL. c �� By Reg. OWNER-BUILDER DECLARATION (PRINT) ggavo// to e.;/TR1N0. : ';04 y I hereby affirm that I am exempt from the Contractor's License 5 Ll,9 A Law for the following reason (Section 7031.5, Business and ADDRESS # a 0 0 0 0 1 Professions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS ! o 1 3 3 0 0 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 0 0 1 3- 7044, Business and Professions Code). MOVING TEL.1 CONTRACTOR NO. I,.as owner of the property,am exclusively contracting CONTRAQ 624-82 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business qnd Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name 8 Al r 'oP.C.Fee$ permit Fee _ Lender's Address I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee and here uthorize repres atives of this County to enter = upon th a ve-me ioned r rty for inspection purposes. � SEE REVERSE FOR EXPLANATORY LANGUAGE , 0 ' Signature of Applican or Ag%t Date Os .%If y ;*WORKERS' COMPENSATION DECLARATION ' � � tcertificate irl4ui,;, orftofcate of Workes' C mpensat on Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. 9k Company 23 L-6—El 5- Policy Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS � G� Certified copy is filed with the my building' - BUILDING /� � Z L� tion department. ADDRESS ,_tle{� Date Applicant CITY ��, 71 �� �� ZIP `//70 LOCALITY J NO.OF BLDGS. NEAREST CERT FICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT D? NOW ON LOT CROSS S7. �/P COMPENSATION INSURANCE n / hundred dollars ($100)or less.) ASSESSOR (This section need not be completed if the permit is for one TRACT (�[1 BLOCK G 3 LOT NO. � MAP BOOK pgG�alrZ PARCEL TEL. OWNER ,Cj/ NO• USE ZONE MAP I certify that in the performance of the work for which this q �r ,, _, SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS 6 5 w�`—Ifs CONDITIONS so as to become subject to the Workers'Compensation Laws. pyo O CITY 6 4 117 �� ZIP 176t> Date Applicant ARCHITECT OR I TEL. W NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER DISTRICT GROUP TYPE FIRE PRO 'SED BY NO. CONST. ZONE O Exemption, you should become subject to the. Workers' ,�7 �f U Compensation provisions of the Labor Code, you must forth- ADDRESS 5 d J¢' STIL le l� a with comply with such provisions or this permit shall beLZ� TEL{{� off— STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR NO3 LICENSED CONTRACTORS DECLARATIONq \ LIC. CLASS NO. DWELL. UNITS I hereby affirm that lam licensed under provisions of Chapter 9 ADDRESS f/ ( � NO. Jaj (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force eaand effect. CITY 1, p CLASS 46 BK PG. VALIDATION License Number "17 Lic. Class Y y SIZE STORIES �' FAMILLIIES C ONE K p DESCRIPTION OF WORK oJZ� s NEW 1:1 VALUATION �h Contractor - Date $ _ ❑I am exempt under Sec. 01— 62CIAZ�6 ADD �v� pool. ALTER ❑ B.&P.C. for this reason a�s� REPAIR ❑ $ e: USE OF EXISTING BLDG. 06WZ�Cr' p) DEMO' ❑ Signature APPLICANT 4 09z /1 TEL Nafflt•L1605 FINAL g (� OWNER-BUIL D ON (PRINT) (�/r►`r �7 l/7 DATE I hereby affirm that I am exempt from the Contract-/-License / (� SN ST9 i Law for the following reason (Section 7031.5, Business and ADDRESS l� FINAL�� Professions Code): PRESENT By BUILDING Ail" �p ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ` ;i'*? 63 the structure is not intended or offered for sale(Section LOCALITY r s'i 7044, Business and Professions Code.) MOVING TEL. ' 1 ME, ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS '}11 A! 143. 63 tion 7044, Business and Professions Code.) r. -r.,� - REQUIRED TOTAL SETBACK FROM EXIST. 1.•ITr CK s't T e b.:- CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE IDTH 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. IL �/I4, Lender's Name - P.C. Fee$ Permit Fee LDMA Ref. # i��/ AN 1 a t: Lender's Address �] poll ► I certify that I have read this application and state that the Issuance Fee t v LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee a d' sand State aws relating to building construction, Total Fee LDMA Perm. # an her by auth ize re• ntatives f this County to enter n t e above ed operty r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o App i r Agent crate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0305270010 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST- NEW BUILDING ADDRESS: TR: 12115 LT: 25 SQ. FT STORIES TYPE OCCUP GROUP 9153 OLEMA ST ASSESSORSTRUCTURE: 307 1 VN U1 TEMP CA 917801340 5382-023-017 GARAGE: NEAREST CROSS STREET: ENCINITA OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: EXIST GS PROCESSEDP (EXIST OCC GRP:. 05/27/03 JK 05/21/04 . OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: KAWASAKI ISAO;KIMIKO (626) 286-8132- 4,513 9153 OLENA ST 5 4'�JC9 •-ap-3 ,j� TEMP 917801340 FEES PAID U cc- P ION OF WORK NEW TRELLIS PATIO . N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG NOTION RESID 4513.00 VAL 0.50 SPECIAL CONDITIONS: D1 PLANCHECK W/0 EN-HC 4513.00 VAL 112.71 D2 PERMIT W/O EN-HC 4513.00 VAL 132.60 TOTAL FEES 273.56 CONTRACTOR: T 0: APPROVALS DATE INSPECTOR SFGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: 0: I FOUNDATION/TRENCH F0 LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR G MAP NO: SEWER MAP BOOK: PGE : FIRE ZONE: 0W. UNDERFLOOR I SULATION 3 01 0. OF DWELLING T 0 D: STAY CL SS: 1ST LEVEL FLOOR SHEATH NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHINHAZARDOUS g AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT - QU D O L 5 CK FROM EXIST SET BACK YARD: HWY: PROP LINE: WIDTH: DEPT. AM S EC 5-2,6 _ ✓03 FRONT PL- SHEAR PANELS C� SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LOT DRAINAGE SMOKE 0 FIRE DEPARTMENT APPR L REPORT ID: DPR261 ROUTE TO: 8S0508