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Home My Public Portal About9428 OLEMA ST_Building__ MrAWART101ENT OF BUILDING AND SAFETY APPLICATION FOR PERBUT ww COUNTY OF LO .&N GSLES WM. J. FOX, CHIEF ENGINEER "`"/� `�•� �^, FOR APPLICANT TO FILL IN s 1- t� �� ;• �� r FOR OFFICE USE ONLY DISTR CT NO. PLAN CK. NO. PERMIT NO. BUILDING? r �� ADDRESS LOCALITY ; � +^ RECEIVED BY DATE �OF•�APPL. / DATEISSUED / NEAREST / �Us s'D ��r/C� / ��•� CROSS qT, BUILDING ADDRESS OWNS .) .J MAIL ® LOCALITY �id N (�?'4 a ADDR S � � . NEAREST I-ivTEL CROSS ST. A/01 OIle CITY ' NO. FIRE IPLANS 12- I TYPE ^ I GROUP ARCHITEdT OR TEL. _ZONE ENGINEER NO. BLDG. OR O. •.SETBACK LINE ) r r TJ i ADDRESS APPROVED fI TEL BY DATE CONTRACTl USE {� APPROVED ^o ZONE BY DATE ADDRES HOUSE NUMBERING c DESCRIPTION I LOT NO. cf— I SLO' `a MAP NUMBER 3 FIELD CHECK BY TRACT NO. ASSIGNED BY ✓�� ATE I NO. OF SLDGS { CORRECTIONS SIZE OF LOT NOW ON LOT USE OF _ NO. OF EXISTING BLDG, I FAMILIES •r ,t DRSCRIPTION OF WORK q NEW IALTERATION I I ADDITION i REPAIR I I DEMOLITION SQ. FT. NO. OF LTi 'a SIZE ROOMS STORIES Y EXT. W LL ROOF r r COVERING [COVERING 4 USE OF STRUCTURE -75 APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION A J�`�r� � CORRECT.CATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS y V; q 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE , BRACING, BOLTS LAWS REGULATING BUILDING�COONSTRUCTION. FURNACE: LOCATION, SIGNATURE Oy GAS VENT, DUCTS _ PERMITTEE_ f! / LATH, INT. ADDRESS w CC LATH, EXT. AUTHORIZED AGT. r --v PLASTER, INT. 7ewasew•aets so-ao $ � P. C. $ �Q ® FEE J , PLASTER, EXT. ^ A, VALUATION FEE $ 7 7�� FINAL V� "Jil, Iv 6 TEMPLE CITY q FAA638A CE peoa- 1-61 APPLICATION FOR BUILDING PE COUNTY OF LOS ANGELES BUILDING IN DEPARTMENT OF COUNTY ENGEER '6`DDRESS B=ING AND SAFETY DMSION LOCALITY r JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE P SED BY S- _zj CONST. BUILDINGy STATISTICAL CLASSIFICATION SEMAP ADDRESS (i WR -3P2- �✓ CLASS.NO. WELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED RECEIVED TRACT l Gl ,�3 CERTIFICATE: 13 11- MAP ��// HIGHWAY STATE MAJOR SECOND, OCAI NO.OF BLDGS. NO. ICIRC LE) SIZE OF LOT I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BL G. _ TEL. OWNER O• BUIL ING YARD HWY ST EET NAME EXIST. SETBACK WIDTH ADDRE FRONT ARCHI TOR TEL. P. L. ENGINEER NO. SIDE P.L. ADDRESS TEL r� INSPECTION RECORD O CONTRACTO y` �Lv N / V ADDRESSim DES ON OF W RK 0 CL NEW Alp ALTER REPAIR DEMOLISH ____. - h SQ.FT. NO.OF NO.OF ? IZE STORIES I FA I IES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE ` ,/ FOUNDATION: LOCATION ' FEE $ ` 7 FEE $ S FORMS, MATERIALS - FRAME: FIRE STOPS, 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 ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING 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 HES=0FCNIA RELAT- ING TO WORKMEN'S C.9MP10 LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE. 16?1RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL ST CT AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERM VALIDATION : /M.o. CASH APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILD( RFs L: �lLeL] I hereby affirm that I have a certificate of consent to self insure, BUILD �RS G or a certificate of Workers'Compensation Insurance,or a certified CITY ////�� ZIP copy thereof(Sea 3800,Lab.C.) TSL �7do-O LOCALITY Policy No. Company SIZE OF LOTOF BLDG&NOW ON LOT 11Certified copy is hereby furnished. r. NEAREST CROSS ST 11 Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' GWNER INb A, �� `63d YES NO COMPENSATION INSURANCE � � WITHIN 1000 FT.OF SCHOOL? This section need not be completed if the AD EB ( p permit is for one hundred �, / T: DISTRICT GROUP 7YP CONST FIRE?ANE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit C e /,J / zip -�6 ,�� 00, is issued, shagnot employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. � , become bje to the-Workers' ompen n ws STATISTICAL CL SIFICATION APT CONDO Date Applicant / � " /��" "`• � ADDRESS CLASS NO. �"� DWELL UNITS N071 TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP UNE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS UC,NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000),of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO,OF FAMILIES Professions Code,and my license is in full force and effect. NEW BK PG a License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION �® , C Contractor Date ALTER ❑ QQ• ' �' G ❑ I am exempt under Sec. 1/6% �J REPAIR ❑ BAP.C.for this reason (� G' L ❑ LDMA PIC# LL Date: USE OF EXISTING BLDG. URM ❑ V Signature. APPLICANT(FRAM) TEL NO. LDMA Perm S d ❑ I, as owner of the property, or my employees with wages as z their sole compensation, will do the work and the structure is ADDRESS O ��li, not intended or offered for sale (Section 7044, Business and FINALDR a Professions Code.) J CI/WILL THE APPucaNr OR FUTURE BUILDING OCCUR4NT HANDLE A HAZARDOUS MATERIAL J I�P _I, as owner of the ro y g OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J -p perty, am exclusive) contractin with AMOUNTS SPEGFIED ON THE HAZARDOUS MATERUILS WFORMATION GUIDE? FINAL B t:I licensed contractors to construct the project (Section 7044, VES❑ No❑ Business and Professions Code.) �Y .- _5 1- ,. WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT ON FROM THE SOUTH COAST REQUIRE R QUALITY MANAGEMENT (SCAOMDCONSTRUCTION RIT SEE PERMITTING CHECKLIST OR CONSTRUCTION LENDING AGENCY 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. CD (HAVE READ I HE UNDERSTAND MY ENTS UNDERTION GUIDE AND ANGELHE ES COUNTMD MITTINGCODE, i_j=1�j�—I�i�I_ a 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNV CODE, � Lender's Name MATERIALS TITLE REPORTING AND FOR OBTAINING A PERMIT FCHAPTER 2 20 SECTIONS 2.20.100 THROUGH ROM4THEOSCAOMD.GHAZARDOUS 00 Lender's Address a OWNER OR AGENT oI certify that I have read this application and state under penalty C of edu at the above information is correct.I agree to comply P.C.FEE PERMIT FEE N wi a unty_ordinanc s and State laws relating to building (� cons ction, and hereb a thorize representatives of this Cou ISSUANCE FEEco er on he bove- C e p p ty for inspect' �po (® to I INVESTIGATION FEE TOTAL FEE/ �e n SOW=W AM3CM1 W AWMI e� SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT 1 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0408240032 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 14533 LT: 5 SQ. FT STORIES TYPE OCCUP GROUP 9428 OLEMA ST STRUCTURE: 400 1 VN R3 TEMP CA 917801341 ASSESSOR INFORMATIONNUMBER: GARAGE: NEAREST CROSS STREET: OAK 5382-020-025 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: -PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/20/05 JK 01/15/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATt 1-trjv Y: CODE: MAYO, THOMAS (626) 286-6364- 8,000 9428 OLEMA ST / �J TEMP 917801341 FEES PAID DESCRIPTION -OF WORK WORKSHOP 400 SQ FT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - D1 PLANCHECK W/O EN-HC 8000.00 VAL 155.55 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 8000.00 VAL 0.80 D2 PERMIT W/0 EN-HC 8000.00 VAL 183.00 TOTAL FEES 367.10 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND S TBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS y�5 LIC. NO: SLAB/UNDER FLOOR t RAISED LOOR FRAMI G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 03 N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT LASS: ST LEVEL FLOOR SHEATH NO 21 2ND LEVEL FLOOR SHEATH SCHOOL IT I HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS b''I NO NO NO FIRE DEPT. F E INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPIT. FRAPE I SP C SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INS U CATION/WE HER STRI INTERIOR LATH/DRYWALL EXTERIOR LAT LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL pL - REPORT ID: DPR261 ROUTE T0: BS0508