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HomeMy Public PortalAbout9478 OLEMA ST_Building__ • r APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS 7 S DEPARTMENT OF COUNTY ENGINEER CITY All alP j Q BUILDING AND SA MY DIVISION y NO. F BLDGS. BUILDING SIZE OF LOT e/1 ,D NOW ON LOT p� ADDRESS TRACT 33 BLOCK LOT NO. / LOCALITY TE / NEAREST OWNER r' � NO CROSS ST. ASSESSOR ADDRESS All MAP BOOK PAGE PARCEL �/' •� DISTRICT GROUP TYPE FIRE OC SSED Y CITY / ZIP /• P6 , CONST, ZONE ARCHITECT OR / TEL. 9 ENGINEER �t O' ^ STATISTICAL CLASSIFICATION ��/ ,/ SEWER M P ADDRESS A9713 W, 4L CLASS NO. _DWELL.UNITS BK G CONTRACTOR NpL USE ONE U� ADDRESS NO. J 0[SCIAL LIC. DITIONS CITY CONSTRUCTION LENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ NAME AND BRANCH BLDG..SETBACK FROM ADDRESS CITY FRONT PROP.LINE OF (STREET) Q. FT,�f NO. OF NO. OF CHECK HIGHWAY + YARD = !TOTAL SETBACK FROM TYPE OF EXISTING SIZE JD6 STORIES / FAMILIES / 'ONE FRONT PROP. LINE HIG WAY WIDTH DESCRIPTION OF WORK NEW ❑ C /� DG,SETBACK FROM C.1 ` - ADD SIDE PROP.LINE OF (STREET) CC /L- ALTER ❑ - TOTAL SETBACK FROM TYPE OF EXISTING ts HIGHWAY + YARD - SIDE PROP. LINE HIGHWAY WIDTH LU REPAIR❑ EXISTING BLDG, EDEMOL ❑USE OF + Z APPLICANT ' TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) IN OPEN SPACE YES ❑ NO ❑ BY (SIGNATURE) J IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION,$ 0 rjw i� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- /•���'��,�� STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENS N 1 S NCE. SIGNATURE OF PERMITTEE ADDRESS �l-.Q� ^ / _ CITY _N 0DATE ��/�„ /L BY MAKE CHECKS PAYABLE TO: FEE �G��/1 FEE P / HARVEY T. BRANDY, COUNTY ENGINEER 37 /„ `?� -lbC PLAN'CHECK AILIDATION I K. O. CASH PEHJRIT VALIDATIO CK. M.O. CASH B 9 4�SE o -37.35A98 r. 76A898A C6#603 5/74 ,8 9 5 SFP 2/ 1 0 6 22 5 ,&-ad ®S 78ABSBA"' 6_/ C- A - , PPLICATIO.N:-F01 BUILD-I.NG PERMIT- COUNTY ERMIT- COUNTY OKWSANGELES. BUILDING AND SAFETY BUILDING FOR APPLICANT TO-FILL-IN: -- ADDRESS BUILDING ADDRESS E LOCALITY C" NEAREST CITY ZIP CROSSST.. IF �NO.OF BLDGS:. r ASSESSOR SIZE OF LOT NOW ON LOT. :MAP.'BOOK- PAGE: PARCEL � jj�S DISTRICT GRO�"&ST, FIRE P OCE BY TRACT /'Y',,,)3,.BLOCK 'LOT.NO. 'I d=�� Z E TEL- OWNER-:r EL:OWNERjC7 ._: ' NO (?� / STATISTICAL CLASSIFI TION ADDRESS' CLASS NO. 3 DWELL.UNITS �rBKT-! CITY � •ZIP._•: :. .; _ ARC ITER TEL. , VALUATION $ ENGINEER NO. L+ DRESS ,2 - �; BLDG.SETBACK FROM " TEL / FRONT PROP.LINE OF (STREET) �. CONTRACTOR dLe7.,NO: 6 .UG+ . .TOTAL SETBACK FROM TYPE OF EXISTING LIC. y HIGHWAY + YARD',.,= >„FRONT-ROP.LINE HIGHWAY 'WIDTH ADD'ESS (/ /N6 No. LIC. �� + _ CITY i�Cf CLASS -.:'3J' CONSTRUCTION LENDER SIPSBLDPOP.LI K FROM'.. ..' NAME AND BRANCH _ . , SIDE PROP.LINE OF � )STREET) HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING V ADDRESS CITY SIDE PROP.LINE- HIGHWAY WIDTH SO.FT. NO.OF NO.OF CHECK SIZE STORIES FAMILIES. ONE09 .- DESCRIP ON OF WORK NEW - ❑ P.C.Fee•$ &.5 Permit Fee e ' g ADD, ❑ � Issuance Fee ck, ALTER ❑ REPAIR ❑ Total Fee- a7✓ r USE OF T DEMOL ❑ EXISTING BLDG.. �� �Gj� �Z APPLICANT - TEL 7 < i '5 1.2 A (PRINT) ' :NO.' ��� L1. BY(SIGNATURE) - t- Q #' a'5 , Y 2 ° ° 6 5.5'2 I HEREBY ACK 17LEDGE THAT I HAVE READ THIS APPLICATION'AND STATE u THAT THE ABOVE CORRECT AND AGREE TO COMPLY WITH ALL-.ORDINANCES AND LAWS REG ING BUILDING CONSTRUCTION.I CERTIFY THAT IN OINGTHE V o,-c o (j�^ ,5 2 U .WORK AUTHOR) D HEREBY I WILL NOT EMPLOY ANY PERSON IN'VIO TION OF -' ' THE LABOR CODE OF THE STATE OF LIFORNIA.IN RELATINGR E. 'S COM- Z PENSATION INSURANCE:. '• "J -g 1 0,3 1 -79 SIGNATURE �751.3A OF/ � _ , PERMIT _ ADDR. o 0 o a o 1 TEL. CITY -� NO. rI D USE ZON MAP' Q ;° ° 1 2 L! �—y SP IAL. FINAL I_ DATE V '� 6 d �' bs 76 8A �. CE .1 /78) it- APPLICATION APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING FOR APPLICANT TO FILL IN ADDRESS 94? 8 L oL•I-I"1 A 57. BUILDING ADDRESS 9478 .9 bi-EN A ST• LOCALITY T G- NEAREST CITY T G ZIP CROSS ST. O/-E I�1 A eF O A K �� �ONO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT . MAP BOOK PAGE PARCEL ? DISTRICT GROUP TYPE FIRE PRO ESSED BY TRACT .�] BLOCK LOT NO.. :5/ O� CONST. ZONE TEL. VJ OWNER N L- TOM AUL s N NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS %47 G. 40i i f-11A ST- CLASS NO. DWELL.UNITS. j�LBKJ31'G CITY —ry Gs. ZIP ' ARCHITECT OR TEL. VALUATION $ O O.Q ENGINEER NO. I ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR b••R- MYtj O&A5 610• 44-7^`W9 HIGHWAY + YARD __ TOTAL SETBACK FROM TYPE OF EXISTING . ADDRESS 'J- N. AL-77(/AA Ivo. df3 FRONT PROP.LINE HIGHWAY WIDTH LIC. + CITY A'f-,c4 ol- CLASS a j BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS' CITY SIDE PROP.LINE IHIGHWAY WIDTH. Q SO.FT. NO.OF NO.OF CHECK + = CA 0 SIZE STORIES FAMILIES ONE USE N/E_ OP fa DESCRIPTION OF WORK AiA L G�4 NEW EI �.•`� SPECIAL 1)40 10 P&hI I N 0 .7-Z&PifM 04 rADD ❑ 07(�� CONDITIONS Z ALTER FINAL hf TA•L6 OUDINC= booR- REPAIR DATE F/7 =/- i /� JL J Z Z G EXSTOINGBLDG. R /,pggl USEf DEMOL ❑ r C APPLICANT TEL (PRINT) NO. Q BY(SIGNATURE)' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CA RNIA IN RELATING TO WORKMEN'S COM- z PENSATION INSURANCE.' 5 :2 T8IL3A SIGNATURE OF # 0 0 0 0 0 1 PERMITTEE ADDRESS hl • r- a-A P, z 2 0 0 3,,O O TEL. 0 CITY CAA/A NO.. 7- C E0 o o 3�0 O c=i P.C.Fee$ Permit Fee 6 O F 11. 19-79 Issuance Fee ME0E. IL Total Fee 3 s WORKERS' COMPENSATION DECLARATION hereby affirm that I havecertificate of consent to self APPLICATION FOR BUILDING P E RM I T insure; or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company-5Z"7_Cff_ ElCertified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDINGQV ADDRESS I .EP Certified copy is filed with the county building inspec- gppRl 117 7 ��'t tion department. Date Applicant I/�!/arZ/./// CIN L� i ZIP LOCALITY tlVIA L,3001 �/t( O. OF BL OT NEAREST f� CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LO7(O � �( OW ON LOT CROSS ST. J"7 COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) OWNE Q/-p STEL. +)<t p , VNEI MAO.P I certify that in the performance of the work for which this /fir, N S permit is issued, I shall not employ any person in any manner ADDRESS"f 't `OCEM 4 Sj c SPECIAL CL CONDITION so as to become subject to the Workers'Compensation Laws. O_ CITY C_= ZIP q 19 go U oe Date Applicant ARCHITECT O v TEL. DISTRICT GROUP TYPE FIRE OCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER ` ` NO. CONST. 1 /` ZONE F- Exemption, you should become subject to the Workers' O AV/ / a Compensation provisions of the Labor Code, you must forth- ADDRESS u.t with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. N ��// Z deemed revoked. CON7RAC70RJU/ ! NO. r� � LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. (9 DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES �C� /�! U/pl) NC zlo (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP CITY %�'7df�L� C/ CLASS /3 c 23 VALIDATION and Professions Code,and my license is in full force and effect. SQ. FT. NO. OF NO. OF CHECK BK. L PG. License Number- e7D1160 Lic. Class/ SIZE 7�� STORIES FAMILIES ONE ACCTev TION Contractor_.J/JJ,�,/ �/!L�- Date 3—,(,9 ✓ DESCRIPTION OF WORK NEW ElVA � �o �G7 272.85 ❑I am exempt under Sec. � gA6C_ ADD s,3 ' ► 1 ITEMS B.BP.C. for this reason J✓yt��T tyCgTln1G C Z5. ALTER REPAIR ❑ $ TOTAL o L8-6 Date: USE OF L-- IG E DEMOL ❑ CE� EXISTING BLDG. 61/ CRINGE uAi�i� 7 'n{ Signature A APPLICANT TELFINAL 1� n 1rlZ+titYtiE °Uil O R-BUILDER DECLARATION ga (PRINT) NO. Z/7 / V I hereby affir of I am exempt from the Contractor's License ��//��• DATE Law for the following reason (Section 7031.5, Business and ADDRESS . L' r FINAL []I�� —� Q1 Pr720l�ig Professions Code): PRESENT By v BUILDING % 5346 1 cyil 1x39 I, as owner of the property, or my employees with ADDRESS f wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY pop, a 7044, Business and Professions Code.) MOVING TEL. ACCT.air ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 3 with licensed contractors to construct the project (Sec- 3%J . 41�r°fit tion 7044, Business and Professions Code.) ADDRESS REQUIRED TOTAL SETBACK FROM Exls7. 1 ITEMS CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT TOTAL 4-03-67 the performance of the work for which this permit is issued P.L. CHECK 41-6.67(Sec. 3097, Civ. C.). SIDE P.L. CRANE .00Lender's Name n Q' �qy LDMA Ref, q Lender's Address P.C. Fee S ��4 e U 5 Permit Fee `/ e I certify that I have read this application and state that the Issuance Fee LDMA P/C q Poo (')'I'l1�-17j1L 1 �'/1`!/ (� above informatio,nj'Acorrect. I agree to comply with all County Investigation Fee / 3t ti7s''r�. 1 AM `:411 ordinances and ate,laws relating to building construction, Total Fee ! LDMA Perm. q and her aut or' a representatives of this County to enter up n t bov -m ntio proper inspection urp ses. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature licant or Agent Date 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 0110300011 PHONE: (626) 285-0488 EXT: LEGAL- ID: NO. OF CONST BUILDING ADDRESS: TR: 14533 LT: 14 SQ. FT STORIES TYPE 9478 OLEMA ST STRUCTURE: VN TEMP CA 917801341 ASSESSOR 0 0 R: NEAREST CROSS STREET: TEMPLE CITY 5382-020-034 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TE S B 5E: RESID USE Z S PROCESSED PIRES ON: EXIST OCC GRP: 10/30/01 JK 04/28/02 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINA��TE F Y: CODE: KOVACIC GREGORY A;FRANCES M (626) 285-2356- 1 6,500 �� 4 9478 OLEMA ST TEMP 917801341 FEES PAID 'Na-CR-11P7110-1 OF WORK REROOF HOUSE & GA RAG OVER EXISTING W/40YR ELK CLASS A SHING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: O: JN DAVIS ROOFING (626) 821-4665- AA BLDG PERMIT ISSUANCE 27.75 2 E LA PORTE ST AC STRONG NOTION RESID 6500.00 VAL 0.65 PECIAL CONDI IONS: ARCADIA D2 PERMIT 14/0 EN=HC----------_-6500.00 VAL 166.20 OGELESTC()ES 194.60 CONTRACTOR: TEL. 0: Cj APPROVALS DATE INSPECTOR SIGNATURE J N DAVIS ROOFING CO. (626) 821-4665- � LOCATION S 2 EAST LA PORTE #A LIC. NO ARCADIA CA 91006 572125 C39 SOILS ENGINEER APPROVAL ARCHITECT-OR G R: 717 NO: / 1 0 ND 0 R C OR S LIC. N �• )n SLAB/UNDER FLOOR r— SE FLOOR RAM I IOG 15SEWER NAP BOOK: PAGE: FIRE ZONE: � FNFOORI SGL T 153H265 31 � = W � �n �RST 0. OF FAMILIES: DWELLING U S: P /CONDIST CSS: NO N 21�(— Q ROOF SHEATHING SCHOOL WITHIN HAZARDOUS ` ❑ t r SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO �� n © "Irk/ FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST A4 LJ ��y FIRE SPRINKLER NG RS SET 13ACK FRONT PL- YARD: HWY: PROP LINE: WIDTH: gerV�e'�haINSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWA L- I ER 0 L EXTERIOR LAT RATED 00 SS RATED WALL ASSEMBLIES RATED S A SOP IGS -BAR CE LI GS R G REPORT ID: DPR261 ROUTE T0: BS0508