HomeMy Public PortalAbout10009-10011-10015 OLIVE ST_Building__ APPLICATION FOR -BUILDING PERMIT
FC!APXICANT TO FILL IN (Print or type only)
FADDRESS
n COUNTY OF LOS ANGELES
r! / �� / DEPARTMENT OF COUNTY ENGINEER
L. �: ZIP J�`g) BUILDING AND SAFETY DIVISION
NO.OFBLDGS. BUILDING r�/s NOW ON LOT O ' ADDRESS Vv /J+•�N BLOCK LOT 0.�, LOCALITY
TEL.
CROSS ST.
ADDRESS _ffASS/ MAPEBOOKOR r6 6 PAGE �3 PARCEL /�3
/� DISTRICT GROUP TYPE FIRE CESSE BY
-CITY ZIP r o 6 �r a�} CONST. ZON 1
ARCHITECT OR TEL.
ENGINEER NO. STATISTICAL CLASSIFICATION SEWER AAP
ADDRESS. CLASS NO. DWELL.UNITS BI P
17
CONTRACTOR c/ L NO. USE ZONE NO.
LIC.
ADDRESS fj D( NO• L SPECIAL
LIC. CONDITIONS
CITY �1
CONSTRUCTION LENDER
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF ISTREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ.FT. NO.OF NO.OF CHECK I HI WAY + YARD FRONT PROP.LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE }
DESCR NOF WORK NEW ❑ + - O
ADD ❑ BL G.SETBACK FROM
i SID OP.LINE OF (STREET) O
ALTER T SET K FROM TYPE OF EXISTING b
HIGHWAY + YA - orp INE HIGHWAY WIDTH , N
USE F REPAIR ❑ Z
EXISTING BLDG. +
DEMOL ❑ '
APPLICAN TEL CORNER CUTOFF YES ❑ NO
(PRINT) /I Ay, Q R,09Ad, d5 NO. -J 7
/I
BY(SIGNATURE) , , IN OPEN SPACE YES ❑ NO ❑
� ., � 4�.•�i
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$ •
(�-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 7(^ -
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES F '
AND LAWS REGULATING BUILDING CONSTRUCTION.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 COM- L
PENSATION INSURANCE.
PERMITTEEE OF,?
ADDRESS.] d� ,J_ _ —� -�
CITY �` "� NO. �pO DATE
�ll�• ! B� �
MAKE CHECKS PAYABLE TO: P.C.EFET.
HARVEY T.BRANDT.COUNTY ENGINEER '-
'PLAN CHECK VALIDATION cK. M.O. SH o PERMIT VALIDATION GK. M.O. GASH
., S: .9 APR 20 9.0 O A-08
®s 76A63BACE#BW3.75'
bL
TEMPLE CHTY
p"696A CE#6062/66 APPLICATION FOR BUILDING PERMIT �.
COUNTY OF LOS ANGELES BUILDING e
DEPARTMENT OF COUNTY ENGMEER• ADDRESS d
BUILDING AND SAFETY DIVISION LOCALI
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. e, ,.7-sry
DISTRICT NO. GROUP P OCESSED BY
FOR APPLICANT TO FILL IN t-570-f?
t-570-f?
" � coNST.
BUILDING Q f STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS- /'O D () ! ��A a/ / ' ������ BK ' PG
�r.+-cis--rc—�r
rCLASS.NO. WELL.UNIT
LOT NO. BLOCK MAP NUMBER d HTWY YES NO
tea
TRA S
• DGS. EZONE SPECIAL
// �} NO.OF BLCONDITIONS
SIZE OF LOT (O y I I NOW} ON LOTUSE OF
EX STING BLDG. '`�'�`/�r� C�'(! BUILDING EXIST.
r / ��y r�y TEL SETBACK YARD HWY STREET NAME WIDTH
OWNER �7 / /r ,�sw�SIVC�.�1'1 NO. FRONT
T 56
ADDRESS SIDE
ARCHITECT OR TEL. P.L. '? w
ENGINEER No. INSPECTION RECORD
ADDRESS �qq a' aj/� p�
CONTRACTOR !1?:r L� Gjl�r���g�Algr NO/-IfLj-`.I�EI , - o
ADDRESS /6 OJ'�'`` J' . Agel- (�v(Jfl�/L� 0
DESCRIPTION OF WORK -. O
trq'
NEW` ADD ALTER • REPAIR DEMOLISH
FT.
-NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF J
APPLICANT
VALUATIONS y m d y
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE '$ VO FPMT EE $ FOUNDATION:LOCATION
FORMS'MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME:FIRE STOPS,
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING BOLTS
FURNACE:LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
GAS VENT DUCTS
STATE LAWS REGULATING BUILDING .CONSTRUCTION.
I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT.
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMP SATION LAWS F CALIF RNIA, LATH,EXT.
PSIGNATURE OF HRECT AND NUMPESTEDR
ERMITTER
ADORES FINAL
CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LAC'o 1 9 7 3 JUN 9 1 D 5.0-0 ®m
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION FORWILDING P E RM I T
insure, or a certificate of Workers' Compensation Insurance,
orp c ti ied copy thereof(Sec. 3800, Lab. C.) f COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy N '�Uiz2.3 Company LI A
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �oo j IK- &I Ve
Certified copy is filed with the county building inspec- BUILDING /� �} r
do de artment. ADDRESS 1 C.-
a� v `
Date-1 A licant
CITY C—� w GI ZIP LOCALITY `�M�L�� CA f
PP NO. OF BLDGS. 4 NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. &LbV 1
COMPENSATION INSURANCE `
ASSESSOR
i (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.) &V b '� G No i`(L USE ZONE MAP
OWNER ((;;jjaa..V NO.
I certify.that in the performance of the work for which this A.^ /
permit is issued, I shall not employ any person in any manner ADDRESS `� 1 /Q L- CONDITIONS SPECIAL d
so as to become subject to the Workers'Compensation Laws. O
clrr V`�VG4 ZIP v
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY W
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CO Z E o
Exemption, you should become subject to the Workers' ,Q� �- 1 „� VW
Compensation provisions of the Labor Code, you must forth- ADDRESS �G N
with comply with such provisions or this permit shall be � ,F I i } •�i�}I ZZ STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR / ,B 1 ll7�II
LICENSED CONTRACTORS DECLARATION C / p4 LIC. c Q CLASS NO. o�a DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS511t'Q +N����ir`��u� NO. aw C'� SEWER MAP
(commencing with Section 7000)of Division 3 of the Business CITY (,1Q CLLICASS -/
and Professions Code,andmylicense is in full force and effect. BK, PG. VALIDATION
C�1 ST O Lic. Class Q `'q r SIZET TORIES FAMILLIIES ONEF CHE K
License Number e� rr '' ��.Q
r/ J V�1�� f t6J v NEW 'LJ $ALUAT�ON .r.
Contractor pate t L f DESCRIPTION OF WORK `'�'J`+/�1�U
ADD ❑ pop.❑I am exempt un r Sec.
ALTER ID
BAP.C. for this reason - REPAIR 1:1 $
Date: USE OF Cel (L� ID ,
EXISTING BLDG, ll DEMOL
g APPLICANT//��j�� TEL. p/ n 2�2 FINAL
Signature (PRINT)l- J S LOW" �(7 � NO. [l� j � 3� l L`Q
OWNER-BUILDER DECLARATION Tel
l f p �N DATE -[ _(
I hereby affirm that I am exempt from the Contractor's License ADDRESS l�_I GJ ����J �y j
Law for the following reason (Section 7031.5, Business and FINAL
Professions Code): PRESENT By ACCTos
BUILDING
El I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and LOCALITY .3307 51.71
the structure is not intended or offered for sale(Section
7044, Business and Professions Code.) MOVING TEL.
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. L
with licensed contractors to construct the project (Sec- 111 '4
ADDRESS
tion 7044, Business and Professions Code.) 3307 0
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP. LINE WIDTH ISE ;
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. TOTAL 150.34-
(Sec. 3097, Civ. C.). SIDE
3
P.L. CHECK ■Lender's Name r // LDMA Ref. # l��o��
P.C. Fee$ % l / 1 Permit Fee C/ CHANGE 00
Lender's Address
Poo
I certify that I have read this application and state that the Issuance Fee a 7 LDMA P/C#
3 above information is correct.I agree to comply with all County Investigation Fee / 130010—(J1001 1121/93
ordinances and State laws relating to building construction, Total Fee 9 (p LDMA Perm. #
and hereby authorize representatives of this County to enter 7748 1 AM10:53
upo a above-mentioned property for inspection urp es.
o � SEE REVERSE FOR EXPLANATORY LANGUAGE
ign re of Applicant or Agent Date I .
WORKERS'COMPENSATION DECLARATION \1.-
I hereby affirm that I have a certificate of consent to self O D PERMIT
insure, orza certificate of Workers'Compensation Insurance, A���I CAT�G N F®� ®�
or a certified copy Thereof(Sec. 3800, Lab. C.)
• COUNTY OF SOS ANGELES BIDUL®9PiG AND SAFETY
Policy No. Company
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN A�oR�ss ��
❑ Certified copy is filed with the county building inspec- BUILDING ` /
tion department. ADDRESS LOCALITY /fes F
NEAREST
Date Applicant CITY ZIP Q CROSS ST. �!
CERTIFICATE OF EXEMPTION FROM WORKERS' N OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP Q Q
hundred dollars ($100)or less.) TRACT //11 BLOCK LOT NO. NO.
OWNER' /l 9 L. ! SPECIAL y-
I certify that in the performance of the work for which this CONDITIONS IL
DISTRICT JGROUP TYPE FIRE PROCESSED BY O
permit is issued,I shall not employ any person in any manner CONST' Z4o�NE 1J
so as to become subject to the Worker' am ensationg,, ADDRESSS -50 � ,�J� y J O
Date Applicant f/�J_C 'CITY !^ �p\ZIP �0 w 1 J
ARCHITECT OR F}/J �L STATISTICAL.CLASSIFICATION APT. CONDO. (—
NOTICE T' APPL CANT: If, after'making this Certi icate of ENGINEER 9( NO. CLASS NO.,IA� DWELL..,UNITS
Exemption, you should become subject to the Workers' [!.
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP} n
with comply-with such provisions or this permit_shall be /
deemed revoked. CONTRACTOR TEL.NO. BK. PG. { #7 VALIDATION
LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 i ADDRESS NO. LVALLIATION
(commencing with Section 7000)of DIVIsIo6 3 of the Business and v LIC,
Professions Code,'and my license is.in full force and effect. CITY CLASS
SQ.FT. NO.OF NO.OF CHECK
License Number Lic.Class =SIZE STORIES FAMILIES ONE
Contractor Date DESC ION OF WORK NEW ❑
ADD ❑ :x..s....w:__...
11 I am exempt under Sec.' /L. /�•i ❑ FINAL
ALTER yl
B.BP.C. for this reason 1' d+� 11� a• s=� DATB
J REPAIR /
Date: EXISTIING BLDG. DEMOL By AL
Signature APPLICANT ' �S TEL.
OWNER-BUILDER DECLARATION'. PRINT 6L_t a NO.,
I hereby affirm that I am exempt from the Contractor's License ��`� •:r -� �QN D
Law for the following reason (Section 7031.5, Business and ADDRESS .7
Pr fessions Code): PRESENT
BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY z 227,2 A
, 7044,.Business and Professions Code). MOVING TEL.
,-�r
Ix1 I,as owner of the property,am exclusively.contracting CONTRACTOR 'NO. fl�° ° ° o o
�\ with licensed contractors to construct the project (Sec-
'tion 7044, Business and Professions Code). 2 ° ° 33.00
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 D ° ° ° 33.0 0 F-J
the performance of the work for which this permit is issued P.L.
tSec. 3097,civ. C.). SIDE. 0 a 2 6-8 3
o P.L.
Q Lender's Name
�.
Lender's Address <P.C.'Fee$ Permit Fee
- �J
rI certify that I have read this application and state that the Issuance Fee v o
above information is correct. I agree to comply with.all County Investigation Fee 4Tj
ordinances and State laws relating to building construction, Total Fee
and hereby authorize re resentatives of this County to enter
$ upon the ove-men'o d prop. ty for inspection purposes.
° SI SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent orate ®s
' •COUNTY OF LOS ANGELES TEMPLE CITY # 0508 i BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS TENANT IMPROVEMENT
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9702070012
PHONE: (818) 285-0488 EXT: i
LEGAL D: NO. OF CONST W BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 10015 OLIVE ST
STRUCTURE: 0 1 V B TEMP CA 917803342
ASSESSOR 0 O OBER: NEAREST CROSS STREET: BALDWIN
8586-023-023 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
NA S BG S : COMME USE ZONE: SS E ION: PROCESSED BY: EXPIRES 0 :
EXIST OCC GRP: B 02/07/97 TC 02/07/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL q�D
�,`{G%' CODE:
GLESBY ROSE F 818A355282 -3 250 ,
631 PARKROSE AV 7 ` 1 � 1
MROV 910163770SPAID DESCRIRTAON OOF'WORIN EXISTING PARTITION
FEE DESCRIPTION: QUANTITYs': UO�: AMOUNT:
APPLICANT: O:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG NOTION RESID 250.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 250.00 VAL 43.50
TOTAL FEES 71.75'
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT-OR NG 0: FOUNDATIONPRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
P NO: SEWER MAP BOOK: PAGE: FIRE ONE: CMP: UNDERFLOOR INSULATION
3 04
FLOOR SHEATHING
0. OFF IL ES: DWELLING UNITS: CO D: STAT CS :
NO 22 ROOF SHEATHING
SCHOOL SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
RE SPRINKLER HANGERS
INSULATION/WEATHER STRIP
NTERIO LATH/DRYWALL
EXTERIOR LATH
RATEDL C L SS
RATED WALL ASSEMBLIES
RATED S FTSO G
T-BAR CEILINGS
LO R IN G
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN
• BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9809240056
PHONE: (818) 285-0488 EXT:
LEGAL D: NUMBER OF-SIGNS: 1 BUILDING ADDRESS:-
ON
D RESS:ON FILE SIGN DESCRIPTION: 31X8' PLASTIC INSERT ,10015 OLIVE ST
TEMP CA 917803342
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EL MONTE
8586-023-023 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT: UOST BLDG USE: ISS DON: P OC SS Y: EXPIRES ON:
GUANG JIH TEMPLE EXIST OCC GRP: 09/24/98 UT 09/24/99
OWNER: TEL. NO: BLOGS. NOW ON LOT: VALUATION: FINAL DATE INAL BY: CODE'
GLESBY ROSE F - 300
631 PARKROSE AV D'�I
MROV 910163770 FEES PAID IION 0 WO K
PLLASTACTICC INSERTS FOR FACE OF SIGN 61
APPLIT: TEL. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG NOTION REST 300.00 VAL 0.50 SPECIAL CONDITIONS:
02 PERMIT W/0 N¢ DOsOU VAL 43.50
�N����OT �EE 71.75
CONT
APPROVALS DATE INSPECTOR SIGNATURE
SAME RASTOWNER
TEL. N0: _ �®S
LIC. NO ro—cWfTo-H AMD SETBACKS
SOILS,ENGINEER APPROVAL
ARCHITECT OR ENGINEER: N0: OU�N rDt ION/TRENCFORMS
LIC. NO: 1111;11 SUPPORT STRUCTURE
`7 S
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMO P U09 ��j O U\
0. OF FAMILIES: DWELLING UNITS: T/COND: ST T CLASS:\ u�
NO 20
SCHOOL WITHIN HAZARDOUS `+-' � t•.
AIR QUALITY: 1000 FEET MATERIALS ❑ r�l� ,l
NO NO NO
�8/llicEl o�
1
REPORT ID: DPR261 ROUTE TO: BS0508