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HomeMy Public PortalAbout10048 OLIVE ST_Building__ WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self ` Q D j insure, or a certificate of Workers'Compensation Insurance, AP"��C TON N FO ' O I or a certified•co y thereof(Sec. 3800, Lab. C.) cc 0-42406327 Argonaut ins. COUNTY OF LOS ANGELES + BUILDING AND SAFETY acy No. Company Certified'co is hereby furnished. BUILDING Py Y FOR APPLICANT TO FILL IN ADDRESS ®00 aCertifieP copy is filed with the county building inspec- BUILDING 1 4 — /�Q � LOCALITY tion de artMent. ADDRESS NEAREST Date 11-1-84 Applicant Randal Rnnfinn CITY ZIP 917RU CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE rTRACr LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP �J hundred dollars($100)or less.) BLOCK LOT NO. NO. c TEL. SPECIAL I certify that in the performance of the work for which this G or N — "/ CONDITIONS IL STRICT GROUP TYPE FIRE PROCESSED BY O permit is issued,I shall not employ any person in any manner CONST. ZQD�E U ADDRESS 1'0 0 4 8 011.V e so as to become subject to the Workers'Compensation Laws. i DS —T 7— CITY Tem l a 'City ZIP 17 Date 84 Applicant : • � S.T ISTICALCLASSIFICATION APT. CONDO. ARCHITECT OR TEL. d NOTICE TO APPLICANT: If, after making this Certificate o ENGINEER NO. CLASS NO. DWELL. UNITS LU 'Exemption, you should become subject to the Workers' IL Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR Ranrinl Rnnfirig N _ BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. .4 5 3 9 1,7 VALUATION , (commencing with Section 7000)of Division 3 of the Business and i LIC. Professions Code,and my license is in full force and effect. &Y San G a b r i e 1 CLASS C—3 9 $ 4 519 3 7 SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class C-3 9 SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK R e-roof NEW $ Contractor Ran ddl Roofin�,te 5-•17-84 ADD C1I am exempt under Sec. — ALTER FINAL' 4 B.BP.C. for this reason REPAIR 7© DATE U 1 °'USE OF FON Date: EXISTING BLDG. SFD DEMOL ❑ g Signature I APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. 2 8 8—4 0 4 I hereby affirm that I am exempt from the Contractor's License t5 Law for the following reason (Section 7031.5, Business and ADDRESS 529 r F 9 Professions Code): PRESENT BUILDING I, as owner of the property, ormy employees with ADDRESS :} o o a o o wages as their sole compensation,will do the work and ' the structure is not intended or offered for sale(Section : LOCALITY 2 - - 87.38 7044, Business and Professions Code). MOVING TEL. I,as owner of the property,am exclusively contracting CONTRACTOR NO. a o,0 4 7,, 3 8.0 with licensed contractors to construct the project (Sec- ADDRESS 0 5 3 0'—8 C!_ tion 7044, Business and 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. tSec. 3097, Civ. C.). + I SIDE a: 'o P.L. o Lender's Name .;..r..,:.... P.C.Fee$ Permit Fee 76. 88 .I Lender's Address I I certify that I have read this application and state that the Issuance Fee 10. 50 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 87 . 38 and hereby authorize representatives of this County to enter ..- ' upon the above-mentio d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Signature of Applicant 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 0504040014 PHONE: (626) 285-0488 EXT: LEGAL0. OF CONSTBUILDIVG ADDRESS: TR: 10558 LT: 10 SQ. FT STORIES TYPE 10048 OLIVE ST STRUCTURE: VN TEMP CA 917803341 ASSESSOR INFORMATION R: NEAREST CROSS STREET: 8585-001-044 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TENANT: EXIST SLOG S RESID USE ZONE: R-1 ISSUED0 : ROC SS E PI S . EXIST OCC GRP: 04/04/05 JK 03/30/06 . OWNER: TEL N0: SLOGS. N ON LOT: VALUATION: FI AL AT� FINAL BY: CODE: WEI EILEEN (626) 215-7173- 4,800 ,� 10048 OLIVE ST TEMP 917803341 FEES PAID DESCRIPTIONOF WORK REPAIR & RESTORE EXISTINGRAG 0 OVER APPLICANT: FEE DESCRIPTION: QUANTITY: UON: AMOUNT: EXISTING AND REMOVE SHOWER 0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4800.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC 4800.00 VAL 132.60 FR INV WORK W/0 PERMIT 257.00 DOL 257.00 TOTAL FEES 417.85 CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO MMION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECTOR ENGINEEK.-- 0: POUNDAT I 0 R FO S KWOK, TERRENCE (323) 697-2120- 109 E. FLORAL DR. LIC. NO: SLAB/UNDER FLOOR MONTEREY PARK, CA C-24796 C RAISEDG MAP NO: SEWER NAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING 0. OF FAMILIES: DWELLING S: APT/C : STAT C S: NO 21 ROOF SHEATHING SCHOOL 0 S AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK S ESP GRS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STR P SIDE PL- INTERLATH/DRYWALL EXTERIOR LAT RATEDC SS TED WALL ASSEMB IES MTED S S 0 S T-BAR CEILINGS LUT-DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 0411190005 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDI G ADDRESS: TR: 10558 LT: 10 SQ. FT STORIES TYPE OCCUP GROUP 10048 OLIVE ST STRUCTURE: 595 1 VN R3 TEMP CA 917803341 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 8585-001-044 OTHER: 57 1 VN U1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TENANT: E IS DG USE: USE ZONE: ISSUED 0 r PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/15/04 JK 12/10/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: 100.8 OLIVE ST (626) 215-7173- 50,410 g //_ TEMP 917803341 FEES PAI DEDE—SURTIPMO OF WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ADD 2 BEDROOMS, 1 BATH 595 SF. PORCH 57 SF. APPLICANT' EL. 0: SAME AS OWNER - B1 PLANCHECK W/ENERGY 50410.00 VAL 758.04 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 50410.00 VAL 5.04 B2 PERMIT W/ENERGY 50410.00 VAL 891.83 TOTAL FEES 1,682.66 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION-AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOU DATIO /TRENC FORMS KWOK, TERRENCE (323) 697-2120- 2 L 109 E. FLORAL DR. LIC. NO: SLAB/UNDER FLOOR MONTEREY PARK, CA C-24796 C RAISED OOR F AMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 UNDERFLOOR INSULATION 0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS-. ST LEVEL FLOUR SHEATH NO 27 2ND LEVEL FLOOR SHEATH SCHOOL WITHINARS ROOF SHEATHING y AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED --TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELSSIDE �l I S LA /WE 0 T e_-q S RIP �/' INTERIOR LATH/DRYWALL z7�. EXTERIOR ATH /:19� LOT DRAINAGE SMOKE D CTIO DE IC S FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508