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Home My Public Portal About10111 OLIVE ST_Building__ ;6A688A DBB.9 APPLICATION O R B U•I L®I N GPERMIT 1 DIVISION OF BUMDMG AND SAFETY ADDRESS e p i r Deportment of County Engineer County of-Loa Angeles LOCALITY WM.J.FOX,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OR BUILDING CROSS ST. DISTRI�o •'�GR TYPE SEWER MAP. FOR APPLICANT TO• FILL IN S I CONST. je- BUILDINGf jr MAP �I STATE_ YE9 NO ADDRE88 9 1 NUMBER t�V HWY LOT NO. BLOCK USE ZONE SPECIAL / CONDITIONS TRACT `� NO.OF BLDGS. BUILDING EXIST. SIZE OF LOT S K I OW ON LOT SETBACK YARD HWY STREET NAME WIDTH . USE OF EXISTING BLDG. / F.ROL T o OWNER SIDE P.L. MAIL O TRACT DWELL. I UNIT ADDRESS O 5 INDUSTRIAL TE CITY ;^ 1, DWELL. 1 UNIT 6 PUBLIC BLDG. N . 3 2 DUPLEX I UNIT ARCHITECT ORTEL. 7 ADDN.,ALT.. ETC. ENGINEER O' $ APT. _UNITS 8 MISCEL. ADDRESS Y.6a L p 4 COMMERCIAL CONTRACT TEb� INSPECTION RECORD .ADDRESS ' DESCRIPTION OF ORS NEW r ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE / t STORIES FAMILIES U E.OF 8UCTUR L SIGNATURE APPLICAN O APPROVALS ADDRESS 3 U DATE IN$ ECT R'S SIGNATURE FOUNDATION:LOCATION / v e �.rkE ,;C. S�,y�-i" FORMS,MATERIALS FRAME: FIRE STOPB, ,�. !/y � •G�� VALUATION $ BRACING.BOLTS 7 RE FURNACE:LOCATION, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS- GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT % / /)•� ,�,,�,,G AND-AGREE TO COMPLY WITH ALL COUNTY ORDINANCES. LATH.INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH.EXT. � �� // SIGNATURE OF`///� � 4 Z�� HOUSE NUMBER COR- PERMITTEERECT AND POSTED J' ADDRESS FINAL. WM.J.FOX,COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR MO 5 7 3N SEP 25 1' 6 .8.5 0 16 SEP 5 1 3 0` . . 057 i AP . LIGATION FOR BUILDING PERMIT � , kCOUNTY OF LOS ANGELES I BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BMESS ADDRESS BUILDING ADDRESS ] 3heaffirm that I have a certificate consent to self insure, / I cate of orkers' sati Insur nc ,ora rtlfied1kive- 6T f e 0 ,v CITY ZIP(JLocauT om SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnishe NEAREST CROSS ST. ❑ Certified copy is filed wit the myb lid! i ec on TRACT BLOCK LOT NO. ; department. USE ZONE MAP NO. Date lic t ASSESSOR MAP BOOK PAGE PARCEL • SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER y� T COMPENSATION INSURANCE ' / WITHIN t000 Fr.of SCHOOL? ves No (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYP CONp FIRE ZONE PROCES D BY dollars($100)or less.) I CITY ZIP _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFI ATION APT CONDO Date Applicant ADDRESS CLASS NO. � DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CO R ` n SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith /llVcc�f FRONT comply with such provisions or this permit shall be deemed revoked. AD LIC PL LICENSED CONTRACTORS DECLARATION / SIDE CITY LIC.C S, P L. I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with n Sion 3 of B d SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Cod d n R/nivfiull force eff NEW ❑ BK PG License N r Lic.Class 11� C I ION F � ADD ❑ VALUATI N Ov a Contract Date � ` ALTER "❑ ' $ ' C ❑ I am exempt under Sec. REPAIR ❑ `$ C B.BP.C.for this reason a17 L DEMOL ❑ T°s LL 11 Date: USE OF EXISTING BLDG. URM O 'LDMA P/C# ACCT. 4 V•. Signature APPLICANT(PRINT) TEL NO. - LDMA Perm# `3303 144°vc ❑ I, as owner of the property, or my employees with wages as ZO 1 ITEMS their sole compensation, will do the work and the structure is ADDRESS _ not intended or offered for sale (Section 7044, Business and FINAL DATE ...• • .....Q -TL � 164 -85 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIALIyE 164.85 i� (yC OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE CHECK 16 °85 ❑ I, as Owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES❑ NO❑ CHANGE .00 Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH I CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR QI—l� 5/19/93 f j /9 i p I hereby affirm that there is a construction lending agency for GUIDELINES YES 11 NO❑ (j iJ JV t! !7 CM the performance of the work for which this permit is issued(Sec. 1 a) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING ri i Aft 7:34 a 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address 0 OWNER OR AGENT o I certify at I ha ad this application and state under penalty of perj y that t a ove inform is correct.I agree/,to comply P.C.FEE PERMIT FEE / N with I unt o nances a d Sta laws relating to building co Ucti reby ut p sentative this unty ISSUANCE FEE to er upon co e a nt' a prop rty for i i S. m INVESTIGATION FEE TOTAL FEE mead ApWl t m Ayer, ° e SEE REVERSE FOR EXPLANATORY LANGUAGE i 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 0211140041 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF CONSTL D S . TR: 22438 LT: 1 SQ. FT STORIES TYPE 10111 OLIVE ST STRUCTURE: VN TEMP CA 917803345 ASSESSOR -INFORMATIONB R: NEAREST CROSS STREET: BALDWIN 8586-025-002 THOMAS PAGE: 597 GRID: 64 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG SE: RESID USE ZONE: R- ISSUED ON: —PROCESSED B P N: EXIST OCC GRP: 11/14/02 JK 05/13/03 OWNER: TEL.--NO: BLDGS. NOW ON LOT: VALUATION: FINAL ATE FINAL BY: CODE: MASTERSON;GEORGIA E (626) 443-1623- 440 0 �o "L 10111 OLIVE ST TEMP 917803345 FEES PAID F WORK REPLACE FRONT WINDOW - SAME SIZE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER (626) 443-1623- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESI.D 440.00 VAL 0.50 SPECIAL CONDITIONS: MICHAEL A LONG D2 PERMIT W40 EN-HC_ 440.00 VAL 43.65 TOTAL FEES 71.90 CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS ., SOI S'ENGINEER APPROVAL ARCHITECT OR ENGINEER: 0: 0 0 R C ,. OR S LIC. NOd SLAB/UNDER FLOOR RAISE6 FLOORFRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H273 3 -.01- FLOORISHEATHING 0. OF FAMILIES: DWELLING U ITS: AP CO : STAT CLASS:-- No 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO ,' FRAME INSPECTION �.• `. REQUIRED TO SET C R ST •• .� ,�,•:_� ';' � R SPRINKLER E S SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULAT 0 /WEATHER STRIP SIDE PL- �v - R OR LA H/DRYWALL EXTERIOR LATH T D LOOR C ASSE . RATED�WAL ASSEMBLIES S P N GS T-BAR CEILINGS T G REPORT ID: DPR261 ROUTE TO: BS0508