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HomeMy Public PortalAbout10116 OLIVE ST_Building__ ETY OF . X Temple City* F6A5e8AC19#.08.1-61 .APPLICATION FOR BUILDING PERMIT LI COUNTY OF LOS ANGEL.FaS BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENQINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DIST CT GRO P TYPE P SED BY FOR APPLICANT TO FILL IN ' p CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS. 10116 -Olive B q CLASS.NO. DWELL.UNIT `� pC, LOT NO. y BLOCK WATER NOT REQUIRED V. RECEIVED CERTIFICATE: TRACT / N.P.OF BLDGS. NO. / HaIRcwE) STATE'MAJOR SECOND, OCA SIZE OF LOT. NW ON LOT U SESPECIAL' USE OF CONDITIONS EXISTING BLDG. Residence TEL OWNER Ta for •Fim le N07 B 0 1 LID EXIST. YARD HWY ETRE NAME 10116 Olive SFRON WIDTH ADDRESS FRONT �'' ARCHITECT OR TEL. 'P.L. (�( ENGINEER' NO. SIDE P.L. ADDRESS 1, II�iSPECTION RECORD 0 CONTRACTORVir In Roof CONT 0 0• u ADDRESS 600 S..San Gabriel Bl. m DESCRIPTION OF WORK San Gal U • W NEW ADD ALTER C REPAI DEMOLISH Z SQ.FT. N NO.OF $IZE STORIES FAMILIES USE OF STRUCTURE Re®ro of ouse ara e SIGNATURO APPLICAN I APPROVALS DATE INSPECTOR'S SIGNATURE• FOUNDATION:LOCATION FEE 5 FEE's ll.50 . FORMS,MATERIALS s t 4 FRAME:-FIRE STOPS, j I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,BOLTS 9 AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE'LOCATION, ( r WITH ALL COUNTY ORDINANCES AND STATE LAWS-REGULATING GAS VENT DUCTS i 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 THE STATE ALIFORNIA RELAT- ING TO WORKMEN'S NSATION IN A C LATH,EXT.SIGNATUR PERMITTEE OF ✓I NOUSE UMBER AND POSTEDR ADDRESS600 S.San Gabriel Blvd. FINAL / t1�p. - :'✓.J dt- • CLYDE N. DIRLAM, PRINCIPAL STRyc.TYRAL ENGINEER PLAN CHECK VALIDATION OK. M.O.' CASH PERMIT VALIDATION N.D. CASH L&O6436G3 JUN 1 - _ 1 . 0 11.50N l APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILPING ADDRESS �. BUILDING E /� '� I hereby affirm that I have a certificate of consent to self insure, `� It ,1`� A ze or a certificate of Workers'Compensation Insurance,or a certified CITY vemo C zip 1t copy thereof(Sec.3800,Lab.C.) Cl 1 rl An LOCALITY _ 1 Policy No. Company S2E OF LCT NO.OF BLDGS NO ON LOT ❑ Certified copy is hereby furnished. NEAREST CROS TRACT BLOCK LOT NO ��L 1� w b i A O �❑ Certified copy is filed with the county building inspection � �. �, USE ZONE MAP NO department. O Date Applicant �p ASSE. SO MAP K PAGE PARCEL V 00-4. SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWN RL COMPENSATION INSURANCE I 5 WITHIN 1000 FT.OF SCHOOL? YES NO ADD S /� (This section need not be completed if the permit is for one hundred t / °/ DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100)or less.) VIN I certify that in the performance of work fo his permit CIT Zlp�P I c is issued, I shall not employ any rs in a so as to 'ter, 6O yyjj// become su je t to the Workers' pe sation s. ARCHITECT ORE GINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date o Applicant DDRESS 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' C R TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 6 '11 — —9D FRONT comply with such provisions or this permit shall be deemed revoked. ADTESS LIQ NO. P L LICENSED CONTRACTORS DECLARATION ADT IC. SIDE CIT LIC.CLAS P L } I hereby affirm that I am licensed underprovisions of Chapter 9 A�G� 9• SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES C' Professions Code,and my lice ns In full force an fect. NEW ❑ BK PG , C License Number 05105- Lic.Class DESCRIPTION OF WORI. ADD VALU ON Contractor Date rC� 1 $ `�� cc ALTER ❑ C ❑ 1 am exempt under Sec. O REPAIR ❑ $ I— B.BP.C.for this reason DEMOL ❑ W LDMA P/C# CL Date: LADDOES NG BLDG. URM ❑ `�� Z Signature APPLICANTALINT) TEL NO. _ LDMA Perm# ❑ 1, as owner of the property, or my employees with wages as7�I�.L. �6�"��OZ Z their sole compensation, will do the work and the structure is �LL� ',lO5 r31 3 53°rnot intended or offered for sale (Section 7044, Business and 4p W�t7�d11 9� ZL DATE !RProfessions Code.) GLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL -� El 1, 1, as owner of the property, am exclusively contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q n+•^r 8 Is AMOUNTS SPEC IED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ACC I °S licensed contractors to construct the project (Section 7044, Business and Professions Code.) YES❑ No =LIQ: in .�r WILL THE INTENDE SE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING _ • OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH t f TF!hh. .. CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDEUNSS. _ I hereby affirm that there is a construction lending agency for ves❑ No E CIT j AL 231 . S'5 C4 the performance of the work for which this permit is issued(Sec. ry .., I HAVE READ THE HAZAR S TERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING r" f'` =' •'� a 3097,CIV.C.) CHECKLIST I UNDER EMENTS UNDER THE LOS ANGELES COUNTY CODE, CHECK �'° TITLE 2.C R 2 20 ON 2 100 THROUGH 2 20.140 CONCERN!NG HAZARDOUS CHANGE Lender's Name MATERIAL RE NG O AINING A PERMIT FROM THE SCAOMD. o Lender's Address OWNER OR Ni 0 1 c tify hat I havUaut�,h cation and state under penalty [j, JAIJ 1 i I/_,_�c of erjur that then is correct.I agree to comply P.C.FEE PERMIT FEE C—C f ' : ';i h all unty oState laws relating to building i Hid ira structio , and representatives of his C unty ISSUANCE FEE nter up iferoperty for inspe i r INVESTIGATION FEE TOTAL FEE O lura d aoN I« o O SEE REVERSE FOR EXPLANATORY LANGUAGE ` APPLICATION F013 BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILD ADD ESS - I hereby affirm that I have a certificate of consent to self insure, BUIL EJ or a certificate of Workers'Compensation Insurance,or a certified ESS copy thereof(Sec.3800,Lab.C.) CIT ZI LOCALITY Policy No. Company / ]o SIZE OF LOT NO.OF BLDGS.NOW ON LOT / IC ❑ Certified copy is hereby furnished. NEAREST CROSS T. ❑ Certified copy is filed with the county building inspection TR CT BLOCK LOT department. USE ZONE MAP NO. Date. Applicant ASSE PACTfir,E>� PARCEL �j�oOil SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' TEL NO. YES NO COMPENSATION INSURANCE 3 WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADgF �(_ DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) 11 �wv CI / ZIP n II� I certify that in the performance of the wor ich this permit {/� is issued, I shall not employ any rson i a m n So a5 t0 ARCHITECT OR ENGINEER TEL NO. �.Vj - 3 become ubject to the Worke O ens tion Law . ^, STATISTICAL CLAS IFFICATION 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' CTOR / TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith I o� C FRONT comply with such provisions or this permit shall be deemed revoked. P L LICENSED CONTRACTORS DECLARATIONAD E s ` SIDE CI Y S PL I hereby affirm that I am licensed underprovisions of Chapter 9S SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code, d m license is in full force&W effect. NEW ❑ BK PG TO OF WORK f ADD ❑ VALU ON 0 License Nu r Lic.Class 'W" 4 $ D C Contractor Date ALTER 7-4 ❑ I am exempt under Sec. IDEMOL PAIR ❑ C BAP.C.for this reason ❑ LDMA P/C# C Date: USE F EXISTING BL RM ❑ _ p - ` Signature APPLICANT(PRIN~ ' TE NO. r O LDMA Perm# " L ❑ 1, as owner of the property, or my employees with wages as -go2ZO _ TTEW-- their sole compensation, will do the work and the structure is A E S nn not intended or offered for sale (Section 7044, Business and 'v W 14 -X4W FINAL DATER!� G 1 AL 153 - 45 Professions Code.) WALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /S J r•1 OR A MIXTURE O INING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE CHEC.•FS .:�' a Y•: ❑ 1, as owner of the property, am exclusively contracting with Q AMOUNTS SPEC I ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B licensed contractors to construct the project (Section 7044, vas 11 No Business and Professions Code.) WILL THE INTE DED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR '//x�//X N�/f r { f -• 'r1; GUIDELINES �V' fz-1 I I hereby affirm that there is a construction lending agency for YES❑ NO cN the performance of the work for which this permit is issued(Sec. _i�j4+ '� jj) e I- IHAVE RMENT *- 0 KINFORMATION GUIDE AND THE SCAOMD PERMITTING N 3097,CIV.C.) CHECKERMENTS UNDER THE LOS ANGELES COUNTY CODE, TTLE 200 THROUGH 2.20 140 CONCERNING HAZARDOUS Lender's Name MATERIINING A PERMIT FROM THE SCAOMD. IL Lender's Address OWNER O 0 o I certify that I have read this app cation and state under penalty 00 of pRM above' form n is correct.I agree to comply P.C.FEE PERMIT FEE �• h C4 withrd' an as nd tate laws relating to building !/ Mcone by uth n epresentatives o this County ISSUANCE FEE • toe do ed party for Insp�c on p^ ses m INVESTIGATION FEE TOTAL FEE nems oma• SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ,�„ BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING PIDD'RES WORKER'S COMPENSATION DECLARATION .�r I hereby affirm that I have a certificate of consent to self insure, BUI ING ADDRESS, or a certificate of Workers'Compensation Insurance,or a Certified copy thereof(Sec.3800,Lab.C.) ZIP Ct LOCAL Policy Policy No. Company SIZE OF LOT NO.OF BLD S.NOW ON LOT �` --5�iF< ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT No. department. 2 USE ZONE MAP NO. ASSES R�ptIOOK; PAGPA0E Date Applicant L� SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' 0TEL NO. YES NO COMPENSATION INSURANCE pppp `5 WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred A� ��,`�� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) z I certify that in the performance of the work for whi this permit `/ is issued, I shall not employ any p on in n an r so as to �� 'e d' ARCHITECT R ENGINEER TEL NO. beCO S t0 ff the Workers' m n ��. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO...Z,/ DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' TRACTO ^ TEL NOL046- SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith /Con r r`04!✓= FRONT comply with such provisions or this permit shall be deemed revoked. DR SSB LIC.NO. P L LICENSED CONTRACTORS DECLARATION -1t 49q I SIDE IT LICr awl . S 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 SQ.FT.SIZE NO.OF TORIES NO.OF FAMILIES Professions Code,and�mfy li Be is in full force and effect. + t NEW ❑ BK PG ® 0 License Num .--.4 ` Lic.Class D IPTION OF wOR ADD ❑ VALUATION C $ c Contractor Date ,,,,+,��j ALTER D ❑ I am exempt under Sec. � `^"A REPAIR ❑ Cj- B.BP.C.for this reason ra DEMOL ❑ DMA Pic# Lt, Date: USE XISTIN BLDG. URM ❑ n S C>L — cst 4�. 23 L Signature APPLICAN (PRINT) TEL NO. LDMA Perm# ❑ I, as owner of the property, or my employees with wages as r, K 1d Z A4C`•1, their sole compensation, will do the work and the structure is ADDR SSf� ( / O not intended or offered for sale (Section 7044, Business and L7 °r'4 61&-,6IU*w -n0 FINAL DATE Q 3307 59.511 Professions Code.) HALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL n OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY /�.T licensed contractors to construct the project (Section 7044, ALA,I o 9' Business and Professions Code.) ves❑ NoIFIE WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 3307 +2j� +erl1 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. i ITEM I hereby affirm that there is a construction lending agency for YES❑ No� —,�- W the performance of the work for which this permit is issued(Sec. TOTAL 3_+r � e 10 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST I UNDERSTAN M E IREMENTS UNDER THE LOS ANGELES COUNTY CODE, cliTITLE 2,CH A R 220 S O 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS GHEE: n 1_I i . Lender's Name MATERIALS P IN OR TAINING A PERMIT FROM THE SCAOMD 0 Lender's,Address OWNER OR ACalNT CHANGE •I10 0 0 I certify that I have read this application and state under penalty 0 sof perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE cm with all county ordinances and State laws relating to building ��� '"� D' 0000-0001 y.j 9/5ti con str tion, an her by out orize representatives of this County ISSUANCE FEE a toe r on the bo enti ed property for inspe ti n pu poses. (�+� 9146 1 AM 11 a 05 ro INVESTIGATION FEE TOTAL FEE& O � swvm road o,no-mi oO.a rc� SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATION L:J I hereby affirm'That'I`fi a a`lertificate of consent to ieff):" "':- A P�{ �C TIO RUILDING PERMIT insure, or a certificate.of,Workers'Compensation Insurance,., /s+� �� r v '('or a certified copy thereof(Sec. 3800, Lab. C.) I 3) Policy No. • •• Company 5 COUNTY O.F LOS ANGELES BLOIL®9NCr AND SAFETY Certified copy is hereby furnished. i FOR APPLICANT TO FILL IN- - ADDRESS ❑ Certified copy is filed with the county building inspec- ' BUILDING01 J tion department. ADDRESS A. i V LOCALITY -/ NEAREST ' Date - Applicant CITY \ ZIP CROSS ST.' CERTIFICATE OF EXEMPTION'FROM WORKERS' NO.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'oneUSE ZONE MAP �� 1 / hundred dollars($100)or less.) TRACT BLOCK LOT NO. / NO. V IL I certify that in the peFformance of the work for which this OWNER 1 +�p �V NO.. _AMM / CON SPECIAL 0 DISTRICT .GROUP TYPE FIRE PRO ED BY O permit is issued, I shall not employ any person�in any manner � - CONST. ZONE � �' so as to become subject to the Workers'Comps s ion Laws. ADDRESS �� ko \„C\t r— tm �j �` zip k-1%0 � +-3 ' O } ea Applit Cie STATISTICAL CLASSIFICATION PT. CONDO. i� ARCHITECT TEL. U NOTICE T A LICANT: If, offs ma g.c this ertiWoVrk . ENGINEER IVIG NO:' �� CLASS NO. DWELL:UNITSLU•'Exemption, you should beco a sub' ct to. the W ,� IL Compensation provisions of the. Code, you.mustADDRESS 3� A'CZQ© viG�11 e. 4 SEWEWPG, P Z: with comply with such'provisions or this permit shall be TEL. 'deemed revoked.' NOBK. '�,� VALIDATION . - CONTRALTO ��t� LICENSED CONTRACTORS DECLARATION LIC, - I hereby affirm that I•am licensed under prdvisions of Chapter 9 ADDRESS NO. VALUATION• ' (commencing with Section 7000)of Division 3 bf the Business and LIC.Professions Code, and my license is in full,force and effect. CITY CLASS $ es[ 4>00 SQ.,FT NO.OF NO.OF CHECK License Number 'Lic:Class SIZE STORI M4rL*.I FAMILIES ONE Contractor Dote DESCRIPTION OF WORK � i NEW ❑ ADD C]I am exempt under Sec. ❑ - ALTER FINAL B:BP.C. for this reason REPAIR [3 DATE USE OF FINAL Date: EXISTING BLDG. . -.. DEMOL ElBy + r .twp. Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT v NO.6 SQ. I hereby affirm that I am exempt from the Contractor's License ADDRESS to G V �-C-• g1'i�a Law for the following reason (Section 7031.5,•Business and Professions Code): PR ENT " ❑ BUILDING = T9 0.4 A I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and We'structure is not intended or offered for sale(Section LOCALITY 7.044, Business and Professions.Code).. MOVING TEL. 0 2 1 z ' ❑ I,as owner-of the property,am exclusively contracting CONTRACTOR NO. With licensed contractors to construct the project (Sec- o 2 1 ?V6 tion 7044, Business.and Professions Code). ADDRESS ; REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SMACK YARD HWY PROP.LINE WIDTH D 11 1 1 -8'7 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.). SIPS' PA. e , Lender's Name $ RC.Fee$ Permit Fee C;? N Lender's Address I certify that I have read this application and state that the Issuance Fee �d . above information is correct.'1 agree to comply with,all County Investigation Fee. ordinances and State laws relating fo building construction, . al- , and hereby authorize representatives of this County to-enter '' TotFee G upon. above-men Toned property.for inspection purposes. 11 0� 571 . SEE REVERSE FOR EXPLANATORY LANGUAGE I. gnature of Applicant or Agentt ®s I M1�\ r 4 r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 .., . BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 .BL 0508-0011020094 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF CO ST NEW BUILDING ADDRESS: TR: 10558 LT: 21 SQ. FT STORIES TYPE OCCUP GROUP 10116 OLIVE ST STRUCTURE: 166 1 VN R3 TEMP CA 917803344 ASS SSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GLICKMAN 8585-002-011 OTHER: THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: EX ST BLDG SE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES 0 : EXIST OCC GRP: 11/02/00 UT 05/02/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: WANG;DAVIDN A - 1 12,450 10116 OLIVE ST 2- TEMP 917803344 FEES PAID DESCRIPTION OF WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EXTENSION OF MASTER BEDROOM APPLICANT: TEL. NO: STEVE C. Y. WU (626) 912-3289- AA BLDG PERMIT ISSUANCE 27.75 18403 VILLA CLARA ST AC STRONG MOTION RESID 12450.100 VAL 1.25 SPECIAL CONDITIONS: ROWLAND HEIGHTS, CA AX BUILDINGV°P -FE- 54.70 B2 PERMIT to �� 0 VAL 293.70 R; jEL.ES T¢y+�UFEES 377.40 CONTRACTOR: TEL. NO: S �/,.y APPROVALS DATE INSPECTOR SIGNATURE KONGEA CONSTRUCTION CO. (626) 912-3289- 18403 VILLA CLARA STREET LIC. NO LOCATION AND SETBACKS ROWLAND HEIGHTS, CA 91748 731678 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRENCH FORMS LIC. N0� 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: M1- � C ©� UNDERFLOOR INSULATIO N 3UL �KSST LEVEL FLOOR SHEATH 0. OF LIES: DWELLING I S: APT/CO : STAT CLAS NO 21ND LEVEL FLOOR SHEATH- 81 SCHOOL WITHIN HAZARDOUS OOF 1 I SHEATHING AIR QUALITY: 1000 FEET MATERIALS Q ❑ ; 'f ��� NO NO NOF ® �5 FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK 0 EXIST �/6 � DG DEPT. FR MEI SPEC p ��fp SET BACK YARD: HWY: PROP LINE: WIDTH: '�L' Service � �a a SHEAR PANELS - SIDE PL- ER STR P r2 � INTERIOR LATH/DRYWALL z.1z XTERIOR LA a�1Z� LOT DRAINAGE SMOKE DETECTION DEVICES FIR DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508