HomeMy Public PortalAbout10124 OLIVE ST_Building__ C
70AS38A CE#Sol5.SI APPLICATION FOR BUILDING PERMIT
COUNTY OF .LOS ANGELES BUILDING 7 a
DEPARTMENT OF COUNTY ENGINEER AD°REss —
BU=ING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JE SEN. SUPT OF BUILDING CROSS ST. If
DIST. ICT GR TYPE SED BY'
FOR MIPLICANT TO FILL IN CONST.-. .
Le
.BUILDING n _ STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS iC CLASS.NO._�DWELL.UNITS_ K
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
�j CERTIFICATE:
TRACT U
MAP HIGHWAY STATE MAJOR SECOND, OC L
NO.OF BLDGS. -NO. (CIRCLE)
SIZE OF LOT NOW ON LOT A. US' Z NE SPECIAL
USE'OF ,// CONDITIONS
'EXISTING BLDG.
OWNER
TEL
,
�/ itf.fi NO. BUILDING YARD •HWY TRE T NAME EXIST. ,
SETBACK WIDTH
ADDRESS/e/20 109 g&Aelo' T C. FRONT
ARCHITECT OR TEL. P.L. �.
ENGINEER :NO. SIDE d'
P.L. O
ADDRESS TEL.G- INSPECTION RECORD
CONTRACTO /� f
ADDRESS 7 �7 .i/ /?S 1144 �.__ V
DESCRIPTION OF WORE - � .{� f •� � 4z .p o"
NEW ADD^ ALTER REPAIR DEMOLISH
SQ.FT. ' NO.OF NO.OF V.
SIZE STORIES FAMILIES 1/
STRUCTURE %1-.Y J'OA
.Zoll
SIGNATURE OF
APPLICANT - � rd .� � N�'�•.c.,I
VALUATIONS V. t.d &--1,
. ^ ` r. J d�fl r'✓
APPROVALS /dr�r DATE INEG'C6R2•sI'GNATURE
P.C. PMT. �j•O FOUNDATION'LOCATION
FEE '$ FEE'S FORMS,MATERIALS -
FRAME:FIRE STOPS, rE5'//'4V
-y1)
1 HEREBY ACKNOWLEDGE THAT 1HAYE READ THIS APPLICATION BRACING BOLTS r 1,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION.
WITH ALL'COUNTV ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION, 1 CERTIFY THAT IN.DOING'THE WORK
AUTHOR IZED H EREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT.
TION OF,THE LABOR CODE OF.THE STATE OF CALIFORNIA RELAT-
ING
ING TO WORKMEN'S CO PENSATION IDIS RANCE. � r
/ LATH,EXT.
SIGNATURE OF �' HOUSE NUMBER COR- ��..;,,,�.,�.-e
PERMITTE RECT AND POSTED f
ADDRES �'S L FINAL'. 1Ql-/� r2-• %%'�<•y� ',i
CLYDE N. DIALAM, PRINCIPAL STRU AL ENGINEER
PLAN C-MCK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. ee.o. CARR
: LQ2 3 1 2QI' ' -30 1 0 15-00-
a
76A638A CE#803 2-63APPLICATION FOR BUILDING PERMIT -
COUNTY OF LOS ANGELES BUILDING o/ -�n� [r UL-/I/6:_S
DEPARTMENT OF COUNTY ENGINEER -
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. �(
DISTRICT NO GROUP TYPE O ESSED BY
FOR'APPLICANT TO FILL71N CONST.
BUILDING STATISTICAL LASSIFICATION S WER MAP
ADDRESS/O L _ �Q 6 L-. O �• BK -P
CLASS.'NO. WELL.UNITS
LOT NO. WATER NOT REQUIRED ❑ RECEIVED
CERTIFICATE:
TRACT MAP HIGHWAY STATE MAJORS LO
NO.OF NO. (CIRCLE
SIZE OF LOT NOW ONUSE ZONE SPECIAL
USE OF - IT10EXISTING BLDG. TOWNER �pj T q /►/�/ NBUILDING YARD HWY STR ET NAME EXIST.
SETBACK WIDTH
ADDRESS�a�7-y. - O 1- VhFRONTARCHITECT OR TP•ENGINEER NSIDE
P. L. LL
ADDRESS _^� i U,
CONTRACTOR / /�• L TEL. py
7'� ' d 5�{i NO.�/p• 0V �e
ADDRESS f6-1-3 b
DESCRIPTION OF WORJO
; , uLd
CRRD ADD ALTER REPAIR Z
SQ.FT. NO.OF •---
SIZE STORIES
STRUCTURE y/r/f`l /� //�11.- oUSE OFr `Z
SIGNATURE OF
APPLICANT
VALUATION 's
ALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. : LOCATION
FEE $ FEE TERIALS
STOPS, -•
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION' OLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY OCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. GAS VENT. DUCTS.
BUILDING CONSTRUCTION. i CERTIFY THAT IN DOING THE,WORK
AUTHORIZED HEREBY I ILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR C E OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CO PENSATI/QN INSURANCE. LATH,EXT.
SIGNATURE OF J./ HOUSE NUMBER COR-
PERM
OR- `
PERMITTEE fiRECT AND POSTED
ADDRESS 6 FINAL Jv—'L?yG
JOHN-F. LEWIS. PRINCIPAL STRLCdTURAL b:TqEre
PLAN CHECK VALIDATION' 6K'. M.O. CASH _ PERMIT VALIDATION ' CK. M.O.
TEMPLE CITY
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADDRESS /0/y V 67-p L/I/t
DEPARTBUM OF COUNTY ENGIIUM
BUIMING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENQINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. GR TYPE HY
FOR APPLICANT TO FILL IN " (J CONST. Q
C/T V STATISTICAL C IFICATION E ER MAP
ADDRESS I /z C.Q L/v `�&M 49� ` I K PGS/
CLASS.NO. WELL.UNITS^ - V
LOT NO.. y BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: �LJ�
TRACT �Df� MAP HIGHWAY STATE MAJOR SECO LOCAL
NO.OF BLDGS. NO... . (CIRCLE)
SIZE.OF LOT. I NOW ON LOT USE Z014E SPECIAL
USE OF / /AP U S `� I CONDITIONS
EXISTING BLDG. 7-
TEL. A-
OWNER L—U G–L/✓�-� t�d0/ T NO. BUILDING HWY STREET NAME EXIST.
ADDRESS �d y Lr O�/ (/E fr it—
SETBACK YARD. WIDTH'
FRONT
ARCHITECT OR TEL. P.L.' (Jy
ENGINEER NO. SIDE
P.L. }
ADDRESS r INSPECTION RECORD D-
TEL CONTRACTOR•� W- /SSI'r NO. _dUu1� `� _ - O
ADDRESS/0-k-36 Or 6 R tFl r1V-r IM PLl
DESCRIPTION OF WORK
W
a
NEW D ALTER . REPAIR DEMOLISH \ N
SQ.FT. NO.OF NO.OF
IZE r STORIES FAMILIES
USEOF
STRUCTURE '/ I/?L /�� I G
SIGNATURE OF
APPLICANT
VALUATION$ Sao 0 I
APPROVALS D E INSPECTO •S SIGAAlIIfRE
FOUNDATION:LOCATION
FEE FEE $ C/i v v FORMS,MATERIALS /I/'p� 1
FRAME:FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS ! _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY FURNACE'LOCATION,
WITH.ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS l 1
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK ,
AUTHORIZED.HEREBY 1 VLL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. / I
TION OF THE LABOR C E OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S C MPENSATIO (NSU NCE? -
LATH,EXT. i
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEF RECT AND POSTED i
ADDRESS,41 7' FINAL A Wl,i" o ,.I OW
CLYDE N. DIRLAM, PRINCIl�AL STRUCTURAL EN ER
PLAN 0MCK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK.. M.O. CASH
• 2.8 7.9 Q! AUG 13 1 D 6.0.0 03
t WORKERS'COMPENSATION. DECLARATION
I. hereby affirm that I have a certificate of consent to self APPLICATION FOR U I L D I N G PERMIT
insure,or a certificate'of Workers'Compenstion Insurance,or
a certified copy thereof(Sec. 3800, Lab. C.), COUNTY OF LOS ANGE ES BUILDING AND SAFETY a
Policy No. Company
❑
Certified copy is hereby furnished. BUILDING /
FOR APPLICANT TO FILL IN ADDRESS d /
❑ Certified copy is filed with the county building inspec- BUILDING l
tion department. ADDRESS 1 LOCALITY v
I sem' NEAREST
Date Applicant CITY js ` ZIP / gid CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LO /r s-J? NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if.the permit is for one •-� -W-40
SE ZO�JE' MAP
hundred dollars ($100)or less.)' TRACT BLOCK LOT NO. 6 � /1/ L NO.
TEL. .. f / ,SPECIAL -
I certify that in the perf' a ce of the work for which this OWNER d (tis P, NO. -j III CONDITIONS
permit is issued, I shall not em y any person in any manner gg a� DIST ICT GROUP TYPE FIRE
so as to ecome subject to the rkers'Com ensation Laws. ADDRESS �f y y I�'+ ()/� .�j CON
✓ 7 CITY J� l t; ZIP r F0 O
Date Applica � STATISTICAL CLASSON APT. CONDO. U
. ARCHITECT OR TEL.
NOTIC TO
APPLICANT: If, aft r aking this Certificate o tU
r ENGINEER NO. CLASS NO. DWELL.UNITS IL
Exemption, you should beco • subject to the Workers y
Compensation provisions of the'Labor Code, you must forth- '
ADDRESS SEWER
with comply with such provisions or this permit shall be q
•deemed revoked. I CONTRACTOR J( t t ,.V rC3 'NL i� /��(3�I BK..
VALIDATION
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 I,ADDRESS' l s q(A., NO. VALUATION
(commencing with Section 7000)of Division 3 of the Business and i r� /' / LIC.
Professions Code, and my license is in full force and effect.. I CITY /G ✓d l >/FY�"' CLASS �� $
` 299 SQ. FT./ NO.OF NO.OF CHECK
License Number '?�. ,+J Z Lic.Class!Lp�_y f SIZE / �4 STO IES FAMILIES ONE
Contractor �( �i i�L)FQ Date /1—(21-tJ II DESCRIPTION P K a P/ / Fj�V ❑ $ /
!'am exempt from the licensing requirements as Ilam a I a fl10• ADD
licensed architect or a registered professional engineer r /� ,r� ALTER ❑ FINAL �f ! �? -
acting in my professional capacity (Section 7051, /lQ�e� ,Q f,Sf�,() iffis ❑ DATE., ,l Lid >
Business and Professions Code). USE OF REPAIR,
EXISTING BLDG. Q �l� DEMOL ❑, FINAL !
Lic.or Reg.No. Date APPLICANT � TEL.7 By i� ~�L 3 5 3.8 A
OWNER-BUILDER DECLARATION I (PRINT) JILL 5�t tJi►e2 NO. 4y7-&f-y7
_ JEXIST.'
. �0a7 # o 0 0 o -3
I hereby affirm that I am exempt fromthe Contractor's License I, ADDRESSLaw for the following.reason (Section 7031.5, Business and r•Professions Code): I PRESENT ,1 a 1 48,80
BUILDING1, as owner of the property, or my employees with ADDRESSwages as their sole compensation,will do the work andthe structure is not intended or offered for sale(Section LOCALITY 122 6—8 0
7044, Business and•Professions Code). MOVING TEL.
CONTRACTOR NO. ��I, as owner of.the property, am•exclusively contracting �3 53 9 Awith licensed contractors to construct'the project (Sec- ADDRESStion 7044,Business and Professions Code). 0 0 0REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING•AGENCY SET BACK YARD HWY PRO . LINE
I hereby affirm that there is a construction lending agency.for FRONT 2 0 4 6 6,5 0
the performance of the work for which this permit is issued P.L. C� c rt 4 (,I�;
(Sec. 3097, Civ. C.). c
; SIDE r'
i
P.L. (''�
Lender's Name I i 2 2 5-`;0
Lender's AddressI P.C. Fee$p(/7r��/ ` Permit Fee
I certify that I have read this application and state that the IO v . Issuance Fee
labove information is correct. I agree to comply with all County I Investigation.F.e.___.___.. _ d
ordinances and State.laws relating to building construction, Total Fee
nd hereby authorise representatives of this County to enter
n the above-mentioned property for inspection purposes.
g �[ 'Z.�.Z(jr SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Dote - ®s
• COUNTY OF LOS ANGELES ' TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS t 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 BL 0508 0012260033
PHONE: (626) 285-0488 EXT:
LEGAL ID: . OF CONST B . LD NG DDRESS:
TR: 10558 LT: 22 SQ. FT 'STORIES TYPE 10124 OLIVE ST
STRUCTURE: 0 VN TEMP CA 917803344
ASSESSOR I ORMA IO UMBER: NEAREST CROSS STREET: BALDWIN
8585-002-012 THOMAS PAGE: 597 GRID: B4 -LOCALITY: TEMPLE CITY
TENANT: E ST BLDG SE: SID S ZONE: R- ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 12/26/00 UT 06/25/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL D TE CODE:
HEATER JOHN H;CHRISTINE (818) 444-5111- 1 14,350
10124 OLIVE ST a zo
TEMP 917803344 FEES PAID DESCRIP 0 F 0
TEAR OFF EXISTING'ROOF, RESHEET A PORTION, INSTALL 25 YR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GAF COMP, SHINGLES AND INSTALL 9 NEW WINDOWS
APPLICANT: TEL. NO:
NICK'S REMODELING (626) 442-7985- !AA BLDG PERMIT ISSUANCE 27.75
9941 HOWLAND AC STRONG MOTION RESID 14350.00 VAL 1.44 SPECIAL CONDITIONS:
TEMPLE CITY Ip2 PERMIT W/O.EN=HC 14350.00 VAL 300.60
TOTALZFEES 329.79
P�GELES
CONTRACTOR: TEL. NO: �j �/� `� APPROVALS DATE INSPECTOR SIGNATURE
NICK'S REMODELING (626) 442-7985-
9941 HOWLAND DRIVE LIC. NO LOCATION AND SETBACKS
TEMPLE CITY, CA 91780 409663 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: - J//f FOOD DA( ON TRENCH ORMS
LIC. N0: 1111111 SLAB/UNDER FLOOR
RAISED OOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: MF�:: n n UNDERFLOOR INSULATION
147H273 3 t
0l� �J pUCVnVO�K8L�O�RS HING
NO. OF F S: D ELLING S: P CSS:— u I
NO 21\�� O O o �. ROOF SHEATHING
SCHOOL WITHIN TA—ZA-RWOVS—
AIR QUALITY: 1000 FEET MATERIALS \�• rr• f' SHEAR PANELS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST Qin'
SET BACK YARD: HWY: PROP LINE: WIDTH: /jC El FIRE SPRIER HANGERS
`S
FRONT PL- ECVICe That INSULATION/WEATHER STRIP
SIDE PL-
RIOR LATH/DRYWA
I
EXTERIOR LATH C
RATED OOR CEIL ASSEM.
RAT DIWALL ASSEMBLIES
R TED'S A TS/OPENINGS
I T-BAR CEILINGS
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508