HomeMy Public PortalAbout10216 OLIVE ST_Building__ J:A.N '2 9-•1963 " • ,..• .,: . •�` ✓ ~ - ••:� .
76;*..-Eleoe„_s-, APPLICATION FOR BUILDING PERMIT1
COUNTY OF-LOS ANGELES BUILDING '
DEPARTMENT OF COUNTY ENGINEER ADDRESS . -
BUILDING AND SAFETY- DIVISION LOCALITY (2- 4 q
JOHN A.LAMBIE•-COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT-NO GTYPE SE R MAP
FOR'APPLICANT TO FILL
IN " : cONsr. K
BUILDING
ADDRESS { STATISTICAL'CLASSIFICAT.ION�1
'
04
CLASS..NO. DWELL.UNIT
LOT NO. BLOCK MAP (� STATE YES
C .
NUMBER ® [/ HWY.
USE ZONE SPECIAL
TRACT J NO.OF BLDGS. CONDITIONS H —
SIZE OF LOTG NOW ON LOT - •..'
USE-OF
EXISTING BLDG. BUILDING YARD tHWY 'STREET NAME EXIST.''
'�- SETBACK WIDTH...
OWNER r, q COIsS [� FRONTAIL � `
ADDRESS'.. �,�14 'i=- l: ��.0 Av r` P.L:
SIDE
CITY �JrhQ� c NO, (i�►d�C..
ARCHITECT OR tt TEL.
INSPECTION lRECORD
ENGINEER 1� a j^^ice NO,
ADDRESS' rn ,,c a
CONTRACTOR ��jjesp NO-R r\ L"Zit L.o r '30
ADDRESS')Oa0 b0i C•i�P�S��• Vl); ftlwR: -
DESCRIPTION OF WORE '
• ...... •t S' .23y�
NE ADD ALTE REPAIR r DEMOLISH 'j.1• f �� ^�
T. 3(p-NO.OF ff NO.OF L'�.:�5u� ,S! . �.- .ft�l.G►�'6!<:AI '�� .� O.i'�1
S . STORIES 1 FAMILIES
IZE
'USEOFSTR CTUR T? A7 i L o W�.� < r ° •7 �`1� e `' i./� ` •.
9 = e 1(a-0 C. 2PoRr -,e?. ;i.. , !' rt Y '.,
SIGNATURE OF
c� 7 �I ,h/{PPRO�VAL'S �"�r
APPLICANT' i •& DATE 'INSPECTOR'S SIGNATURE
ADDRESS '.FOUNDATION:-LOCATION ` f F ,�
5_ . I La�� P.C. $ FORMS,MATERIALS f '�/,�J ! +'ems
FRAME:.FIRE'STOPS,
FEE � BRACING,BOLTS 'LG �� / x �z
VALUATION a' : 41t $' ed• FURNACE- LOCATION.
FEE GAS
1 HERE-91 ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO,COMPLY WITH ALL COUNTY ORDINANCES AND •�''``ff
STATE LAWS REGULATING BUILD NG CONSTRUCTION. LATH,EXT: C7�r
SIGNATURE•OF P ], HOUSE-NUMBER COR-
PERMITTE •RECT AND POSTED
ADDRESS' - - -FINAL - - '},y 1 � f+ f` �L,�,�;,�,f,N•
CLYDE.N.'DIRLAM,F RINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION cx M.O. cwstt. PERMIT VALIDATION CK. M.O. CASH
iia022U JAN 2' 3 D 28.5vA . 19• �.
v
r WORKERS'COMPENSATION DECLARATION /
hereby affirm that I have a certificate of coInsurance,
to self APPLICATION FOR B U I L D I-N G• PERMIT "
:insure,or a certificate of Workers'Compenstion Insurance, or
a certified copy
�theereeof(Sec. 3800, La�b..�C..)
Policy No.d'Company� l j�r' r'y/� COUNTY OF LOS ANGELES I BUILDING AND SAFETY
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING; r
ADDRESS i
Certified copy is filed with the county building inspec- BUILDING
tion department. ��_ """ """ ADDRESS / /�+ e LOCALITY
NEARE
Date? Applicant CITY -le" if Ci I` ZIP CRO ST
�
CERTIFICATE OF•EXEMPTION FRO 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 one r . USE ZONE MAP /
hundred dollars($100)or less.) TRACT .1eJ S BLOCK LOT NO. NO. O
TEL. SPECIAL
OWNER L` NO a Q CONDITIONS
I certify that in the performance of the work for which this O
permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE "RECONST. ZONE PRO EErBY U
so as to become subject to the Workers'Compensation Laws. ADDRESS ` /y. ry- f cJ �C,a r/ n f9
CITY . P/a l� l / ZIP �J d ,A`
Date Applicant STATISTICAL CLASSIFICATION APT. CONDO.
NOTICE TO APPLICANT: If, after making this Certificate ofLU
ARCHITECT OR TEL.
Exemption, ENGINEER NO.
p you should become subject to the Workers' CLASS NO. DWELL. UNITS 1L
Compensation provisions of the Labor Code,-you must forth- N
ADDRESS SEWER MAP c�
with comply with such provisions or this permit shall be
deemed revoked: __ CONTRACTOR S7
�. f v.J TEL_`NO•(����- p BK. PG, �_ V VALIDATION
LICENSED CONTRACTORS DECLARATION LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ( Al s �= eQ7 NO. VALUATION
(commencing with Section 7000)of Division 3 of the Business and LICr
Professions Code, and my license is in full force and effect. CITY N CLASS C $ `
SQ. FT. O.OF NO.OF
License Number�� id�Z Lic.Class C— SIZE TORIES FAMILIES
1� ^� N $
Contractor +Jl1�AlS 7�� Date 7 r DESCRIPTION OF WORK ,
❑ Ia'm exempt from the licensing requirements as I am a 'v/Z d! C
ADD]
licensed architect or a registered professional engineer Q /e AFINAL
acting in my professional capacity (Section 7051, G 3 l Q r /� REDATE () P •r'' ��
Business and Professiops Code). USE OF
EXISTING BLDG. a? 7 DBy
0 51,4.A
Lic.or Reg.No. Date' APPLICANT 'TEL. y
OWNER-BUILDER DECLARATION (PRINT) NO. o, o'o o 2 1
1 hereby affirm that I am exempt from the Contractor's License 0
Law for the following reason (Section'7031.5, Business and ADDRESS 2 0 0 3 9.7 2
Professions Code):,. PRESENT o.0 3 9 7?_
BUILDING o 63
❑" I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do'the work and 0.,1,2 7'-8 1
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
❑ I, asowner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- [ADDRESS 60 5 1,5 A-
tion 7044, Business and Professions Code).
QUIRED TOTAL SETBACK FROM EXIST. o'o.0 0 0
CONSTRUCTION LENDING AGENCY T BACK YARD I HWY PROP. LINE WIDTH # 1
I hereby affirm that there is a construction lending agency for RONT -� D �� /� 2 0 0 3 0 0
the performance of the work for which this permit is issued P.L. oG 49
(Sec. 3097, Civ. C.). IDE
L. 0 03[100
Lender's Name
Lender's Address Fee$ V � Permit Fee
.06 0 7,2,7—8 1
I certify that I have read this application and state that the E72 0'l ' Issuance Feeabove information is correct. I agree to comply with all County stigation Fee
ordinances and State laws relating to building construction, p { Total Fee l3
and hereby authorize representatives of this County to enter
ap;Q� - enfioned property forinspect' n purp ses. •
i
7SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date ` ®s
e
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 1006150042
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: 1
ITR: 10558 LT: 36 UN: .002 I SQ. FT STORIES TYPE 1 10216 OLIVE ST
I ISTRUCTURE: 16 V-B I TEMP CA 917803346 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: BALDWIN
18585-004-041 1 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
1 ]EXIST OCC GRP: 106115/10 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AL DATE FZN BY: CODE: I
IMR. WANG (626) 780-8133- 1 4,500
110216 OLIVE ST. 1 I_ ) I
ITEMP 917803848 I FEES PAID IDESCRIPTION OF WORK 1
1 1 IT/O DOWN TO WOOD INSTALL SHEATING + 30 YEAR SHINGLE 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( 1
(APPLICANT: TEL. NO: I I I
IRON LARA (562) 699-5598- IAA BLDG PERMIT ISSUANCE 27.75 I I
19334 FRIENDSHIP AVE. IAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IPICO RIVERA CA 90660AC STRONG MOTION RESID 4500.00 VAL 0.50 I I
1 �D2 PERMIT W/O EN-HC 4500.00 VAL 132.60 I I
1 TOTAL FEES 161.85 I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
]BAJA ROOFING CO. (562) 699-5598- 1 1 I
19334 FRIENDSHIP AVE LIC. NO 1 ILOCATION AND SETBACKS I I I
IPICO RIVERA CA 90660 423518 C39 1 I I I I
I I ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: - I IFOUNDATION/TRENCH FORMS I I I
LIC. NO: 1 ISLAB/UNDER FLOOR I I I
1 RAISED FLOOR FRAMING
I I I I I
1MAP
1HNO: SEWER MAP BOOK: PAGE: FIRE ZONE273 3 o
: CMP1 ]UNDERFLOOR INSULATION I I I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
NO 21 1 ]ROOF SHEATHING I/ 1
1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS 1
1 NO NO NO 1 IFRAME INSPECTION I I I
1 1 IFIRE SPRINKLER HANGERS I I 1
I 1 1 NSULATION/WEATHER STRIPI 1
1 1 (INTERIOR LATH/DRYWALL ] I I
I I (EXTERIOR LATH 1 ]
I I (RATED FLOOR/CEIL ASSEM. 1
IRATED WALL ASSEMBLIES I I I
I i IRATED SHAFTS/OPENINGS
I I IT-BAR CEILINGS I I I
ILOT DRAINAGE I I I
I I I
1 ]REPORT ID: DPR261 ROUTE TO: BS0508 1 I I
I I I ] I I
1
f 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 1001120041
PHONE: (626) 285-0488 EXT:
LEGAL ID: !I NO. OF CONST I BUILDING ADDRESS: J
ITR: 10558 IT: 36 UN: .002 I SQ. FT STORIES TYPE I 10216 OLIVE ST J
I ]STRUCTURE: V-B I TEMP CA 917803346 J
(ASSESSOR INFORMATION NUMBER: �.J I NEAREST CROSS STREET: J
18585-004-041 II I THOMAS PAGE: 597 GRID: B4 LOCALITY:-TEMPLE CITY, Cl—
TENANT:
iTENANT: (EXIST BLDG. USE: REBID USE ZONE: R-1 11SSUED ON: PROCESSED BY:
I �1EXIST OCC GRP: 101/12/10 SR 1
OWNER: TEL. 140: 4JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
HUANG, JIANG (626) 757-0465- 10,000 I 1
10216 OLIVE ST. I r I'
TEMP 917803848 FEES PAID ID RIPTIO OF WORK I
I IKITCHEN, 2 BATHROOMS REMODEL, REPLACE 9 WINDOWS AND 1 SLIDINI
I 1IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:JG DOOR I
(APPLICANT: TEL. NO.: I I
ISAME AS OWNER - 1AA BLDG PERMIT ISSIIANCE 27.75
I IAB STATE GREEN BLDG FEE 10000.00 VAL 1.00 ISPECIAL CONDITIONS: J
1 IAC STRONG MOTION REBID 10000.00 VAL 1.00 1 I
1 JB2 PERMIT W/ENERGY 10000.00 VAL 238.26 I
JFR INV WORK 257.00 DOL 257.00 I
ICONTRACTOR: TEL. NO: - 1 W/0 PERMIT TOTAL FEES 525.01 1APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER
1 LIC. NO 1 1LOCAT.jON AND SETBACKS
I 1 1SOILSI.ENGINEER APPROVAL I I
JARCHITECT OR ENGINEER: TEL: N0: I IFOUNDATION/TRENCH FORMS I I
1 LIC. NO: 411 JSLAB/UNDER FLOOR J 1
1 r1 1RAISED FLOOR FRAMING I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPeJ JUNDERFLOOR INSULATION I I I
1147H273 3 001 1 1 I
I ' 1I (FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
NO 21
IROOF SHEATHING I I
SCHOOL WITHIN HAZARDOUSJI ISHEARPANELS I I I
JAIR QUALITY: 1000 FEET MATERIALS J I 1J I I
1 NO NO NO IFRAME INSPECTION J I I
IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I J I
ISET BACK YARD- HWY: PROP LINE: WIDTH: I I I I
IFRONT PL- I (INSULATION/WEATHER STRIP( I
1 SIDE PL-
.1 11NTERIOR LATH/DRYWALL I I I
I 1 JEXTERIOR LATH I I I
IRATED FLOOR/CEIL ASSEM. J I
IRATED WALL ASSEMBLIES J I
1 IRATED SHAFTS/OPENINGS 1
J 1 1T-BAR CEILINGS J I J
I ILOT DRAINAGE 1 I I
IMPORT ID: DPR261 ROUTE TO: BS0508 1 J I 1
I I