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Home My Public Portal About10219 OLIVE ST_Building__ DIVISION OF BUILDING,AND SAFETY Department of County Engineer County of Los Angeles WM. J.-FOX, COUNTY ENGINEER .; APPLICATION - FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NOBUIJJ .• PLAN CK.OR REQ.No. PERMIT NO. ADDREI9 G �' 0/ I'7 17 �}ECEINED BY DATE OF APPL. DATE ISSUED LOCALITY •°°�.,Z . ' � 0-Q�✓�+-�' l o — 2 NEAREST. BUILDINGADDRLBM 10 OWNS •LJ �. - ' MAIL: LOCALITY' ADORES •/ NEAREST' TEL r CROSS 8717. ti-'rpt CITY_ NIL FIRE .— I NO.OF TYPE ' / I GROUP ZONE PLANS ARO TOR TEL ENGINEER NO. {' BLDG. / �¢ NO. I SETBACK LINE ADDRESB- UBE _ APP.ROVED CONTRACTO _ ,,n,..,.. CL ZONE BY HOUBE NUMBERING DAT d"- it G ADDRESS 6 L1,7 MAP NUMBER NO. ASSIGNED BY LEGAL CORRECTIONS DEBGRIPTIO�N,/ LOT NO. BLOCK TRACT �y I NO. OF BLDGIL SIZE OF LOT NOW OM LDT USE OF NO.OF J EXISTING BLDG: FANILIg D CRIPTI 'O WORK' A • o NEW ALTERATION ADDITION Z D REPAIR � DEMQLITION- r NO.OF SIZE O ROOMS STORIES EXT.WALL ROOF fp • COVERIN I COVERING {}`Otd L • USE OF STRUCTURE t- INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR'BSIGNATURE DATE FOUNDATIOid:LOCATION FOAMS, MATERIALS :S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-. - PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS, CORRECT. BRACING,BOLTS 1 AGREE TO QOMPLY WITH ALL COUNTY ORDINANQEB FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION.• GAS VENT,DUCTS 6 e= '� •/ SIGNATURE OF LATH, INT. _(r-?r' .71- PERMITTE ADDRESS LATH: Y�- PLASTER, INT. AUTHORIZED AST. PLASTER, EXT. HOUBE NUMBER COR O D O FEEE S .RECT AND POSTED VALUATION FEE G FINAL 76AS38A DBS 3 -1-53 r - VZPARTMENT OF BUILDING AND SAFETY , A elaitfA L LUJ1v r UXL rzasma a COUNTY OF LOS ANGELES BUILDING WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY I ILDING ®�, ��;�� DISTRICT NO. PLAN CK.NO. PERMIT NO. BUJ ADDREBB � 1�r� � LOCALITY ✓GIti] �r / �� RECEIVED BY /DATE OF A_7PPL. DATEISSUED NEAREST CROSS ST. �/ r�l�+�i/� // f �`if F �') / 6 cam. `f G..�� OWNER Iii/1Tl�'4 _ Yv/ /E /�F" y G1 �p ADDREISSMAIL ADDRESS I //`1�Q i✓ ✓G'/40-0 Pitt. LOCALITY ( �J CITY /+��I "�rI �i I7-T Tp' �p�� NEAREST Gr OSS ST. f� 1 R 5�`J•z�fV FIRE 'NO.OF TYPE GROUP ARCHITECT R / TEL. ZONE "`� PLANS ENGINEER NO. -- - BLDG. ADDRESS. SETBACK LINE I' I /�f. -'C��• J�l�i� /' �} /1 n�s +� . APPROVED CONTRACTOR #f 0 /111l1Q0�••?f.�! N�L'IJJ _rJ Id BY DATE UBE / APPROVED ADDRESS /° v �► f �// fs�f�`�' ` � ZONE / I BY DATE LEGAL (d L� CORRECTIONS DESCRIPTION LOT NO. BLOCK ri TRACT 3 + �! -7 O NO.OF BLDGB�I SIZE OF LOT NOW ON LOT /� l USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW 1 vr ALTERATION I ADDITION D A REPAIR MOVING DEMOLISH �j �f Z 9 ZE ICN R OMB % ST RIES / D r WALL _ JACL n� I ROOF COVERING ty �;lrQ��J COVERIN ��•SrC " UBE OF NEW - BUILDING 1 HEREBY ACKNOWLEDGE THAig AD THIS APPROVALS APPLICATION AND STATE THAT TCORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALINANCES FORMS,MATERIALS AND STATE LAWS R EGU TING BUIRUCTION.^ FRAME. FIRE STOPS, SIGNATURE OF �/ P• ,.g°� BRACING,BOLTS PERMITTEE �wwu LATH, INT. AUTHORIZED AOT LATH, EXT. 76A63BA-3 7-49 $ �t� PLASTER,INT. a �', PLASTEREXT. VALUATIONFI IVAL ,�M�J'�'�d APPLICATION-"-FOR BUILDING •PERMIT Y FOR APPLICANT TO FILL IN (Print or type only) " BUI�DI =/a /GE s, COUNTY OF LOS ANGELES - AD zEss. jDEPARTMENT OF COUNTY ENGINEER ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. - BUILDING Q SIZE OF LOT or _ p NOW ON LOT ADDRESS G �- 1 TRACT ,3 BLOCK LOT NO. LOCALIT TEL NEAREST 1100/1 OWNER NO. j CROSS ST. // ASSESSOR ADDRESS /�/ _ MAP BOOK PAGE' PARCEL DISTRICT GROUP FIRE CE4ED BY CITY• �7 l� C ZIP' CON ZONE ARCHITECT OR NE OL. 3Q ` �/ ENGINEER ASTATISTICAL CLASSIFICATION' SEWER M6 ADDRESS / J1- 0►. , CLASS NO.C121 .DWELL,UNITS CONTRACTOR TEL. 3 Q USE ZONE MAP LIC. NO. O ADDRESS [J� NO, Al SPECIAL LIC. CONDITIONS CITY b� CLASS C- ROAD DEPARTMENT APPROVAL REQUIRED YES❑ -NO❑ CONSTFIUCTION LENDER NAME AND BRANCH .,r BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) C ADDRESS CIT' TOTAL SETBACK FROM TYPE OF EXISTING C HIGHWAY •F YARD SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE Q STORIES FAMILIES ONE FC DESCRIPTION OF WORK NEW ❑ + u / ADD BLDG.SETBACK FROM D 2ftUN`� SIDE PROP.LINE OF (STREET) t ALTER ❑ HIGHWAY f YARD TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF t = EXISTING BLDG, G-+` DEMO�L ❑ APPLICANT A TEL J CORNER CUTOFF YES ❑ NO ❑ (PRINT) ff� BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑- Q IIJ14A A_, IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ Q - CATE LORI CAL'EX-EMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL - AND STATE THAT THE ABOVE IS CORRECT AND AGREE-TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE( HEREBY ILABOR Co WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION DE OF THE AIE OF URANC EL CALIFORNIA IN RELATING TO SIGNATURE OF JJ ' PERMITTEE /�J(1� ADDRESS 11I�L� _ c l v c.' FINAL BY � l TEL. DATE IV,� CITY NO. MAKE (.HE(:KS PAYABLE TO: FEE � r., FEE HARVEY T. BRANDT. COUNTY ENGINEER 1,4D !2, 6 O PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH b "5 .00T 26 2 1p •• �6- OCT 26 1 p 1 2.0 0 A, _ 3.6 0 98: 76AGSBA CE NS03 12/72 ' '-••' APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGEL FS BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION BUILDING AAD FOR APPLICANT TO FILL IN BUILDING R f I hereby affirm that I have a certificate of consent to self insure, DDR 5S or a certificate of Workers'Compensation Insurance,or a certified CI ar/t� IPG' copy thereof(Sec.3800,Lab.C.) G LOCALITY Policy NO. Company SIZE OF LOT or NOF OF BLDGS.NOW; OW N LOT ElCertified copy is hereby furnished. NEAREST OPOSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? Yes No (This section need not be completed if the permit is for one hundred ARSO DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) , . I certify that in the performance of the work for CITY ZIP O� ich this per ' •is issued, I shall not employ any pers ann so a become subject the Workers'Co AR ITECT ENGINEER TEL NO. � STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.� DWELL UNITS r .NOTICE 70 APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTR R r TEL O. / SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 6 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS J� _LIP.NO. ® P L LICENSED CONTRACTORS DECLARATION SIDE CIT ��• � LIC. SS P L I hereby affirm that I am licensed underprovisions of Chapter 9 1 y z SEWER MAP CL (commencing with Section 7000)of Division 3 of the Business and SO.a SIZE NO.OF STOR S NO.OF FAMIL S C Professions Code,and my license is in full force and effect. NEW BK PG , C DES RI ION OF R VALUATION License Number Lic.Class ��r ADD 'I"3. w � Contractor Date � � ALTER ❑ �- C ❑ 1 am exempt under Sec. REPAIR ❑ $ 8.8P.C.for this reason rP - r LL LDMA P/C CL Date: USE OF EXISTING BLDG. • URM ❑ i T""=rE Z Signature I r f4 APPLICANT I i L ..y//� LDMA Perm# TOTAL 50 m 50' ❑ I, as owner of the property, or my employees with wages as / i + Z their sole compensation, will do the work and the structure is ADDRE s �" PAS._1: not intended or offered for sale (Section 7044, Business and FINAL DATE Q / Professions Code.) WALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL j. Z/� 'v'll't1�l�` ❑ 1, as owner of the property, am exclusively contracting with OR SPECIFIED A MIXTURE ONING A HAZARDOUS MATERIAL THE HAZARDOUS MATERIALS EQUAL TOOR ION GUIDE?ER THAN THE FINAL BY licensed contractors to construct the project (Section 7044, YES❑ No 11 Business and Professions Code.) rcoi?-i_1;1j'I WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING .Q- { {� CONSTRUCTION LENDING AGENCY UTH COAST AIR QUAUTY MANAGEMENTOCCUPANT REQUIRE A PERMIT RDICONSTRUCTION TRIICT U CIAOMDISEE PERMITTINGMODIFICATION RCQHECKUSM THE TQFOA ��} .LI t "M ��°0{ GUIDELINES rl: I hereby affirm that there is a construction lending agency for YES❑ No❑ a the performance of the work for which this permit is issued(Sec. 1 HAVE READ THE HAZARDOUS CY 3097,CIV.C.) CH CKLIST I UN ERSTANDMY REQUIREMENTS UNDER QTHE LOS ANGELESUIDE AND THE QCOUNTY MD (CODE, !'I1.t•I.I-- I CME 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. `:4 j_1� 629 �r�a 9' -k ` k aLender's Address �* 0 OWNER OR AGENT o I certify that I have read this application and state under penalty 4 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all count o anc60113 S(D es nd S laws relating to building ° con on y ri presentatives of this County •�® ISSUANCE FEE �r.7^ -�� t th ntio party fo ' P Ion p l �C----_��/ r rO INVESTIGATION FEE TOTAL FEE � �i:l}i,—I1II_1 r• I n nt Flo +� .1IAM 9:012 SEE REVERSE FOR EXPLANATORY LANGUAGE Q 'WORKERS'COMPENSATION DECLARATION ' APPLICATION FOR BUILDING PERMIT r hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING E, C�Z1� LAYET ❑ Certified copy is filed with the county building inspec- BUILDING 119010141 �i tion department. �!C' CAIU GI ZIP A11450 LOCALITY Date Applicant NO.OF BLDGS. NEAREST �sww CERTIFICATE OF EXEMPTION FROM WORKERS' F LOTOX I NOW ON LOT t CROSS ST. °� Z COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one BLOCK LOT NO. MAPBOOK PAGE PARCEL hundred dollars ($100)or less.) �� TELUSE ZO E MAP K 7 RkbNggy NO �� NO. 1 certify that in the performance of the rk for which this SPECIALpermit is issued, I shall not employ any p rson in a manner ESS `� • CONDITIONS so as to become subject to the Work s'Compens ion Laws. ' sa OO ��'// CITY zip X Date Ix Applicant ARCHITECT TEL DISTR GROUP TYPE FIRE O /9SED BY O NOTICE TO APPLICANT: If, after making is Certificate of NO. �O CO NE �/ Exemption, you should become subi to the Workers' i w Compensation provisions of the Labor de, you must forth- ADDRESS��O • k3 CL withcomply with such provisions r this permit shall be CONTRACTOiI� NO. STATISTICAL C ION A CONDO. Z deemed revoked. — LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. - DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK VALIDATION SQ. FT NO.OF NO.OF 1 CHECK License Number Lic. Class SIZE fpst I STORIES FAMILIES i ONE VALUATI N Contractor Date DESCRIPTION OF WORK 61514.0" NEW $ EJI am exempt under Sec. ADD ► BAP.C. for this reason TER ❑ USE� � REPAIR ❑ $ ® ®R Date: EXISTING BLDG. 111iii DEMOL ❑ v Signature APPLICANT & ■�'e_4, N 4440 FINAL OWNER-BUILDER DECLARATION (PRINT) �(� I hereby affirm that I am exempt from the Contractor's License DATE Law for the following reason (Section 7031.5, Business and ADDRESS �e FINAL 23 Professions Code): PRESENT By R4CT ❑ I, as owner of the property, or my employees with BUILDINS o4 wages as their sole compensation,will do the work and LOCALITY ,� .0 the structure is not intended or offered for sale(Section ® 3307 258..93 7044, Business and Professions Code.) MOVING TEL p I,as owner of the property,am exclusively contracting CONTRACTOR NO. I r Ga I,�y with licensed contractors to construct the project (Sec- ADDRESS TOTAL 258 o tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. MM �Q CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH BECK SM.83 1 hereby affirm that there is a construction lending agency for FRONT �y the performance of the work for which this permit is issued P.L. .00 (Sec. 3097, Civ. C.). SIDE t7 � 4J r a P.L. Lender's Name o Q� i �� u9 $ LDMA Ref. # P.C. Fee$ ermit Fee p 3746 i An 9047 � Lender's Address ffSP 1 certify that I have read this application and state that the Issuanc 16 LDMA P/C# , above information is correct. I agree to comply with all County Investigation Fee 01 �y G a ordinances and State laws relating to building construction, Total F !j b • LDMA Perm.# and hereauthor'ze representatives of this County to enter upon above- entioned property for inspection purposes. pa i j pp� 0 o r p,2Gj SEE RE 00 EXP�LANATO LAN ___&GE y Sign re of Applicant or Agent Date O • COUNTY OF LOS ANGELES � TEMPLE CITY # 0508 , BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9705210079 PHONE: (818) 285-0488 EXT: L G L D: . OF CONST— U LD G ADDRESS: TR: 14341 LT: 4 SQ. FT STORIES TYPE 10219 OLIVE ST STRUCTURE: 0 V TEMP CA 917803347 ASSESSOR INFORMATION U NEAREST CROSS STREET: BALDWIN 8586-026-004 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: R S D USE ZONE: R- ISS D 69 PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/21/97 TC 05/21/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINA ATE FINAL C EMERSON HARRY W;ARACELI (818) 442-8405• 1 1,000 /� 10219 OLIVE ST TEMP 917803347 nFOUTOTinN OF WORK ALTERATION OF EXISTING SQ. FT. FOR LAUNDRY AREA FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: FIREBALL (818) 334-3545- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 1000.00 VAL 65.25 TOTAL FEES 93.50 CONTRACTOR: TEL. NO: APPF:OVALS DATE INSPECTOR SIGNATURE FIREBALL PLUMBING (818) 334-3°45- 205 S. LEMON AVE. LIC. NO LOCATION-AND SETBACKS AZUSA. CA 91702 C36 B C1.0 SOILS ENGINEER APPROVAL ARCHITECTOR ENGINEER: EL. NO: FOU AT 0 TR C OR S LIC. H0: SLAB/UNDER FLOOR RAISED FLOOR FR G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: 'CMP: UNDERFLOOR INSULATION 147H273 3 01 � NO. OF FAMILIES: DWELLING N S: PT CO : STAT CL-kSS: COOR SHEATHING NO "r.'1 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXISI FIRE S 1 L R LAGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- __ 1R1 R10R LATH/DRYWALL 5.291 EXiER10R LATH RAPED FLOOR/C I ASSE . RA-ED WALL ASSEMBLI S V D SHAFTS/OPENINGS T--BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508