HomeMy Public PortalAbout10226 OLIVE ST_Building__ 16A638A CE 4803 3-69YY • I C l/IJ�
APPLICATION FgR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 10996 'East 0113m Street
BUILDING AND SAFETY DIVISION LOCALITY
207 JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS S.
FOR APPLICANT TO FILL IN DISTRICT-N0. GROUP ITYPFST. OC SSED BY
a
(PRINT OR TYPE ONLY) -�• _
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 102.6 E. Olive St. CLASS NO. 2 DWELL.UNITS BK PG
LOT NO. BLOCK ENERT
NE MAP
NO.
TRACT { SPECIAL
NO. OF BLDGS. { CONDITIONS
SIZE OF LOT NOW ON LOT
USE OFEXISTING BLDG. ETBAC FROM
OWNER Mrs. Edna Laster NOL PROP. L NE OF (STREET)
EXISTING ETBACK HIGHWAY + YARD = TOTAL
Y WIDTH F C.L.ADDRESSCITYARCHITECT OR. TEL. ETBACK FROMSTREET)
ENGINEER N0. ROP. LINE EXISTING SETBACK HIGHWAY YARD = -TOTAL
ADDRESS Y WIDTH FROM C.L.
TEL. +
CONTRACTOR N0. 287-0507 -
ADDRESS 600 S. •San Gabriel Bl.NO LIC'160650 CORNER CUTOFF YES ❑ NO. ❑�
CITY CLASS SEE'REVERSE SIDE FOR SPECIAL AP
PROV/�LS
Gabriel 91776 C-39
CONSTRUCTION LENDER
NAME AND BRANCH
c
ADDRESS
SQ. FT. NO. OF N0. OF ❑
SIZE STORIES FAMILIES NEW
USE OF AD
STRUCTURE Reroof with 235# ALTER ❑
Composition Shingles REPAIR �
SIGNATURE OF DEMOL ❑ •
APPLICANT
VALUATION$$90.00 APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ FEE $ 12.00 FOFORMS
OMA LOCERI,A SN
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNI IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
SIGNATURE OF J LATH, EXT.
PERMITTEE -rte // HOUSE NUMBER CORRECT
AND POSTED AV
ADDRESS FINAL v
JOHN F. LEWIS, PRINC PAL ST URAL ENGINEER
PLAN CHECK VALIDATION Ci. M.O. CASH - PERMIT VALIDATION I CK. M.O. CASH
I � �nY-.-' 1 .3 JUL 7 1D .1 .2.00N u
GAS39A D139.3 3-99®
f '
.,,--APPLICATION FOR BUILDING PERMIT- .10
1
DIVISION OF BUILDING AND.SAFETY BUILDING �D
ADDRESS 6 "
Deportment of Couaiy Euglaeor
County of LOS Aageles LOCALITY
WM.J.FOX.COUNTY ENGINEER NEAREST -
CASSATT D.GRIFFIN,SUP-T OF BUILDING CROSS-ST. ' -`-
DISTRICT NO. G OUP TYPE SEWER MAPP .
FOR APPLICANT TO FILL IN ,� I coNSTI
BUILDING J ply a� MAP. F� SNS YES NO•
ADDRESS s sL'�f �.-n NUMBER
LOT NO. / BLOCK USE ZONE SPECIAL
A i CONDITIONS
TRACT 10 2;rair,
SIZE OF LOT D i' `p NO.OF BLDGS. BUILDING
NOW ON LOT SETBACK YARD NWY REET NAME EXIST.
-•�WIDTH.
USE OF FRONT ^
EXISTING// OBLDG ! P.L. VV0
OWNER COUP A14L.L. 1 �?•� v SIDE
' P.L.
MAIL- O TRACT DWELL. 1 UNIT
ADDRESS S INDUSTRIAL
TEL. 1 DWELL. I UNIT
CITY T® NO. 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX I UNIT 7 ADDN..ALT., ETC.
ENGINEER NO. 3- APT. UNITS
8 MISCEL
ADDRESS 4 COMMERCIAL
//��7 TEL. U .O, INSPECTION RECORD U.
CONTRACTS r 1V !t C+ Q NO. 10 90
,ADDRESS /'I ja L/ PA /i a A 1 n r.4/17f1f1/f k�
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
Sq. FT. NO.OF NO.OF
SIZE `D STORIES FAMILIES
USE OF STRUCTURE
IV e2
o y-
SIGNA OF N��f � ' APPROVALS
APPLICANT->
pp A� DATE INSPECTORS SIGNATURE
ADDRESS
G G FOUNDATION:LOCATION ��F•.� ,
y�
P.C. 8 �— FORMS,MATERIALS ,
REE ,FRAME: FiRE'STOPS. �/y y�'A/_
VALVA ,ION $ jj� BRACING.BOLTS O /
FEfi FURNACE:LOCATION.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GA9 VENT,DUCTS
APPLICATION AND STATE'THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. ' LATH.EXT.
SIGNATURE OF t , �Y < ��r ,. HOUSE NUMBER PERMITTEE" �- f_`, ' ' � COR-
RECT AND POSTED /y
ADDRESS / .�jt !'�f�'ll���' NAL �
WM.J.FOX..COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR
.._&5 .0 4 JUN APR 12 1 2.0 0
'BA838A 038-3 8-531 ;
APPLICATION FOR BUILDING PERMIT �.
DIVISION OF BUILDING AND SAFETY BUILDING
ADDRESS w
Deportment of County Engineer
County of Los Angeles . . LOCALITY
WM.J.FOX,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
OISTR GROUP I TYPE I SEWER MAP G
FOR APPLICANT TO FILL IN 1'
BUILDINGq oo / ` CONST:
ADDRESS �4 7 �FA i /�� NUMABER o D STATE YES NO
HWY
LOT NO. BLOCK USE ZONE SPECIAL
/ y CONDITIONS
V
TRACT !
/f_ NO.OF BLDGS. ILDING EXIST.
SIZE OF LOT O �+ NOW ON LOT. SETBACK YARD HWY STREET NAME WIDTH
/�
USE or!
FRONT
EXISTING�BLDG. P.R L.
N V Lam_
OWNER!L / IDAI ASIDE
_ P.L.
MAIL
ADDRESS I/5 -:�I ��I_ / O TRACT DWELL. I UNIT
5 INDUSTRIAL
CITY 2:.A AIA. O.
o& Lo" P! �!' NDWELL. I UNIT 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX I UNIT .7 ADDN.,ALT.. ETC.
ENGINEER NO.. 3 APT. -UNITS
• 110 M18CEL.410 dna 6 ,
ADDRESS // p} 4 COMMERCIAL V
CONTRACTOR_I IA :50 ry!I f// NO.. INSPECTION RECORD
777
ADDRESS 4`ri �El"Cd.+.'f9/nU'!� Ll^_;
�Q4 �3!erYL
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. ^ NO..OF NO.OF
SIZE �L/ . STORIES FAMILIES
USE OF STRUCTURE
C?"A/.)VA
� A-
SIGNATURE-OF
APPLICANT
�y/ �� � �� (� , APPROVALS
J �/ 7GI 4-6 I.C�fit+•1/. L/) �"' DATE INSSPECTORS SIGNAT RE
ADDRESS •
FOUNDATION:LOCATION
$ G� P.C. FORMS.MATERIALS f
FEE
FRAME: FIRE STOPS:
$ BRACING,BOLTS
VALU 19
� f
FEE FURNACE:LOCATION.'Li
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.
:GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE-IS CORRECTS
AND AGREETO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT.
AND .STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH.EXT. /1�7 /baraR+'
SIGNATURE OF a f� � �` _ .�fes` HR CT AND POSTEDOUSE NUMBER R
PERMITTEE
ADDRESS// j4FA1. , .G ,Ilsf.'/��N.&I.!�
WM.J.FOX,COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR
uo 5 0 4 0 APR 12 1 4.0.0
��
eA88BADBB.BB.BAPPLICATION FOR BUILDING PERMIT
DIVISION OF BUMI)ING AND SAFETY BUILDING 2�0
Deportment of County Engineer y�
• County of LOS Angeles LOCALITY /? e 'kaa-t,��/.-
WM.J.FOX,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. ✓�-u.iif/f�
DISTRICT G P SEWER MAP
FOR APPLICANT TO FILL. IN � n I CONST.TYPE �I BK G
BUILDING i ' NMAP I / Q TAT Y&B- O
ADDRESS. �s�7 7 ��1��°O/��/ UMBERHWY
LOT NO. T�—/ BLOCK ; USE ZONE SPECIAL
` CONDITIONS
• TRACT I/ _Ci- Il 14�/NO.OF BLDGS-- BUILDING EXIST.
SIZE OF LOT S NOW ON LOT 3 SETBACK YARD• HWY STREET NAME WIDTH
USE OF / B `
EXISTING BLDG. ;�AcJ�s..� iMA .rI Ki�C�r/° FRONT
= -R )4ALL L-f 1 _14 SIDE
OWNER ' 'd V P.L.MAIL
r.
ADDRESS 9 Al <-,a. lr d.t.l (.C�J O TRACT DWELL. I UNIT
5 INDUSTRIAL
f /J
TEL. • 1 DWELL. I UNIT
CITY .t J1 flJd AAl NO. � A�e 6 PUBLIC BLDG.
r. A DUPLEX I UNIT
ARCHITECT OR _ TEL. 7 ADDN..ALT.. ETC.
ENGINEER / rt/ NO. 3 APT. UNITS
V �V 1„`V ` 4 COMMERCIAL 8 MISCEL.
ADDRESS
CONTRACTOR ;%a'� r ,*, f � �,f � INSPECTION RECORD
ADDRESS'+ !
DESCRIPTION OF WORK '� o e � a
- EW.a� ADD ALTER REPAIR DEMOLISH.'-
94--FT'
NO.OF .t'[O.-OP'^
SIZE EI�) STORIES FAw��`�-'�"""
USE OF STRUCTURE
SIGNATURE O /Gf�J{P .e ews A
APPLICANT APPROVALS
ADORES. ' �) `d / Js1 ' � d^r6�llF3Yfi ` DATE INSPECTO0!t GNATURE
FOUNDATION:LOCATION 3
$ , P.C. S % FORMS.MATERIALS
/J FEE FRAME:FIRE STOPS., -e
✓Z Y O r $ p0 .BRACING.BOLTS •! f
VALUATION f/ ✓
FEE FURNACE:LOCATION, -
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS +
APPLICATION AND STATE THAT TIt1E ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES' LATH.INT. l- +fits
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. / J r LATH.EXT. / a'bl bLd
//f rr ,���ff f [ f/ HOUSE NUMBER COR-
SIGNATURE OF[� f'. � /ft.r• -
PERMITT�E,E! _�I RECT AND POSTED
ADDRESS+ •'� -�/ w♦ G"�3!!(<�! �if.�'.}�.f �;. FINAL y" �- 1-'%hc1" 6-3^7'
WM.•J.FOX,COUNTY ENGINEER VALIDATION C.N.DIRLAM.CHIEF BLDG. INSPECTOR
��0 3 8 2 1�. MAR 6 16 6.0,0.1,C-63.,.9 7 1 MAR , C' 1 1 2.0 o
`± • =-� � APPLICATION F,013augILDING PERMIT
COUNTY OF LOS ANGELES '� '�' I BUILDING AND SAFETY
�
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN ~ BUILDING ADDRESSO�� C���/J. „�/A•
B ILDI G ADDRESS
I hereby affirm that I have a certificate of consent to self insure, I
or a certificate of Workers'Compensation Insurance,or a certified S
copy thereof(Sec.3800,Lab.C.) CIT j ZIP
17 &-17 LOCALITY
POIICy No. CompanySIZE OF LOT O..® NF BLDGS.NOW ON LOT '
❑ Certified copy is hereby furnished. f NEAREST CROSS ST..
❑ Certified copy is filed with the county building inspection TRA BLOCK LOT NO.
department. I USE ZONE MA
ASSESSOR APP
Date Applicant QQP
d/OK F07 � j,�/ SPECIAI/bONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' I OWNER �� T L NO. YES NO
COMPENSATION INSURANCE ) WITHIN 1000 FT.OF SCHOOL?
(This section need not be completed if the permit is for one hundred • ' ADDRESS J'n J 'J C/_� �
,E1 DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
I certify that i or less.) i CITY ZIP n�
I certify that in the performance of the work for which this permit v
is issued, I shall not employ any person in any manner so as to ARCHITECT R ENGINEER TEL N .
become subject to the Workers'Compensation Laws. r �'z STATISTICAL C IFI ATION APT CONDO
Date Applicant ADR S i CLASS'NO. DWELL UNITS
�•", � �J
NOTICE TO APPLICANT. If, after making this Certificate of � �•• REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' C TRACTOR r 17 TEL O. SET BACK YARD HWY PRUP'LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith 4 IN FRONT ACCT.s
comply with such provisions or this permit shall be deemed revoked. D RESS LIC.NO. P L
LICENSED CONTRACTORS DECLARATION SIDE �'� °•a1
ij •CIT � LIC.CLAS.^i4'Z P L i i TT C•
I hereby affirm that I am licensed Underprovisions of Chapter 8 C - ' c—�✓ SEWER MAP
SQ. SIZE NO.OF STORIES NO.OF FAMILIES �f TOTAL 333 -51
(commencing with Section 7000)of Division 3 of the Business and y%y ®dam NEW ❑ BK PG pc 4 Ia
Professions Code,and my license is in full force and effect. CHECK
OQ
I DESCRI TION OF WORK ADD VALUATION +Crt ECK Ci33.51
License Number Lie.Class _ .� �� L
Contractor Date J ALTER ❑ CHANGE °00 O
❑ 1 am'exempt under Sec. REPAIR ❑' $ / , 890 O • F
BAP.C.for this reason 6'e--f 3-OV AJAdd 1a, 6-61-0&wy DEMOL ❑, LDMA P/C# FIC-011-01101 5/11/03 u
Date: USE OF E STING�BLDG. �,e_VIII�o v M`I
nature APP4 •i qs ..... .. L
xL}6�NT PRINT) ��[[ TEL NO. LDMA Perm#
f�1 ®2--9 Z 'til�� 104°3I
I, as owner of the property, or my employees with wages as i O
their sole compensation, will do the work and the structure is S ���� �,� f� Lf®� H 1
not intended Or offered for sale (Section 7044, Business and , FINAL.DATE Q
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL O—� sly i•! °3
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE?- FINAL EIV
i' 1 i •'l 1 L C'�i
licensed contractors to construct the project (Section 7044, YES NO 1:1as a i. av■•J•.
Business and Professions Code.) TE
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING — i t Lt�v
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH47
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FbH 1 'j 1°GUIDELINES. TOTAL
F O t_
HL
I 11L;hereby affirm that there is a construction lending agency for YES NO❑ `
CM the performance of the work for which this permit is issued(Sec. t T`��C" 11 °�j`I
I HAVE AD THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
N 3097,CIV.C.) CHECKLREIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ' CHANGE
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
OWNER OR AGENTi�-1311
•• ' •f
o I certify that I have read this application and state under penalty l�1 r-�f `;I
0 of perjury that the above information is correct.I agree to comply P.C.FEE a PERMIT FEE / I•, €y 1 Art 10:
1
70
N with all county ordinances and State laws relating to building'�� ��J. `J 07�' V Ct1i
construction, and hereb .authorize representatives of this County D ISSUANCE FEE ��
m toe upon the ab0 mentioned property for i spection p poses.
m � INVESTIGATION FEE TOTAL
,utun°t nyaeom Q
SEE REVERSE FOR EXPLANATORY LANGUAGE