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Home My Public Portal About10231 OLIVE ST_Building__ SASS6A :E*SOS.+10.56 APPLICATION- -FO•R :B U I L:D I N G PERMIT e BUILDING AND SAFETY DIVISION BUILDING . 'Department of County Engineer ADDREss County of Los Angeles LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER �NHAREST, CASBATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. DISTRICT NO. CONST.GROUP :TYPE SEWER MAP • 'FOR APPLICANT TO FILL IN PG BUILDING J/(�3/ ADDRESS //!! STATISTICA T SIFICAION I LOT NO. (p BLOCK CLASS. NO. DWELL. UNITS- MAP. . STATE YES O - NUMBER' HWY TRACT / USE ZONE SPECIAL / l ' CONDITIONS SIZE OF-LOTt3 4 - J%5. I NO.OF BLDGS. / NOW ON LOT � USE OF EXISTING BL Blt ING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER ! FRONT MAIL [/+, P. L. —ADDRESSI v s SIDE p TEL.. P. L. CITY (i a NO. E.,' -z '�-JINSPECTION RECORDARC �/f ENGIiNEERT OR NO. :i" ilY fit./ -..0-•/'�4I ADDRESS /64 1 TEL. �w CONTRACTO .�• 4I,,L NO. ADDRESS �6�0 /W -� � /cl• / ' - DESCRIPTION OF WORK _ , ! �''-^-fir �i�.•��•.�-t-�rl<� NEW A'BD ALTER REPAIR DEMOLISH SQ.FT. /�j NO.OF NO.OF r [�I ' ♦ .f�P� ✓f n SIZE /•{! STORIES FAMILIES ' /�� USE OF STRUCTURE `t APPROVALS (f SIGNAT RE OF APPLICANT DATE INSPECTORS SIGNATURE ADDRESS - P FOUNDATION: FORMSTMATEROCASTION, $ / /(a O / RAM : FIRE FEE GP.E $ FBRACING.BOLOT88. (J VALJUATION $ �O FURNACE: LOCATION.' FEE- GAS VENT. DUCTS d I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. !✓ a ' a,� .P�//l�i6in�>s PLICATION AND STATE THAT THE ABOVE IS-CORRECT AND j AGREE TO COMPLY WITH ALL COUNTY ORDINANCES.AND STATE LAWS REG TING ILDI CONSTRUCTION. LATH. EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTEE RECT AND POSTED n ADDRESS -r/.t"'e' FINAL -. 4.- �•.� �� •��'.a�:t'_r''�7reiv� , OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N..DIRLAM.PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION VK. M.O. CASH PERMIT VALIDATION cK M.C. .CASH' >. LA .1..3-° SEF 10 6.00' M"iA CE#PW 0.69 APPLICATION - FOR BUILDING PERMIT 1. COUNTY OF LOS ANGELES BUILDING �) DEPAMENT OF COUNTY ENGINEER ADDRESS 1025 � � (/ jig�/ BUILDING AND SAFETY DMSION LOCALITY TF ,w b C I' JOHN A.LAMBIE,COUNTY ENGINEER NEAREST AF-J, . CASSATT D.GRIFFIN,SUPT OR BUILDING CROSS ST. F DISTRICT NO. GROUP npE PRO SSED BY FOR APPLICANT TO FUL IN L ('CONST.., I BUILDING SEWER M ADDRESS STATISTICAL CLASSIFICATION I BK PG CLASS.NO. DWE .UNITS_C2 Ifif LOT NO..• BLOCK. �Mppp STATE NUMBER 0,-) HWY. YES O TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LO NOW ON LOT USE OF LJ�yO EXISTING BLDG. BUILDINGEXIST.` SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT P. MAIL ' ADDRESS SIDE CITY_ INSPECTION RECORD ARCHIT OR L. ENGINEER O. ADDRESS' T i . CONTRACTOR O.. 1 ADDRESS DESCRIPTION OF WORK. NEW DD ER - REPAIR DEMOLISH SQ.FT. NO.OFNO.OF SIZE TORIES FAMILIES 'USE OF I!TURE SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE � ADDRESS FOUNDATION: LOCATION t FORMS,MATERIALS $ P.C. S FRAME: FIR`l- STOPS. r FEE BRACING,BOLTS. f VALUATION $ FURNACE: LOCATION, E . GAS VENT,DUCTS ` 1 HEREBY ACK~NB READ THIS AP- LATH.INT. PLICATION AND SS CORRECT ND •• AGREE TO COMPLDINANCE ND LATH.EXT. STATE LAWS RE NSTSIGNATURE OFHOUSE NUMBER COR. '. PERMITTE RECT'AND POSTED. ADDRESS-- FINAL �✓Kd ✓ CLYDE N.DIRLAM.PRINCIPAL STRUCTURAL ENGINEER PLAN CIBC$VALIDATION CK. M.o. CASH, PZEMITyALIDATION cm. M.O. • CASH ' 5 2 8 4 a° (. SEP 2 g 11.0 U ®F DEPARTMENT OF BUILDING AND SAFETY AYYj+l%;A t lull r ua rzr►irli.L COUNTY OF LOS ANGELES Dol FRAW WM. J. FOX. CHIEF ENGINEER i F FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY . BUILDING 'j 1 DISTRICT NO. PLAN CK.NO. PERMM�IT NO. ADDRESS / �, 0l/1 (� LOCALITY iLt/ • A RECEIVED BY DATE OF PPL. DATE/ISSUE , 43 6 Y� NEAREST �Y"f CROSS ST. Q, L L / BUILDING -7,7-15'_ OWNER !�1! I �j.t�l�l�_ 1 61.Ci Yi. a. 6Y�. C.� , ADDRESS / J MAIL ' , S LOCALITY ADDRESS , RAREST 6 e TEL. / r q. CROSS 9T. CITY d9A� �,4r�•1 f \! NO. P7 !a FIR NO.OF TYPE GROUP ARCHITECT OR TEL. ZOE PLANS ENGINEER �Q �p NO. BLDG. ORD.NO. •ADDRESS SETBACK LINE APPROVED- CONTRACTOR a TEL BY DATE U13Ef "V, A9PROVED E ADDRESS ZON49�4 BY DATE LEGAL �/0 h v'im• nCORRECTIONSDESCRIPTION LOTNO. 40 BLOCK TRACT / / -/ 3 4 / / `/c17 46 F,IOI Nim.OFSLDG9. SIZE OF LOT NOWONLOT �y USE OF NO.OF NO.OF EXISTING BLDG. FAI411 I66 I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH p 9q.FT. p� e� s� NO.OF SIZE ROOMS STORIES / D WALL ROOF tVD � Iq � r COVERING 571;&c A COVERING �A p r a it W, USE OF NEW BUILDING , p c:J I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION 1 B CTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME' FIRE BTOPS, , • BRACING,BOLTS SIGNATURE OF PERMITTE LATH, INT. (� / AUTHORIZED AWT a � LATH, EXT. r�•�� i/ 7GA63BA-3 7-49 $ 07 cO P.0'10 d PLASTER,INT. FEE i PLASTER,EXT. ,7 VALUATION FEE FINAL APPLICATION FOR. BUILDING PERMIT COUNTY OF LOS ANGELES. BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS //��Q I hereby affirm that I have a certificate of consent to self insure, B XT �po ESS3 or a certificate of Workers'Compensation Insurance,or a certified 01 -oL copy thereof(Sec.3800,Lab.C•) lc-96�ptfr ZIP -7 Policy No. Company / � LOCALITY SIZE OF}.OT_2 O.OFIF S g ON LOT ❑ Certified copy is herebyfurnished. LV•� !� 'VC"! NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USF ZONE MAP NO. Date Applicant 'ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS rD CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ��s o. COMPENSATION INSURANCE C/� * 7 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDSS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($400)or less.) CITY '7 ZIP. I certify that in the performance of the work for which this permit r ( is issued, I shall not employ any person in any manner so as'to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLAS IFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS N0710E TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L } LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L SIDE C I hereby affirm that I am licensed underprovisions of Chapter 9 C (commencing with Section 7000)of Division 3 of the Business and SEWER MAP S SIZE NO F �S �N�O.OF�ILIES C Professions Code,and my license is in full force and effect. o +" NEW ❑ BK PG C License Number Lic.Class DE C IP/I�E RK ADD 01 VALUATION , L Contractor Date ALTER ❑ $ /��' EA'f� a ❑ 1 am exempt under Sec. REPAIR ❑ $ Z BAP.C.for this reason DEMOL ❑ LDMA P/C# Date: US F EXIT I G BLD URM ❑ Signature AP LI M( M TEL NO. LDMA Perm# Z 23 tIas owner of the property, or my employees with wages as heir sole compensation, will do the work and the structure is DARES 0 ACCT 4 T riot intended or offered for sale (Section 7044, Business and �D� �e FINAL DATE Q c�ocr Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL L OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting with Q AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY � licensed contractors to construct the project (Section 7044, rEs❑ No❑ Business and Professions Code.) ACCT. WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING 7 142.20,[7 rrj� OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH f 3+.x.0 J 142 v n._ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I� +� T" I hereby affirm that there is a construction lending agency for YES❑ NO❑ _ ITEMS EMS the performance of the work for which this permit is issued(Sec. O � 3097,CIV,C.) CHECKLIST.I UNDI HAVE READ THE ERSTAND MVV REQUIREMENTS UNDERRDOUS MATERIALS INFORMATION GTHE LOSUIDE ANGELES THE COUNTY CODE. TOTAL I�� o TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS CHECK 192.70 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address CHANGE .00 OWNER OR AGENT I certify that I have read this application and state under penalty PERMIT FEE�' e of perjury that the above information is correct.I agree to comply P.C.FEE, L�j� f� wwith all county ordinances and State laws relating to building �J l/ ` [jCIOD-0001 4/24/96m Constructig�r and hereby authorize representatives of this County ISSUANCE FEE r .2 C to dupon t above-mentioned property for inspection .J� 6033 1 AN 9:07 ! G INVESTIGATION FEE TOTAL FEE a —a Aoa «A9W SEE REVERSE FOR EXPLANATORY LANGUAGE t Jr'sS• •;. WMK£RS'COMPENSATION DECLARATION I h reby'tiffirm that I hav a. certificate of-consent to'self ora t fied copy thereof ce s' Compensation LInsurance, APPLICATION FOR: BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.- Company BUILDING ❑ Certified copy,is hereby furnished. FOR APPLICANT TO FILL IN• ADDRESS Q�.3 ❑ Certified copy;is filed with the county building inspec- BUILDING O 3I li7 1 V S tion de epartmnt. t /� Date Applicant CITY I tutZIP /78d LOCALITY IC C!° NO.OF BLDG5. NEAREST CERTIFICATE.OF,EXEMPTION FROM WORKERS' SIZE OF LOT Z Q NOW ON LOT CROSS ST. �N/I� COMPENSATION INSURANCE ASSESSOR pJ III •(This section need'not be,completed'if the permit is for one ' TRACT'- BLOCK LOT NO. MAP BOOK O PAGE 16" PARCEL hundred dollars ($100)or less.) OWNER :Np', . S USE ZONE MAP I certify that in the performance of the 'work for'which this NO. P employ Y P Y11%(3)_ a wo �/ SPECIAL permit is issued I shall not em to an arson in an manner ADDRESS• so as to become subject to the Workers'Com1CONDITIONSpensaflon Laws. O 14& c� CITY A ZIP 91007 V 4Dates'-m( Applicant wM V �" ARCHITECT ° TEL. DISTRICT GROUP' TYPE FIRE PROCESSED BY 0 NOTICE T� APPLICANT: If., after malting this-:Certificate of ENGINEER NO. 8 -�, Y CONST. �7ONE Exemption, you should become subject to the ,Workers' e ,�-. w Compensation provisions of,the Labor Code, you must forth- ADDRESS d �, AAA fN J•r �f/�" 'J y ,� Ll.["11.�•e�t'� � with comply with such provisions or this•permit shall be 'I'rr�_' TEL•, STATISTICAL CLASSIFICATION APT. CONDO. N deemed'revoked. •. CONTRACTOR 4/L Ag4M . O. V7^ � Z +LICENSED CONTRACTORS DECLARATION �L�� n LIC. CLASS NO.- DWELL. UNITS I hereby affirm that'lam.licensed under provisions of•Chcpter 9 ADDRESS 9 Y 3 Z l�p7J1b0 (fir NO. , 708 (commencing with Section 7000)'of Division 3 of.the Business Q (88?CLASS _.L7 LIC.• 12 SEWER MAP and Professions Code,and my license is in full force and effect. CIN IA VALIDATION o SQ. FT. NO. OF NO.OF CHECK BK..•.' PG. Ucense Number-4 L•ic. Class SIZE. STORIES FAMILIES ONE ❑ VALUATION Coritraatorwft/Vt AALWi be. .r DESCRIPTION OF WORK NEW 3-11 ADD ❑ $ El am exempt under Sec. � �� to l ► Q ALTER B.BP.C. for this'reason v W bo&vs- REPAIR ❑ $ fe: // USE OF EXISTING`BLDG. DEMOL ❑ Signature APPLICANT ''A TEL. FINAL 6v&-BUILDER DECLARATION (PRINT).W � Q, �c NO. YYG-3� DATE(D-.?O_ "I hereby affirm tIAt I'am exempt from the Contractor's License ° Law for the following reason (Section,7031.5, Business and ADDRESS Y FINAL Professions Code): �+ a• PRESENT" BY " BUILDING fre •i •E:a ❑ I, as owner of the property; or my'employees with ADDRESS -+-rte =-s' cC• wages as their sole compensation,will do the work-and �i.�vi= '-''=�' "' the structure is not-intended or offered for sale(Section LOCALITY •r- C 7044, Business and Professioris Code.) MOVING'. TEL. , + 'I= � CONTRACTOR NO." t�•-� ❑ I,as owner'of the property,cqm exclusively contracting" TOTAL ESL 5'"", . s8 with-licensed contractors to construct the project (Sec- _ tion 7044, Business and Professions-Code.) ". ADDRESS (J t_ -5ii i58 CONSTRUCTION LENDING.AGENCY SETQBACK YARD HWY TOTAPROPALINE ROM WIpTFI ,tiI;I- I hereby affirm that there is a construction lending agency for FRONT HAHGE the performance of the work for which this permit is.Essued P.L. I (Sec. 3097, Civ. C.). SIDE Lender's'Name P. P.C. Fee$ Permit Fee �j�. 0 LDMA Ref.# 67Kf .k_ti: Lender's Address , I certify that I have read this application and state that the Issuance Fee �� F-U LDMA P/C# S above information is correct. I agree to comply with all.County Investigation Fee /l (� ordinances and State laws relating to building construction, Total Fee c4 ,27 .) e LDMA Perm. # and hereby authorize representatives of this County to enter u on the above-mentioned roperty r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of.Applicant or Agent Date ,NORKERS' COMPENSATION DECLARATION • reby-off r that I have certificate of consent Self ine, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or.tpertified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Opal icv No. Company ❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING /0,Z 3 a�/vL S PY Y ADDRESS � � /. ❑ Certified copy is filed with the county building inspec- BUILDING Avg S� tion department. ADDRESS Date Applicant CITY�� [, ZIP 176LOCALITY ��/H �f NO.OF BLDGS. NEAREST / CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 7 NOW ON LOT CROSS ST. RA(awilt/ �!I✓L COMPENSATION INSURANCE ASSESSOR G� / (This section need not be completed if the permit is for one TRACT BLOCK )�, LOT NO. MAP BOOK a PAGE � PARCEL 00 SO hundred dollars ($100)or less.) OWNER/,Z/,4L/,1A ,efR46 NEL'ol/�S/yd�3q� USE ZONE MAP I certify that in the performance of the work for which this NO. 3 e SPECIAL �- permit is issued, I shall not employ any person in any manner � ADDRESS CONDITI NS ti so as to become subject to the Workers'Compensation La s. / /Oa7 \ O CITY ZIP Date 9tf Applicant ARCHITECT OR TEL. � NOTICE TO APPLICANT: If, after akin this Certificate of ENGINEER (-)� VR NO. 6 �ayy� DISTRICT GROUP TYPE' FIRE PROCESSED BY Taking CONST. ZONE � Exemption, you should become subject to the Workers' , U Compensation provisions of the Labor Code, you must forth- ADDRESS y8 �. MAIN SI �J'D// -3 y a with comply with such provisions or this permit shall be /'' ) TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR vfJ ry /i, L� A NO.�/7�7533 — LICENSED CONTRACTORS DECLARATION Q 1, LIC. CLASS NO. 42P UNITS— NO. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 7 7 /q/p�� NO.SS S7D� :I?;_o w7 LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business �-: and Professions Code,and my license is in full force and effect. \ CITY A CLASS 8 BK PG VACIID74TiffN' SQ. FT. NO. OF NO. OF CHECK i License Number _M_701�cy Lic. Class SIZE STORIES FAMILIES ONE I-=ECK��o�� Contractor�f- A• ��r-fRA5k;Date 3 /'�/ DESCRIPTION OF WORK b7� F NEW ❑ VALUdA!Ph ATION 6�r t.]-��fi 03.2_ £ � f ! ADD ► i•fit-�I�143E ,I�(� ❑I am exempt under Sec. ALTER ❑ B.B,P.C. for this reason $ f D Q D.d� REPAIR ❑ I Date: USE OF I _1`_1'. —Ozlo iI 7t i EXISTING BLDG. DEMOL ❑ 5:33971 ■^� Signature APPLICANT TEL• FINAL OWNER-BUILDER DECLARATION (PRINT)Gf/A 1t1� . TIL. yy6-32Sa I hereby affirm that I am exempt from the Contractor's License p /� DATE 10-30-71 Law for the following reason (Section 7031.5, Business and ADDRESS / ( /No RC4 FINAL Professions Code): PRESENT By ElUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY , ti 7044, Business and Professions Code.) MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROPBACNEFROM WIDTH 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. (Sec. 3097, Civ. C.). SIDE � --i L s' r• Cw , • P.L. i'�, LL.` • •: ,,"� ,•-. Lender's Name .'L - P.C. Fee$ �QAGIZ' l�.gP fDMAiRef. a �F � Permit Fee Lender's Address I certify that I have read this application and state that the c�� Issuance Fee t- aJ r ID AA' N Babove information is correct. I agree to comply with all County Investigation Fee �. ga t ordinances and State laws relating to building construction, Total Fee Q dimA Perm. # and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANqu/did �• , j Signature of Applicant or Agent Date , WORKERS' COMPENSATION DECLARATION s y hu ,or a ger that I have r certificate of consent r self APPLICATION F kl"B U I L D I NG P E RM I T insure, or a certificate of Workers' Compensation Insurance, r or a certified fopy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDINGP(� ovr-.l � � ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS (J � � \ ❑ Certified copy is filed with the county building inspec- BUILDING 0 / S 1 aa tion department. ADDRESS /d /� J CIN__r64" 7� ( (:,4 ZIP 9/ 78Q LOCALITY Date Applicant -7J NO.OF BLDGS. NEAREST J CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) ) , TEL. USE ZONE MAP OWNER t E NO.Y 3IS lJ NO. I certify that in the performance of the work for which this SPECIAL >_permit is issued, I shall not employ any person in any manner ADDRESS 9 112;L (V~lAo-17 (C Q q. CONDITIONS EL so as to become subject to the Wo kers'Compensat' n Laws. //�� O CITY 4 A ZIP U Date Applicant ARCHITECT OR TEL. 0 NOTIC TO PPLICANT: If, after ting this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' CONST. Compensation provisions of the Labor Code, you must forth- ADDRESS Y a with comply with such provisions or this permit shall be TSL STATISTICAL CLASSIFICATI ONDO. Z deemed revoked. CONTRACTOR � 4�. _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS N4-f' .5�7of (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 10 BK PG VALIDATION ^> SQ. FT. NO. OF NO. OF CHECK License Numbe Lic. Class SIZE I STORIES FAMILIES ONE T �7C(� )10 OF c // vAl.P IN °o Contractor��Date Ze SCRIION OF WORK COC / NEW ❑ ❑1 am exempt under Sec. ��A Z f�0 j/ 4" 7� AFt3j ADD ❑ ; , B.BP.C. for this reason vskind 3ZNCq( as C'/+ 11DIEMOI ALTER ❑ $ USE OF CA"q } , JOEPAIR ❑ Dat EXISTING BLDG. ❑ Signature APPLICANT /�/ *E / a n aO. y! Sq fV FINAL O -BUILDER DE LARATION PRINT (J� [JC /7 7 D- DATE 1 hereby affirm th&rl am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Z FINAL Professions Code): PRESENT By BUILDING f-1`t•T�1 os ❑ I, as owner of the property, or my employees with ADDRESS y;- -? ;� wages as their sole compensation,will do the work and ?.sU r is i,G the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. I k TE Et I,as owner of the property,am exclusively contracting CONTRACTOR NO. j ti I =.—, s with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) �3Lti:�; REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ;�+- '�•" I hereby affirm that there is a construction lending agency for FRONT CHANGE the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE Lender's Name P.L. 000-1111-01-1+ji ��;`,`;.i.j`, 3 LDMA Ref. # 7_ 7'57_s E fail i = P.C. Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee /v LDMA P/C# 3 above information is correct. I agree to comply with all County Investigation Fee �) ordinances and State laws relating to building construction, I Total Fee LDMA Perm. # and hereby authorize rep resentativ of this County to enter up t e above-mentio roper for inspection p rp/ojes. tl� y � %� '� SEE REVERSE FOR EXPLANATORY LANGUAGE nature o A p.can or Agent i Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9703100100 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BU DING S: TR: 14341 LT: 6 SQ. FT STORIES TYPE OCCUP GROUP 10231 OLIVE ST STRUCTURE: 0 1 V R3 TEMP CA 917803347 ASSESSOR FO TIO R: GARAGE: NEAREST CROSS STREET: 8586-026-006 OTHER: 216 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: -EMT-OD-FUSE: S 0 E: SSE 0 : PROC SSED Y: E P S . EXIST OCC GRP: 03/10/97 TC 03/10/98 . OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: MAN YUN TONG;WOO PUI YEE (818) 442-0787- 3,000 '' 10231 OLIVE ST a' " TEMP 917803347 EES PAID ESCR P ION OF RK COVERED WOOD PATIO - 216 SQ FT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 3000.00 VAL 99.15 CONTRACTOR: TEL. N0: TOTAL FEES 182.10APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: 0: FOUNDATIONPRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER 14AP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 07 N F FAMILIES: DWELLING ITS: A CO D: STAT CLASS: ST E F O SHEATH NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST DG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER L- I S L ION EA ER STRIP INTERIOR CATH/-DRY-WA-LL EXTERIOR ATH LOT DRAINAGE SMOKE DETECTION D C S FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS05O8