HomeMy Public PortalAbout10249 OLIVE ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLiGA-rlux t UK &Imn ►u l
COUNTY OF LOS ANGELES oft 0 19 ELM 9%
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
r p DISTRICT NO. PLAN CK.NO. PERMIT NO..
UILDING
ADDRESS - , F1 (14- ar r„7 I / f o GJ s �5
LOCALITY ---. .'c I ! l jrr����( RECEIVED BY DATE or VPPLa DATE 6 188UE�[/,�
NEAREST 7 a v ��
CROSB ST.. BUILD,l ow //_
W // Z , ADDRESS Z % / d Z,/
NG
OWNER / l a•rl?��' l'�4 !�
MAIL
ADDRESS U n�L� LOCALITY
G .
CITY 6�r1_la /ta I� NO �./ o�/ (�' ` NEAREST 6 � }�
rs fJ CROSS 9T. (�j Fv� R/��/ /` Y
FIRE NO.Or TYPE GROUP
ARCHITECT OR /� CEO ZONE PI
ENGINEER / P
BLDG. d_d ORD.NO.
ADDRESS SETBACK LINE
APPROVED �J
�y TEL. .,,
CONTRACTOR �{�� ' NO, BY /"�.S^�a i'• :..+.-� DATE
USE APPROVED
ADDRESS ZONE �BY DATE
LEGAL �+J CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT .1 / S.
NO or 8
SIZE OF LOT I NOW ON LOTs. jjy�j-
USE OF N13 OF NO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
REPAIR MOVING DEMOLISH S
SIJ.FT. NOZ
.OF L
SIZE (� ROOMB J STORIES / D
_ C� r
WALL I ROOF �sII fie[ cY/fir^^'S
COVERING _ gyp-• COVERING
USE OF NEW
BUILDING f
a
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION SPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS „� �
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /
FRAME' FIRE STOPS, L� �lr
SIGNATURE OF BRACING,BOLTS :a. - !Y
PERMITTE ,"3 �•�+h moi` -V
LATH. INT.
AUTHORIZED AGT �� r""� / 7/�✓ fE��
LATH, EXT.
7GA63BA-3 7-49 $ �)�q.� P,C, Q Jd PLASTER,INT.
JFEE,7!!S: �� PLASTER,EXT.
VALUATION --EE FINAL A-r
APPLlCATSN.F®R BUILDING PERMIT C
COUNTY OF LOS ANGELES BUILDING AR'':J—SATY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRE S
I hereby affirm that I have a certificate of consent to self insure, UILDING A DRES
or a certificate of Workers'Compensation Insurance,or a certified
copy thereof(Sec.3800,Lab.C.) CITY ZIP
Policy No. Company LOCALITY _ 1
SIZE OF LOT OF BLDGS.NOW ON LOT L
❑ Certified copy is hereby furnished. NEAREST CROSS S.
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO."
USE ZONE MAP NO.
department.
D to Applicant ASSES Rj BOOK PAGE PARCEL
2-1 Z I q.7-& QQ G SPECIAL CONDITIONS y /
+ CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER [ Q L o (' ` WITHIN 1000 FT.OF SCHOOL? YES d NO
COMPENSATION INSURANCE 1 0N- ✓►� O�`r � `I�1
(i his section need not be completed if the permit is for one hundred ADDRESS
dollars($100)or less.) dmm -0— DISTRICT GROUP FIRE ZONE PROCESSED BY
I� �
I certify that in the performance of the work for which this permit _Y IP
�Ti
,is issued, I shall not employ any person in any manner so as to I become subject to the Workers'Compensation Laws. ARCHITECTORENGINES NO.
STATISTICAL CL�SIF/KATION APT CONDO
Date Applicant ADDRESS CLASS NO.�L_ DWELL UNITS
NOTICE 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 O`�vGL�/�.� FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL
LICENSED CONTRACTORS DECLARATION SIDE
CITY UC.CLASS P L
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO�iT MZE o NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. !�✓�I� NEW BK PG >
License Number Lie.Class
DES IPTION OF VJORK ADD ❑ VALUATION ® C
Contractor I Date � �Ll-C�//
I ��-P[yztJF� ALTER ❑ $
D
ElI am exempt under Sec. REPAIR ❑l $ C
B.BP.C.for this reason Ze --i DEMOL ❑ LDMA P/C IL
Date: USOF�G BLDG. URM ❑ Q
-;-: U
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# —`� L
�1 1, as owner of the property, or my employees with wages as ! 4 �!��- �a v
Ivtheir sole compensation, will do the work and the structure is ADDRESS
not intended or offered for sale (Section 7044, Business and FINAL DATE
Professions Code.) WALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ! G _
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
El 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERS INFORMATION GUIDE? FINAL 10-11
0� y a
licensed contractors to construct the project (Section 7044,
YES❑ NO❑
Business and Professions Code.) _
WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING �i.j_� +- n
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH -
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR
GUIDELINES
I hereby affirm that there is a construction lending agency for YES❑ NO❑
athe performance of the work for which this permit is issued(Sec. -I i j-� ,=.� ;.•'_�;
pi I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
3097,CIV:C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, }; �' •�' "�-:-, --
a TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS L•I 1.:`', r A-7
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE sCAQMD. f
o Lender's Addresshrlf i!:G :i i1
O OWNER OR AGENT
Z; I certify that I have read this application and state under penalty
O of perjury that the above information is correct.I agree to comply P.C.FEE {^/ PERMIT FEE //�/' /� - -__ i i"
a :with all county ordinances and State laws relating to building
� construction,and hereby authorize representatives of this County ISSUANCE FEE A� p� y•_;
a to enter upo the above-mentioned p� er�y for inspectio purposes.
�C /O
Abot
lf�i INVESTIGATION FEE TOTAL FEE
:ox ,•
Sgnal—a =M«
SEE REVERSE FOR EXPLANATORY LANGUAGE
APPLICATION FOR BUILDING PERMIT
} , COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRES
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS �J
or a certificate of Workers'Compensation Insurance,or a certified
copy thereof(Sec.3800,Lab.C.) CITYZIP
G LOCALITY
Policy No. Company SIZE OF LOT I I I I I NO.OF BLDGS,NOW ON LOT
❑ Certified copy is hereby furnished. NEAREST CROSS ST.
ElCertified copy is filed with the county building inspection TRACT BLOCK LOT NO.
department.
USE ZONE MAP NO.
Date Applicant
ASSESSOR AP B99K 99.2 � PARCEL
!JV OD(� /o2� SPECIAL CONDITIONS �D/
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER
COMPENSATION
`� TEL NO.
COMPENSATION INSURANCE R/ V U .WITHIN 1000 Fr.OF SCHOOLS YES NO
(This section need not be completed if the permit is for one hundred ADDRESS P�
DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.)
I certify that in the performance of the work for which this permitCITY ZIP // ✓/s
is issued, I shall not employ any person in any manner so as to AR HITECT O ENGINEER T O.
become subject to the Workers'Compensation Laws. ro cwtypi� a STATISTICAL CLASSIFICATION APT CONDO
Date Applicant App E n CLASS NO. DWELL UNITS
NOTICE 70 APPLICANT.' If, after making this Certificate of V �0 REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you Should become subject to the Workers' CONTRACTO W I TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith 'IV/ (Ai6 FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL
LICENSED CONTRACTORS DECLARATION SIDE
CITY LIC.CLASS PL
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. NEW ❑ BK PG d
License Number Lic.Class DESCRIPTION OF#NORKa ADD VALUATION ® 0
Contractor Date R40O ' � ALTER 133 U
❑ I am exempt under Sec.
D REPAIR ❑ $ O
B.BP.C.for this reason DEMOL ❑ LDMA P/C# W
Date: US OF FASTING BLDG. URM ❑
CD
"'nature APPLICANT(PFINT) -I TEL NO. LDMA Perm# 23 Z
6';1 as owner of the property, or my employees with wages as a d/V Zs
O (ACC
their sole compensation, will do the work and the structure is ADDRESS /
not intended or offered for sale (Section 7044, Business and 6 Z - fiL FINAL DATE Q o,3303 50.50
Professions Code.) WILL THE APPLICANT OR UTURE BUILD NG OCCU T HANDL A RDOU3 MATER( r .\ 0 1
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN T E V
❑ I, as owner of the property, am exclusively contracting Wlttl AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE, FINAL BY a
licensed contractors to construct the project (Section 7044, �ICCT.a
Business and Professions Code.) YES 13 No 11
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING , ,33203 332.22
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ITEMS
GUIDEUNES.
I hereby affirm that there is a construction lending agency for YES❑ No❑ ( I 3'Q'2 , '�'
iA the performance of the work for which this permit is issued(Sec. TOTAL h'I 1'` `° "`'
I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOSS ANGELES COUNTY CODE, ' tiV p
TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS
71
iLender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. CHANGE p 009
o Lender's Address
O OWNER OR AGENT
c I certify that I have read this application and state under penalty
of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE i{ { ��
N with all county ordinances and State laws relating to building '�� r > ✓ I�— 1 �" 7
ro construction, and hereby authorize representatives of this County ISSUANCE FEE . �j� 1071 1 PM 5-35
m to enter the above-Irientioned property for insp tion pur
As d
n '�l/ A 4,v Z INVESTIGATION FEE TOTAL FEE& a /2
v S Wul o a npwc:m Aq m n-'o O'"
}}�� SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
w BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0308120024
PHONE: (626) 285-0488 EXT:
EGAL I CONST W— BUILDING-ADDRESS:
TR: 14341 LT: 9 SQ. FT STORIES TYPE OCCUP GROUP 10249 OLIVE ST
STRUCTURE: 966 1 VN R3 TEMP CA 917803347
ASSESSOR INFORMATION NUR-BEIr.— GARAGE: NEAREST CROSS STREET: BALDWIN
8586-026-009 OTHER: THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY
EXIST BLDGS S ONE: ISSUED 0 ROC 5 EXPIRES 0 :
EXIST OCC GRP: 10/30/03 JK 10/24/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATIO : FINAL DATE FINAL BY: CODE:
WONG SIU ON;LEUNG SUI WAN (626) 448-2421- 76,507
10249 OLIVE STREET �Z
TEMPLE CITY 91780 FEES PAID DESUKIPTIUN OF WORK o
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: ADD 2 BEDRMS, 2 BATHRMS, & FAMILY RM (TTL WHEN DONE:48R/3BA)
APPLICANT: TEL. .
SAME AS OWNER - B1 PLANCHECK W/ENERGY 76507.00 VAL 998.71
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION RESID 76507.00 VAL 7.65
S2 PERMIT W/ENERGY 76507.00 VAL TOTAL FEES 2,1,209.08174.97
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS k+l C2
LIC. NO: SLAB/UNDER FLOOR ��TT
RAISED FLOOR FRAMING
o^+��
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION -0; �-
3 01
0. OF FAMILIES: DWELL G TS: APT COND: STAT CLASS: ST LEVEL FLOOR SHTH
NO 27 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZA DO S ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED -T0- AL SETBACK FROM EXIST LDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH /j z
LOT DRAINAGE 'I
OE DETECTION DE I S
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0210180042
PHONE: (626) 285-0488 EXT:
OF CONST BU I LDI A RE S S:
TR: 14341 LT: 9 SQ. FT STORIES TYPE OCCUP GROUP 10249 OLIVE ST
STRUCTURE: 491 1 VN R3 TEMP CA 917803347
ASSESSOR INORA 0 NUMBER: GARAGE: NEAREST CROSS STREET: BALDWIN
8586-026-009 OTHER: 308 1 VN U1 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY
TENANT: EI G SE: USE ZO E: ISSUED PROCESSED B RE
EXIST OCC GRP: 11/04/02 JK 05/03/03 .
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEFI AL BY: CODE:
WONG SIU ON;LEUNG SUI WAN (626) 448-2421- 32,000 /1 ,�
10249 OLIVE (.t /�
TEMP 917800000 FEES PAID 5CR PT 0 OF WORK
CONVERT EXISTING COVERED PATIO TO DEN, MASTERED & BATH AND
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: ADD LAUNDRY RM & PATIO
APPLICANT: TEL.
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 32000.00 VAL 3.20 SPECIAL CONDITIONS:
81 PLANCHECK�-W/ENERGY -32000.00 VAL 526.21
B2 PERMIT. - 32000:.00 VAL 619.08
T6.%L-FEES 1,176.24
CONTRACTOR: TEL. N0: �; :i` %r APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO �'�: _ LOCATION ADS TS S
SOILS ENGINEER APPROVAL
ARC T C R NG NEER: 0: 0 DAT IO / R C FO MS
LIC. NQ: � _ SLAB/UNDER FLOOR
Aod RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
3 01 -•��' r "! !'% UNDERFLOOR INSULATION
ST LEVEL LOO EA
NO. OFFAMILIES: D L G NTS: APT CON : ST CLASS:
- �'NO 21 'A', '- -"" " "` -; D LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUSROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS 4•, `� ./ %! ;'
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED 0 SETBACK FROM EXIST '� `, `r; /�;•:. 's BL1TG D PT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
�- SLATI A SRP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
RE DEPARTMENT APPROVAL
REPORT I0: DPR261 ROUTE TO: BS0508