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HomeMy Public PortalAbout10321 OLIVE ST_Building__ X41 76IA638ACE*'I�38 APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING I/ //)�C2 DEPARTMIEENT OF COUNTY ENGINEER ADDRESS /V BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. 4 DIST IC N GR- T PE P SrBY FOR APPLICANT TO FILL IN ONST. BUILDING ,j� STATISTICAL SSI FICAT10N SEWER MAP ADDRESS ,O ` CLASS NO. DWELL UNITS 6K PG LOT NO. z>✓' CK USE ZONE MAP i! TRACT SPECIAL (f NO. OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF XI TIN BLDG. SETBACK FROMJ T 11 FRONT PROP. LINE OF (STREET) OWNER TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS' C HIGHWAY WIDTH FROM C.L. CITY BLDG. SETBACK FROM ARCHITECT OR E ENGINEER V NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD — TOTAL } ADDRESS HIGHWAY WIDTH FROM C.L. CL TEL. + = O CONTRACTOR NO U LIC ADDRESS NO CORNER CUTOFF YES NO O H CITY LI` SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK ) z NEW ADD -ALTE = REPAIR DEMOLISH SQ.FT. NO. OF NO. OF r - SIZE STORIES FAMILIES USEOF STRUCT - IGNATURE CIF APPLICANT VALUATION APPROVALS "DATE INSPECTOR'SSIGNATURE P.C. PMT. - FOUNDATION, LOCATION !' - FEES FEE JQ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE; LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PE SON IN VIOLA. LATH. INT. TION OF THE LABOR CODE OF THE STATE F CA I ORNIA RELAT ING TO������QQQQQQt S C PENSA N INSURR E. LATH. EXT. SIGNAT HOUSE NUMBER COR- PE MjTTE -- RECT AND POSTED AD AzIssF I N A L - JOHN F. LEWIS. PRINCIPAL ST CTURAL ENGINEER PLAN CHECK VALIDATION CK. M O. CASH _ PERMIT VALIDATIONK. r M.O CASH APPLICATION FOR, BUILDING PERMIT �l COUNTY OF LOS ANGELES ,: BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS WORKER'S COMPENSATION DECLARATION � i I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS `/ or a certificate of Workers'Compensation Insurance,or a certified I C33 OLI V s?���T copy thereof(Sec.3800,Lab.C.) CITY T EM 1 L�'G CITY ZIP Ca 611 q YO LOCALITY vJ Policy No. Company I SIZE OF LOT NO.OF BLDGS.NOW ON LOT `lw r L f ❑ NEAREST CROSS ST.Certified copy is hereby furnished. 7ished. � O X Ito ❑ Certified copy IS filed with the county building Inspection TRASALOCTBLOCK LOT NO. p4o6 USE ZONE MAP NO. . department. I J Date Applicant ASSESSOR MAP BOO / PAGE p PARCEL s-R•6 p Z O �s r/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER 'N ei J f� HSi kjJ(� TE'S'T]. �`5 3 /G- YES NO COMPENSATION INSURANCE WITHIN 100D FT,OF SCHOOL? - ADDRESS (This section need not be completed if the permit is for one hundred ' 103.11 S. OL•I VF- STRE&T DISTRICT "GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITYp�V; GITY ZIP I certify that in the performance of the work for which this permit , Q� Is issued, 1 shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLLAAS§IFICATION APT CONDO Date Applicant ADDRESS CLASS NO. 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. SETBACK 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 PIIL C I hereby affirm that I am licensed under provisions of Chapter 9 ' SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and SO.FT, I ' NO.OF STORES NO.OF FAMILIES Professions Code,and my license Is in full force and effect. NEW ❑ BK PG Q: DESCRIPTION OF WORK ADD VALUATION W License Number at Class 0 rn •_ � as.!�S•� CO) Contractor Date ALTER ❑ a T' ❑ I am exempt under Sec. �' L •• REPAIR ❑ ' B.&P.C.for this reason USE OF EXISTING BLDG. DEMOL El LDMA PIC p Date: �URM.. ❑ Signature APPLICANT(PRINT) TEL NOp LDMA Perm N ' ri ❑ I, as owner of the property, or my employees with wages as "q^-1(6 3 O (� their sole compensation,will do the work and the structure is ADDRESS F _1= not Intended or offered for sale (Section 7044, Business and E:^ OLI VS :SM, TEMLb G"Y 1 FINAL DATE ` Q 10.7 2 12 1 i Professions Code.) %F 9 `"` _ "" WILLTHEAPPLICANT OR BUILDING OCCUPANT HANDLER HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 1 f�M•Z I, as owner of the property, am eXCIUS1V81y contracting With THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? j FINAL B _/ Ell- licensed contractors to construct the project.(Section 7044, i YES❑ No� Ifj-�GtY' j i y 3*i. 00 Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING [� OCCUPANT REQUIREA PERMIT FORCONSTRUCTION ORMODIFICATION FROMTHESOUTH I CHECK EEK CONSTRUCTION LENDING AGENCYI COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST q 6 + FOR GUIDELINES. •1::Mi`i(3 . =IJIJ I hereby affirm that there is a construction lending agency for YES 1:1 NOM Wk the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,Civ.C.). I PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,TITLEZ CHAPTER 22o SECTIONS 220.10DTHROUGH 220.140 CONCERNING 01 Il'� {'�?'���E{'•� +-•/— Lender'sName HAZARDOUS MATER REPORTINGANDFORO AI INGAPERMITFROMTHESCAOMD. L•-0LI iJtt01 !LI/30 Lender's AddressI� owNo,oRAaerr AN O a iU o° I certify that I have read this application and state that the above 1 RC.FEE PERMIT FEE Information Is correct. I agree to comply with all county p ordinances and State laws relating to building construction,and l hereby authorize representatives of this County to enter upon ISSUANCE FEE the above-mentioned property for Inspection purposes. 3 ?iT� `�,• 9 INVESTIGATION FEE TOTAL FEEiGMb aAPP11.M« SEE REVERSE FOR EXPLANATORY LANGUAGE 76A638A CE#803 5-65 APPLICATION- FOR BUIL . ERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS• BUILDING AND SAFETY DIVISION. LoaALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. J.ENKINS$UP'T OF BUILDING CROSS ST. DISTR T NO.. G OU TYPE P C SSED BY 5EXISTING APPLICANT T`0 FILL IN coNST. STATISTICAL LASSIFICATION SEINER MAP g #A_1pX CLASS NO. DWELL UNITS BK PG 10f T3 �p .� LOCK USE ZONE MAP (17 SPIALSPECIAL//11 CONDITIONS Q� NOW ON LOTD . +{,CP .. ' BLDG. SETBACK FROM ll `TEL. - FRONT PROP. LINE-OF (STREET) OWNER r C F �GNO. TYPE OF EXISTING SETBACK HIGHWAY .+ YARD. = TOTAL ADDRESS p �• y.. HIA AY WIDTH FROM C.L. C 1 T Y ARC44BAKHI ECT ORLLTEL. FROM' Y - ENGINEER oAV y NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY -I- YARD = TOTAL ADDRESS - - HIGHWAY WIDTH' FROM C.L. - TEL. + CONTRACTOR NO - O ADDRESS NO LCORNER CUTOFF YES NOEJ V � ' CITY c� SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK >W Afooll. a NEW ADD ALTER9-0 .REPAIR DEMOLISH Z SQ-FT. D NO. OF NO. OF - SIZE / 4p STORIES FAMILII---S L USE OF STRUCTURERic r I AeVO4 SIGNATURE OF ' APPLICANT, 4�.r VALUATION$ APPROVALS. •DA,T-F� INSPECTOR'S SIGNATURE P.C.. PMT. / FOUNDATION, LOCATION •,� , - /� FEE$ FEE$ .lQ FORMS,.MATERIALS•- f FRAME, FIRE STOPS, / 1 / 1 ij I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING�BPOLT / 1 1 t AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - GAS VENT. DUCTS .I l BUILDING CONSTRUCTION. 1 CERTIFY THAT.'IN' DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. T1094 OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE.; - LATH..E XT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED / ADDRESS FINAL - JOHN,F..LEWIS. PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK.' - M.D. CASH _ PERMIT VALIDATION . CK.+ .. M.D CASH - _r' .6. 2 4 6 2' OCT- .7 1 0, 6.0 0• 76A63BACEWe 8-6t APPLICATION FOR .BUILDING PERMIT •COUNTY. OF LOS ANGELES B.0 I L D I N G DEPARTMENT OF COUNTY ENGINEER ADDRESS pL moi/` V BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE-. COUNTY ENGINEER -NEAREST COLEMAN W. JENKINSAUP'T,OF BUILDING CROSS ST. DISTRICT NO. G T; E. P BY FOR APPLICANT TO FILL IN `�j� © CONST:` c— / BUILDING STATISTICAL SIFICATION_ SEWE MAP ADDRESS %k 7 7 CLASS NO. DWELL UNITS BK PG LOT NO. BLOCK USE ZONE MAP a J NO. v TRACT // SPECIAL N0. OF BLDGS. CONDITIONS SIZE OF LOT NOW-ON LOT , .USE OF EXISTING BLDG. BLDG. SETBACK FROM _ TEL FRONT PROP. LINE OF _ (STREET) O R O TYPE OF" EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDR HIGHWAY WIDTH 'F.R M C.L. ' p :.5 + CITY BLDG. SETBACK FROM ARCHI ECT TEL. SIDE PROP. LINE.OF (STREET) ENGINEER O. .TYPE OF EXISTING SETBACKHIGHWAY + YARD - TOTAL ADDRESS _ HIGHWAY WIDTH FROM C.L. a TEL. r�__ F = �O CONTRACTOR NO U LIC CORNER CUTOFFYES NO O ADDRESS NO. L'C CITY CL s SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK CL . Z NEW ADD CIER REPAIR DEMOLISH SQ.FT. O. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTU SIGNATURE OF APPLICANT VALUATION$ v ✓ APPROVALS DATE INSPECT.QR�ssISNA7URE FEE$ - I PMTFEE$ FOUNDATION, LOCATION ,! / FORMS..MATER)ALS__ FRAME, FIRE STOPS, .. I HEREBY ACKNOWLEDGE•THAT I HAVE READ THIS APPLICATION, BRACING BOLT - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - GAS VENT. DUCTS OUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.: - TION OF THEtAOR C DE OF T STA OF CALIFORNIA RELAT- 1 O WORKCn ENSATIO INS ANCE. LATH. EXT.IG HOUSE NUMBER COR- PS RECT AND POSTED ADDRESS t F I NAL JOHN F. LEWIS. PRINCIPAL ST �AL ENGINEER PLAN CHECK VALIDATION CK. M.O. c �Y�CASH _ PERMIT VALIDATIOc M.O. CASH .rli,� 4 3 IS 7, AUG J. 1 D 6.00- 7.616 a APPLICATION FOR -BUILDIN PERMIT �f " C:dimTY OF LOS ANGELES BUILDING r}� DEPARTMENT OF COUNTY ENGINEER ADDRESS (% BUILDING AND SAFETY DIVISION LOCALITY i JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST r COLEMAN W. JENKINSSUP-T OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DIS cr,( Cel :C G TY I s .B Vv Q C sr. BUILDING ` _` STATISTICAL CLA IFICATION SEEKER MP AG ADDRESS v "� CLASS NO. DWELL UNITS22 .23 LOT NO. L USE ZO E MAP% 1 NO. TRACT , SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM (� T E FRONT PROP..LI NE OF (STREET) OW R NO L TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH 'FROM C.L. CITYn:z C 0 + - ARCHITECT OR TEL. BLDG. ETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. d TEL. + = 0 CONTRACTOR Q� NO U LIC CORNER CUTOFF YES NO O ADDRESS LNO I CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALIC LS tU DESCRIPTION OF WORK /0 l�5 -7 NEW NEW ADD LTER REPAIR DEMOLISH SQ.FT. O. OF NO. OF SIZE STORIES FAMILIES USEOF O\&-STRUCT c SIGNATURE OF APPLICANT VALUATIONS L / APPROVALS DATE INSPECIPR'S 3I0 NATURE P.C. PMT. FOUNDATION, LOCATION dr'/ fig• 'A- �) ,d FEE$ FEE$ FORMS., MATERIALS j �� �/?ol / FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND-STATE STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS SUILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIO A- .LATH. INT. TION OF THE LABOR CODE OF THE ST TE OF ALIFORNI RE T- ING TO WORKMEN'S COMPENSAT N IN ANGE. LATH: EXT. SIGNATURE1HOUSE NUMBER COR- PEftM ITT `` RECT AND POSTED ADDRESS FINAL • JOHN F. LEWIS. PRINCIPAL ST5p7RAL ENGINEER . PLAN CHECK VALIDATION CK. M.G. CASH _ PERMIT VALIDATION CK M.O. CASH .,l,o3 a �� tlur-' 5 1 D 6.0.0 aamieACIE h0sa-6a APPLICATION FOR SUIL®ING .PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY' DIVISION LOCALITY �= JOHN A.LAMBIE.COUNTY EAIGIA[EER NEAREST ' CASSATT D.GRIFFIN,SUPT OF BIIILDINCI C-- DISTRICT tip. OSDISTRICT. GROUP' TYPE �/•P •C S ,BY FOR APPLI' ANT TO FILL IN _� I CONST.BUILDIA ./r/ ADDRES ERM G \. STATISTICAL' C SIFICATION SEWAP r B P _ LOTH �Q , 1 CLASS.NO. WELL,-UNIT-S I e MAP •, STATE YES O � P , NUMBER 2-61 Q HWY. CToolUSE ONE SPECIAL O..OF BLDGS. CONDITIONS S E OT OW ON T' USE OF. EXISTING BLDG. O�G� SETBACK BACK HV VY HY STREET NAME' EXIST' r• WIDTH OWNER C C FRONT _ ^d MAIL P.L. �j�(l ADDRESS o SIDE TE P P.L. ARCHNo. INSPECTION RECORD. ARCHITECT OR TEL. r �� �L' ENGINEER NO, i ADDRESS TE. / L: •�L-/J / � /�/ d/d� CONTRACTOR NO. ADDRESS.. G/A/� t/Ci DESCRIPTION OF-WORK NEW ADD ` ALTE REPAIRDEMOLISH .S /��� 3Q.FT. NO.OF NO.OF 3f�j � i � OFO i SIZE .o - STORIES FAMILIES ' US % STRUCTURE ,9/lG ••�e/yne .r i! „ems 11,0/ yD i P i �7 SIGNATURE OF PPRO APPLICANT d DATE 1 SPECTOR•S SIGNATURE ADDRESS FOUNDATION: LOCATION . -FORMS.MATERIALS P. $ FRAME: FIRE STOPS. FEE BRACING, BOLTS VALUATION FURNACE: LOCATION. -GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-` LATH.INT. PLICATION AND STATE THAT THE ABOV IS COR CT A D AGREE TO COMPLY WITH ALL C NTY DINA ES H.EXT. STATE LAWS E ULATIN UI ING ONS T CTI i SIGNATURE OF HOUSE NUMBER COR- EE RECT AND POSTED / ADDRESS— FINAL CLYDE N:DIRLAM,PRI CIPAL STR CTURAL ENGI PLAN CHECK VALIDATI CK. M.O. CASH i z PERMIT VALIDATION CK. M.O. SH LACp 5 09 4 SEP 2 3 •-1 A 2.00 M 76A838A CE#803 8-84 APPLICATION FOR UjiLING P ' M.IT / COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS. ri BUILDING AND SAFETY-DIVISION LOCALITY JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST COLEMAN'W. JENKINS,SUP'T.OF BUILDING CROSS ST. 6 DISTR�IC GROUP TYPE-..": CESSED BY APPLICANT TO.FILL N -• 31�. . � coNST = . BUILDING ti STATISTICALSIFICATION 3 ER MAP ADDRESS CLASS NO. DWELL'UNITS .BI<' PG LOT NO: :-- ' - BLOCK USE ZONE MAP TRAPECIAL d / ONDITIONS S SIZE OF LOT {�� N0. OF SLOGS. C ' OW ON LOT USE OF - XISTING BLDG. SETBACK FROM TEFRONT PROP. LINE OF (STREET) OWNER NO.L TYPE OF EXISTING SETBACK HIGHWAY. YARD = TOTAL ADORES ` HIGHWAY I O M C.L. ' CITY � A BLDG. SETBACK FROM - ARCHITECT-OR L.. SIDE PROP. LINE OF (STREET) ENGINEER TYPE OF- EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS �_AA � HIGHWAY WIDTH FROM C.L. d CONTRACTOR /� NOL - + Q ADDRESS NO LIC CORNER CUTOFF YES El NO E] O CITY LCCL Ass 'SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK n o -LU Oe_. i T 7.,L el­ Z NEW ADD ALTER REPAIR DEMOLISH A rj SQ.F1k� ,c�, NO. OF NO. OF w E'►tT I NCS �n - C' � I�lC71i�•<-i C., • SIZE `�1 ��STORIES FAMILIES L-�; - „� Loc-A-_rte 4','-Z�e.,C USE STRUCC TURE SIGNATURE OF APPLICANT VALUATION$ 'APPROVALS DATE INSPECTOR'S SIGNATURE P..C. PMT. IFOUNDA;TION, LOCATION FEE$ FEE$ FORMS,.,MATERJALS 'PR AME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION BRACING BOLT r AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ` ALL COUNTY ORDINANCES-AND STATE LAWS REGULATING .-GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY'I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE tjLj0RtA_RFLAT•INGTO WORKMEN'S COMPEN TIONI LA TH.~EX T. \ •�� ' SIGNATURE O HOUSE NUMBER COR PERMITTEE ­T AND POSTED ADDRESS \ - F I N A L' JOHN F. LEWIS. PRINCIPAL STR T RAL ENG 'PLAN CHECK VALIDATION CK. M.O., CASH _ PERMIT VALIDATION CK. M.O. CASH 78ASSSA CE#808 iI-57 APPLICATI®N FOR BUJ 0 DING PERMIT COUNTY OF LOS ANGELES BUILD' DEPARTMENT OF COUNTY ENGINEER ADORES BUILDING AND SAFETY DIVISION LOCALI JOHN A.LAMBIE,COUNTY ENGINEER NEAREST ' CASSATT D.GRIFFIN.'SUFT OF BUILDING CROSS Si'. A DISTRICT N GROUER AP P SEW FOR APPLICANT TO FILL IN . I:rypEc6NS . I BA. BUILDING ADDRESS d STATISTICAL CLASSIFICATION I LOT NO. MAP ATE a LOCK CLASS.NO.A-40 DWELL.UNITS NUMBER O O HWy. YES O TRACT USE.ZONE SPECIAL V . NO.OF BLDGS. V NDITIONS SIZE OF LOT' I NOW O LOT. `�✓ /yy USE OF EXISTING HL f BUILDING EXIST. HV VY YARD HY STREET NAME' WIDTH OWNER ` L �.+* FRONT MAIL P.L: p�. .. Q ADDRESS vV SIDE _ TEL ` P.L. CITY w� k No. {\ • ct. INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ` ADDRESS TEL �G�..�i CONTRACTOR NO. A A ADDRESS - DESCRIPTION OF WORK / �!r iii NEW ' ADD ALTER REPAIR DEMOLIS SQ.FT. NO.OF SIZE. S DRIES SAMILIES USE OF STRUCTUR 2- q.7' SIGNATURE OF APPROVALSI y�sb 4 i //! APPLICANTDATE INSPECTOR'S SIGNATURE / ADDRESS FOUNDATION: LOCATION FORMS,MATERIALS $ P.C. $ FRAME: FIRE STOPS. FEE BRACING.BOLTS VALUATION $ FURNACE: LOCATION, FEE GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS All. LATH,INT. PLICATION-AND SPATE THAT THE ABOVE IS CORRECT D AGREE TO-COMPLY WITH ALL CO TY O DINI�N ES D STATE LAWS ULATIN. U1 NG NS7 CTl N. LATH,EXT. SIGNATU 90 HOUSE NUMBER COR- PERM I RECT AND POSTED ADDRES FINAL CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CBECK VALIDATION cK, M.O. CASH PERMIT VALIDATION CK. - M.O. CASH. 4f Yri A 1:00 • WORKERS'COMPENSATION DECLARATION ' hereby affirm that I have certificate of consent self APPLICATION FOR BUILDING P E RM I T insure, or a•certificate of Workers' Compensation Insurance, ' or a certified copy thereof(Sec. 3800,'Lab. C.) COUNTY OF LOS ANGELESBUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS (03 Zf 0L1 VF_ ST. . ❑ Certified copy is filed with the county building inspec- BUILDlIN 10 Z l ©L[j/ir 5T- tion department. Date Applicant CITY M Lr- u-rf ZIP 11 LOCALITY NO OF BLDG CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 0 )C [03 NOW ON LOTS 3 NEAREST `r p� CROSS ST. &?,V COMPENSATION INSURANCE / ASSESSOR �fd (This section need not be completed if the permit is for one TRACT�J 15AL-W( BLOCK LOT NO. PP-4 6 MAP BOOK b PAGE DPARCEL L7 hundred dollars ($100)or less.) rr ''JJ ����TEL. OWNER' N G� J . R S�wV O. ZL� USE ZONE OP / Z 3 I certify that in the performance of the work for which this `�. SPECIAL l permit is issued, I shall not employ any person in any manner ADDRESS Z u V r sl ' �— , CONDITIONS so as to become subject to the Workers'Compensation Laws. O I yt O� V CITY l� L-E GT ZIP 100 Date . Applica.nt, .ARCHITECT O TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. Z NE 0 Exemption, you should become subject -to the Workers' '/ Compensation provisions of the Labor Code, you must forth- ADDRESS �� 3 !/ a with comply with such provisions or this permit shall beTEL• STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. � ' Z LICENSED CONTRACTORS DECLARATION- LIC. CLASS NO.e=;2 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 PG, VALIDATION SQ. FT. NO. OF NO.OF CHECK License Number Lic. Class SIZE I STORIES FAMILIES ONE DESCRIPTION OF WORK NEW VALUATION Contractor Date ❑I am.exempt under Sec. wy 1]DonG LW ADD ❑ ► B.BP.C. for this reason '`� �tCSr HoftS,I5 ALTER ❑ REPAIR ❑ Date: USE OF EXISTING BLDG. DEMO L El Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE t Z" I hereby affirm that I am exempt from the Contractor's License I Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By BUILDING ❑ 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 7044, Business and Professions Code.) MOVING TEL. =�_ �� I,as owner of the property,am exclusive) contracting CONTRACTOR NO. P P Y, Y 9 O.—AL 64- 63 � with licensed contractors-to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH i. l4i(7G ql_(7 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 . P.L. Lender's Name G� LDMA Ref.# ' n° [)�j s}o�( P.C. Fee$ Permit Fee 0 4 �'_ Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C# , above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building 'construction, ITotal Fee "14 o LDMA Perm. # and hereby authorize representatives of this County to enter u n the above-me�ropertyspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign r of ADate WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self ' APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BU4:DING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- gpIL SS D Z p. OL:d_ tion department. -r Date d Applicant CITY {OM1 c�� dly &A ZIP 4?!'760 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 7d X 1 D3 NOW ON LOT OF BLDGNEAREST Yt� pif CROSS ST. [Z�li D P�. COMPENSATION INSURANCE ASSESSOR (j (This section need not be completed if the permit is for one TRACT •T, d/44 LOCK LOT NO. 406 MAP BOOK a �]g PAGE O-2 g PARCELQ*/ hundred dollars ($100)or less.) EL. /7 7 OWNER }�r6 ��.II•►L-r )•I':1,4?J(•_ NO.li•.S _,12•to USE ZONE MAP 1 certify that in the performance of the work.for which this No. SPECIAL >_ permit is issued, I shall not employ any person in any manner ADDRESS 10'42) j f�L.I',/)s S( /� `/ CONDITIONS a- so as to become subject to the Workers'Compensation Laws. �10 CITY zip `l t'i S,t• U Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY a! NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZO E 0 Exemption, you should becomesubject to the Workers' w Compensation provisions of the Labor Code, you must forth- ADDRESS �e - a with comply with such provisions or this permit shall bep � ��T�F STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR i/IAlZ�i�� t% �-C� / Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 42—:2 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.,(ja-H NO. OF NO. OF CHECK License Number Lic. Class SIZE `t Cl•l STORIES FAMILIES ONE VALUATION , CPO Date DESCRIPTION OF WORK h A,� NEW ❑ $ IA OO- ❑I am exempt under Sec. rJWkVI 1 , bkAvv'_l ADD p ► ��jn I Lam{ ❑ B.BP.C. for this reason +T' t 1 ALTERREPAIR ❑ $ Date: USE OF EXISTING BLDG. _ DEMOL ❑ Signature APPLICANT TEL•` ,�, r 4 FINAL OWNER-BUILDER DECLARATION (PRINT) 1-rrMG ',1aIH r!f-1,-I,V G% NO. I•- )� DATE Z Z I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 103.%I F% L%I I V'1= FINAL i Professions Code): PRESENT B ❑ 1, as owner of the property, or m employees with BUILDING Y P P Y� YADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. I,as owner of the property,am exclusively contracting CONTRACTOR NO. T-7 7 AL ��.� � 38with licensed contractors to construct the project (Sec- ADDRESS _ tion 7044, Business and Professions Code.) ','. ;E!37 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 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE Lender's Name P.L. +':+ I1 i_!I) 1 ZU" 7•y 3 � O� !/� LDMA Ref. # LjrnLl! y 1•,i01 2, Lender's Address P.C. Fee$ Permit Fee O `'L I certify that I have read this application and state that the Issuance Fee 1`d !DMA P/C# above information is correct. I agree to comply with all County Investigation Fee ? ordinances and State laws relating to building construction, Total Fee v ' 10 6 LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mentioned property fo;inspection purposes. ( (I SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of licant Agent Date f COUNTY OF LOS ANGELES TEMPLE CITY DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS # 0508 BUILDING PERMIT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ALTERATION/REPAIR PHONE: (626) 285-0488 EXT: BL 0508 0602230019 LEGAL ID: NO. OF CONST BUILDING ADDRESS: BK: 5 PG: 59 PC: 3 SQ. FT STORIES TYPE 10321 OLIVE ST STRUCTURE: 304 VN TEMP CA 917802861 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8586-028-047 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/23/06 JK 02/18/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FATE FINAL BY: CODE: LIU, HONG PING (626) 444-0820- 10,000 10321 OLIVE ST TEMP 917802861 FEES PAID DESCRIPTION OF WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 304 S.F. PATIO ENCLOSURE TO SFD ICBO #3190P APPLICANT: TEL. N0: TA MICHAEL (909) 292-6199- AA BLDG PERMIT ISSUANCE 27.75 786 PINEFALLS AVE AC STRONG MOTION REBID 10000.00 VAL 1.00 SPECIAL CONDITIONS: WALNUT, CA 91789 AX BUILDING REVIEW FEE 54.70 IB2 PERMIT W/ENERGY 10000.00 VAL 238.26 TOTAL FEES 321.71 CONTRACTOR: TEL. NO: WEST COAST CUSTOM ROOMS (909) 594-7547- APPROVALS DATE INSPECTOR SIGNATURE 786 PINEFALLS AVE LIC. NO LOCATION AND SETBACKS WALNUT CA 91789 471619BHIC SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H273 3 01 NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: FLOOR SHEATHING NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION WHATHER STRIP SIDE PL- INTERIOR LATH DRYWALL l�q Ro,! !M O��vjr- �iil �� EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 1208280009 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I IBK: 5 PG: 59 PC: 3 I SQ. FT STORIES TYPE [ 10321 OLIVE ST I I ISTRUCTURE: 1800 V-B TEMP CA 917802861 1 (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: 8586-028-047 1 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI 1 [TENANT: EXIST BLDG USE; RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IHOUGH PING LIU (EXIST OCC GRP: 108/28/12 SR OWNER: TEL N0: IBLDGS. NOW ON IAT: VALUATION: FINAL DATE FINAL BY: CODE: HOUGH PING LIU (626) 286-4217- 1 1 4,000 / 10321 OLIVE ST I ITEMP 917802861 I FEES PAID IDESCRIPT ON OF WORK I I ITEAR OFF AND RERROF WITH CIPOSITION SHINGLES I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 (APPLICANT: TEL. NO: I IFUNG'S CONSTRUCTION CO (626) 625-7048- IAA BLDG PERMIT ISSUANCE 27.80 1 1437 W. WELLS STREET IB2 PERMIT W/ENERGY 4000.00 VAL 127.40 ISPECIAL CONDITIONS: 1 [SAN GABRIEL CA I TOTAL FEES 155.20 1 1 CONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE [ IFUNG'S CONSTRUCTION CO (626) 625-7048- I 1 I 437 W. WELLS STREET LIC. NO ILOCATION AND SETBACKS I I SAN GABRIEL CA 753441 ISOILS ENGINEER APPROVAL 1 I I I I [ARCHITECT OR ENGINEER: TEL. NO: - I [FOUNDATION/TRENCH FORMS I I I 1 LIC. NO: ISLAB/UNDER FLOOR 1 1 [RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I 1147H273 3 001 1 I I I I IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I 0 NO 21 I IROOF SHEATHING Il I SCHOOL WITHIN HAZARDOUS [SHEAR PANELS 1 1 I (AIR QUALITY: 1000 FEET MATERIALS I_ 1 NO NO NO IFRAME INSPECTION I I 1 IFIRE SPRINKLER HANGERS I I I I � I I IINSULATION/WEATHER STRIP I I IINTERIOR LATH/DRYWALL I I I 1 1 (EXTERIOR LATH I [ 1 I RATED FLOOR/CEIL ASSEM. I I I IRATED WALL ASSEMBLIES [ I I I I 1 I RATED SHAFTS/OPENINGS I I I I IT-BAR CEILINGS I I I I I I (LOT DRAINAGE 1 I [REPORT ID: DPR261 ROUTE TO: BS0508 1 I 1 I