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HomeMy Public PortalAbout10332 OLIVE ST_Building__ AAG38A 668098-e14APPLICATIOflI:.FOR- BUILDI=NG -PERIV t. • - COUNTY;OF.LOS ANGELES BUILDING..': . DEPARTMENT OF COUNTY ENGINEER _ ADDRESS, 2c-G r BUILDING AND-SAFETY. DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST.: ._.. COLEMAN W. JENKINSAUP•T.GF BUILDING, CROSS ST:- R U [ /• i DISTRI T NO.- GROP TYPE: P ESS ED BY FOR APPLICANT.T0''FILL IN ' i coNsr,:. BUILDING /J STATISTICAL.CL'ASSI.FICATION, SE *ER MAP ADDRESS ✓G 33 (9i`J1/V-e T Z BK PG CLASS NO.�_DWELL UNITS —4-- LOT NO. % C/ BLOCK USE ZONE MAP' TRACT SS SIR CO Olio V (`I SPECIAL NO. OF BLOBS. NDI SIZE OF LOT O X j Y.( NOW ON LOT USE OF NaSXLSTI • BLDG. SETBACK FROM: - TELY -FRONT PROP. LINE'OF .(STREET) OWNER L'� NO. 3Z 7:6 TYPE OF' EXI8TIN0_. SETBACK . HIGHWAY... . YARD = TOTAL•' ADDRESS HIGHWAY 'FROM C.L. = ' CITY �� y !/ CY r �;' ,._ i.J_ .'.. .r�. .. . • . .'}' _ �J�!' ._ �. ARCHITECT OR TE BLDG. SETBACK FROM; •.. .. �(/. :.. ENGINEER NO SIDE PROP. LINE OF - -(STREET) TYPE-OF EXISTING SETBACK. "HIGHWAY.• -F••".::YARD' — TOTAL •.',,, ADDRESS HIGHWAY WIDTH' FROM C.L. 4. TEL. _ ._ .. + = OV CONTRACTOR. NO. . ADDRESS LI CORNER-CUTOFF-•• YES NO O LIC - CITY C s .,SEE REVERSE SIDE FOR SPECIAL APPROVALS r. 4 DESCRIPTION OF WORK y' If' r vcz.l ;,�,"•r ���,�+� r lt�,r . Z - f' r .5 : .r.:- NE AD ALTER REPAIR DEMOLISH r !. :, t;;.s ' ti +.r. SQ.FT.- , NO. OF NO. OR ::r•:t.?;:. iii �t�.k :. d'�Nei{" SIZE STOPIES FAMILIES USE OF �7y14 STRUCTURE !L• � a"3 a'!-n I�G�L l7 ..�r-',4.,�t� l f l.;ti ►i I`�° i?G O SIGNATURE OF ISR (-I4r?h.A-fyi.F,-r— Ai9Pr,>26yC,I�" Pi(„•-m ;,&i-S APPLICANT VALUATION$ D-J APPROVALS --• --D TE INSPECT RISSIONATURE P.C. L}U P.MT. 'FOUNDATION, LOCATION / FEE$ ' FEE$ , �� FORM S,-"MATER)ALS FRAME, FIRE•STO.PS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS•APPLICATION BRACI NG'6OLT 4r'..rr�'ca�� .�!I•T,<<??h C..T}'•'Cv�,e� AMC) STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH"ALL ;COUNTY ORDINANCES AND STATE LAWS REGULATING QAS.VENT.•DUCTS V , 'BUILDING 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 STATE OF CALIFORNIA RELAT- _ ING TO WORKMEN'S COMPENSATION INSUE. 4A_,;o� ' LATH. EXT. ' SIGNATURE 60/19 .w R HOUSE-NUMBER COR- /n ,`a` PERMITTEE RECT AND POSTED ` .�r�r;'� ► �� �j ' �{ y ADDRESS �� FI NAL � JOHN-F. LEWIS. PRINCIPAL ST TURAL ENGINEER :PLAN CHECK VALIDA ON M.O.. CnsH PERMIT'VALIDATION' :6k., M.G.BASH L,lln7 8 V :1 tg.1 2 3 3 �•.G Ci " La�j"_; .� S 3 'tu;ti :� 1 D - W-_rKERI/P-�COMPENSATION DECLARATION APPLICATION FOR B ILDING PERMIT `herebX uffirm that I have a•certificate of consent to self risure,cr a certificate of Workers'Compenstion Insurance,or • 3 cerfified copy thereof(Sec. 3800, Lab. C.) COUNTY CIF LOS ANGELES BUILDING AND SAFETY 'olicy No. Company BUILDING• C6rtified co is hereby furnished. copy y FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING 'r tion department. ADDRESS AR ° �/ LOCALITY NEAREST )ate' Applicant CIT• atZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' �Q OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE.OF LOT 1�® — C) OW ON LOT MAP BOOK PAGE PARCEL This section need not be completed if the permit is for one �+ -� •� U, , ON P iundred'dollars ($100)or less.) TRACT D LOCK LOT NO. O. C/ TEL. T L/• PECIAL certify that in the performance of the work for which this OWNER NO. ^/ r CONDITIONS O Dermit is issued, I shall'not employ any person in any manner QQ ICT GROUP TYPE FIRE P CE BY V to as to become subject to the Workers'Compensation Laws. ADDRESS IQ�J r l�/V s �j CONST. ZONE )ate Applicant ° CITY el ZIP :a ` ° • ' ® STATISTICAL CA KATION APT.r CONDO. /(� ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of � :xemption, you should become subject to the Workers' ENGINEER NO. CLASS N DWELL. UNITS � compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be ■ TEL /A�Q ray e Teemed revoked. CONTRACTOR /u Z NO.-'7'7 u" l� BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION �+ LIC. hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 1 NO.• VALUATION :commencingwith Section 7000 of Division 3 of the Business and y �-+ 3rofessions ode, and my license is in full force and effect., CITY F �' PkC-- (R I e V CLASS Com' SQ. FT. NO.OF NO.OF CHECK .icense Number Lic.Class SIZE � STORIES I FAMILIES contractor Date DESCRIPTION OF WORK NEW I r I am exempt from the licensing requirements as I am a �. ATJ ® ADD s licensed architect or a registered professional engineerI. ALTER FINAL acting in my professional capacity (Section 7051, dG� EPAIR MATE Business and Professions Code). USE OF EXISTING ,( �� EXISTING BLDG. V L7 Jas 15�+ V r4m MOL � FINAL :ic.or Reg.No. Date APPLICANT TEL.�/• _( By OWNER-BUILDER DECLARATION PRINT QQ. 1 NO. -, hereby affirm that I am exempt from the Contractor's License o? •vL- V�� 1! .aw for the following reason (Section 7031.5, Business and ADDRESSL 5rofessions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS t wages as their sole compensation,will do the work and 3 8,6 A 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. 0 0 0 0 0 1 with licensed contractors to construct the project (Sec- ADDRESS 2 0 o 5 1,J 0 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 0 a 0 J 1, J 0 v 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. 0 226-82 (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name Lender's Address ° P.C. Fee$ Permit Fee certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee xdinances and State laws relating to building construction, Total Fee / �7 Snd hereby ay4horize representatives of this County to enter upon t e ab v -m i ned property for inspection purpos s. • . • 1 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicantr Age t Do e APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, BUILDING �� �� or a certificate of Workers'Compensation Insurance,or a certified k, V copy therepf(Sec.3800,Lab.C.) o 0 1-7',v ZIP V/ 7 VO LOCALI71M DI E . C 1 Policy No. Company SIZE OF T NO.OF BL GS.NOW ON LOT NEAREST CROSS ST ❑ Certified copy is hereby furnished. �d��^ ❑ Certified copy is filed with the county building Inspection (J USE ZONE MAP NO. department. -V ASSESSOR MAP BOOK PAGE PARCEL Date Applicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' YES NO L _ COMPENSATION INSURANCE 77,ADR Q '� l WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit Is for one hundred �/ e DISTRICT GROUP TYPE CONST' FIRE ZONE OCESSE Y dollars($hat Or less.) Gwy. /gyp OY P-3 I certify that in the performance of the work for which this permit ,� PU (J'/� Z� �� Is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. 5 become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date LL UNITS Applicant ADDRESS CLASS NO. DWELL NOTICE TO APPLICANT. If, after making this Certificate of CTOR REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CON ` _ ��Q��` SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith A! �" FRONT comply with such provisions or this permit shall be deemed revoked. DO LIC.NO. PL LICENSED CONTRACTORS DECLARATION ,cD g© /�1 ��/� LIC.CLASS SIDE lug• 4/` 1-/ SL V I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and pyo NO.OF TORES NO. FAMILIES Ir Professions Code,and my license is In full force and effect. o NEW ❑ BK PG , License Number Lic.Class DESCRIPTION Orw ADD El Contractor Date 4 ALTER ❑ $ �N 000° CO3 dREPAIR ❑ ❑ I am exempt under Sec. AA $ B.BP.C.for this reason DEMOL ❑ LDMA P/C N Date. E OF EXISTIN BDG .J 7— p URM ❑ Signature AP LI AAf/ IN A��/� `/Yi` LDMA Perm M ACCT. I,as owner of the property, or my employees with wages as ° their sole compensation,will do the work and the structure is AD I P O not Intended or offered for sale (Section 7044, Business and !� FINAL D J^/ G 3307 292.71 Professions Code.) WILLTHE APPLICANT OR FUTUREBUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL �� `' ,j ❑ I, a8 owner of the property, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN a L ITEN:, project ( g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL Y � �- � licensed contractors to construct the ro ect Section 7044, y ❑ No❑ y o Business and Professions Code.) ��{� 71 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING ;HECK 1e OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH 292.71 2s71 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST ,�i(SE FOR GUIDELINES. / n�ji I I hereby affirm that there Is a construction lending agency for YES❑ NO 11the performance of the work for which this permit is Issued(Sec. 'PERMITTING READ THE HAZARDOUSf1=,'AL S I ORMATION GUIDE AND THE SCAOMD _ 3097,CIV.C.). CHECKLIST.I UN IREMENTS UNDER THE LOS ANGELES ., COUNTY CODE.TIT 2.CH ERS ON 700 THROUGH 2.20.740 CONCERNING 1-I�ii1J�!IU1�� �/ `�}/ ij I Lender's Name HAZARDOU ALSR AN FOR AINI G F MTHESCAOMD. IL Lender's Address OWN�� ° 9424 1 AN S."33 0 1 certify that I have read this application and state that the above information is Correct. I agree to Comply with all County P.C.FEE P MIT FEE JW ordinances and State laws relating to building construction,and hereby authorize represen Ives of this County to enter upon ISS CE FEE n the a ov men5n rP pro or inspection pur 3 , 0 0 7 �Ll J� INVESTIGATION FEE TOTAL FEE n Slpne4ua of AppOmm«A4md Dft SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATIONAEPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 050.8 0406290063 PHONE: (625) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDINGADDRESS: TR: 10558 LT: 45 UN: .002 SQ. FT STORIES TYPE 10332 OLIVE ST STRUCTURE: 234 VN TEMP CA 917802860 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET- 8585-020-034 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: EXPIRES N: EXIST OCC GRP: 06/29/04 JK 06/24/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATIO-Fi FINAL DATE -FINAL BY: CODE: NANDI SITYAMAL K;DIPALI (626) 454-3538- 7,000 ,11332 OLIVE ST ✓✓//,,�� TEMP 917802860 FEES PAID D CRI OF WORIZ! I.C.B.O. #3190 PATIO ENCLOSURE APPLICANT: TEL. 0 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: : GALKOS CONSTRUCTION (714) 373-8545- AX BUILDING REVIEW FEE 54.70 5412 BOLSA AVE #G AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: HUNTINGTON BEACH CA AC STRONG MOTION RESID 7000.00 VAL 0.70 D2 PERMIT W/0 EN-HC 7000.00 VAL 166.20 CONIRACTOR: TEL. NO- TOTAL FEES 249.35 GALK.OS CONSTRUCTION (714) 3T-8545- APPROVALS DATE INSPECTOR SIGNATURE 5412 BOLSA AVENUE LIC. NO LOCATION AND SETBACK SUITE # G 492715 HIC HUNTINGTON BEACH CA 92649 SOILS ENGINEER APPROVAL ,ARCHITECTOR ENGINEE9: TEL. NC RENFO NDATION/TCHFQPPME LIC. NO: SLAB/UNDER FLOOR- RAISED LOORRA SED FLu02 MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMF. UNCERFLOOR INSULATION XX 3 03 0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: FLOOR SHEATHING NO 21 ROOF SHEATHING SCHOOL WIT IN HAZARDOUS - SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION C �� REQUIRED TOTAL SETBACK FROM E IST FIRE SPRINKLER HANGEF SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CELL AASSEM RATED WALL ASSEMBLIES RATED SHAFTS OPF`INGS -` * ADDITIONAL DATA ONFILE T-BAR CEILINGS LOT DRAINAG REPORT ID: DPR261 ROUTE TO: BS0508