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HomeMy Public PortalAbout10508-10512 OLIVE ST_Building__ F6M38.A C8#8088.°8. APPLICATION FOR BUILDRNG PERMIT ., �.• COUNTY OF LOS ANGELES °BUILDINGle5 ;• . 4 •, DEPARTMENT OF COUNTY ENGINEER �fpD°REss BUILDING AND SAFETY DIVISION . .LOCALITY 'JOHN A.LAMBIE.COUNTY ENGINEER NEAREST ' CAS8ATT D.GRIFFIN BUP•T CF BUILDING CROSS ST. DISTRIC_TNO. N GROUP I q E —.I P ESSEDBY FOR APPLICANT TO FILL IN_ a.+,�-`�--� CONST, ` DRESS 9' ADRear Of 10512 • Olive ; STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ('B K PG ..CLASS.NO.==/=�DWELL.UNIT Z_ LOT NO. g '` BLOCK MAP TRACT M96 NUMBER HWY YES O USE ZONE SPECIAL s)) ' ry NO.OF BL:D,GS. / CONDITIONS pG SIZE OF LOT go�,'2/ I NOW ON LOT 2 -USE OF DWell7 21 EXISTING B 'DG. g & -Att. Gsra .e BUILDING EXIST. YARD 14WY STREET NAME , •SETBACK WIDTH OWNER • Donald Merddith &'Josephph Woeds FRONTMAIL ADDRESS' 105123Olive .• P.L. SIDE . clTv Tem le Cit TE'GI M ,P L. ' ARCHITECT OR- none r TEL. ,INSPECTION RECORD ENGINEER :NO. f. •',. r.+ ADDRESS l../,p f r TEL. �Gfi'Y'+► .xd. A_e•.P e•. Q+� a�3 .CONTRACTORRSjarTunas, Anita :&ist NO, i ;,i r _ ADDRESS 8717Las San Gabriel - -� SQL C'� � °C �I ©"� DESCRIPTION OF WORK. _ C',� NEW' ADD ALTER REPAIR DEMOLISH ME '906 STORIES 1. FAMILIES 1 4¢ USE OF STF(UCTURE � �t] f. Dwe in ta. I SIGNATURE OF' �; y' _ APPROVALS�� `(^�sa, •APPLICANT pp e DATE INSPEC R'S SIGNATURE ADDRESS IQJ , ' FOUNDATION: LOCATION f..C.• , �/ $ . ,.. "FORMS,MATERIALS .1-�ilf�( - "M'r C. $ FRAME: FIRE STOPS. ' Of�v FEE a .BRACING.BOLTS • l $' I1�._G• VALUATION FEE Q FURNACE: GAS VENT DUCTS N. �V fI I`HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- OATH,INT. � .p x1 PLICATION'AND STATE THAT THE ABOVE IS CORR CT AND AGREE TO COMPL WIT ALL CO TY ORDIN ES AND STATE LAWS R ,Vr'�`'�LA BUI N CONS TI N. LATH,EXT. /L M SIGNATURE OF!'���� ` ' HOUSE NUMBER COR- PERMITTEw. RECT AND POSTEDLIL41'r 01f ADDRES r y FINAL CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION N.o. CASH '- PEAIW VALIDATION CK.. N.C. CASH ;-: ,2;3;.Z�;2-U; FEB a 2-3. A 15..b M 4 . . . 1 A -3 0.0-0 A WORKERS'COMPENSATION DECLARATION b & rI have a certificate of elf ® Er Asureor acertifcate of Workers'Compensation insurance, A L I TI J iU L D I or S cerufied copy thereof(Sec. 3800, Lab. C.) COUNTY dF LOG?OGLES B��y, AND SAFETY Policy No. .� Company UODING Certified copy is hereby furnished. i FOR APPLICANT TO FILL IN BUILDING DDR SS Certified copy is filed with the county building inspec- BUILDING /�moi! �- tion department. ADDRESS OGt2 �0 v 1, Date Applicant CITY ` M P�• �B Tt ZIP LOCALITY L, ® ��I NO.OF BLDGS. �J NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' !i COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR TRACT [t 7--q10 BLOCK LOT NO. v MAP BOOK ��� PAGE eWl PARCEL hundred dollars($100)or less.) I� TEL OWNER,LCL F-Y, eJ PA NO. I USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner SPECIAL ts.� so as to become subject to the Workers'Compensation Laws. ADDRESS , CONDITIONS 0 Data Applicant CITY ZIP 13: NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT ;OUP TYPE FIRE PROCESSED BY 0 ENGINEER NO. CONST. ZONE (-- Exemption, you should become subject to the Workers' /� ZONE F_ Compensation provisions of the Labor Code, you must forth- gDDRESS �a / w with comply with such provisions or this permit shall be n=' TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. (n CONTRACTOR ®W NO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. Q-_ DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS BK. PG. �. YALIDATOON SQ.FT. Q NO.OF D NO.OF CHECK License Number Lic.Class SIZE 72 go STORIES 6 FAMILIES ONE !•I4t�)°v VALIDATION �y Contractor Date DESCRIPTION OF WORK AD ❑ $, vfJr� 7:+°5 I am exempt under Sec. 0 x.. ® ALTER ❑ ® 1 ITEM B.BP.C. for this reason RA "s 0 REPAIR ❑ $ LqQn BO t�� � o ti�jo4 Date: USE OING BLDG. w �'� DIOL ❑ ' _ CHECK 2.I�� °5, APPLICANT TEL. Signature FINAL OWNER-BUILDER DECLARATION PRINT S NO. DATE I hereby affirm that I am exempt from the Contractor's License Z!_ 5c°$:3 Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By i 6/2-5/91 BUILDING ���(,A�R� I, as owner of the property, or my employees with ADDRESS �-1.E(l: p � wages as their sole compensation,will do the work and _ the structure is not intended or offered for sale(Section LOCAUTY ® CHECK ;�y °4f 7044, Business and Professions Code). MOVING TEL. -- I,as owner of the property,am exclusively contracting CONTRACTOR NO. �_Ht-:N OX. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CR 010 CONSTRUCTION LENDING AGENCY SEQT BACK YARD HWY TOTAPROP L NE WIDTH 01109:1—LI11_t. 911 f ,K I hereby affirm that there is a construction lending agency for FRONT Ali •F° the performance of the work for which this permit is issued P.L. li.+� 1 ° (Sec. 3097,Civ. C.). SIDE P.L. Lender's Name ii :DMA Ref. N P.C.Fee$ ��' Permit Fee , Lender's Address 3 1 certify that I have read this application and state that the Issuance Fee ' SSU LDMA P/C 0 ° above information is correct. I agree to comply with all County Investigation Fee pl � ordinances and State laws relating to building construction, Total Fee Q z16 LDMA Perm. # v and hereby authorize representatives of this County to enter upon thea ave-mentioned roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Applicant or ant Date i A APPLICATION FOR BUILDING PERMIT r 1 COUNTY OF LOS ANGELES BUILDING AND SAFETY 6\orWORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRE I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS - •v2 C6\- or a certificate of Workers'Compensation Insurance,or a certified to S �' CAtve s • copy thereof(Sec.3800,Lab.C.) CITY _ ZIP LOCALITY T p Policy No. Company SIZE OF L r 1 NO.OF BLDGS.f1T ON LOT El Certified copy is hereby furnished. Q NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. t aqo 6 8 USE ZONE MAP NO. Date Applicant ASSESSOR MAP�pg0OKp PAGE 1 PARCEL SPECIAL CONDITIONS ps(JS �a,l CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NOb13l3 7c', COMPENSATION INSURANCE "L WITHIN 1000 FT.OF SCHOOL? YES NO m (This section need not be com pleted if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST, FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit CITY ZIP -5.o$ R--3 is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASS/IFKATION 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. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith )�e( FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovislons of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORI NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG C ® Q License Number Lic.Class D SCRIPTION OF 1NORK ADD ❑ VALUATION -L a2Q Contractor Date �Airt S,• ALTER ❑ $ 0 ❑ 1 am exempt under Sec. (`IINREPAIR ❑ $ H BAP.C.for this reason New 910A 1; XaLal�EMOL ❑ LDMA P/C# U Date: USE OFMS ING BLDG. c URM El O Ina Rl, 7 i U Signature APPLIQWT QWNXU W TEL NO. LDMA Perm# - i•^ L• 1, as owner of the property, or my employees with wages as ,` ff�U n a their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE Q -- Professions Code.) i}�{�_ WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDESFINAL BY T j licensed contractors to construct the project (Section 7044, OT L d� 2 5 Business and Professions Code.) YES❑ NO❑ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ': 1-C•' r;C OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �• �-�s�'• fi 1 s�.:' CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES CHAHGE A i d I hereby affirm that there is a construction lending agency for YES❑ NO❑ W the performance Of the Work for which this permit IS ISSUed(SBC. 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, CY TITLE 2.CHAPTER 2 20 SEONS 2.20.100 THROUGH 2 20.140Lender's Name MATERIAL E ON REPORTING AND FOR OBTAING A PERM T D.FROM THE SCAOMG HAZARDOUS Rt_ o Lender's Address �_#' 3 ; (*I t j i?i! G OWNER OR AGENT c 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 • Q •ci with all county ordinances and State laws relating to building (� CO cons c' n, and hereby authorize.representatives of this County ISSUANCE FEE / • _/p o e e n the ab loved property for inspection purposes. a 1 n INVESTIGATION FEE TOTAL FEE / /) �° ^l OT slew I>AW1 Da. / SEE REVERSE FOR EXPLANATORY LANGUAGE , �•' 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 0303030005 PHONE: (626) 285-0488 EXT: DUPLICATE LEGAL ID: 0. OF CONST BUILDING AD R SS: TR: 11290 LT: 8 BL: B SQ. FT STORIES TYPE OCCUP GROUP 10508 OLIVE ST STRUCTURE: 63 1 VN U1 TEMP CA 917802864 ASSESSOR INFORMATIONNUMBER: GARAGE: 267 1 VN U1 NEAREST CROSS STREET: HALIFAX 8585-021-013 OTHER: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY EXIST BLDG S USE Z - 55 ON: PROCESSED - EXIST OCC GRP: 03/14/03 JK 03/08/04 OWNER: TEL. 0: BLDGS. NOW ON LOT: LUATION: FINA TE FIN L Y: CODE: SPATA ALEXANDER;CATHERINE;JOHN (626) 350-1054- 7,700 10512 OLIVE ST TEMPLE CITY 91780 FEES PAID D SCRPTION OF WORK D NEW ATTACHED 1CAR GARAGE W/LAUNDRY & COVERED PATIO; CUT APPLICANT: . FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: HOLE IN WALL IN DINING RM/KITCHEN AREA FOR WALL A/C UNIT SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 7700.00 VAL 0.77 SPECIAL CONDITIONS: D1 PLANCHECK W/O EN-HC 7700.00 VAL 155.55 D2 PERMIT W/O EN-HC 7700.00 VAL 183.00 TOTAL FEES 367.07 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: L. 0: FOUNDATION/TRENCH F0 LIC. N0: SLAB/UNDER FLOOR RAISED FL RAM G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 0. OF FAMILIES: W L G UNITS: AP CO D: STAT CLASS: LEVEL FLOOR S 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 SETBACKFROM EXIST BLDG DEPT. FRARF-iffs-PTE7 SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- I INS IO T R T P INTERIOR LATH/DRYWALL � EXTERIOR H 3� LOT DRAINAGE SMOKE DETECTION DEV C S FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 • ti