HomeMy Public PortalAbout10526 OLIVE ST_Building__ ,•.r;
FOR AN'( MATERIAL SiRSC
DONE IN THE ROAD RlUkil CGI- WAY.
MAMA CE#6086.69 APPLICATION FOR BUILDING PERMIT 1'
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADORE.S ,A S
BUILDING AND SAFETY DIVISION LOCALITY `G
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO, GROUP rTYPE .I PR SS D BY
F
R APPLICANT TO FILL IN .3` CONST, ,
` BUILSTATISTICAL CLASSIFICATION I SEWER MAP
STATE
ADD 'I�Yt/CLASS.NO. DWELL.UNITSLOT BLOCK //
NUMBER IZ I:9!d HWY. YES NO
ZONE
USE
TRACT ' d
' SPECIAL
NO.OF BLDGS. CONDITIONS'
A
SIZE OF LOT I NOW ON LOTS O
USE OF
t EXISTING BLDG. Q ILDING EXIST.
i YARD HWY STREET NAME
C �L �5 SETBACK WIDTH
OWNER rej FRONT "
MAILP.L. 6-0
ADDRESS L,'6 � ��S ��ld SIDE
TEL-5)
'.c P.L.
CITY 1�<7S"A/J-� NO. J . Z 7/ j ')'INSPECTIONI
ARCHITECT OR TE RECORD Z',,_„•;•t��.•
ENGINEER G,G' �GC� NOE
y ADDRESS Z.S�F�
CONTRACTOR s/ r LN
ADDRESS Z 5� Q,• OS D J>QS .1r 1�i7 i
DESCRIPTION OF WO '-. -''
``7•%-(% ice, << y�.,dY� r-��'!�:G��;i.
t NEW AD ALTER REPAIR DEMOLISH �• / , ,r ,
SQ. FT. NO. OF NO. OF ' r d, (i
SIZE STORIES FAMILIESUSE OF I
I'
STRUCTURE
C� G JZ ��/\1 l� ' I
SIGNATURE 10 '�r
APPLICANT ��'�� ���
APPROVALS DATE INSPECT R'S SIGNATURE
I ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS /•�: �� ,', �•• _ I
VALUATION $ c3�tb 1 I FRAME:FIRE STOPS,Moji
. s - ., BRACING,BOLTS �!7 G/ �� J,�.tC=L c l' •�L
FURNACE:URNACE:LOCATION, J�
FEE S I FEE $ 71.0Q GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LA'PH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH.EXT.
STATE LAWS REG 1 BUIL ONST UCTI _
SIGNATURE OERMI %� HRECT AND POS TECOR_
PTTE
ADDRESS FINAL O .� y(p_!y'J°-'�a�••jj tJ. __.
CLYDE N. DIRLAM, PRIf4CIPAL STIR
' RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION , CK.'' M.O. CASH
OF
DIVISION OF BUILDING AND SAFETY
HDepartmnent of County Engineer BUILDING
., �'.. County of Los Angeles
r WM. J. FOX, COUNTY ENGINEERAPPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT N0. PLAN CK.OR RED.NO. P.]MIT E"
BUILDING /
ADDRESS
/RCYEIVED BY DATE OF APPL. DATE 18 E�
LOCALITY
NEAREST _
DROSS ST. ADDREISS S O'GP
OWNER
MAIL LOCALITY
ADDRESS NEAREST c�
CROSB ST.
CITY NO. � FIRE NO.OF I TYPGROUP
ARCHITECT TEL ZONE PLANEadmlSd�
ENGINEER s O b NO. BLOB. F��L� ORD. NO.
SETBACK LINE ?►O
ADDRESS 14
USE APPROVED
CONT RAOTO TEL ZONE BY DATE
.�- � wO,/�D-17�5�� HOUSE NUMBERING
ADDRESS ® � MAP NUMBER NO. ASSIGNED BY
LEGAL /_3CORRECTIONS
DEBORIPTI/ON LOT NO. BLOCK
TRACT /I -2,
NO. OF SLOCIL � A00
SIZE DF LOT I NOW ON LOT g a n�"
USEOF I N OF (�f/ sal-Ir Cd" 6..
EXISTINGFAMILIES
BLDG. , ' c. / �,
DESCRIPTION OF WORD /� �T✓c�s� / !
NEW ALTERATION ADDITION
REPAIR DEMOLITION (9' r
SQ.FT. NO.OF
SIZE ROOMS STORIE
EXT.WALL I ROOF
CDVEMNB�I�Adl COVERING
USE OF STRUCTURE
INSPECTION
OCCU AN YB
AR APPROVAL
OR1fi 9 13NATURE DATE
FOUNDATION:LOCATION r >
FORMS, MATERIALS
,C:G+ry"4''-
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- `��
CORRECT
AND STATE THAT THE INFORMATION GIVEN IB FRAMEs BRAOINGRBOLTS ESTOPS, -' e1e_ en._ / i - �-i
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAN VENT,DUCTS
SIGNATURE OFLATH. INT. f�
PERMITTE !!��
LATH. EXT. Sly
AODRES
PLABTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
P.C.Q
goo
FEE HOUSE NUMBER COR-
,lJ RECTAND PORTED
Vz S
VALUATION FEE FINAL f� 4
76AS38A DBS 3 1-53
DIVISION OF BUIt.DZr1G AND SAFETY
COUNTY OF LOS ANGSM
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO Ml IN FOR OFFICE USE ONLY
FADDREGS
DISTRICT PLAN CK.OR REC.NO. PERMIT NO.
(0�..Z ���
L7RE�C�EIVED BY DATE OF APPL. D E ISSUED
CROSS ST. BU1LDi G
ADDRE S CO VV
LOCALITY
NEAREST
CITY TE .
- 0 'O CROSSST. /�.y"Gf
ARCHITECT OR Z IPLNS I TY I GOPONE PLANSENGINEER NO. �
ADDRESS SETBACK LINE c9O ✓j'
TEL. USE91 APPROVED
CONTRACTORNO. ZONE BY DATE
'
ADDRESS //��,�,,
HOUSE NUMBERING
LEGAL r MAP NUMBED �/T/ ��/ NO. ASSIGNED BYr�
DESCRIPTION ILJQrr NO. C9 BLOCK C®RRECTI®NS
TRACT `. ,&
SIZE OF LOT -2-7 01 NOW ON LOT C___
USE OF ^ NO. OF
EXISTING BLDG. FAMILIES
DFSCAIP'iT0 OF WORE o
,r
NEW
ALTERATION TION j SZ
REPAIR DEMTION
r
'• SQ. FT. NO.OF
SIZE 0 ROOMS STORIES
` EXT.WALL ROOF '
COVERING I COVERING
USE OF STRUCTURE
O
9
APPROV
INSP R'S SIGNATURE ! DATE
�. FOUNDATION:LOCATION
FORMS. MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- - FRAME: FIRE STOPS. /
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT.
I AGREE TO COMPLY WITH ALL COUNTY ORDINANC 8 FURNACE:LOCATION.
AND STATE LAWS REGULATING BUILDING CONStRUCTI 6A8 VENT, DUCTS
SIGNATURE OF LATH, INT.
PERMITTE
' LATH. EXT.
'
ADDRF-68
PLASTER. INT.
AUTHORIZED AGT.
PLASTER, EXT.
P. C. S HOUSE NUMBER COR-
�� FEE RECT AND POSTED
VALUATION FFEE__S'T FINAL
sae & ncm 9 A.HA
A ROAD DEPT.. PERMIT IS REQUIRED
FC„ ANY MAT-",:','-L OR WORK
.DONE IN THE. ROAD Ri�HT OF WAY.
,awesewCIC aea,e.eaAPPLICATION FOR 'BUILDING, PIa.PI�I°�' �..
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. a
I
CT NO. GRO YPk. PRO SSED BY
FOR APPLICANT TO IN ` CONS -,
BUILDING / TICAL CLASSIFICATION. SEWER MAP
ADDRESS �� (p , '�� S.NO.-400—DWELL.UNITS 4K 1�J
` LOT NO. �' BLOCqq / '1)• STATE
R�G�/ YES
• HWY.
TRACT USE ZONE SPECIAL
y I NO.OF BLDGS. CONDITIONS
SIZE OF LOT 2- OW ON LOTUSE OF
EXISTING BLDG. NG EXIST.
K YARD HWY STREET NAME WIDTH
o OWNER• f• T MAIL
.ADDRESS" 1. SIDE
TEL. P.L.
CITY NO. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL
CONTRACTOR - NO'.
ADDRESS
DESCRIPTION F WORK
NEW' ADD ALTER REPAIR DEMOLISH
P SQ. FT. - NO. OF NO. OF /
SIZE �� STORIES FAMILIES
USE OFr +
STRUCTURE y
e5/GNATURE OF
/APPLICANT
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION:LOCATION '
FORMS,MATERIALS
VALUATION $ r I FRAME:FIRE STOPS,
BRACING,BOLTS �� "L" j •�rrLL :41n j�
FEE 3 I FEE q�d�Q FURNACE:LOCATION,
GAS VENT,DUCTS
a
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY y19TH ALL C NTY ORDINAN ND
STATE LAWS REG / T G B 4 L NG ONST 'CTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR- I
PERMITTE RECT AND POSTED d
ADDRES FINAL t._ °i•Cdr �:�),.lS.`kC✓ �� ,,
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ER
PLAN CHECK VALIDATION cK. M.O. CASH 'PERMIT VALIDATION• CK. M.O. `(CASH
' 100 7 f ��
R
78A838A_CEOG03 9-87
ff^^ APPLICATION FOR BUILDING PERMIT I 'L�I
COUNTY OF LOS ANGELES BUILDING
DEPA$TMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY ��
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. G UP TYPE P OCESSED'BY
�^ CONS'/� )�
(Print or type only) J - Q V
BUILDING ���� STATISTICAL C ASSIFICATION SEWER MAP
ADDRESS D r CLASS NO. , DWELL.UNITS N BK PG2
LOT NO. 1 BLOCK USE ZONE MAP 2a 10
_ �s'� /�)
NO.
TRACT 11 V "^ SPECIAL
�jj NO.OFBLDGS. CONDITIONS
SIZE OF LOTbJ I O NOW ON LOT �s
USE OF
EXISTING BLDG, dj Q L-J Al BLDG.SETBACK FROM
TEL. FRONT PROP.LI NE OF «' (STREET)
OWNER d R NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CITY / 6o J70 '6 + -2c) = -10
BLDG.SETBACK FROM (STREET)
ARCHITECT OR EL. SIDE PROP.LINE OF
ENGINEER NO. TYPE OF EXISTING SETB HWAY + YARD = TOTAL
ADDRESS .-,•'S. HIGHWAY1 WIDTH C.L.
CONTRACTOR 1Zri(! IA1 NOL 7- ,('J/ + = Q
ADDRESS )'a NO. L3 CORNER CUTOFF YES ❑ NO ❑
CITY CLASS 'SEE'RE_VERSE SIDE FOR SPECIA-L APPROVALS t
DESCRIPTION OF WORK y
•
NEW ADD ALTER REPAIR DEMOLISH y
SQ. FT. NO. OF NO. OF 7
SIZE STORIES FAMILIES
USE OF � //JJ �}
STRUCTURE 0-9da . .,
SIGNATURE O
APPLICANT
VALUATION6ffzl"70.0 i -
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE S FEE S 3,3,693 FORMS. MATERIALS !" L3 (? !F
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. 'AMS '
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. y
LATH, EXT.
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINALV*flef
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
LAAO 6 7 s 5�8 GCT 10 1 D .5 23.0 0 e
WORKERS'COMPENSATION DECLARATION ' "(r, r
insurebUMONG PERMIT
oraacertif ca
fthat
te of Workers. Compensah'on lnsOrancv, I 'I f�` �� Ll I]`4] FOR O
or a certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company i
BUILDING
Certified copy is hereby furnished. FADDRE
OR APPLICANT TO FILL IN ADDRESS •'1 "<+2.
❑ Certified copy is filed with the county building inspec- r— -+� , U
tion department. iADDRESS ���G `�' �<<V,!5, LOCALITY s./� 6
Date Applicant �� Wil'G ell <1"/T�"'7 NEAREST
ZIP CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' I! NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if-the permit is for one . i + USE ZONE MAP
hundred dollars($100)or less.) BLOCK LOT NO. NO. :;2 .
r TEL. C'� �r I SPECIAL y-
I certify that in the performance of the work for which this I' +' C NO. �l� CONDITIONS LL
permit is issued,I shall not employ an person i ny m er Ir 7/ r / DISTRICT GROUP TYPE FIRE PRO ESSED BYso as torbecome subject to the Wor s' patio ws. / $C•�` CnC+ (✓ �w� CONST./ ZONE J
�L !mob" CITY �� ZIP % � L7�Q /�i t�
�111NOTICEJCI
ate �4pplicanT i STATISTICAL CLASSIFICATION APT. CONDO.
ARCHITECT OR TEL.
APPLICANT: If, after making this Certificate of � +-ENGINEER NO. `^ �L
Exemption, you should become subject to the Workers' CLASS NO. o-- DWELL: UNITS UJI
Compensation provisions of the Labor Code,'you must forth- ADDRESS SEWER P trs
with comply with such provisions or this permit shall be j TEL
deemed revoked. CONTRACTOR NO. BK. PG,�� VALIDATION
r LICENSED CONTRACTORS DECLARATION LIC. 1
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION
(commencing with Section 7000)of DivisioA 3 of the Business and LIC.
Professions Code,and my license is in full force and effect. `, CITY CLASS $ Q�
SQ.FT. 1146.OF / NO.OF CHECK
SIZE NE
STORIES ILIES -
License Number Lic.Class � / FAMO
It $
Contractor Date jl DESCRIPTION OF WORK NEW ❑
!� f S _ ADD ,.. :,....� ..:...•;.�
I am exempt under Sec. Ii ALTER ❑ FINAL
B.&P.C. for this reason REPAIR ❑ DATE z"
Date: K(TSE: F DEMOL FINA
i' EXISTING BLDG. ❑ By
Signature I APPLICANT TEL.
OWNER-BUILDER DECLARATION PRINT NO.
I hereby affirm that I am exempt from thetontractor's License ADDRESS ? n A
Law for the following reason (Section 7031.5, Business and Y
Professions Code): ` PRESENT
BUILDING
I, as owner of the property, or my employees with i{. ADDRESS 1 1 00' 1
wages as their sole compensation,will do'the work'ond -
LOCALITY
the structure is not intended or offered for'•'sale(Section - i z
s
7044, Business and ProfessionCode). i MOVING TEL. C. '' I Q�'
❑ , CONTRACTOR NO. 0IO 1 2783
I,as owner of the property;am exclusively contracting
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code): I
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY I SET BACK YARD HWY PROP.LINE WIDTH D
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.
tSec. 3097, Civ: C:).i SIDE
a P.L.
Q Lender's Name
Lender's Address P.C. Fee$ Permit Fee
. ; L
I certify that I have read tFtis applimtion and state that the Issuance Fee
above information,is correct:I;agree to comply.:with.all County• investigation Fee.. :; y�
ordinances and.State;ld%;,s relatin to building 'constructiori;
•' Total.Fee 1'V �..�..'�
and hereby au.thoriiti repress otves of this County to'an'ler
upo the abo e-Rtenti6nedperty, r,inspection purposes. ;
' ✓ T /-( g• ��/1 .g� SEE REVERSE FOR EXPLANATORtt LANGUAQIE ,
ignature of Applicant or Agent' Date ®s
•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 1112290011
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 11290 IT: 6 BL: H UN: .002 I SQ. FT STORIES TYPE I 10526 OLIVE ST I
I ISTRUCTURE: 1750 V-B I TEMP CA 917802864
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18585-021-011 1 1 THOMAS PAGE. 597 GRID: C3 LOCALITY: TEMPLE CITY Cl
IT T= (EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 112/29/11 SR 1
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI Y: CODE: 1
[KWOK, YU PING (626) 863-6329- 1 1 8,000 1
110526 OLIVE ST I
ITEMP 917802864 I FEES PAID IDESCRIPTI�F WORK I
1 I IKITCHEN AND BATHROOM REMODEL
]FEE DESCRIPTION: QUANTITY: UOM: AMOUNT.1 1
(APPLICANT: TEL. NO: I I I
1SAME AS OWNER - 1AA BLDG PERMIT ISSUANCE 27.80 1 I
IAB STATE GREEN BLDG FEE 8000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IAC STRONG MOTION RESID 8000.00 VAL 0.80 I 1
I ID2 PERMIT W/O EN-HC 8000.00 VAL 183.40 1
TOTAL FEES 213.00 I-_ I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I I
ILIC. NO 1 1LOCATION AND SETBACKS I I ]
I _I ISOiLS ENGINEER APPROVAL I I I
[ARCHITECT OR ENGINEER: TEL. NO: [FOUNDATION/TRENCH FORMS I I
1 LIC. NO: 1 ]SLAB/UNDER FLOOR 1 I
[ [ RAISED FLOOR FRAMING [
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( IUM?LRFLOOR INSULATIONI 1
1147H273 3 OOI I 1-1 [
I I IFLGOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
1 0 NO 21 1 IROOF SHEATHING
] I I
I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS ] I
[AIR QUALITY: 1000 FEET MATERIALS I I ] I I
I NO NO NO I I FPJ%,ME INSPECTION
I I IFIRE SPRINKLER HANGERS 1 1 1
I I 11NSULATION/WEATHER STRIPI I I
I _I (INTERIOR LATH/DRYWALL
] I I
[ I (EXTERIOR LATH ] I I
I I I
I I ]RATED FLOOR/CEIL ASSEM. I I [
IIRATED WALL ASSEMBLIES I I
I I IRATED SHAFTS/OPENINGS I I
] I
[ I IT-BAR CEILINGS I I 1
I I I
[ [ ILOT DRAINAGE I I 1
I I I
[ IREPORT ID: DPR261 ROUTE TO: BS0508 I -I I _ 1
I I_ I I I
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