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Home My Public Portal About10528 OLIVE ST_Building__ RO,.J 2P- FOR °F� :4IT IS R-^U 'P@D AN 14�Ir.l ? i il',',G2 Cl, WORK DONE IN THE ROAD RIGHT OF WAY. 78A898A CC#8038.6a APPLICATION FOR BUILDING PERM COUNTY OF LOS ANGELES BU Els"s L ! �• - �' z r DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY n JOHN A. LAMBIE. COUNTY ENGINEER NEAREST f`r CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. V t` DIS TRIC NO. GROUP TYPE P ESSED BY FOR APPLICANT TO FILL IN' y • I CONST. _ BUILDING ', C STATISTICAL CLASSIFICATION SEWER MAP I ADDRESS Q - f J K PG y �f ,y CLASS.NO. DWELL.UNITS--/J At LOT NO. CEG BLOCK t •MAP STATE YES O i NUMBER HWY.- TRACT Q. USE ZONE SPECIAL i NO.OF BLGS. � CONDITION IZE - SOF LOT• ry J I NOW ON LOOT op USE OF EXISTING BLDG. :------- BUILDINGEXIST. SETBACK YARD HWY STREET NAM WIDTH OWNERCrlyf �. ,��rr =FRONT MAIL P.L. a ADDRESS /O Q QeQQ SIDE I,�' P.L. EOJ CITY S®,17 N �7 INSPECTION RECORD," ARCHITECT 0% E OL 6B ENGINEER N `i e ADDRESS �i S��C! c �SC•'�E��. �+ INE) E '9 /�•!i U .d � _ 1- . � //� Ci �//6lvlil_Gam•,/ CONTRACTOR L, NO ( ADDRES (> f /l'7^ /� f/� U E✓ fJ.. DESCRIPTION OF WORK _� '•�� '''� / f.�JC� n✓� _ ,e/At-rte. n 1r:w, NEW ADD ALTER REPAIR DEMOLISI9 - ' / J SQ. FT. NO. OF NO. OF r•'/.� //)/� w///f / n lCl SIZE f��/�J STORIES F IES USE OF STRUCTURE ' �'=y��•�C�•. .�.,/�.u- :fit' /�.� ,t�a d/.fir 4 SIGNATURE OF APPLICANTn(( � qq J APPROVALS DATE INSPECTOR'S v SIGNATURE ADDRESS G. E? FQUNDATION:LOCATION i ��' 'FORMS,MATERIALS VALUATION 5 d d I FRAME:FIRE STOPS, t ' q.�E101 PMT. , /�[ BRACING,BOLTS /Q f F E $�7 FEE $H�U OO FURNACE:LOCDATION, UCTS GAS VENT I HEREBY ACKNOWLEDG THAT 1 HAVE READ THIS AP- 7 PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH,INT. �� -d&I :l/dlb _.off b r AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND // r `` STATE LAWS rlNNG ILD CONSTRUCTION. LATH.EXT. t/ Z-/a SIGNATURGf�r�>,.1 ri'x.•.;!!f OUSE NUMBER COR- PERMITTEE , ✓d HRECT AND POSTED ADDRES : FINAL �'J ��+� _ �•%•✓✓I+�CfA� CLYDE N. DIRLAM, PRINCIPAL STpC!M-RjkENGINEER PLAN CHECK VALIDATION CK . M.O. CASH l / PERMIT VALIDATION CASH 9 7 111 APR 22 2 3 A 2 4.0 0 y WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION F OR l!I L D I N G PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS (A C`-1!J i ❑ Certified copy is filed with the county building inspec- BUILDING ��rr77 tion department. ADDRESS (/ - Date Applicant CITY !ZE;i• N Lti ZIP /71!eZ> LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' / NO.OF BLDGS. NEARESTJw COMPENSATION INSURANCE SIZE OF LOT Q NOW ON LOT CRO55 ST. (This section need not be completed if the permit is for one TRACT V BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. USE ZONE MAP I certify that in the performance of the work for which this OWNER NO. ) °/ NO. permit is issued, I shall not employ any person in any manner �,( SPECIAL so as to become subject to the Wq 46 orkers'Compensation L s. ADDRESSr r� CONDITIONS U Date Z .— 7 Applicant _ _ CITY E-n ri. IF lF.6�/ 0 NOTICE TO APPLICANT: If, after making this C tificate of ARCHITECT O TEL. DISTRICT GR UP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' ENGINEER NO. CONST.l ZONEAV / H Compensatioprovisions of the Labor Code, you must forth- ADDRESS V a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. EONDO. t deemed revoked. CONTRACTOR NO. CZ/) LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. 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 L VALIDATION SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE/✓ , (�J STORIES FAMILIES NEW ONE VALUATION Contractor Date DESCRIPTION OF WORK ADD ❑ 6! I am exempt under Sec. o Lv` ALTER ❑ oil. B.BP.C. for this reason ",/I' P REPAIR $ Date: USE OF ❑ EXISTING BLDG. SI/t rp mac; DEMOL Signature APPLICANT TEL. Z� FINAL -,97428A PRINT NO. 7 OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License # a 0 0 0 0 Law for the following reason (Section 7031.5, Business and ADDRESS FI Pro ssions Code): B BUILDING I 0 0 4 Q 5 0 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 4 Q5 012the structure is not intended or offered for sale(Section LOCALITY o 0 0 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. o7. 08-87 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CK FROM CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROPpLINE 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 P.L. Lender's Name ate') LDMA Ref. # m P.C. Fee$ Permit Fee Lender's Address �•, I certify that I have read this application and state that the Issuance Fee LDMA P/C# g above information is correct. I agree to comply with all County Investigation Fee S ordinances and State laws relating to building construction, Total FeeSLO LDMA Perm.# R and hereby authorize representatives of this County to enter up he above-me ed pro ty for inspection purposes. m aS m SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applic or Agent Dote i 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 0910260019 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 TR: 11290 IT: 6 BL: B I SQ. FT STORIES TYPE I 10528 OLIVE ST I 1STRUCTURE: 22 V-B I ' TEMP CA 917802864 1 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: SANTA ANITA 18585-021-010 1 1 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl ITENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 1EXIST OCC GRP: 110/26/09 SR I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL FIN BY: CODE: IBHARADWAS, RISHI - 7,500 I 1 110528 OLIVE ST. I I I ITEMPLB CITY CA 91780 I FEES PAID IDESCRIPTI OF WORK I I I IREROOF REMOVE ONE LAYER SPT ROOFING, INSTALL CLASS A I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:ICOMP SHING OVER EXISTING SHEETING 1 APPLICANT: TEL. NO: 1JAMES B ROBERTSON (818) 201-6635- IAA BLDG PERMIT ISSUANCE 27.75 1 I 8500 TUNNEY AVE IAB STATE GREEN BLDG FEE 7500.00 VAL 1.00 (SPECIAL CONDITIONS: 1 INORTHRIDGE CA 91324 AC STRONG MOTION RESID 7500.00 VAL 0.75 I 1D2 PERMIT W/O EN-HC 7500.00 VAL 183.00 1 I 1 I TOTAL FEES 212.50 I I ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I JAMES B. ROBERTSON, INC. (818) 201-6635- I I 1 18500 TUNNEY AVENUE LIC. NO I ILOCATION AND SETBACKS NORTHRIDGE, CA 91324 844470C39 I 1 1SOILS ENGINEER APPROVAL 1 1 1 1ARCHITECT OR ENGINEER: TEL. NO: - 1 IFOUNDATION/TRENCH FORMS I I LIC. NO: I 1SLAB/UNDER FLOOR I I I 1 1RAISED FLOOR FRAMING I 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I 1147H273 3 OOI I 1 1 I IFLOO4 SHEATHING I 1 I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I NO 21 1 (ROOF SHEATHING �_ I SCHOOL WITHIN HAZARDOUS 1SHEAR PANELS I I (AIR QUALITY: 1000 FfifiT MATERIALS I 1 NO NO NO i 1FRAME INSPECTION I 1 I REQUIRED TOTAL SETBACK FROM EXIST I 1FIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: IFRONT PL- I (INSULATION/WEATHER STRIPI I I I SIDE PL- I 1 1-1 I I (INTERIOR LATH/DRYWALL I I 1 [ I 1EXTERIOR LATH 1 1 1 1 IRATED FLOOR/CEIL ASSEM. I 1 I IRATED WALL ASSEMBLIES I I I I 1RATED SHAFTS/OPENINGS 1 1 IT-BAR CEILINGS 1 I I 1 1LOT DRAINAGE I [ [ IREPORT ID: DPR261 ROUTE TO: BS0508 I [ 1 I I I I I I I