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76AB58A CE#8051-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 1
BUILDING AND SAFETY DIVISION LOCALITY r
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST /
WILLIAM A.JENSEN, SUP'T OF BUILDING CROSS ST.
DISTRICT NO. GROUPTY ESSED BY
FOR APPLICANT TO FILL IN 5 = c• sr.
BUILDING / /� � STATISTICAL CLASSIFICATION S WEIR MAP
ADDRESS �+ 6/�s5 . &__ �. BK P�
CLASS.NO.. C)—DWELL.UNITS
LOT NO. BLOCK WATER NOT REQUIREDRECEIVED
CERTIFICATE:
TRACT MAP HIGHWAY
NO.OF BLDGS.
NO. (CIRCLE) STATE MAJOR SECOND LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF /+/ CONDITIONS
EXISTING BLDG.
TEL.
OWNER NO. BUILDING YARDHWY R T AME EXIST.
SETBACK WIDTH
ADDRESS % Is FRONT
ARCHITECT OR TEL. P• L•
ENGINEER NO. SIDE
P. L. C
ADDRESS 10
T
CONTRACTOR NEL.O.H[6
8
ADDRESS 7
k
DESCRIPTION OF WORK
u
4
v
NEW ADD ALTER REPAIR DEMOLISH d
SQ.FT. NO.OF NO. OF
SIZE FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $ U
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
F E $ ~� FEE $ FORMS, MATERIALS
--� FRAME: FIRE STOPS, ,.• ",ty
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE ISieORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK p�, j �.•
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 C PENSATION INSURANCE. r •"
LATH,EXT. , caez
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
F /J
ADDRESS FINAL G
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGI R
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH ..
utGO 7 9 5 7,. DLC 6 D 6.0 0~
7SA638A CE96031-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST [
WILLIAM A.JENSEN,SUP'T OF BUILDING CROSS ST.
DISTRICT NO. G OUP TYPE _ ESSED BY
FOR APPLICANT TO FILL IN 1;,- CONST.
BUILDING ,/.�q L STATISTICAL CLASSIFICATION S ER MAP
ADDRESS /y AJC F.
K rj
CLASS.NO. DWELL.UNITS-.14,—.1 !i
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ❑
CERTIFICATE:
TRACT NOP (CIRCLE;
NO.OF BLDGS. STATE MAJOR SECOND', OCAL
SIZE OF LOT () NOW ON LOT USE ZONE SPECIAL
USE OF /� CONDITIONS
EXISTING BLDG. ,[I
TEL. /
OWNER NO. BUILDING NAME EXIST.
YARD HWY
SETBACK R ,Z WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
ADDRESS
CONTRACTOR dk, NO.W 6Vj.4�8
ADDRESS v Fes' 1@ I' "l/��I f'i'/"'ir✓GJ J1wC1Nf�l�- F� m 6
r F
DESCRIPTION OF WORK
e
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. 4 NO.OF NO. OF
SIZE b STORIES FAMILIES
USE OF
STRUCTURE
l a}�r 7 i./..t►
SIGNATURE O
APPLICANT
VALUATION
APPROVALS DATE INSPECT.OR'S SIGNAlrup+
P.C. PMT. FOUNDATION: LOCATION , � i
FEE $ "��' FEE $ FORMS, MATERIALS �
FRAME: FIRE STOPS, AitA3 4�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ' BRACING. BOLTS �U r4
AND'STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, 1.
'A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Ck
GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 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 MPEN TION INSURANCE. L' EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE_ � RECT AND POSTED r' I
ADDRESS /j�vw"^"�y� FINAL �/A 14
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENG R
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
LACo 5 0 4 8 OCT 2 1 D 8.00-
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, BUILDI G A D Y�
or a certificate of Workers'Compensation Insurance,or a certified
copy thereof QSec.3800,Lab.C.) CITY ZIP
Policy No.1iCompany �� LOCALITY
SIZE OF LOT NO.OF BLDGS.NOW ON LOT
Acertified copy is hereby furnished. I NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
USE ZONE MAP NO.
department. � '
Date 'T Z-�L Applicant �- �-� ASSESSOR MAP BOOK �!(�y PAGE r� PARCE
� �1�� �Of� SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER JETS/YJ YES !/No
COMPENSATION INSURANCE LSI WITHIN 1000 FT OF SCHOOL?
(This section need not be completed if the permit is for one hundred ADDRESS ,-
dollars($100)Or less.) v 63� �GT�� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
CITYZIP
I certify that in the performance of the work for which this permit
is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO.
become subject t0 the Workers'Compensation Laws. STATISTICAL CL SIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO. a� DWELL UNITS
NOTICE. TO APPLICANT If, after making this Certificate of �'T,`�7 REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the' Workers' CO A �/"/�i� �vl�V'Ir^`r1 TE NO. 7` SET BACK 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. AD KESS LIC.NO. P L
LICENSED CONTRACTORS DECLARATION �a `sem°" �✓�E'r�� SIDE
CITY� LIC. (ASS P L
I hereby affirm that I am licensed underprovisions of Chapter 9 ���c/ �� SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SQ. SI NO.OF STOgIES NO.OF F/�MILIES NEW ❑ BK PG 23 >-
Professions Code,and my license is in full force and effect. / � a
�6/W� DSC PTION OF WOK VALUATION •@
License Number Lic.Class ADD ® �� 4'd { °F U
Contractor_ '� Date yZ"�°r ALTER ❑ � 1 S d O, 330-7 50
❑ I am exempt under Sec. REPAIR ❑
BAP.C.for this reason `/� OL ❑ LDMA P/C#
Date: SE OF EXISTI LDG. URM ❑ ,3.`iLJ t •574,[n
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# z
❑ I, as owner of the property, or my employees with wages as ` Z 2 ITENS
their sole compensation, will do the work and the structure is ADDRESS OTll I AL
not intended or offered for sale (Section 7044, Business and FINAL DATE "' Q 62-"-F-
Professions Code.) WALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL CHEN 624.5-7
OR A.MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
❑ I, as owner of the property, am•exclusively contracting 4AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL ,�HANGE
YESlicensed contractors to construct the project (Section 70444,, / 001
WILL
Business and Professions Code.) 11 No
WALL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING -
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FORIJf -ijilCJi
GUIDELINES ' �` :i, 0 6 i!
I hereby affirm that there is a construction lending agency for YES❑ NOX, �n 0863
athe performance of the work for which this permit is issued(Sec. Pik 4:49
a 3087, CIV.C. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDEAND THE SCAOMD PERMITTING
CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS
LenMATER der's Name 1G AND EQQRR OBTAINING A PERMIT FROM THE SCAOMD.
o LeAr's Address
OWNER OR AGENT
o I certify that I have read this application and state under penalty
0 of perjury that the above information is correct.I agree to comply P•C FEE �O.CEJ PERMIT FEE -�
a with all county ordinances and State laws relating to building /
construction, and hereby authorize representatives of this County ISSUANCE FEE /
m to t p>'mt above-mentioned property for inspection purposes. , (moi
a
m ?�� INVESTIGATION FEE TOTAL FEE O
n
SQt—d AWIC-1 m AW1 ,
Dma
SEE REVERSE FOR EXPLANATORY LANGUAGE
C I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0502010015
PHONE: (626) 285-0488 EXT:
GA I0: NO. OF CONSTBUILDING DD S : a
TR: 11290 LT: 5 BL: B UN: .003 SQ. FT STORIES TYPE OCCUP GROUP 10536 OLIVE ST
STRUCTURE: 648 1 VN R3 TEMP CA 917802864
ASSESSOR-INFORNATIONB R: GARAGE: NEAREST CROSS STREET:
8585-021-006 OTHER: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG E: USE ZONE: S D 0 OC D P .
EXIST OCC GRP: 04/07/05 JK 04/02/06
OWNER: TEL. N0: BLDGS. NOW ON LOT: VAL TION: FIML DATE FINAL BY: CODE:
VELASQUEZ FRED;YOLANDA;CLAUDIA (626) 575.8152- 53,650
10536 OLIVE ST
TEMP 917802864 FEES PAIDDESCRIPTION OF WORK
FEE DESCRIPTION: QUANTITY: UOM: MOUNT:
HOUSE (E) 1-STORY WITH 1 BEDROOM, & 1 BATHROOM
649 APPLICANT: TEL. NO:
SAME AS OWNER - B1 PLANCHECK W/ENERGY 53650.00 VAL 785.82
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION RESID 53650.00 VAL 5.37
B2 PERMIT W/ENERGY 53650.00 VAL 924.50
CONTRACTOR: TEL. N0: TOTAL FEES 1,743.44APPROVALS DATE INSPECTOR SI T R
SAME AS OWNER -
LIC. NO rO-C-A—TMN AND SETBACKS
SOILS ENGINEER APPROVAL
ARC C 0 NG ER: O: F 0 R C ORS •�`
LIC.-NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01 IST
LEVEL R SHEATH
0. OFFAMILIES: DW ING UNITS: AP CO : ST CL SS:
41
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN DO S ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO ` NO FIRE DEPT. FRAME INSPECT
T7—
REQUIREDTOTAL SETBACK FROMBLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP -LINE: WIDTH: IG </
FRONT PL- SHUR PANELS
SIDE PL-
S IO R STR
f3
INTERIOR LATH/DRYWALL 6�
EXTERIOR
LOT DRAINAGE
SMOCTION DEVI
FIRE DEPARTMENT APPROVE
REPORT ID: DPR261 ROUTE TO: BS0508