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HomeMy Public PortalAbout10536 OLIVE ST_Building__ TEMPLE CITY 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