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HomeMy Public PortalAbout10546 OLIVE ST_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS FIRE SPRINKLER BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9711140036 PHONE: (818) 285-0488 EXT: LEGAL ID: UMBER OF ADDED/RELOCATED ADDED/RELOCATEDBUILDING ADDRESS: TR: 11290 LT: 4 BL: B SQ. FT SPRINKLER HEADS 10546 OLIVE ST STRUCTURE: TEMP CA 917802864 ASSESSOR INFORMATION -NUMBER: NEAREST CROSS STREET: PAL MALL 8585-021-037 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG SE: ISSUED ON: PROCESSED-BY: EXPIRES ON: EXIST OCC GRP: 06/01/98 UT 06/01/99 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE_6_i_, FINAL BY: CODE: TU SHENG HENG;HUANG HUI CHU J - 2,800 10544 OLIVE ST TEMP 917802864 FEES PAID DESCRIPTION OF WORK FIRE SPRINKLERS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: T.L.C. FIRE PROTECTION (626) 280-8193- DO FIRE SPRINKLER PC 2800.00 VAL 84.27 AA BLDG PERMIT ISSUANCE==---- 27.75 SPECIAL CONDITIONS: AC STRONG MOTION•"RES-ID-_--=_2800.00 VAL 0.50 D2 PERMIT W/0•EN-HC;;: 2800.00,VAL 99.15 �. -TOTAL•„FEES..'I•• 211.67 CONTRACTOR: TEL. NO: r.;' �f�� 1 ' � `: APPROVALS DATE INSPECTOR SIGNATURE T. L. C. FIRE PROTECTION (626) 280-8193- 1434 S. SAN GABRIEL LIC. NO .�'.% ! •! %/ +'r IRE DEP ME INSPECT SAN GABRIEL, CA 91776 NONE , FIRE SPRINKLER HANGERS ARCHITECT OR ENGINEER: TE 0: FIRE DEPARTMENT APPROVAL LIC. NO: MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 SCHOOL ITH NAZARDO S AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY LI T BUILDING ADDRESS WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN �(A/} I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified 0 4 copy thereof(Sec.3800,Lab.C.) CITY—rM-1 _r CAI A ZIPp + � LOCALITY /J Policy No. Company SIZE OF LOT f r NO.OF BLDGS.rN1OW,ON LOT I\G= JJL 11 Certified copy is hereby furnished. ���]( POV- 6 6 NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK 22 LOT NO. department. � i ,J USE ZONE MAP NO. Date Applicant ASSESSOR MAP gPOKPAGE PARCEL Ift-9.7 r Q SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ` ?✓ TEL NO, f5 YES (� No COMPENSATION INSURANCE U 1C— ' ]S' S',�—� �ITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS I���+++''' dollars($100)or less.) 0 F 1 v.� DISTRICT GROUP TYPE CONST, FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit CITY VA4 frAri j � ZIP �� ,��0 ��D` is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. O become subject to the Workers'Compensation Laws. %Y, K, H JA g&) STATISTICAL CLAS IFIL TION APT CONDO Date Applicant ADDRESS d y/-+p� r. •L^ Q CLASS No. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of��\� -` �` Vim• �• 1 1W, // REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' .V CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith \T(� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO PL LICENSED CONTRACTORS DECLARATION J SIDE CITY LIC.CLASS P L ='z I hereby affirm that I am licensed underprovisions of Chapter 9 `� (commencing with Section 7000)of Division 3 of the Business and �1 SEWER MAP AP+ 0 SQ.FT SIZE NO.OF STORIES NO.OF FAMILIES ti:•s�°4 Professions Code,and my license is in full force and effect. ,3 NEW BK PG ® ;:l i 1 f i4° i C License Number Lic.Class \-, DES IPTION OF WORK ADD ❑ VALUATION T Contractor Date + P ,14 ALTER ❑ REPAIR ❑ TOTAL ° � C [II am exempt under Sec. $ CHt4�. i-53,t°=- L B.BP.C.for this reason DEMOL ❑ LDMA P/C# Li I, Lt Date: USE OF EXISTING BLDG. 'vA /�}g/+,a URM ❑ CHANGE °' { u Signature APPLICANT(PRINT) TEL NO. LDMA Perm# �1C_ ❑ I, as owner of the property, or my employees with wages as ZO n ]Fl>2+'�I�Lf 1 1 :�i their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE G 2AVF 7� Professions Code.) HALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ITEMS contractors to construct the project (Section 7044, YES 11 NO 11 TOTAL 7305°79 Business and Professions Code.) WILL THE INTENDED USE OF HE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHECK 2305.79 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ©r GUIDELINES. CHANGE °00 I hereby affirm that there is a construction lending agency for YES❑ No❑ the performance Of the work for which this permit IS ISSUed(Sec. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING ' N 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE 0000-000 1 1/ 4/96 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM HE SCAOMD CONCERNINGTITLE 2.CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20-140 HAZARDOUS a Lender's Address 4104 1 ��1� 1 O OWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply PC FEE PERMIT FEE c P 1 Y 9 PY /0PJX/6/ CM with all county ordinances and State laws relating to building u con stru ti , and hereby aye a representatives of this County ISSUANCE FEE m o eRtw upo th a ove-nntion property for ins�_cti n p o�s. C14 I. m G _ INVESTIGATION FEE TOTAL FEEa SEE REVERSE FOR EXPLANATORY LANGUAGE " . •�� - - APPLICATION F)R BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY ' WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DRESS /f PRESS BUILDING A I hereby affirm that I have a certificate of consent to self insure, BUILD`O 0 ,we, s , kwu or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP copy thereof(Sec.3800,Lab.C.) (y / Policy No. Company rA"ket"v 178 Q LOCALITY SIZE OF LOT I NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. u ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL ,( COMPENSATION INSURANCE p'Iq �A WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS pS� O(1Ve S�� dollars($100)or less.) DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit C�,. i� ZIP neo is issued, I shall not employ any person in any manner so as to AR <A , Q� •g CHIwECTR ENGINEE TEL NO. fy[�Cc°�-� become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION , APT CONDO ADDRESS Date Applicant _�� UAf1 CLASS NO. ,tDWELL UNITS •f / 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 �A�tit�l. / FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ. .S NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. L, Z NEW BK PG 334 3 54.54 a DESCRIPTION OF RK VALUATION License Number Lic.Class j� ADD ❑ 1 0 Contractor Date / ALTER ❑ $ �O ���/• A4CT■a cc ❑ 1 am exempt under Sec. REPAIR ❑ $ 3303 259.65 o B.BP.C.for this reason DEMOL ❑ ,. ITEMS IIIII U Date: USE OF EXISTING BLDG. URM ❑ LDMA P/C f5 h�J i1 �1 d CD Signature APPLICANT(PRINT) TEL NO. LDMA Perm �r�tJrTcnL JL� o JLC Z ❑ I, as owner of the property, or my employees with wages as Z CKEGK 314°15 their sole compensation, will do the work and the structure is ADDRESS 0 CHANGE GE ■44 not intended or offered for sale (Section 7044, Business and FINAL A Q Professions Code.) C WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE I, as owner Of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Q licensed contractors to construct the project (Section 7044, VES❑ No❑ FINAL B > Q444-4441 i! 4!96 Business and Professions Code.) 4143 1 PH 12 e 2 1 WILL THE INTENDED USE OF THE BUIDUNG 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 ISCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I l 7 8 I hereby affirm that there is a construction lending agency for YES❑ No❑ a the performance of the work for which this permit is issued(Sec. ITTING W 3097,Civ.C. IH CHECKLIST I UNDERSTANDHE MY REQUIREMELS NTS TS UNDERATION THE LOS ANGELHE ES.MD CM ) 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 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD M Lender's Address 0 pVNER 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 PC.FEE ✓O `� PERMIT FEE /� '] cov with all county ordinances and State laws relating to building �J!— V �.( p( constr scion, nd hereby authorize representatives of this County ISSUANCE FEE �0 auj Ont abov mentis ed property for inspection purpos s. t n Q� INVESTIGATION FEE TOTAL FEE se u o�-A,v •n, ora--►`"� / SEE REVERSE FOR EXPLANATORY LANGUAGE