HomeMy Public PortalAbout10548 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 9711140037
PHONE: (818) 285-0488 EXT:
LEGAL ID: NUMBER OF ADDED/RE OCATED BUILDING ADDRESS:
TR: 11290 LT: 4 BL: B SQ. FT SPRINKLER HEADS 10548 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 USE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/01/98 UT 06/01/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
TU SHENG HENG;HUANG HUI CHU J - 2,800
10544 OLIVE ST
TEMP 917802864 FEES PAID DESCRIPTION Of WOR
FIRE SPRINKLERS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
T.L.C. FIRE PROTECTION (626) 280-8193- D1 PLANCHECK W/O EN-HC 2800.00 VAL 84.27
AA BLDG PERMIT ISSUANCE---�— 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION:-RESID-=—_-2800•:00 VAL 0.50
D2 PERMIT W/U EN-HC, `7'z; 2800::00---VAL 99.15
i ? --=-TOTAL-f-IES.':°'o, 211.67
CONTRACTOR: TEL. N0: /+��i' ''✓��'�� APPROVALS DATE INSPECTOR SIGNATURE
T. L. C. FIRE PROTECTION (626) 280-8193-
1434 S. SAN GABRIEL LIC. NO �'' FIRE DEPARTMENT SPEC
SAN GABRIEL, CA 91776NONE J.
c.rN.�� FIRE SPRINKLER HANGERS
ARCHITECT OR ENGINEER: TEL. 0:
FIRE DEPARTMENT APPROVAL
LIC. N0:
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: '-
00
NO. OF FAMILIES: D ELLI G UNITS: APT/GOND: STAT CLASS:
NO 20 ;
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
REPORT ID: DPR261 ROUTE TO: BS0508
rt. - APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES 0611-DING AND SAFETY
WORKER'S COMPENSATION DECLARATION BUILDING ADDRESS FOR APPLICANT TO FILL IN r BUILDING ADDRESS
♦ !N yJ `""d
I hereby affirm that I have a certificate of consent to self insure, D�- �a/
or a certificate of Workers'Compensation Insurance,or a certified Z5
r.
copy thereof(Sec.3800,Lab.C.) CITYIwqFU—Gf 7Y, CA I
ZIP Y1 7B
17B O, LOCALITY ✓
Policy No. Company SIZE OF LE .
�^ /C NO.OF BLDGS.NOW ON LOT `BGG
[3 Certified copy is hereby furnished. Z��a ZS NEAREST CROSS ST
[ICertified copy is filed with the county building inspection TRACT / 0 BLOCK Q LOT NO.
department. o. USE ZONE MAP NO.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL Z,
!P/ SPECIAL CONDITIONS
CERTIFICATE
COMPENSATION ION FROM INSURANCE WORKERS' OWNER lL ,, �( TE�L�No. —W- WITHIN 0000 FT.OF SCHOOL? [i
`7 (65, 1-10AP J YES NO
This section need not be completed if the permit is for one hundred ADDR SS
( P P C S 0 r I Le 5'� DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY
dollars($100)or less.) C
I certify that in the performance of the work for which this permit CITY `A�,� ZIP
is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER r TEL NO ✓ �'�
become subject to the Workers'Compensation Laws. K t .1 STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS Kn CLASS NO. —4Rd DWELL UNITS /
NOTICE TO APPLICANT If, after making this Certificate Of '� � � Saab Hav;' 'd REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject t0 the Workers' CONTRACTOR TEL NO. 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. 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.FT.SIZE NO.OF STORIES NO.OF FAMILIES JI
Professions Code,and my license is in full force and effect. a Z NEW BK PG �y-1-1 _" Q
DE IPTIO OF WORK VALUATION ® `�3-0 i a
License Number Lic.Class ADD ❑
Contractor Date ALTER 11 � 2�J �f = i
a
❑ 1 am exempt under Sec. 14 v U S s REPAIR ❑ TOTAL I C- C
B.BP.C.for this reason DEMOL ❑ c F�E�:r. �'" _f C
LDMA P/C# 1' L- '`--U
Date: USE OF EXISTING BLDG. j' n URM ❑ its�[A1:1]C 1' a
'V ^ t nU.
Signature APPLICANT(PRINT) TEL N0. LDMA Perm# L
❑ I, as owner of the property, or my employees with wages as ADDRESS �_Z 11.I T a
their sole compensation, will do the work and the structure is q4 I , {
11-t..1.1_I a`q - _L
FINAL DATE f ~ 5 (7
not intended or offered for sale (Section 7044, Business and Q -
0 0
Professions Code.) ` WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �" R O 'Ji, ITEPS � z
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE y
)�Ilusiness
as owner of the property, am exclusively contracting 4 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY
ensed contractors to construct the project (section 7044, YES El NO 11 TOTAL 2305079
and Professions Code.) CHECK 2305079
WILL 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 COASTGUIDEAIR UAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR +11 A CHANGE o00
I hereby affirm that there is a construction lending agency for YES❑ NO❑
W the performance Of the work for Which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. (t�tt(ti_Qf�(�j �� /y/��
N TITLE 2.CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS 77..ff��eevW L��11a0 i T
i Lerider's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOVD. 4105
05 J 1 PM j+^a 22
C) Lender's Address lU �/
OWNER OR AGENT
O
c 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
N with all county ordinances and State laws relating to building ' i
constr n, and herebyy��ae lhorize representatives of this County ISSUANCE FEE
ae up n t e bove-t1+eR oned property for insp-cti n pL ps, ct i • . , , . .1
CO I INVESTIGATION FEE TOTAL FEE / h h y
S7.1 1 bFGtl a nl D a o✓
SEE REVERSE FOR EXPLANATORY LANGUAGE