HomeMy Public PortalAbout10550 OLIVE ST_Building__ APPLICATION FOR COUNTY OF LOS ANGELES
OF COUNTY
- BUILDING PERMIT DEPARTMENT BUILDING AND SAFETY DIVISIONER
BUILDING
FOR APPLICANT TO FILL IN ADDRESS 159 U
BUILDING �) P
ADDRESS ,S ,1. Lit /_�� LOCALITY
L • NEAREST
CITY ZIP CROSS ST. ^ '
N6.OF BLDGS. :7 i' ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PA CEL
DISTRICT GROU TYPE FIREflOCIfSSED BY'
TRACT BLOCK LOT NO. L� uG �GONS ZONE
// TEL.
J Ct
OWNER 1 d/i/� NO. y v.;+` STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS/ -?w 011 CLASS NOSP-2-0 DWELL,UNITS BIP-LPG
CITY 'USE ZONE MAP
i/ JGl- ZIP NO. d
ARCHITECT OR TEL. 1 SPECIAL
ENGINEER C NO. tl� CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
r o Inf�NEEL' : •� BLDG.SETBACK FROM
CONTRACTOR �. /�J y
IC.1 FRONT PROP.LINE OF (STREET)
' ADDRESS „��] 4- � NO.J4L� H4WAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP. LINE HIGHWAY WIDTH
CITY CLASS _
CONSTRUCTION LENDER _ +
NAME AND BRANCH Ba
LD TRACK FROM
ADDRESS CITY SIDE PR OF (STREET) �C,
TOTALS FROM TYPE OF EXISTING a
SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD - C
SIZE STORIES FAMILIES ONE SIDE PROP. LIN HIGHWAY WIDTH
DESCRIPTION OF WORK NEW + v
1 G ` ADD ❑: CORNER CUTOFF YES ❑ NO ❑
2
ALTER ❑
REPAIR❑ IN OPEN SPACE YES ❑ NO ❑
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. DEMOL ❑' /
APPLICANT. �/ O , TEL _ CJ �' ��e�'T �zy ` i�y;• //�' p�
(PRINT) "E Y / Y_".l:':•' NO.
�
BY (SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIb APPLICATION '
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE TATE OF CALIFORNIA IN RELAS�I NG TO
WORKMEN'S COMPE NS ON INSURANCE. / �•
SIGNATURE OF� �. •'� FINAL ✓ BY
PERMITTEE �� ' " DATE ." �� AA _
ADDRESS
TE L..",, P.C. Fee$ Permit Fee 3� •v7�J
CITY t'��� NO. v:•�=%.ice
Issuance Fee
VALUATION$ ^' J G^`
Total Fee J
PLAN CHECK VALIDATION CK. M.O. CASH o PERMIT VALIDATION CK. M.O. CASH
76AG88A CE080919 1274
IBA689A C6#9086.96 APPLICATION FOR BUILDING PERMI`[' .
COUNTY OF LOS ANGELES BUILDING IQM of 1,p S7
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY +`7C G C
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST S
CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST.
_ DISTRICT NO. Gr I TYPE �I ?R E Y
FOR APPLICANT TO FILL IN CONST. r
BUILDING c y� �p �r/' I SEWER MAP
�1 ✓ V L STATISTICAL SSIFICATION
ADDRESS ✓ O f BY PG
LOT NO. BLOCK CLASS.NO. DWELL.UNITS
41 MAP STATE YES fJ
/� NUMBER �® / CJ HWY.
TRACT 2= % 0 USE ZONE SPECIAL
SIZE OF LOT $90 X �2 O I NO.OF BLDGS. ] CONDITIONS
NOW ON LOT A
USE OF
EXISTING BLDG. ��+ S BUILDING EXIST.
OWNERfir ` ( (+7 YARD HWY STREET NAME
SETBACK WIDTH
FRONT
MAIL
`h �-�•y� r� � P.L. V �V
ADDRESS
9Y s.3 '•% v L_ 17Iv,L. i f� SIDE
CITY
NO P.L.
ARCHITECT OR / TEL. I3$SP CTION RECORD
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK e&,eZersa..
rI, -
NEW DD ALTER IREPAIR DEMOLISH
SQ.FT. .OF NO.OF
SIZE AT ej STORIES AMILIES
LADDRESS
FSTR CTUR
TURE OF f f �j' _ frJ '``i^"�•%•. ;ywAPPROVAL3
ICANT Tom+ -\R^r ��f R s
//,, _ _ DATE INSPECTOR'S.SIGNATURE
I rb V L I V i I 16 A`J � lT I FOUNDATION: LOCATION /J
ATERIALS t.f
. . FRAME: FIRE STOPS,EEBRACING,BOLTSTION I $� �) FURNACE: LOCATION.
EE �� GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WI H AlCOON MNR
S AND LATH,EXT.
STATE LAWS REG IN UILD 6TION.
SIGNATUTAE OF HOUSE NUMBER :OR-
'ED
PERMIT RECT AND POSTED
ADDRESS FINAL
CLYDE N.DIRLAM.PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CIL M.O. aASH PEHMIT VALIDATION CK. M.O. cAs
6 1 B� ocr � 1 A 3.0 0 V)
APPLICATION-FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only) /
BUILDING COUNTY OF LOS ANGELES
ADDRESS 6 DEPARTMENT OF COUNTY ENGINEER
CITY'S i ZIP
BUILDING AND SAFE Y DIVISION
SIZE OF LOT NOWBU LDING
NO.OON LOTS ADDRESS C,15- �c2 4 1
TRACT d BLOCK LOT NO. LOCALIT `v �d e
TEL. 4 #_r NEAREST
OWNER NO. CROSS ST.
ASSESSOR
ADDRESS MAP BOOK PAGE CEL
DISTRICT. IGROUPITYPE FIFK I PRO SSEO BY
CITY '^ ZIP f �, CONS ZO E w
ARCHITECT OR TEL. • .�L> "
ENGINEER lj NO. STATISTICAL CLASSIFICATION% SEWER MAP
ADDRESS CLASS NO. DWELL.,UNITS BK PG
GONTRACTO TSL' USE ZONE AP
LIC. NO, v
ADDRESS NO, � SPECIAL
CITY LIC. ( CONDITIONS
/� CLASS OAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM I
FRONT PROP.LINE OF (STREET)
I
ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING I
SQ. FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE r� STORIES f FAMILIES ONE
DESCRIPTION OF WORK NEW ❑
ADD ❑ ,BLDG.SETBACKFROM
A. X SIDE PROP.LINE OF (STREET)
ALTER ❑ HIGHWAY + YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING
REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH
USE OF + =
EXISTING BLDG. DEMOL ❑
APPLICANT TEL - CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO.
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
��•a IN COASTAL ZONE-' YES ❑ NO ❑
VALUATION en h./� CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE. p�
SIGNATURE OF , �- -
PERMITTEE
ADDRESS
FINAL BY
TEL. DATE
CITY NO.
MAKE CHECKS PAYABLE TO-: P.C., PMT,G
FEE FEE A
HARVEY T. BRANDT, COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH ® PERMIT VALIDATION CK. M.O. CASH
1 4 9,1`UUL 22 2 3 a
76A638A CE#803 7/73
A:"ROAD DEPT. PERMIT. -IS REQUIRED
:. �. .,•_
'
FOR ANY MATERIAL STORAGE OR WORK
:DONE IN THE ROAD -RIGHT OF WAY.
r."me^alz#Bcee.es APPLICATION FOR BUILDING PERMIT '.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT- OF COUNTY ENGINEER ADDREss D_ O
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN SUPT OF BUILDING CROSS ST..
` DISTRICT NO. G OUPTYPE PR
FOR APPLICANT TO FILL IN I CONST:
BUILDING /y� � D j I � .r i iSTATISTICAL CSIFICATION SEWER MAP G
ADDRESS /(J ,L, (r 7 '
L, CLASS.NO. DWELL.UNITS
LOT NO. -3 BLOCK MAP STATE
CFO
NUMBER }ryyY• YES' O
TRACT- I I Z. L V USE ZONE SPECIAL
A
-
701 NO..OFF BLDGS. q CONDITIONS
SIZE OF LOT ® A NOW ON LOT /1,-.J
USE OF p 7
EXISTING BLDG IE �— l• 4:;4/1 i BUILDING
HER ��7 Imo` (` SETBACK YARD STREET NAME-' WIDTH
OWNER v �.,J FRONT A i �.
rod
MAIL P.L. Q_
ADDRESS .5xU 0LJv6.s_A4ft SIDE
TEL. P.L.
I. clrY �1`7L L G f i y NOG/ S 7549 I
ARCHITECT OR TEL. NSPECTION RECORD
ENGINEER NO.
ADDRESS
TEL.
> CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD. ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO..OF
SIZE STORIES FAMILIES
USE OF. / — n
4
STRUCTURE /
14/6.5/y
/
SIGNATURE OF
i APPLICANT
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS IDS u� V C FOUNDATION: LOCATION
FORMS,MATERIALS
VALUATION $ � I pmc C FRAME:FIRE STOPS,
BRACING,BOLTS
IPMT. �` FURNACE:LOCATION,
FEE S FEE 3(/� ` I GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE 1S ORRECT AND
AGREE-TO COMPLY WITH L COU TY O I ANCES AND
STATE LAWS RE TI BU N O STRUCTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL 's
CLYDE N. DIRLAM, PRINCIPAL-STRUCTURAL E
PLAN CHECK VALIDATION CK. M.C. -CASH PERMIT VALIDATION CK: M.O. CASH
5 5 '5 4 JAN •
22.. - i A 2.00 �. ®F
APPLICATI®N FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES RTMBUILDING
ADDRESS
DEPAENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY AJ
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST /
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP I P SSED BY
FOR APPLICANT TO FILL IN
TYPE
�� CONST,
BUILDING y' /� (' /� STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS _�0�7 sD 041 Vf- si IG Ila&
LOT NO. 3 ' BLOCK C IT CLASS.NO. DWELL.UNITS I Z
MAP STATE YES NO
TRACT 11 n �D NUMBER HWY.
1 f. USE ZONE • SPECIAL
NO.OF BLDGS. ,{ CONDITIONS
SIZE OF LOT D D NOW ON LOT"'
OF
EXISTING BLDG, y BUILDING YARD HWY TREET NAME EXIT'
C �1` f/GS SETBACK _ WIDTH
OWNER
FRONT
ADDRESS IO �50 OL I VG S 'r SIDE
/ e / .:
CITY. 'jl%a"I•�.� C/Ty NO.Lr L. O"I3Oq'� P.L.
ARCHITECT OR TEL, INSPECTION RECORD
ENGINEER NO.
ADDRESS
CONTRACTOR QWAIF-'lZ NO.
ADDRESS t
DESCRIPTION OF WORK
NEW ADD (ALTEM REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
J
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS IO S 517 Of-(V C I FOUNDATION: LOCATION
FORMS.MATERIALS I
P.C. $ — - FRAME: FIRE STOPS,
FEE BRACING, BOLTS
VALUATION $ FURNACE: LOCATION.
FEE GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORK CT AND
AGREE TO COMPLY WITHLL UNTY DI A S AND LATH,EXT.
STATE LAWS REGU 1 G LDIN O CTION.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESG FINAL
CLYDE N.DIRLAM.PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. . M.O. CASH
`=fo3 2.s o; WIR 1 0 1 A 3.00
;`
ie.eaB.CEAPPLICATION FOR- BUIL DING PERiI�I�'
CiOUNT•Y'OF LOS ANGELES :: BUILDING
DEPARTMENT OF COUNTY ENGRZEER'. ADDRESS
lttbI11iG AND•SAFETY DMSION LOCALITY elf•
JOHNA. LAMBIE,.COUNTY' ENOINEER ' NEAREST "
•WILLIAM.A.JENSEN- SUPT OF BUILDING CROSS ST.
DISTRICT NO'. G OUP �.pE PR ED BY .
FOR APPLICANT T®FILI:IN
� .CONST.
BUILDING _ STATISTICAL"CLASSIFICATION.- : SEMER MAP
ADDRESS �vsSo o�� "� S/. TekPLE•� ��
CLASS NO. n DWELL.UNITS -.C�.,
LOT NO. BLOCK WATERNOT-REQUIRED RECEIVED
CYO .
TRACT i `er O MAP ' ' HIGHwnY'STATE MAJOR SECOND,. CAL.
NO.OF.BLDGS. '�/ t NO (CIRCLE) -
I •SIZE-OF L:OT... .O k Q,.;7Q. NOW ON LOT T USE ZONE SPECIAL='
USE OF CONDITIONS '
EXISTING BLDG.
A
OWNER 1-I c -9 O I-T64 NO.TEL4- • 9-T09 BUILDINGEXIST.
" SETBACK YARD' HWY R T NAME •WIDTH'
ADDRESS e0 S. 117L11f� rj�19►TIL CT I� FRONT
ARCHITE6TOR TEL'.. P.'L. f�Q
ENGINEER.. NO. SIDE "
ADDRESS �-
TEL. f. ;E INSPECTION:RECORD • 0.
CONTRACTOR' 0 �:'A' NO: ;) l E•:_'J. f .`. j O
ADDRESS + }'L Si t't �s€�a a d(!/'!F //F t-4 IJ I
DESCRIPTION"-OF WORE 4; �/,�,i 4.,A ifs ,�'
ell w
NEW' ADD ALTER' REPAIR. DEMOLISH.- -
�% 1 % Z
SQ:FT. NO.OF- NO.OF n F.r,?.'�J .!�•('�'r G�i�trJ.�(2c�! I°Ct710{r
IZE i STORIES FAMILIES
USE OF
� STRUCTURE Fs
r�. �r�'.�) ?w.w'lr R�.:":a 'I 31'•� A✓.1� _' .A/7i��� - ,r�
SIGNATURE OF. 93 �: /i�Zr/�tAr�l �.jC�r ll �.V,� .o '�i� "✓
APPLICANT.)
VALUATION$ �/B/f r•7'>'i{°t IF " .�d�i n�j GYcr�M
' APPROVALS EIA*_ INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION
PMT.-. f/
FEE' $" FEE.$'. �Q FORMS.MATERIALS . Ia1 /t�c�
FRAME:FIRE STOPS, d' )
I HEREBY ACKNOWLEDGE.THAT•I HAVE.READ THIS APPLICATION .BRACING BOLTS •;:)�:yi .I'. t
AND STATE•THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY
FURNACE"LOCATION,
WITH ALL COUNTY'ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY'THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT,EMPLOY ANY PERSON IN VIOLA-. �w♦_ �9 pp
TION'OF THE,LABOR CODE OF THE STATE'OF CALIFORNIA RELAT- "L-ATM;INT. :�64P" .'r •��-�/.`� - // i�, ,
INC TO WORKMEN'S C72,
NSA N INSURA
/fie[""InJ LATH,.EXT.
SIGNATURE OF '/1,U .:HOUSE NUMBER COR-PERMITTEE - �"4J�"�1�� J�� 'RECT AND POSTED
A•DDRES, D 3 T FINAL
'CLYDE N. DIRLAM;-PRINCIPAL STRUdTURAL E `R
PLAN CHECK VALIDATION-. .sl.o. cAset PEnUT 'VALMATION CK.. "a.o. CASH': .
!.fico 5.2 1 5 acfi 5:
1:'.l;.5 0,
APPLICATION FOR BUILDING PERMIT
FOR bPLICANT 10 FILL IN (Print or type onlv) lJ
eUILD1NG COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY a zIp Y BUILDING AND SAFETY DIVISION
r^
r NO.OF BLDGS. BUILDING
G � �
S'ZE OF LOTo.�.� (� NOW ON LOT 13 ADDRESS �QJ� G wC
TRACT BLOCK LOT NO 31 LOCALITY _/C '
TEL NEAREST
R/
OWNE0-
9 NO. .4 CROSS ST. y
_ _ L ASSESSOR
ADDRESS ,$ G� � Ibr"� ! MAP BOOK AGE PARCEL
DISTRICT GROUP TYPE FIRE' 0 St ED BY
CITY /r�'M- �• ZIp r ¢� �f' CONS j+ ZONE
ARCHITEC OR TEL.
ENGINEER wadite NO. STATISTICAL CLASSIFICATION
-�f/ SEWER MAP
ADDRESS CLASS NO.4:> _ DWELL.UNITS BK22-PG
CONTRACTOR �• �� NpL6'% 7 17 US ZONE NOP C
ADDRESS , e xt. N0 � �� SPECIAL
1 �, LIC. CONDITIONS
CITYS �. CLASS �'•
RO D DEPARTMENT APPROVAL REQUIRED YES NO❑
CONSTRUCTION LENDER
NAME AND BRANCH
ve/ a BLDG.SETBACK FROM i
FRO PROP.LINE OF (STREET)
ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHW + YARD - t
SQ.IZ FT., NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE �.�zSTORIES FAMILIES ONE
DESCRIPTION OF WORK NEW ❑ + i
7 � �s O s• ADD BLDG.SETBACK FROM SIDE PROP.LINE OF ISTREET)
` , ALTER ❑ HIGHWAY } YARD = TOTAL SETBACK OM TYPE OF EXISTING
�� fd - T SIDE PROP. LINE HIGHWAY WIDTH
REPAIR❑
USE OF y -
EXISTING BLDG.SrAr r- /r1,Ar,, Rye DEMOL ❑ +
APPLICANT., q ) TEL _a CORNER CUTOFF YES ❑ NO
(PRINT) NO. �
BY (SIGNATURE) ` ) IN OPEN SPACE YES El NO
��/��/LLLLLL•'�'�•+ f !n IN COASTAL ZONE YES ❑ NO ❑
VALUATION / 86 CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREB• I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENS ION INSURANCE.
sI
SIGNATURE OF �,��,�„ ✓- -�/J
PERMITTEE -
ADDRESS 7 4 -+ ry a
•('n �'�!4�t•��
J///'� FINAL r �/ GYTE
yyJ
CITY�+'Ci•� 1''�? NOL '"J •� -+ DATE �' j��� o . Ilv4'ZZ�rcG-�
GGGG� (IIUJ c+ Q
M.AKF C(IEC XK 13AYABLE TO: FEE $ FEE •1'
HARVEY T. BRANDT. COUNTY ENGINEER C
k
PLAN CHECK VALIDATION CK M O CASH\ o PERMIT VA DATION CK M 0 CASH
2 4 4 Lz lhl -51 2 3 D 4 9.5 :i o•
76A638A CER803 7/73
9 i 3 D 4.,, 5 n C
_ 34� 1 1 D 8 c: 5 .
APPLICATION FOR COUNTY OF LOS ANGELES
U I L D I N G PERMIT DEPARTMENT COUNTY
BUILDING AND FETY DIVISION ENGINEER
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
BUILDING _ 'rr 11
ADDRESS � _ i (V �� LOCALITY
CITY EbV` �C C; ZIP NEAREST
CROSS ST.
�/ NO.OF BLDGS. ASSESSOR
SIZE OF LOT r7 t� R)C 1Ow ON LOT 3 MAP BOOK PAGE PARCEL
DISTRICT IRROUP YPE FIRE SED BY
` ^` ONS T,•_--. ZONE
TRACT I BLOCK LOT NO. - / [/
TEL, s. , e,;-"-
NO.
_r c
OWNER �^ pL NO. STATISTICAL CLASSIFICATION
SEWER MAP
ADDRESS CLASS N6_-:_�—?=/ DWELL,UNITS BK?'2PG
CITY ZIP USE ZONE MAP 2 Uf O
NO.
I
ARCHITECT OR TEL. ��.,�aa SPECAL
ENGINEER ;� •1 O• Ute, CONDTIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
O
TEL. BLDG ETBACK FROM
CONTRACTOR NS
LIC. FRO PROP.LINE OF (STREET)
ADDRESS )3C = 1 ' O. �1 HIGH1ryAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC. { FRONT PROP. LINE HIGHWAY WIDTH
CITY — _ CLASS C..'-_•
CONSTRUCTION LENDER +
NAME AND BRANCH — a
BLDG.SETBACK FROM �_-` (STREET( C
ADDRESS CITY SIDE PROP.LINE OF L
SQ, FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FRO}01 7Y�E OF EXISTING Ck
SIZE L STORIES I FAMILIES 0- ONE SIDE PROP. LINE HIGHWA` WIDTH C
DESCRIPTION OF WORK NEW ❑ +
IN
1�1 _ ADD CORNER CUTOFF YES ❑ NO ❑
\ } ALTER ❑
�~ ` REPAIR[] IN OPEN SPACE YES ❑ NO ❑
USE OF IN COASTAL PERMIT ZONE YES ❑ NO
EXISTING BLDG. ut ` DEMOL ❑
APPLICANT ,, ' TEL yy i
(PRINT) .� R N .
BY (SIGNATURE ��,L) 1 /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APft*CAfVON ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO-0-1 Y
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. IC
THAT IN DOING THE WORK AUTHOR( Q i
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
LABOR CODE OF THE STATE OF CALIFORNIA IN REL i.N r n
WORKMEN'S COMPE 9ATION INSURANCE.
SIGNATURE OF rINAL _/J_7/7 BY N
PERMITTEE ' A T
ADDRESS
i TEL. P.C. Fee$ 13 , 0 -,.j, Permit Fee -5
CITY NO.
Issuance Fee
VALUATION� }}
Total Fee c 2 7
PLAN CHECK VALIDATION GK. M.O. CASH o PERMIT VALIDATION CK. M.O. CASH
4 4 4' 2 _ 3 U 3.v Jc— 1.14 5 FE$ 2 1 A 2 1.7
76AG38A C8*8038 12/79
@S JGA638JII,
CE/603(REV.8/78)
9
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT'TO FILL IN BUILDING
ADDRESS V lJ
BUILDING
ADDRESS LOCALITY
NEAREST
CITY ZIP b CROSS ST.
OF BLDGS. ASSESSOR
SIZE OF LOT L J� OW.ON LOT MAP BOOK PAGE PARCEL
TRACT/ L BL CK J� LOT NO. �STRICT GROUP PE d� � CONST FIS PROCESSED BY
OWNER N ." l r/1....:..
r , ` STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS U CLASS NO. j DWELL.UNITS A/ BK?+LPG
CITY l• ZIP
ARCHITECT OR TEL. VALUATION $
ENGINEER NO.
ADDRESS BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
CONTRACTOR I N 4 TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD
LIC: S1 - FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO. _
y LIC. +
CIT ` CLASS'
CONSTRUCTION LENDER BLDG.SETBACK FROM
NAME AN BRANCH SIDE PROP.LINE OF )STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH
SQ.FT. NO.OF NO.OF CHECK + = Oso
SIZE STORIES FAMILIES ONE as
'DESCRIPTION OF WORK NEW .C.Fee S l q o Permit Fee •'0 QED
ttnjADD ❑ Issuance Fee .Q us,
ALTER
REPAIR ❑ Total Fee G O
USE OF DEMOL
EXISTING BLDG. ❑ G �� v
APPLICANT TEL /
(PRINT) i NO c 1 1 2-R
# 0o2oc21
BY(SIGNATURE)
THAT THE ABOVEnIS CORRECTTAND AGREE TO COMPLY WITH ALLL.ORDINANCESAND Ya READ THIS APPLICATION AND STATE 2 o L1. a C! C
WORK UTHORIZ DTING HEREBY IDING WILL NOTSTRUCTION.I EMPLOY ANY PERSON CERTIFY
THAT
IN VIOLATION OF V o 0 0 (4 [' C?
THE LABOR C DE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-- Z
PENSATION IWJARANCE. g 11 0 J—�'7
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SIGNATURE OI� 79 1 1 2.E A
PERMITTEE
ADDRESS Z o 0 0 o c 1
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SPECIAL r- 1.03—7
CONDITIONS
FINAL .BY Lm
DATE
4 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709170104
PHONE: (818) 285-0488 EXT:
LEGAL D• NO. OF CONS' BUIL ADDRESS:
TR: 11290 LT: 3- BL: B SQ. FT STORIES TYPE 10550 OLIVE ST
STRUCTURE: 0 VN TEMP CA 917802864
ASSESSOR INFORMATION NUMBERNEAREST CROSS STREET: PAL MAL
8585-021-048 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
TENANT: S L G SE: RESID USFZNE: S ED OC SSED B EXPIRES ON:
EXIST OCC GRP: 09/17/97 UT 09/17/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE:
CHAN RONNIE W;SHIRLEY A (818) 575-6246- 3 1,500
10550 OLIVE ST V
TEMP 917802864 FEES PAID DESCRIPTION OF WOR
REMOVE AND RECOVER WITH GENSTAR 20 R. COMP. SHINGLE-10 SQ.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 1500.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC f i - r1b00.00 VAL 82.20
�I ,LTO40TAL FEES 110.45
CONTRACTOR: TEL. NO: �G� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO
CA A SETBACKS
nu �e� SOILS ENGINEER APPROVAL
ci �ss) ,fes.. .\!� ,•
RCH C OR ENGINEER: 0: �f ��tJl` k-%1 \;�, ,mss 0 D 0 RENER 0 O
LIC. N0: \1: SLAB/UNDER FLOOR
y _ i
RAISED FLOOR G
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: a i'. `�;, i' UNDERF OOR INSULATION
147HW73 3 01' a _'���I :fir'-; " • -X17-a4 4
NO. OF FAMILIIES:DWELLING UNITS: APT/COND: STAT CLASS: �� —-- -E — -— y' FLOOR .SHEATHING
NO 21 .31 »'�•�I!\ { ;;� � 1 ROOF S EATHING
SCHOOL N -HAZARDOUS I �p � ` Ij `� `C=�'''r'f�' �'sr �� S R S
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO ( ao �`=, I_I J,�' s ���ij FRAME [NSPEC ION
REQUIRE
D
TOTAL SETBACK_-FROM EXIST `� —- `E Q ' F SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: � I�
FRONT PL- ��-"aa' INSULA.TIO WEATHER STRIP
SIDE PL-
INTERTR LATH/D WA L
EXTERIOR LATH
RATED 00 C L S
RATED WALL SSEMBLIES
RATED—MFTS/OPENINGS-
T-BAR CEILINGS
LOT R
REPORT ID: DPR261 ROUTE TO: BS0508
I l-•
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT ( TEMPLE CITY CA BL 0508 9709170105
PHONE: (818) 285-0488 EXT:
LEGAL ID: . OF CONST 8 D S :
TR: 11290 LT: 3 BL: B SQ. FT STORIES TYPE 10552 OLIVE ST
STRUCTURE: 0 VN TEMP CA 927802864
ASSESSOR IN0 0 NUMBER: NEAREST CROSS STREET: PAL MAL
8585-021-048 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
TENANT: L G USE: RESID USE ZONE: R-1 ISSUED 0 PROCESSED EXPIRES ON:
,EXIST OCC GRP: 09/17/97 UT 09/17/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY' CODE:
CHAN RONNIE W;SHIRLEY A (818) 575-6246- 3 2,250 a-ZSAl
10550 OLIVE ST
TEMP 917802864 FEES PAID DESCRIPTION OF WRK
REMOVE AND RECOVER WITH 20 YR GENSTAR COMP. SHINGLE - 15 SQ.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
,AC STRONG MOTION RESID 2250.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC- 11 I,— r-2250.00 VAL 99.15
,1i-TOTAL FEES 127.40
CONTRACTOR: TEL. NO: � s� _�� _ �' APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO 4¢a�i�y "�- �` 1 ys: LOCATION AND SETBACKS
+"' _ �O� � e L , SOILS ENGINEER APPROVAL
ARCHITECTOR—ENGINEER" TEL. NO: .4�;� �:�':,{ f► �'' F '�,� _. FOUNDATIONPRENCH FORMS
LIC. N0: SLAB/UNDER FLOOR
}' i' ---- - { r 1 RAISED LOOR F NING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: i; (f 4 q. ^� '' * - i, UNDERFLOOR INSULATION
147H273 3 01 _" _- ., -+' `•
-- --- - - FLOOR SHEATHING
0. OF S: DWELLING UNITS: AP CO D: STAT CLASS: _r '
NO 21 a _ ROOF SHEATHING
r
SCHOOL WITHIN DOS ``*\'. ...�' tri SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS ' ; '�`�:i `' ' •%`
NO NO NO ` 1�� '��= �,d D FRAME INSPECTION
+
TOTAL SETBACK s =='= `w� IRE SPRINKLER HANGERS
REQUIRED
D _ :_-- _fig'`
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT
Q1,' ,.�%co,� INSULATION/WEAT ER STRIP
SDE PL- ' f1�1� s >_^ °`ll
ERIOR LATH/DRYWAL
EXTERLOR LATH
ED' C S
RATEDIWALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR ICEILINGS
LOT DRAINAGE
(REPORT ID: DPR261 ROUTE TO: BS0508