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HomeMy Public PortalAbout10557 OLIVE ST_Building__ VV L' �r u 76p'638A riAll0381 34 APPLICATION FOR BUILDING P . RMIT v?� COUNTY OF LOS ANGELES BUILDING • DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP•T OF BUILDING CROSS ST. DISTRI TtjO. GROUP TYPE P SED BY FOR APPLICANT TO FILL IN CONST: BUILDING j �) STATISTICAL CLASSIFICATION SE ER MAP ADDRESS CLASS NO._-j—DWELL UNITS_� BK PG J LOT NO. Y BLOCK USE ZONE MAP G` No. CCJJ _ TRACT SPECIAL NO. OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING B BLDG. SETBACK FROM I TEL FRONT PROP. LINE OF (STREET) OWNE NO. TYPE OF EXISTING SETBA K HIGHWAY + YARD = TOTAL ADDRES •-5 HI W AY IDTH 'F FROM C.L. tj + = C� CIT ARCHITEC TEL BLDG. SETBACK FROM ENGINEE NO. �� SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESSy HIGHWAY WIDTH FROM C.L. CL CONTRACTOR j TEL. + _ U ADDRESS Np CORNER CUTOFF YES NO __ 0 IC CITY CL s SEE REVERSE SIDE FOR SPECIAL APPROVALS w D SCRIPTION OF WORK y • Z E ADD ALTER REPAIR DEMOLISH SQ FT. NO. OF NO. OF /;�// P!L rA°.N Tr'f .sP �_ �.�;iCi.:. •fi P' �'Y SIZE STORIES FAMILIES USE OF ( e`I°."� P�f/'tic..l STRUCTURE SIGNATURE OF �,p APPLICANT / t a4A �- VALUATION APPROVALS DATE INSPECTO82.SIGNATURE P.C. PMTFOUNDATION, LOCATION .fir i �-�I••.-w�a i FORMS,.MATER.IALS _ U 'f>C� 1�;•�•) '� i FEE$ FEE$ �� FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION • BRACING BOLT �f AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LO CATIO'N'•. /G{•.�Jil.N/ r •cia•-�� WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS i 9UILD I NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY•I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. Z !'j''•_ TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. '�` "'- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. ,P���� � � , �`•-`-��s, fps SIGNATURE OF i N HOUSE NUMBER COR_ f may_'___ PERMITTEE a� RECT AND POSTED ,v./ - r.d •�./:k ADDRESS FINAL /`,4,.. ',ef`' JOHN F. LEWIS. PRINCIPAL ST C RAL ENGINEER PLAN CHECK VALIDATION .K. M.D. CASH _ PERMIT VALIDATION CK. M.O. CASH j .. 9 1. OCT 29 2 3 D 2 6.75A , ►� LQ 7 2'6 0- NOV 10 1 D 5 7.0 ON WORKERS' COMPENSATION DECLARATION F�insureboraff ipm a certificate of Workers'tificate of consent to self Compensat on Insurance, i -APPLICATION ® BUILDING. RM' or a certified copy thereof(Sec. 3800, Lab. C.) i COUNTY OF LOS ANGELES BUILDING AND SAFETY P�licy No. ' Company Ta�1[J Certified copy is hereby furnished. ) FOR APPLICANT TO FILL IN BUILDING o% Certified copy is filed wit a county buildi spec i BUILDING -tion department. ADDRESS 11 I CITY , Ul ZIP LOCALITY L� Date L Applica NO.OF BLDGS. NEAREST CERTIFICATE OF EXE PTI•N R WI RKERS' S)ZE'OF LOT NOW ON LOT CROSS ST. COMPENS ION IN,U CE ASSESSOR �t (This section need not be omplete if the permit is for one TRACT BLOCK LOT NO. MAP BOOK ?�a d PAGE G PARCEL 4TH hundred dollars ($100)or ess.) TEL. USE ZONE MAP OWNER D NO. I certify that in the perfor ce of�the work f r which this yn SPECIAL permit is.issued,.l shall not employ any person10 /in any manner ADDRESS /l_/ CONDITIONS CL Q so as to become subject'to the Workes:Compensation Laws. ,'•; U CITY ZIP Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY Q NOTICE TO APPLICANT: If, after making this .Certificate of ENGINEER- NO. CONST. ZONE .Exemption, you should become subject to the Workers' P . ' i e Compensation provisions of the Labor Code, you.must forth- . ADDRESS �dC `3 3 nW with comply'with such provisions 'or this permit,shall be TEL. y`.STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTO NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.�DWELL. UNITS — /I herebyaffirm that I am licensed under provisions of Chapter 9 ADDRES E. NO. Z P P SEWER MAP � (commencing with Section 7000)of Division 3 of ihe�Business LIC. ' CITY CLASS � and Professions Code,andmy license is in full force and effect. VALIDATION BK. PG. SQ. FT. NO.OF NO. OF CHECK U ense Number Lic. Class SIZE. STORIES FAMILIES ONE {' VALUATION on r cto Date G DESCRIPTION OF WORK NEW ❑ 00 ®ADD ❑ ❑I am exempt under Sec. r T ALTER B.BP.C. for this reason ' Nis✓ REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ ,:.1 Signature APP`PRINT)ICANTJNp FINAL �;?_?: ,4 OWNER-BUILDER DECLARATION m DATE ,� —�f c7i I hereby affirm that I am exempt from the Contractor's License 33017 Law for the following reason (Section 7031.5, Business and ADDRESS E• FINAL Professions Code): PRESENT By i i BUILDING 5 t . I,-as owner of the property, or my employees with ADDRESS I I ; a wages as their sole compensation,will do the work and fix ' the structure is not intended or offered for sale(Section LOCALITY `Llj' :�_� 7044, Business and Professions-Code.) - MOVING TEL. T Yc ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. i I EMS; with licensed contractors to construct the project (Sec- ADDRESS 3; T.r�'.1; 207 53 tion 7044, Business and Professions Code.) REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. C K rtii� C CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH CH�4•f`, _ • �•�ti I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. ;:i-j(y!{a ,'• Ij (Sec. 3097, Civ. C.). SIDE Lender's Name 00,001-0001 t ' ' ` '' /. //O 1 LDMA Ref. # f, �E/�y ' P..C. Fee$ Permit Fee /� J Lender's Address I certify that I have read this application and state that the Issuance Fee v;z ,j LDMA P/C# above'information is corre04 agree to-comply with all County Investigation Fee ` o ordinances and State IgNIVelatiho to building construction, Total Fee /�O -, LDMA Perm. # and .e by autho ze a ntat' es of this County to enter up o th abov a rop ty for inspection purposes. SEE-REVERSE FOR EXPLANATORY LANGUAGE i na re f Applicant or Age Date ,...rWORKERS'COMPENSATION DECLARATION krno L I he b• ,affirm that I have a certificate of consent to self ®1.t ,o'r a certificate of Workers'Compensation Insurance, A El L I CAT I O e LJ I ISI PERMIT ' or a;certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING..AND SAFETY R611cy No. Company BUILDING' "❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING nIle tion department. ADDR54S V S L V LOCALITY / NEA REST h Date Applicant CITY C, e T ZIP -'I pV CROSS ST. a} l J Q CERTIFICATE OF EXEMPTION FROM WORKERS' f NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE l SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP C.O hundred dollars($100)or less.) TRACT BLOCK LOT NO. TEL. , SPECIAL 1 certify that in the performance of the work for which thisOWNER NO. if CONDITIONS IL permit is issued, I shall not employ any person in any manner ADD (�S C DISTRICT .GROUP TYPE FIRE PR ESSED BY O so as to ecoA /e subject to the W rkers'Compensation Laws. Jr ) (� �+ e/ CONST. ZONE09 Date Applicant ^ CITY Q `( ZIP JS O STATIS7IQCAL C ICATION APT. CONDO. NOTI TO APPLICANT: If, aft ntkin this Certificate of ARCHITECT OR TEL. Exemption, you should beco ubject to the Workers' ENGINEER NO. CLASS NO. �` DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER P with comply with such provisions or this permit shall be e TEL. 2 VALIDATION deemed revoked. � � N CONTRACTOR NO. BK• LICENSED CONTRACTORS DECLARATION• LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. LVALUA�TIO�N(commencing with Section 7000)of Division 3 of the Business and LIC.Professions Code,and my license.is in full force and effect. ` CI7Y CLASS 0 SQ.FT. O.OF NO.OF CHECK ' License Number Lic.Class SIZE `a STORIRIE�Sj� FAMILIES � ONE SfObRK "'N ZS'Y� NEW ❑ $ Contractor Date DESCRIPTION am exempt under Sec. U.1 l 3 I C.0 1 l ADD ALTER ❑ FINAL 7 F ❑ DATE B.&P.C. for this reason C o+ REPAIR J 1 0 A Date: USE OF FINA EXISTING BLDG. DEMOL ❑ B Signature APPLICANT � TEL. 1r . 56.40 OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License � lJ !U z mac: Law for the.following reason (Section 7031.5, Business and ADDRESS y - :. ..•.. .•. Professions Code): PRESENT BUILDING L1TU I, as owner of the property, or my employees with • ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 1, r1 7044, Business and Professions Code). MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. ii o 0 0 0 0 1 with licensed contractors to construct the project (Sec- 'tion 7044, Business and Professions Code). ADDRESS 2 ° 1 0 6. 1 3 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY' SET.BACK YARD HWY PROP. LINE WIDTH ,u I 0 1 j I hereby affirm that there is a construction lending agency for FRONT the performance of-the work for which this permit is issued P.L. 0'6 2 ll —C 3 tSec. 3097, Civ. C.). SIDE P.L. Lender's Name Lender's Address P.C. Fee$ yl, Permit Fee I certify that I have read this application and state that the Issuance Fee V S- 0 above information is correct. I agree to comply with.all County Investigation Fee ` ordinances and State laws relating to building construction, Total Fee Q / 3 and hereby authorize representatives of this County to enter _ w- $ on the above-m ti ned roperty for inspection pur oses. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent to as 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 0309160025 PHONE: (626) 285-0488 EXT: L 0. OF CONST NEW BUILDIRG­­ADlOR5SS: TR: 7690 LT: 8 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 10557 OLIVE ST STRUCTURE: 204 1 VN R3 TEMP CA 917802865 ASSESSOR OR ON NUMBER: GARAGE: NEAREST CROSS STREET: BALDWIN AVE. 8586-029-041 OTHER: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C EXISTDG USE: S 0NE: ISSUED N: PROCESSED EXPIRES EXIST OCC GRP: 09/22/03 JK 09/16/04 - OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FIN L D E FINA BY: CODE: FANG CHIN-MING;JOYCE (626) 443-6348- 16,000 7 �� 10557 OLIVE ST G _ TEMP 917802865 FEES PAID D S IPT ON OF WORK ADD NEW DEN - 204 S.F. APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CORTES (562) 806-7166- 61 PLANCHECK W/ENERGY 16000.00 VAL 296.77 8321 EASTERN AVE. AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: BELL GARDENS 90201 AC STRONG MOTION-RESTD-_ "--.,16000.00 VAL 1.60 B2 PERM I7,411ENERGY ,16000.00 VAL 349.14 tTOTAL_FEES 675.26 CONTRACTOR: TEL. N0: �3 " fl N� APPROVALS DATE INSPECTOR SIGNATUR REALTY BUILDERS (800) 205-2677- X v 8929 EXPOSITION BLVD LIC. NOr/, > OCIO AND SETBACKS LOS ANGELES, CA 90034 797103 B SOILS ENGINEER APPROVAL 5 _ ARCHITECT OR ENGINEER: T N0: ,�/� i! r i ff_'_-�r ` 0 DA 0 /TRE CH FORMS M. C. DESIGN & ASSOCIATES (562) 806-7166,- �� � I �• `��' D 2 8321 EASTERN AVE. LIC. NO: -—'-'- BELL GARDENS, CA 90201 NON E,1I' =__ �� I j!� ' 1� S AB/UNDER FLOOR - - '- - -- �_ I _ _ J --iRAISED FLOOR FRAMING MAP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: jj CMa1; i--� i f If, ,-� ,�F ti. -i ;• .,z y UNDERFLOOR INSULATION ` ,' 1L I LEVEL FLOOR SH EATH 0. O F L EES: D LI G TS: A /CON-: STA C SS:---------- —_—__- -__--- NO 21�� r- �, �a� ,--- _- . - - - ND LEVEL FLOOR SHEATH SCHOOL T HAZARDOUS ROOF-SHEATHING' l _ , I AIR QUALITY: 1000 FEET MATERIALS \�,r NO NO NO v �1,-`i': i� .�A, FIRE DEPT. FRAME INSPECT REQUIRED 0 SETBACK FROff EXIS ��\,•���� j i ��.f,�f BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: ;`•'��sE / !. �� FSIDE PL- SHEAR PANELS 1 INSULATION/WEATHER STRIP r INTERIOR LATH/DRYWALL EXTERIOR LATH I LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: SS0508