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HomeMy Public PortalAbout10558 OLIVE ST_Building__ - � ec c_z. 76A63BaCEr•'8034/7APPLICATION FO BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR ` DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY y c FOR APPLICANT TO FILL IN NEAREST CROSS ST, Print ort a onl 2 BUILDING DISTRICT NO. U TYPE PROCESSED-BY ADDRESS Q ® �� C? STATISTICALSIFICATION SEWER MAP LOT NO. BLOCK CLASS NO. DWELL,UNITS BKXJ PG� TRACT jj �_ o USE ZONE MAP NO.OF BLDGS. NO. !7?G G SIZE OF LOT NOW ON LOT / SPECIAL USE OF �( CONDITIONS EXISTING BLDG, , ' OWNER ado - T L. fil BLDG.SETBACK FROM ADDRESS FRONT PROP.LINE OF (STREET) YPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY C HWAY WIDTH FROM C.L. ARCHITECT ORS TEL. ENGINEER p NO. + D BLDG,SE KFRO C ADDRESS SIDE PROP.LI (STREET) oli TEL. TYPE OF EXISTING S B + YARD = TOTAL C CONTRACTOR NO, /�• 9 HIGHWAY WIDTH F OM .L. C ADDRESS ClNO.,- 44 LIC.` -5 +, + 4 ^ _ a CITY CLASS CGs CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVAL ADDRESS L�. - SQ. FT.��` NO. OF NO. OF 1, -/J'F - � r/'� Z . SIZE O 1 STORIES FAMILIES NEW + ' USE OF ADD ❑ I!�f! ��L �il., 1v4`':.� /��r�/G. STRUCTURE ALTER ❑ SIGNATURE OF REPAIR[] APPLICANT DEMOL ❑ VALUATION S APPROVALS DATE INSPEC,OR's SIGNATURE FOUNDATION: LOCATION FEES p�. FEES / �.(i e FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF ?M HOUSE NUMBER COR- PERMITTEERECT AND POSTED ADDRESS FINALhT 2 7 t1l Ll.;t-�� ,.,r,.� PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VA TION CK. M.O. CASH ( '^_ 2 1 1 073 JUL Y 0 2 3 D 12.60- Ar', 2,60 Ar', 2 1 1 1-3 jUL 1 0 10 42,00- cu APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS _ ` 7 DEPARTMENT OF COUNTY ENGINEER ZIP G/7,f'd BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS ,P,.S-r D/_/it.)'e 41 TRACT �c7 BLOCK LOT NO LOCALITY • PL,4- 1 e� e,# TEL NEAREST j 10 Of ' OWNER � , ,G; L E�•/)NO. - .3'x� GROSS ST. �./ /V19 iif ' ASSESSOR ADDRESS e 77 ��iUr� ,�� MAP BOOK PAGE CEL _ r c DISTRICT GROUP TYPE FIRECR?SXSSED BY CITY �� jr ZIP 5°17a (/ ONS ZONE ARCHITECT OR TEL. li�(J ENGINEER NO. STATISTICAL C�ISSIFICATION -SEWER MAP ADDRESS E . CLASS NO. /1�✓, DWELL,UNITS --jSK PG CONTRACTOR S°FLF NOLU ONE MA �+, LIC. /l NOP V ADDRESS 4541,0f7e 49S G / +_NO. .� SPECIAL CITY LIC. CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM J f FRONT PROP.LI NE OF / (STREET) 1 ADDRESS CITY HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING 1 SQ, FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH ; SIZE STORIES FAMILIES ONE i + 1 DESCRIPTION OF WORK ae NEW ❑ 1 1 ❑ ADD BLDG,S BACK FROM r a / SIDE PRO OF (STREET) JJ ALTER ❑ _ TOTAL SE FROM TYPE OF EXISTING ter• 3 'F �,,,d�G4 HIGHWAY + YARD -EPAIRHIGHWAY WIDTH R ❑ SIDE PROP. LIN USE OF + - EXISTING BLDG. DEMOL ❑ APPLICANTTEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) ag, ,b NO. ' BY (SIGNATURE) �J � IN OPEN SPACE YES ❑ NO ❑ /J'7L IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ � i�'r • CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM Y IMPACT E)Vd.PTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CO STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF TME LAP..DR CODE OF THE STATE OF CALIF RNIA IN RELATING TO -WJRKMEN'S COM PEN ATION INSUgANC I .. SIGNATURE OF a PERMITTEE ADDRESS TELFINAL BY 6 ` . r � t CIT �' _ t� NO. � ,�-�l DATE � �'- !�� !/ Id"•�r�. •.`�J MAKE CIIECKS PAYABLE TO: P. E $ PMT.Q FEE FEE •P HARVEY T. BRANDT, COUNTY ENGINEER pC . PLAN CHECK VALIDATION CK.' M.O. CASH ® PERMIT VALIDATION CK. M.O. CASH 35ONL 23 1U 21.75 ®_•d 78AG38A CE#803 7/73 ' r 76A638A CE#8031-62 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 f WILLIAM A.JENSEN, SUP'T OF BUILDING CROSS ST. L DISTRICT NO. GROUP TYPE P ESSED BY FOR APPLICANT TO FILL IN / CONST. BUILDINGSTATISTICAL CLASSIFICATION S ER MAP SSza --� CLASS. NO. DWELL.UNITS� BK ADORE 2 g! LOT NO. 01. BLOCK ,5 WATER NOT REQUIRED RECEIVED CERTIFICATE: rrr� TRACT MAP e�+�p HIGHWAY STATE MAJOR SECOND OCAL NO.OF BLDGS. NOCK L� / (CIRCLE) SIZE OF LOT �. rf�'� NOW ON LOT USE ZONE SPECIAL USE OF �„I P " �y / CONDITIONS EXISTING BLDG. .S'f,.. rr/t'",a �lJ"-'_ " OWNER I TEL. ' NO. BUILDING EXIST - /p SETBACK YARD HWY TR �T NAME WIDTH ADDRESS �d�j 11 �„�I� - f . (z FRONT q ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE _ P. L. , C ADDRESS G� F�,�d TELNO . J� � r�I{ CONTRACTOR 0,91-10,91-1f k t . ADDRESS fe v DESCRIPTION OF WORK u 0 u NEW ADD ALTER REPAIR DEMOLISH a SQ.FT. �{ f�, NO.OF NO. OF SIZE oG (/ �J STORIES FAMILIES USE OF STRUCTURE &t� � W '�: y!r J fd! 1 `�r•h SIGNATURE OF APPLICANT (J79—CJ VALUATIONS APPROVALS ,DAT, INSPEC3A 'S SIGNIIT• E P.C. PMT. FOUNDATION: LOCATION O* n f ! FEE $FEE'$ FORMS, MATERIALS O G_p'-" 3 •!/ r;, FRAME: FIRE STOPS, O ;+ �.!''�F0V I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS jl („ 'a t•'f AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS l._-"'�� BUILDING CONSTRUCTION. I 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- INGTO WORKMEN'S COMP ATION INSURANCE. � + ITf I ATFI,EXT;5"1.h!a'( g %7 = ,r SIGNATURE OF �� 6r'i �• �[° S HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL l JOHN F. LEWIS. R INLIPAL STR RAL ENGINEER MI PLAN CHECK VALIDATION CK. M.O. CASH _ PERT VALIDATION CK. M.O. CASH Lko 3 1 3 ti o AUG 16 1 D 1 rJ.0 0- Q r� _ APPLICATION FOR BUILDING PERMIT .6v- FOR-A-0-A-00LICANT TO FILL IN (Print or type only) t BUILDING COUNTY OF LOS ANGELES ADDRESS ! "� ice. U,Li S'�' DEPARTMENT OF COUNTY ENGINEER CITY zIP Gl BUILDING AND SAFET IVISION NO.OF SLOGS. BUILADDRESS y f�[ SIZE OF LOT�Q��Q0 NOW ON LOT ADDRESS / L TRAC �(2_4F.4181_0 CK LOT yN,O(�j�/, LOCALITY ST OWNER¢ fIy (�'2�/ NOLA# z(s GROSSNEAREST. ASSESSOR ADORESSjd"J � 06ICA�' !Q MAP BOOK PAGE RCEL rte. v DISTRICT 1GROUPITYPEzip FIRE PRO SSED Y CITY ���//�JC� yL% ^ CONST+ 73NE ,r ARCHITECT TEL.' r ENGINEER e' &jC&9T NO. ADDRESS 124Z/ -6eW 860,D-Z,40 STATISTICAL CLASSIFICATION SEWER MAP C� (� CLASS NO.�DWELL•UNITS BK �P6 CONTRACTOR b° g 'V 57 NOLO `a40 USE ZONEI MAP pp`` nZ � Z�� NO. ADDRESSNO SPE CIAL � RR CONDITIONS CITY rD � .4/, I/ CC-Ass'v� R DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANC+H�+ Y' J�(f< B DG.SETBACK FROM ADDRESS qi ,�dl�, F ONT PROP.LINE OF (STREET) HI WAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT +ya .NO. OF NO. OF CHECK FRONT PROPLINE HIGHWAY WIDTH ; SIZE g,r STORIES FAMILIES ONE i DESCRIPTION OF WORK jeGjVVrje;C. NEW ❑ + ADD BLDG, BACKFROM C�ry�•,r A t @figr SIDE PRO NE OF (STREET) '^O(/ J� 'Y,BW ALTER HIGHWAY + YARD = FROM TYPE OF EXISTING USE REPAIR❑ SIDE PROP. LINE HWAY WIDTH USE OF .} EXISTING BLDG � . DEJMOL ❑ APPLICANT / _ `1Aj G� NOL gc//,cp g j CORNER CUTOFF YES ❑ NO ❑ (PRINT) IN OPEN SPACE YES ❑ NO BY (SIGNATOR ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION � CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT 1 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 UTHORI IED IMPACT REPORT PROCESSED (DATE) HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIO ION OF THE LABOR CODE OF THE S E OF CALIFORNIA I RELATING TO WORKMEN'S COMPENS INSURANCE. SIGNA U PERMITTEE- ADDRESS ERM) EEADDRESS 6^,� • y� ��yy FINAL BY CITY /"KJu/�� f M NOL02� DATE MAKE CHECKS PAYABLE TO: P.C. PMT.$✓ HARVEY T. BRANDT, COUNTY ENGINEER FEES L F--'%%E 123 PLAN CHECK VALIDATION SCK. M.O. CASH _ PERMIT VALIDA M.O. CASH 9. 3 9 9--MAY 1J0 X2.3 0 . 6' 5.'7 0 A' �6F6QB'/�AL413 75' IP o •• �Jo1_0 ©.Jv - 2 7��ili� 30 1 0 1 2 3.0 0 a�a DIVISION OF BUILDING AND 'SAFETY Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IPI FOR OFFICE USE ONLY BUILDIDISTRICT NO. PLAN CK.OR REO.No. PERMIT NO. ADDRESS �'4 �n ,1� per+ �7 ADDRESS i� (Y�Y.(rL4�s M'f��0�! 1 : LOCALITY 6� 11 I)j h AE A RECEIVED BY DATE orAPPL. DATE IBSUED P(EAREST is y' iAt\ CROSS ST. BUILDING c---/r 1/� n ADDRESS I ('�r� J 2. OWNER '4'i,9_1 MAIL Q1 .}} } : LOCALITY ADDRESS 16 •®'R7'T ;� i�!�J-f� 1.hl(P.P� NEAREST n .�. CROSS ST. CITYr.1410-L�11�(_. LCA NO. FIREI NO.OF I TYPE I GROUP ARCHITECT O TEL ZONE PLANS ENGINEER NO. BLDG. ORD. NO. SETBACK LINE ADDRESS : USE APPROVED l �)� I`-!�+"��ItIF� oL. / ZONE BY DATE CONTRACTOR �. ;.1. y 1 & G 1131-7 HOUSE NUMBERING h 11-1 I n ADDRESS t�PN?.ldt_ , 011-(1 1 {-�.{7/ICI^•' MAP NUMBER NO. ASSIGNED BY LEGAL P CORRECTIONS DESCRIPTION LOT NIL BLOCK TRACT NO. OF BLDGS. SIZE OF LOT NOW ON LOT USE OF NO.OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORN O A NEW ALTERATION ADDITION Z D r REPAIR DEMOLITION SQ.FT. NO.OF SIZE ROOMS STORIES EXT.WALL ROOF COVERING I COVERING UBE OF STRUCTURE !s'��� �P7 t�L'�rr�i.1.�� r�d4.P� �'L•��1 P : I INSPECTION FOR APPROVALS OCCUPANCYAS I NSPEOTOR'S SIGNATURE DATE F13UNDATI13HS LOCATION I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FORMS, MATERIALS' PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAME: FIRESTOPS, CORRECT. BRACING,BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, F45:4,71/ / AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS L_ �G�Gf.e c 45�rr " SIGNATURE OF LATH, INT. PERMITTEE v1 4-P_XL!n 4 I`t/e l•titi'!:1/1.L• f ADDRESS 1211 �.0{L CtL L IL LATH,LATH, EXT. L•LL 1 I PLASTER, INT. } AUTHORIZED AOT. —L&O, 4-01'1• f I, PLASTER, EXT. $ + " FEE I U() HOUSE NUMBER COR- RECT AND POSTED VALUATION FEE FINAL 1y�!' .>~ �` 5'� . 76A638A D89 3 1-32 ,/r- 1'/ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING fj ! / f ADDRESS r.�i -Ira��� .�-'//A.4 LOCALITY ��+'Ir „��_7/ I ..i�'- RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST / (p CROSS ST. VC-i�L/�Cs1J�iV(�(a �-I•/.f_7--�� �•t �`-�� ,s-/I�// �_ OWNER ( I (r, l/�7 LL.!;.'�J v-1*�! ADDRESS - l Oz I c / ADDRESS aG,�)+�(fl �V,Lif��(�I LOCALITY I , -T I/ ! N,EAREST I TEL. CROSS 5T. 'P (� m CITY v{. :,, :f. ° L . NO. Q'%d_ FIRE NO.OF TYPE GROUP ARCHITECT OR / TEL ZONE PLANS ENGINEER NO. I' BLDG. -- ORD.NO. ADDRESS SETBACK LINE r - APPROVED CONTRACTORTEL.'�.PX_O�I�;s'y„��,.SS!;:.si_��.�NO. BY DATE USE JL1/ /`APPROVED ADDRESS 1!,:,r.'i- f" ^:,+`.� i^A•':",f. -� / ZONE r'! 1 BY DATE ' LEGALI ,� CORRECTIONS DESCRIPTION LOTNO. �� BLOCK TRACT NO.OF BLDG9. SIZE OF LOT I NOW ON LOT t UBE OF NO.OF N .OF EXISTING BLDG. FAMILIES I ,'13 gm DESCRIPTION OF WORK � NEW ALTERATION I ADDITION O A REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z SIZE ROOMS STORIES y WALL ROOF r COVERING I COVERING USE OF NEW BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /� r t FRAME: FIRE STOPS, SIGNATURE OF.1,/ w/ "y BRACING,BOLTS PERMITTEE UPI Vi:/ i J r�=i./.�+•i!.r.i.�.�i « S r LATH, INT. AUTHORIZED AGT- LATH, EXT. 78AS38A 9-48 �� PLASTER,INT. DBS-3 SOM SETS /F �,' FFEE Y ��f � PLASTER,EXT. VALUATION FINAL L(;' �_ �• a-t f ISASSOAV#809.7.56 APPLICATION FOR BUILDING PERMIT BUILDING AND SAFETY DIVISION ADD E1SS Department of County Engineer County of Los Angeles LOCALITY JOHN A.LAMBIE, COUNTY ENGINEER NEAREST / CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST /�l 1 DISTRIC NO. GROUP 'TYPE Izz, SEWER MAP P FOR APPLICANT TO FILL IN CONST. BUILDING /�j0 C 4 /��� � I ADDRESS d i jv (i' STATISTICAL CLA SIFICATION LOT NO. BLOCK CLASS. NO. DWELL. UNITS MAP STATE YES 0' 1/ �v NUMBER HWY TRACT dS USEZQNE SPECIAL NO.OF BLDG$. I CONDITIONS SIZE OF LOT O I NOW ON LOT USE OF EXISTING BLDG. BUILDING EXIST. YARD HWY STREET NAME ^ �O SETBACK WIDTH OWNER Gr FRONT / s ' MAIL _ �Q� �� A P. L. ADDRESS I a j Jam % �C 'SIDE TELP. L. CITY .�-� NO. a tl� ` ARCHITECT R TEL.�j" INSPECTION RECORD ENGINEER NO. ADDRESS - TEL I, . CONTRACTOR �7'7LL/✓ NO. ADDRESS DESCRIPTION PF WORE NEW ADD ALTER REPAIR DEMOLISH } SQ. FT. '/ NO. OF NO.OF i SIZE STORIES FAMILIES USE OF STRUCTURE 000 APPROVALS SIGNATURE OF APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS. MATERIALS $ P.C. SFRAME: FIRE STOPS, "• �/�r• •�, FEE BRACING. BOLTS VALUATION $ /� FURNACE. LOCATION, O: GAS VENT. DUCTS FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. P121CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS REG ATI ILDING O RUCTION. SIGNATURE OF,� HOUSE NUMBER COR- PERMITTEE' RECT AND POSTED ADDRESS1__CJ!q """G C� FINAL IOHN A.LAMBIE. COUNTY ENGINEER. CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL EN 'AR PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ''�„0 5 5 2 2 ;':AR t)5 1 2.0 0 APPLICATION FOR BUILDING PERMIT FOR. APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS 03:- DEPARTMENT OF COUNTY ENGINEER cii5g jTr. ZIP BUILDING AND SAFE Y DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT R© JR 60 NOW ON LOT fl`/ ADDRESS TRACT g� BLOCK �� LOT NO '" LOCALITY TEL. NEAREST OWNER LO/),l y-� /y7 r, ' O. -,1 CROSS ST. ASSESSOR ADDRESS ,j-$ ,av . MAP BOOK PAGE 1. CEL � DISTRICT GROUP TYPE FIRE ROG SED BY CITY ` L ZIP CONS . ZONE ARCHITECT R TEL. ENGINEER ^ j 'R C NO �� STATISTICAL CLASSIFICATION t SEWER M P r ADDRESS ,-CZ; FEL. CLASS NO�DWELL.UNITS B P16 L 1 CONTRACTOR j ,1 NkAD MAP LIC. NO. a4d ADDRESS/,#.y jJ NO. SPECIAL CONDITIONS CIT �' T CLASSARTMENT APPROVAL REQUIRED YES NO❑ CONSTRU ON LENDER NAME AND BRANCH BACK FROM (STREET)OP.LINEOFADDRESS CITY C TOTALSETBACK FROMTYPEOF EXISTINGSQ. FT. NO. OF NO. OF CHECK + YARD — FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE F r + = C DESCRIPTION OF WORK NEW L ADD ❑' SIDE PROP,LINE OF BLDG.SETBACK M (STRE ALTER ❑ HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF EXISTI REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH = EXISUSE TING BLDG, DEMOL ❑ + I APPRINT)N ) _ i f TatiEL CORNER CUTOFF YES ❑ NO ❑ BY-(SIGNATURE) W IN OPEN SPACE YES ❑ NO ❑ �iC IN COASTAL ZONE YES ❑ NO ❑ VALUATION CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARA N SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ` STRUCTION. I CERTIFY THAT IN DOING THE WORJIE IMPACT REPORT PRO 55ED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOL LABOR CODE OR HE STATE OF CALIFORNIA IN � c, 'WORKMEN'S COMP SA�ON IN9URANC SSIGNATURE OF PERMITTEEADDRESS A J�/ S117 n. ALBy4 ,4,CITY .� NOL' TE11;1(:E GFI'Cti5 P:i}':1)3LLi 7'Or FEHARVEY T. BRANDT, COUNTY ENO� PLAN CHECK VALIDATION CK. M.O. CASH o PERMIT VA TION CK. M.O. CASH 11 D- 2 9 5 7,1 :l 5,�0 76AG38A CE#803 12/72 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT ` DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1101030024 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: ITR: 11290 IT: 2 BL: B I SQ. FT STORIES TYPE 1 10558 OLIVE ST I [STRUCTURE: V-B I TEMP CA 917802864 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: I 18585-021-003 I I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl I [ [ I (TENANT. JEXIST BLDG USE: RESID USE ZONE: R-1 1ISSUED 01/03/lON: PROCESSED BY: (EXIST I [ [ I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1 ICHI, SEAN (626) 579-2305- 1 9,000 I , f1 110558 OLIVE ST fi WV I ITEMP 917802864 1 FEES PAID ID;NSCRI TION OF WORK 1 I 1BATHROOM REMODELING AND STUCCO ENTIRE EXTERIOR I I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:JOF EXISTING RESIDENCE I (APPLICANT: TEL. NO: I I I ICALIFORNIA PREFERRED BUILDERS (800) 418-7055- IAA BLDG PERMIT ISSUANCE 27.80 1 I 120335 VENTURA BLVD. IAB STATE GREEN BLDG FEE 9000.00 VAL 1.00 ISPECIAL CONDITIONS: IWOODLAND HILLS 91364 AC STRONG MOTION RESID 9000.00 VAL 0.90 I I I B2 PERMIT W/ENERGY 9000.00 VAL 220.30 I I TOTAL FEES 250.00 I 1 ICONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE 1 ICALIFORNIA PREFERRED BUILDERS (800) 418-7055- 1 I I 120335 VENTURA BLVD # 422 LIC. NO [LOCATION AND SETBACKS [ I [ IWOODLAND HILLS, CA 91364 929364 B * I I I [ I I ISOILS ENGINEER APPROVAL [ [ [ [ARCHITECT OR ENGINEER: TEL. NO: 1 IFOL::'IDATION/TRENCH FORMS I I I 1 LIC. NO: I (SLAB/UNDER FLOOR I I IRAISED FLOOR FRAMING [ I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ [UNDERFLOOR INSULATION I I I 1147H273 3 001 [ 1-1 1 I [ I�.'� FLOOR SHEATHING I [ [ INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 NO 21 I C - ROOF SHEATHING I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I AIR QUALITY: 1000 FEET MATERIALS I I I I 1 NO NO NO � IFRAME INSPECTION I I I [ I [FIRE SPRINKLER HANGERS I I 11NSULATION/WEATHER STRIPI I I I I [INTERIOR LATH/DRYWALL I [ I I I I [ I I I I 1EXTERIOR LATH 1 I I I I [ RATED FLOOR/CEIL ASSEM. I I II I [ I I IRATED WALL ASSEMBLIES I I I I I (RATED SHAFTS/OPENINGS IT-BAR CEILINGS I [ I I* ADDITIONAL DATA ON FILE I I I ILOT DRAINAGE I I I REPORT ID: DPR261 ROUTE TO: BS0508 I [ I [ [ I I_ [ I I