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Home My Public Portal About10619 OLIVE ST_Building__ } V APFtICATION FQ . � ILDI PER 1 COUNTY OF LOS ANGELES ~� BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT O FILL IFI BUTLDIJG AE I hereby affirm that I have a certificate of consent to self insure, BUILDNG ADDR or a certificate of Workers'Compensation Insurance,or a certified + In copy thereof(Sec.3800,Lab.C.) CIS'. I ZIP LOCALITY 1� t 3 Policy No-020/,gg �Ste` Company S7410- 6YND SIZE OF L %1NO.OF BLDG OW ON LOT v 4r ❑ Certified copy is hereby furnished. i NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. C v USE ZONE MAP NO. department. Dated a'I-9� Applicant 1_=�L�a F,0%f�Dt-�i1N /�S1/ ASSES R MAP BOOK PAGE PARCE SPECIAL CONDITIONS 111` CERTIFICATE OF EXEMPTION FROM WORKERS' OWUFR TE C`: COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO 1 (This section need not be completed if the permit is for one hundred 1 ADDRESS 4 dollars($100)or less.) o, �� DISTRICT GROUP TYPE CONST FIRE ZONE PR OC D B ER I certify that in the performance of the work for which this permit CITY i zIP� 509 � -r, *f J 1�rZ is Issued, I shall not employ any person in any manner so as to �jr ( AR TELT OR EN e become subject to the Workers'Comp nsation Laws. STATISTICAL CLASSIFI ATION APT C 0 ^t' • Dateu�!^43"' Applicant Pi„w./��D+� ADDRESS Ji�i CLASS NO.. DWELL UNITS I NOTICE TO APPLICANT.• If, after making this Certificate of + REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' C NTRACTOR tT,E1L,NO. -Y1 SET BACK YARD HWY PROP LINE WIDTH r Compensation provisions of the Labor Code, you must forthwith Zb� . "1`IZ � n FRONT I comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION g 44 d FL: 1 7 S �✓••'t a SIDE I hereby affirm that I am licensed underprovisions of Chapter 9 CIT_G /-10. V746— 411.31 UCCLASS [3'-r P L (commencing with Section 7000)of Division 3 of the Business and SQ.FT S Z� NO.OF STORIES NO.OF FAMILIES SEWER MAP Professions Code,and my license is in full force and effect. NEW BK PG a n DESCRIPTION OF WORK VALUATION r License Number fa 2 i32dt- Lic.Class JS•-0 _ ADD ❑ i•- F. Contractor n�0l�a-rt1v Date S- \ ALTER ❑ $ F':L.I .-F U Fva ❑ I am exempt under Sec. LJ(7REPAIR ❑ $ _717 ; ;/'4=•_+BAP.C.for this reason DEIIAOL ❑ LDMA P/C# �t-'1 TNIS WDate• ISTING BLDG. URM ❑ jw�':I r= :D- HL Signature AP5JCAN�(PFUNT) \ �• TEL NO. LDMA Perm# ,P•Lf�+'�' i' �! c z ❑ 1, as owner of the property, or my employees with wages asLJ I _ their sole compensation, will do the work and the structure is ADDRESS O DATE not intended or offered for sale (Section 7044, Business and �� Fi � FINAL - C Fi'-'':f =Tr Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL r� ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIA MIXTURE FIED ON I THE HAZARDOUS MATERIALS ING A HAZARDOUS MATERIAL NFORMATION GUIDEUAL TO OR ? THAN THE FINAL BY I1i!-Y_1'+a I t-/;'.�7• .. =+: ri licensed contractors to construct the project (Section 7044, , _ y;;- - YES El NO ):_S! = •-°r- �fr; +c'•C Business and Professions Code.) 1 .L .4 1 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING I I-(1;:){ ?rt,•i•�;_��! OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 1 COAST NR QUALITY MANAGEMENT DISTRICT SCAOMD)SEE PERMITTING CHECKLIST FOR CONSTRUCTION LENDING AGENCY I �FjG� � r.• ±r I GUIDELINES J� j� 1 hereby affirm that there is a construction lending agency for ves❑ No '�'/t/ a the performance of the work for which this permit is issued(Sec. I�1 •:i?i�`:'.3'� =it ' °' 1 HAVE READ THE A 3097,CIV.C.) CHECKLIST.UNDERSTNODUMY RERIMEMEIORM DERGTHE LOS ANGELS COUNTY CODE, . UIDE AND THE SCAOMD PERMITTING N- TITLE 2,CHAPTER 2.20 SECT GH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS R NI 14 P F M THE SCAQMD. - o Lender's Address 1=IJI_1 i-'JIll! o I certify that I have read this application and state under penalty "J i' f tl t 11-L_ of perjury that the above information is correct.I agree to comply P.C.FE PERMIT FEE �• Q N with all county ordinances and State laws relating to building 4 m construction,and hereby authorize representatives of this County ISSUANCE FEE co to enter upon the above-mentioned property for inspection purposes. m INVESTIGATION FEE TOTAL FES{/q r Q� P SEE REVERSE FOR EXPLANATORY LANGUAGE i I 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 0602160046 PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 10619 OLIVE ST STRUCTURE: 405 VN TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8586-030-045 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/16/06 JK 02/11/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL ATE FINAL BY: CODE: KONG, SAMSON/SUSAN (626) 674-1487- 5,000 10619 OLIVE ST TEMPLE CITY, CA FEES PAID D SCI: TION OF WORK 50 S'.F. SOLID PATIO C TO REAR OF SFD ICBG 02228P FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I APPLICANT: TEL. NO: TA (909) 292-6199- AA BLDG PERMIT ISSUANCE 27.75 786 PINEFALLS AVE AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: WALNUT, CA 91789 AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 TOTAL FEES 215.55 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE WEST COAST CUSTOM ROOMS (909) 594-7547- 786 PINEFALLS AVE LIC. NO LOCATION AND SETBACKS WALNUT CA 91769 471619BHIC SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H273 3 O1 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATE) FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS i T-BAR CEILINGS LOT DRAINAGE REPORT ID. DPR261 ROUTE TO: BS0508 I I ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAf `' 4 RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9703260030 PHONE: (818) 285-0488 EXT: GAL I O. OF CONST E BUILDING AD RESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 10619 OLIVE ST STRUCTURE: 0 1 V R3 TEMP CA 91780 ASSESSOR INFOR ONNUMBER: GARAGE: NEAREST CROSS STREET: OTHER: 150 1 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EX ST BL G USE: USE 0 : ISS ED 0 PROCESSED B EXPIRES .. EXIST OCC GRP: 03/26/97 TC 03/26/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BT;j,� ODE: LIANG, ZHAO QING (818) 279-1359- 1 2,060 _ Z7 10619 OLIVE ST TEMPLE CITY, CA FEES PAID DESCRIPTION OF WORK NEW ATTACHED OPEN WOOD PATIO 150'SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: kr - # - APPLICANT- T L. O: dot, d'ev(,c� SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2060.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 2060.00 VAL 99.15 TOTAL FEES 182.10 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: OUNDA ION/ RENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 � Ts-r LEE FLOOR S H NO. OF FAMILIES: DWELLING ITS: PT COND: STAT CL SS: NO 21 2ND LEVEL FLOOR SHEAT SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED OTA SETRACK FROM EXIST BLDG DEPT. FRAME INSPEC SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER S L- I S L ON/W A ERS I INTERIOR LATH/DRYWALL XTERIOR LATH LOT DRAINAGE SMOKE DETECTION EVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS05O8