HomeMy Public PortalAbout10625 OLIVE ST_Building__ 76A638A,CE,#8032-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING \
DEPARTMENT OF COUNTY ENGINEER- ADDRESS �J
BUILDING AND SAFETY DIVISION LOCAL)TY AL
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING`- CROSS ST.
DIST�JCT O G1 TYPE D
FOR APPLICANT TO FILL IN 1-15CONST.
BUILDING /� / / STATISTICAL CLASSIFICATION ER MAP
ADDRESS V v L, e CLASS:NO. DWELL.UNITS
LOT•NO. BLOCK WATER
CERTIFICATE:. NOT REQUIRED RECEIVED ❑
TRACT , MAP 60 •'HIGHWAY STATE MAJOR SECON O AL
NO.OF BL'DGS. :NO. (CIRCLE)
SIZE OF LOT 7 NOW ON LOT USE 2014E SPECIAL
USE OF /+��` CONDITIONS (� -3 ..
EXISTING BLDG. du <Aw
TE .
OWNER NO. BUILDING -YARD HWY- STREET NAME EXIST.
� � .�C SETBACK WIDTH
ADDRESS r Qc-/p C')r/ FRONT
ARCHITECT OR TEL. P• L•
ENGINEER. NO. SIDE
ADDRESS Q
TEL. 0f U
CONTRACTOR C t NO. Q
ADDRESS 8 2 IS7,w e,- �i e[
DESCRIPTION OF WORK u
W
Vf
NEW 6*- ADD ALTER REPAIR DEMOLISH ?
SQ.FT. 4 NO.OF NO. OF, , :e - !)
SIZE �1�o STORIES •, P FAMILIES
USE OF f ���
1/ / f
STRUCTURE �.q/ ) ,
mac)X� G f • r. nL..��f�_ ��1t�•�s�"4:C �`,. ;' .�'�,�'�!'
ot
SIGNATUVl IA
RE OF /i ry `T� � (J► (iir� G
APPLICANT /
it p �J
VALUATIONAPPROVALS DATE. INSPECTOR'S SIGNAtTURE
P.C. PMT. �' /q 1� FOUNDATION: LOCATION
FEE -s l� FEE77f L FORMS, MATERIALS 1
FRAME: FIRE STOPS,, J .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS .t
AND STATE THAT THE ABOVE IS CORRECT AND-AGREE TO COMPLY FURNACE: LOCATION, .7 '" p
WITH ALL COUNTY ORDINANCES AND STATE- LAWS -REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION, 1 CERTIFY THAT IN DOING THE WORK '
AUTHORIZED HEREBY I WILL NOT EMLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR COD THES.TAT °OF'CALI F;ORNIA RELAT-
ING TO WORKMEN'S CO ATION IS ANGE./ LATH,EXT. (✓/r�-.L!' °i
SIGNATURE OF° 16�f�. HOUSE NUMBER.COR- sr1
PERMITTEE RECT AND POSTED
ADDRESS FINAL OZ /
JOHN F. LEWIS.•PR.N eIPAL ST C RAL ENGINEER
PLAN CHECK VALIDATION <of4.0. ;CASH _ PERMIT VALIDATION CK. M.O. CASH
r G- 7 G.:U JUL 1 5 ? 3 2 :1 5 4
Iwai ,
"0. , 6 -OQ SEP.1,:3 1 fl 5':3::5:ON v
WORKERS'COMPENSATION DECLARATION 84057JL LA
r APPLICATION FOR BUILDING PERMIT
I hereby affirm that I have a certificate of consent to self
insure,or a certificate of Workers'Compenstion Insurance,or
a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No._I U��4 9�t54mpany Indemnity .
Certified copy is hereby furnished. BUILDING
FOR APPLICANT TO FILL IN
ADDRESS
Certified copy is filed with the county building inspec- BUILDING s
}ion department. ADDRESS 10625 Olive LOCALITY
Temple e C I ty NEAREST
Date 1112/84 Applicant Virgin Roof Co. ;CITY ZIP CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one US Z NE MAP
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO.
TEL. SPECIAL CLI certify that in the performance of the work for which this OWNER W. Vincent NO. CONDITIONS O
permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY 1.1
ADDRESS !)(� CONST. / ZONE
so as to become subject to the Workers'Compensation Laws. 6_
V 3 1 / �j O
r Date Applicant CITY ZIP ' STATISTICAL CLASSIFICATION `f `•r ARCHITECT OR TEL. LU
APT. CON U
''
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. ; CLASS NO. 2-1
_DWELL. UNITS a
Exemption, you should become subject to the Workers' �y
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
_
with comply with such provisions or this permit shall be TEL
deemed revoked. CONTRACTOR V i rg in Roof CO. NO,2870507 BK. PG, f VALIDATION
LICENSED CONTRACTORS DECLARATION LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P•0. BOX J NO,160650 VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC
Professions Code, and my license is in full force and effect. CITY $ CLASS $ 1810,00
j SQ. FT. NO.OF NO.OF CHECK
License Number 160650 Lic.Class C39 1 SIZE STORIES FAMILIES ONE
ContractorV 1 rQ 1 n Roof CO• Date 11/2/84 DESCRIPTION OF WORK Re-roof house Fs NEW $ # O 6
I am exempt from the licensing requirements as I am a arae with Class "All ADD [] 1 ° ° 4 9 8 8
licensed architect or a registered professional engineer ALTER FINA /�
acting in my professional capacity (Section'7051, S Sh l 2 S S REPAIR DATE7/ �V ° o a 4 9 8 8 61
Business and Professions Code). USE OF REPAIR �' FIN 1,07-8LG
I EXISTING BLDG. dwe l l i n FI 1
Lic.or Reg.No. Date APPLICANTBy
TEL.
OWNER-BUILDER DECLARATION (PRINT) V I r i n Roof Co. No. 287-0507
I hereby affirm that I am exempt from the Contractor's License P.O.•P O BOX J San Gabriel 91778
Law for the following reason (Section 7031.5, Business and ADDRESS
Professions Code): PRESENT
❑ BUILDING
1, as owner of the property, or myemployees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). II MOVING TEL.
1, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the projec (Sec- ADDRESS
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST.
SET BACK PROP. LINE WIDTH
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
(Sec. 3097, Civ. C.). I SIDE
1
P.L.
Lender's Name I
Lender's Address I P.C. Fee$ Permit Fee 39.38
I certify that I have read this application and state that the Issuance Fee 10-50
`- above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, 49.813
and heireby authorize representatives of this County to enter Total Fee
upop the above-mentioned ropert for inspection purposes.
i 8
SEE REVERSE FOR EXPLANATORY LANGUAGE
Si tura of Applicant or Agent { Date
®s
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 0704170002
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST I BUILDING ADDRESS:
ITR: 7690 LT: 5 UN: .002 SQ. FT STORIES TYPE 10625 OLIVE ST
STRUCTURE: VN TEMP CA 917802849
1 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:8586-030-037 THOMAS PAGE: 597 _GRID: C3 LOCALITY: TEMPLE CITY, Cl
TENANT: ((IEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXPIRES ON:
1EXIST OCC GRP: 04/17/07 JK 04/11/08
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: FINAL DA FINAL BY: CODE:
VINCENT JEANNETTE R (626) 442-0495- 1,500 i
10625 OLIVE ST
TEMP 917802843 FEES PAID SC IPTION OF WORK
VINYL SIDING OVER EXIST. uo.'T' WALL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SEARS HOME IMP. (800) 807-9889- JAA BLDG PERMIT ISSUANCE 27.75
10395 SLUSHER DR. JAC STRONG MOTION RESID 1500.00 VAL 0.50 ISPECIAL CONDITIONS:
S.F.S. CA, 90670 ID2 PERMIT W/O EN-HC 1500.00 VAL 82.20
TOTAL FEES 110.45
CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE
SEARS HOME IMP. (800) 807-9889- 1 1
10395 SLUSHER DR LIC. NO ILOCATION AND SETBACKS
SANTA FE SPRINGS CA 90670 721379 B I �.
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
I � RAISED FLOOR FRAMING
(MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION
1147H273 3 Oil
FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO JFRWE INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL- I 1 1-1
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
IT-BAR CEILINGS
ILOT'DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
I