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Home My Public Portal About10627 OLIVE ST_Building__ 76A638A CE#8032-63 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 WILLIAM A.JENSEN, SUP'T OF BUILDING CROSS ST. DISi1C�z]N G P TYPE D FOR APPLICANT TO' FILL IN V CONST. BUILDING QbA / STATISTICAL CLAS IFICATION WER MAP ADDRESS F- p$ CLASS. NO.---/—DWELL.UNITS pG LOT NO. ',g5r, dloCZorBLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE: TRACT MAPY/} lNO.OFBLDGS NO. (.� (CIRCLE)VLE) STATE MAJOR SECOND LOCAL SIZE OF LOT NOW ON LOTUSE ZONE SPECIAL USE OF /J CONDITIONS EXISTING BLDG. • lU ,.Ir CA4 c, TEL. OWNER 06v A,jQ NO. BUILDING EXIST. �6�^ ,�. //ff �c SETBACK YARD HWY STREET NAME WIDTH ADDRESS v`J /. (/� e /C FRONT ARCHITECT OR TEL. P. L• (/ lJ ENGINEER NO. SIDE ADDRESS a TEL O CONTRACTOR NO. 70 l u C 99 ADDRESS a,- Si9u G' 6RiG TACK O DESCRIPTION OF WORK W NEW k ADD ALTER REPAIR DEMOLISH SQ.FT. A NO.OF NO. OF SIZE /,2/D STORIES FAMILIES USE OF STRUCTURE CCS N T K1 f SIGNATURE OF �y A 3 APPLICANT r �s VALUATION $ 1,314 APPROVALS DATE INSPECTOR'S SIGNITYRF P.C. PMT. �'+� qP//�� FOUNDATION: LOCATION / FEE S FEE S, 3d S (J FORMS, MATERIALS + FRAME: FIRE STOPS, J}µ�'r�1 fEI/ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS _0 F�/1%J -s^i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: 'LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS For BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE-WORK , AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE F THE STATE O ALIFORNIA RELAT. INC TO WORKMEN'S CO ATION 1 URA LATH,EXT.. SIGNATURE OF HOUSE NUMBER COR' PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PR NdIPAL ST RAL ENGINEER PLAN'CHECK VALIDATION cK.. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 7 u 7 UJ-L 1 c3 2 3 D 2 6.75L LAL0 0 1 .6 1 SEP 1.3 1 D 5-3.5 0~ WORKERS'COMPENSATION DECLARATION I 7—, hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT J� 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.WP84-4467ompany Fremont Indemnity BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Zory �7_ ® Certified copy is filed with the county building inspec- I BUILDING tion department. ADDRESS 10627 E. Olive Street LOCALITY NEAREST Date 8/8/83 Applicant Virgin ROOF Co. CITY Temple 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 USE ZONE MAP TRACT BLOCK LOT NO. NOP hundred dollars ($100)or less.) IL � Mr.. TEL. ! SPECIAL o OWNER James Clark NO. CONDITIONS I certify_that in the performance of the work for which this DISTRICT GROUP TYPE FIRE PRO ESSED BY V permit is issued, I shall not employ any person in any manner ADDRESS 10627 E. Olive St. CONST. ZONE p� so as to become subject,to the Workers'Compensation Laws. CITY Temple Cit ZIP "C', - Date Applicant STATISTICAL CLASSIFICATION CONDO. U NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. w Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS H Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be I, deemed revoked. - CONTRACTOR 9. Virgin* Roof Co Ti�t87-0507 BK• Af PG. / 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 Temple Cit LIC' C39 $1975.00 Professions Code, and m license is in full force and effect. i CITY p y CLASS SQ. FT. NO.OF NO.OF CHECK License Number 160650 Lk.Class C39 SIZE ISTORIES FAMILIES ONE Contractor Virgin Roof CO Date 8/8/83 DESCRIPTION OF WORK Re-roof house & NEW ❑ 1 am exempt from the licensing requirements as I am a I garage with 220# Class "At' ADD licensed architect or a registered professional engineeri ALTER E] FINA /7, 9 acting in my professional capacity (Section 7051, Fiberglass shingles. REPAIR E] DATE , / a Business and Professions Code). USE OF FINAL EXISTING BLDG. DEMOL ❑ By cam.. Lic.or Reg.No. Date APPLICANT TEL L PRINT) Virgin Roof Co NO287-0507 OWNER-BUILDER DECLARATION U 5 1,3 A I hereby affirm that I am exempt from the Contractor's License " + Law for the following reason (Section 7031.5, Business and ADDRESS P. 0. BOX J San Gabriel 1778 f # a a 0 0 0 Professions Code): PRESENT ❑ BUILDING p o - 49,88 I, as owner of,fhe property, or my employees with ADDRESS wages as their sole compensation,will do the work ando o,o (I.O 8 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 0 �, 6—.83 I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for h1nvestIT.tion the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address 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 ee . ordinances and State laws relating to building construction, Total Fee $49.88 J and reby authorize representatives of this County to enter = upo the above-mentioned p pert'y f ins tion purposes. ` f °c SEE REVERSE FOR EXPLANATORY LANGUAGE e Si tura of Applicant or Agen Date j ®s 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 0308190019 PHONE: 0626) 285-0488 EXT: LEGAL ID, NO. OF CONST- TR: 7690 LT: 5 SQ. FT STORIES TYPE 10627 OLIVE STS STRUCTURE: VN I TEMP CA 917802843 S NEAREST CROSS STREET: PAL MAL 8586-030-035 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY EXISTS : RESID 0 - PROCESSED S EXIST OCC GRP: 08/19/03 JK 08/13/04 OWNER: T L. N0: BLDGS. NOW ON LOT: VALUATION: F A YE ME � F1 B ODE: 10627 OLIVE ST 2,900 2 TEMP 917802843 D TON OF WORK FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: T/0 HSE & GARAGE;INSTALL COMP SHINGLE OVER EXISTING SHEATING L. 0: ACETEK ROOFING CO (323) 231-6060- AA BLDG PERMIT ISSUANCE 27.75 6112 DREXEL AVE AC STRONG NOTION RESID 2900.00 VAL 0.50 SPECIAL CONDITIONS: LOS ANGELES 90036 D2 PERMIT W/O EN-HC 2900.00 VAL 99.00 TOTAL FEES 127.25 CONTRACTOR: TEL. N0: APPROVALS DATE 'INSPECTOR SIGNATURE ACETEK ROOFING COMPANY (323) 231-6060- 6112 DREXEL AVENUE LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 90036 820199 C39 SOILS ENGINEER APPROV ARCHITECT R ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MA NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H273 3 01 0. OF FA IL15S: DWELLING S: /CO D: STAT CL-AS-§--.- FLOOR SHEATHING NO 21 ROOF MEA SCHOOL WITHIN HAZARDOUS SH9AR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION QUI-RED TOTAL SETBACK ST FIRE S G RS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STR SIDE PL- INTERIOR LA H/D EXTERIOR LATH RAT EDi-F OOR C S TED WALL ASSEMBLIES R DS -BAR CEILINGS DRAINAGELOT REPORT ID: DPR261 ROUTE TO: BS0508