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HomeMy Public PortalAbout10650 OLIVE ST_Building__ 76A898A CE#803 9-68 C"• 6���ij%- APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 7094 DEPARTMENT OF COUNTY ENGINEER ADDRESS ;, BUILDING AND SAFETY DIVISION LOCALITY Tem le Cit JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING 'CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GRO P T P E (Print or type only) �71CONST. f/ . �/� V / BUILDING STATISTICAL CL SSIFICATION SEWER MAP ADDRESS 10650 Olive CLASS NO. DWELL.UNITS BK LOT NO. BLOCK USE ZONE MAP © /7 NO. �J TRACT SPECIAL NO.OF BLDGS. ��rlll CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG, 'BLDG.SETBACK FROM OWNER NO. ;FRONT PROP.LINE OF (STREET) L e TY OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 10650 O ZVe HIG AY WIDTH FROM C.L. CITY Temple City + BLDG.SETB FROM ARCHITECT OR TELSIDE PROP.LIN (STREET) ENGINEER NO. TYPE OF EXISTING SETBA HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRA CTOFqTj No. '2 LIC t = 1 ADDREss600 S. San Gabriel Bl.NO '160650 CORNER CUTOFF YES ❑ NO ❑ � CITY San Gabriel 91776 CLASS 0-39 SEE REVERSE SIDE FOR SPECIAL APPRO ALS CONSTRUCTION LENDER e NAME AND BRANCH ADDRESS SQ. FT. NO. OF NO, OF NEW ❑ SIZE STORIES 1 FAMILIES USE OF , ADD ❑ STRUCTURE Reroof with 1/211 ALTER ❑ Medium Shakes REPAIR SIGNATURE OF APPLICANT DEMOL ❑ dy- VALUATION S 16".00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION`S FEE S FEE S 17.25 FORMS, MATERIALS FRAME: FISTOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG BOLTS i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, . WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE ST TE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMPENSAT 10 NS URANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL 7Z} AP [ JOHN F. LEWIS, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH I pr's. 3 4 9 9 N JAN 27 1 D 1 7.25N 1 DEPARTMENT O ,F BUILDINr- &V3-=;SA ff j: APPLICATION FOR PERMIT COUNTY OF L-`�N "'- 1 31'�'�$ I L ® I N WM. J. FOX, CHIEF ENGINEER FU OR APPLICANT TO FILL IN FOR OFFICE USE ONLY //�/ A DISTRICT NO. QPLANrUK.7^NNO. PERMIT NO. +f=4�s7J�`� !l 1�V 7 1 V7/1 L lG�'�� REECCEIVEDBY DATE OFAPPL. DATEEISBUED r J BUILDING OWNER i./.✓.1' l� ��•. �s. � lr -r! ADDRESS n MAIL c� 'A + LOCALITY T ADDRESS • NEAREST ��- TEL. CROSS 6T. CITY NO. FIRE NO.OF TYPE 713UP ENG NEERARCFh-rECTO-R �iD�7r/ NO. eQ�b� ZONE PLANS / 1 _ I , +' BLDG. /� j ORD.NO. ADDRESS SETBACK LINEf'� /- ; APPROVED CONTRACTOR%�" f,e��ii NO. P� f�, la BY DATE USE.. ZONE APPROVED' ADDRESS DATE /' /!'V° ZONE BY DESCRIPTION LOT NO. I BLOCK n_ CORRECTIONS TRACTf/P- fO • �� B T r ICAkf //!: X I NO.OF BLOTS. On` P " rte SIZE OF LT � �C 9 7 0 NOW ON LOT ea.f{�� �� ,y ��.,i �< USE OF I NO.[IF ;40.OF EXISTING BLDG. FAMILIES ROOMS a 7?q,/`•� 7:E' p. DESCRIPTION OF WORK y �* NEW / ALTERATION ADDITION 4 Y 0 S` e dA: �SZI O ,lam REPAIR MOVING DEMOLISH A0 Bq.FT. ♦ NO.OF / Z SIZE 1.s.1 d ROOMS� STORIES / D WALL� � o r COVERING -s/` G I rREVERINGIAIA9.USE OF BU LDINSWS/ •r 7 �J v .'moi & / 1 HEREBY ACKNOWLEDGE' THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION:.LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME:BRACING,RB, SIGNATURE OF BOLTS PERMITTE LATH,INT., AUTHORIZED AST V LATH,EXT.: _ - , es-a soM sEre 7-47 $ � + PLASTER,INT. / FEE /n24'III I /_ PLASTER,EXT. j ALUATION �D O FEE '-a y© FINAL �_ �g APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS 1 BUILDING DRE Q O 1 t`V1,p / I hereby affirm that I have a certificate of consent to self insure, /or a certificate of Workers'Compensation Insurance,or a certified �Vt copy thereof(Sec.3800,Lab.C.) WY LOCALITY Policy No. Company SIZE OF L NO OF BLDG NOW OTIrriQY1 i~ ❑ Certified copy is hereby furnished. �� NEAREST CROSS ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. P J fY1QAt1',C' department. USE ZONE MAP NO. Date Applicant ASSESSMAP�Oo PAGE � PARCEo� , 0 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' EIR r- 'gyp TEL NO. I COMPENSATION INSURANCE L/G a Of) AI" WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADD E S,�1 tT DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) J d �+ • `1� r&_ /J��'_ I certify that in the performance of the work for which this permit fj�Y . ZIP 1-7 gD (J l is issued, I shall not employ any rson in any manner so as to rARCHI Ci OR ENGINEIR TEL NO. 0 i✓S becorr��Uect to the Workers' mpensat' Laws. STATISTICAL CLA SIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. Z DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' 2014TRACTORTEL NO // SET BACK YARD HWY PROP LINE WIDTH PW Compensation provisions of the Labor Code, you must forthwith S JC r "�+ d FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS r I LSC. O 3� PL LICENSED CONTRACTORS DECLARATION SIDE Y 1 11YO LIC.CLAS P L e - } I hereby affirm that I am licensed underprovisions of Chapter 9 C ( /O SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ. .SI NO.OF IES NO OF FAMILIES p Professions Code,and my license is in full force and effect. QILJSTORQNB• NEW ❑ BK PG en License Number Lic.Class DES TION OF RK ADD � VALUATION C Contractor Date G l I c r ALTER ❑ $ G CJ w a ❑ 1 am exempt under Sec. AO�� C�i REPAIR ❑ $ z BAP.C.for this reason DEMOL ❑ LDMA P/C t Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# ❑ I,.as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and FINAL DATEQ __;j_` `L�7 t)� Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 9 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE I��v J - •'�+' -_ ❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY w ;•�• licensed contractors to construct the project (Section 7044, Business and Professions Code.) VES❑ No €,! y=)` ,:5; '' y,}-Ioji WILL THE INTEN15ED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING '�•/ ^� OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH :•1-II: CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR GUIDELINES YES❑ NO I hereby affirm that there is a construction lending agency for .,I.; DI m the performance Of the Work for which this permit IS ISSUed(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. TITLE 2.CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS �_I..('j�1^-Jt:�l i -'f '`•� Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address � OWNER OR AGENT c I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE I N with At county ordinances and State laws relating to building I - 23 W con coon,and h by authorize representatives of this County ISSUANCE FEE ry` m to ter upon the a-menti ed property for ins n rposes. !�- U INVESTIGATION FEE TOTAL FEE moa AWd Dae 3•f .`f SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0006130001 PHONE: (626) 285-0488 EXT: LEGAL D: .0. OF CONST NEW BUILDING DRESS: TR: 11290 LT: 2 BL: A SQ. FT STORIES TYPE OCCUP GROUP 10650 OLIVE ST STRUCTURE: 584 1 VN R3 TEMP CA 917802842 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: EL MONTE 8585-031-002 OTHER: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZO E: ISSUED ON: PROCESSED Y: EXPIRES ON: EXIST OCC GRP: 07/07/00 UT 01/04/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT BY: CODE: HAN VICTOR;LU SUSIE S - 1 54,200 10650 OLIVE STAF u TEMP 917802842 FEES PAID DESCRIPTION OF WORK REMODEL EXISTING MST. BEDROOM TO CREATE 2 SEPARATE BEDROOMS APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: CREATE NEW MASTER BEDROOM AND BATH SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 54200.00 VAL 5.42 SPECIAL CONDITIONS: AX BUILDING RE�ILEI��FEE-��1, 54.70 B2 PERMIT /ENERGY��E S4'200V00 VAL 935.39 07/�L�f,EES 1,023.26 CONTRACTOR: TEL. NO: �j APPROVAL DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS i� ARCHITECT OR ENGINEER: TEL. O: - OUNDATIO NCH FORM fL� LIC. NO SLAB/UNDER FLOOR (� �llllll AISED FLOOR FRAMI G � „r e MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: C P':?�n n D UNDERFLOOR INSULATION I� 3 0�._ I I r grc� �n�c� M U ) _ _ .��L ` �� ST LEVEL FUCOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:—- - NO 21 a — .- ND LEVEL FLOOR SHEATH U .W'Ali SCHOOL WITHIN AZARDO S ❑ ROOF SHEATHING c r t•. AIR QUALITY: 1000 FEET MATERIALS 0 sr NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST (� rI .— �� BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: /jL, l FRONT PL- Service'r��t SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH AL J EXTERIOR LATH LOT DRAINAGE SMOKE DETECTIO DEVICES- FIRE EVIC SFIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: 9S0508