HomeMy Public PortalAbout9053 OLIVE ST_Building__ COUNTY OF LOS ANGELES TEMPLE CITY K 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC W02Y.S 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMIPLE CITY CA 91780 BL 0508 0409080008
PHONE: (626) 285-0488 EXT:
LE D: NO. OF CO S r BUILDING-ADDRESS:
TR: 11218 LT: 8 BL: .001 SQ. FT STORIES TYPE 9053 OLIVE ST
STRUCTURE: VN TEMP CA 917803023
ASSESSOR OR A7 ON ER: NEAREST CROSS STREET: SULTANA
5388-004-015 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST SLOG USE: R SIC USE LOSE:PP.3— ISSUED 0 PROCESSED 8EXPIRES ON:
EXIST OCC GRP: 09/08/04 JK 09/03/05
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: EODE:
HERNANDEZ, LUCY - 500 •-�,
9053 OLIVE ST
TEMP 917803023 FEES PAID DESCRIPTION OF WORK
REMOVE TWO WINDOWS, PUT ONE IN THE SAME WALL CENTERED
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: EL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOT104 RESID 500.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 500.00 VAL 43.65
TOTAL FEES 71.90
CONTRACTOR: _ TEL. N0: APPROVALS DATE INSPEU,'UR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPRnvAL
ARCHITECT OR ENGI 8 EP: T .N0:— OUND T 0.�°_r�l.F'LIC. NO:NO: SLAB/UNDER FLOOR j
RAISED FLOOR FQAFRUG
MAP NO: SEWER M1L4P BO——M—PA—GE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 03
FLOOR S EATHI G
!NO.OF FAMILIES: DWELLING UNITS: AP CO • : STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS S EAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
EQ R� EUH D TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGER
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION./WEATHER STRIP
SIDE PL-
NTER.IOR LATH/DRYWALL
EXTERIOR LATH
RATEDFLOOR/CEI ASSES.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: 9S0508
"NORKER11 COMPENSATION DECLARATION
4
e I herr�by affirm that I have a certificate of consent to self
insur or a certificate of Workers'Compensation Insurance, A LI P�� �� +
or a i.ertified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Polic''No._Company ,...:....: ........:.�.. :..,;.....:.-,.;..11,_- . .. U
❑�Certified copy is hereby furnished. FOR APPLICANT TO FILL IN B ILDING
t► ..:.., ,.::. ADDRESS 7 b ^G d/
❑ Certied copy is filed with the county building inspec- BUILDING If { C
tion department. ADDRESS
Date Applicant k CITY ' r ZIP r FV LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT Y "J NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one TRACT Y LOT NO. o ASSESSOR
hundred dollars($100)or less.) MAP BOOK PAGE PARCEL
TEL. ' USE NE MAP
I certify that in the performance of the work for which this _ OWN R N . NO.
permit is issued, I shall not employ any person in any manner -a , SPECIAL t
ADDRESS D CONI
S
so as to become bjecf to the Workers'Compensation Laws. _ U;
11� CITY e $ ZIP
Date Applicant f. Q
NOTIC T APPLICANT: If, after mak ng t �s Certificate of ARCHITECT OR �g,2� /�I TEL. DISTRICT G UP TYPE FIRE PROCESSED BY O
ENGINEER t7 /vV NO. CONST. RE 0
Exemption, you should become sub ect o the Workers' _ ' /
Compensation provisions of the Labor od you must forth- ADDRESS Gy a
with comply with such provisions or is permit shall be STATISTICAL C IFI TION APT. gDO. N
deemed revoked. CONTRACT '' O.
LICENSED CONTRACTORS DECLARATION CLASS NO. DWELL. UNITS-
-
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE NO. e
(commencing with Section 7000)of Division 3 of the Business and LIC, IDATE
Professions Code,and my license is in full force and effect. CITY - CLASS VALIDATION
SQ. FT. NO.OF NO.OF CHECK
License Number Lic.Class SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK 2 NEW ❑;Contractor Date I am exempt underSec. S? O ❑B.BP.C. for this reason + ff iEP ❑Date: USE F 0- 7A , OLSignature APPLICg0628R
OWNER-BUILDER DECLARATION PRIN /7 �' # 0 0 0 0 0 1.
I hereby affirm that I am exempt from the Contractor's License
Law for the followin reason Section 7031.5, Business and ADDRESS F� '� 0.�- a� t1`�3 t1 00 4 Q5 0
g ( C,Professions Code : BUING -Mme LZ '�s - 4(1505:
14 I, as owner of the property, ormy employees with ADDRESS
wages as their sole compensation,will do the work and a 09.09-88
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). C MOVING TEL.
® I,as owner of the property, am exclusively contracting 11` CONTRACTOR NO.
with licensed contractors to construct the project (Sec- O ADDRESS
tion 7044, Business and Professions Code). $ }
TOTA
% REQUIRED L SETBACK FR
CONSTRUCTION LENDING AGENCY 74' SET BACK YARD HWY 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.). SIDE
P.L.
Lender's Name
�) LDV Ref.N
m Lender's Address P.C.Fee$ Permit Fee r�v`
�0 I certify that I have read this application and state that the Issuance Fee LDMA P/C 0
above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, Total Fee „tel LDMA Perm. Il
N and hereby authorize re nfatives o #tis County to enter
upon the above- ed prop-V1Lv46r inspection purp .
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applikant or Agent Date
I
I
COUNTY OF LOS ANGELES ' TEMPLE CITY # 0508 I BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS I 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT + TEMPLE CITY CA I BL 0508 9706030015
PHONE: (818) 285-0488 EXT:
LEGALID: NO. 0 CONST BUILDING ADDRESS:
TR: 11218 LT:.8 BL: .001 SQ. FT STORIES TYPE 9053 OLIVE ST
STRUCTURE: 0 VN TEMP CA 917803023
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SULTANA
5388-004-015 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, C
TENANT: ST BLDG S : R SID USE 0NE: R-1 ISSUEDON:
PROCESSEDEXPIRES ON:
EXIST OCC GRP: 06/03/97 VG 06/03/98
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
HERNANDEZ, LUCY (818) 285-6450- 1,400
9053 OLIVE ST
TEMP 917803023 FEES PAFD DESCRIPTION OF WORK
REPLACE 14 WINDOWS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TE 0:
SAME AS OWNER - I AA BLDG PERMIT ISSUANCE 27.75
4 AC STRONG MOTION RESID 1400.00 VAL 0.50 SPECIAL CONDITIONS:
I AX BUILDING REVIEW-FEE 54.70
D2 PERMIT W/GeEN-HC-' !_`',`"•1400.00 VAL 82.20
t' t `- T6TAL (FEES' 165.15
CONTRACTOR: TEL. NO:
SAME AS OWNER _ �. - _ :,��_ ',9; APPROVALS DATE INSPECTOR SIGNATURE
LIC. NO I a: - _ ` , 0 S
SOILS ENGINEER APPROVAL
ARCHITECT OR : TEL. 0: - 0 A 0 C FORWS
LIC. NO: _ SLAB/UNDER FLOOR
AISED FLOOR G
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: r UNDERFLOOR INSULATIO
147-265 3 01 ;
O. 0 FAMILIES: G S: A /CO : STAT CLASS: FLOO� SHEATHING
NO 21 ROOF SHEATHING
SCHOOL WITHIlf SHEAR P ELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST I ` : FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: - I
FRONT PL- < - INS CATION/WEAT ER STRIP
SIDE PL- i I
TE OR LATH/ORYWALL
• I I
EXTERIOR LATH
I
ANTE FLUUR/CEIL ASSE .
I
RATED WALL ASSEMBLIES
TED SHAFTS/OPENINGS
T-BAR CEILINGS
( I
OT DRAINAUE
REPORT ID: DPR261 ROUTE TO: ES0508
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