HomeMy Public PortalAbout9064 OLIVE ST_Building__ DEPARTMENT OF BUILDING AND SAFETY i arr.IMLL A i Ain r va rr amrr
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
ADD DIN Q
DISTRICT NO. PLAN CK.NO. PERMIT NO.
LOCALITY /n �/� I RECEIVED BY DATEFO APPL. DATE ISSUED
NEA CROBB BT, �P A.+L C/ Vf/C/ � v ®
OWNER ��• � � NUILDING
DRESS
.tMAIL n //() D - ADDREBB
ADDRESS I.7 V 9. `/I�/�JQ� LOCALITY 776-,
��Jf�� J It NEAREST
CITY �-��gA 01,i NO.�tYE' CROBB ST. �E�
FIRE NO. TYP�,m ORDU�
ARCHITECT OR (/ TEL. ZONE PLANS
ENGINEER NO.
ADDRESS
5 BACK LINE � �ke9 ORD.NO.
APPROVED
CONTRACTOR NO. BY DbhTt
USE APPg`Y.ED� �I
ZON
. BY° ���'G+c�%/fv✓ DATtfi�% r5
ADDRESS /�
LEGAL
DESCRIPTION+ LOT NO.// I BLOCK CORRECTIONS
TRACTf� Y a G-6-y-I
NO.OF BLOBS.
SIZE OF LOT NOW ON LOT E em 14;_
USE OF NO.OF I NO.OF
EXISTING OLDS. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
S
REPAIR MOVING DEMOLISH p
Sq.FT. C! f NO.OF z
SIZE °b 69 ROOMS STORIES
WALL ROOF �-
-COVERING A _ .SL COVERING
UBE OF NEW
BUILDING //Y
AetiL`s ,sl,� J
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVAL49 t-c
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INS EC OR /DATi�:r1 j
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES /r 1i
FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
� }� + I FRAME: FIRE STOPS. ��JL
SIGNATURE OF�� ��• /��!f/` BRACING.BOLTS
PERMITTER LATH, INT.
AUTHORIZED ADT LATH, EXT.
7GA63BA-3 2-SO $ P.C.S PLASTER,INT.
oe�
++� FEE PLASTER.EXT.
VALUATION FEE !8 �— FINAL �. F .
C 2�
y-��
70A888A D&S-3 12.54 -
:sAPPLICATI®N ®R: BUI-LDING PERMIT ].
DIVISION OF BUILDING AND SAFETY BUILDINGq
Department'of County Engineer ADDRESS (� f '..
'County Of LOS Angeles LOCALITY C/,
WM.J. FOX, COUNTY ENGINEER
CASSATT D.GRIFFIN,S'UP'T OF-BUILDING NEAREST
CROSS ST.
DIST CT NO. GROUP SEWER MAP
' FOR APPLICANT TO FILL IN - TYPE BK AAPG
BUILDING ( �, /ff/ ,f v, , ,S�' MAP CONST. STATEOl
_ADDRESS 1P u�lJ /1•/ YES NO
L� NUMBER CJ HWY
LOT NO. / BLOCK USE ZONE SPECIAL
/ f s
�/ CONDITIONS
TRACT •' - _
NO.OF BLDGS.
_SIZE OF LOT G3 /1 NOW ON-LOT' / BUILDING YARD HWY STREET'NAME EXIST.
USE OF_ fI SETBACK WIDTH
EXISTING BLDG. RESr FRONT ,®
OWNER Jff-+)e A 4CST a ft.
.1� P: L.
' SIDE
MAIL
ADDRESSiS�1' Dye / X, t>d� P.,-L.
CITY / ,/ P•+l •c�T r' TEL*NO. �7Y�g® 1 DWELL. I UNIT 5 INDUSTRIAL
–
CITY
• DUPLEX_UNIT .6 PUBLIC BLDG.
ARCHITECT OR - TEL.
ENGINEER NO. '3 APT. UNITS_ _ ADDN.,ALT., ETC:
ADDRESS COMMERCIAL 8
p� GMISCEL.
CONTRACTORNO.
r . INSPECTION RECORD •
-ADDRESS / G T r� G LtJ /✓�`. rl�'N�1F C/
DESCRIPTION OF WORK
NEW ADDALTER REPAIR DEMOLISH
SO. FT. 01 NO. OF NO.OF f 11
SIZE � I n STORIES FAMILIES
USE'OF''S/R6CTWRE' /���yt
SIGNATURE OF —
APPLICANT APPROVALS.
ADDRESS DATE INSPECTOR'S SIGNATURE
®v FOUNDATION: LOCATION
P.C. S FORMS. MATERIALS
• ,.FEE FRAME: FIRE STOPS,
VALUATION S a V BRACING, BOLTS
FEE FURNACE: LOCATION,
GAS VENT, DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ` LATH. INT. '
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH.EXT.
SIGNATURE OF �' HOUSE NUMBER COR- r
PERMITTEE d RECT AND POSTED-.
ACWRESS - ` ' FINAL %
WM:-J: FOX. COUNTY ENGINEER VALIDATION - --
BY
4
Y2 3•cis': RY3.1- . 1 Q 0 to
DEPUTY. rl1U0 _ =DEP 'FY
BY BY
® DEPUTY . - EPUTY
WORKEM COMPENSATION DECLARATION
ti .` 6t..._ • .. I
4r@..
ereiy affirm that I have certificate of consent to self P L I CAT� FOR U I L®INC ' PERMIT
• insure,•or a certificate of Workers'Compensation Insurance,
`�"6ttrLertified copy there'of'(Sec. 3800, Lab. C.) '
Policy No. 6.g7 p y I COUNTY OF LOS ANGELES BUILDING AND SAFETY
Ul Y COm an (X A?Q oL- .SO+✓ _
Certified copy is hereby furnished. FOR APPLICANT TO^FILL IN BUILDING s �J
ADDRESS
Certified copy is filed with the county building inspec- BUILDING ClC
tion department. ADDRESS "1 �o� 1. . (�, \/�n�s rep
Date4 • IZ A7Applicant �.y��ir/`- CITY ��• ` zip 717CA LOCALITY e
C RTIFICATE OF EXEMPTION FROM WORKERS' j NO.OF BLDGS. • A NEAREST]
COMPENSATION INSURANCE' SIZE OF LOT GS'X g O NOW ON LOT I �• CROSS ST.
(This section need not be completed if the permit is for'one y TRACT 2 LOT NO. 2y ASSESSOR
hundred dollars($100)or less.) BLOCK MAP BOOK Z PAGE PARCEL
OWNER C � -NO. i `.USE NE MAP
I certify that,in the performance of the work"for which this NO.
permit is issued,'I'shall not employ any person in any manner i SPECIAL ;
so as to become subject-to the Workers'Compensation Laws. ADDRESS S vr+Olt- CONDITIONS .O
I U
Date�"�`1 O " 6,Applicant` ^ fl \ CITY. (��"�� . . ZIP...
ARCHITECT OR TEL. e,
rg
NOTICE TO.APPLICANT:' If, after making this Certificate of AR7�f3' TS DISTRICT G UP. TYPE FIRE "PROC ED BY.. �
4 Oc]�l
Exemption, you 'should become subject oo the Workers' ENGINEER NO. �r CONST. ZONE
Compensation-provisions of the Labor Code-, you-must forth- ADDRESS ]021$ o� � Ave- ��V � 3 UA
with,comply with'such.provisions or this permit shall be
TEL:
deemed revoked.. . CONTRACTOR �.�"s v- 3 STATISTICAL CLA�S)FI ATION APT-
CONTRACTOR DO.
s GG NO. z IS�/ r.
LICENSED CONTRACTORS DECLARATION LIC•OCLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ' ADDRESS i O Z t 1 OR A V 11'&Tt} N . 7 /7
(commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAPP_�,
Professions Code; and my license'is in full force and effect. CITY $Q TA 1A4,NA> CLASS'C 11204 BK 7 VALIDATION
�j a SQ.FT.r NO OF NO.OF 1 CHECK
License Number z 797/7� Lic.Class_ SIZE 3 ' STORIES FAMILIES 1 ONE
VALUATIQN
Contractor C�f'�S YoGS Da1 �D DESCRIPTION OF WORK
te ' Ivy N ❑
❑ ADD
I am exempt under Sec. $
ALTER ❑::c
B.&P.C. for this reason I REPAIR ❑'. $ -
USE OF
Date: EXISTING BLDG. DEMOL ❑ 7.Q �,3 Q
Signature APPLICANT ;TEL. FINAL
OWNER-BUILDER DECLARATION PRINT) NO. DATE _
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason'(Section 7031.5; Business and ADDRESS FIN
Professions Code): PRESENT sy '°-° 8 $2
❑ BUILDING
I, as owner of the property, or-my employees with ADDRESS.
waes as their sole com ewo
nsation,will'do�the ork and 'o�'a 8 3 8 2 iN
;; U
the structure is not intended or offered for sale(Section LOCALITY , Ub j► ' :r �;� _t'
7044, Business and Professions Code). `MOVING - TEL. ' ,
❑ 'CONTRACTOR NO. ' ,c• i• Jr'.'' ' rJ 2 a
I,as owner of the property,am exclusively,contracting s` a t r ,(' 'f,;:f U 8 7 ,
r
with licensed contractors to construct the project (Sec-
ADDRESS. X f `'
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK�FRO
CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP.LINE , WIDTH r f�
I hereby affirm that there is a construction.lending agency for FRONT
the performance of the work for which this permit is issued
(Sec. 3697, Civ. C.). SIDE 1
a P.L. } I t
e Lender's Name
LDMA Ref. #
Lender's Address ( �\ t P-C.Fee$ , Permit Fee 3
x .I certify that I have read this application and state that the Issuance Fee LDMA prC#
above information is correct. I agree to co ply with all County Investigation e 2
ordinances and State laws relating to building construction, Total Fee 7 .� LD
J, and hereby authorize representatives of this County to enter MA Perm.#
upon the obove-mentioned property fo inspection purposes.
o /My (Z un7� SE REVERSE FOR EXPLANATORY LANGUAGE
Signm.re of Applicant or Agent Date- I t
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 9901150011
PHONE: 0626) 285-0488 EXT:
LEGAL ID: NO. Of CONST BUILDING ADDRESS:
TR: 11218 LT: 24 BL: E SQ. FT STORIES TYPE 9064 OLIVE ST
STRUCTURE: VN TEMP CA 917803006
ASSESSOR I FOR IO NUMBER: NEAREST CROSS STREET: SULTANA
5388-006-013 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY
TENANT: EXIST B DG SE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 01/20/99 UT 01/20/00
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATEp(\ppnBY: CODE:
CHAN ALBERT;REGINA - 1 5,000 � "IIII�IILn.��h
9064 OLIVE ST
TEMP 917803006 FEES PAIF ESCRIPTION OF WOR
FEE DESCRIPTION: QUANTIFY: UOM: AMOUNT: REPAIR WORK DUE TO CAR ACCIDENT- STUCCO, FRAMING, DRYWALL
APPLICANT: TEL. NO:
SIGNATURE RESTORATIONS, INC. (818) 785-4666- AA BLDG PERMIT ISSUANCE 27.75
7247 HAYVENHURST AC STRONG MOTION ESIID 5000.00 V� 0.50 SPECIAL CONDITIONS:
VAN NUYS,CA 91406 D2 PERMIT W,0' rHOOQ.00 VAL 132.60
"GELE$TF E 160.85
CONTRAURERRE$TORATIONS TEL.C818N785-4666- APPROVALS DATE INSPECTOR SIGNATURE
7247 HAYVENHURST AVE #A-8 LIC. NO LOCATION AND SETBACKS
DBA DAVIS PAUL SYSTEMS 686142/6
VAN NUYS CA SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TE 0: - FOUNDATION/TRENCH F0 S
LIC. NO- 1111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
14AP NO:7H265 SEWER MAP BOOK: PAGE: FIRE 20N3: CM9t �n pKS
D n�]O n UNDERFLOOR INSULATION
py v v v w FLOOR SHEAT I G
0. OF FA S: DW LING UNITS: APT/CONDI STAT C ASS•'
NO 21 16F p ROOF SHEATHING
,. gal,
SCHOOL ITHIHAZARDOUS l t *r SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO � El � s��� FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM ST 46�. El
SPRINKLER A GERS Lu
SET BACK YARD: HWY: PROP LINE: WIDTH: —
FRONT PL- *'c `fie rvIc a INSULATION/WEATHER STRIP
SIDE PL- Z'Z
INTERIOR LATH/DRYWALL
�i EXTERIOR LATH
P RATED FLOOR/C L ASS M.
RATED WALL ASSEMBLIES
RATED SAF S 0 E GS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
" COUNTY OF IAS 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 1201300008
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST
BUILDING ADDRESS:
]TR : 11218 LT: 24 BL: E SQ. FT STORIES TYPE
9064 OLIVE ST
STRUCTURE: V-B TEMP CA 917803006 ]
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15388-006-013 ] THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl
(TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY:
_]EXIST OCC GRP: 101/30/12 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: ]FINAL DATE F Al. BY, CODE:
ICHAN ALBERT;REGINA (626) 806-6628- 500
19064 OLIVE ST Irl
TEMP 917803006 FEES PAID IbfsCR TION OF WORK
I IREPAIR SHOWER WALL I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] ]
(APPLICANT: TEL. NO: I
ISAME AS OWNER - IAA BLDG PERMIT ISSIIANCE 27.80
IAB STATE GREEN BLDG FEE 500.00 VAL 1.00 ]SPECIAL CONDITIONS: I
IAC STRONG MOTION RESID 500.00 VAL 0.50 I I
I JB2 PERMIT W/ENERGY • 500.00 VAL 47.90
I IFR INV WORK W/O PERMIT 257.00 DOL 257.00
(CONTRACTOR: TEL. NO: I TOTAL FEES 334.20 (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I
] LIC. NO ] ILOCATION AND SETBACKS I I I
] ]ISOLS ENGINEER APPROVAL ] I I
]ARCHITECT OR ENGINEER: TEL. NO: - ] IFOUNDATION/TRENCH FORMS I I I
] LIC. NO: I (SLAB/UNDER FLOOR
I i IRAISED FLOOR FRAMING I I
] I I
1IMAP
SEWER MAP BOOK: PAGE: FIRE ZONE:
COI ]UNDERFLOOR INSULATION
H26EI I I
I _I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I_ I I I
] 0 NO 21 ] IROOF SHEATHING
I I I
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS I
] NO NO NO ] (FRAME INSPECTION I I I
] ] IFIRE SPRINKLER HANGERS I I I
] IIN4ULATION/WEATHER STRIPI I
]INTERIOR LATH/DRYWALL ] ] ]
I
(EXTERIOR LATH
I I I
I ] ]RATED FLOOR/CEIL ASSEM. ] I I
IRATED WALL ASSEMBLIES
[RATED SHAFTS/OPENINGS I I
IT-BAR CEILINGS
ILOT frINAGE i ]
] ]REPORT ID: DPR261 ROUTE TO: BS0508 I L II I