HomeMy Public PortalAbout9146 OLIVE ST_Building__ 76A63%A D89-3 12.54• '.
APPLICATION FOR- BUILDING PERMIT- 1
? DIVISION OF BUILDING AND SAFETY BUILDING
ADDRESS (P
Department of County Englneer _
County of Loa Angeles LOCALITY
WM.J. FOX, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUP'T OF'BUILDING
CROSS ST. r''+ I—
FOR
c•_
FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE MAP.
r CONST. ISEWER
K 7�
BUILDING., �^/ r If���- ni�r MAP STATE
_ADDRESS `F c / U /�
S
NUMBER f.P/( HWY `
F. LOT NO. /�4iS'7" .7�-h Z 7 BLOCK USE ZONE - SPECIAL
q/ rCONDITIONS
TRACT- /
Ff ��-n I NO.OF BLDGS. 06
SIZE OF LOT X11 V NOW ON LOT BUILDING YARD HWY
USE OF _ STREET NAME EXIST.
(` SETBACK WIDTH
EXISTING BLDG. SNrr����I/FI, /f?'�s^/A�`•�!C`LG FRONT
�11f .,If r wJ ! �iNs SIDE -C
OWNER --
MAIL P. L. _.
ADDRESS /�•�t b G,.. t Olt 1 IV
r -TEL. /J ,r / 1 DWELL. I UNIT 5 INDUSTRIAL
��'"
CITY /�,"fW 46" . C/"V NO.yV,7'j0 2 DUPLEX_UNIT 6 PUBLIC BLDG.
ARCHITECT OR I TEL.
ENGINEER NO. 3 APT. UNITS- 7 ADDN.,ALT., ETC.
ADDRESS 4 COMMERCIAL 8 MISCEL.
TEL.
' CONTRACTOR Oj, ,)A15 A- NO. INSPECTION RECORD
ADDRESS -
�o --.-
DESSCCRIPTION OF WORK
NEW ADD v ALTER REPAIR DEMOLISH
SO. FT. �; '� NO.OF NO. OF
SIZE -` '� +�.F�• STORIES FAMILIES
USE OF-STRUCTURE ,+�?
CUNdrfFRr- R vIrcN a JJiN. /�:. iOd �1alirPd
SIGNATURE OF �! '��.10
APPLICANT
eq APPROVALS
ADDRESS 7/ '*1 (o ("'he"' �(1//'r LJ� C/ DATE INSP CTOR'S SIGNATURE
FOUNDATION: LOCATION
�''l P.C. $ FORMS, MATERIALS 31 C' e-�c• I n I bi<<1.. +
` t.J1C� !�C FEE
FRAME: FIRE STOPS,
VALUATION S i eI, BRACING,BOLTS
FEE �= FURNACE: LOCATION,
GAS VENT, DUCTS
I HEREBY ACKNOWLEDGE THAT i 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 {� f HOUSE NUMBER COR-
PERMITTEE +<Se.-S RECT AND POSTED p p
ADDRESS - FINAL -I
WM. J. FOX,-COUNTY ENGINEER VALIDATION
9Y _.ToVO 4 41S carr 23 I�
DEPUTY ( DEPUTY
BY BY '
DEPUTY, DEPUTY
DEPARTMENT OF BUILDING AND SAFETY- 1 Arri.,iLjA t iUjq r UXL rzna as L
COUNTY OF LOS ANGELES _ 1;
WM. J. FOX,-CHIEF ENGINEER U.t L ® � G-..-' -
-FOR
- j
FOR APPLICANT TO FILL INS
-FOR OFFICE USE:ONLY
1° + D113TRICT NO. PLAN CK.NO. PERMIT-NO.
ADDRESS 011 1.?'/
.�....e {,�CrC�c3` -<•.:1 ! O/'D .
LOCALITY �rr J ( !'�/j RECEIVED BY DATE OF PPL. DATE ISS ED
NEAREST �. .��"" ,rrr. L/ (f d(jf A
CROSS ST. _, �•( i r{ ,+ice.' ff
OWNERC! �'%Ce.tr=l:_'s ADDREBUILDIdB
MAIL ,r �e /+
ADDRESS `/ cC !�-'- p_ [ ':^C r LOCALITY' ^//[� Cj+�/
NEAREST
C--G�'-i•rL�V NOL -2 CROSS BT. L/� OlJ/lt/ t<?
y.�� _ FIRE NO. F TYPE ,/ GROUP
ARCHITECT OR t� �_ , TEL u ZONE- `,. PLANE
ENGINEER :_�/.,.•�- �- 'J NO.
JgRD.NO.
ADDRESS SETBACK LINE /G�7
`
APPROVED r
CONTRACTORTELNO.
slc L• 'If BY DATE-
USE �J // APPROVED
ADDRESS ZONE/7- 1, BY DATE
LEGALDESCRIPTION If L+OOTNyO. ,?���,a7 BLI CK �`'�.�"� CORRECTIONS �] J'
TRACT l J l �r1 VV l p G�/' f'. As r �''�' �'7V /
SIZE OF LOT ;��J ,/�( � I NOW ON LOT +,'u��r !) ��
C - 0_7 I;g-1 j�/i?
USE OF r r� NO.OF NO.OF_
EXISTING'BLDG. FAMILIES� ROOMS [/
DESCRIPTION.OF WORK .
NEWa, .ALTERATION ADDITION _ . �
O
REPAIR MOVING DEMOLISH --
Sq.FT. NO.OF s
SIZE ���) ROOM9 r STORIES
WALL �/ I ROOF
COVERINGy+^ COVERING
USE OF NEW ✓,' - f.: _
BUILDING
_¢:%/4Eef1_.i l r.' , �, .IL:•�C�'�J' ..!`.�F_tl�c't!- r•�.
.:J•.'�.If�./`'�`t-.�� �r'`''l{:..•�C' Lf.�' / .�:• l••G•irL-i`sle•e;.t' .
' /�e!f, 1�4�L���
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS`
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT' FOUNDATION:LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES' rLATH,
ATERIALS
.AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
E9TOP8, 1'- �Gl-
SIGNATURE OF f!'� :�,� Y ;' ! r'r•+�� :�
BRACING,BOLTS
OWNERV •IL� t. .. .�1�_..
AUTHORIZED AGT.DBE-a SSM BETE1-47 ' $ P.C. T.
.[Jy�j FEE -
+ PLASTER,EXT.
VALUATION `7 7�r0 ' FEE [ � FINAL
APPLICA360N FOR BUILDING PERMIT
r COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARAT4e FOR APPLICANT TO FILL IN BUILDING ADDRESS /
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS e%�/G�.. G Kz_ �
or a certificate of Workers'Compensation Insurance,or a certified l_ e
copy thereof(Sec.3800,Lab.C.) CIT ZIP
c� LOCALITY
Policy No.�/!6 K— �SCompany U�� SIZE OF LOT NO.OF BLDGS.NOW ON LOT
11
Certified copy is hereby furnished. NEAREST CROSS ST.
L7 Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
deppaa7rttme��l1nt.�� - USE ZONE MAP NO.
Date�'Upplican C ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO.
COMPENSATION INSURANCE 2-S' S u WITHIN 1000 FT.OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred ADDRESS
/6 ve DISTRICT GROUP CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.) �-
I certify that in the performance of the work for which this permit CITY e r
is issued, I shall not employ any person in any manner so as to ARTEL NO. '
become subject to the Workers'Compensation Laws. CH OR ENGINEER STATISTICAL CLASSIFICATION ` APT CONDO
Date Applicant ADDRESS CLASS NO. .,'7 , DWELL UNITS
NOTICE 70 APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CON ACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith 1 j 6f"Z FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS IC.NO. PL
LICENSED CONTRACTORS DECLARATION g� — os � `ry �l SIDE
CI LIC.CLASS PL
1 hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. NEW BK PG ® d
-s 4W
License Number '¢�' Lic.Class – 3 g DESCRIPTION OF ADD E] VALUATION
o� U
Contractor ✓-/� �t _ Date 7- z ALTER ❑ $
❑ I am exempt under Sec. 7 REPAIR ❑ $ Q
B.BP.C.for this reason 1 1?! iLee-of DEMOL ❑ LpMp PTC# W
Date: USE OF EXISTING BLDG. __[URM ❑ IL
co
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# 1 _Z
❑ 1, as owner of the property, or my employees with wages as Z ACCT ®r
their sole compensation, will do the work and the structure is ADDRESS O
not intended or offered for sale (Section 7044, Business and FINAL DATE J/ Q 3303 175.65
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL � +�fi 1 ITEMS
❑ I, a3 owner of the OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE VVV
property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Q
licensed contractors to construct the project (Section 7044, ves 11 NO 11FINAL BY ' TOTAL �. _ '�°
Business and Professions Code.) \
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING /�jEryr/ 17CeL6y
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK (5J 65
CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR n00
GUIDELINES. CHANGE
I hereby affirm that there is a construction lending agency for YES 11 NO
❑ 4 tl u
a the performance Of the work for which this permit IS ISSUed(SGC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
N3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 00000001 �'2,L�/r 1
TITLE 2,CHAPTER 2.20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS U U `I'
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
Lender's Address1548 1 AM 9:30
OWNER OR AGENT
o I certify that I have read this application and state under penalty
c of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE ,��
C4 with all county ordinances and State laws relating to building /
construction, and hereby authorize representatives of this County ISSUANCE FEE
m to enter pon the above-mentioned property for inspection purposes. �!
m ✓ Zfi � INVESTIGATION FEE
TOTAL FEE
m Awm / J•
SEE REVERSE FOR EXPLANATORY LANGUAGE
COONTY 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 1204270027
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS: I
ITR: 16226 IT: 63 SQ. FT STORIES TYPE 9146 OLIVE ST
I (STRUCTURE: V-B 1 BLFL CA 907064450
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
7105-007-003 THOMAS PAGE: 736 GRID: A5 LOCALITY: TEMPLE CITY CAI
I
ITENANT EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
1 EXIST OCC GRP: 104/27/12 SR 1
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: [FINAL DATE FINAL BY: CODE:
ILU, DAVID (310) 292-8823- 1 500
19146 OLIVE ST
TEMPLE CITY CA 91780 FEES PAID IDESCRIPTION OF WORK 1
I [REPLACE WATERPROOF FOR ONE SHOWER
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. N0:
IZHANG, SHEU WU (626) 315-2709- IAA BLDG PERMIT ISSUANCE 27.80
16266 ROSEMEAD #C58 IAB STATE GREEN BLDG FEE 500.00 VAL 1.00 ISPECIAL CONDITIONS:
1TEMPLE CITY CA 91780 AC STRONG MOTION RESID 500.00 VAL 0.50
1D2 PERMIT W/O EN HC 500.00 VAL 43.70
I TOTAL FEES 73.00
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IZ S CONSTRUCTION (626) 823-8059-
1608 E VALLEY BLVD D-274
(SAN GABRIEL, CA 91773 LIC. NO 1 LOCATION AND SETBACKS I
912278
1 1 1SOILS ENGINEER APPROVAL I
ARCHITECT OR ENGINEER: TEL. NO: 1 1FOUNDATION/TRENCH FORMS I
1 LIC. NO: 1 SLAB/UNDER FLOOR I
1 IRAISED FLOOR FRAMING 1
I147H26: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J UNDERFLOOR INSULATION I
3 001
IFLOOR SHEATHING I I 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
1 0 NO 21 I IROOF SHEATHING
SCHOOL WITHIN HAZARDOUSI ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO 1 IFRAME INSPECTION
I I
1 iFIRE SPRINKLER HANGERS 1 I I
(INSULATION/WEATHER STRIPI
I
1 I IINTERIOR LATH/DRYWALL
I I I
1 1 1EXTERIOR LATH
EXRRED IRATED FLOOR/CEIL ASSEM. I
2 1
1 I C/v3 6 f/v (RATED WALL ASSEMBLIES
I{
1RATED SHAFTS/OPENINGS
I
IT-BAR CEILINGS 1 1
1
I I (LOT DRAINAGE I I I
1 IREPORT ID: DPR261 ROUTE TO: BS0508
I I I I I