HomeMy Public PortalAbout9215 OLIVE ST_Building__ 76A638A CE 803 6-62 APPLICATION FOR BUILDING PERMI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY'ENGINEER NEAREST r J
WILLIAM A.JENSEN,SUP'T OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRACT N] GROUP TYPE CESSED B
1� V' CONST.2� �
BUILDING �� v STATISTICAL CLASSIFICATION •EWER MAP
ADDRESS
qtr/oil CLASS.NO. DWELL.UNITS
LOT N Bj(d�' S//�K� BLOCK WATER.
f CERTIFICATE: NOT REQUIRED RECEIVED
T t Y" CIL7�1� MAP jHIGHWAY
V�/ NO.OF BL S. NO. (CIRCLE) STATE MAJOR SECOND',(L2! AL
ZE OF LOT 0 X NOW ON LOT Jb/�1N�L USE_ZONE SPECIAL
USE OF CONDITIONSOV—
EXISTING BLDG. JQ } / ?daz
d l TEL.N i I 77
OWNEF76PSS.0I1A l� No4!/?03 � BUILDING YARD HWY RE TNAME WIDTH
EXIST.
t/
ADDRESS/j&'-'_k �llh` • SETBACK
, l�,�,'6hJT,� FRONT
ARCHITECT OR TEL. -P• L. a I
ENGINEER NO. SIRE
P. L. }
ADDRESS d
TEL C
CONTRACTOR NO. IL
ADDRESS _ v
DESCRIPTION OF WORK C
LL
NEW ADD ALTER REPAIR DEMOLISH O
SQ.FT.. D'w NO.OF NO. OF , a
SIZE >�j(►'r STORIES FAMILIES
USE OF �/
STRUCTURE wrs
djr_zD ATr A Ch a A 'd-A-MA B
SIGNATURE O
APPLICANT 95P /
VALUATIONS
w APPROVALS jDATE1 INSPECT s sIGN E
PC FOUNDATION: LOCATION
FEE $r FEE $ FORMS. MATERIALS /
�- FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS .Z U —63 /I. .�
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. C /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. �I.� IL7 Y♦,
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO.WORKMEN'S COMPENSATION INSURANCE. - LATH,EXT. �+ '� -�p 3 Ofil yyL��•
SIGNATURE O HOUSE NUMBER COR- 1� !J
PERM ITTE COR-
RECT AND POSTED t Jl��l"ry,�I� � ;;S:
ADDRESS FINAL rAirt'!!`rt�/i1 C'•� , ti/ jE
JOHN F. LEWIS, PRINCIPAL STRU RAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION M.O. CASH
Ltl 02 3 :3 0 iUA 20 2 3 'D 3 .Ci0
..., �i1%o 3-1 2 7 RPq ' 9 1 D 6 4.J ON
COUNTY dF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 * BL 0508 1303250033
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST NEW BUILDING ADDRESS:
1 ON FILE I SQ. FT STORIES TYPE OCCUP GROUPI 9215 OLIVE ST I
(STRUCTURE: 76 1 V-B U I TEMP CA 917803126 1
(ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET:
18588-031-021 I OTHER: 1 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY CAI
TENANT: (EXIST BLDG USE: USE ZONE: [ISSUED ON: PROCESSED BY: J
(EXIST OCC GRP: 104/10/13 SR I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI TE
19215 OLIVE ST FI BY: CODE: [
1JIA, DENG (626) 371-5302- 1 3,500 [ [
[ I � n [
ITEMP 917803126 1 FEES PAID IDESICRIPTION4F WORK I
I I ILEGALIZE STORAGE ROOM 76 SQ.FT. ATTACHED TO THE GARAGE
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( [
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER - ID1 PLANCHECK W/O EN-HC 3500.00 VAL 98.40 1 J
JAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I
I JAB STATE GREEN BLDG FEE 3500.00 VAL 1.00
JAC STRONG MOTION RESID 3500.00 VAL 0.50
ID2 PERMIT W/O EN-HC 3500.00 VAL 115.80 I I
(CONTRACTOR: TEL. NO: I TOTAL FEES 243.50 JAPPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I J
I LIC. NO I VACATION AND SETBACKS
I I I
I ISOILS ENGINEER APPROVAL I I I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 1SLAB/UNDER FLOOR
IRAISED FLOOR FRAMING
I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( C JUNDERFLOOR INSULATION I I I
I I I
1 3 001 11ST LEVEL FLOOR SHEATH I I
[NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I [
1 0 NO 21 J 12ND LEVEL FLOOR SHEATH I I I
SCHOOL WITHIN HAZARDOUS J IROOF SHEATHING I I I
[AIR QUALITY: 1000 FEET MATERIALS J I I J I
NO NO NO 1 IFIRE DEPT. FRAME INSPECTI I
I I (BLDG DEPT. FRAME INSPECT( I
[ I I SY.EAR PANELS I I I
I I I
I [ JINSULATION/WEATHER STRIP) I I
I I
I I JINTERIOR LATH/DRYWALL I I
I I I
I I JEXTERIOR LATH I I I
I I I
1 I 1LOT DRAINAGE I I I
J I ISMOKE DETECTION DEVICES
I 1 IFIRE DEPARTMENT APPROVAL( I
I I I I
I I 1 I I I
J IREPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I