HomeMy Public PortalAbout9226 OLIVE ST_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 :—BUL1DIN&-PERm-l-r-
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - RESIDENTIAL ADD/ALT/REP
. BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA '`-BL 0508-9809080009
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW -LD L pRES.SU:
TR: 11492 LT: 6 BL: A F-EXXISTG
STORIES TYPE OCCUP GROUP `9226 E OLIVE ST -�
1 VN R3 =TEMP CA 41�73�3 -
ASSESSOR IN ORM TION N M R: `NEAREST-CROSS STREET: ENCINITA
THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
TENANT: USE ZON : ISS ED ON: PROCESSED BY: EXPI ES 0 :
: 09/08/98 UT 09 8/99
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
POON, ALLEN (626) 285-3571- 1 8,400 2�_Qd
9226 E. OLIVE ST. If
TEMPLE CITY, CA FEES PAID D SCPTI.ON—OF—WOR _
EXTEND BEDROOM #2 AND BATHROOM 11 SQ. FT. -
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT.
APPLICANT: TEL. 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 8400.00 VAL 0.84 SPECIAL CONDITIONS:
AX BUILDING REVIE�W�fEE 54.70
62 PERMIT W/EI�ER_G1j:�� 840 fO0 VAL 219.78
�1�5 1'0VAL FEES 303.07
CONTRACTOR: TEL. NO: �° APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NOOCA IO D SETBACKS
0� - \ � SOILS ENGINEER APPROVAL
LIC.
-NO
CHITECT OR ENGINEER: TE 0: -N0p i FOUNDATION/ RE CH FORMS
: � II _�� 1 SLAB/UNDER FLOOR
AISED FLOG FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ry r n "((fi�d r I UNDERFLOOR INSULATION
3 01 J l rCJ��,u1� W(f
jIST LEVEL FLOOR SHEATH
0. OF FAMILIES: DWELLING NITS: APT/COND: STAT CLASS:
21 ND LEVEL FLOOR SHEATH
ROOF SHEATHING
SCHOOL HI NO HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS / / l_ ;✓ :': C�
NO NO NO ✓�
Uv �`.`` -� ,�� FIRE DEPT. FRAME I SPECT
REQUIRED TOTAL SETBACK FROM EXIST �- �' \ =�� B DG DEPT. FRAM SPEC
SET BACK YARD: HWY: PROP LINE: WIDTH: ° il tom'-__=�"
FRONT PL- 0,b SHEAR PANELS
SIDE PL-
if c@�; INSULATION79UTHER STRI
INTERIOR LATH/DRY ALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETEC 0 DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS05O8
-� Fa APPLICATION FOP 13U[L 17�■WJp1NG PER1111-I-T.
'�. COUNTY OF LOS ANGELES ' BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUL NG D SS
BUILDING ADDRESS � •
I hereby affirm that I have a certificate of consent to self insure, �� 0L_1(f� S�
or a certificate of Workers'Compensation Insurance,or a certified CITY — �—
copy thereof(Sec.3800,Lab.C.) �G l ZIP / L) LOCALITY
Policy No. Company SIZE OFLOT /`/n / NO OF BLDGS.NOW ON LOT �Z Lim C
❑ Certified copy is hereby furnished. L ( i6� NEAREST CROSS ST ov
❑ Certified copy is filed with the county building inspection TRAOT BLOCK LOT NO.
department.
USE ZONE MAP NO
Date Applicant ASS SS R MAP BOOK PAGE PARCEL
a •�/ SPECIAL CONDITIONS may/
CERTIFICATE OF EXEMPTION FROM WORKERS' C! d/
COMPENSATION INSURANCE \ OWNER,81(�A / y N ��/y/ WITHIN 1000 FT.OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred 11 �DRESS� (����/�r O`V v� �r r /
"� ZZ �/ DISTRICT GROUP TYPE CONST. FIRE,ZONE PROCESSED t3Y
dollars($100)or less.)
I certify that in the performance of the work for which this permit CITY, t- r`t•�`/ ZIP �i �_ �t T
is issued, I shall not employ any person in any manner so as t0 ARCHITECT O ENGINEER l p� L NO. Q
become subject to the Workers Compensation Laws. L d�/M S.�p' � STATISTICAL CLA SIFCATION j dPT CONDCYIJ`_1. 7
Date Applicant ADDRESS -��L r T /`' CLASS NO._/ DWELL UNITS —I �O
NOTICE TO APPLICANT.• If, after making this Certificate of ��� .d Lr re
•��'C T REQUIRED TOTAL SET CK,FROM Exl$$i�'':c
Exemption, you should become subject to the Workers' CONTRACTOR SET BACK M pI}f-1- `
/A�/(� rLIC
��rYARD HWY PROP t�E WI•.Compensation provisions of the Labor Code, you must forthwith (/"r v b.7 /r FRONT �:i�•�j:,[:'; :1i i/#` •_�r�%comply with such provisions or this permit shall be deemed revoked. ADDRESS NO. PL - >
SIDE {LICENSED CONTRACTORS DECLARATION CITY CLASS PL C
I hereby affirm that I am licensed underprovisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business and SEWER MAP 1=
SO.FT.SIZE NO OF STORIES NO.OF FAMILIES NEW BK PG "�''�='r�!r�=� �' -''�•��'C
Professions Code,and my license is in full force and effect. r oZ,�� C
License Number Lic.Class \ DESCRIPTION OF WORKADD VALUATION 0-O ® ri'i F`' ` ,..:..LL
Contractor Date ALTER ❑ $ �d+ �'3 a
t!
❑ I am exempt under Sec. 2 S�nCONv0� REPAIR ❑ $ z
BAP.C.for this reason lT�v N�iv//�Ct ])K DEMOL ❑
LDMA P/C#
Date: USE OF EXISTING BLDG. UR llfl ❑
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# 3
L I, as owner of the property, or my employees with wages as ADDRESS ZO AC.( I =v
their sole compensation, will do the work and the structure is �� �,
not intended or offered for sale (Section 7044, Business and FINAL DATE Q 3„7:; !L6 1o-r
Professions Code.) ®� •' C r-
OR THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J 1 ITC i I':)
ORA MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE _ I
❑ I, as OWrIBr of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE'+ FINAL BY ; At i r+
licensed contractors to construct the project (Section 7044, YES 1:1 NO❑ TI-THL 1 :6 41_
Business and Professions Code.) CHECK a�
HALL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING l.�L:,y �,_rti 1;5-I!
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR q C"
GUIDELINES t1tl��tG z I_11
1 hereby affirm that there is a construction lending agency for� ves 11 NO❑
the performance of the work for which this permit is Issued(Sec. 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, j I)�r I- 11-I f 1 h!
1A TITLE 2.CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20.140 CONCERNING HAZARDOUS
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. '00J( /�j ? ry `r-'
s r ('/ s
Lender's Address OWNER OR AGENT
3 1 certify that I have read this application and state under penalty
e of perjury that the above information is correct.I agree to comply PC.FEE / PERMIT FEE �/p
with all county ordinances and State laws relating to building /� �J
M con t ,and hereb authorize representatives of this unty (1 7L ISSUANCE FEE
I enter n the ab -mentioned property for inspecti / .7
d1 1 0 INVESTIGATION FEE TOTAL'F C^
I al 1 De. ````����
SEE REVERSE FOR EXPLANATORY LANGUAGE