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Home My Public Portal About9238 OLIVE ST_Building__ I ` 76A 638A CE#803 2-63APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDRESS 49 3 8 L ' Q,L DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE � PROCESSED B FOR APPLICANT TO FILL IN 67&.9 CONST.-,"'V_ BUILDING = T( STATISTICAL CLASSIFICATION WER MAP 1 ADDRESS- ,9238 E. Olive y CLASS. NO.� BK PGDWELL.UNITS • LOT NO:. BLOCK WATER NOT REQUIRED RECEIVED ❑ . CERTIFICATE: UnJ TRACT" / I??_ MAPpp HIGHWAY NO.OF BLDGS. NO. V (CIRCLE)' STATE'MAJOR SECOND,LOCAL SIZE OF LOT• NOW ON LOT USE ZONE SPECIAL USE OF _ CONDITIONS EXISTING BLDG. Residence 1 G TEL. OWNER K• I • tinc In NO. BUILDING YARDHWY STREET NAME EXIST. SETBACK WIDTH I77 ADDRESS 9238 E: Olive T. C. FRONT. ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. ADDRESS �+ Cod CONTRACTORVlrgln Roof VNo-T70507 u ADDRESS 600 S• San Gabriel Blvd. 0 0 DESCRIPTION OF WORKSan Gab. • W NEW ADD ALTER REPAIR DEMOLISH y Z SQ.FT. NO.OF NO. OF SIZE STORIES FAMILIES USE OF P STRUCTURE Re-ro hous a e SIGNATURE OF APPLICANT VALUATION S e 00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT: FOUNDATION: LOCATION j FEE S FEE SO•OO FORMS, MATERIALS } �. FRAME: FIRE STOPS, / I HEREBY ACKNOWLEDG THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS i AND STATE THAT THE ABO E IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDIN NCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRU TION. I CERTIFY THAT IN DOING THE WORK ! AUTHORIZED HEREBY L NOT EMPLOY A Y PERSON IN VIOLA- LATH. INT. ! TION OF'THE LA OR E OF THE ST F C IFORNIA ELAT- ING TO WORKME 'S O EN T16N IN N � - LATH, EXT. SIGNATURE OF _ HOUSE NUMBER COR. PERMITTEE RECT AND POSTED ADDRESS S FINAL San Gabriel— JOHN F. LEWIS. PRINCIPAL STR C RAL ENGINEER PLAN CHECK-VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK./v M.O. CASH U iuo 3. G 8 7% SEP 14 1 D 6.0 0 c . +:VORKAS'.COMF�NSATION DECLARATION 'f yr'e certificate that_I have a certificate ns consent to self L I CAT I I® 17®aU BUILDING PERMIT in�, or�certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company 1:1Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING A 3 (( ADDRESS / v ertified copy is filed with the county building inspec- BUILDING / C �tyion department. ADDRESS �� Ll vE DateP l� ApCITY �� ZIP LOCALITY CE41TIFICATE OF EXEMPTION F M WORKgW NO.OF BLDGS. ,NEAREST COMPENSATION I RANCE SIZE OF LOT p Om0 NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR .hundred dollars ($100)or less.) TRACT BLOCK LOT NO. ..'MAP BOOK PAGE PARCEL TEL. USE ZONE OWNER MAP Q I certify that in the performance of the work for which this �d NO NO. permit is issued, I shall not employ any person in any mannerADDRESS ��/� n!/� L�3lI/� �- SPECIAL so as to become subject to the Workers'Compensation Laws. CONDITIONS V Date Applicant CITY .PGiQ� ZIP /fJ0 0- U NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE 7SSED BY ENGINEER NO. CONST. ZONE Exemption, you should become subject to the Workers' /� Compensation provisions of the Labor Code, you must forth- '.ADDRESS 661�f/ 5 with comply with such provisions or this permit shall be y TEL. STATISTICAL CLASSIFICATION APT. rONDO. deemed revoked. i CONTRACTOR NO. �' g LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division.3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK i0 PGJ2O VALIDATION SQ. FTS' NO.OF / NO.OF CHECK License Number Lic.Class SIZE ) STORIES / FAMILIES ONE -- VALUATION Contractor Date , DESCRIPTION OF WORK NEW $ J►� -7J /)(J� ❑I am exempt under Sec. S ~ Z" / DD ❑ (j /IJV • ALTERqq qq ❑ B.&P.C. for this reason REPAIR $ # 000 EXISTING BLDG. Date: USE OF DEMOL ❑ ( - 68277 `- Signature APPLICANT TEL. o 0 ¢ 7 g PRINT NO FINA 0 8 1 ? O v OWNER-BUILDER DECLARATION DAT€ �'� O I hereby affirm that I am exempt from the Contractor's License „ ADDRESS��r��E�/3Z/Y/G� Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT I/ ❑ BUILDING 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ' ;_9 7 5 1,7 A 7044, Business and Professions Code). MOVING TEL. ❑ 1,as owner of the property,am exclusively contracting CONTRACTOR NO. , # a o 0 0 0 1 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). o 8 1 3,75 REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YAR HWY PROP.LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 1 ° - 81 3 7 5s v the performance of the work for which this permit is issued P.L. , (Sec. 3097, Civ. C.). rInvestigation 07.23-87 i i Lender's Name LDMA Ref. N b CYa,� Permit Fee V t Lender's Address 99 I certify that I have read this application and state that the Issuance Fee !D, Q LDMA P/C tY above information is correct. I agree to comply with all County e ordinances and State laws relating to building construction, i and hereby authorize representatives of this County to enter Total Fee a / � s S LDNIA Perm.a upon the above-mentioned propert r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE re CO"A1 Sig °f plicantr t A Date 1 WORKERS'COMPENSATION DECLARATION p I hereby Nfifm that I have a certificate of consent to self P L I CAT 1 1" FOR U I L®I PERMIT T insure, or a certificate of Workers' Compensation Insurance, �r or a certified copy thereof (Sec. 3800, Labs.1C.)® COUNTY OF LOS ANGELES BUILDING AND SAFETY P0Iic/ Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING '1 •� ADDRESS Certified copy is filed with the cckmy b it inspec- BUILDING ® /./� tion department. ADDRESS (/ Date Applicant G CITY L G/ — ZIP LOCALITY r` CERTIFICATE OF EXEMPTI FROM ORKERS' , �fjrf NO.OF BLDGS. NEAREST COMPENSATIO NSURAN E SIZE OF LO NOW ON LOT CROSS ST. �f (This section need not be com leted if,the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL P / TEL. '] — ` I certify that in the performance of the work for which this OWNER 5 ` �'! NOO[f/(7 SE NE NO? permit is issued, I shall not employ any person in any manner L�S' („t� SPECIAL ADDRESS CONDITIONS so as to become subject to the Workers'Compensation Laws. U Date Applicant CITY .�i �� — ZIP ( i NOTICE TO APPLICANT: If, after makingthis Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O ENGINEER NO. CONSTV Z�E U Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS �t D LLJ with comply with such provisions or this permit shall be . TEL. ATISTICAL CLASSIFICATION APT. CONt50. N deemed revoked. CONTRACTOR rX-1 NO. ,'1 Z LICENSED CONTRACTORS DECLARATION LIC / �i CLASS NO. 2 DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS//,O NO./ 7 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS BK f0 PG �ZZ VALIDATION SQ. ,rte 1 NO.OF NO.OF CHECK License Number Lic.Class SIZE (!v STORIES FAMILIES ONE VALUATION s / �• �- DESCRIPTION OF WORK NEW ❑ Contractor '� Date ADD ❑ - $ I am exempt under Sec. V&&&z an ALTER ❑ B.&P.C. for this reason REPAIR ❑ $ USE OF Date: EXISTING BLDG. DEMOL El Signatur L APPLICANT t EL./%/3 FINAL PRINT '7 rthat ER- IL ER DECLARATION NO' DATE I hereby off! a exempt from the Contractor's License Law for theng reason (Section 7031.5, Business and ADDRESS FIN ;9721.7A Professions Code): PRESENT BUILDING El 1, 0 0 0 0 I, as owner of the property, or my employees with ADDRESS ° ° 6 0 5 0 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ° ° ° 6 Q 5 0 5 7044, Business and Professions Code). MOVING TEL. ❑ CONTRACTOR NO.I, as owner of the property,am exclusive) contracting 06610-87 with licensed contractors to construct the project (Sec- ADDRESS /+il✓"(� `�t! tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FR 5 �� CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH f 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 �) m P.C.Fee$ Permit Fee �a t (JD LDMA Ref. # Lender's Address //�� I certify that I have read this application and state that the Issuance Fee /(J .m LDMA P/C ff above information is correct. I agree to comply with all County Investigation Fee `/� 0 ordinances and State la s relating to building construction, Total Fee V e`J v LDMA Perm.fi N and here outho 'ze resentatives of this County to enter u th above en ed roperty for inspection purposes. a00 m �� /W� SEE REVERSE FOR EXPLANATORY LANGUAGE Signat r of Applicant or Agent Date • 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 1410230079 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: ] ITR: 11492 LT: 7 BL: A I SQ. FT STORIES TYPE I 9238 OLIVE ST 1 ISTRUCTURE: V-B TEMP CA 917803125 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: FRATUS 18590-001-007 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CAI ]TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED BY: 1EXIST OCC GRP: 110/23/14 SR 1OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: IFINAL PATE F N BY: CODE: 1 ISUEN, WUT W (626) 287-9188- 1 2,500 1 I 19238 OLIVE ST I I 1TEMP 917803125 FEES PAID ID SCR PTION O WORK I 1 ICHANGE OUT 12 WINDOWS IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I (APPLICANT: TEL. NO: I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 I I JAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 ISPECIAL CONDITIONS: 1 I 1AC STRONG MOTION RESID 2500.00 VAL 0.50 1 D1 PLANCHECK W/O EN-HC 2500.00 VAL 84.20 1 I ID2 PERMIT W/O EN-HC 2500.00 VAL 99.00 1 ICONTRACTOR: TEL. NO: I TOTAL FEES 212.50 JAPPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - J 1 LIC. NO 1 1LOCATION AND SETBACKS I I I I I ISOILS ENGINEER APPROVAL ] I I 1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS I I I LIC. NO: I JSLAB/UNDER FLOOR I I I I 1 1RAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION I I I I 3 OOI IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I_ I I I 1 NO 21 1 1ROOF SHEATHING I I I J SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I IAIR QUALITY: 1000 FEET MATERIALS 1 I I I I 1 NO NO NO J IFRAME INSPECTION I I I I 1 1FIRE SPRINKLER HANGERS I I I 1 11NSULATION/WEATHER STRIP( I I I I JINTERIOR LATH/DRYWALL I I I 1 1 1EXTERIOR LATH 1 1 I IRATED FLOOR/CEIL ASSEM. 1 I ]RATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS 1 1 1 ] I IT-BAR CEILINGS I I I I 1 I I I LOT.DRAINAGE I 1 I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I