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Home My Public Portal About9417 OLIVE ST_Miscellaneous__ Wtacer S'�MPENSAI;JOIVDF�LARATION 8754(1i-$4) MISCELLANEOUS APPLICATION I herebytha, I have a tetlificate of consent to self COIfNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION it� eif"tate of Wprkefl?Compensation Insurance,or a ce tified�.opy 0 reof(Secy 3800,Lab.Q. Policy No. Company FOR APPLICANT TO FILL-IN FA-- 8-- 99i-7BUILDING Certified copy is hereby furnished. BUILDING �eADDRESS I •r WE Certified copy is filed with the county building inspection LOCALITY �� department. Date Applicant NEAREST DISTRICT NO.. GROUP .YPE PROCESSED 33YCROSS ST. vL,,-J CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL CONST. HIGHWAY i COMPENSATION INSURANCE DESCRIPTION I LOT NO. BLOCK NO. (CIRCLE) STATE MAJOR SECOND LOCAL NO.OF BLDGS. (This section need not be completed if the work involved TRACT NOW ON LOT USE ZONESPECIAL CONDITIONS by the permit is for one hundred dollars ($100) or less.) USE OF SIZE OF LOTco �)( , EXISTING BLDG. �• I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner OWNER yI (,�. y so as to become subject to the Were Compensatiop,Laws. OCCUPANCY GROUP o' (�.� MAIL Date Applicant ADDRESS- vf— I—u, TEL tr OCCUPANT LOAD NOTICE TO APPLICANT: If,after mak' this Certificate of CITY No. y Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code,you must forth- APPLICATION FOR EXIT HARDWARE: with comply with such provisions or this permit shall be TRAILER USE GEOLOGY INSPECTION ❑ deemed revoked. ❑ ❑ No Spec. Knowl. LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTIONN( Panic Devices I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT ❑ LIST ITEMS BELOW) 9 (commencing with Section 7000) of Division 3 of the Busi- NO. OF EXITS ness and Professions Code,and my license is in full force and effect. PARKING SPACES RK9'D PROVIDED License Number Lic. Class LIMITED TIME USE Contractor Date DATE DATE DI am exempt from the licensing requirements as I am a FROM: TOI licensed architect or a registered professional engineerSIZE OF NO. OF I INSPECTOR'S acting in my professional capacity (Section 7051, Bus- EXISTING BLDG. STORIES SIGNATURE iness and Professions Code). FINAL APPROVAL Lic.or Reg.No. Date PRESENT USE OF BUILDING .4 1 Vim M4)1 HOME OWNER-BUILDER DECLARATION NO. OF EXISTING BUILDINGS ON LOT AND USE � 1� I hereby affirm that I am exempt from the Contractor's � F& License Law for the following reason (Section 7031.5, Busi- ness usiness and Professions Code): Ivo. PARKING (} .Ir/ 7/VG0 SPACES PROVIDED I�I�0I —i} li. i I, as owner of the property, will do the work and the � � e Ii+ structure is not intended or offered for sale (Section 23s 1 AM.8:5-5 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY PROPOSED USE OF BUILDING S I hereby affirm that there is a-construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civ.Q. Lender's Name • PROPOSED MAX. OCC. Lender's Address I certify that I have read this application and state that the PERMIT FEE above information is correct.I agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter TOTAL FEE upon t e. bove- entionedg�roperty for inspection purposes. C -L SEE REVERSE FOR EXPLANATORY LANGUAGE Sign re of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MISCELLANEOUS PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS MP 0508 1301080002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: 1 ON FILE I SQ. FT STORIES TYPE OCCUP GROUP 9417 OLIVE ST 1 I .-ISTRUCTURE: 1 V-B R-3 TEMP CA 917803129 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 18588-029-025 (EXIST BLDG USE: I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I IEXIST OCC GRP: USE ZONE: I ITENANT: I IISSUED ON: PROCESSED BY: IBLDGS. NOW ON LOT: VALUATION: 101/08/13 SR 1,000 (OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: ILASALA, OSCAR R (626) 923-7362- ILIST ITEMS: I 19417 OLIVE ST I I (_ I ITEMP 917803129 I ID SCRIPTION OF WORK II IRE-CONVERT GUEST HOUSE TO ORIGINAL CONDITION AND (REMOVE I IOCCUP LOAD EXIST: (KITCHEN) I (APPLICANT: TEL. NO: IOCCUP LOAD NEW: I I ISAME AS OWNER - I I I I IPARKING SPACES REQUIRED: [SPECIAL CONDITIONS: I IPARKING SPACES PROVIDED: 1COW14ANT RECORDED IEXIT HARDWARE: I ICONTRACTOR: TEL. NO: I I LIMITED TIME USE ISAME AS OWNER - INBR OF EXITS: I FROM TO I LIC. NO I I I I I FEES PAID I I I I (APPROVALS DATE INSPECTOR SIGNATURE I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I I 1ARCHITBCT OR ENGINEER: TEL. NO: I ITRAILER USE I I I - 10A PERMIT ISSUANCE 27.80 1_ I I [ LIC. NO: 101 R/M OCC/USE INSPECT 146.00 SAFETY PERMIT I [ I TOTAL FEES 173.80 I I I I ITEMP. STRUCT. APPROVED I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I ITEMP. STRUCT. REMOVED I I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I NO I I I I I SCHOOL WITHIN HAZARDOUS I I I I I (AIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO I I I I I I r I I I I I I I I I I i I I I I I I I i I I I I 1 I I I I I I 1 I I I I I i I I I IREPORT ID: DPR267 ROUTE TO: B90508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MISCELLANEOUS PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS MP 0508 1301080003 BIIILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BIIILDING ADDRESS: I ON FILE I SQ. FT STORIES TYPE OCCUP GROUPI 9417 OLIVE ST ISTRUCTURE: 1 V-B U I TEMP CA 917803129 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18588-029-025 (EXIST BLDG USE: I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, CI 1EXIST OCC GRP: USE ZONE: I TENANT= I [ISSUED ON: PROCESSED BY: IBLDGS. NOW ON IAT: VALUATION: 101/08/13 SR I I 1,000 (OWNER: TEL. N0: IFINAL DATE FINAL BZ: CODE: [ ILASALA, OSCAR R (626) 923-7362- ILIST ITEMS: I j, 19417 OLIVE ST l TEMP 917803129 [ IDIRSCRIPTION OF WORK m I I I IRE-CONVERT DETACHED 2 CAR GARAGE BACK TO ITS INTENDED USE 1 IOCCUP LOAD EXIST: 1AND USE AS A DETACHED 2 CAR GARAGE, TOOL ROOM AND LAUNDRY [ 1APPLICANT: TEL. NO: JOCCUP LOAD NEW: (ROOM 1 (SAME AS OWNER - 1PARKING SPACES REQUIRED: [SPECIAL CONDITIONS: I 1 (PARKING SPACES PROVIDED: (COVENANT RECORDED I I � I IEXIT HARDWARE: ICONTRACTOR: TEL. NO: I I LIMITED TIME USE ISAME AS OWNER - INBR OF EXITS: 1 FROM TO LIC. NO I I I 1 FEES PAID 1 I I (APPROVALS DATE INSPECTOR SIGNATURE I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 (ARCHITECT OR ENGINEER: TEL. NO: I ITRAILER USE I I I I - IOA PERMIT ISSUANCE 27.80 1 I I I 1 LIC. NO: 101 R/M OCC/USE INSPECT 146.00 ISAFETY PERMIT I I I TOTAL FEES 173.80 1 (TEMP. STRUCT. APPROVED 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (TEMP. STRUCT. REMOVED I I I I I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I NO I I I I I 1 SCHOOL WITHIN HAZARDOUS 1 I I I I (AIR QUALITY: 1000 FEET MATERIALS 1 I I I 1 NO NO NO 1 1 I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I REPORT ID: DPR267 ROUTE TO: BS0508 1 I I I I I I I H COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MISCELLANEOUS PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS MP 0508 0604040001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PRONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUPF04/04/06 9417 OLIVE ST STRUCTURE: 2 VN R3 TEMP CA 917803129 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8588-029-025 EXIST BLDG USE: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C EXIST OCC GRP: USE ZONE: TENANT: D ON: PROCESSED BY: EXPIRES ON: BLDGS. NOW ON LOT: VALUATION: JK 10/01/06 0 OWNER: TEL. NO: FINALAT`E� F AL BY: CODE: �� OLIVAS ANDREW A;WENDY A (626) 286-5647- LIST ITEMS: 9417 OLIVE ST TEMP 917803129 DESCRIPTION OF WORK FINALIZING EXPIRED PERMITS OCCUP LOAD EXIST: APPLICANT: TEL. NO: OCCUP LOAD NEW: SAME AS OWNER PARKING SPACES REQUIRED: SPECIAL CONDITIONS: PARKING SPACES PROVIDED: EXIT HARDWARE: CONTRACTOR: TEL. NO: LIMITED TIME USE SAME AS OWNER - NBR OF EXITS: FROM TO LIC. NO FEES PAID APPROVALS DATE INSPECTOR SIGNATURE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCHITECT OR ENGINEER: TEL. NO: TRAILER USE - OA PERMIT ISSUANCE 27.75 LIC. NO: 01 R/M OCC/USE INSPECT 145.95 SAFETY PERMIT TOTAL FEES 173.70 TEMP. STRUCT. APPROVED MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I TEMP. STRUCT. REMOVED NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO REQUIRED TOTAL SETBACK FROM EXIST SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SIDE PL- REPORT ID: DPR267 ROUTE TO: BS0508