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Home My Public Portal About9420 OLIVE ST_Building__ 7sa638a cE#soa 0-63APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING' 1' 'DEPARTMENT OF COUNTY"ENGINEER ADDRESS ' 20 Oliva' BUILDING AND SAFETY DIVISION LOCALITY Tem le Cit JOHN A. L-AMBIE. COUNTY ENGINEER NEAREST. ��J�� WILLIAM A.JENSEN.SUPT OF BUILDING CROSS ST. r/�+6ijovo/�YJJ , DISTRICT NO. GRO1112 TYPE PROCESSED BY FOR APPLICANT TO FILL IN . , ,, -ZCONST. - w`� BUILDING "-STATISTICAL CL SIFICAT.ION SEWER MAP ADDRESS 420 Ol t CLASS.-NO -DWELL..UNITS ' B40 PG LOT NO: BLOCK WATER NOT REQUIRED a RECEIVED ❑ CERTIFICATE: TRACT ?j MAP HIGHWAY HIGHWAY STATE MAJOR SECOND,LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF,LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. residence TEL. OWNER NO. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS 9420 Olive, Temple City FRONT ' , : /y ARCHITECT OR TEL. P••L. ENGINEER NO. SIDE P. L. ADDRESS p CONTRACTOR 'Virgin Roof Co, NOL 2D .0 O C �7 ADDRESS r e O DESCRIPTION.OF WORK ' v NEW ADD ALTER REPAIR roCIAMOLISH N SQ.FT. NO.OF• NO. OF ? SIZE :,STORIES FAMILIES USE OF STRUCTURE' L TURE Reroof house with 30# felt & gray rock SATCAOF •VIRGIN ROOF.CO VALUATIONS 8 ' 'APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION , FEE S FEE S FORMS, MATERIALS FRAME: FIRE STOPS', , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING:BOLTS - AND STATE THAT THE ABOVE IS CORRECT. AND AGREE TO,COMPLY FURNACE: LOCATION. - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN F VIOLA- ,LATH. INT. TION OF THE LABOR" ODE OTHE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C PEPIRG�TSRAN F CO `LATH.EXT. I SIGNATURE-OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS arcia Mad�en)'S��t�: FINAL ' So. San .Gabrlel, S.G. JOHN F. LEWI RIN IPAL ST R L ENGINEER PLAN CHECK VALIDATION CK. M.O. .CASH " PERMIT VALIDATION CK M.O. CASH 6 :SEP 2 3. 1 D 6.00- Cv r WORKERS' COMPENSATION DECLARATION whereby R certificate that I have r certificate of consent to self A P P L I CA11 O N FORBUILDING PERMIT ''insure, or o certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS AMELES BUILDING AND SAFETY Policy No. Company BUILDING _ ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �f /•�j ❑ Certified copy is filed with the county building inspec- BUILDING4ZO tion department. ADDRESS �`��+ Date Applicant CITY . ZIP LOCALITY . NO.OF BLDGS. NEARE CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT I�� NOW ON LOT 11 C OSSS T. 'r C. �� ` �fi• COMPENSATION INSURANCE ASSESSOR 2 (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK -(C PAGE �JPARCEL 10 hundred dollars ($100)or less.) TEL. USE ZONE MAP OWNER j _ NO. NO. H a 64-I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS ME SPECIAL a so as to become subject to the Workers'Compensation Laws. CONDITIONS � PP �i/ clrY ZIP Date�Q~ ��L A licant S ARCHITECT OR-2 TEL."7t 0 NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER t`Jt1.Cr 1-E1 MJr> NO �"7 DISTRICT GROUP TYPE FIRE PROCESSED BY O CONST. ZONE ►- Exemption, you should become subject to the Workers' ^�' _- w Compensation provisions of the Labor Code, you must forth- ADDRESS• � st ET e�F14X' IrD sOrM10 =0.0j, � `/ 15 1 4A%2__dr_S n with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. to C,,. Z deemed revoked. CONTRACTOR v�-� NO. j LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.5,i wm LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business � and Professions Code,and my license is in full force and effect. CITY CLASS ►�J•'t BK VALIDATION ., SQ. FT. -•� NO.OF NO OF CHECK License Number G3 00 6& Lic. Class �� SIZE 47 ( STORIES I FAMILIES ` ONE -�,�I VALUATION Contractor• - I� & Date ��~� y DESCRIPTION OF WORK 14th►i 1C�1 bF NEW ❑ $ `- O ADD lP , ❑I am exempt under Sec. pM11"' RWVI. ZAI ALTER ❑ B.&P.C. for this reason REPAIR ❑ $ USE OF Date: EXISTING BLDG. f' �Si( tL?Ccs. DEMOL ❑ Signature APPLICANT —% TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) Vii- 74-16MAj NO. �� DATE S I hereby affirm that I am exempt from the Contractor's License ADDRESS c� �� G ICs �. Law for the following reason (Section 7031.5, Business and FINAL Professions Code): PRESENT By ❑ I, as owner of the property, or my employees with BUILDING r y wages as their sole compensation,will do the work and ADDRESS 24 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) CMOVING TEL.ONTIN RACTOR NO. 616-1033 ❑ I, as owner of the property,am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY SETBACK YARD HWY TOTAL SETBACK LINE ROM WIDTH I hereby affirm that there is a construction lending agency for FRONT r r the performance of the work for which this permit is issued P.L. t7 `s{O (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name P.C. Fee$ Permit Fee Q LDMA Ref. # Lender's Address I certify that I have read this application and state that the Issuance Fee r�7~= �s LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee + ordinances and State laws relating to building construction, Total Fee �a� LDMA Perm. # and hereby authorize representatives of this County to enter upo"the akleap-mentioned property for inspection purposes. �OA� to-2o-9Z SEE REVERSE FOR EXPLANATORY LANGUAGE Signature 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 0310060021 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9420 OLIVE ST STRUCTURE: VN TEMP CA 917803156 ASSESSOR INFORMATION NUM8 : NEAREST CROSS STREET: TEMPLE CITY 8590-003-017 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: E IST G S : R S D USE ZONE: R- SS PROCESSED B EXPIRES 0 : EXIST OCC GRP: 10/06/03 JK 09/30/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEFINAL BY: CODE: HATLEY FAYE J (626) 287-9309- 1,700 L 1 -, pa �j 3 9420 OLIVE ST TEMP 917803156 FEES PAID DESCRIPTION OF RK LATH & PLASTER GARAGE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: L & L PLASTER (909) 595-4833- AA BLDG PERMIT ISSUANCE 27.75 1484 LASSITER DR AC STRONG MOTION RESID 1700.00 VAL 0.50 SPECIAL COND TIO S: WALNUT 91789 D2 PERMIT W/O^EN:HC=---1—X1700.00 VAL 82.20 DOTAL`ES 110.45 LOANDALTPLASTER TEL. N595-4833- / ® ` V��0 APPROVALS DATE INSPECTOR SIGNATURE 1484 LASS I TER DR LIC. NO rf,.: �✓"T,1 wLOCATION AND SETBACKS WALNUT, CA 91789 NONE �•� SOILS ENGINEER APPROVA ARCHITECT OR ENGINEERf: E 0: FOUNDATION/TRENCH F( T� !` r1OR S LIC. $NOl:� f i _ _ I I I i , SLAB/UNDER FLOOR �Li!- -_-- i I I J— �' �.��_;�,y, RAISED FLOOR FRWrFG MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ' UNDERIFLOOR INSULATION 147H265 3 ..:01 0. 0 FAMILIES: DEL NG UNITS: PT CO T CLASS:- ------ __ ___—_ ___—________ L S G NO 2,1\�-( ? ROOF SHEATHING R PANELS SCHOOLHAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO `! . Ij I / FRAME INSPECTION REQUIRED OT SETBACK ST IRE SPR R AGE S SET BACK YARD: HWY: PROP LINE: WIDTH: 1 .�f/ '��_ — , •��.�0!% ` FRONT PL- erVIC e i� INSULATION/WEATHER STRIP SIDE PL- TINTEROR A H/DR L y EX ERIOR LAT RATED-FLOOR/CEIL ASSE . RATED WALL ASSEMBLIES RATEDSHAFTS/OPENINGS T-BARICEILINGS LOT I DRAINAGE (REPORT ID: DPR261 ROUTE TO: BSO5O8 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 1401020013 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ON FILE SQ. FT STORIES TYPE I 9420 OLIVE ST 1 ISTRUCTURE: V-B TEMP CA 917803156 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18590-003-017 - I i THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-3 ]ISSUED ON: PROCESSED BY: ] 1EXIST OCC GRP: 101/02/14 SR 1 (OWNER: TEL NO: IBLDGS. NOW ON LOT: VALUATION: IF NAL DATE FINAL BY: CODE: IHATLEY FAYE J (626) 287-9309- 1 1 8,400 1 �� 19420 OLIVE ST ITEMP 917803156 I FEES PAID I SCRIPTION OF WORK I (TEAR OFF AND REROOF WITN CLASS A COMP SHINGLES I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I (APPLICANT: TEL. NO: I I I IMUSULMAN, FRED (626) 339-0394- IAA BLDG PERMIT ISSUANCE 27.80 1 I 1066 EDNA PLACE ID2 PERMIT W/O EN-HC 8400.00 VAL 199.80 ISPECIAL CONDITIONS: I COVINA, CA I TOTAL FEES 227.60 I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IMUSULMAN ROOFING CO INC (626) 339-0394- 1 1 I 11066 E. EDNA PLACE LIC. NO I IL.00ATION AND SETBACKS ] I ICOVINA,CA 91724 420356 1- ] I I I 1 1SOILS ENGINEER APPROVAL I ] (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I 1 LIC. NO: I ISLAS/UNDER FLOOR I I I I � I IRAISED FLOOR FRAMING I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( IUNDFRFLOOR INSULATION I I I 1 3 001 IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ] IROOF SHEATHING I SCHOOL WITHIN HAZARDOUS I ISHEAA PANELS I I (AIR QUALITY: 1000 FEET MATERIALS I I I 1 I NO NO NO I IFRA14E INSPECTION I I I I I 1FIRE SPRINKLER HANGERS 1 IINSULATION/WEATHER STRIPI I I I I IINTERIOR LATH/DRYWALL I I I I ] 1EXTERIOR LATH I 1 I I I IRATED FLOOR/CEIL ASSEM. I I I I 1 I (RATED WALL ASSEMBLIES 1 1 1 IRATE? SHAFTS/OPENINGS i 1 I ] I I IT-BAR CEILINGS I I I ILOT 7RAINAGE I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I ] I ] I