HomeMy Public PortalAbout9480 OLIVE ST_Building__ 8A638A 088.3%38
• APPLICATION FOR BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY ADUILDING
DRESS " $ �~
��—
Department of County Engineer
County of Los Angeles LOCALITY
WM.J.FOX,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT O. GROUP SEWER MA PG
FOR APPLICANT TO FILL IN 1^ I TYPE
CONST. �
BUILDING qq�
ADDRESS NUMBER ✓�"CJ16 HWY NO
p • E,,.Z10 SPECIAL
LOT NO. US
O 0 -�' CONDITIONS
TRACT
SIZE OF LOT x I NO.OF BLDGS. v BUILDING EXIST.
NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
USE OF FRONT i O
EXISTING BLDG. P L. +"
OWNER ° SIDE
MAIL r.
ADDRESS 12— J 10-W 0 TRACT DWELL. i UNIT
y- 5 INDUSTRIAL -
CI J�e i �fRJ NO.�I J�� DWELL. f UNIT 6 PUBLIC BLDG.
ARCHITEC OR TEL. 2 DUPLEX 1 UNIT 7 ADON.,ALT.. ETC.
ENGINEER NO. 3 APT. UNITS
• 8 MISGEL.
ADDRESS 4 COMMERCIAL
TEL' INSPECTION RECORD
CONTRACT6R NO. � 1
I ADDRESS G�'t I C.1-\Mci t: %%.; %_t k_i* .E IK-'
DESCRIPTION OF WORK
` NEW ADD ALTER REPAIR DEMOLISH \�? ,
y NO.OF
I?� ,' fk.QU E D S d. -CO
SIZ ST FT. f//�/ I
y"% STORIES
S FAMILIES
USE STRU T
be
SIGNATURE OF
APPLICA APPROVALS iz-1
r`
ADDRESS G C- DATE NI INSPEC f R•S SI NATURE
FOUNDATION:LOCATION S __ / �C U,
$ P.C. $/� pQ FORMS,MATERIALS i�A A'
r
/ $ CQ FEEy FRAME: FIRE STOPS,
6o
VALUATION -r (( II n
// $� � BRACING,BOLTS O I� l s �: dam.V l+�-�-+•�I-��,� i
FEE °� FURNACE:LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT r/
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. I i(
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH.EXT.
SIGNATURE OF HOUSE NUMBER COR- n
PERMITTE RECT AND POSTED 13
�._
ADDRESS FINAL %
WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR
C 5 3 7 1`� JUL 6 1 1 6.0 0_ o jgb5 4 7 4.u"I JUL 8 1 3-2.00
76A638A CERBOS 3-66APPLICATION FOR BUILDING ERMIT
COUNTY OF LOS ANGELES _BUILDING t +—+
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION. LOCALITY a ,w
JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST.
DIST )ETNc�; OUP TYPE, i E
FOR APPLICANT TO FILL IN Z, 0 6 CONST.
BUILDING STAT: TICAL LAJSIFICATION SEWER MAP '
ADDRESS 9Y r CLASS NO. `DWELL UNITS . -BK PG
LOT NO. 8���= iQ BG iC- USE ZONE MAP :9 '
NO. oL
TRACTQ SPECIAL
NO. OF SLOGS. a [ CONDITIONS
SIZE OF LOT NOW N LOT
USE OF
zXI,TLNG'BLDG. BLDG. SETBACK FROM
fj
TEL'. n - FRONT PROP. LINE OF
(STREET)
OWNER L NO. fa'I` TYPE OF EXISTING SETBACK HIGHWAY -F 'YARD = TOTAL
ADDRESS i .GHWAYWIDTHr F M C.L.
CITY Aryl ` / , +
PtRCHITECT Rf. TEL. BLDG. SLNTBACK FRO /
ENGINEER NO. SIDE PROP. LINE OF TREE
T)
TYPE OF EXISTING SETBACK HIGHWAY } YARD — TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR
A / O NOL oC + —
LIC D
ADDRESS NO / CORNER CUTOFF YES �' NO C
C
CITY LI — S SEE REVERSE SIDE FOR:SPECIAL APPROVALS °c
DESCRIPTION OF WORK
i C
NEW .ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO. OF
SIZE e T R 14 S FAMILIF-S
USE OF % �✓irC� 1 LOQ 4A ,8AA
�sl...
STRUCTUR / 15117 f 6 / o 6
SIGNATURE OF / � �,� ��•GC }f C�(J`. i �;ayop
APPLICANT
VALUATION$ COQ
APPROVALS DATE INSPEgTOjf'SSIGNATURE
P.C. PMT. FOUNDATION, LOCATION �v
FEE F=OV`� FORMS,MATERIALS
FRAME, FIRE FT—OPS.'
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING SOLTII
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS '
13UILDI NG CONSTRUCTION. 1 CERTIFY THAT. IN.DOING THE-WORK
AUTHORIZED HEREBY-I WILL NOT EMP YMF
- LATH. INT. '
TION OF THE LABOR DE OF HE TEING TO WORKMEN'S n SA 1 URLATH. EXT.
SIGNATURE OF77
� HOUSE NUMBER COR-
PORMITTEE RE AND POSTED
ADDRESS L' i.Q Fl NAL fi✓!� � � ���,
JOHN F. LEWIS. PRINCIPAL STRAL ENGINEER
PLAN CHECK VALIDATION cK. M.O; CASH _ PERMIT VALIDATION CK. M.O CASH
L. ;o 7 2 2:3'- FEB 2.0 2 .1 D , 3.7 5
- - LAC
67:-2 2 4FEB-20 1 D -15.00
DEPARTMENT OF BUILDING AND SAFETY &%rrLsL%rA i ivar V va rzaa u A
COUNTY OF LOS ANGELES
WM. d. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PLAN OK.NO. PERMIT NO.
ADDREBB
LOCALITY ixp Ls�/r RECEIVED BY �DATE Or APPL`. ITDATE ISSUEDNEA EST
�-+
CROSS BT. f 13U
I, vsp� +�1 G
OWNER e . / m r' ADDREIBS—�. f'J 4'Q �i e—i x/i5j9,:,
MAILADDRESS 04441 X_ O r E 5-7- LOCALITY
�j � NEAREST
CITY i� \/i �/ NO. � nano ST.FIRE No.or
ARCHITECT OR TEL. ZONE PLANE TYPE DROU�y
ENGINEER NO. �/ `,/
BLDG. O D O. .
ADDRESSSETBACKLINE F / �i
Tv,
y, IEL_ BY
USAPPROVED
CONTRACTOR ® ..// /`�NO. DyLTE
• USE APPROVED
ADDRESS ZONE BY DATE
LEGALy CORRECTIONS
DESCRIPTION Lryi OA . 4,d)/� BLOCK
TRACT 351- 11 d ee G a.
pip J NO.OF BLDOS.
SIZE OF LOT /® it I FI® NOW ON LOT
USE 13NO.OF NO.OF l
EXISTING BLDG. EaS. FAMILIES ROOMS J�
DESCRIPTION OF WORD
NEW x ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH D
MIT .
NO.OF / Z
SIZE /$^ iz(j ROOMS / BT�IORWALL o IEMB/�
13 r
COVERING 1T/,*f/E� I COV RING 6 d MP.
USEDF NEW
BUILDING
a pl A 6'r�
BUILDING /'7 RA 4'1
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATIONCLOCATION ,INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMA.MATERIALS ni(ifaT3 +a-�(rp
AND STATE LAWN REGULATING BUILDING OONSTRUCTION.
f��
FRAME*
C1 FIRE STOPS,
SIGNATURE OF BRACING.BOLTS
PERMITTEE LATH, INT.
AUTHORIZED AS LATH, EXT.
76A638A-3 2-50 $ P.O,6 PLASTER,INT.
i FEE �— PLASTER.EXT.
VALUATION FEE $S S'
FINAL 1 � r'd��p�%
rBUILDING
ADDRESS
APPLICATION LOCALITY -^,, ,�.f�_e,
NEAEBT
DIVISION OF BUILDING AND SAFETY CROBB 8T.
Department of Ooanty Engineer DISTRI T NO. RECEIPT 13. / PERMIT NO.
fJoGaty Of Los Angeles 6 3 a a Ls—
WM. J. FOX, COUNTY ENGINEER UR P DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, BYP•T OF BUILDING
MISS
FOR APPLICANT TO FILL IN Jnr NOT. RECEIVED BY �ED
OWNER /• ^ '��` I ��1 I Uv0� r J J�
AMAILDDRESS 4-0 `-'. O1—LJT- •J NUMBER / (J STATE YE NO
TEL 7-3
� 7 USE ZONE// CONDITIONS
CITY,/ Vl ptr 4s I-17 Na. T' f- � �
ARCHITECT OR TEL.
ENGINEER NO.
BUILDING YARD HWY STREET NAME EXIST.
ADDRESS_ SETBACK WIDTH
FRONT
CONTRACTOR NO. P'L'
• BIDE
ADDRESS P.L.
BUILDING DATE CORRECTIONS INSPECTOR
-ADORE"
LOT NO. ((}� /,/` BLOCK '+ pm�mQ_�
TRACT �.�,q°,F��.CCCC+��+y��'7 /�'n. �.Y/
SIZE OF LOT /Q X 170 NO.OF BLDGS. _
r r /� NOW ON LOT
EB�or
TI 7d larka c 'AWACiT G 0►_1�r$�
DESCRIPTION OF WORK I Ll. `�'""
O
� o
NEWA/DD ALTER REPAIR DEMOLISH Z
81ZE T. t/ STORIES / FAMILIESmmor r
USE OF STRUCTURE
fZ lc fZooM fav 7?1
NO.OF
E P Y B
I 'HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IB APPROVALS INBPECTOR'B SIGNATURE DATE
CORRECT.
I AGREE TO COMPLY WITH.ALL COUNTY ORDINANCES FOUNDATION' LOCATION
AND STATE LAWS OU G BUIL INS CONSTRUCTION. FORMS,MATERIALS /��
SIGNATURE CFOj� 1 FBRACING,BOLTS RAME: FIRE & ill —� /�7A
PERMITTE �` �1'�"�^ /
A C FURNACE' LOCATION,
BAB VENT.DUCTS
ADDREB_�
LATH, INT.
AUTHORIZED AUT. `A
(/-�, . LATH, EXT. t�-' _ �e�-+•+.� ,�' '� �J'
S �v B HOUSE NUMBER COR- /
V 6 --- FEE ^^ RECT AND POSTED i
VALUATION FEE S oL FINAL
76A638A 0883 4-54
RKERS'COMPENSATION DECLARATION
faffirm that I have a certificate of consent to self
sure
ia certificate of Workers' Compensation Insurance,
APPLICATION FORBUILDING P E RM I T
oracerted
copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
BUILDING q4 onT ?
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS oobx
❑ Certified copy is filed with the county building inspec- BUILDING04(
0
tion department. ADDRESS
oz 111,6 _5T
t
Date Applicant CITY ZIP (� LOCALITY
NO.OF BL NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT kD NOW ON LOT• S CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK �`� PAGE PARCEL v�1p
hundred dollars ($100)or less.) L USE ZONE
OWNER — ( MAP
{/(/ O. NO.
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 ! �j01 �� Oma/ SPECIAL d
CONDITIONS
so as to become subject to the Workers'Compensation Laws. OP//,� U
CITY LWV ZIP � 0 6
Date Applicant ARCHITECT OR Q&
NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY
CONST. ZONE
Exemption, you should become subject to the Workers' j,P W
Compensation provisions of the Labor Code, you must forth- ADDRESS "Kc// & a
. N
. CONDO
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APTZ
deemed revoked. CONTRACTOR N�. CLASS NO. UL. UNITS
LICENSED CONTRACTORS DECLARATION ADDRESS NO
I hereby affirm that I am licensed under provisions of Chapter 9 . SEWER MAP
(commencing with Section 7000)of Division 3 of the Business LIC.
and Professions Code,and my license is in full force and effect. CITY CLASS BK. PG. VALIDATION
SQ. FT. NO.OF NO.OF CHECK
License Number Uc. Class SIZE I STORIES FAMILIES ONE
/ VALUATION
Contractor Date DESCRIPTION OF WORK G' �� Oo NEW ❑ X
ADD LJ $ p
❑I am exempt under Sec. poloALTER ❑
B.&P.C. for this reason REPAIR ❑ $
Date: USE OF
EXISTING BLDG. DEMOL ❑
Signature APPLICAN TEL FINAL
OWNER-BUILDER DECLARATION (PRI 1 O DATE
I hereby affirm that I am exempt from the Contractor's License -- -
Law for the following reason (Section 7031.5, Business and ADDRESS //r/ FINAL :•.:r:, o J_
,•,-
Professions Code): PRESENT
employees
By
BUIDING
ADDRESI, as owner of the property, or,mY em to ees with02
1 -
wages as their sole compensationwill dotheworkand :. 9.`=
- 63
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code.) MOVING TEL. v."'_t. •t =L
CONTRACTOR NO. �,,
I, as owner of the property,am exclusively contracting W o�!
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code.)
REQUIRED TOTAL SETBACK FROM EXIST.
i
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ;'� "-, a ff�',
I hereby affirm that there is a construction lending agency for FRONT
__ .1.1:i �f r _
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name V TDMA Ref.#
Lender's Address P.C. Fee$ Permit Fee UU
1 certify that I have read this application and state that the Issuance Fee ,5` LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
ordinancfb.,
d State laws relating to building construction, Total Fee 0, 4_1 LDMA Perm. #
and eruthorize representati es of this County to enter
u n e-mentioned pr pe ty for ins ectign,p ose
/ / SEE REVERSE FOR EXPLANATORY LANGUAGE
Signa7fi cjyApPlIca/o7"AgenI,/ Date
of 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 1303040033
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ON FILE I SQ. FT STORIES TYPE 9480 OLIVE ST
I IISTRUCTURE: V-B 1 TEMP CA 917803130 ]
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY ]
18590-004-006 1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CAI
ITENANT: 1EXIST BLDG USE: REBID USE ZONE: R-1 IISSUED ON: PROCESSED BY: 1
1EXIST OCC GRP: 03/04./13 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: ]FINAL TE FI BY: CODE: ]
19480 OLIVE ST WA, CHRIS (626) 327-3789- 1 1,500 1"� I
ITEMPLE CITY CA 91780 �I FEES PAID IDESCRIPTION OF WORK ]
I I IVEHICLE DAMAGE REPAIR TO PORTION OF EXTERIOR WALL @ FRONT I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
(APPLICANT: TEL. NO: I I I
1SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.80 I I
IAB STATE GREEN BLDG FEE 1500.00 VAL 1.00 ISPECIAL CONDITIONS: I
IAC STRONG MOTION RESID 1500.00 VAL 0.50 I I
JB2 PERMIT W/ENERGY 1500.00 VAL 90.40 I I
TOTAL FEES 119.70
I I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
1 ISAME AS OWNER I I I
LIC. NO 1 1LOCATION AND SETBACKS I I
1 1 ISOILS ENGINEER APPROVAL ] I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: i 1SLABJUNDER FLOOR ]
1 1 RAISED FLOOR FRAMING ] I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:lJ 1 I
UNDERFLOOR INSULATION
I147H269 3 09
I � IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
1 0 NO 21 1 1ROOF SHEATHING 1 1 I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
I I
]AIR QUALITY: 1000 FEET MATERIALS I
I I
NO NO NO I (FRAM# INSPECTION I I
1 1FIRErSPRINKLER HANGERS I I I
I +] (INSULATION/WEATHER STRIP( I I
1 I 11NTEIZIOR LATH/DRYWALL 1 ] ]
1 1 1EXTERIOR LATH I
I �I RATED FLOOR/CELL ASSEM. I I I
1 11
]1 ] r (!RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS I] II
I
]
('1 1T-BAR CEILINGS 1 1 I
�1 1LOT DRAINAGE I I
I (REPORT ID: DPR261 ROUTE TO: BS0508
I ] I I I I
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 0508040053
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9480 OLIVE ST
STRUCTURE: 2000 VN TEMP CA 917803130
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
8590-004-006 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/04/05 JK 07/30/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
LIN PAI-PING;HSUHSEN (626) 807-6725- 5,000
9480 OLIVE ST.
TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK
TEAR-OFF AND RE-ROOF WITH COMPOSITION SHINGLES HOUSE AND
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT GARAGE CHANGE FRONT DOOR & WINDOW
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 5000.00 VAL 132.60
FR INV WORK W/O PERMIT 257.00 DOL 257.00
TOTAL FEES 417.85
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H269 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508