The URL can be used to link to this page

Home My Public Portal About9521 OLIVE ST_Building__ v d; . •TEMPLE—CITY 76A638A CE#803 2-63APPLICATION FOR BUILDING' PERMIT i" COUNTY OF LOS ANGELES BUILDING 1 DEPARTMENT OF COUNTY ENGINEER ADDRESS f BUILDING AND SAFETY DIVISION , LOCALITY 00 JOHN A. LAMBIE, COUNTY ENGINEER NEAREST �J WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.. DISTRICT NO, GIRVUP TYPE P SS" BY. FOR APPLICANT TO FILL CONS BUILDING STATISTICAL CLASSIFICATION SgWER MAP ADDRESS / BK � CLASS. NO. DWELL.UNITS". LOT NO. BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT AP HIGHAY NO Ic RCWEI STATE MAJOR SECOND, OCAL NO.OF BLDG SIZE OF LOT ® S.NOW ON LOT USE E SPECIAL m USE OFCON TION . , EXISTING BLDG. � r / OWNER -NO. `� UILDING EX m SETBACK YARD HW ST ET NAME WIDTH ADDRESS �� v \ FRONT ARCH ITECT OR TEL. P. L. ENGINEER NO. SIDE a P. L.� O ADDRESS w f /N TELja CONTRACTOR'. NO. y % �y 4l/ i 1 v� -s j lw ADDRESS 0 J ur ESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH .-SQ.FT. NO.OF- NO. OF SIZE' STORIES FAMILIES '! USE OF A +9p'� `i�I.� t k�P� :4 I q V A I.Ktgi'�.�_ STRUCTUR P P I Inn Q SIGNATURE APPLICANT nP,PAY a f; VALUATION $ '�J a� �i+ r!• cE�skd. !:S 4:• 'w A-t✓I+i"tu f� ' 1 APPROVALS } 1 I D TE INSPECTOR'S SICNhTLI fit P.C. PMT. a FOUNDATION: LOCATION I "� FEE $ FEE $ FORMS, MATERIALS _ FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIbl% BRACING.•BOLTS CP 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. I -CERTIFY THAT IN DOING THE WORK _ AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA-• UXT-H. INT. TION OF THE LABOR CODE'OF THE STATE OF IFORNIA LAT- INC TO WORKMEN'S COMPENSATION I URA _WOH, EXT. S�%"l�1�/G PA /,�P•f' SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED .ADDRESS P FINAL .� ,rf" •�� JOHN F.•LEWIS. PRINCIPAL STRUCTURAC EN ' R PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION:. .CK. M.O.' CASH = - ' «_. . 2.2 9 2 AUG' (> 1 D 't'�.i Jay , '��'�- �// - ` ,� - ,• 19Ap"cis#.03z/so APPLICATION -F'OR BUILDING-PERMIT _ 1, COUNTY.•OF LOS ANGELES BUILDING 5 �� DEPARTMENT .OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION_ LOCALITY L JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. I s DISTRICT'NO. G,10U TYPE P O SED BY -FOR APPLICANT TO FILL IN._ ,G. I CONST BUILDING STATISTICAL CLASSIFICATION' SEWER MAP // K PG ADDRESS CLASS.NO.--Z--- DWELL.UNIT..-L/- LOT NITSLOT NO. '7'e Q _ \ CK MAPSTATE NUMBER YES NO� ' TRACT I YLI S S.f J/V ire w• zre USE ZONE - SPECIAL �/j / NO.OF BLDGS.= CONDITIONS SIZE OF LOT% !> y I NOW ON LOT �{II i�LTf USE OF \ EXISTING.BLDG.— BUILDING EXIST: YARD HWY _,—STREET NAME SETBACK .r S WIDTH OWNE • 3� FRONT - ' P.L. N r ADDRESS �Q. �' SIDE ' ARCHITECT OR TEL 1'•L. ENGINEER S{ NO. INSPECTION RECORD ADDRESS ��J CONTRACTOR �/ �/W///AAASNOL r r� .� O ADDRESS � (O B 77'14 :S c.i�l L? -!-'L DESCRIPTION OF WORT{ NEW t` ADD ALTER REPAIR DEMOLISH SO.FT. NO.OF NO:OF !//+��o. C�n.r� 1'v- tJ w 1.4 b.e�1 SIZE 17,00 STORIES FAMILIES y USE OF. STRUCT RE Q Irig /i is . ' yoi►" a.e �.'.�i�Ct+r d;:..l u-S= .l:r rf f^-a..00A V4 .�r.�.4s..;,,•.�. SIGNATURE OFA APPLICANT VALUATION$ � E7O �6 I /qJ' APPROVALS D TE• INSPEQT(Wi SIGNATURE O PMT: y�r!J FOUNDATION: MATERIALS.NC �i 1 T�!etiD• � FEE S I FEE $ 7 FRAME:FIRE STOPS, G' A 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'AP- BRACING BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND i AGREE TO'•COMPLY WITH ALL COUNTY ORDINANCES'AND FURNACE:LOCATION, GAS VENT,DUCTS STATE:LAWS REGULATING BUILDING CONSTRUCf10N. ll i I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT. WILL NOT EMPL ANY PERSON IN VIOLATION OF,THE WORKMEN'S P NSATION OF CALIF LATH,EXT. / Il I'. SIGNATURE 07 HOUSE NUMBER COR PERMITTEERECT AND POSTED 0 A ADDRES • ad 444 FINAL _Cdr-----�— �:=' CUYDE N. DIRLAM, F R1NC1PAL STR RAL ENGINEER PLAN CHECK VALIDATION cK, al.o.•_"cases PERMIT VALIDATION cK. M.O. CASH rl . U..� �f.i' 7 7 OCTi. 1 D �' '1 .:�0 5 7 ' •DL` J f WORKERS'COMPENSATION DECLARATION ,+ / I hereby affirm that I have certificate of consent to self /� P P L I A7 N O . Q p M M'0 I T insure, or a certificate of Workers'Compensation Insurance, (j'� Of a certifie c ghereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUOLDING AND SAFETY Policy No. Company efflakLt �� Certified copy is hereby furnished. i FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING ( g tion department, ADDRESS \ LOCALITY NEAREST Date Applicant CITY • ZIP Q CROSS ST. " CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAdf PARCEL (This section need not be completed•if the permit is for one USE ZONE MAP hundred dollars($100).or less.) TRACT BLOCK LOT NO. -n f NO. .�/r/ SPECIAL I certify that in the performance of the work for which this OWNER V �O. 111IIII�� CONDITIONS DISTRICT .GROUP TYPE FIRE PRO SSED BY ®. permit is issued, I shall not employ any person in any manner CONST. ZONE U so as to become subject to the Workers'Compensation Laws. ADDRESS w, 1� e-' e' cX _ = ::��J 1? 0 Date Applicant CIN • ZIP STATISTICAL CLASSIFICATION AW. CONDO. NOTICE TO APPLICANT: If, after makingthis Certificate of ARCHITECT OR TEL. ENGINEER NO. CLASS NO. DWELL.UNITS Exemption, you should become subject to the Workers' � Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be /r� deemed revoked. No BK. P PG,/2 4 VALIDATION CONTRACTOR l LICENSED CONTRACTORS DECLARATION h% LIC. r I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS da �t t- NO. ALUATION (commencing with Section 7000)of Division 3 of the Business and �'` LIC. !/VALUATION Professions Code,and my license is in full force and effect. CITY J0 CLASS $ jScoo SQ.FT. NO.OF NO.OF CHECK "''T License Number �- Lic,Class SIZE STORIES FAMILIES ONE $ Contractor Date DESCRIPTION mOF WORK NEW ❑. I am exempt under Sec. A6b'<e f�� s5,. ADD � �;.:•.,:=: ALTER � FINAL B.BP.C. for this reason1. REPAIR ❑ DATE USE OF FINAL Date: EXISTING BLDG. DEMOL [3 By Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. + I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PR E T :...,...: ❑ 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 7044, Business and Professions Code). MOVING TEL. + 4 I, as owner of the property, am exclusively contracting CONTRACTOR NO. o,,� ,I with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). ° 1 0 fi 1 3 u REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LIN WIDTH D 0 'I 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.). I SIDE o P.L. Q Lender's Name •'- `•� `// - a P.C. Fee$ Permit Fee Lender's Address I p I certify that I have read this application and state.that the Issuance Fee da above information is correct. I agree to comply with all County Investigation Fee ordi ances and State laws relating to building construction, I Total Fee - cn reby.authorize repr sentatives of this County to enter u on e - ro or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant%o/r Agent I Date •®s • 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 0609140032 PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9521 OLIVE ST STRUCTURE: 33 VN TEMP CA 917803132 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 8588-025-021 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/14/06 JK 09/09/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: PAULSON ELINE R TR ELINE R PAULSON (626) 286-0239- 16,100 '2 /� 9521 OLIVE ST f- l TEMP 917803132 FEES PAID DESCRIPTION OF WORK REMOVE AND REPLACE ROOF 50 YR. COMPOSITION SHINGLES AND FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: REPLACE 13 WINDOWS (SAME SIZE) APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 16100.00 VAL 1.61 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 16100.00 VAL 334.20 TOTAL FEES 363.56 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/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEER 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 LATE/DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508