HomeMy Public PortalAbout9546 OLIVE ST_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING� ,f COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY70`�00da'f 0%� ZIP BUILDING AND SAFETY DIVISION
��xZp�
NO.OF BLDGS. BUILDING r r f
SIZE OF LOT 6kp NOW ON LOT ADDRESS
� ADDRESS �� , 0AP
TRACT/1,6t2-J LOCK LOT�IOGJ J� LOCALITYrT
OWNER 7• [//S NO..; �3 SgoT.
TTEL NEARET. �� G �r .GJR ✓
/�6�� JAI ASSESSOR
ADDRESS i �C• MAP BOOK PAGE 'PARCEL
DISTRICT GROUP TYPE FIRE PROCESSED BY
ZIP /�ZSG1 .4,.�. CONST.+ ZON
ARCHITECT
N
CT OR C rr� TEL
ENG
cJ STATIS[[TTAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. WELL.UNITS BK PG
CONTRACTOR SC-��.� NEO, USE ZONE MAP j
LIC. NO. d jp
ADDRESS �- NO, b"r ,y SPECIAL
LIC. �( rj CONDITIONS
CITY �
CONSTRUCTION LENDER CLASS "
ROAD DEPARTMENT APPROVAL REQUIRED YES[] NO ❑
r '
NAME AND BRANCH 25�'C'� BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET) c
ADDRESS CITY
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING Z
SQ. FT ��/ NO. OF r NO. OF v,4 CHECK FRONT PROP. LINE HIGHWAY WIDTH F
SIZE gC.�'/ STORIES/ FAMILIESONE i
DESCRIPTION OF WORK NEW + C
ADD ❑ BLDG.SETBACK
SI .
u SIDE PROP,LINEINEOFOF (STREET)
ALTER ❑ HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING
REPAIR[] SIDE PROP. LINE HIGHWAY WIDTH
USE OF DEMOL E] +
EXISTING BLDG.
APPLICAN7jJ f' /�' TEL/jQ CORNER CUTOFF YES ❑ NO ❑
(PRINT) /�-� / fy v/S NO.�CJ
BY (SIGNATU E) / IN OPEN SPACE YES ❑ NO ❑
V � IN COASTAL ZONE YES ❑ NO
-' ❑
VALUATION �j7' (�y 4D.i� }y
CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES LAW REGULATING BUILDING CON- ,
STRUCTION. I CERTIFY TH' IN 01 NG THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EhrPLO NY ERSON IN VIOLATION OF THE
LABOR CODE OF TM STA E O AL IFORNIA IN RELATING TO.
WORKMEN'S COMPENS TION IN UR N ES' ^
SIGNATUREIOF V Jr
PERMITTEE
ADDRESS i00e+ 01'40�6_e
_�/�--�J� /� �j -/7 FINAL///7 /
CITY "-"7�XO( Ci_�/Y NO.Ga3(�J DATE [
MAKE CHECKS PAYABLE TO: P.C. $ PMT.$
HARVEY T. BRANDT. COUNTY ENGINEER FEE / �� _011 FEE
PLAN CHECK VALIDATIONCK. M.O. ,CASH PERMIT VALIDATION CK., M.O. CASH
6 7 9`FEB 4 2.4.1- 1 7.1_`.0 ®y
U
76AB38A CE#803 7/73
3�hSAR $.'7 5 oy
APPLICATION FOF ' ILDOG PERWT
FOR APPLICANT TO FILL IN (Print or type oHIY)
BUILDING — , COUNTY OF LOS ANGELES
ADDRESS ✓ DEPARTMENT OF COUNTYGlNEER
CITY ZIP BUILDING ANDS ISION
AD.OF BLD S. BUILDING i Ih
SIZE OF LOT NOW ON LOT ADDRESS
i
TRACT BLOCK LOT NO. LOCALITY
�f [
f
TEL NEAREST �_ d
OWNER NO. "'r- CROSS ST.
ASSESSOR
ADDRESS MAP BOOK PAGE lPjS.KEL
DISTRICT GROUP CONST. ZONE P SSED BY
CITY I P N
ARCHITECT O T L. ✓ �r�
ENGINEER NO. STATISTICAL CLASSIFICATION 6
SEWER MAP
ADDRESS CLASS NODWELL,UNITS BK PG
CONTRACTORoah, NOL' r 'USE ON MAP
LIC. SPECIAL
q NO.
ADDRESS 1 NO /fid CONDITIONS
CITY I o LIC.
CONSTRUCTIN LENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP,LINE OF (STREET)
ADDRESS CITY HIGHWAY } YARD iTOTAL SETBACK FROM TYPE OF EXISTING
SQ, FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE I STORIES FAMILIES ONE yy
+ - 3
DESCRIPTION OF WORK NEW - ❑
ADD ❑ BLDG.SETBACK FROM (STREET) CC
T
SIDE PROP.LINE OF Q
ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING v
EPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH w
93-
USE
_ G7
EXISTING BLDG. DEMOL + Z
APPLICANT TEL J CORNER CUTOFF YES ❑ NO ❑
(PRINT)
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
VALUATION,
IN COASTAL PERMIT ZONE YES ❑ NO ❑
C
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S CO MPE NS N INSURANCE.
SIGNATURE O
PERMITTEE
ADDRESS
FINAL y/D`�✓ BY p/
CITY
TEL. ��/��'�
NO. DATE
MAKE CHECKS PA YA BLE TO: FEE"1' y FEE c
HARVEY T. BRANDT, COUNTY ENGINEER c f�
/�.
PLAN*CHECK VALIDATION CK. M.O. CASH ® PERMIT VALIDATION CK. O. CASH
5. 6.6 r.JUL X212 .1 .9,Q Q A,98
76A636A C8*803 5/74
C.:I_1_ - U r I. c 1-1 v L & %. I
APPLICATION FOR .BUIL ING.::PE 1 IT ;
►'FOR'APPLICANT TO FILL IN (Print or type only)
BI LDI55 Gr' COUNTY•O LOS ANGELES
.
DEPARTMENT..OF COUNTY .ENGINEER
CITY ,ZIP BUILDING'AND.:SAFfET.Y.DIVISIION �+
S BUILDING
SIZE.OF'L'OT �'G NOW ON LOTADDRESS,L
TRACT BLOCK' LOT NO. LOCALITY '
p
'TE L._
NEAREST.
OWNER V NO CROSS ST.,
ASSESSOR
ADDRESS' MAP BOOK PAGE PARCEL'
DISTRICTGROUP TYPE :FIRE PROCESSED BY
CITY ZIP r ¢ CONST:.' "ZONE
ARCHITECT OR TEL. S.U(J' ` -
ENGINEER• • NO.
STATISTICAL CLASSIFICATION •_ SEWER MAP
ADDRESS CLASS NO.2_/_DWELL.UNI.TS BK PG
TE NO ' � 'USE ZONE MAP
( NO:
LIC.' R- SPECIAL
ADDRESS NO. y00 CONDITIONS
CITY LIC.
CLASS IROAD'DEPAR'TMENT.APPROVAL REQUIRED YES❑. NO
CONSTRUCTION LENDER
NAME-AND BRANCH = BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS •CITY " HIGHWAY i• YARD ,TOTALS-ET,B'ACK'FROM TYPE OF EXISTING
SQ.'F NO. OF NO. OF.. CHECK FRONT PROP. LINE HIGHWAY WIDTH
IZE STORIES FAMILIES -ONE
•DES-CRIPTION OF WORK. NEW
ADD BLDG:SETBACKFROM
AcID..., H . )fSIDE,PROPJLINEOF (STREET) m
ALTER ❑ HIGHWAY - •F YARD = TOTAL SETBACK FROM TYPE OF EXISTING V
REPAIR[] SIDE PROP. LINE HIGHWAY WIDTH w
USE OFa
EXISTING.BLDG.' DEMOL ❑ + y
Z
APPLICANT / N0. �,J CORNER CUTOFF YES`❑ NO ❑
(PRINT), Imo•
IN.OPEN SPACE YES NO NO ❑ -
BY (SIGNATURE)•
IN COASTAL'PERM'IT ZONE YES ❑ NO ❑,
.VALUATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ T IS APPLICATION LG .Tfi�'`Ll�.! '� // S ,
A
. ND STATE THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY - - '-' �> -
WITH -ALL ORDINANCES AND LAW'S REGULATING BUILDING. CON-
STRUCTION.• I- CERTIFY 'THAT IN DOING THE WORK AIJ.T.HORI2ED-
LABOR . I WILL NOTE STJLOtE OFPFRSO-CALIFI IN VIIN RELATINON.OF THE I "-� ��✓�`-w '
LABOR CODE OF THE ST TE OF •CALIFORNIA'IN RELATING.TO
WORKMEN'S'COMPENSA34M=SURA
ERMITTEE OF G�s � �'d7'
P
ADDRESS oIZ 7 ,nod 1.-qP•'!e AwAP'vo-r ,
FINAL
CITY ' .;.:'r_' NOL: •-��� .DATE // .�y O �j;r
111A KE CHECKS PAYABLE TO:. P.C„ � PMT.: Z�
FEE' FEE
HARVEY T. BRANDT, COUNTY'ENGINEER �/ 1/76'
PLAN'CHECK VALIDATION CH. : M.O. cnsH . a PERMIT VALIDATION ' M.O. CASH '
' 1; Z-AA-••2:0.•2'_3 -:D
8.0. 5 N SEP: 1.9 .2-•- U. T: 6. 0 30:.rn
6 SSFP- 19 1 1 7'0.2 5 ®ya
76A688A,CE-$BD3 6174
DEPARTMENT OF BUILDING AND SAFETY 3 ^.rra.a%.r►a avrm r va rrmalAma a
COUNTY OF LOS ANGELES ® 1
WM. d. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
�/ DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDADDRESS �� / r j...
LOCALITY RECEIVED BY /DATE OF APPL. DATE IBBUED /
"EARESTn c ✓ .V-'4
p BUILDING P` Jar
OWNER Q) �/� �'- Y-9ie/� CF/19/-r1f ADDRESS.
ADIL
DRESS 7 '� �� .�✓�`�r"� LOCALITY .9!1-P
TEL f p / NEAREST �0
11�o df CROBB HT. .0 fj-j h � i nw
CITY NO. FIRE N .OF TYPE GROUP /
ARCHITECT O TEL ZONE �-� P NB
ENGINEER NO.
BLD0. 1 ORD.NO.
ADDREBB SETBACK LINE
APPROVED
CONTRACTOR NO. BY DATE
USE APPROVED
ADDRESS ,r� ZONE., 4� BY DATE
LEGAL r*— �� � CO�S
DESCRIPTION LlOT NO.✓ BLOCK�y� ,�/r ]�
TRACT �YY/ �' e��® /�//55/D� /�!s Cf0 [ �` C/
SIZE OF LOT7 A/• A-Y5 I NOW ON LOTNo or S
USE OF NO.OF NO.OF
EXISTING BLDG. FAMILIES ROOMB
DESCRIPTION OF.WORK
NEW I ALTERATION I 4000T ADDITION O
>0
REPAIR I MOVING DEMOLISH p
Bq.FT. A J
SIZE J(P 1! ROOMS
STORIES • I
WLL ✓C ! �' !
COV RINOSt�<<+( J/6P-I COVERING 401"y�j f r'i`?�' err t
USE OF NEW � r
BUILDING
s
0
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION*LOCATION INSPECTOR DATE
FORMS.MATERIALS
AND STATE LAWS REBULATING BUILDING CONSTRUCTION.
a FRAME* FIRE STOPS.
SIGNATURE OF BRACING.BOLTS
PERM ITTE
LATH. INT. CLT�/Qc
AUTHORIZED A LATH, EXT.
7BA63BA-3 2-513 $ P.C.B PLASTER.INT.
FEE PLASTER.EXT. ,y
VALUATION FEE ®��_ FI NAL �/G�
-OM NWrO 10.46• - I'- -
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMI
COUNTY OF LOS ANGELES
WK. J. FOX, CHIEF ENGINEER A U 1 I ® M G
FOR APPLICANT TO FILL IN . FOR OFFICE USE ONLY
ILDINn DIBTRICT NO. PLAN CK.NO. PERMIT NG.
ADD ESSG 2.138' East Olive Ave. c5^ -
LOCALITY Temple City R��d'I'�Vy�E ,� DATE APPL. DATE 198U 1ST
NEAREST sunset Blvd o d�` 'f/^✓ _�7� _�
CROSS ST.
4R L BUILDING
OWNER Mitchell Deacon ADDRESS.
MAIL
ADDRESS same LOCALITY
NEAREST
TEL CROSS ST.
CITY NO.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO. YYY
BLDG. ORD.NO.
ADDRESS SETBACK LINE
APPROVED
CONTRACTORL o Me Hamm NE y -2' 2151 BY DATE -
q p� USE APPROVED
ADDRESS 4'2 *W.. Main St. Alhakbra ZONE�� BY DATE
DESCRIPTION I LOT NO. S:SMALp BLOCK CORRECTIONS
TRACT r
SIZE OF LOTS
NOW ON LOT �-
USE OF NO.OF l NO.OF
EXISTING SLOG. !/� I FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION X ADDITION
O
' S
REPAIR MOVING DEMOLISH D
So.FT. NO.OFZ
SIZE ROOMS INIOTORIES D
WALL ROOF I'
COVERING I COVERING
USE OF NEW
BUILDING
Install floor furnace
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORLRIJ3N,
CES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONST
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
OWNER LATH,INT.:
AUTHORIZED A � ''� - ,
� LATH,EXT.:
e 27,E
P
.C. PLASTER.INT.
PLASTER,EXT.
VALUATION °1/� FINALy�/r S � /S
1JZlrAAWl"N 1 UY BUILDING AND BAFLETY J%rri.i%rs L A%OM r vn rzna as L
COUNTY OF LOS ANGELES ® ® 1
WM. J. FOX. CHIEF ENGINEER U
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO,
y y 4 PERMIT NO.
ADDRESS r3q7
LOCALITY ��'9 ,� (� / RECEIVED By DATE or
orAPPL. DATEISSUED
NEAREST + r /F! � �yC� r' 7� a
CRO ST. 1+
BUILD
� � L. f
�+ may-'g. �. r - e� p �r e-7
p � ,(
OWNER cJ ! - rL A V w .-[^_ c /`'�; ADDRESS
MAIL [1 F3 �+I�° L J�� �1/iC`- ✓
ADDRESS t '�'�M FLOCALITY NEAREST
?,y
CITY NG-L + CROSS T. f v id i
A f FIRE NO.OF TYPE ORDIJIIZ r-�
ARCHITECT OR O TEL. / ZONE PLANE �+ '�a�
ENGINEER r� NO. J ✓
f f f BLDG. r/� 0110.N&
ADDRESS r ( f BETBACKLIN6 P- 1� /J ff I //mac''
�+ APPROVED y r
CONTRACTOR A All hlF 9� 1L. BY Dim
USE APPROVED
ADDRESS
q ZONE / BY DATE
LEGAL
DE CRIPgqTIgON r3-LOTNO/.���ay�ryBLOCK ��+� _ C� � O�s
TRACT !� °0 L�r el"11,f..P14!`f�' J�e /�JJ//wit
�c NO.OF BLDGS.
_SIZE OF LOT 7 y I NOW ON LOT
USE OF NO.OF NO.OF
EXIBTING BLDG FAMILIEe- ROOMS .o.irJ':•�r Irl f�
DESCRIPTION OF WORK
o-
NEW 60p ALTERATION ADDITION �•' ,`J ��Qth-•-
REPAIR MOVING DEMOLISH E.-�y,t/ai�r'i'J�7�J�//
Sq.FT. d / NO.OF
SIZE ROOMS J STORIES ` y, ,��ylJ rSdF. J--4eWALL oor
"
CO ERINO ] J f? l,FV`c I COVERING
USE OF NEW X11 .,w_ ✓
BUILDING $ � 1
P - (T/21/'--r/'-r a i ✓/, //J S v o
� f1✓"i,fib .�f� / .
G
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND TATE THAT THE ABOVE 19 CORRECT INSp CTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FFORMS. IOPL7 LOCATION / ��;c
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORME,MATERIALS f
a FRAME: FIRE STOPS, l
SIGNATURE OF �(fJ �A ft�, p BRACING,BOLTS
PERMITTEE ✓ to .sss���777 11 ��yy
r LATH. INT.
AUTHORIZED AS LATH, E)CT.
76A638A-3 2.50 P.C.p PLASTER,INT.
r'- 0 0 FEE PLASTER.EXT.
O
VALUATION FEE _ FINAL
~ COUNTY OF LOS ANGELES TEMPLE CITY # Q50S BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS �• RE:SIDENTIAL ADD/AL REP-`,
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA '�` �BL�588-980aa50007 �'
• PHONE: (818) 285-0488 EXT:
- LEGAL ID: NO. OF CONSTNEW G- DR S:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP39546 CL.IVE. Sr ~
STRUCTURE: 720 1 VN R3 `T;LMP L'A 91Z&313'
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET:
8590-006-016 OTHER: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USEMOM ISSUED ON: PROCESSED BY: E 'IRE 00IT:,
EXIST OCC GRP: 01/29/98 UT /29/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
ELLINGSWORTH ROBERT A;DEBORAH K (626) 444-8566- 2 53,280 '-G
9546 OLIVE ST r "(,
TEMP 917803131 FEES PAID DESC f—W9Ik
DITION OF GAME ROOM AND MASTER BATH
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT•
APPLICANT: TEL. NO:
SAME AS OWNER - 81 PLANCHECK W/ENERGY 53280.00 VAL 785.26
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION RESID_ __ _53280.00 VAL 5.33
B2 PERMIT W/ENERGY -" (53280.00 VAL 923.84
-TOTAL FEES 1,742.18
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARC ITEC OR ENGINEER- TEL. NO: - FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMIXG
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM'': UNDERFLOOR INSULATION
3 01
N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: ST LEL FLOOR S EAT
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF9HEATHING 7
AIR QUALITY: 1000 FEET MATERIALS J
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT
��
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS 1
SIDE PL- 11 ,
INSULATION/WEATHER STRIP t
INTERIOR LATH/DRYWALLEXT
E OR L
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
• 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 0208300034
PHONE: (626) 285-0488 EXT:
0. OF CONST- BUILDING ADDR59S:
ON FILE SQ. FT STORIES TYPE 9546 OLIVE ST
STRUCTURE: VN TEMP CA 917803131
ASSESSOR INFORMATION NUMBENEAREST CROSS STREET: TEMPLE CITY
8590-006-016 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
T EX S B D SE: RESID USEZONE: R- ISSUED ON: PROCESSED EXPIRES
EXIST OCC GRP: 08/30/02 JK 02/26/03 .
OWNER: TEL. O: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
ELLINGSWORTH ROBERT A;DEBORAH K - 3,000 ZI-Ea/
9546 OLIVE ST TEMP 917803131 F S D DESPRIPTYONOF WOR
REROOF FRONT OF HOUSE W/COMP SHINGLE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: L. 0:
TEMPLE CITY ROOFING - AA BLDG PERMIT ISSUANCE 27.75
1216 BEGONIA CT AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS:
UPLAND 91784 D2 PERMIT W/O EN-HC 3000.00 VAL 99.00
-_ TOTAL-FEES 127.25
CONTRACTOR: TEL NO: -, i APPROVALS DAINSPECTOR SIGNATOR
TEMPLE CITY ROOFING CO. (909) 608-0622- ,^•
1216 BEGONIA COURT LIC. NO LOCATION D SETBACKS
UPLAND, CA 91784 HIC * <'
/' .� i• �. SOILS ENGINEER APPROVAL
ARCHITECT G ER: TEL. 0: - 5 ; ti ;'�; FOUNDATION/TRENCH F0 S
LIC. NO-.i ` SLAB/UNDER FLOOR
-- RAISED FLOOR G
P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
X 3 ' 01
FLOOR SHEATHING
. OF FAMILIES: DWELLING TS: P CO D: STAT CLASS:
NO 2V_ _ _ _ _ ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS \ EAR PANELS
AIR QUALITY: 10000FEET MATERIALS '
NO FRAME INSPECTION
REQUIRED T L S B C S ' f :� SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: ``'
FRONT PL- ~f' - INSULATION/WEATHER STR P
SIDE PL- _ =
- T R D LATH/DRYWALL
XTERIOR LATH
RATED /C SE .
RATED WALL ASSEMBLIES
RATED SHAFTSIOP5NINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAUC-
REPORT ID: DPR261 ROUTE TO: SS0508
f
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0207300003
PHONE: (626) 285-0488 EXT:
LEGAL 10: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9546 OLIVE ST
STRUCTURE: 96 1 VN U1 TEMP CA 917803131
ASSESSOR BER: GARAGE: NEAREST CROSS STREET: TEMPLE CITY BLVD
8590-006-016 OTHER: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
B GISSUED ON: BY: EXPIRES
EXIST OCC GRP: 07/30/02 JK 01/26/03 .
OWNER: EL. NO: BLDGS- OW ON 0T: VALUATION: FIA D IN BY: ODE:
ELLINGSWORTH ROBERT A;DEBORAH K - 6,000
9546 OLIVE ST v
TEMP 917803131 FEES PAID WORK
CO ERED FRONT PORCH AREA
PPC FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
TOM OLEARY - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID = 6000.00 VAL 0.60 SPECIAL CONDITIONS:
D2 PERMIT W/O EN=HC 6000.00 VAL 149.40
TOTAL:FEE8 177.75
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR S G ATU E
TOM O'LEARY CONSTRUCTION (626) 287-0927-
5823 AGNES AVENUE LIC. NO �' �-a �' •�o LOCATION SETBACKS
TEMPLE CITY, CA 91780 489354 6-1 ; �` f,� �
SOILS ENGINEER A PR AL
ARCHITECT OR ENGINEER: 0: RE C
!
LIC. NO SLAB/UNDER FLOOR
RAISED
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: •f, ;;= �Ir; ,� • ' UNDERFLOOR INSULATION
3
- - IST LEVEL FLOOR
0. OF F G S: AP /CON CL S - - - - - -- - -
NO 21 ZND LEVEL FLOOR SHEA
SCHOOL WITHIN HAZARDOUS
ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS �' I
NO NO NO ":;.;, �• ' FIRE DEPT. FRAME INSPECT
REQUIRED T SETBACK '-c'::• GDEPT.-FRWINSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
`
FRONT PL �'- -LSH PANELS
- -- - - ,; ; � -
SIDE PL- -<
S
INTER OR LAT /DRYWALL
EXTERiOR
LOT DRAINAGE
SMOKE
FIRE-DEPARTMENT A PRO A
REPORT ID: DPR261 ROUTE TO: BS0508
I
i
1
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 1412080060
PHONE: (626) 285-0488 EXT:
ILEGAL ID: 1 NO. OF CONST I BUILDING ADDRESS: I
1 ON FILE II SQ. FT STORIES TYPE 1 9546 OLIVE ST
I _ISTRUCTURE: 1500 V-B I TEMP CA 917803131 1
(ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: TEMPLE CITY
18590-006-016 1 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CAI
ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
(EXIST OCC GRP: 112/08/14 SR
I I I
TOWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
INGUYEN, LOI V (626) 710-7258- I 5,250 I
19546 OLIVE ST [ I e�C
ITEMP 917803131 I FEES PAID ID SCRIPTIO OF WORK I
I 1 [REMOVE EXISTING ROOF AND INSTALL NEW LIGHT WEIGHT TILE ONLY
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I
IFRONT SECTION OF ROOF I
APPLICANT: TEL. NO:
IULLOA, JUAN C (818) 271-1692- AA BLDG PERMIT ISSUANCE 27.80
111100 SEPULVEDA BLVD IAB STATE GREEN BLDG FEE 5250.00 VAL 1.00 ISPECIAL CONDITIONS:
MISSION HILLS 91345 AC STRONG MOTION RESID 5250.00 VAL 0.50 1 r
IDI PERMIT W/O EN-HC 149.40
TOTALSFEES 0.00 VAL 178.70 I V 6 U�II W J o
ICONTRACTOR: TEL. N0: [ APPROVALS DATE INSPECTO GNATURE T'
IT AND U ROOFING (818) 899-1919- I I!
111100 SEPULVEDA BLVD #528 LIC. NO (LOCATION AND SETBACKS 1 r I
IMISSION HILLS CA 91345 872976
I ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I IV!
1 LIC. NO: i 1SL�/UNDER FLOOR 1 1
I IRAISED FLOOR FRAMING
I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UND,3RFLOOR INSULATION I I I
I 1
3 001 IF16OR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
T NO 21 I [ROOF SHEATHING
I
SCHOOL WITHIN HAZARDOUS I [SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS I I_ [ I I
NO NO NO I IFRX%M INSPECTION I [ I
IFIRE SPRINKLER HANGERS [
I (INSULATION/WEATHER STRIP( I I
[ I INTERIOR LATH/DRYWALL I I I
I I (EXTERIOR LATH I I I
I I 1RATED FLOOR/CEIL ASSEM. I I
I I IRATED WALL ASSEMBLIES [ I
I I 1RATED SHAFTS/OPENINGS
I I IT-BAR CEILINGS I I I
ILOT DRAINAGE I I I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I [
I I I I I I