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Home My Public Portal About9563 OLIVE ST_Building__ 76ABSOA CE#9081[-67 APPLICATION FOR BUILDING PERMIT ,1 COUNTY OF-LOS'ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS f� BUILDING AND SAFETY DIVISION LOCALITY , JOHN A.LAMBIE.COUNTY ENGINEER NEAREST -CASSATT D.GRIFFIN,SUF•T OF BUIL13INCI CROSS ST. ✓�� DISTRICT NO. GRU SE ER MAP FOR,APPLICANT TO FILL IN �'�` ..� TYPECOSy BK Pq,,,,_-- BUILDING 'y A �/ STATISTICA SSIFICATION DDRESS V /O w3 LOT NO. BLOCK CLASS.NO. DWELL.UNIT MAP V HWY YES �O TRACT 117g9- NUMBER V TI ZONE SPECIAL SIZE OF LOTNO.OF BLDGS. / CONDiT10NS NOW ON LOT ( 1 - `,: USE IV L7 BUILDING EXIST. EXISTING BLDG. SETBACK- 'YARD HWY STREET NAME WIDTH OWNER 01711.441 oq,/s9 �e�L vITr.E! L FRONT %. d 1 .-MAIL P.L: ADDRESS �/ SIDE CITY P V I NO' �' P.L. ARCHITECT OR TEL. INSPECTION RECORD ENGINEER I EG NO. ADDRESS // CONTRACTOR (/�IVOR N07 _ ADDRESS DESCRIPTION OF WORK NEW _ ADD ALTER REPAIR DEMOLISH _ SQ.PT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF S RU TURF ♦ A// / SIGNATU iJ. - fl. APPROVALS I, APPLI� vv " DATE INSECT-0R:$SIGNATURE ADDRESS FOUNDATION: LOCATION ,y FORMS.MATERIALS -7 d! _ C. $ FRAME: FIRE STOPS. VALUATION / �0 FEE '�� $ o FURNACE: LOCATION. FEE GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMP WITI LL COt JN,TY ORQINANCES AND STATE LAWS tJLATI-Il6 BUIUDING�CONSTRUCTION. LATH,EXT. SIGNATURE il �� j �� ,f "'`r�l,,�,fs HOUSE RECTANDPOSTEDR PERM9.TTE f_ k�a! •�- �.v _ AiDDRES �' G '�f / FINAL CLYDE N.DIRLAM,'PRINCIPAL STRUCTURAL ENGINESe PLAN CHECK VALIDATION CK. M.O. CASH PE13M VALIDATION cK. M.O. CASH ( ' 0 4. 4 6M .,err 19'. 1 a 6::0 DEPARTMENT OF BU1za1NG AND SAFETY COUNTY OF LOS ANGELES BUILDING • WM. J. FOX, CHIEF ENGINEER � FOR APPLICANT" TO FILL IN FOR OFFICE USE ONLY BUILDING7 [ D18TRICT NO. PLAN CK. NO. PERMIT NO. / ADDRESS v` cJ` • / sa_ f ai. ` �/ ��r/' LOCALITY �/ C,.- ` RECEWED 8Y DATE OF APPL. DATE ISSUED NEAREST CROSS ST. _j- - �- BUILDING OWNER `- ADDRESS (,YMAIL —ADDRESS'_ `� J ' 2 LOCALITY t.• ," *� TCL NEAREST r CROSS ST. CITY -� � NO. FIRE NO.OF ` TYPE i GROUPa � ARCHITECT OR� s� �} TEL ZONE ! PLANS ENGINEER '',�' 'K•.w� NO. �j BLDG. //- ORD. NO. ADDRESS C '`J j �; _ BETBACK LINE// APPROVED CONTRACTOR � �. NOL BY DATE USE % /APPROVED ADDREBB L ZONE BY DATE LEGAL DESCRIPTION I LOT NO. I BLOCK CORRECTIONS TRACT , 1.321 / lrR,7 NO. OF BLDGB. t� SIZE OF LOT NOW ON LOT USE OF —1I NO.OF NO. OF EXISTING BLDG. I FAMiu[a '-- bM8 DESCRIPTION OF WORK NEW 1 ALTERATION ADDITION O A REPAIR MOVING DEMOLISH _ /� p SW. FT. NO.OF { S SIZE 7`o�j V c / y .f D ROOMS STORIES > COVERING �` I COVERING j'' vy A S USE OF NEW BUILDING . e'„:• a '- cp fry- ! -. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION' LOCATION, INSPECTOR DATC AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS f ` - f AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME' FIRE STOPS, 1, SIGNATURE OF BRACING, BOLTS t OWNER } LATH, INT.' f _ AUTHORIZED AOT LATH, EXT.' P3�3 . C. a”'� PLASTER, INT. U FEE SPLASTER, EXT. VALUATION s FEE %. FINAL //[lQ.h 1 -•�'� —`� 1'QA69eA1398.8 I1•58 APPLICATION FOR BUILDING PERMIT 1• DIVISION OF BUILDING AND SAFETY BUILDING ADDRESS Department of County Engineer o County of Los Angeles LOCALITY JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST f FOR APPLICANT TO FILL IN DISTRICT NO. TYPE SEWER -MAP K PG CONSTBUILDING . ADDRESS 9563 OlivI St. MAp o� HWY YES O 9 NUMBER�y'� Q D� LOT NO. BLOCK USE ZONE SPECIAL p CONDITIONS TRACT 11789 NO.OF BLDGS.1' _' BUILDING EXIST. SIZE OF LOT NOW ON LOT YARD HWY STREET AME SETBACK WIDTH USE OF House FRONT / „r / EXISTING BLDG. P.L OWNER William J. 'ECklund SIDE AMAIL DDRESS 9563 Olive S t o P.L � O TRACT DWELL. 1 UNIT � CITY Temple City NEOC/O.. I DWELL..O/ 1 UNIT 5 INDUSTRIAL 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN.,ALT.. ETC. ENGINEER O. 3 APT. UNITS _ 8 MISCEL. ADDRESS- 4 COMMERCIAL CONTRA iUiony Bross s InCO •I,U6-3637 INSPECTION RECORD ADDRESS5871 Firestone9 So Gate DESCRIPTION OF WORK " NEWX ADD ALTER REPAIR DEMOLISH SO.FT. NO. OF NO.OF SIZE STORIES FAMILIES 7ffVFfwT9V1m pool Std plan 7189 ` SIGNATURE F APPLICAN APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION (� 52500-00 250®oo FORMS.MATERIALS v 1•'+ ''"r7"t c�t'oLr 4�.. .r FEE FRAME: FIRE STOPS, VALUATION $ v C BRACING.BOLTS FEE O FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT.DUCTS •APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNT ORDINANCES LATH. INT. AND STATE LAW ULATING BUIL CONST UC- TION. LATH. EXT. SIGNATURE O / HOUSE NUMBER COR- PERMITTEECT AND POSTED ADDRES871. Firestone9 o ate FINAL 1km jg;?- IOHN A.LAMBIE.COUNTY ENGINEER LIDATION CLYDE N. WRLAM,CHIEF BDLINNS CK MO' 'CASH LitUo 4 7 9 2 FEB 5 1 6 2.5 0 b 1 0.0 0 In rt o47 93 F� 4 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN TBUILDINtGADDtREShereby affirm that I have a certificate of consent to self insure, BUILDING Gor a certificate of Workers'CompensationInsurance,or a certifiedcopy thereof(Sec.3800,Lab.C.) CITY ZIP `/(/ LITY Policy No. Company SIZE OF LOT OF BLDGS.NOW ON LOT 11 Certified copy is hereby furnished. � - NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONEMAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OW GC—r�� TEL NO. COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADORES yy(�j DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) Y % I certify that in the performance of the work for which this permit CITZIP �� J' is issued, I shall not employ any perso inrany manner so to �/ ARCHITECT ENGINEER ` TEL NO. / Gt7 become subje to the Worke Com alio aw e9 STATISTICAL CLAASjSIFICATION CLAPT CONDO Date ��a. Applicant' ADDRESS a ASS NO.�_L_ DWELL UNITS NOT TO APPLIG4NT. after making this ertificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should ecome subject to the Workers' CO ACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith -ly9 L FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS 5� N P L LICENSED CONTRACTORS DECLARATION �� Ati�'A� SIDE o}. CIT LIC.CLASS PL C I hereby affirm that I am licensed underprovisions of Chapter 8 4L SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES M Professions Code,and ny license is in full force and ffect: NEW ❑ BK PG C DESCRIPTION OF..WORK License Number ' Lic.Class ADD ❑ VALUATION W Contractor to S— 9 � �`� � �,� f — ALTER ��' 1L Lfd I am exempt under Sec. REPAIR ❑ $ Z BAP.C.for this•reason DEMOL ❑ LDMA P/C# �5 USE OF EXISTING BLDG. URM ❑ 3303 70.80 APPLICANT(PRINT) TEL NO. TDMA Perm# 1 ITEMS ❑ 7�. �.perty, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS O TO I AL 70 _;,0 not intended or offered for sale (Section 7044, Business and FINAL DATE 70.80 Professions Code.) _L O 61ECK NALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ 1, as owner of the property, am exclusively contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE > .00 licensed contractors to construct the project (Section 7044, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY CHANGE ' Business and Professions Code.) YES 1:1 No❑ WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 1/1.8/96 �� CONSTRUCTION LENDING AGENCY COAST AIR DUALITY MANAGEMENT DISTRICT GUIDELINES (SCAOMD)SEE PERMITTING CHECKLIST FOR I hereby affirm that there is a construction lending agency for , GUI 11 No❑ 47,29 1 AM 10R y� e JJ the performance Of the work for which this permit IS issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address OWNER OR AGENT ' 31 certify that I have read this application and state under penalty a. of,perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE �V wift all county ordinances and State laws relating to building m c ruction, and hereb Iithorize represents' f this County ISSUANCE FEE t e ter upon a abo irntion roperty f sp coon purpos S. � —I F INVESTIGATION FEE TOTAL FEE a �" iue m Aoo`mm n Aw�t O SEE REVERSE FOR EXPLANATORY LANGUAGE