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Home My Public Portal About9614 OLIVE ST_Building__ MENT OF BUILDING AND T COUNTY OF LOS ANGE ESAFETY -BUILDING' 1 WM. J. FOX, CHIEF ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ['gyp�^ DISTRICT NO. PLAN CK.OR RED.No. PERMIT NO. BUILDING ADDRESS —1\p I �i�� 5 LOCALITY C y� ECEIVED BY ATE OF APPL. DATE ISSUED NEARESTA7 � CROSS ST. �r— 4e BUILDIN OWNER ADDRESS�/� MAILLOCALITY ADDRESS / ��.�l�/ II��f ��+ CR089 ST. 1 -p 1 ` ,1 .—J\V cl CITY FIRE NO.OF I TYPE GROUP ARCHITECTOR • TEL ZONE PLANE ENGINEER NO. BLDG. �--` �, , 13 ` 9•�'I ,��'+/• -�- SETBACK LINE L ADDRESS G{ VJ fr] L ZONE%Y=Q BY PROVED DATE CONTRACTOR ::!r-1 E/ O. HOUSE NU tZING ADDRESS BJ V 1 a f MAP NUMBF_R NO. ASSIGNED BY LEGALCORRECTIONS DESCRIPTION LOT NO. BLOCK SIZE LOT 6-0 X [ I NOW ON LOT S/y1 ZE �0 p� , i c� a I' 00 USE OF NO.OF ` ed S` .USE BLDG. I FAMILIES DESCRIPTION OF WORK p NEW X ALTERATION ADDITION �� l G C ID REPAIR DEMOLITION �y So.FT. ` NO or SIZE G ROOMS S� STORIES I EXT.WALL }- ROOF COVERING ,�/I�CJ`✓�PJ COVERINS USE OF STRUCTURE J`��,yp •� � D J1 4 INSPECTION FOR - APPROVALS OCCUPANCYAS INSPECTOR'S SIGNATURE DATE FOUNDATION, LOCATION -�� FORMS. MATERIALS � I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME, FIRE STOPS, CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES J� r AND STATE LAWS REGULATING ILDING CONSTRUCTION. FURNACE: LOCATION, J GAS VENT,DUCTS SIGNATURE or. LATH. INT. PERMI' LATH. EXT. ADDRESS (� s PLASTER, INT. AUTHORIZED AGT. 00 PLASTER, EXT. Q0 P.C.6 OC3 r 00 FEE ` HOUSE NUMBER COR- D RECT AND POSTED VALUATION U�O �.— FEE 2Z FINALJ�C 76A638A DBS 3 7-51 76A688A DHS-A 128154 APPLICAT;10'V. FOR,: BUILDING PERMIT 1 DiVISIOk OF BUMI)ING AND SAFETY BUI Els"s ///%r Department of County Engineer County of Los Angeles LOCALITYCir�y WM.J. FOX. COUNTY ENGINEER NEAREST •CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP SEWER MAP FOR APPLICANT TO FILL IN ITYPF,- .V7 Kp, BUILDING 'j'' + l CONSo ADDRESS / �' /7 ( % ,Q �J lLrH�(t/j� r i{�J MAPQ//_ STATE NUMBER IR W HWY YES O LOT NO,f- 0'C1vV92:51910C^Jl?d BLOCK USE ZONE SPECIAL •C�I,L+w2��0�1 -�l�.�S-7 CONDITIONS ' TRACT �,�..n+:a+ rrrtCe.ti 6t✓. tj + NO. OF BLDGS. �J SIZE OF LOT-6O--*,� o I 'NOW ON LOT BUILDING YARD HWY STREET NAME EXIST. USE OF SETBACK WIDTH EXISTING BLDG. FRONT OWNER :iA'n7.4✓yF (.1C,//�%��flf/ s� SIDE 1M ADDRESS 7 G��/�J�/��.%t�+� J �✓�sNl� -7/'l� P. L. CITY 3`1, y��y I_,t fit/ Y NO.TEL:�T/f 7/•z�• 1 DWELL. 1 UNIT 5 INDUSTRIAL ARCHITECT OR TEL. 2 DUPLEX UNIT- 6 PUBLIC BLDG. ° ENGINEER NO. 3 APT. UNITS 7 ADDN.,ALT., ETC. ADDRESS 4 r� 4 COMMERCIAL 8 MISCEL. �- CONTRACTO %N INSPECTION RECORD ADDRESS DESCRIPTION OF WORK `!•,ems, .�i. �_A. NEW ADD t/ ALTER REPAIR DEMOLISH p S.i17 3�B NO.OF NO.OF STORIES FAMILIES USE OF� ST;tlCTURE� ^� Q �y n�'�'i'.•:v7`G,� ((�i..•Y SIGNATURE OF APPLICANT- l (��4+' `l1 � APPROVALS ADDRESS 7 &I/7 /`� E�� 4�yi;�•(w�,[�7�� DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION $ P.C. S FORMS, MATERIALS N . j� 66 FEE _ FRAME: FIRE STOPS. VALUATION S BRACING.BOLTS ..FEE 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 COUNTY ORDINANCES LATH,'INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH.EXT. Z. ,S C.� LAIns_ SIGNATUREOF J I, HOUSE NUMBER.COR- PERMITT/EyE/ ��`Q �r +"!J¢/� �'-'�� RECT AND POSTED �r� r---�. ADDRES % F /7 CY�I.!r.� f/tii77�(/ (rFi FINAL =�— U fm J. FOX. COUNTY UNGINEEB VALIDATION AIENArt 0.5BB' 4n ,FEB" 9 1 6.,Q 0.. � DEPUTY DEPUTY. BY L BY i ® DEPUTY I I /�• bE'PUTY APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUPZ ?ESS W I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS ` 5` L� or a certificate of Workers'Compensation Insurance,or a certified 961E. OLIVE copy thereof(Sec.3800,Lab.C.) CITY zIP Policy No. 1046140 Company STATE FUND TEMPLE CITY 91780 LO L SIZE OF LOT NO OF BLDGS.NOW ON LOT 11 Certified copy is hereby furnished. NEAREST CROS ST G Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date 11-1-95Applicant RANDOL ROOFING ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE ROMAN BARRIOS 285-3045 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS 9232 E. PITKINS DISTRICT GROUP TYP,e�CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) //tet _ CITY ZIP /F✓e/ I certify that in the performance of the work for which this permit ROSEMEAD 91770 t;�,-0r 3 �' is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. p STATISTICAL CLA�IF)CATION APT CONDO Date Applicant ADDRESS CLASS NO. a'(� DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith RANDOL ROOFING 288-4040 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L 529 E. VALLEY BLVD. 451937 SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L } I hereby affirm that I am licensed underprovisions of Chapter 9 — SEWER MAP a (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO. F STORIES NO.OF FAMILIES (L Professions Code,and my license is in full force and effect. NEW ❑ BK PG , U License Number 451937 Lic.Class C-39 DESCRIPTION OF WORK ADD ❑ VALUATION Contractor (pate 1-31-96 ALTER El $ 3,000.00 oC 20—YEAR CLASS A FIBERGLAS 11I am exempt under Sec. REPAIRfi $ V B.BP.C.for this reason SHINGLES. TEAR OFF TO SHEATHI (bEMOL ❑ W LDMA P/C# a USE OF EXISTING BLDG. CO) Date: URM SFD D. u Signature APPLICANT(PRINT) TEL NO. LDMA Perm# JJ ❑ I, as owner of the property, or my employees with wages as RANDOL ROOFING 288-4040 zz their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE a Professions Code.) O /S-ps M ORR THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 6 / IT � 55 4 A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J TOT ❑ I, as owner of the property, am e=lusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY El �Vfl �1 licensed contractors to construct the project (Section 7044, /�/ YES NO { 0�� Business and Professions Code.) r WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR WME 000 GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ athe performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 8/25/9-53097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, LM 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. o Lender's Address OWNER OR AGENT dri�ld 1 AHiOo4 oI certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all coun y i es and State laws relating to buildi 98.25 construct'on, nd re uthoriz re esentatives of th' Coun ISSUANCE FEE Cl) to enter on o anyone p rty for inspe 27.30 INVESTIGATION FEE TOTAL FEE 125.55 S'iipmlur.b AppBCMI Dal SEE REVERSE FOR EXPLANATORY LANGUAGE M 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 0507280028 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9614 OLIVE ST STRUCTURE: 1120 1 VN R3 TEMP CA 917803249 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 8589-001-010 OTHER: 1055 1 VN Ul THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/19/05 JK 09/14/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: NGUYEN, ANDY (626) 918-8906- 148,210 �� 1 G l _ J 9614 OLIVE ST ( �J TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK ADD 2 MASTER BRMS, 2BA, NEW KITCHEN, EXPAND (E) BDRM, LIVROM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1120 SQ FT. DEMO (E) GARAGE BUILD ATTACHED 2 CAR GARAGE 456 APPLICANT: TEL. NO: SAME AS OWNER - Bl PLANCHECK W/ENERGY 148210.00 VAL 1,507.41 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 148210.00 VAL 14.82 B2 PERMIT W/ENERGY 148210.00 VAL 1,773.42 TOTAL FEES 3,323.40 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS V SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS NGUYEN, LAP C (626) 918-8906- 1139 GRANDVIEW AVE. LIC. NO: SLAB E WEST COVINA, CA 91790 NONE RAISED FLOOR FRAMING �- MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION y 3 01 / [ 1ST LEVEL FLOOR SHEATH v N0. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT', SET BACK YARD: HWY: PROP LINE: WIDTH: j FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATE/DRYWALL h EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508