HomeMy Public PortalAbout9628 OLIVE ST_Building__ 76A638A CE#603 8-84 APPLICATION FOR BU ILDI N PER T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. _ 1
DISTRICT NO. GR O TYPES P ES
FOR APPLICANT TO L IN CONST. OC
BUILDINGSTATISTICAL, ASSIFICATION SEWER MAP
ADDRESS p , CLASS NO. DWELL UNITS BK PG
LOT NO. 1� 0 S BLOCK USE ZONE NOP .Q �O
TRACT Z} 1 SPECIAL
N0. OF BLOBS. 1 CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTUNG BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF (STREET)
OWNER NO. TYPE OF EXISTINO SETBACK HIGHWAY YARD = TOTAL
ADDRESS HIGHWAY W&TH F M C.L.
CITY
ABLDG. SETBACK FROM
ARCHITECT OR TEL.
ENGINEER NO. SIDE PROP. LINE OF _ (STREET)
TYPE OF EXISTING 8 ACK HIGHWAY }'--Y RD — TOTAL
ADDRESS HIGHWAY WIDTH pOM C.L. C
7pllTEL. + = 0
CONTRA 7_
ADDR ` JLI CORNER CUTOFF YES El NO El 0
U
CITY cic ;SEE REVERSE SIDE FOR SPECIAL APPROVALS w
DESCRIPTION OF WORK Z
NEWDD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
A T R U C T U />
'slG E ATURF /
A PLICAN�/
VALUATION$ �
'APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE FEE$ FORMS,.MATERIALS
FRAME, FIRE STOPS, rr'1 �,.• `'
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION �1/fj•(/rr?"'�- \ _� a " �'t•�
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS (! 'lJIJ/3'� .Y/ .!A'••f-:'•���''(
SUILDI NG CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY•I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STA E F CALIF NIA RELAT-
ING TO WORKMEN'S COMPENSATION IN NCE. LATH. EXT. /s• `
SIGNATURER HOUSE NUMBER COR-• r <
PERMITTEE RECT AND POSTED. I
ADDRESS FINAL
t//�� tom/.ii:�7'},,.•L-,''.v
JOHN F. LEWIS. PRIW4CIPAL ST. •C�`RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
, �� u!30 '4.00 J'
` DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OFLOS ANGELES BUILDING
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
f _ DISTRICT NO. PLAN CK. NO. QQPERMIT NO..
BUILDING
ADDRESS �I • .�(� C _S G 4 7' :7
LOCALITY I r REED BY DATE OFA PL. DATE ISSUED
4
NEAREST
CROSS ST. BUILDING
ADDRESS '> Gt, ,�"•_�_`5 / � -
OWNER
MAIL �+ LOCALITY •'y �,.,
ADDRESS �1 C •.�,�� NEAREST
�- TEL. CROSS ST. •�� .7 ��!?
CITY & NO. FIRE NO. OF TYPE ��G,ROUP
ARCHITECT OR TEL. ZONE PLANS I
ENGINEER NO. BLDG. ORD. NO.
SETBACK LINE
ADDRESS APPROVED
TEL. BY DATE
CONTRACTOR NO. USE APPROVED
ZONE. ' BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO. s ~ BLOCK MAP NUMBER FIELD CHECK BY
TRACT _�c ° h+r / ,� ✓�� NO. ASSIGNED BY DATE
No. of BLDGS. CORRECTIONS
SIZE OF LOT ! NOW ON LOT
USE OF ` - I NO. OF r
EXISTING BLDG. FAMILIES `
DESCRIPTION OF WORK '
NEW I I ALTERATION ADDITION
/✓�� �° Tl'.o��S 1/Sr..7.' Fob p
REPAIR I � � I DEMOLITION I I I A
SQ. FT. NO. OF
SIZE _ ROOMS STORIES _ �7 ,7 Z
EXT. WALL ROOF / / r
COVERING I COVERING. i - J>!ST!•1lS' -.L��G )li+�J".
USE OF STRUCTURE -�
r
A." 4 s y
APPROVALS
INSPECT 'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION „�:,, f
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS 123 .:fl
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS •
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE OF GAS VENT, DUCTS'
PERMITTEE
LATH, INT.
ADDRESS-
LATH, EXT.
AUTHORIZED AGT. / / '� 1 ,
PLASTER, INT. C
76A688A• DBSS 10-80 $ P. C. $ '
o �� Q-, FEE PLASTER, EXT,
$
VALUATION
FEE L.-' FINAL
I
7GA638ACE#8038-64 APPLICATION FOR BUILDI G_ PERMI
COUNTY OF LOS ANGELES BUILDING �}
DEPARTMENT OF COUNTY:.ENGINEER ADDRESS /
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMEIM. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSAUP'T.OF BUILDING CROSS ST.
DISTRI T G TYPE. P.
FOR APPLICANT TO FILL IN' CONST CtI�
BUILDING q STATISTICALCpCCL $IFICATION SEWER P
ADDRESS' CLASS NO. DWELL UNITS BKG
LOT N BLOCK USE ZONE MAP /
r NO.
TRAC_ SPECIAL
IF NO. OF SLOGS.. ,. CONDITIONS'
SIZE OF LOT NOW ON LOT '
,USE OF
ERI•ST.NO BLDG. BLDG. SETBACK FROM
TEL. RRON T PROP. LINE OF (STREET)
OWNER / NO. TYPE bF-JEXISTINO SETBACK. HIGHWAY 'F YARD = TOTAL
ADDRESS (� HIGHWAY. WI `F OM C.L- - -
�'
CITY E'._ BLDG. SETBACK FROM `
ARCHITECT OR TEL: ` SIDE PROP. LINE OF \ (STREET)
ENGINEER NO. - TYPE OF EXISTING SETBACK HIGH'*AY YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. --t- 'a
TEL •} - C
CONTRACTOR NO ` U
LICti. CORNER CUTOFF YES NO
ADDRESS ZZ NO Q
CITY CLASS ` SEE REVERSE SIDE FOR SPECIAL APPROVALS L
uj
DESCRIPTION OF WORK C4
. - Z
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUFTION$ r �� A'PPROVALS DATE_ INSPEyTOP'SSIGNA_TURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ FORMS,,,MATERIALS
'FRAME; FIRE STOPS, - J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT I /•. / J
AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY FURNACE: LOCATION I J I % I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS J J r f `
9UILDI NG CONSTRUCTION. I CERTIFY.-THAT.. IN DOING THE WORK r
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. 1
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S P TION INSURAN -LATH. EXT. TI?D ) a �q' �� -
SIGNATURE O �' •HOUSE NUMBER COR--
PERMITTEE RECt,AND POSTED "-�I--•�
ADDRESS F I N A L
JOHN F. LEWIS71ilqIPAL SYR U TC URAL E E
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. k,
GASH
:. s 3��2;� AUG 2 Q . 1 1) 6'.00-
LAW
ADBS.B
11.53 APPLICATION FOR BUILDING PERMIT ],
11•S9
DIVISION OF BUILDING-AND SAFETY BUILDING 1
Deportment of County Engineer ADDRESS
County of Los Angeles LOCALITY ZZ
JOHN A.LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRIcJ J?I0. GRQJiP TYPE SEWER MAP
�7 BK PG
BUILDING MAPI
e� CONST.
STATE
•v+ 1;//�
ADDRESS T� /J NUMBER va 0 , HWY YES NO
LOT NO. BLOCK USE ZONE SPECIAL
J ',,/ CONDITIONS
TRACT �%�/1J/jI' /F/'i" /��FS �� '
NO.OF BLDGS. BUILDING kxIST.
S17E OF LOT NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
USE TI &, �f FRONT
EXISTING BLDG. �-� )! P.L.
OWNER SIDE
P.L.
MAIL
ADDRESS 5,� � O TRACT DWELL. i UNIT
' /y
5 INDUSTRIAL
TEL.
CITY �j hi � NO. 1 DWELL. i UNIT
6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 2 UNITS
ENGINEER NO. 7 ADDN.,ALT., ETC.
S APT. UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL
CONTRACTOR
d-E- o• INSPECTION RECORD
ADDRESS Q
DE CRIPTION OF'WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTUR `
/
r
SIGNATURE OF APPROVALS
APPLICANT p
ADDRESS V /• •1 4`. /, DATE INSPECTOR'S SIGNATURE
O FOUNDATION:LOCATION
P.C. S FORMS,MATERIALS
VV VV FEE FRAME: FIRE STOPS,
VALUATION $� BRACING, BOLTS '0 •
FEE FURNACE: LOCATION,
I HEREBY ACKNOWLEDGE.-THAT I HAVE READ THIS GAS VENT.IDUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.J C/� •' /J�
D 1 V41 ✓�
AND STATE LAWS REGULATING BUILD G CONSTRUC-
TION. LATH, EXT. t
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE 1 RECT AND POSTED I i
ADDRES , FINAL /e..e_1
JOHN A.LAMBIE,COUNTY ENGINEER VALIDATIONN CLYDE N. DIIZLAM, CHIEF BLDG. INSPECTOR
CK MO (CA9
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDREsy5 I,
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS `y 6
or a certificate of Workers'Compensation Ins rance,or a certi'ed
?�o L� ✓c
copy thereof(Sec ,38`00, C.) CITY TP'"1' lC: ZIP LOCALITY C r
Policy No.-lo���� Com k
rrrlll SIZE OF LOT NO.OF BLDGS.NOW ON LOT
Certified copy is hereby furnished. INEAREST CROSS ST.
Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
department. USE ZONE MAP NO.
Date Applicant /IJT,C(41(_5 ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO.
COMPENSATION INSURANCE Ar+n►9 /'�✓ ,'sI WITHIN 1000 FT.OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred ADDRESS 7 �� /E
�'�; DISTRICT GROUP TYP ONST. FIRE ZONE PROCESSED BY
dollars($100)or less.) � G� � 0�-� v C 1 yr':r C.
I certify that in the performance of the work for which this permit CITY [— •>e- C.: � ZIP 5
2 5f
0�
is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGI TEL NO. `
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO. f7-/ DWELL UNITS
NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTR TOR , TEL NO. _ SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith L 6r e J-' 5 7 -& l ` FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL
LICENSED CONTRACTORS DECLARATION 3 """ JAZ SIDE
CITY LIC.CLASS PL
I hereby affirm that I am licensed underprovislons of Chapter 9 «"`A"f, H Cv' —q SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. NEW BK PG ® }a
License Number 9 Lic.Class C'39 DESCRIPTION OF WORK ADD ❑ VALUATION s�
Contractor Date T r '-%y ° T ALTER ❑
❑ I am exempt under Sec. 7c��n :-2�u�" "� REPAIR ❑ $ Q
B&P.C.for this reason CL%fJ L• -� it DEMOL ❑ W
Date: �/—f� �J' USE OF EXISTING BLDG. LDMA PIC#
^'7 I r R� L URM ❑ IL
Signature 7 co�fL!�/ G��1� APPLIRn NT(PRINT) TEL NO. LDMA Perm# Z
❑ 1, as owner of the property, or my employees with wages as �^C /Zl 3 Q Z ACC�{o s
their sole compensation, will do the work and the structure is
ADDRESS j
not intended or offered for sale (Section 7044, Business and or e• '�+•1 "�+�+ r rc. Y/. !� FINAL DATEa {5 oD
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL n ( o- cz
J
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 'v�� {EMS
E] I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY
licensed contractors to construct the project (Section 7044, TOTAL 10- !5 m SFJ
Business and Professions Code.) YES❑ No
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING %HEIX I? 5.-1"13
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH '
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAQMD)SEE PERMITTING CHECKLIST FOR L1-
GUIDELINES Cl�t°;1NGE n 0_I
I hereby affirm that there is a construction lending agency for YES❑ No d
N the performance of the work for which this permit is issued(Sec.
O13097,CIV.C.) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
N CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
Lender's Name L1 I^ • TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS
MATERIALS RE RTING FO RMITFROAI'TRE"SCAOMD.—
00 Lender's Address 7795 y P 3 i� ,
p dFNE R AGENT
oI certify that I have read this application and state under penalty
O of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE
N with all county ordinances and State laws relating to building
Wconstruction, and hereby authorize represe tatives of this Count ISSUANCE FEE
m ter upon the a - ins rposes.
a
ro INVESTIGATION FEE TOTAL FEESRW !//"5-, :6 O
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
RESIDENTIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL0508O0117
70045
PHONE: (626) 285-0488 EXT: /
ILEGAL ID: I NO. OF CONST NEW BUILDING ADDRESS: I
ON FILE I SQ. FT STORIES TYPE OCCUP GROUP 9628 OLIVE ST
ISTRUCTURE: 495 1 V-B R-3 I TEMP CA 917803249 I
(ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET:
18589-002-014 1 OTHER: 1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: I
1EXIST OCC GRP: 112/03/09 SR 1
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1FINAL %TE%TE}� FINAL BY: CODE: 1
[CHONG, AMY - 1 73,370 I �/�/i l V
19628 OLIVE 3T I I-
140
TEMP 917803249 FEES PAID ]
I �D SCR TION OF WORK
1 ]ADD 2 BEDROOMS AND 2 BATHROOMS 495 S.F. ]
I _(FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:] I
APPLICANT: TEL. NO: I I
IGIL (818) 533-6722- 181 PLANCHECK W/ENERGY 73370.00 VAL 970.95 1 1
113469 LOS OLIVOS RD. IAA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
1SYLMAR, CA IAB STATE GREEN BLDG FEE 73370.00 VAL 3.00 1
] IAC STRONG MOTION RESID 73370.00 VAL 7.34 1
] 1B2 PERMIT W/ENERGY 73370.00 VAL 1,142.30 1 I
]CONTRACTOR: TEL. NO: ] TOTAL FEES 2,151.34 (APPROVALS DATE INSPECTOR SIGNATURE 1
]THIRD GENERATION CONSTRUCTION, INC. (818) 533-6722- 1 ]
113469 LOS OLIVOS ROAD LIC. NO ] ILOCATION AND SETBACKS /_ ]
ISYLMAR, CA 91342 893694 ] 1 I -'1 `7 1
] I ISOILS ENGINEER APPROVAL 1 ]
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS 1t^ q I y
1 LIC. NO: 1 1SLAB/UNDER FLOOR
I IRAISED FLOOR FRAMING I I J
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPP01 1UNDERFLOOR INSULATION 1 1
I I11ST LEVEL FLOOR SHEATH 1
I NO. OF FAMILIES: DWELLING UNITS. APT/COND: STAT CLASS: 1
NO 21 1 ,`'y 12ND LEVEL FLOOR SHEATH 1 1
] SCHOOL WITHIN HAZARDOUS ! L1✓. l�' 1ROOF SHEATHING
1AIR QUALITY: 1000 FEET MATERIALS 1 Z ]
1 NO NO NO ] 1FIRE DEPT. FRAME INSPECTI I ]
1REQUIRED TOTAL SETBACK FROM EXIST1 �' D18LDG DEPT. FRAME INSPECT( 1 1
ISET BACK YARD: HWY: PROP LINE: WIDTH: V7,2111
I
IFRONT PL- 1 I \ %J� ( 1SHEAR PANELS � 1
1 SIDE PL 7L Z,
1 INSULATION/WEATHER STRIP 11 1
(INTERIOR LATH/DRYWALL 1
I I 1EXTERIOR LATH
1
I I 11AT DRAINAGE I I 1
I 1SMOKE DETECTION DEVICES
I I IFIRE DEPARTMENT APPROVAL( I
I I
I 1REPORT ID: DPR261 ROUTE To: 850508
I I I I ] I