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Home My Public Portal About9649 OLIVE ST_Building__ P-55.35.�ADPSeH; APPL16ATIOISI FOR BUILDING PERMIT DIVISION OF BUILDING AND SAFETY ADD elss 9" . 9 e, dcl�� 3'• t ✓ Deportment of County Engineer /J County of Los Angeles LOCALITY JOHN A.LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS S . �' J FOR APPLICANT TO FILL IN DISTR CT O. JO�UP TYPE_ SEWER MAP G .6 CONST?-�• SK FD ING MAP ESS �Q C, O�tve S% NUMBER '�'` �� Hwv YES NO BLOCK UENE SPECIAL CONDITIONS . TNO.OF BLDGS. 0 F LOT / I NOW ON LOT BUILDING YARD HWYST EET NAME EXIST. F SETBACK WIDTH EXISTING BLDG. FRONT ,�// /� P.L. OWNER O)SiS F.QAlV(As- OQTO SIDE MAIL. -z� � P.L. ADDRESS ce-o ci Q a71 ��yy�� -TRACT DWELL. I UNITTEL 5 INDUSTRIAL [.OS ll��oPL¢$` N07kf V�UI � WELL. 1 UNIT CITY 6 PUBLIC BLDG.. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS ADDN..ALT.. ETC. ENGINEER NO. 3 APT. UNITS B MISCEL. ADDRESS r4 :COMMERCIAL CONTRACTOR 21S 'nIT"��J_9 1 �� INSPECTION RECORD POW ADDRESS-.11 aIyllf191! PJWA, Nijd �;i •f'F1:�YLt(/� ' lK] -� DESCRIPTION OF WORK ; IA L. 'OU NEW// ADP ALTER REPAIR DEMOLISH /� SQ.FT. NO. OF WO.OF �2 -G ( C r1 R• ZZU' p•aln(f SIZE STORIES FAMILIES USE OF STRUCAJRE SIGNATURE OF r• ' APPLICANT • ,� ►� APPROVl�( ��- / ADDRESS 4P4 t7$ tQZ�LI,. v DATE INSPE TORS SIGN�IT RE, FOUNDATION:LOCATION $ G/�, ///►//// �� FEE P.E $ / FORMS.MATERIALS J • _ . , / �I11� FRAME: FIRE STOPS. 1 VALUATION $ _ BRACING.BOLTS �' FEE FURNACE:. LO CAT IO N. �� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT �I /` Ar I AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. AND STATE LAWS REGULATING B LDIN CONSTRUC- y�f f� TION. LATH. EXT. SIGNATURE OF �. `� HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS I S 1q KOS Q&j 9,40 j6Z-110, u 4 FINAL IOHN A.LAMBIE.COUNTY ENGINEER A�IDATION CLYDE.N.DIRLAM. CHIEF BLDG. INSPECTOR i=j MO CASH 76AS38A CE 9863 12/69 APPLICATION FOR BUIL INC RMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING 9v r JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tvDe only) CROSS ST. BUILDING DISTR T O. G P TYPE PR D BY ADDRESS 9649 E. Olive CONST. LOT NO. BLOCK STATISTICAL-CLASSIFICATION SEWER MAP � CLASS NO., a ZDWELL,UNITS BK PG TRACTIM USE ZONE MAP NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG, residence OWNERary F. Morton TEL. NO. BLDG.SETBACK FROM ADDRESS 9649 E. Olive FRONT PROP.LINE OF (STREET) CITY Temple City HIGHWAY WI TYPE OF IHG FROM C.LSETBACK. HIGHWAY } YARD = TOTAL ARCHITECT OR TEL. 1 { ENGINEER NO. BLDG.SETBA M ADDRESS D= tv SIDE PROP.LINE OF (STREET) CONTRACTBiltgid Mfg. Company TEL-26 TYPE OF EXISTING SETBACK H Y } YARD = TOTAL 3-5181 HIGHWAY WIDTH FROM C.L. ADDRESS P.O. BOX C7_82 NI' 159496 } a • . LIC. CITY CLASS CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS p co SQ. FT. NO. OF NO, OF NEW ❑ SIZE STORIES FAMILIES USE OF' eroo ouse gar DD ❑ STRUCTURE with compose on ALTER ❑ SIGNATURE OF//�� • REPAIR APPLICANT 0. r �L� L,Qiy(� DEMOL ❑ VALUATIONS 533.00 APPROVALS DATE INSPECTOR'S SIGNATURE P,C. PMT. FOUNDATION: LOCATION FEE S FEES 9.00 FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ T S APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED , HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF •CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE., LATH, EXT. SIGNATURE OF Rigid Mfg. Company PERMITTEE / ,r � HOUSE NUMBER COR- PERMITTEE. -4 RECT AND POSTED ADDRESS qFINAL I 7/ JOHN F. LEWIS. PRI CIPAL S7kU!bTURAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATIO CK. M.O. CASH LAr 7t 4'1 f••1 NOV Q WORKERS'COMPENSATION DECLARATION I 860333 LA I hereby affirm that I have certificate of consent c A L I, 3� e I etl� I G PERMIT E I T IL insure, or a certificate of Workers'Compensation Insurr ances �:i or a certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. I V85-2251 pony �. Certified copy is hereby furnished. i ty FOR APPLICANT TO FILL IN c:ADDRIENSSG Certified copy is filed with the county building inspec- BUILDING ' a tion department. i �ADDRESS ° Date 6-24=Rin Applicant V i rte 1 a Roof CO_ CITY Temp 1 e City ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE I SIZE OF LOT NOW ON LOT 'CROSS ST. MLr (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZQNE OWNER Mr Glen Morton NO. MAP 1/q I certify that in the performance of the work for which thil 1NO. � permit is issued, I shall not employ any person in any mannei "/ SPECIAL so as to become subject to the Workers'Compensation Laws: ADDRESS CONDITIONS ! CITY ZIP �s Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PRO ED BY Exemption, you should become subject to the Workers' 4 �J CONST. ZONE Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be TEL, 1 STATISTICAL CLASSIFICATION APT. CO U1 deemed revoked. CONTRACTORRoof NO. e LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY San Ga l h:l' CLASS BK PG VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number 160650 Lic.Class C39 SIZE STORIES FAMILIES ONE VALUATION Contractor V i rg 1 n Roof Co.Date 6-24®86 DESCRIPTION OF WORK Over ex s i n a 1 E" ❑ $ 2.305.00 1430 and Class "A" COMP. ADD ❑'; loll, I am exempt under Sec. ALTER El B.BP.C. for this reason shingles 18 REPAIR ❑; $ Date: USE OF DEMOL ' EXISTING BLDG. Dwelling ❑ ' Signature APPLICANT TEL. FINAL ;2 4 9 3.b A OWNER-BUILDER DECLARATION I PRINT) NO. DATE 7-67 1 hereby affirm that I am exempt from the Contractor's License, ADDRESS P.O. J San Gabriel , 91778 0 0 0 0 0 Law for the following reason (Section 7031.5, Business andasimINA Professions Code): ` PRE N7 By I ° o59.25 ❑ I, as owner of the property, or my employees with) BUILDING ADDRESS wages as their sole compensation,will do the work andlLOCALITY ° ° o59,25r the structure is not intended or offered for sale(Section 7044, Business and Professions Code). 1 MOVING TEL. I,as owner of the property,am exclusively contracting CONTRACTOR NO. O Q 7 a'8 6 with licensed contractors to construct the project(Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FRO CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP. LINE WIDTH ". 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 c I P.L. Lender's Name LDMA Ref. R 3 j P.C. Fee$ Permit Fee Lender's Address 5 I certify that I have read this application and state that the issuance Fee LDMA P/C q above information is correct. I agree to comply with all County i Investigation Fee ordinances and State laws relating to building construction, Total Fee 59.2 LDMA Perm. p and hereby authorize representatives of this County to enter i upon eabove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY ' WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING I hereby affirm that I have a certificate of consent to self insure, BU47V ESS O� v e Z or a certificate of Workers'Compensation Insurance,or a certified Copy thereof(Sec.3907.-- . S�At� CITY k - I TL z /�� LOCALITY Policy No. c• Company �- 31 OF L T S NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. QD , NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT, BLOCK LOT Nq�3 department. 1— _ I^ JJ USE ZONE MAP NO. Date Applicant c C.O. 'P�f ASSESSV K PAG (�PARGEk/1 ` �i{ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' R —a(o0 7 YES , NO COMPENSATION INSURANCE �C�7 OR Tv WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred A�tss ��/U I DISTRICT GROUP TYPE CONST. FIRE ZONE PROZOO-- become dollars($100)or less.) 5'/p T-11/760 Y P permit CITY -PI�- ®g �� 6 •' I certify that in the performance of the work for which this is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. subject to the Workers'Compensation Laws. STATISTICAL CLASSFl ATION APT CONbo Date Applicant ADDRESS CLASS NO. spall DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTO /� '/ -T TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �L c S+e L�O�+S/ 7� SZ' S FRONT comply with such provisions or this permit shall be deemed revoked. qu � S7pp ADDRESS . / TLIIC�.[NO.. p PL L� } AJILL/� 't a 3O SIDE a LICENSED CONTRACTORS DECLARATIONcl ,n UC.CL S P L. O 1 hereby affirm that I am licensed underprovisions of Chapter 9 L )a. --'vj�4 &A- U (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES SEWER MAP i M Professions Code,and my licensee is in full force and effect. NEW ❑ BK PG �q�f OF- License Number �y2�f 3B Lic.Class DESCRIPTION OF WORK r ADD ❑ VALUATION ® AC•G I a8 U U t� 3 �/�� ALTER OaSC�W Contractor Date 9� t $ 3303 � ❑ 1 am exempt under Sec. REPAIR [I Z $ 1 �, Igod a BAP.C.for this reason DEMOL 11LDMAP/C# ACCT.a Date: USE OF EXISTING BLDG. ❑ 337603 276.45 Signature AP LICANT PRINT TEL NO. LDMA Perm# ? ITEMS ❑ I, as ownetot propert or m em to es with wa es as 6"e rS 7i — Sz'�S 2-Z- Z their sole sation, will do the work and the structure is DES / r� O TOTAL ITAL .`26 -95 W L[.L f 9-J►'L T FINAL DATE CHECK K L.L a not intended or offered for sale (Section 7044, Business and a S � � 5"�f� 9r'_1 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ 1, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EOUAL TO OR GREATER THAN THE FINAL BY > CHANGE 00 Y Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? licensed contractors to construct the project (Section 7044, YES 11 No 11Business and Professions Code.) WALL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING'In�r!{'yl t I 5/96 ft7L OCCUPANT REOUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 4J VU 1 't/ J 6 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR 1 GUIDELINES. 5730 1 AM 1 1•a28 1 hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the work for which this permit is issued(Sec. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GLADE AND THE SCAOMD PERMITTING AS9E51OS N01IFIN iION 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE UOS ANGELES COUNTY CODE, F Q H TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS t lapl,:l:+I as IJttar.^at t6 AQ:dq 0.•EPA l - Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. - b0t Lender's Address OWNER ORAGENT I-lot 3 I certify that I have read this application and state under penalty P.C.FEE FEE ��-y� PERMIT e of perjury that the above information is correct.I agree to comply ��U with all county ordinances and State laws relating to building S'�`'ScT`0 ._Data m coEnu5pont d hereby authoriz representatives of this County ISSUANCE FEE toab - e propertyfor inspection purposes. Z? (: tpl/` INVESTIGATION FEE TOTAL FEE ' A•eM Om. SEE REVERSE FOR EXPLANATORY LANGUAGE