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Home My Public Portal About9650 OLIVE ST_Building__ . , AP.PLICATION FOR .� ..BUILDING PERMIT FOR APPLICANT TO FILL LII-N� ADIDRESSBUILDING 9 ADDRESS ,L�� % LOCALITNEAREST CITY % ZIP 917 80 •CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT 5�X�/(O NOW ON LOT MAP BOOK PAGE PARCEL • DISTRICT GROUP TYPE FIRECESSED BY TRACT 7 V BLOCK LOT NO. CONST. ZONE mAwTEL. ✓r (J [J L �/Gti OWNER �+.�. NO STATISTICAL CLASSIFICATION SEWER MA ADDRESS CLASS NO.e DWELL.UNITS BIS( PG CITY ��)"JOZAf a.12:Z ZIP 1/790/ ^ZONE MAP NO. ARCHITECT OR TEL.rJ��a SPECIAL ENGINEER pZeZZ NO �(J 24 U CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR / e a NO. BLDG.SET ACK FROM LIG. FRONT PR P.LINE OF (STREET) ADDRESS NO. TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWA + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER + - a NAME AND BRANCH BLDG.SETBACK OV ADDRESS CITY SIDE PROP.LINE OF ISTREETI wO SQ.FT NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM YPE OF EXISTING U SIZE r STORIES I FAMILIES ONE SIDE PROP.LINE HI AY WIDTH N DESCRIPTION OF WORK NEW ❑ + Z .� ADD CORNER CUTOFF YES ❑ NO,621 j4C, ❑ S7,'Md FAVI I -1DALTERIN OPEN SPACE YES ❑ NO ❑ USEOF C04C, REPAIR ElING BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NOEXIST ❑ APPLICANT ^ `' TELj /�. ' /-, 7� � (PRINT) I n NE G�J'YnAI`IN0- - ,2 vTIS !/JN !� BY ISIGNATU '' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE �� T �V��LA'IIbJ>� �� '��-'�C �t•��R THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE S.-��'Xl o� Tb ��+�/,�(/�� j,�G�'•• j�/�-•,•5�/,/ -� 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 COM, PENSATION INSURANCE. - 2 �79` . SIGNATURE OF4 FINAL BY PERMITTEE DATE ADDRESS �-p TEL P.C.Fee$ Permit Fee e-2-150 CITY �- NO Issuance Fee VALUATION vV Total Fee PLAN CHECK VALIDATICK.- M.o.' CASH PERMIT VALIDATION ON _CASH 6 4 OLLZSEP 7 .1 a 8 2.5 0 Atsl ®S 76AS38B CS/8038 6/76 r K.;2 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS^ . BUILDIN DRESS .7 1� Li��o i/LP� I hereby affirm that I have a certificate of consent to self insure, S ®L Y� �/ or a certificate of Workers'Compensation Insurance,or a certified CTY ! ZIP copy thereof(Sec.3800,Lab.C.) [�+p _ F GJ -� ��Igo LOCAL) Y Policy No. Company�l�� SIZE OF LOT e NO.OF BLDGf.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST Jr 10 Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department.b USE ZONE MAP NO. Date 23-! Applicant ASSESSOR MAP OOK RAR L/� JQ oZ 0t/7j SPECIAL CONDITIONSCoy CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER, TEL NO. COMPENSATION INSURANCE Q I�K� �� WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) I&c` L ✓� DISTRICT GROUP ONST. FIRE ZONE PROCESSED BY 7 C Y n -Tip'q I certify that in the performance of the work for which this permit � _ I� F D J is issued, I shall not employ any person in any manner so as to ARCHITECT R ENGINEER TEL NO. ' become subject to the Workers'Compensation Laws. STATISTICAL CLASS FICATION APT CONDO Date Applicant ADDRESS CLASS I 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 al- SS]L Ro S ;t-%-(2190 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL ErugLICENSED CONTRACTORS DECLARATION /0W-3 R S aq� SIDE CITYLIC.C S PL I hereby affirm that I am licensed underprovisions of Chapter 9 )VAI c, 3 SEWER MAP o (commencing with Section 7000)of Division 3 of the Business and SQ.FT/.SIZE NO.O IES NO.O�FAMILIES Professions Code,and my license is in full force and effect. oZ(vQQ NEW 11 BK PG c] c+7 C^ p C IPTION OF WORK +' License Number-3 3 ��g Lic.Class 3 a DESADD ❑ VALUATION � f' W C mo Contractor CLIM IC- Rda-& Date L-a 3"1� � ALTER ❑ $ W ❑ I am exempt under Sec. I Ai 5 eMR. C41111 REPAIR ❑ z B.BP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature 1. APPLICANT(PRINT) TEL NO. LDMA Perm# 11I,as owner of the property, or my employees with wages as Z -&6fq 0 Z their sole compensation, will do the work and the structure is ADDRESS F aij not intended or offered for sale (Section 7044, Business and j 3 - S �' +� FINAL D E a Professions Code.) 0 1 i-'-' C- LL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J L i L-I.- ❑ I, as owner of the OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL To OR GREATER THAN THE property, am exclusively contracting with AMOUNTS SPECIFIED ON HE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL 11T!„)': `;p-y � _ licensed contractors to construct the project (Section 7044, YES NO 1:1 ! 12 .dam m •i�F Business and Professions Code.) WILL �, -5 LL THE INTENDED USE OF HE BUIDLING BY THE APPLICANT OR FUTURE BUILDING !.•�l��.•i l ��+.v w'_i 'OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM HE SOUTH /� ) CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMDI SEE PERMITTING CHECKLIST FOR GUIDELINES L � , (MAKE I� •—- I hereby affirm that there is a construction lending agency for YES❑ NO❑ 7 CY the performance of the work for which this permit is issued(Sec. I HAVE READ HE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING /� a 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. !(U C002-00-1 1 .+�.-7f •,4 TITLLender's Name MATEERIILLS REPORTING AND FOCHAPTER 2 20 R OBTAINNG A PERMIT FROM H 2 20 100 THROUGH 2 20.140 E SNC�ERNNIDNG HAZARDOUS o Lender's Address O OWNER OR AGENT ' c I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE 9-1 /J N with all county ordinances and State laws relating to building f COconstruction, and hereby authorize representatives of this County IISSUANCE FEE z Jv to enter u the above-mentioned roperty for inspection purposes. 7- INVESTIGATION INVESTIGATION FEE TOTAL FEE Sampo of AV a AWt Dae SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR I TEMPLE CITY CA BL 0508 9609170007 BUILDING AND SAFETY / LAND DEVELOPMENT i PHONE: (818) 285-0488 EXT: 'LEGAL ID: 0. OF CONST 7-DNL ING ADDRESS: TR: LID: LT: 3 SQ. FT STORIES TYPE OLIVE ST STRUCTURE: 0 V CA 917803249 ASSESSOR INFORMATION NUMBER: I ST CROSS STREET: S PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 8589-002-003 TENANT• EXIST BLDG USE: RESID -IS-LTE PROCESSED B /17/9 0 • EXISTOCC GRP: 09/17/96 TC 09/17/97 OWNER: TEL. NO: LDGS. NOW ON LOT: VALUATI0N: F�®DATE FINAL BY• CODE: BOWMAN DIANE L (818) 286-5223- 1 j `tom 9650 OLIVE ST FEES PAID (DESCRIPTION OF WOR TEMP 917803249 5 BLOCK REPLACEMENT DUAL GLAZED SINGLE HUNG WINDOWS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. N0: AA BLDG PERMIT ISSUANCE 27.75 AMERICAN WEST GLASS (818) 285-9745- 5918 TEMPLE CITY BL. AC STRONG MOTION RESID 500.00 VAL 0.50 SPECIAL CONDITIONS: TEMPLE CITY, CA D2 PERMIT W/Oell QI f� X500.00 VAL 43.50 y L-ENTAL FEES 71.75 !L ' I DATE NSPECTOR SIGNATURE CONTRACTOR: TEL. N0: APPROVALS AMERICAN WEST GLASS (818) 285-9745- s� y�,�'� ' �, Ole LOCATION AND SETBACKS 5918 TEMPLE CITY BLVD. LIC. NO TEMPLE CITY, CA 91780 322472 C17 ' Q' S0IL5 ENGINEER APPROVAL �\ , � �, FOUNDATIO TRENC FORMS ARCHITECT OR ENG NE R: TEL. NO: ��;' �� r r—• " �.� ��\ LIC. SLAB/UNDER FLOOR N0: 'f' �� , � i,•, 1� RAISED FLOOR FRAMINGrIEEEEEE I� r_ r �� JJ( �� I� �;�'� UNDERFLOOR INSULATION MAP N0: SEWER MAP BOOK: PAGE: FIRE ZON3: CMP07 i �� ,� II=II�s� N !7�I p ��,�-d 147H269 --- -----" '---"- --- FLOOR SH AT ING 0. OF FAMILIES: DWELLING NITS: APN/OCOND: STAT CLASS: 11 /� CIO - 21 \� C. �'�� i/ ROOF SHEATHING SCHOO WITHI HAZARDOUS = ti �•�, !, ` - - i�4� SO AR AN LS AIR QUALITY: 1000 FEET MATERIALS FRAME INSPECTION NO NO NO � "� FIRE SPRINKLER HA GERS REQUIRED TOTAL S TBACK FROM EXIST � ,�� ayy SET BACK YARD: HWY: PROP LINE: WIDTH: �J p ¢d INSULATION/WEATHER STRIP FRONT PL- �� u�ll SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RA ED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT-DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508