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Home My Public Portal About9666 OLIVE ST_Building__ ®s 76A638A CE#803(REV.11/78) CITY OF TEMPLE CITY APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUfLDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING BUILDING ADDRESS ADDRESS LOCALITY ZIP NEAREST CITY $0 CROSS ST. No.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PA L , DISTRICT GROUP TYPE FIRE D BY TRACT BLOCK LOT NO. iD CONST. TEL. OWNER NO. STATISTICAL CLASS CATION SEWEq A�P� ADDRESS B CLASS NO. DWELL.UNITS Kl/� CITY Temple City ZIP 91780 ARCHITECT OR TEL. VALUATION $ 5 9 5 .0 0 ENGINEER NO. ADDRESS BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) CONTRACTkk L.Rando 1 CO.IncZ2 8 8—4 0 4 0 TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH ADDRE NO. _ LIC. + c- -IT Y ITY CLASS CONSTRUCTIONLP L NDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. NO.OF NO.OF CHECK + _ SIZE STORIES 1 FAMILIES 1 ONE /� DESCRIPTION OF WORK — NEW ❑ USE ZON NOP PECIAL =117 WSJ= COMPO qbinql ADD ❑ ONDITIONS rfis ALTER ❑ No;rV ,p� BY fir` 12X18 REPAIR DATE 4,-P 4r USE OF DEMOL ❑ EXISTING BLDG. S l APPLICANT TEL L. Randol Co. No288-4040 � Q BY(SIGNATUR IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS A N AND STATE LY !; V F� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE z WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF u {� ° ° ° ° ° 1 THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-• 2 PENSATION INSURANCE.' d 2 ° ° 220G SIGNATUREOF n n r , PERMITTEE ° ° c ADDRESS529 N: Val.joy Blvd- o . C 4. 1 5-8s CITY San Gabriel, Ca. No288-4040 0 P.C.Fee$ Permit Fee 15 0 + > Issuance Fee 7.0 0 d Total Fee 22.00 WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR B U I L D I N G � P E RM I T � insure, or a certificate of Workers'Compensation Insurance, or'a certified copy thereof(Sec. 3800, Lab. C.) _ COUNTY OF LOS ANGELES i BUILDING AND SAFETY C'Q'-42 x-4.2 4,-10:6' 2 7 P❑o�icy o. �ompany Ar g O n'2 tt t T n,�,• Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ' ADDRESS s 1 Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 4.6.66. Olive. LOCALITY Date11:-�•1-�84 ApplicanrRAN.D'.OL .RO.OEI'NG'. i CITY Temple city: zip ;91780 NEARESTRT. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. -ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE I PARCEL (This section need not be completed if the permit is for one { USE ZONE E hundred dollars($100)or less.) I TRACT BLOCK LOT NO.TEL. IAL >- Icertify that in the performance of the work for which this OWNER ;`'red Cae:i�sler NO 2 85r]6 DITIONS permit is issued, l shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESS BY O so as to become subject to the Workers'Compensation Laws.. i ADDRESS 9 6.6.6 G 11 V e. CONST. ZONE Date8�27,84 L Applicant-Randol .Rooling CITY Temple. City zip .91780 '� STATISTICAL CLASSIFICATION CONDO. I- NOTICE..TO •APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. tr NO. CLASS NO. DWELL.UNITS W ENGINEER Exemption, you should become subject to 'the Workers' IL Compensation provisions of the Labor Code, you must forth- ADDRESS r SEWER MAP Z with comply with such provisions or this permit shall be TEL deemed revoked. ' CONTRACTOR R a n d o 1: Roof o�.�.,n No. 288-T-4040 BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 529 E. Valia31 NO. 4.5 1.9 3 7 VALUATION (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. CITY San G ah r 1 e 1 CLASS C c-3 9 $ 8.6 5 0 0 PoolSQ.Fr., NO.OF' NO.OF CHECK License Number .4 5 19 3 7 Lic.Class C—'3 9• SIZE STORIES FAMILIES ONE i D CRIPfION OF WORK P ar t Lal .Is, lnl NEW ❑ $ Contractor $��•nAnl` ROof1nffia}e 8-27.-•84' '' i x ; ❑ I am exempt under Sec. vi.th- als_ide douhle' 5" ADD ❑ ALTER ❑ FINAL B.BP.C. for this reason solid vin-y-1 Sld'i.n ,' REPAIR Q DATE 1-40 ✓" USE OF DEMOL Date: EXISTING BLDG. ❑ By AL �"q� ,� , Signature I APPLICANT Ti Rand01- Roof3,n'g NO.288�40.40 JI - OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License 5 2 9 E .• V a 11(4 .y- S . G. 417 7 6 Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and i the structure is not intended or offered for sale(Section LOCALITY s 4 G b.2 A 7044, Business and Professions Code). MOVING .'TEL. 1 I,as owner of the property,am exclusively contracting CONTRACTOR NO. �! r • 0 0 0 with licensed contractors to construct the project (Sec- ADDRESS 2 n o (� () v tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY ! SET BACK YARD HW`! PROP.LINE WIDTH (✓�z, I hereby affirm that there is a construction lending agency for FRONT O L,; 1 9 04 o !� the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). + SIDE m I P.L. v Lender's Name Lender's Address' P.C.Fee$ Permit Fee 3 G. G.G I certify that I have read this application and state that the Issuance Fe@ 1 G:.' 0 above information is correct. I agree to comply with all County i, Investigation Fee ordinances and State laws relating to building construction, Total Fee 4 0.:• 5 G and hereby authorize representatives of this County to enter S upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date • r COUNTY- OF LOS ANGELES TEMPLE CITY # 0508 RUiLDING PERMIT ► DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPt9ENT TEMPLE CITY CA 91780 BL 0508 0406020049 PHONE: (626) 285-0488 EXT: LEGAL ID: No. OF EONST NEL B [DNG ADDRESS: TR: 14210 LT: 21 SQ. FT STORIES TYPE OCCUP GROUP 9666 OLIVE ST _ STRUCTURE: 540 1 VN R3 TEMP CA 917803251 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: TEMPLE CITY BLVD. 8589-003-011 OTHER: 56 1 VN R3 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C T EXIST BLDG SE: USE ZONEFISSUED 0 : PROCESSED B : EXPIRES N: EXIST OCC GRP: 08/19/04 JK 08/14/05 OWNER: TEL. NO: _ BL GS. NOW ON LOTS VALUATION: FI AL,D/1T E FI — NA—LB Y: CODE: TRUONG, CUONG (323) 223-7959- 46,500 LL66// — 2323 1/2 LINCOLN PK LOS ANGELES 90031 EES P ID i-,_ ESC IPT ON 0• 'VU—RY ADD 2 BEDROOMS & 1 SA1H, EXTEND FAMILY ROOM 540 S.F. AND APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: REMODEL 56 S.F. SAME AS OWNER - D1 PLANCHECK W/ENERGY 46500.00 VAL 709.24 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDIIIUNS: AC STRONG MOTION RESID 46500.00 VAL 4.65 B2 PERMIT W/ENERGY 46500.00 VAL 8-34.41 _ TOTAL FEES 1,576.05 CONTRACTOR: TEL. NO; APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: '•E_. NO- FOUNDATION/TRENCHr---Qwa XU, NILLY (626) 297-7915- 318 N. 3RD ST., #C LIC. N0: SLR9/UN�R FI.G04' ! ALHAMBRA, CA 91801 RAISEEED FLOa2::T4MIW -- -- IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE J CPiP; UNDERFLOOR INSIiLATIO� 3 01 R NO. OFFAMILIES: DWELLING 'NITS: APT/ 0 D: STAT CLAS ST LEVEL L0 SHEATH _ NO 21 2ND LEVEL FLOOn SHEATH SC OOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FReu,r- INSPECT REQUIRED TOTAL ETBACK FRO EXYSr-- BLDG DEPT. FgffE INS—P— CY /-- SET BACK YARD: HWY: PROP LINE: WIDTH: G FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER L- I SU ATION/WE:ITHER STRIP 0 p� INTERIOR LATH/O!IYWA L Z oc.� 7 EXTERIOR L T LOT DRAINAGE SMOKE DET C IOJ 7TE .fCES FIRE DEPARTMENI APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 9 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 0310060018 PHONE: (626) 285-0488 EXT: CONST TR: 14210 LT: 21 SD. FT STORIES TYPE OCCUP GROUP 9666 OLIVE ST STRUCTURE: 85 1 VN R3 TEMP CA 917803251 S GARAGE: NEAREST CROSS STREET: TEMPLE CITY 8589-003-011 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY RIST BLDG U - S .0 PROCESSED - 0 - EXIST OCC GRP: 10/08/03JK 10/02/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: WAI 9666HAR OLIVEMSTREET (626) 485-0520- 6,000 / (/✓ {-- TEMPLE CITY 91780 F55S PAID MCRIPTION OF WORK APPLICANT: TEL. 0: FEE DESCRIPTION: AUANTITY: UOM: AMOUNT: EXTEND BEDROOM & BATH; TTL WHEN DONE: 3BR, 2BATH SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 6000.00 VAL 0.60 SPECIAL CONDITIONS: 87 PLANCHEC9,--W/ENERGY=="--X6000.00 VAL 139.69 82 PERMLTfW%ENERG.Y;--F7;:-,-Z:-:--6000.0O VAL 164.34 �TpAL' EES 332.38 RATTEL. N0: - �, C.Aj��.\Q�+e APPROVALS DAT SAME AS OWNER INSPECTOR SIGNATURE LIC. NO fiee, {�� L `•\ �. LOCATION AND SETBACKS �7 \�`! SOILS ENGI EER APPROVAL ARCHITECT OR 5NGIN�ER: TEL. NO: )r-r - ,'I,- 1 . 1., - x O D 0 TR O S LIC. N0 l;_ 1, I ---- � I i I ? SLAB/UNDER FLOOR ' -�-I'-I -�` iRAISED FLOOR G MAP NO. SEWER MAP BOOK: PAGE: FIRE ZONE: !;CM01) i i=-, - •;-,, - , I�`�,- `r�1 NDERFLOOR INSULATIO Lb 1ST LEVEL FLMY-SRUTR- 0. OF F I S: ING UNITS: AP /CO D: S C SS:--- ------- ------ _ - _____ ____p NO 27� ---- — _� --.- ND LEVEL FLOOR S EATH SCHOOL RD S F SHEATHING 1 , /� AIR Q OLITY: 10N00 FEET MANOERIALS +�`, � .• /< i � I •.�:; e �' ri _�` ! f FIRE DEPT. FRAME NSPEC REQUIRED S C FROM S `•.'.t,; I 1 yi�J��' DG DEPT. FRAME INSPEC SET BACK YARD: HWY: PROP LINE: WIDTH: _�--I FRONT PL-PL- � �E'd'b�� 'a SHEAR PANELS S L 0 S INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAI AGE SMOKE DETECTION DEVICES FIR9 DEPARTMENT P ROV L REPORT ID: DPR261 ROUTE TO: 9S0508