HomeMy Public PortalAbout9705 OLIVE ST_Building__ 'GA686A CE#609_6_8, APPLICATION FOR BUILDING PEWIT 1
COUNTY OF LOS ANGELESBUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BU=ING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST `
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRIC NO. GROUP n,PE -SEWER MAP•
FOR APPLICANT TO FILL IN K
CONST. r
BUIADDRESS v --�-�--LDING ��_ e STATISTICAL CLASSIFICATION
'
LOT NO. BLOCK CLASS.NO DWELL.UNITS
MAP, .� n� STATE YES
NUMBER o�t/ HWY.
TRACT USE ZO E: SPECIAL
ry NO.OF BLDGS. CONDITIONS
SIZE OF LOT?.;?-.4II NOW ON LOT
USE OF ✓CJS
EXISTING-BLDG. BUILDINGEXIST,.
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT C
MAIL h P.L:
ADDRESS L SIDE
TEL. P.L.
CITY - NO INSPECTION RECORD-.
ARCHITECT OR TEL.
ENGINEER -'NO. ` 1
ADDRESS
TEL.
CONTRACTOR NO I �-
ADDRESS25(/
DESCRIPTION OF WORK �"�'`, � ' �""`` �" ' 4
- 41
NEW A ADD ALTER REPAIR DEMOLISH /- �!
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF APPROVALS _
APPLICANT '
DATE INS CTO 'S SIGNATURE
ADDRESS S"w•? . FOUNDATION: LOCATION
$ -P- Y-15 I.Ahj
C, $ FORMS,MATERIALS .2�IJ 57
/// FRAME: FIRE STOPS,
FEE BRACING,BOLTS
VALUATION $ FURNACE: LOCATION. "'-
-ml FEE GAS VENT.DUCTS v►, f
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. \ ?9
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND '9
STATE LAWS RLGULATING BUILDING CONSTRUCTION. LATH,EXT. ad ✓ lZ.di6i� � %J:
SIGNATUREO HOUSE NUMBER COR-
PERMITTE c RECT AND POSTED
ADDRESS ! - FINAL
IOHN A.LAMBIE.COUNTY.ENGINEER: CLYDE N.6IRLAM, PRINCIPAL SflRyMkkL ENGINEER,
PLAN CHECK.VALIDATION CK. M.O. GASH PFJWr VALIDATION m.o. CASH
-ICO-4 8 7 9- DEC 1 8.50 0 ®p.
'8A688A CE#808_0,57 APPLICATION FOR BUILDING j $_RMI`f • I - 1
COUNTY OF LOS ANGELES Apo f70 w5
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. '
-DISTRICTNO. GROUP TYPE SEWER' MAP
FOR APPLICANT TO FILL IN L
CONST.
BUILDING yyJJ'.' � STATISTICAL CLASSIFICATION
ADDRESS (/
LOT NO. BLOCK CLASS.NO.�DWELL.UNITS--E-1 Aw
MAPSTATE
NUMBER O HWY. YES
TRACT USE ZONE SPECIAL
Q j NO.OF BLDGS.
CONDITION a
SIZE OF LOT O 1 NOW ON LOT T�
USE OF i
EXISTING BLDG. BUI NG EXIST.
YARD HWY S FET NAME
�* G a SE BACK WIDTH
OWNER ._]S��c� ✓�7.y �yZ�lt 'l�,'•l .o�e...y.'Z FRONT ` ..
MAIL ✓ / P.L: .CG 415<
ADDRESS ��+ —P 1 J SIDE
CITY � O. Tt� i s+t:r�.e' fir�Fl9 I N _f4; P.L.
ARCHITECT OR /` TEL
INSPECTION RECORD
ENGINEER (' NO. 1
ADDRESS
TEL..
CONTRACTO .� NO. -
ADDRESS I .�
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH _
SQ.FC.• NO.OF NO.OF - J —. ��/ �•� IJ ��.
` SIZE STORIES: FAMILIES
USE OF STRUCTURE, ~� .
APPROVALS
SIGNATURE OF
APPLICANT CC i
ADDRESS ✓ ® DATE INSPECTOR'S SIG ATURE
FOUNDATION: LOCATION
FORMS,MATERIALS 1.
$ P.C. $ FRAME: FIRE STOPS,
/ FEE BRACING.BOLTS / CS
VALU TION CO $ �, FURNACE: LOCATION,
FEE GAS VENT.DUCTS /s
1 HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE 15 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH,EXT.
STATE LAWS T.
REG LATING BUILDING CONSTRUCTION.
SIGNATURE OF' HOUSE NUMBER COR-
PERMITT g2f=mex ° RECT AND POSTED
ADDRES � iNAL
IOHN A.LAMBIE,COUNTY ENGINEER. CLYDE N.DIRLAM, PRINCIPAL STRU RRAL GINEER
PLAN CBECS VALIDATION C M.O. CASH PERMIT VALIDATION - M.O. CASH
cAo 4.7. .2 0 OEC. 21 6 1 .8.0 0 ! ®,
? 04.8 7 81CA ' DEC 6 1 .3.°6.00 2
• - - off, �� G��� , -. -
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T
insure, or a certificate of Workers'Compensation Insurance, I
or a certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company BUILDING /
Certified copy is hereby furnished. I FOR APPLICANT TO FILL IN ADDRESS ,0S-
Certified copy is filed with the county building inspec- BUILDING Z_ r
tion department. ADDRESS / �� ��l �� LOCALITY ULA
NEAREST
Date Applicant CITY 6ZIP CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one I USE ZONE MAP
hundred dollars($100)or less.) i TRACT BLOCK LOT NO. j NO. 0 Q
l TEL. 1 SPECIAL
I certify that in the performance of the work for which.this OWNER '3. ��'�d NO. �'��? CONDITIONS w
permit is issued, I shall not employ any person in any manner C: DISTRICT GROUP TYPE FIRE PR SSEIZBY
so as to become subject to the Workers'Co ensation Laws. i ADDRESS / v Q(/_( U �— �U CONST. ZO3NE Id
�•` S I CIN � [ LCG ZIP 'J
Date Applican STATISTICAL CLASSIFICATION APT. CONDO. H
NOTICE TO AP (CANT: If, after making this Certificate of ARCHITECT OR TEL. Gd
g ENGINEER NO. 3 CLASS NO. -�/ DWELL. UNITS t�
Exemption, y u should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be TEC
deemed revoked. CONTRACTOR / 7"L 4,,'i NO /'� � BK. FPG, J VALIDATION
LICENSED CONTRACTORS DECLARATION ^7 L LIC. ;
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �G �(ar'/G/!J NO. VALUATION-
(commencing with Section 7000)of Division 3 of the Business and �Q � n LIC. L
Professions Code, and my license is in full force and effect. CITY / I / , CLASS $ 3��
v� S /�e1� SQ. FT. NO.OF NO.OF CHECK ,
License Number �`"�� Lic.Class d SIZE STORIES FAMILIES ONE
C Contractor / r `� � y/ Date
DESCRIPTION OF WORK T�
NEW $
:�f� i�!' / f�Z ADD ❑ `/ i ';
I am exempt under Sec. C �+
S ALTER ❑ . DATE /2 FINAL
�? ,� o
B.BP.C. for this reason �.c /" O
REPAIR ❑�•
U OF FINAL
Date: EXISTING BLDG. DEMOL ❑ BY
-
Signature APPLICANT TEL. ?
OWNER-BUILDER DECLARATION ti PRINT NO. y U
I hereby affirm that I am exempt from the Contractor's License �` ® O 23 / j
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
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
1,as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). I
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FROM '
the performance of the work for which this permit is issued P.L.
tSec. 3097, Civ. C.). SIDE
m
P.L.
v Lender's Name '
Lender's Address P.C. Fee$ Permit Fee JT, x.3
I certify that I have read this application and state that the Issuance Fee J
g above information is correct. I agree to comply with all County Investigation Fee /
ordinances and State laws relating to building construction, Total Fee (p.?
and hereby authorize representatives of this County to enter
upon th mbov -mentioned property for inspection purpose/s+.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signa ure of Applicant or Agent f D e ®s
' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0506200042
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9705 OLIVE ST
STRUCTURE: 200 1 VN R3 TEMP CA 917803253
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: TEMPLE CITY
8588-021-018 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCE3SED BY: EXPIRES ON:
EXIST OCC GRP: 06/21/05 JK 06/16/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
LOPEZ, EDGAR (626) 287-8323- 22,000 /'
9705 OLIVE ST 7'- o
TEMP 917803253 FEES PAID DESCRIPTION OF WORK
ADD BEDROOM AND BATHROOM 200 SF.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - B1 PLANCHECK W/HNERGY 22000.00 VAL 391.02
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION REBID 22000.00 VAL 2.20
B2 PERMIT W/ENERGY 22000.00 VAL 460.02
TOTAL FEES 880.99
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
a
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
1ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING 'A
AIR QUALITY: 1000 FEET MATERIALS b�
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL �d
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0708100002
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I
ON FILE I SQ. FT STORIES TYPE OCCUP GROUPI 9705 OLIVE ST I
(STRUCTURE: 100 1 VN R3 I TEMP CA 917803253 I
ASSESSOR INFORMATION NUMBER: I GARAGE: NEAREST CROSS STREET: TEMPLE CITY
18588-021-018 I OTHER: i THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
ITENANT: (EXIST BLDG USE: USE ZONE: 108/SS 0/07N PROCESSED BY: EXPIRES ON:
(EXIST OCC GRP:
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF �TE FIN CODE:
ILOPEZ, EDGAR (626) 287-8323- I 8,660 I J O
19705 OLIVE ST I I 1
ITEMP 917803253 I FEES PAID ID SCRIPTION OF WORKI
I I (ADD 100 S.F. TO BEDROOM & THROOM ALSO SEE PERMIT I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IBL 0508 0506200042 [
[APPLICANT: TEL. NO: I I I
SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 I
[ IB2 PERMIT W/ENERGY 8660.00 VAL 219.78 ISPECIAL CONDITIONS:
TOTAL FEES 247.53
I I I I
ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
I LIC. NO I VACATION AND SETBACKS I I [
I I I I I I
[ I ISOILS ENGINEER APPROVAL I I I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
[ LIC. NO: I' (SLAB/UNDER FLOOR I I [
I I I I
I, (RAISED FLOOR FRAMING I
I I I I I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I I
3 Oil 1 [ 1 I
IIST LEVEL FLOOR SHEATH I I [
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I [ [
NO 21 I 12ND LEVEL FLOOR SHEATH 1 I I
[ SCHOOL WITHIN HAZARDOUS (ROOF SHEATHING I [ [
(AIR QUALITY: 1000 FEET MATERIALS [ [ [ [
[ NO NO NO 1 1FIRE DEPT. FRAME INSPECT [
REQUIRED TOTAL SETBACK FROM EXIST I (BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: I I I [ [
IFRONT PL- I ISHEAR PANELS I I [
I SIDE PL- [ I I I [
[ I IINSULATION/WEATHER STRIP( I [
I !(INTERIOR LATH/DRYWALL
EXTERIOR LATH I I I
I (LOT DRAINAGE I I 1
ISMOKE DETECTION DEVICES I I
[ I FIRE DEPARTMENT APPROVAL[ [ I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I