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HomeMy Public PortalAbout9720 OLIVE ST_Building__ RPF4LICANT> APPLICATION FOR BUILDING PERMIT TO FILL IN (Print or type only) - 'fl BUILDING q _ - COUNTY OF LOS ANGELES ADDRESS / �. 4 -7 DEPARTMENT OF COUNTY ENGINEER CITY r zip / Q BUILDING AND SAFETY DIVISION NO.OF BLOGS. BUILDING '7 ( ' SIZE OF LOT NOW ON LOT ADDRESS 7c7Z TRACT j' LOT NO. 041�5_ LOCALITY TEL. NEAREST OWNER NO. CROSS ST. _ ASSESSOR ADDRESS ®� 1 r MAP BOOK PAGE PARCE�L��� /� �y p DISTRICT GROUP TYPE FIRE OCC Y CITY r 4� (r T ZIP 91-790 Oo n CONST/ Z� ARCHITECT OR TEL. ENGINEER C NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.al DWELL.UNITS----] p 'r BK c�aaG CONTRACTOR NOL' U E jONE MAP LIC. NO. ADDRESS NO. ,(1^1 CONDITIONS CITY SPECIAL LIC. CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH B G.SETBACK FROM F ONT PROP.LINE OF (STREET) ADDRESS CITY HI HWAY + YARD '.TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT, NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES' FAMILIES ONE DESCRIPTION OF WORK /tb� NEW 1:1 + d ^ �ADD ® BLDG,SE '( Iwo "�; SIDE PROP.LINE OF (STREET) C G `� JL••TER.❑ = O AL BACK FRO E OF EXISTING HIGHWAY + YARD C~.' REPAIR[] SIDE PROP. LINE HIG Y WIDTH d USE OF + EXISTING BLDG. � - �,+� DEMOL Z APPLICANT /n- TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) 4Q NO.M-'5,179919 BY (SIGNATURE) ry IN OPEN SPACE. YES ❑ NO ❑ IN COASTAL PERMIT ZONE YES ❑ _ NO ❑ VALUATION,$ I HEREBY ACK NO �E THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYALL • //y�ee STRUCNG BUILDING CON- TI ON,ORDICITH ERTICFY THAT ES AND LAWS DOING LITHE I WORK AUTHORIZED ED z�e //vI HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE �J v LABOR CODE OF HE ATE OF •CALIFOR IN R R ATINS TO WORKMEN'S CO E TON INSURANCE. SIGNATURE Or PERMITTEE n ADDRESS �� �W- 0t TEL. FINAL CITY NO. DATE P.C. a PMT. AIA KE CHECKS PAYABLE TO: FEE FEE $ 156•Z�v' HARVEY T. BRAN T, COUNTY ENGINEER r PLAN'CHECK VALfD ON CK. M.O. CASH PERM-JIT VALIDATION (CrK. M.O. CASH 872c-.IARL_2 9 4.0 5 7 4 4 c'0_nmR :17 1 1) 1 5 6.7 5 73ASSBA C6#909 574 1' -DEPARTLI 07 BUILDING AND SAFETY Aa't'L1CiA 11V1Y r va i'i iLlrli i COUNTY OF LOS ANGELES BUILDIN WWI. J. FDX. CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN BUILDING 99 �X�AtirR DISTRICTNO PLAN CK.NO. PERMIT NO. LJ _ �S �-6"- d"7 7,s 14 LOCALITY /�G1 C`I" ,� � y�!.I RE EIVED BY DATE OF APPLL DATE IBSUEDD CROS z- -/a C BUILDING �7 / OWNER !� �� _ ADDRE88 MAIL C� ... ADDRESS LOCALITY /+d NEAREST CITY / .Po7:,� NO.TEL•�, ( CRD 8 ST. a FIRE NO.OF TYPE_,- ENGINEER � OROUP ARCHITECT OR �e��TEI/ b ZONE PLANS _Al�/i.. ��....1?. (/rN• 'NOrs,/,�,,,e, � ' BLDG. J ORD`.p O. , ADDRESS ° SETBACK LINE v ' N i `I /�k 1�/ APPROVED , BY DATE CONTRACTOR -A,-*e, ++, , V/,}v��,),lOL .. USE APPROVED AD REB ZONE BY DATE LEGALI CORRECTIgR DESCRIPTION LOT NO. / BLOCK c- TRACT •' I-G1L_ rirF'r!2 I..�� C ��'"4?1�C ° (� OF .3 9-7 NO.OF BLDG 'I 7-� SIZE OF LOT -5- / I NOW ON LOT ,r/ L U9E OF � _I NO.OF I NO. EXIBTINS BLDG. la FAMILIES ROO P, DESCRIPTION OF WORK I Q NEW ALTERATION I ADDITION lrA [JA i0'q-"-- A REPAIR MOVING DEMOLISH �+� �R !'[?GT e—ti r ' Pren fn 0 8Q.FT. /g NO.OF Z SIZE �9 /J� ROOMS 9TO,R7IE9 `��� 1�1',�'7"' z'�'rJrd WALL COVERING A(!/�� I ROOF COVERING C•• ?x`rr/ ��� R�, yp 0 '�fa/G•..f"`�—� USE OF NEW {/ BUILDING 9.•1-v AJ , .`-'A/ "2-P°dl :/ -"�/l!E�'• � _., Grf.E r`.�r�:' r- �2l Ps�•r/'�" rASl9'^ ,t�.ire� /,fir-la::N� IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATIONATINSPECTOR Dgl E FORME,MATERIALS /��f J AND STATE LAWS REGULATING BUILDING CONSTRUCTION. v FRAME: FIRE 8TDP9, SIGNATURE CF • , /+ Q BRACING,BOLTS rJSit-�O• /AD r PERMITTEE �/r r 4 s�+ �lafi E'•�'"'Ao�-3. �f LATH, INT. A, t. AUTHORIZED AST- "` LATH, EXT. Y 76AG38A-3 7-49 $ ( p,C,m PLASTER,INT. FEE f '•£3 PLASTER,EXT. o VALUATION f9'� ^� r FEE /'�> FINAL �/ .// •;r:.+ ?/c'�• WORKERS'raMPENSATION DECLARATION ' ica I have r certificate of consent to self APPLICATION F®R BUILDING PERMIT �- I hereby aff�eitificate of Workers'Compensation Insurance, 41 Insure,oa 'ofied copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 729D L C 5 Certified copy is filed with the county building inspec- BUILDING - .* tion department. ADDRESS / �G-fc�i / £✓//�'Ir � r I 1 6� 4� V �I 1 �� �.i Date Applicant— CITY j ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' _��(Q OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT o NOW ON LOT CROSS ST. (Thundred dollars($100)or less.) MAP BOOK PARCEL This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR - - PAGE GIC-/ TEL. ' USE Z NE MAP I certify that in the performance of the work for which this OWNER ��f ' NO.y/��4� /7 SPE permit is issued, I shall not employ any person in any manner ADDRESS i�°4-v /L�U� SPECIAL so as to become subject to the Worke s'Compen ion Laws CONDITIONS U 1 C� 1 CITY /��Yt/Lr= ZIP Date /' C V Applicant ARCHITECT OR ;JEe 0 NOTICE TO APPLICANT: If, of making'this Certificate of Nb DISTRICT GROUP TYPE FIRE PROCESSED BY O ENGINEER �( CONST. ZONE H Exemption, you should be a subject to the Workers' \tel+////) , / () Compensation provisions o e Labor C. you must forth- ADDRESS `"a, V a with comply with such provisions or this permit shall be deemed revoked. TEL. "•STATISTICAL CLASSIFICATION APT. ONDO. to CONTRACTOR NO. Z 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 CLASS BK 00 PGP_:P VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE Loer` VALUATION V Contractor Date DESCRIPTION OF WORKZnfI2 AD $ ❑ I am exempt under Sec. ALTER (J B.BP.C. for this reason REPAIR ❑ $ Date: USE OF DEMOL ❑ -2961.7A EXISTING BLDG. Signature APPLICANT TEL. FINAL -R # 0 0 0 0 0 OWNER-BUILDER DECLARATION PRINT NO. DATE I o o87,38 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL • �V Professions Code): R By V BUILDING o 0 0 8 7.3 8P! I, as owner of the property, ormy employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY ()rJ 7-88 the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. ❑ I,as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS i tion 7044, Business and Professions Code). 19116 ,.,... CONSTRUCTION LENDING AGENCY SREACK YARD HWY TOTAPROP. 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.). SIDE t, P.L. Lender's Name « LDMA Ref. # :' Lender's Addr P.C.Fee$ Permit Fee o F r 3 1 certify that I have read this application and state that the Issuance Fee f/ LDMA P/C# 010 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, + .�{ 8 and hereby authorize representatives of this County to enter Total Fee LDMA perm. q 5 upon the above-menti ed property f inspection purposes. C (�t :j—��j_b"e SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ture of Applicant or Agent •r Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR r. BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0107260002 PHONE: (626) 285-0488 EXT: LEGAL : r 0 S: ON FILE SQ. FT STORIES TYPE 9720 OLIVE ST STRUCTURE: 0 VN TEMP CA 917803252 ASSESSOR 0 0 NUMBER: NEAREST CROSS STREET: BTWN: BALDWIN 8 T.C.B. 8589-003-018 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: S D RESID USE ZONE: R-1 ISSUED, ON: PROCESSED BY: EXPIRES EXIST OCC GRP: 07/26/01 JK 01/22/02 . OWNER: TEL. N0: LDGS. NON ON LOT: VALUATION: FINAL PA E Y CODE: SHIAN CHUEN KUO;SHU LINE CHEN - 3,600 28 WISTARIA AV I6 ARCD 910078005 FEES PAID r WCRIPTIUN REPLACE ROOF OVER BtrfTINGIsHEATHYNWITH 25YR DIMENSIONAL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES A P CA E 0: ' GOLD STAR ROOFING (323) 261-4004- AA BLDG PERMIT ISSUANCE 27.75 1302 S FETTERLY AVE AC STRONG MOTION RES_I.D. 3600.00 VAL 0.50 SPECIAL CONDITIONS: LA, CA 90022 D2 PERMIT W/O-EN=HC 3600.00 VAL 115.80 ..,TOTAL FEES 144.05 CONTRACTOR: TEL. N0: '!•?,': APPROVALS DATE INSPECTOR SIGNATURE GOLD STAR ROOFING CO. (323) 261-4004- 1302 FETTERLY AVE. LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 741676 * I 1 1' SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL.--NO: FOUNDATION/TRENCH FO S LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING P 0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMpd UNDERFLOOR INSULATION 147H269 3 0i iFLOOR SHEATHING 0. OF S: G ITS: /CO D: STAT CLASS. NO 21 ROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUSjSHEAR-PANELS 1 AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED 0 SETBACK FROM MISTR N A G R SET BACK YARD: HWY: PROP LINE: WIDTH: i FRONT PL- INSULATION/WEATHER ST I SIDE PL- •� - • - - • INTERINTERI OR i EXTER IOR LAT RATED 00 SS R TED MALL ASSEMBLIES RATED I HAFTS/0—PT0163— T-BARCEILINGS * ADDITIONAL DATA ON FILE LOT DRATNAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0903230005 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. OF CONST I BUILDING ADDRESS: ] ON FILE SQ. FT STORIES TYPE 1 9720 OLIVE ST I [STRUCTURE: 292 V-B TEMP CA 917803252 [ [ASSESSOR INFORMATION NUMBER: [ [ NEAREST CROSS STREET: [ 8589-003-018 [ [ THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl [TENANT: [EXIST BLDG USE: REBID USE ZONE: R-1 [ISSUED ON: PROCESSED BY: [ [EXIST OCC GRP: 103/23/09 SR 1 [OWNER: TEL. NO: ]BLDGS. NOW ON LOT: VALUATION: IF NAL DATE FIN�,L BY: CODE: [ [TAO, LING (626) 679-8979- I 21,840 Jnr �r]^\� [ 19720 OLIVE STREET [ .[. 1 II [ TEMPLE CITY CA 91780 I FEES PAID ID CRIPTI N OF WORK [ [ I IREMODEL 2 BATHROOMS, FAMILY ROOM, 264 S.F. PATIO COVER WITH [ [ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[A 28 S.F. ENCLOSED LAUNDRY AREA UNDER THE PATIO. [ [APPLICANT: TEL. NO: I I [ [SAME AS OWNER - JAA BLDG PERMIT ISSUANCE 27.75 I [ [ IAB STATE GREEN BLDG FEE 21840.00 VAL 1.00 ISPECIAL CONDITIONS: [ IAC STRONG MOTION RESID 21840.00 VAL 2.18 1 AX BUILDING REVIEW FEE 54.70 [ ]B2 PERMIT W/ENERGY 21840.00 VAL 460.02 [ [ [CONTRACTOR: TEL. NO: [FR INV WORK W/O PERMIT 257.00 DOL 257.00 ]APPROVALS DATE INSPECTOR SIGNATURE [ [SAME AS OWNER - I TOTAL FEES 802.65 I [ I LIC. NO I [LOCATION AND SETBACKS [ [SOILS ENGINEER APPROVAL ] ] [ARCHITECT OR ENGINEER: TEL. NO: ] [FOUNDATION/TRENCH FORMS ] I ] [ LIC. NO: [ [SLAB/UNDER FLOOR 14411 ] I 1 I I I ��--(�(� RAISED FLOOR FRAMING [ [ [ [MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:15\ n 1 y�t UNDERFLOOR INSULATION [ [ 1 1147H269 3 001 FLOOR SHEATHING ]NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: v I I I I ] NO 21 [ IROOF SHEATHINGISCHOOL WITHIN HAZARDOUS [ ICAA ]SHEAR PANELS I I I ]AIR QUALITY: 1000 FEET MATERIALS [ I [ [ NO NO NO [ ]FRAME INSPECTION I ] [ [REQUIRED TOTAL SETBACK FROM EXIST ] [FIRR SPRINKLER HANGERS 1 ] [ [SET BACK YARD: HWY: PROP LINE: WIDTH: I ] ] [ [FRONT PL- ] [INSULATION/WEATHER STRIP[ ] [ [ SIDE PL- [ [ [ ] [ INTERIOR LATH/DRYWALL [ [ ] [ [ [EXTERIOR LATH [ [ I [ [ RATED FLOOR/CEIL ASSEM. ] [ ] [ [ ]RATED WALL ASSEMBLIES [ [ [ I RATED SHAFTS/OPENINGS ] I I ] [ IT-BAR CEILINGS I ] I I I ] ILOT DRAINAGE I I [ 1 [REPORT ID: DPR261 ROUTE TO: BS0508 [ [ [ [ I I I I I I