HomeMy Public PortalAbout9720 OLIVE ST_Building__ RPF4LICANT> APPLICATION FOR BUILDING PERMIT
TO FILL IN (Print or type only)
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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