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Home My Public Portal About9726 OLIVE ST_Building__ ZZAG en ny�s.s 12.34 ' APPLICATION FOR:. BUILDING PERMIT 1 DIVISION,OF BUILDING..AND SAFETY B u I LD I NG / Department of .County Engineer ADDRESS• / X11�t7 L/'ll yS v%. _ County of Los-Angeles LOCALITY T E_A P1_F_ ci[ / WM.J. FOX, COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT of BUILDING NEAREST G p L D,E IV WF- 57_ " AVE. I " CROSS ST. DISTRICT NO. GROUP SEWER MAP FOR APPLICANT TO FILL IN TYPE BK p BUILDING' 7.26 j y CONST � = ADDRESS/�(� OLIVE S T� •-MAP J� STATE YES' NO Kom J / NUMBER.. (J'1 1 HWY. LOT NO. S. '--�po / !i�P�i:L ! BLOCK USE ZONE SPECIAL- CONDITIONS. TRACT •/+11 � y /'�P NO .OF BLDGS. `'��" •- . SIZE OF LOT ? C7 - 9 LJ I NOW ON LOT JVDNE BUILDING YARD HWY STREET NAME EXIST. USE OF SETBACK WIDTH EXISTING-BLDG. FRONT r1 0 ( f {{�� f _ P. L. O� OWNER ��COL� &V EL SIG�/O�� SIDE' u MAIL �A1 p� 4 P. L. ADDRESS `�S!D rC Cir O /4V JVjD.0 A V5 CITY 7—& P-i_ 6./rT NO. -21902 C aG+ r 11 1 DWELL. 1 UNIT---A::':-- 5 INDUSTRIAL �1 F• 2 DUPLEX UNIT- 6 PUBLIC BLDG. ARCENGINEER OR �n ` SIGPI�lR NO.TEL"#4 6 7-80 3 APT. - UNITS 7 ADDN.,ALT.,ETC. ADDRESS 4710 (`IO HOAI D0 /9 IM, - 4 COMMERCIAL 8 MISCEL. TEL CONTRACTORA- -;t A VA 7-r/ 7NO i r!?415K INSPECTION RECORD ' ADDRESS �•1 J 4 fes!/.LE_ Jam.I• Sa .SAN t7��+� �,_al �o �`J1'A�'I'C�,CS 'DESCRIPTION OF'WORK y NEW ✓ ADD -ALTER REPAIR DEMOLISH ; SC!.FT. 1 It i0 X4I STORIES ® FAMIN OF LIES I \ Q - SIZE 1'k �.' KMS. JbIL ,S W Z 1•c - RC1 USE OF STRUCTURE � • / 4 &'m 0 VIA 1' —?_�I tJt all. . SIGNATURE ,�V�e /! � APPLICANTOF GS! -�.-•f�'C "'V - APPROVALS U —W .ADDRESS 4 ,; - DATE INSpECTOR'S SIGNATURE rFOUNDATION: LOCATION V P.,C. $ gg G V FORMS, MATERIALS tZ r`�� 4�IrC>✓^�! FEE S J FRAME: FIRE BRACING,BOLTS STOPS. VALZIATIO _ f �^� FEE /j FURNACE: LOCATION. ?, I HEREMY /ACKNOWLEDGE THAT 1 HAVE.READ THIS GAS VENT;DUCTS " A� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. . Z (e ar': �NNiFCC[xt~ AND STATE LAWS-REGULATING BUILDING CONSTRUC- TION. LATH. EXT. V SIGNATURE OF HOUSE-NUMBER COR- l ��ff PERMITTEE - +� %� �� RECT AND POSTED- 1.5 c rl+ O!A... ADDRESS.4 el O 4 ,i - FINAL WM. J. FOX. COUNTY ENGINEER VALIDATION r By .. ACo 6 9 9 .8 6- AUG 22...1.6 . 1 3 0 0/A �BY -28-00 In - DEPUTY- ; ' n n 4.1- BY BY ® DEPUTY- DEPUTY 76A638A CE 0803 12/69 TEMPLE CITY APPLICATION FOR BUILDING PERMIT fl COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL - BUILDING AND SAFETY DMSION BUILDING e JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY � FOR APPLICANT TO FILL IN NEAREST Print or tvoe onl CROSS ST. BUILDING a l e City DISTRICT NO , G� TYPE P $ B ADDRESSve , (rl� Of/ CONST. `JC/ STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK CLASS NO.�DWELL.UNITS BK�t� TRACT USE ZONEMAP J NO.OF BLDGS. NO. / SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG. aki TEL OWNER BLDG.SETBACK FROM ADDRESSOlive St .. FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY Tpmpltm City . Calif . HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.L EOF (STREET) TEL. TYPE OF 11_9rI`BACX_L CONTRACTOR H L . Randol NO. 288-404( HIWAY EXISTING FROM C.L. HIGHWAY -f YARD = TOTAL ADDRESS NO. 1860 8 6 + C CITY C a l i f.CLASS C—3 9 CORNER CUTOFF YES ❑ NO ❑ C CONSTRUCTION LENDER 0C NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS c LI ADDRESS v SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES - FAMILIES USE OF ADD ❑ STRUCTURE — ALTER ❑ G CORID . , REPAIR® SIGNATURE OF APPLICANT DEMOL ❑ r VALUATIONS 5 0 0 00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEE$ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PER N VIOLATION OF THE LATH, INT. LABOR CODE OF THE ST TE F •CAjLIFO IA I RELATING TO WORKMEN'SCOMPE NS I I ANC'E. LATH, EXT. SIGNATUR OFL�' HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS Blvd . SanGa 1=1NAL TZ JOHN F. LEWIS. PRINCIPAL S7AtRjTURAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ ' PERMIT VALIDATION • CK 'e M.O., CASH I-ALo.3 9 4:0.11D JAN 12 1 D 9.00- WORKERS'COMPENSATION DECLARATION a I hereby affirm that I have a certificate of consent to self D D D O insure, or a certificate of Workers'Compenstion Insurance,or pF d D LQ CAU D O N ROM Q Q U D d O D l O PERMIT o certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY PicyNo. 6 Fjbl _Company State Ccapensati' BUILDING 1 Certified copy is hereby furnished. Ina. Fund FOR APPLICANT TO FILL IN ADDRESS � oZ • . �.. r1 Certified copy is filed with the county building inspec- BUILDING a JX1L tion department. ADDRESS LOCALITY NEAREST Date 4-•1-80 Applicant1iogard _L .Randol C,O CITY Tem le City zip 91780 CROSS ST ' —CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT �� V + NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one TRACT/'7 v✓/ �� . USE ZONE MAP hundred dollars ($100)or Ness.) L- BLOCK LOT O. S� NO. oZ Q >. TEL. SPECIAL Ib. I certify'that in the performance of the work for which this OWNER Joe T an]a k i Not 8'7.-3 927 �W„ CONDITIONS CI permit is issued, I shall not employ any person in any manner I DISTRICT I GR TYPE FIRE �PESSED BY V so as to become subject to the Workers'Compensation Laws. ADDRESS CONS ZONE Dafel1^4-�8 C Applicant Rowa r d L . R a n d o 1 Go CI ZIP STATIS ICAL CLASSIFICATION APT. CONDO. V NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT R TEL. 18x1 ENGINEER NO. CLASS NO.�_DWELL. UNITS ®- Exemption, you should become subject to the Workers' #A Compensation provisions of the Labor Code, you must forth- .ADDRESS :9SEWER MAP with comply with such provisions or this permit shall be deemed revoked. CONTRACTORH o W a r d L .Rand 01 %-p. 288-40' BK. PG, �� VALIDATION LICENSED CONTRACTORS DECLARATIONLIC.. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS. 5 29 'E.V a 11 a B-1 . NO186 086 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC % Professions Code, and my license is in full force and effect. CITY San Oahripl CLASS - $ SQ. FT. NO.OF NO.OF CHECK License Number =186Q86 —Lic.Closs-C __ SIZE STORIES FAMILIES ONE $ DESCRIPTION OF WORK Re-roof a r a NEW ❑ ConfractorHoward I- �Da v,�.v�te r�+o'I•'I � Q Q LlElI am exempt from the licensing requirements as I am a ADD licensed architect or a registered professional engineer /, ALTER E] FINAL , �;• acting in my professional capacity (Section 7051, REPAIR DATE L Business and Professions Code). USE OF EMOL FINAL =� EXISTING BLDG. ❑ By Lic.or Reg.No. Date APPLICANT TEL. OWNER-BUILDER DECLARATION (PRIN I hereby affirm that I am exempt from the Contractor's License 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. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- i tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. �J O O,3 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT # 0 0 0 0 0 1 the performance of the work for which this permit is issued P.L, (Sec. 3097, Civ. C.). SIDE 2 0 - 2200 P.Lo Lender's'Name o 0 0220006 P.C. Fee$ Permit Fee $1.5.00 _ Lender's Address j 1, 10-80 I certify that I have read this application and state that the Issuance Fee :7 .00 above information is correct. 1 agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee $2-2.00 and hereby u rize representative of this County to enter. upon t 'oned pr a or inspection purposes. = SEE REVERSE FOR EXPLANATORY LANGUAGE 0 Sign re of Applicant r Agent Dote I ®s WORKERS' COMPENSATION DECLARATION 'hereby affirm that I have certificate of consent to self APPLICATION FOR WILDING P E RM I T ir4ur a certificate of Workers re, o ' Compensation Insurance, Ar a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY PallicC 0.6�3�0/ Company�O��IW 15 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING RE55 7 RZ 0/_I AlS77 ❑ Certified copy is filed with the county building inspec- BUILDING �1 tion dde�partttment. ADDRESS / L -S7--,.. Date fo?3' 90 Applicant C&V 4 4 CITY ZIP �J ' LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FRO WORKERS' SIZE OF LOT NOW ON LOT 'CROSS ST. COMPENSATION INSURANCE Y ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) OWNER NO USE ZONE MAP 1 certify that in the performance of the work for which this �/p NO. permit is issued, I shall not employ any person in any manner ADDRESS L I� CONDITIONS a so as to become subject to the Workers'Compensation Laws. �, O CITY ell ZIP `' U Date Applicant ARCHITECT OR TEL. • DISTRICT GROUP TYPE FIRE PROCESSED BY W NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. Z NE 0 Exemption, you should become subject to the Workers' Q �G ww Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. CONTRACTOR t& NO. 7_d Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS j NO� lq /7 ;sRA (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY �O,S& 4 CLASS C3 BK PG VALIDATION SQ. FT, Q NO. OF NO.OF CHECK License Number �loT:` Lic. Class G Ra SIZE STORIES FAMILIES ONE w�� VALUATION Contractor e�l�,4nW_e--Z Date 1a J -96 DESCRIPTION OF WORK NEW ❑ s -316100 ❑I am exempt under Sec. ADD ❑ ALTER ❑ " polo B.BP.C. for this reason �7 h REPAIR $ /Date: USE OF ` EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL• FINAL WNE DER DECLARATION (PRINT) (J OG NO. —O66 DATE Z--Z —q, I hereby affirmthat I exempt from the Contractor's License „ADDRESS �/ C Law for the following reason (Section 7031.5, Business and FINAL t Professions Code): PRESENT ;; ByBUILDy ❑ I, as owner of the property, or m employees with ADDRESS (sz P P Y� Y 'ADDRESS wages as their sole compensation,will do the work and -*?;'7 the structure is not intended or offered for sale(Section LOCALITY R__ �, a=e:'- 7044, Business and Professions Code.) MOVING TEL. E] 1, NO.I, as owner of the property,am exclusively contracting –b with licensed contractors to construct the project (Sec- TOTAL 43- � 00 tion 7044, Business and Professions Code.) ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. {kEE CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT o' CHIME the performance of the work for which this permit is issued P•L• (Sec. 3097, Civ. C.). SIDE' P.L. Lender's Name i 41:1 i i;! ii! / LDMA Ref. # Lender's Address P.C. Fee$ Permit Fee �O – =i i:.i AN!J ' I certify that I have read this application and state that the Issuance Fee LDMA P/C# ' Investigation Fee _ above information is correct. I agree to comply with all County 9 ordinances and State laws relating to building construction, Total Fee If LDMA Perm. # and hereby author• a representatives of this County to enter t up n e above- a tioned pr perty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE S' ure of Applicant or Agent Date