HomeMy Public PortalAbout9806 OLIVE ST_Building__ '. Lx
76A538A CE #80312/69 v
APPLICATION FOR BUILDING PERMI�/ �
COUNTY OF LOS ANGELES ASSESSOR +
DEPARTMENT OF COUNTY ENGINEER MAP BOOK _�T"- PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
DRESS ! J,
JOHN A. LAMBIE, COUNTY ENGINEER _ ' "
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe onl CROSS ST.
BUILDING DISTRICT�NO, GROUP TYPE 1 PROSES ED BY
`}/� ( CONST, t/ �/ ,(S
ADDRESSjy , empp r _- F fr `'"• `
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO / BLOCK
TRACT �J
BK L PG.
\ f USE ZONE MAP
NO.OF BLDGS. / NO.
SIZE OF LOT NOW ON LOT f SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
OWNER
Btlohlayek
TEL.NO' BLDG.SETBACK FROM
ADDRESS 8 6 FRONT PROP.LINE OF (STREET)
CITY Temple City, Cal �f HI HWAYTYPE OF EWIDTH
DTIHG FROMAC.L, HIGHWAY YARD = TOTAL
ARCHITECT OR TEL. + —_
ENGINEER NO. BLDG.SETBAOMF_ROM
ADDRESS SIDE PROP.LINED (STREET)
TYPE OF 11 SETBACK�'CONTRACTOR d TOL.288-4041)HI HWAYEWIDTIHG FROMC.L, GHWAY + YARD = TOTAL
ADDRESSIOC' + _
CITY San G a b r t e 1 CLASS C-39 CORNER CUTOFF YES ❑ NO
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
L
e
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE Re-roof wl . & Gar
ALTER ❑
with G Comp .
SIGNATURE OF REPAIR
APPLICANT DEMOL
VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE
EES FEES 9 .00 rOFORMs I MATERIIA SION
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I 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. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PE 3'6'111 IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THF TAT F LIF RNI INA RELATING TO
WORKMEN'S COMP A ON R NICE. LATH, EXT.
SIGNATURE OF `� /�� HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS 594 F 11ai 1 ey B1yd , SanGah FINAL �
JOHN F. LEWIS. PRACIPAL
PLAN CHECK VALIDATION CK. M 0. CASH _ PERMIT VALIDATION,, "U
1, c�K - RM 0 AL EN CASH
GIIER
Ar„7 o 5 o 9 OCT 5 1D 9.0 0 N Q
APPLICATION FOR COUNTY OF LOS ANGELESOF COUNTY
!/
S U I LD I N G PERMIT DEPARTMENT BUILDING AND SAFETY DY SION ENGINEER
BUILDING
FOR APPLICANT TO FILL IN ADDRESS [/� ee
PHE
NG z
SS Al. /�J p/� LOCALITYNEAREST
ZIP ! /O`� CROSS ST. �y
NO.OF BLDGS. ASSESSOR
LOT NOW ON LOT MAP BOOK PAGE PARCEL
••�� DISTRICT GROUP TYPE FIRE/d0 BLOCK LOT NO. Q�� r1pCONSR / o�v�L NO, o7,W 517STATISTICAL CLASSIFICATION SEWE AP
SS 6/iC/ EC1 CLASS NO.�DWELL.UNITS `BK3 PG
Cr( ZIP 70 ONENMIA
OPE OR TEL. SPECIAL
ER NO. JJJ��` CONDTIONS
SS ROA�EPARTMENT APPROVAL REQUIRED YES❑ NOTEL.ACTOR NO.�� - S ' B DG.SETBACK FROM
/1 /_/ F�ONT'PROP.LINE OF ISTREETI
ADDRESS 6 pI /(� NOdt 4ag yIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
/fin_/ �/, 1 FRONT PROP.LINE HIGHWAY WIDTH
CITY 6114 CLASS _
CONSTRUCTION LENDER +
NAME AND BRANCH p�� � BLDG.S�TB�CIC FROM O
U
ADDRESS �� �O�CITY /C. '/'• SIDE PROP.LiP�EUE (STREET) 0
SQ.FT. , NO.OF NO.OF CHECK HIGHWAY + YARD = _mT`AL-SEFBA ROM TYPE OF EXISTING
SIZE SIDE PROP.LIN HIGHWAY WIDTH
�o1D STORIES FAMILIES � ONE N
DESCRIPTION OF WORK NEW ❑ + _ \ Z
ADD ❑ CORNER CUTOFF YES ❑ NO ❑
ALTER` IN OPEN SPACE YES ❑ 'NO
REPAIR ❑ ❑
USE OF - IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. rj/(; DEMOL ❑
APPLICANT TEL (G; yy (�•)
(PRINT) NO.O�9f5'r� ►/ S .l`"/ las�S- QC�N�i
BY(SIGNATURE)
I HEREBY ACK N L GE THAT I HAVE READ APPLICATION AND STATE �+
THAT THE ABOVE I RECT AND AGREE TO CO LY WITH ALL ORDINANCES
AND LAWS REGULATI G BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE S OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE
ti
SIGNATURE OF FINAL A/of 71 B
PERMITTEE DACE /
ADDRESS 0� -1
CITY NO. ,o� P.C.F e$ Permit Fee
• Issuance Fee
VALUATION$ � .�
Total Fee S c 7,_
PLAILZCHCK�Ui4L A. 16N�'t;�cgPE'cicP�'lu�!�r cc sH 33 0 PERMIT VALIDATION CK. M.O. CASH
P0LfCY HOLDER:
27 l JAN 25 1 0 ,7 5
r
• ` J� APPLICATION FOR BUILDING PERMIT
�L
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI Wss � �
I hereby affirm that I have a certificate of consent to self insure, BUIL I AD ESS , (v
or a certificate of Workers'Compensation Insurance,or a certified' G�141.- 6,
copy thereof(Sec.3800,Lab.C.)
Igga �� LOCALITY
Policy No. Company
SIZE OF OT NO.OF BLDGS.NOW ON LOT LA C) '-
Certified copy is hereby furnished.
NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
USE ZONE MAP NO.
department.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER EL NO'.,G q
COMPENSATION INSURANCE L� ���• Y�I'�/ WITHIN 1000 FT.OF SCHOOL? YES No
(This section need not be completed if the permit is for one hundred ADR SS
�� �� d�/�� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.)
I certify that in the performance of the work for which this permit
Tera • e CITY ZIPS g17ev
is issued, I shall not employ any person in any manner so as to
become subject to the Workers'Compensation Laws. ARCHITECT OR ENG EER TEL NO.
STATISTICALCLA SIFICATION APT CONDO
Date Applicant ADDRESS CLASS I.C. I DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith �i ret:p*/g FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS UC.NO. PL
LICENSED CONTRACTORS DECLARATION SIDE
CITY LIC.CLASS PL
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO,OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. NEW ElBK. PG iL
License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION pool. O
Contractor Date ALTER $ UU U
❑ I am exempt under Sec. w REPAIR ❑ $ U
BAP.C.for this reason DEMOL 11LDMAP/C# b
Date: USE OF EXISTING BLDG. URM ❑ IL
ns Signature APPLICANT(PRINT) TEL NO. LDMA Perm# y . •- y z
I, as owner of the property, or my employees with wages as Z
their sole compensation, will do the work and the structure is ADDRESS 0 ;_
not intended or offered for sale (Section 7044, Business and FINAL DATEoom
1 a _
o - r
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL '` `�"
❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE a i i' q��-3 = „-u
y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B r > �• L 0
licensed contractors to construct the project (Section 7044,
Business and Professions Code.) YES 11 No❑ c
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUIE.LDING _ • ��3
OCCUPANT REQUIRE A PERMIT FROM THE
COAST AIR QUAUTY MANA EMENTRDISTRICT CONSTRUCTION
EEDIFICATION PERMITTING C ECKLISTOUTH FOR ] «i�L '•'!�
CONSTRUCTION LENDING AGENCY GUIDELINES _
I hereby affirm that there is a construction lending agency for YES❑ NO❑
a the performance Of the Work for which this permit IS Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING `'� I '• 7 "
3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
TITLE 2,CHAPTER 2.20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS I
3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. { i
o Lender's Address
O OWNER OR AGENT
o I certify that I have read this application and state under penalty
4 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE �,
$ with all county ordinances an State laws relating to building 9 0
construction, and hereby a n a representatives of this County ISSUANCE FEECO //
ato enter upon the bo �n�jp party for inspection rpos s. (p--
n (� INVESTIGATION FEE TOTAL FEE "o�� O
iWN N "'a /
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY # 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 0710170057
PHONE: (626) 285-0488 EXT:
LEGAL ID: I NO. OF CONST NEW BUILDING ADDRESS: I
JTR: 12830 LT. 1 BL: .001 1 SQ. FT STORIES TYPE OCCUP GROUP 9806 OLIVE ST
STRUCTURE: 786 1 VN R3 I TEMP CA 917803236
ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET: GOLDEN WEST
18589-004-002 1 OTHER: 218 1 VN Ul 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
1TENANT: liXIST BLDG USE: USE ZONE: JISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 104/28/08 SR 10/25/08 1
OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: DFIN Y: CODE:
ILAI, THEODORE/TRANG (626) 614-9519- 1 110,000
19806 OLIVE ST I fIlDSCRLIPTTIN
jI
TEMP 917803236 I FEES PAID OF WORK
JADD DEN, FAMILY ROOM, KITCHEN, 1 BA, RELOCATE 1 BA & ADD TO
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I (E) BEDROOMS 786.25 S.F.ALSO ADD NEW 180 S.F. OPEN PORCH TO
APPLICANT: TEL. NO: I I I
IDORAZIO RLD & ASSOCIATES (626) 447-7419- IBI PLANCHECK W/ENERGY 105670.00 VAL 1,242.05 I 1
16710 BRRNTMEAD AVE IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: I
[ARCADIA, CA 91006 IAC STRONG MOTION RESID 110000.00 VAL 11.00 I 1
JB2 PERMIT W/ENERGY 110000.00 VAL 1,490.28 1 r n
J J TOTAL FEES 2,771.08 1 I
ICONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE I
JHELP U BUILD INC. (818) 207-1692- I I
113133 SATICOY STREET. LIC. NO I ]LOCATION AND SETBACKS �(( I /. ]
INO HOLLYWOOD, CA 907389 I 1 -` I I
I ] ISOILS ENGINEER APPROVAL I ] I
JARCHITECT OR ENGINEER: TEL. NO: ] JFOUNDATION/TRENCH FORMS J II
JDORAZIO RLD AND ASSOCIATES (626) 447-7419- I 1fl/—I— —44
I I
16710 BRENTMEAD AVENUE LIC. NO:1I JSLAB/UNDER FLOOR ARCADIA, CA 91006 C26610 1 I I
IRAISED FLOOR FRAMING I
I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP-1 / JUNDERFLOOR INSULATION I I I
1 3 oil 11ST LEVEL FLOOR SHEATH I I 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
1 NO 21 1 {\ �4 ! r +!�` ` Y'-`fr� El. k12ND LEVEL FLOOR SHEATH ]
SCHOOL WITHIN HAZARDOUS I cI /`J ( ff I ROOF SHEATHING /\ L I r
JAIR QUALITY: 1000 FEET MATERIALS J I �/� I I
NO NO NO J IFIRE DEPT. FRAME INSPECT I 1
IREQUIRED TOTAL SETBACK FROM EXIST I JBLDG DEPT. FRAME INSPECT)
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I 1 1. I j
1 FRONT PL- I ISHEAR PANELS
SIDE PL- I I I I
J JINSULATION/WEATHER STRIPI I I
J JINTE;RIOR LATH/DRYWALL ] J I
I � I
1 1 18XTERIOR LATH 1j
1 I ILOT DRAINAGElL
I I
1 ISMOKE DETECTION DEVICES J I I
I JFIRE DEPARTMENT APPROVALI ] I
J* ADDITIONAL DATA ON FILE
I I I I
I
I I
]REPORT ID: DPR261 ROUTE TO: HS0508 I ] J I
I I I I I