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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