HomeMy Public PortalAbout9837 OLIVE ST_Building__ i
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES �[� � a L D
WM. J. FOX, CHIEF ENGINEER lam/
c. _ .. ... ..,;
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
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`� DISTRICT NO. PLANCK. NO. PERMIT NO.
ADDREBUILDISS �/ (O
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13
LOCALITY 6m• PLf— d,/'7— REC TD BY DATE OF APPL. DATE ISSUED
s NEAREST � 9 � �/ _ Y s/
CROSS ST. /� -D � fZ BUILDING
�L � �
MAIL ' ADDRESS
OWNER �n �/ LOCALITY
ADDRESS 01,1 a, Y NEAREST 7
TEL. Q e� CROSS ST. W l A v
CITY 70-4?PLS C T NO.AP P�eo'.q . FIRE I NO. OF J TYPE I GROUP
ARCHITECT OR TEL. ZONE PLANS �I
ENGINEER NO. BLDG. Gy � / /y .pRD. NO.
SETBACK LINE
ADDRESS APPROVED
/p �2�A/�TEL./b� y BY DATE
CONTRACTOR0, / y�pU g_NO'�J y /�f' ZONE/4"/ BY DATE DATE
ADDRESS /3 PA'j.a/' 4 P& �C/i-1l` HOUSE NUMBERING
LEGALLOT NO.1� BLOCK MAP NUMBER
DESCRIPTION FIELD CHECK BY
f�� a
TRACT O�� ! NO. ASSIGNED BY DATE
I NO. OF BLDGS. CORRECTIONS
SIZE OF LOT NOW ON LOT
USE OF IT , q I NO. OF
EXISTING BLDG. ,& riT FAMILIES
DES RIPTION OF WORK
s'
NEW I ALTERATION I I ADDITION
�'. REPAIR I I DEMgLITION I I
O
S ZE ROOMS STORIES / D
EXT WALL '0F
a COVERING S��S I COVERIN l.UAJ I tyVA1 r
USE OF STRUCTU E
ly(21
/y
V (/
APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-' FOUNDATION: LOCATION
" PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
I AGREE TO COMP Y WITH THE CO C IONS LISTED i FRAME: FIRE STOPS,
° HEREON AND WITH COUNTY RDI NC S AND ST E BRACING, BOLTS
LAWS REGULATING ILDIN ST CT v
FURNACE: LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERMITTE
LATH, INT.
�ADDRESS
LATH, EXT.
AUTHORIZED AGT.
i /0 PLASTER, INT.
''. 76A698A•DHSS 10-80 CJ P. C. $
® C� QQ FEE — PLASTER, EXT.
VALUATION /' $ 6
FEE /�� FINALG� �i /S�✓1
DEPARTMENT OF COUNTi MUM=
DIVISION OF BUILDING AND SAFETY 0
COUNTY OF LOS ANGE M
WILLIAM J. FOX, COUNTY ENGINEER 1 APPLICATION u
CASSATT D. GRIFFIN. SUPT OF BUILDING 1
FOR APPLICANT TO FILL IIsi FOR OFFICE USE ONLY
BUILDING `' DISTRIC O. PLAN CK.on Rice.No. PER IT NO
ADDRESS �®
LOCALITY ;VIVED BY DATE OFAPPL. ICDA E UED
NEAREST y!'GI 1(/
CROSS IT
BUILDI ,
OWNED ADDRESS
MAIL LOCALITY
ADDRESSrv)
. �^ I NEAREST
TEL
CROSS ST.
ENGINEER TEL ZONE I FIRE PLANS I � I GRO ;
ENGINEER �' NO.
ADDRESS �— BLDG. / NO.
SETBACK LINE .0 /`°
CONTRACTOR �- NOL. USE APPROVED.
ZONE i/ BY DATE
ADDRESS I HOUSE NUMBERING
LEGAL MAP NUMBER NO.ASSIGNED BY
DESCRIPTION LOT NO. BLOCK
TRACT W4 CORRECTIONS
NO.OF SLOGS.
SIZE OF LOT I NOW ON LOT ; _.� •31- , e!, _ _ _� �.+.
USE OFNO.OF
EXISTING BLDG. -� PAMILItt6
DESCRIPTION Of WORK
d �
NEW ALTERATION _I ADDITION
z
REPAIR DEMOLITION Ia.
SQ. FT. NO.OF
/
SIZE . ROOMS STORIES-
ENT.WALL
"OF
COVERING VERING
USE OF STRUCTURE
�PPROv
INSPECTOR S SIGNATURE DAXIE
FOUNDATION:LOCATION
FORMS..MATERIALS !/••'C _� S
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-� FRAME: FIRE STOPS.
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. FURNACE: LOCATION.
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT: DUCTS
AND STATE LAWS REGULATING BUILDING CONSTRUCTIO .; '.
LATH, INT.
SIPERMITTR F�GATUEtPJs,^iQ� l//.
�a� r3�..;�.
• p"T� LATH. EXT.
ADDRESS ���--•�� •�
PLASTER. INT.
AUTHORIZED AUT.
PLASTER. EXT.
$ FEE S
HOU86 NUMBER COR-
®�®oma, I RECT AND POSTED
VALUATION Z FEE. S FINAL
76AGSSA D283 8-52 _ 1
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
W, AKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIADDR SS
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS
or a certificate of Workers'Compensation Insurance,or a certified 9837. OLIVE ST.
copy thereof(Sec.3800,Lab.C.)
Policy No. 1046140 Company STATE FUND TEMPLE TY ZIP
TEMPLE CITY 91780 Lou JJ
SIZE OF LOT NO.OF BLDGS NOW ON LOT ' GU f
❑ Certified Copy is hereby furnished. NEAREST CROSS ST.
EXCertified copy is filed with the county building inspection TRACT BLOCK LOT NO.
USE ZONE MAP NO.
department.
Date 11-1-95 Applicant RANDOL ROOFING ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. YES NO
COMPENSATION INSURANCE .TAMES E. LIGHTF.00T WITHIN 1000 FT.OF SCHOOL? YE
(This section need not be completed if the permit is for one hundred ADDRESS
�
83 OLIVE ST. DISTRICT GROUP TYCONST. FIRE ZONE ROGESSED BY
dollars($100)or less.) y person in any manner so as to ZI91780
I certify that in the performance of the work for which this permit CITY P J
is issued, I shall not employan TEMPLE CITY
ARCHITECT OR ENGINEER TEL NO. �• v� - � '` ��L���
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO.. DWELL UNITS
NOTICE TO APPLICANT If, after making this Certificate of REQUIRED' TOTAL SETBACK FROM EXIST
Exemption, you Should become Subject t0 the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith RANDOL ROOFING 288-4040 FROM
comply with such provisions or this permit shall be deemed revoked. ADDRESS UC.NO. PL
LICENSED CONTRACTORS DECLARATION 529 E. VALLEY BLVD. 4519,37 SIDE
CITY LIC.CLASS P L
I hereby affirm that I am licensed underprovisions of Chapter 9r_qq SEWER MAP }
(commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. NEW ❑ BK PG v
License Number 451937 ' LIC.Class C-39. DESCRIPTION OF WORK ADD ❑ VALUATION
Contractor RANDOL ROOK N to : ?! 1.-31-96 REROOF HOUSE ALTER& GARAGE WITH $ 3,'000.00
❑ u�
❑ I am exempt under sec. .25—YEAR CLASS A FIBERGLAS REPAIR $ z
B.BP.C.for this reason SHINGLES. TEAR OFF ONE LAYER DEMOL ❑ LDMA P/C#
Date: USE OF EXISTING BLDG. URM ❑ ` (-T g ,f-+. .r
t�a3 t35
Signature APPLICANT(PRINT.) TEL NO. LDMA Perm# ?'r
i
1:1I,.as owner of the property, or my employees with wages as 'RANDOT, R00FTNG 1 288-4040 . �ZO i{;; i ±s
42 �_J �5
their sole compensation, will do the work and the structure is S
not intended or offered for sale (Section 7044, Business and . VALLEY, SAN GABRIEL, CA 91776 FINAL DATEa s" I+ 1. N. ,
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /+++ gr -.
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J L•I"A!GIE
❑ I, eS owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY
licensed contractors to construct the project (Section 7044, YES❑ NO❑
Business and Professions Code.) _
WILL THE INTENDED USE'OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDINGY .i li+-' '?
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH .•'I• UU -I'�;I•I• L. J•1=/ + -
CONSTRUCTION LENDING AGENCY Gu6OA uAR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ty<+ a
i m;
I hereby affirm that there is a construction lending agency for -YES❑ NO❑
W the performance Of the Work for which this permit IS ISSUed(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
CM 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
iLender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD.
o Lender's Address
OWNER OR AGENT
c I certify that I have read this application and state under penalty
of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE
N with all county o C and State laws relating to building 94.95
CO
construction an uthodze r re ntatives of this County I§SUANCE FEE
ato enter up th ntio ed p for inspect' purp4� s 26.40
m ��(r INVESTIGATION FEE TOTAL FEE
n sy+ut.+..m oma
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 0602170049
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9837 OLIVE ST
STRUCTURE: 3249 1 VN R3 TEMP CA 917803256
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GOLDEN WEST
8588-020-017 OTHER: 563 1 VN U1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/08/06 JK 08/03/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION- FINAL DATE Ix", PI-11 BY: CODE:
MACCHIA, FRANK (626) 309-0547- 330,800
9108 BROADWAY L-di yJ L II 1101- ,
TEMP 917803256 FEES PAID DESCRIPTION OF WORK
ADD:4BR/28A (2).SBA KITCHEN, FMLY RM, 3249 S.F. REMODEL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EXISTING HOUSE 1263 S.F. COVER PATIO 563 S.F.
APPLICANT: TEL. NO:
MACCHIA (626) 309-0547- B1 PLANCRECK W/ENERGY 330800.00 VAL 2,630.53
9108 BROADWAY AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
TEMPLE CITY CA 91780 AC STRONG MOTION RESID 330800.00 VAL 33.08
B2 PERMIT W/ENERGY 330800.00 VAL 3,094.74
TOTAL FEES 5,786.10
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MACCHIA, FRANK (626) 309-0547-
9108 BROADWAY LIC. NO LOCATION AND SETBACKS
TEMPLE CITY, CA 91780 NONE
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
ALVAREZ DESIGN STUDIOS, INC. (562) 861-3883-
10927 DOWNEY AVE #D LIC. NO: SLAB iDER FLOOR
DOWNEY,CA 90241 NONE
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
IST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT _
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRI
i
INTERIOR LATH/DRYWALL l
1 ��•� EXTERIOR LATH � n
LOT DRAINAGE i
VV SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
• 'COUNT-Z7 OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0602170050
PHONE: (626) 285-0488 ERT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9837 OLIVE ST
STRUCTURE: 0 1 VN R3 TEMP CA 917803256
ASSESSOR INFORMATION NUMBER: GARAGE: 832 1 VN US NEAREST CROSS STREET: GOLDEN WEST
8588-020-017 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
TENANT; EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/08/06 JK 08/03/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEF�Q. 1
MF7N�1HY: CODE:
9P1a008
8, 8ROADRWAANYK (626) 309-0547- 24,627 \ pq��11l�11 !I
TEMP 917803256 FEES PAID DESCRIPTION- F 0 ` —
BUILD DETACHED 3 CAR GARAGE
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
APPLICANT: TEL. NO:
MACCHIA (626) 309-0547- D1 PLANCHECK W/O EN-HC 24627.00 VAL 398.31
9108 BROADWAY AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
TEMPLE CITY CA 91780 AC STRONG MOTION REBID 24627.00 VAL 2.46
D2 PERMIT W/0 EN-HC 24627.00 VAL 468.60
TOTAL FEES 897.12
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MACCHIA, FRANK (626) 309-0547-
9108 BROADWAY LIC. NO LOCATION AND SETBACKS
TEMPLE CITY, CA 91780 NONE
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCR FORMS
ALVAREZ DESIGN STUDIOS, INC. (562) 861-3883-
10927 DOWNEY AVE #D LIC. NO: SLAB UNDER FLOOR
DOWNEY,CA 90241 NONE
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
IST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING r
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
f` - INSULATION WEATHER STRI
aim INTERIOR LATH/DRYWALL
I �( lll��_ EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508