HomeMy Public PortalAbout9869 OLIVE ST_Building__ 4DPRTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
N COUNTY OF LOS ANGELES. .0 B L ING
WM.'J. FOX, CHIEF ENGINEER erg
FOR APPLICANT TO FILL IN FOR OFFICE USE _ONLY
DISTRICT NO. PLAN CK. NO PERMIT NO.
FST
G
S /
Y � RECEIVED BY, DATE OF APPL. - DATE ISSUED
e A
T, � �.- f.Efbi m BUILDING
ADDRESS
OWNER ( j �Q -;rJ s'f� '-
MAIL :•LOCALITY
ADDRESS �j NEAREST
�— TEL CROSS ST. C ,// l --
CITY / T r NO. ZFIRE ONE ,i�'l//��VVAO%PI1 S r,�I�TYPE 1' -� GROUP"
ARCHITECT OR TEL.
ENGINEER �,;5-1vt_A� NO. BLDG. /. . ORD NO./`
SETBACK LINE IT'fi-
ADDRESS -APPROVED
EL. BY DATE
CONTRACTOR �. O. ,USE �I• APPROVED
r,, ZONE A BY DATE
ADDRESS �i ��vHOUSE NUMBERING
LEGAL I '�
DESCRIPTION�1 LOT NO. I _ 7 BLOCK •e` MAP NUMBER FIELD CHECK"BY
_ TRACT �'� ,/ 3 6 L E)6o-II�,I d Z)P I'l 2,'
,� NO. ASSIGNED BY-------•- DATE
NO. OF BL-DGS. CORRECTIONS
SIZE OF LOT Q �_q I NOW ON LOT
USE ^� r .sPbA G� NO. OF
EXISTING BLDG. {A , ,� _O.�t J J FAMLINS /
DESCRIPTION OF WORE
NEW I ALTERATION I I ADDITION
REPAIR I I DEMOLITION I I I 0
0
SQ. FT. NO. OF z
SIZE ROOMS STORIES / Z
_ a
EXT. WALL �y ROOF r
COVERING ' _'1 I COVERING e
USE OF STRUCTURE '
- - - ,4 L Tr—P? �. 1J
_Pb Q C 4' ._F?�) �'7/A K F- Do
PLI
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.
.1 AGREE TO COMPLY WITH THE CORRECTIONS' LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS /��/ `'a
LAWS REGULATING BUILDING CONS �UCTI � FURNACE: LOCATION,
SIGNATURE OF
L/ter/y �j I` GAS VENT, DUCTS j
PERMITTE
E
LATH, INT.'
5 Y,
ADDREB _
AUTHORIZED AGT. + J a4 /�7 4 /-/ LlL�fi'L1lV .�AIA LATH, EXT.
�•
PLASTER, INT.
76ASSOA•VB83 10-50• $ P. C. $ ,'
FEE / PLASTER,-EXT. ,
VALUATION , FEE �- fJ FILIAL.
WORKERS' COMPENSATION DECLARATION I I
hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING P E RM I T
insure, or a certificate of Workers' Compensation Insurance,
or a certified co thereof(Sec. 3800, Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
047�y 6-9,OState Fund
Policy o. Company
BUILDING IO /,,
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS i LJ�Gv �6G
® Certified copy is filed with the county building inspec- BUILDING
tion department. . ADDRESS 9899Olive Street
Date4-10=91Applicant American Builders CITY Temple .City Zip 91780 LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE O�LOT. 85M113. 7 5 NOW ON LOT 1 NEAREST
COMPENSATION INSURANCE CROSS ST.
ASSESSOR
(This section need not be completed if the permit is fdr one TRACT BLOCK LOT NO. MAP BOOK, �iJ�� AG40—e ARCEL O�OLI)
hundred dollars ($100)or less.) TEL.
OWNER Richard Lilley —No 575-1535 USE ZONE MAP
I certify that in the-performance'of the work for which this SPE
permit is issued, I shall not employ an person in an manner ADDRESS-11353 E. ROckf ield Drive SPECIAL
p p y Y p y CONDITIONS �
so as to become subject to the Workers'Compensation Laws. O
CITY Arcadia Zip 91006 to
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O:
NOTICE TO APPLICANT: If, after making -this Certificate of ENGINEER NO. CONST. ZONE 0
Exemption, you should become subject to the.Workers' V
Compensation provisions of the Labor Code, you must forth- ADDRESS !O� V a-
with- comply with. such provisions or this permit shall beICAN BUILDERS TEL STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked. CO No.287-9744 :,- Z
LICENSED CONTRACTORS DECLARATION a2C Lower Azusa Rd LIC. CLASS NO. DWELL. UNITS =
I hereby affirm that I am licensed under provisions of Chapter 9D� SS No.104325 I -
LIC. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business clTyEl Monte cL,4ss B-1
and Professions.Code,and my license is in full force and effect. gK PG. 3'=,1t 1VALIDATION 354.2
f
SQ. FT./ NO: OF NO. OF CHECK
License Number 104125 Lic Class B-1 SIZE- to STORIES FAMILIES ONE i TjTl;
VALUATION
cantra�torAmerican BuilUws 4-1-0-91 DESCRIPTION OF WORK2rid Story — TWO NEW ❑ _ 4„ lf/ —0 ®� TOTAL'
354� 2
❑I am exempt under Sec. Bedroom, Bath + Den ADD ® ► CHECK 354._1"
ALTER ❑ 000. i;ifa � .i+�)
BAP.C. for this reason REPAIR ❑
Date:' USE OF
EXISTING BLDG.Dwell ing DEMOL ❑
Y Signature APPLICANT L i jell Jlj—f jl�fj �,;f'�i
Don E. ER-BUIL �Crl , afield (PRINT)American Builder�,287-9744 FINAL
I hereby affirm'that I am exempt from the C ntractor's License ower Zusa r ori. a DATE r 2 i =c7•
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Professions Code): PRESENT. .. By
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 . re-
7044,
Business grid Professions Code.) � MOVING TEL. r
El1;as owner of,the property,am exclusively contracting CONTRACTOR NO. y4 I
with licensed contractors to construct the project.(Sec-
tion 7044, Business and Professions Code.) . ADDRESS I V,
REQUIRED TOTAL SETBACK FROM EXIST. 1
CONSTRUCTION LENDING.AGENCY SET BACK YARD HWY PROP. LINE WIDTH ((
I hereby affirm that there is a construction fending agency for FRONT
the performance of the work for which this permit is issued P.L.'.
(Sec. 3097, Civ. C.).. SIDE
P.L.
Lenders Name
° LDMA Ref. #
P.C..Fee S. . Permit Fee
Lenders Address
° I certify that I have read this application and state that the �U' / Issuance Fee LDAA P/C#
'- above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee LDMA Perm. #
= an ere authorize representatives of this County to enter
u n he a ove-meFs-olpooi pro ty for ins ection purposes.
I
° �( 4-10-91. SEE REVERSE FOR EXPLANATORY LANGUAGE
�` ignature'of ppli hror 4ge Date
Don E. Na tf i e ld a American Builders-
ti. •' ' ,•COUNTY OF LOS ANGELES TEMPLE*CITY r # 0508 `> �`' BUILDING PERMIT
-DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP
• , BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9608280021
PHONE: (818) 285-0488 EXT:
GAL ID: NO. OF CONST -NEW BUILDING ADD ESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9869 OLIVE ST
STRUCTURE: 360 2 V R3 TEMP CA 917803256
ASSESSOR INFORMATIO NUMBER: GARAGE: NEAREST CROSS STREET: CAMBURY
8588-020-010 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/02/96 TC 08/28/97
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT i FINAL BY: CODE:
CHUCK GERALD E;MARY JEAN FERRANTI (818) 287-5003- 1 26,600
9869 OLIVE ST
TEMP 917803256 FEES PAID ESCRIPTIO WOR
2ND. STORY DROOM/BATH 360 SQ FT
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. O:
ALL AMERICAN CONSTRUCTION (213) 268-1921- AA BLDG PERMIT ISSUANCE 27.75
2411 S. ATLANTIC BL. AC STRONG NOTION RES 26600.00 VAL 2.66 SPECIAL CONDITIONS:
LOS ANGELES, CA B2 PERMIT W/E�RGY C'2$600.00 VAL 547.14
���TOTAB FMA 577.55
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
ALL AMERICAN CONSTRUCTION (213) 268-1921-
2411 S. ATLANTIC BLVD. LIC. NO LOCATION AND SETBACKS
LOS ANGELES CA 90046 227387 B-1
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: - L,y+ ' r �+ ¢`� 1, ��� FOUNDATION/TRENCH FORMS
LIC. NO: J j SLAB/UNDER FLOOR
RA%D R IN
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE:
CMP
01� + �I- ` ��� �V��I/(J -1��-�, UNDERFLOOR INSULATION
�- ST LEVEL-FLOOR W7p q�
0. 0F FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: sID
NO 21 = �:��`, � +r } �1 ;nj F /�/ at_- ZND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ®'a �`�����f ❑ G
:=,fir �� ROOF S EAT I
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO s;_ •. -�__y'/'- +� FIRE DEPT. FRAME INSPECT "
EQUIRED TOTAL SETBACK FROM EXIST rn� BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: (
FRONT PL- Y SHEAR PANELS
SIDE PL-
vice
INSULA IO /WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS05O8