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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