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HomeMy Public PortalAbout9915 OLIVE ST_Building__ MFOLICATION FOR RELOCATION BUILDING PERMIT 1 fox cr svanm xm R�r _�_' ��spo^:ml_eB�t od Ci00>sfbl�1. AUI DDU INS f 1 Dp.7E WM.J.FOX.COUNTY ENGINEER LOCALITY 12.34 CASSATT D.GRIFFIN.SuP•T OR Bu1Lo1NSNEAREST CROW ST. FOR APPLICANT TO F, IN DISTRICT N0. GROUP TYPE PROPOSED / BUILDING ADDR '� MAP - 1�do JIM Y �p r• � � , NUMBER l LOCALITY /bfs�s USE NE SPECIAL PRESENT CONDITIONS BUILDING ADDR LOCALITY �}, 9SETBLL/1CK YARD HWY STREET NAME EXIST. IIST. TH OWNER �+�i [LFR NTP. !� L. ADDRESS fit: • 'SIDE �1 g P.L. NO CITY b4 727 mumm towns iEe•D � MOVING TEL. EDND B �� �1•�n1��� �T / CONTRACTOR NO. CIN11 DATE EEC•o osrDEe a 'r�•• -r _ ADDRESS �Nv BUILDINGEL.1 NC ADDRESS SJ / DATE IN PE 'S SIGNATURE PRESENT FOUNDATION:LOCATION USE OF FORMS.MATERIALS O •••� �++M1 4 E• BUILDING FRANK:FIRE STOPS■ PROPOSED r BRACING BOLTS USE OF FURNACE:LOCATION BUILDING.- - OAS VENT DUCTS [r LATH INT. IZEI�� ROOM. STORIES + LATH MET. WALL RIN •• ROV RING • HOUSE NUMBER COW RECT AND POSTED t. _ 60 ESLCRIPTIONN+ �LOT NO.IA�SV'G ��� FINAL TRA OF /�R Q ® DIS"ORDINANCW NO.OF BLDGS. WORK COMPLETED y i1tE OF LOT J7�i' NOW ON LOT SRU�EBEODND IIxisTING BLDG. Ol" F�AMR1ts 1 HEREBY ACKNOWLEDGE THAT 1 HAVEr 1 HEREBY STATE T THE INRORM/�'ION GIVEN IS COR- APPLICATION AND STATE THAT THE ABOV RECT. AND AGREE TO COMPLY W�yITH ALL COUNT SIGNATURE OR AND STATE LAW SGULATING BUILDIN APPLICANTA TION. c' SIGNATURE OF r VALUATION S PERMITTEE ADDR FEE S WILLIAM J.FOX.COUNTY ENGINEER VALIDi1 T= BY' DEPUTY 4Y �� � �3_ 6 -10.0 0 1I1 AGO 9 p DEPUTY BY '+ BY r = m DETIJR� EPU� 'GAe9811 CE*SOS-.1.se APPLICATION FOR BUILDING PERMIT . BUILIXG-STD SAFETY DIVISION BUILDING /f Department of County Engineer ADDRESS- County of Los Angeles- LOCALITY ` JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. tfYV DISTRICT NO, GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN BK , PG BUILDINGG 5 O L [ VE dT, I ADDRESS /° �R C STATISTICA..LyyC''L��ASSIFICATION �A • G �� CLASS. NO.-DWELL. UNITS LIST NO. -47L BLOCK P., MAP STATE YES NO NUMBERL✓'8 HWY. •TRACT 4- USE ZNE SPECIAL NO.OF BLDGS. s /�j CONDITIONS SIZE OF LOT S s x 13 /y- . 1 NOW,ON LOT USE OF EXISTING-BLDG. BUILDING •EXIST. r SETBACK YARD HWY STREET NAME WIDTH OWNER CY• I ®�//���7 �/d FRONT �j� MAIL, �Jm C.! Y �' .�9 r P. L. t7(l Gam+ ADDRESS SIDE lot-1eG ,E C,rk/ NoAr/4';34 P. L. • clrY INSP CTION RECORD • ARCHITECT OR TEL, ENGINEER NO. ADDRESS TEL. CONTRACTOR NO. ADDRESS DESCRIPTION-OF WORK NEW • ADD • ALTER 1 REPAIR DEMOLISH S FT. LNO. OF NO.OF SIZE STORIES FAMILIES--'* USE OF STRUCTU APPROVALS SIGNATURE OF APPLICANT r • P- DATE INSPECTOR'S SIGNATURE ADDRESS I- o 40 FOUNDATION: LOCATION 11 FORMS, MATERIALS !l t ��,�9 P:C. S �� FRAME: FIRE STOPS, LI l�r ,T ^f�/��r'V� FEE s` � BRACING,BOLTS �. "'11 _IJ_ / FURNACE: LOCATION. VALUATION S �� GAS VENT, DUCTS. mj FEE I HEREBY•ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT: STATE LAWS REGU ING BUIL ING C NSTR TI N. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE ` e� RECT AND POSTED ED l ' 71• .C• FINAL IOHN A.LAMBIE,COUNTY ENGINEER; CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH .UIC 6,7 2°2.,'• APR .2 1 8.0-0 4a", WORKERS' COMPENSATION DECLARATION APPLICATION FOR BUILDING PERMIT reby'bffirm that I have a certificate of consent to self �e, or a certificate of Workers'Compensation Insurance,certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ..❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS /¢!lG' ❑ Certified copy is filed with the county building inspec- BUILDING me tion department. ADDRESS LIZ- S9 Date Applicant CIN OILZIP A Ow LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 56 S F NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR !vp (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK �as p Q PAGE 0/9 PARCELOA/ hundred dollars ($100)or less.) �` A OWNER {T USE ZONE MAP I certify that in the performance of the work for which this Q 1 NSPFO. permit is issued, I shall not employ any person in any manner ADDRESS 7 ` CONDITIONS 0 so as to become subject to the Workers'Compensation Laws. t V clrr zl 1 Date Applicant ARCHITECT O { TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER WV NO. CONST. ZONE t- Exemption, you should become subject to the Workers' Q /1 L , w Compensation provisions of the Labor Code, you must forth- ADDRESS TIMM QO `J V & r a with comply with such provisions or this permit shall be CONTRACTOR NO. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. — LICENSED CONTRACTORS DECLARATION 7. �J, IC. _ CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 'SCJ/w�' SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. ']� p� and Professions Code,and my license is in full force and effect. CITY CLASS BK.N/ PG, d VALIDATION SQ. FT NO.OF NO.OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ $ �� 7 �-a ❑I am exempt under Sec. rj f Cj ADD ► ALTER ❑ $ BAP.C. for this reason REPAIR ❑ Date: USE OF EXISTING BLDG. R£ DEMOL ❑ Signature APPLICANT(ICANT) UAW A NO �jj FINAL OWNER-BUILDER DECLARATION DATE .22'/� I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL ;? Professions Code): PRESENT By y I, as owner of theproperty, or m employees with BUILDING YADDRESS �!y0i 'ZZ�� wages as their sole compensation,will do the work and 3307 � 17 54 the structure is not intended or offered for sale(Section LOCALITY "�{° VING TEL. ❑ 7044, Business and Professions Code.) CONTRACTOR NO. , _ I,as owner of the property,am exclusively contracting p�-�, with licensed contractors to construct the project (Sec- ADDRESS I�I i Li:_ .�-.k t - 52 tion 7044, Business and Professions Code.) `:t, 22517.5-22 r- REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. �'���r� +='��°-�+'- CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT CHANGEE .00 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. 13101!01--I�I0-i f 1 tl2L.�/ 1 Lender's Name �+ LDMA Ref.# rte+ P.C. Fee$ Permit Fee � 3 5�S 1 1 A i e Q Lender's Address , 0 I certify that I have read this application and state that the Issuance Fee /3 p LDMA P/C# above informatWiscorrct.I agree to comply with•all County Investigation Fee ordina es anaes to building construction, Tatal Fee & � LDMA Perm.# and by a of this County to enter upo y for inspection purpo r s. 9 if 16k'41 SEE REVERSE FOR EXPLANATORY LANGUAGE ature of ApplRcMtV1Ikg1nt Date « - I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS I 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA - BL 0508 9610230034 PHONE: (818) 285-0488 EXT: L-EGAL : NO. OF C S ILDI AD R SS: ON FILE SQ. FT STORIES TYPE 9915 OLIVE ST ITRUCTURE: 0 V TEMP CA 917803239 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8588-019-011 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ONE: R-1 ISSUED ON: PROCESSED BY. EXPIRES ON: EXIST OCC GRP: 10/23/96 TC 10/23/97 f OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY, CODE: HUANG CHUAN-CHIEH;MINDY (818) 287-7009- I 1 3,500 9915 OLIVE ST TEMP 917803239 FEES PAID DESCRIPTION OF WORK FEE DESCRIPTION: APPLICANT: ��..� REMOVE/RECOVER WITH COMP. SHINGLE 20 YR. Q�JANTI�yYO�I�� AMOUNT:TEL. 0: WEI DI CO. (818) 288-3866- AA BLDG PERMIT ISSUA'ACC&P 27.75 750 E. GARVEY AVE.#B AC STRONG MOTION RESID 3600-O0o- ICL �0�+50 SPECIAL CONDITIONS: MONTEREY PARK, CA D2 PERMIT W/O EN1--HC"t" �3500700-VAL 17'6:81:0 ® TOTAL FEES 004. CONTRACTOR: TEL. NO: ��� ` O APPROVALS DATE INSPECTOR SIGNATURE WEI DI COMPANY (818) 288-3866- / '�k �: Q �a 750 E. GARVEY AVE. #B LIC. NO1 q �___� 0 ATIO SETBACKS MONTEREY PARK, CA 91754 657358 B , -- L �G 0�C,� — SOILS ENGINEER APPROVAL RCHITEC ORENGINEER: TE 0: - a.:_ _ lul OU D T 0 TRE C FORMS LIC. NO: ' u I SLAB/UNDER FLOOR <<,. 1 RAISED CFLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I ` UNDERFLOOR INSULATION 147H269 3 01 0—DR—,S H WHING NO. OF FAMILIES: DWELLING ITS: APT CO D: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ; NO NO NO FRAME INSPECTION EQUIRED TOTAL SETBACK FROM EXIST FIRE SPRI R A GERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED, FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATER S AF S/OPEN GS T-BAR CEILINGS 0 DRA AGE REPORT ID: DPR261 ROUTE TO: BS0508 l i I I