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