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HomeMy Public PortalAbout9918 OLIVE ST_Building__ . �7JL.Girl-o APPLICATION FOR BUILDING PERMIT FOR APRLICANT TO FILL IN (Print or type only) • - R BUILDING COUNTY OF LOS ANGELES ADDRESS / ! (1 DEPARTMENT OF COUNTY ENGINEER CITY E j1 1 r ZIP BUILDING AND SAFETY DIVISION j Cl NO.OF BLDGS. '-I BUILDING SIZE OF LOT/(7 Cl CJ NOW ON LOT Y ADDRESS �� O i TRACT7,56 BLOCK LOT NO, LOCALITY OWNER E, f3j?tl DW NO.L�'!�; 4f NEAREST CROSS ST. ASSESSOR ADDRESS Sy/,�r � / (�v�? MAPBOOK PAGE PARCEL DISTRICT GROUP TYPE I FIRE PRO ESSED BY -CITY ZIP ' IJ CONS ZONE ARCHITECT OR TEL. ENGINEER NO. STATISTICALCLASSIFICA ION SEWER P ADDRESS ��''^^ 6 CLASS NO. �� DWELL.UNITS � BK PG CONTRACTOR r� b L`0-60 4 NO.&�Z-_11b ZONE MAPLIC. / ADDRESS I�g� L4 �[ D� NO..�Z•l/�D Z ��J SPECIAL LIC. ZC�V CONDITIONS CITY CLASS 13nn ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS' CITY TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD SQ.FT. ��yy NO.OF NO.OF / CHECK - FRONT PROP.LINE HIGHWAY WIDTH SIZE V� I STORIES FAMILIES ( ONE } DESCRIPTION OF WORK NEW ❑ + O ADD BLDG.SETBACK FROM AVP 3 0 SIDE PROP.LINE OF )STREET) O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH . cL USE OF DIDEMOL REPAIR ❑ Z EXISTING BLDG. �� �- ^� ❑ + APPLICANTrr��,� TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) rLV � ����,�d� NO. IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION 1/ 4, 000 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE-OF PERMITTEE ADDRESS ��- CITY (1 y L 1V-4 NO.TEL.��i-9�s�4 DATE..FINAL B�,J,,s+ MAKE CHECKS PAYABLE TO: P.C. E� $ .J FET `P S HARVEY T.BRANDT,COUNTY ENGINEER 7J,� PLAN CHECK VALIDATION CIL M.O. CASH : PER IT VALIDATION CK. � M.O. CASH 13 '3 LrZh1AY " 5 1 D 7 5.75- A58 Os 76A638A CE#803 3.75' WQRKERS' COMPENSATION DECLARATION' hereby affirm that I have a certificate of consent to self. �- APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or o ce0ified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS AI WL16` BUILDING AND SAFETY Policy No. Company BUILDING El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADD ESS y�/� �-t�= ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS CITY c = 1 ZIP LOCALITY Date Applicant NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 7 x 1k G NOW ON LOT CROSS ST. COMPENSATION INSURANCE ESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. PBOOK ae�r1 PAGE l/� PARCELB�� hundred dollars ($100)or less.) TEL. OWNER Of- V r t• f v cI 10 NO. USE ZONE MAP I certify that in the performance of the work for which this INO I SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS q C1 I g CFA_STI v CONDITIONS 0- so as to become subject to the Workers'Compensation Laws. _r p/ 0 CITY t`m ZIP r Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. NE Exemption, you should become subject to the Workers' /ft U Compensation provisions of the Labor Code, you must forth- ADDRESS 4`.(JO �� ` jt� of with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR r ; NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. I DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT.�f NO. OF NO. OF CHECK License Number Lic. Class SIZE %� STORIES FAMILIE ONE VALUATION Contractor Date DESCRIPTION OF WORK L p.� NEW `I❑ to v El �I ► I am exempt under Sec. ?c1 a ADD $ 3q (2v 0 1 ALTER B.BP.C. for this reason ❑ P -. c.� /S - /•.1 � �Qa� REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License DATE Layyy��� for the following reason (Section 7031.5, Business and ADDRESS FINAL 23 Pr¢fessions Code): PRESENT B ❑ I, as owner of theproperty, or m em to employees with BUILDING y ACCT.07 Y P Y ADDRESS wages as their sole compensation,will do the work and , 3303 50.50 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. ACCT. v with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) _ X303 66$,64 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ITEMS I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. TOTAL �' 7 � (Sec. 3097, Civ. C.). SIDE o P L. } CHECK 719.14- P 19 014- Lender's Name �0• /�/3� LDMA Ref. # GHAGE 0 l (/ T P.C. Fee$ Permrt Fee Lender's Address I certify that I have read this application and state that the Issuance Fee i 130 LDMA P/C# Poo above information is correct. I agree to comply with all County Investigation Fee // 000(1-0001 7/ 2/96 ordinances and State laws relating to building construction, Total Fee (p LDMA Perm. # and hereby authorize representatives of this County to enter 7222 1 AN 8946 E upon the above-ment'aged property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signaturg of AWricant or Agent Date COUNTY OF'LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT • DEPARTMENT OF ,PUBLIP WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING ANq SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0010260070 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6755 LT: 7 SQ. FT STORIES TYPE OCCUP GROUP 9918 OLIVE ST STRUCTURE: 760 1 VN R3 TEMP CA 917803238 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: BALDWIN 8589-005-002 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EX ST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/01/00 UT 05/31/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DTE FINAL CODE: BRODIE GEORGE H;RUTH M (818) 285-3269- 2 60,000 1� 20 9918 OLIVE ST TEMP 917803238 FEES PAID DESCRIPTION OP WORK ROOM ADDITION-760 SQ. T. (PLAY RO D BEDROOM) APPLICANT: TEL. 0• FEE DESCRIPTION: QUANTITY: U014: AMOUNT: ALEX & SON CONSTRUCTION, INC. (626) 334-7769- B1 PLANCHECK W/ENERGY 60000.00 VAL 841.36 568 E. FOOTHILL BLVD AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AZUSA, CA 91752 AC STRONG MOTION'RE§.ID '`60.000.00 VAL 6.00 82 PERMITow7-ENERGY-=--- ,60000::00 VAL 989.84 ~'�,�v E1.�=�TOTAL��F.EES 1,864.95 CONTRACTOR: TEL. NO: Gj "�+��'� APPROVALS DATE INSPECTOR SIGNATURE ALEX AND SON CONSTRUCTION INC. (626) 334-7769- 568 34-7769 +�,® j,��`� 568 E FOOTHILL BLVD LIC. NO �� f�NA LOCATION AND SETBACKS /z G� AZUSA, CA 91702 762876 B * %i f •1 G _L� �;�` SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: E 0: FOUNDATION/TRE CH FORMS LIC. NO•j / I i1 t,- i SLAB/UNDER FLOOR IRAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: 11 rr � I UNDERFLOOR INSULATION' ST LEVEL LOOK SHEA H 0. OF AMILIES: DWELLING UNITS: APT/GOND: STAT CLASS­:-- NO ASS:--NO 21 C' - ----% q ? ----�----] ND LEVEL FLOOR SHEATH SCHOOL WITHIN AZARDOUS p+y� 00 LI 1 I f/ ROOFSHEATHING AIR QUALITY: 1000 FEET MATERIALS M I 1 ', r '/!' NO NO NO / r �' ��I'_ �M i. FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACKROM EXIST pf�` !/ f I , ��./,.': BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: �j`'LNT PL- _ IJ 1,,L��V�O f FSIDE PL- \ �'r-1ce— SHEAR PANELS /' A INSULATION/WEATHER S RIP �U INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE D T CT 10 D V CES t1,911- 19 Z A` APPROVAL * ADDITIONAL DATA ON FILE FIRE DEPARTMENT REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY 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 1210100043 PHONE: (626) 285-0488 EXT: iLEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6755 IT: 7 SQ. FT STORIES TYPE OCCUP GROUP 9918 OLIVE ST ISTRUCTURE: 0 1 V-B R3 I TEMP CA 917803238 ASSESSOR INFORMATION NUMBER: GARAGE: 682 1 V-B U NEAREST CROSS STREET: 18589-005-002 i OTHER: i THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl (TENANT: JEXIST BLDG USE: USE ZONE: JISSUED ON: PROCESSED BY: EXIST OCC GRP: 110/15/12 SR OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1FIN_AI, AT Y: CODE: I 1BRODIE GEORGE H;RUTH M (626) 628-6698- 19918 OLIVE ST i 31,390 i TEMP 917803238 I FEES PAID IDfi RI ION OF WORK��/ I 1DEMO (E) STORAGE ROOM, CARPORT AND BUILD DETACHED 3 CAR I 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IGARAGE APPLICANT: TEL. NO: ISANTAMARIA, JULIO (626) 462-0385- 1D1 PLANCHECK W/O EN-HC 31390.00 VAL 478.70 1- 1135 E. LIVE OAK AVE 1AA BLDG PERMIT ISSUANCE 27.80 1SPECLAL CONDITIONS: IARCADIA, CA 91006 JAB STATE GREEN BLDG FEE 31390.00 VAL 2.00 1AC STRONG MOTION RESID 31390.00 VAL 3.10 1D2 PERMIT W/O EN-HC 31390.00 VAL 563.20 ]CONTRACTOR: TEL. NO: TOTAL FEES 1,074.80 APPROVALS DATE INSPECTOR SIGNATURE 1MANUEL CARRILLO (626) 285-5087- 14022 LOMA AVENUE LIC. NO (LOCATION AND SETBACKS I 1ROSEMEAD CA 91770 414919 I [SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: i (FOUNDATION/TRENCH FORMS LIC. NO: ]SLAB/UNDER FLOOR I ]RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPOJUNDERFLOOR INSULATION I (1ST LEVEL FLOOR SHEATH I I NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I II I I 0 NO 21 i 12ND LEVEL FLOOR SHEATH I I SCHOOL WITHIN HAZARDOUS i (ROOF SHEATHING I / I I (AIR QUALITY: 1000 FEET MATERIALS NO NO NO I FIRE DEPT. FRAME INSPECTI I I IBLDG DEPT. FRAME INSPECTI 1 SHEAR PANELS I I I 11Ns'ULATION/WEATHER STRIP( I 1 IINCERIOR LATH/DRYWALL (EXTERIOR LATH I I I I I LOT DRAINAGE I I I I I SMOKE DETECTION DEVICES IFIRE DEPARTMENT APPROVAL( I I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1201230033 PHONE: (626) 285-0488 EXT: [LEGAL ID: NO. OF CONST BIIILDING ADDRESS: JTR: 6755 IT: 7 SQ. FT STORIES TYPE 9918 OLIVE ST ISTRUCTURE: V-B TEMP CA 917803238 1ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8589-005-002 THOMAS PAGE: 5.97 GRID: A4 LOCALITY: TEMPLE CITY, Cl (TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: JEX ST OCC GRP: 102/06/12 SR 1 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DATE FII&L BY: CODE: J IBRODIE GEORGE H;RUTH M - 1 22,000J 19918 OLIVE ST I I 1 ITEMP 917803238 1 FEES PAID ASCRIPTION IPTION OF WORK 1 I 122 SOLAR PANELS ON ROOF & 1 INVENTER IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:J I [APPLICANT: TEL. NO: I I I [REFERRAL DESIGN (888) 858-3231- JD7 ADDNL PLANCHECK FEE 1.00 HOU 109.40 1 [ 118375 VENTURA BLVD. JAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1 ITARZANA, CA 91356 JAB STATE GREEN BLDG FEE 22000.00 VAL 1.00 1 I ID2 PERMIT W/O EN-HC 22000.00 VAL 109.40 I 1 1 TOTAL FEES 247.60 I I ICONTRACTOR: TEL. NO: 1 JAPE&OVALS DATE INSPECTOR SIGNATURE IREFERRAL DESIGN (888) 858-3231- [ 1 118375 VENTURA BLVD. #516 LIC. NO I ILOCATION AND SETBACKS I I JTARZANA, CA 91356 937159 B I I I I I I ISOILS ENGINEER APPROVAL 1 JARCHITECT OR ENGINEER: TEL. NO: J IFOUNDATION/TRENCH FORMS I I I LIC. NO: I JSLAF./UNDER FLOOR I I I I J IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J (UNDERFLOOR INSULATION I I XX 3 00 I I IFLOOR SHEATHING J I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I J 0 NO 21 J IROOF SHEATHING J [ I I I I I I I J SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I JAIR QUALITY: 1000 FEET MATERIALS I I__ J I I 1 NO NO NO I 1FRAME INSPECTION I I I FIRE SPRINKLER HANGERS I I I J II JINSULATION/WEATHER STRIPI J I I I I- I INTERIOR LATH/DRYWALL 1 I I I J (EXTERIOR LATH I I I I I IRATED FLOOR/CEIL ASSEM. I I I JRATED WALL ASSEMBLIES J I I [ RATED SHAFTS/OPENINGS J JT-BAR CEILINGS I I I I I I I I ILOT DRAINAGE I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I I