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