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HomeMy Public PortalAbout8628 LONGDEN AVE_Building__ 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 1205080003 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 5903 LT: 31 BL: .001 SQ. FT STORIES TYPE 8628 LONGDEN AV I STRUCTURE: 1900 V-B SGAB CA 917751812 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15386-006-016 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY, Cl 1TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1 EXIST OCC GRP: 105/08/12 SR 1 OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1FI AL DATE FINAL Y: CODE: 1WU, KAREN - 5,000 1 18628 LONGDEN AV 1SGAB 917751812 FEES PAID 1DESCRI TION OF WORK IRE-ROOFING TEAR OFF FELT 41 GAF SHINGLES 30 YRS HOUSE ONLY I 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( 1 (APPLICANT: TEL. NO: 1 I I ISU, CARMEN (626) 709-7866- IAA BLDG PERMIT ISSUANCE 27.80 I 11428 AMELUXEN AVE IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS: 1HACIENDA HTS 91745 IAC STRONG MOTION RESID 5000.00 VAL 0.50 ID2 PERMIT W/O EN-HC 5000.00 VAL 132.60 TOTAL FEES 161.90 ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE ISWIFT-MEND ROOFING INC. (626) 709-7866- i 1_. 11428 AMELUXEN AVENUE LIC. NO I 1LOCATION AND SETBACKS 1 IHACIENDA HTS, CA 91745 918419-C39 *1 I 1 1 I I 1 1SOILS ENGINEER APPROVAL 1 1 I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I 1 LIC. NO: 1 ISLA3/UNDER FLOOR I 1 1 1 IRAISED FLOOR FRAMING 1 1 IMAP NO: SEWER MAP BOOK: -PAGE: FIRE ZONE: CMP:1 1UNDERFLOOR INSULATION I I I 1153H261 3 001 1 11 1 I __ IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I I I 0 NO 21 I I ROOF SHEATHINGI lip SCHOOL WITHIN HAZARDOUS ISHEAR PANELS 1} 1� �I I (AIR QUALITY: 1000 FEET MATERIALS I- 11 1 NO NO NO I IFRAME INSPECTION 1 1 1 IFIRE SPRINKLER HANGERS 1 1 (INSULATION/WEATHER STRIPI I I I 11NTERIOR LATH/DRYWALL 1 1 1 1 I 1EXT'ERIOR LATH 1 I 1 1 1 IRATED FLOOR/CEIL ASSEM. 1 1 1 1 1RATED WALL ASSEMBLIES 1 I 1 IRATED SHAFTS/OPENINGS IT-BAR CEILINGS I 1• ADDITIONAL DATA ON FILE I 1 I I I 1 1LOT DRAINAGE I 1REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I I 77 WORKERS'COMPENSAT.IOIJ'DECLARATInty 1.hereby-'affirm that-I have.a certificate of consent to self ( D " M O D D nn insure, or a certificate of Workers'Compenstion Insurance, or F0 L�C�� a certified copy thereof (Sec. 3800, lab. C.) COUNTY.OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS Lry Certified copy is filed with the county building inspec- BUILDING / j�{t Tion department.. ADDRESS � rL.'b •! "Ah ve `� I a -C ., LOCALITY Date Applicant CITY -/ /AI r'!�_G t✓1 1 ,K ZIP CROSS NEARESTT. ' CERTIFICATE OF EXEMPTION FROM WORKERS' �7�' g� y� NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT ,��+� � NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one Gffr a USE ZONE MAP hundred dollars ($100,)or less.) TRACT BLOCK LOT NO. ` %' { TEL. 2 f "I SPECIAL IL I certify that in the,.performance:of'the work for which this OWNER;01'f✓fi � O&I l NO 30e � CONDITIONS o perm itis issued,'I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PRO SSED BY 11 ADDRESS vvrfv� Gti� lr Y 'v CONST. ZONE �r so as'to become subject to the Workers'Compensation aws. O ttrr - CITY / : V• ZIP AVO r Date -off Applicant 'V11\,l>0 - STATISTICAL CLASSIFICATION " APT. CONDO. U TEL UJNOTICE A. 'L'ICANT: If, fter.' ARCHITECT OR amaking this Certificate of o �V f�� . C ENGINEER C> NO. CLASS NO.�DWELL. UNITS d Exemption, you•should becon'4 subject to the Workers' y Compensation provisions of the Labor Code, you must forth- CT ADDRESS SEWER P z with comply with such provisions or'this* permit shall be deemed revoked. EL. VALIDATION ' CONTRACTOR NO. BK. PG, LICENSED CONTRACTORS DECLARATION'' ' r; LIC. I hereby affirm that I am licensed under provisions of Chapter.9 _ j ADDRESS NO. VALUATION (commencing with Section 7000).of Division 3 of the Business and LIC r � Professions Code,*and rn license,is'in full-force•and effect. CITY CLASS. $ / do SQ. FT, NO. OF NO. OF - CHECK - License�Number Lic.Class SIZE STORIES FAMILIES , , ONE Contractor Date ) DESCRIPTION OF WORK NEW ❑ I am exempt from-the licensing requirements as I am a ��'`�jp ADD licensed architect or a registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051, ❑ DATE F r Business pnd REPAIR Professions Code). USE OF' boo / y� FINAL EXISTING BLDG. _5%A)1J. boo / A� J, DEMOL ❑ By .. Lic'.or Reg. No. _Date APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT) No. I hereby affirm that I am exempt from the Contractor's License i Law for the following reason (Section 7031.5, Business and ADDRESS" Professions Code): PRESENT ❑ BUILDING I, as owner of the:property, or my employees with ADDRESS Wages as their sole compensation,will do.the work and s the structure-is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 0r4 368 A 1, as owner'of.the,property, am exclusively contracting CONTRACTOR NO. -with licensed contractors to construct the project (Sec- ' # °,O'O ° ° 1 tion,7044, Business and Professions Code). ADDRESS REQUIRED 'TOTALSETBACK`FROM EXIST. p. CONSTRUCTION LENDING AGENCY. SET BACK.- YARD HWY PROP. LINE WIDTH ) 1 42 0 0- 1-hereby'affirm that there is a construction lending agency for j FRONTf the performance-of the work for'which this permit is issued P.1. a20 01 - ° ° 1 �-2 0 0 0 (Sec. 3097, Civ, &). SIDE '• P.1, ' `0'6'1.-51'-.8 2 Lender's Name J P.C.�Fee$, Permit Fee / 33, '-YO Lend'er's.Address — I certify.-that.1 have read 'this application and state that the Issuance Fee above information is correct. I agree to comply-with all County, Investigation Fee Q a ordinances and State.law's relating to building construction, mTotal Fee and-hereby'outhorize'representcitives of this County to enter e upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE - Signature at Applicant or Agent Date - ©5