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HomeMy Public PortalAbout8640 LONGDEN AVE_Building__ /per ® BUILDING . 76A838A CIE*803 8-63 APPLICATION POI BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ,!4 DEPARTMENT OF COUNTY ENGINEER ADDRESS T BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY•ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST DISTRI�NO I G P I TYPE P O E. D BY FOR APPLICANT TO FILL IN CONST ar BUILDING ' STATISTICAL CL SSIFICATION S WER fjAP ADDRESS BK P ,..' CLASS NO DWELL UNITS LOT NO <�r�� BLOCK e WATER , /� CERTIFICATE NOT REQUIRED 1:1RECEIVED - TRACT, '% O- - MAP_ �)0HIGHWAY NO OF BLDGS NO MAP,,.?00 (CIRCLE) STATE MAJOR SECOND LOCA SIZE OF LOT NOW ON LOT USE ZONE SPECIAL ' USE OF /J— CONDITIONS 'EXISTING BLDG l/KI TEL �p OWNER NO 7 BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS er FRONT /� ARCHITECT OR TEL P L v ENGINEER NO SIDE P L ADDRESS - _ d TEL / 0 CONTRACTOR O S U ADDRESS i Im 0 DESCRIPTION OF WORK G W CL NEW D ALTER' REPAIR DEMOLISH N SO FT NO OF NO OF SIZE STORIES FAMILIES USE STRUCTURE !/ I SIGNATURE OF 1 APPLICANT VALUATION $ / O� /J ,d a v APPROVALS DATE INSPECTOR S SIGNATURE PC F_pm_T FOUNDATION LOCATION FEE $ FEE $ �D FORMS, MATERIALS, FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE'READ THIS APPLICATION BRACING BOLTS - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS ` BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURAN LATH EXT ' SIGNATURE OF HOUSE NUMBER COR- PERMITTERECT AND POSTED ADDRESS FINAL �� PLAN CHECK VALIDATION CK M O CASH JOHN T PERMIT VALIDATION CK URENGINEER o CASH ER L inti 7 0 5 6) DEC 2 2 1 A 4.0 0"'' Q ~ WORKERS'CdMPENSATION DECLARATION insure,oraafcertif certificate ofaWorke s' Compensat on eInsuran of APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING.AND SAFETY Policy No. Company. Certified copy is hereby furnished. BUILDING ❑ d FOR APPLICANT TO.FILL IN �► ADDRESS ❑ Certified copy is filed with the"county building inspec- BUILDING tion.department. ADDRESS Date i Applicant CITY` L lQ ( k, ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE • - SIZE OF LOT. NOW ON LOT CROSS ST. (This section need not be completed if the permit-is for one - - ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL.. n U OWNER ). L " <t NO.�t'S ,_ t�) USE ZONE MAP I certify that in the perfo� mance' of the'work for which this NO, IL permit is issued, I shall not employ any person in alt manner f/ SPECIAL so as to become subject to the kers"Com en io Laws. ADDRESS ( CONDITIONS 7 CITY. t ZIP. - - _ Date``'y��' t —Applican ` ARCHITECT OR TEL. 5. O NOTICE TO APPLICANT: If, afte maki this rtificate of DISTRICT ,. GROUP TYPE FIRE PRO SED BY �. ENGINEER NO. CONST. ZONE W Exemption, you 'should become'subject to the Workers' D Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or .this permit shall be 'TEi. STATISTICAL CLASSIFICATION APT. deemed revoked. m.. CONTRACTOR NO.. LICENSED CONTRACTORS DECLARATION / L . 3-7 1IC CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS S h_, e NO (commencing with Section 7000)of Division 3 of the Business andLIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK VALIDATION SQ, FT. 2 NO. OF _ NO. OF CHECK_ Z �� 1�c SIZE J STORIES FAMILIES ONE License Numl er //� ` Lic.Class' • f_G VALUATION Contractor ' Mc� Date DESCRIPTION OF ORKC r"^�c- +1 `a NEW ❑ $ ❑ L\ �� Ttt F ADD ❑ ✓ Cs v' , I am exempt under Sec. ALTER B.BP.C. for'this reason �� �`r1+ c cK'i '1, p' REPAIR.. ❑ $ 4 O Q 1 A Date: USE OFTII BLDG."�' �^ , n4` B>ae DEMOL ❑ # 0 0 0 0 ;o 1 EXISignature APPLICANT TEL. `� //�� FINAL ° 040.50 OWNER-BUILDER DECLARATION PRINT) i� NO.,.C. "1 ( s DATE 1 f o a o 4 Q 5 0 63 l hereby affirm that I am exempt.from the Contractor's License C' C Law for the following reason (Section 7031.5, Business and ADDRESS Q Jr r �"ti�rA. FINAL�'r 207`8 6 Professions Code): PRESENT By `✓ ) ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as theii sole compensation,will do The work and the structure is not intended or offered for sale Section LOCALITY ��• � �� 7044, Business and Professions Code). MOVING TEL. ❑ CONTRACTOR NO. I, as owner of the property, am exclusively contracting , with-licensed contractors to construct the project'(Sec- tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM X CONSTRUCTION LENDING AGENCY SET BACK YARD -HWY. PROP. LINE WIDTH 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. (Sec. 3097, Civ. C.). SIDE m P.L. _ Lender's Name ; `'n LDMA'Ref. # Z Lender's Address P:C. Fee$ Permit Fee L(/!! I certify that I have read this application.and state.that the Issuance Fee /O(O U LDMA P/C# Q above information is correct. I agree to comply with all County Investigation Fee g di des and State Jaws relating to building construction, Total Fee vr�fi' LDMA Perm. # -t U an ereby auth ize repre entatives of this County to enter m u on he abov _ e Eo ty for inspection purposes. a o SEE REVERSE FOR EXPLANATORY LANGUAGE O' Sig re of App icant gent Date ` WORKERS'CCSMPENSATION'DECLARATION t• __�, :r t ,. I Y QppdOC�Q��OO GSI FOR �C3MEdD�[�]C� I'hereb affirm That I have a certificate of consent to self O D O M D O D ' insure, or a certificate of Workers' Compensation Insurance, il or a certified copy thereof'(Sec 3800, Lab C')' ,. p� .,% ; - �, ,, _ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No 'Company - - - Certified copy-is hereby furnishedFOR APPLICANT TO F LL IN „ BUILDING ADDRESS D(O U • ❑ Certified copy'is filed 'with the county building'mspe - - BUILCING - { tion department' �'t` ADDRESS Date,. — pp icar�T c !` CITY ZIP LOCALITY - I CERTIFICATE OF EXEMPTION-FROM W ERS' NO-OF BLDGS- `• NEAREST _ COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST , (This"3ection•need not be completed-if the permivis•for,one - - - ASSESSOR- ± - hundred_dollars.($100)or less ) TRACT BLOCK LOT NO MAP BOOK' Y PAGE: PARCEL N� TEL USE ZONE r OWNER i W� NO . I,certify that in the performance of the work for which this T permit is issued, I shall'not employ any person`in driy'm�ne - PECIALso asto become'sublectto the W s'Compe s hon ADDR`- • CONDITIONS O _ V CITY _ _ ZIP j QC Date Applicant NO TO'APPL'ICANT=^If; after making s Certifito of ARCHITECT OR TEL DISTRICT _ GROUP TYPE_ FIRE __ PROCESSED BY., -, , Exemption, %you should become sublect to, the rkers' ENGINEER NO CONST f/ ZONE LU Compensation+provisions,of the Labor Code, you must forth- ADDRESS CL with comply, with,such provisions or. this permit shall be TEL '�]]�� STATISTICAL CLASSIFICATION APT' NDO deemed revoked, 1, •,.:.v CONTRACTOR NO d0 LICENSED CONTRACTORS DECLARATION • r•• - uc ciASS NO-�DWELL UNITS 1- I hereby,affirm that.I am licensed under provisions of Chapter 9 ADDRESS f NO-1 7 (commencing with Section'7000)of Division 3 of the Business and ^ -- LIC -- SEWER MAP t Professions Code, and'my licerise'is in full force and effect CITY �-\4 - iA CLASS BK' 7 ` VALIDATION i ,- SQ FT _ /� NO OF _ NO OF 1 - CHECK _ i PG License Number' r Lic Class SIZE t / STORIES FAMILIE ` - ONE ;VALUATION _ DESCRIPTION OF WORK' u+ "" 'NEW- ❑ Contracto Date $ Y�C t ® C ADD ❑ I am exempt under Sec '• - ' -ALTER -'a .+ D - - - •+ h...1 .. B&P C for this reason O REPAIR..❑ s• " "' - - USE OF �329,7"A EXISTING BLDG O 1:�i. �r DEMOL ❑ -' _ APPLICANT TEL Signature y (PRINT) NO (� FINAL' • OWNER-BGRbER DECLARAT 1 DATE - �• # 0 0 0.0 0,1 •1 hereby•affiim that I am exempt from.the.Contractor's License ADDRESS - �. v Q i 4�.e^.bc� Law for the following'reason:(Section 7031 5, Business and FINAL t a_.5 9.2.5. -Professions-Code) _ _... PRE EN „� - - By ❑ BUILDING_. _ I,Las owner of the property, or my employees with ADDRESS '+LJ {r 0 0 0 5 9.2 5 c� wages as their sole c`ornpen'satiori,will do the work'ancl the structure is not intended or offered for sale Section LOCALITY D < t Q 7044,'Business and Profession -Code) - ( MOVING,, TEL t �'//� - `J - I_ ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO with-licensed contractors to-construct-the project (Sec- ADDRESS tion 7044, Business and Professions Code) t REQUIREDTOTAL SETBACK FROM. EXIST ` CONSTRUCTION LENDING-AGENCY J - SET BACK YARD HWY PROP LINE WIDTH_ ; I hereby affirm that there is a construction lending agency for FRONT the performance of the work for whiich-this permit-is issued --P L- (Sec 3097, Civ C ) SIDE Lender's Name LDMA Ref # ^v--•- - - - - Lender's Address P C-Fee$ - - Permit Fee- - - -� - /)�L-_/� j• •r �' �� ' I certify that I have read this.applicahon and-state that the _ Issuance-Fee - 4 t� ✓ LDMA P/G# -- t < above information is correct I agree to comply with all County Investigation Fee ; g ordin _es nd State laws relahn to building construction, _ _ _ Total Fee -- is LDMA Perm # U a ereby authoriz�a resent es of this County,to enter 9 pan the ove-me on or inspection purposes j a (r SEE REVERSE FOR EXPLANATORY LANGUAGE '--Signal of pplicant or gent - Date - - -. - - -. -•_ - --- _. - _ -- -_ .j _ ,_ _ _ .:Q i �9 1 WCI EU' �E RS'C ,MSATION DECLARATION _ r 1 I+h y affirm that I have certificate of,consent•to self F o p ' insure; or a certificate of Workers' Comperisation Insurance, � •� _ � O - O , or'o certified copy thereof (Sec- 3800;Lab C°) �- - i� COUNTY OF L_OS,ANGELES' + BU11CONG ARID WETY Policy No r Company 7 �.. Certified copy is'her"eby furnished :'t FOR APPLICANT-TO,FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING - 'tion department ADDRESS C ,, '� IV Date' Applicant 1­ CITY ZIP ` LOCALITY 1 CERTIFICATE OFEXEMPTION FROM WORKERS''''t NO OF BLDGS- NEAREST.- _. _ SIZE OF LOT3_0 NOW ON LOT,- CROSS ST COMPENSATION INSURANCE •�- _ (Thi's_sectiomneed not be if the permit is one - - ASSESSOR' h '- hundred,dollars ($100)or less ) ,> _ TRACT BLOC LOT NO MdP BOOK' PAGE PARCEL TEL USE ZONE • MAP I certify.tkat m the performance of the work for which.This »� OWNER NO NO 1 : "Q• • } permit is issued, I,sholl not'employ any person in any manner _ T SPECIAL•- - ` fZ ADDRESS 1 CONDITIONS -t 0 so as To becorne'ublect to the W -ers 'Comp tion ws V _ CITY ' ZIP a I=Date ,Applican 1 O NOTICE'TO'APPLICANT If;'after making s Certifi Te of ARCHITECT OR TEL DISTRICT GROUP, TYPE FIRE PROCE SEDjW ENGINEER NO CONST ZONE Exemption;'•you should become sublet to the*:Workers' SO� _V - LU Comperi' tion'provisions of-the Labor Code, you,must forth- ADDRESS with comply with` such provisions-or this permit,shall be -- - TEL „ .” N deemed revoked-- ... , , P NOM STATISTICAL CLASSIFICATION APT C TDO CONTRACTOR NOA«,� ��� , LICENSED CONTRACTORS DECLARATION- - LIC L t�y' "GABS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 196 S, by NO IJ commenctn with Section'7000 of Division 3 of'the Business and SEWER MAP t r ( 9 ), ,. -- - --- - -- - LIC-- .. Professions Code, and my license is iri full force'and'effr11 ect CITY $--�. CLASS BK �' VALIDATIONS 4 �' SQ FT NO OF _ / NO OF CHECK_ { License Number 1 ` Li'c Class ' ^ SIZE STORIES µ( FAMILIES ONE r: / .., �: - �+..• � - ❑ VALUATION..._ ,_,,,rt -- - _. ._ __ __ _,� - -- o t DESCRIPTION OF WOR - NEW ti Contractor Date h ADD s ©�' J I am exempt under Sec W ALTER B 8P C for this reason 1N REPAIR '✓" '` - -' ^-- l - Date.- r USE OF ��•�� DEMOL ❑ L 3 05.7 R EXISTING BLDG C C --- • t APPLICAN TEL • Signature - u�" -" PRINT NO C( FINAL # o s e o o OWNER-BUILDER DECLARATION _ _ _D FINAL - I•hereby affirm that•I am exempt from.the Contractors License, Ir` q a o ( o o 49.88 Law for,the following reason (Section 7031 5, Business and ADDRESS 5� FIN'A (' Professions Code) "' PRE EN BY J 'i ` _ 0 0 0 4q$8 I, as owner of the,property, or my employees with ADDRESS _ _ _ _ __ 1` t�L MR wages astheir"solecompensation;will do the work and } ,. ( � 3- Jcthe structufe is not intended or offered for sale(Section- LOCALITY 7044, Business and Professions Code) '-' '-- - MOVING' I as owner of The property, am exclusively contracting CONTRACTOR NO ❑ - --with licensed contractors to construct the•prolect-(Sec- ADDRESS tion 7044, Business and Professions Code ; i` t \`_*�� a tit t` `r CONSTRUCTION LENDING AGENCY­- ,�» SETOBACKD YARD' HWY' TOTAPROPLIINEFR OM WIDTH• , `� +-.lr \ 4 _ I hereby affirm,that there is a construction lending agency for FRONT `. lE the performance of-the work for which this permrt:is issued P U - - - -� •� - _ }„ } (Sec 3097, Gv :C ) SIDE % / _P L Lender's Name » LDMA Ref $ - - -' - - P,C-Fee S- Permit Fee 3-73 -- - - r - Lencl is Address -1 certify that I have,read this application and-state-that the _ __ __. �. Issuance Fee- LDMA P/C# - - - - - - above information is'correct I agree to comply with all County -~ Investigation Fee ;-,ordinances and,State laws relatin to building.construction, 9 i� _ _ 9, 9,._ _ _ _ _ _. _ --Total Fee -- •! - -CDMA Perm # an ere y authorrize re r sentatrves of this County to enter u on th abo - r perty for inspection purposes - - - - r -• - ' a SEE REVERSE FOR EXPLANATORY LANGUAGE '- r, -• ����__'tea— - - - -- -- -. - - -. _ . .r. - - - - �, ©i --` Si re f•APPI, nt or Agent -- -- - •• Date -- -• - -- - - _ ._ r..._ - _y _ - .- _ .- _ 5 WORKERS' COMPENSATION DECLARATION-, n _ k!' erekiQ�ao certif care of Workers''Compensation insurance,elf A P P��-CAU�O N F O a M 0 d D 0[ p C QMiv 0 insure, or a�cerhfied copy thereof (Sec 3800, Lab C ) a, ti COUNTY OF.LOS ANGELES BUILDING AND SAFETY Policy,No" Company ' Q ❑ ertified copy is hereby furnishecl ` FOR APPOCANT TO, FILL'IN' ADDRESS CO v_� ❑' Certified copy is filed with the:county,building inspec- BUILDING, j.0 �� Y,tion department „_• • ADDRESS // G C7 - CITY -_ C9�i/ zip: LOCALITY ^ ; Date ";Applicantl { t NO OF BLDGS NEAREST CERTIFICATE OF EXEMPTION'FROM WORKERS' ' SIZEOF LOT Q NOW ON LOT, -' CROSS ST i COMPENSATION INSURANCE ' + A ASSESSOR r ' (This section need not-be'completed if the permit,is for one TRACT'-S tJ" BLOCK LOT NO 39" MAP BOOK PAGE PARCEL hundred dollars_ ($100) of less )1 ;. TEL OWNER NO USE ZONE- ' MAP I certify that in the-performance•of,the work for which this �, NO SPECIAL— , permit is issued, I shall'not,employ1any person m any manner ADDRESS'. Q: , _� I a CONDITIONS so as to become subject to the Workers'Compe saTion Laws / �~ O g CITY)µ ZIP Qs U XDate4�+7Applicani ARCHITECT OR TEL NOTICE TO,APPLIGANT,'Ifi.after making this' rtificate of, ENGINEER_'_ NO =DI TRICT. GROUP TYPE FIRE PROCESSED BY g I CONST ZONE U Exemption, you should'become, subject-to the,Workers' y Compensation provisions of the•Labor Code, you must forth- ADDRESS u -31 a . with comply with such provisions or this permit shall b'e ' 'TEL STATISTICAL CLASSIFICATION APTCONDO Z deemed,revoked _ CONTRACTOR- NO - _ r•. ? LICENSED CONTLIC CLASS'NO DWELL UNIT RACTORS DECLARATION I hereby affirm that I am licensed under:provisions of�Chapter,9 ADDRESS NO (commencing with Section 7000)of'Diyjsion 3 of the:Business LIC SEWER'MAP and Professions Code,and my,hcense is m full force,and effect CITY CLASS F° BK PG VALIDATION' SQ FT �y -NO OF NO' OF CHECK Licens' Number Lic ,Cldss SIZE (/a STORIES FAMILIES D ONE ' F VALUATION 3 + Contractor Date DESCRIPTION OF WORK -, ' Q -NEW ❑ �, ❑1 am exempt under Sec - ' ADD D ; t ALTER -l•- •a i • B&P-C_for chis,reason' _ REPAIR ❑ - ' Date l USE OF rAl NG BLD4;4111 DEMOL ❑ Signature r V ANT •NO, FINALS OWNER-BUILDER DECLARATION INT �� '� =� , I hereby affirm that I am exempt from ike Contractor's License Q/ ' DATE .'Law for'tfie following reason,(Section 7031 5, Business and SS G �P• �' FINAL Aff"INJ.Professions Code) PRESENT• BUILDING D� •GO �l/ ❑ '1, as owner,of the property,'or my employees with ADDRESS ��/�++/+•�• wages as their sole compensation,will do the work and _ LOCALITY~ Q �. r74t•t°3 the structure is not intended or offered for sale(Section :Yt 7044, Business and Professions Code ) MOVING TEL D ' 3.7tJ7 ° CONTRACTO N I, as owner of the property,.am exclusively contracting 1" ITEMS with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code ) " TOTAL - .,2 To _REQUIRED TOTAL SETBACK FROM. EXIST -CASH CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH - F! F7i °i}C I hereby affirm that there is a construction lending agency for FRONT, I ' the performance'of the work for which this permit is issued P L GE • xI (Sec 3097, Civ C ) - 'SIDE - ° PL Lender's Name y � _ LDMA Ref # WVU~LiltVl 61 6119 Pt'Fee$ 44114g J' Lender's•Address- m !V - . i Q°e� ,. a I certify,that I'have-read this apphca'tton and state that the Issuance Fee J LDMA P/C# V J+ 8 above information is correct I agree to comply with allCountyInvestigation Fee , ordinances and'State laws relating to butl"ding constru6on, Tatar Fe LDMA Perm # a and.hereby authorize representatives of this County to enter upon the fi ove-me-Toned property for inspection purposes, 4, xp �Gti SEE REVERSE FOR EXPLANATORY LANGUAGE _ Signature of Apphe6nt or Agent _ Date y WORKERS' COMPENSATION DECLARATION- i_'sur ,, affirm that I have r certificate of consent ton elf' "U ��� ®� msure� a certificate of Workers' Compensation Insurance; '•+ /111 L1 IJ } IJ�J u_V�Y/ ., U.V/•u o certified copy thereof (Sec 3800' Lab C )_ , -, 1 COUNTY OF LOS:APdGELES BUILDING AND SAFETY Policy No Company i ~ ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN /;� ADDRESS lel u b ❑ Certified copy is.filed with the county building inspec- BUILDING ^ /_ - 1 J tiori department ADDRESS Date Applicant CI ZIP LOCALITY pp NO OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 0 X I NOW ON LOT .2, CROSS ST COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT Q 3 BLOCK LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100) or-less ) TEL c/ ' "•- OWNER vl'� NO p�p t USE ZONE MAP I certify that,in the performance of the work for which this NO } .� _ SPECIAL permit is issued, I shall,not employ any person in any manner ADDRESS 0 _ a CONDITIONS O so as To become subject to the Workers.Compen tion Laws �- V CITY ZIP" X'.Date Applicant ARCHITE O TEL DISTRICT GROUP TYPE " FIRE PROCESSED BY O NOTICE TO APPLICANT If, after.'rnJing This.Ce ificate of " ENGINEER NO CONST \ ZONE Exemption, you•should become,subject to the Workers' Y w Compensation provisions of the Labor Code, you must'forth- ADDRESS , _ a with comply with such provisions or this permit shall be , TEL STATISTICAL CLASSIFICATION APT. CONDO Z deemed revoked m CONTRACTOR NO — LICENSED CONTRACTORS DECLARATION LIC CLASS NDWELL UNITS I hereby affirm that'l am licensed under provisions of Chapter 9 ADDRESS NO - SEWER MAP (commencing with Section 7000)of,Division 3 of the Business LIC and Professions Code;and my license is in•full force and effect ,, " CIN CLASS BK PG VALIDATION SQ FT• NO OF / NO OF CHECK License Number Lic Class SIZE QC.� STORIES FAMILIES ONE . Contractor Date DESCRIPTION OF WORK NEW ❑ ADD ❑ ; s D ' ❑I am exempt under Sec ' AL—TER.'El B&P C. for this reason REPAIR ❑ $ Date USE OF //►► EXISTING BLDG (�' /Pt DEMOL�I Signature APPLICANT PRI T) L NO r FINAL l OWNER-BUILDER DECLARATION ^ DATE C' I hereby affirm that I am exempt from the Contractor's License ADDRESS D Law-for the following reason (Section 7031.5; Business and _ FINAL' Professions Code) PRESENTByBUILDING ACCTA El I, as owner of the property, or,my employees with ADDRESS.' Q — 9911' ACGTA wages as Their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY D -.�7 60 .10 7044, Business and Professions Code ) MOVING TEL i TpI�+ 1, as owner of The property, am exclusively contracting CONTRA1 CONTRACTOR NO s ITEPas with licensed contractors to construct the project (Sec- ADDRESS IOTA 60-50 tion 7044, Business and Professions,Code ) -60.50 L 0�y CC I CONSTRUCTION LENDING AGENCY SETT BACKK YARD HWY TOTAL SETBACK FROMEXIST 4Uo•JC I hereby affirm that there is a construction lending agency for FRONT C M .00 the performance of the work for which this permit is issued P L (Sec 3097, Civ C )" - SIDE A'-- P L. Lender's Name ��yi v �1 LDMA Ref # VLFU 1 �� �,�� Lender's Address P C Fee$ Permit Fee Q VlU i TTII V�Sr� 0 1 certify that I have read this application and state that the Issuance Fee J LDMA P/C# l " above information is correct I agree to comply with all County' Investigat on Fee ordinances and State laws relating fo building construction, Total Fee lV O �J U LDMA Perm # a and hereby authorize representatives of this County to enter 0D "upon the above-m ioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of'Ap scant or Agent Date .. CQUNTY 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 0806170041 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST I BUILDING ADDRESS I ITR 5903 LT- 32 I SQ FT STORIES TYPE I 8640 LONGDEN AV 1 I ISTRUCTURE. 1000 V-B I TEMP CA 91775 I (ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET ROSEMEAD I I � I 15386,006-018 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY, CI ITENANT IEXIST BLDG USE. RESID USE ZONE R-1 (ISSUED ON PROCESSED BY EXPIRES ON 1 IEXIST OCC GRP 106/17/08 SR 12/14/08 1OWNER TEL NO 1BLDGS NOW ON LOT. VALUATION IF AL(ATEFIN `Ay CODE1SCIURBA LANGDON, MARTHA (626) 286-4471- 1 5,90018640 E. LONGDEN AVE (/� n 1SAN GABRIEL CA 91775 1 FEES PAID 1DEnC'RIPTION OF WORK 1 I '1TEAR OFF BUILT-UP ROOFING FINISH AND INSTALL CLASS A I IFEE DESCRIPTION QUANTITY UOM AMOUNT. IREPTACEMENT BUILT-UP ROOFING I 1APPLICANT TEL NO I I1 IMOODY (800) 400-7692- IAA BLDG PERMIT ISSUANCE 27 75 I 1 1996 E PRICE STREET 1AC STRONG MOTION RESID 5900 00 VAL 0 59 1SPECIAL CONDITIONS 1 IPOMONA CA 91767 ID2 PERMIT W/O EN-HC 5900 00 VAL 149 40 I I 1 1 TOTAL FEES 177 74 1 (CONTRACTOR TEL NO 1 J 1APPROVALS DATE INSPECTOR SIGNATURE I IMLB SERVICE INC (800) 400-7692- I 1 , IROYAL ROOF CO LIC NO I ILOCATION AND SETBACKS I 1 1996 E PRICE STREET 413067C391 I 1POMONA, CA 91767 1 1SOILS ENGINEER APPROVAL 1 1 (ARCHITECT OR ENGINEER TEL NO 1 1FOUNDATION/TRENCH FORMS I I LIC. NO 1 1SLAB/UNDER FLOOR I I 1 1 IRAISED FLOOR FRAMING 1 1 1 1MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 1UNDERFLOOR INSULATION I I I 1153H261 3 011 1_ 1-1 1 I I 1FLOOR SHEATHING I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I 1 I ^ NO 21 I 1ROOF SHEATHING I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS ul I I (AIR QUALITY 1000 FEET MATERIALS I I I 1 NO NO NO I IFRAME INSPECTION I 1 I I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I 1 I ISET BACK YARD HWY PROP LINE WIDTH 1 I 1 I 1 IFRONT PL- 1 IINSULATION/WEATHER STRIPI I I SIDE PL- 1 1 11 I I 1 IINTERIOR LATH/DRYWALL 1 I 1 1 1EXTERIOR LATH 1 1 1RATED FLOOR/CEIL ASSEM I 1RATED WALL ASSEMBLIES I 1 1RATED SHAFTS/OPENINGS I I 1 IT-BAR CEILINGS I I ILOT DRAINAGE I IREPORT ID DPR261 ROUTE TO BS0508 1 1 1 1 I I I I I I 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 1202230063 PHONE (626) 285-0488 EXT ' 1 LEGAL IO I NO OF CONST NEW I ( BUILDING ADDRESS. ITR- 5903 LT 32 1 SQ FT STORIES TYPE OCCUP GROUP 8640 LONGDEN AV I ISTRUCTURE 364 1 V-B U I TEMP CA 91775 (ASSESSOR INFORMATION NUMBER - GARAGE s I NEAREST CROSS STREET: I 15386-006-018 1 OTHER I THOMAS PAGE- 596 GRID G2 LOCALITY TEMPLE CITY, Cl i TENANT IEXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY I IEXIST OCC GRP • 104/23/12 SR 1 (OWNER TEL NO BLDGS NOW ON LOT VALUATION IFI AL DATE FINAL Y CODE ISCIURBA, MARTHA (626) 272-9818- 1 5,000 I 18640 LONGDEN AVE I ISAN GABRIEL, CA 9177 FEES PAID D SCRI TI N OF WORK 114 X 26 SOLID ALUMIMUM PATIO COVER IFEE DESCRIPTION. QUANTITY UOM AMOUNT 1 1APPLICANT TEL NO I CALHOUN, CHRISTINA (909) 781-9691- ID1 PLANCHECK W/O EN-HC 5000 00 VAL 112 70 1 - IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS I IAB STATE GREEN BLDG FEE 5000 00 VAL 1 00 I - IAC STRONG MOTION RESID 5000 00 VAL 0 50 1 ID2 PERMIT W/O EN-HC 5000 00 VAL 132 60 CONTRACTOR TEL NO I TOTAL FEES 274 60 APPPOVALS DATE INSPECTOR SIGNATURE ROOMS N COVERS INC (909) 390-0555- I 1 1840 S ROCHESTER AVE #C LIC NO I ILOCATION AND SETBACKS (ONTARIO CA 91761 _ 517575 B I - ,v I _ ISOILS ENGINEER APPROVAL ' (ARCHITECT OR ENGINEER TEL NO 1 (FOUNDATION/TRENCH FORMS I I I LIC NO I ISLAE/UNDER FLOOR I t 11 I I I I IRAISED FLOOR FRAMING I I _ I• I I I� IMAP NO: SEWER MAP BOOK- PAGE: FIRE ZONE _CMP I } - (UNDERFLOOR INSULATION I I I 1 3 001 11ST, LEVEL FLOOR SHEATH INO. OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I 1 0 NO 21 I 12ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING (AIR QUALITY 1000 FEET MATERIALS I _ NO NO NO I (FIRE DEPT FRAME INSPECTI 1 I IBLD3,DEPT FRAME INSPECTI -- I I (SHEAR PANELS -1-1I I I I 1 (INSULATION/WEATHER STRIPI I1 - I (INTERIOR LATH/DRYWALL I I IF I (EXTERIOR LATH I I 1LOT DRAINAGE 1 1 1 I I (SMOKE DETECTION DEVICES I I I I I I I I I (FIRE DEPARTMENT APPROVALI I IREPORT ID DPR261 ROUTE TO: BS0508 f I I I I I I