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HomeMy Public PortalAbout8701 LONGDEN AVE_Building__ APPLICATION FOR BUILDING PERMIT- FOR APPLICANT TO'FILL IN -(Prinr or rvoe only) BUILDING ., -COUNTY OF*LOS ANGELES ADDRESS c j Lok - d DEPARTMENT OF-COUNTY ENGINEER -' '-ZIP' 7 7.- -BUILDING:AND'SA Y DIVISION : NO. LOGS BUILDING SIZ OF LOT ( LOT h ADDRESS G/ ✓� TRACT BLOCK LOT' O - LOCALITY OWNERw�J/eCt•.-K �r 'Y'¢_at ;. _ NOLaoS/7r-/fit .CROSS ST. - - (,-7 ASSESSOR ' ADDRESS d { CSI ��r-K.- C�P-c-L MAP BOOK PAGE- PARCEL D �p �yC 7• DISTRICT'• GROUP• TYPE, FIR P SSED BY- CITY eLLq-- C / L ZIP - -CONEY+', E - ARCHITECT TEL �6 Y '.� �U 0, `•' ENGINEER ! Ie j NO _ - _ _ _ STATISTICAL CLASSIFICATION SEWER P 'ADDRESS p �.L •CLASS NO�DWELL UNITS - BK ,PG. CONTRACTOR ' r I NOLs ONE LMA NOP D ADDRESS (`y L,tt 11,L NOIC N t SPECIAL LIC CONDITIONS CITY TGu-L j NR: CLASS ROAD DEPARTMENT APPROVAL REQUIRED, YES❑ "'NO❑ CONSTRUCTIO LENDER) �/ NAME AND BRANCH !`I BLDG SETBACK FROM �. FRONT OP LINEOF (STREET) L ADDRESS CITY ' NIGHWA } YARD = TOTAL SETBACK FROM TYPE OF• EXISTING ' SQ FT NO OF - NO. OF CHECK _ FRONT PROP =LINE ..HIGHWAY WIDTH SIZE STORIES .j FAMILIES ONE DESCRIPTION OF WORK ` NEW ❑ - U ADD BLDG,SETBACK FR e5,c> o I"-' ElSIDE PROP LINE OF (STREET) C CD ALTER TOTAL'S ET BAGK M, TYPE-OF. EXISTING HIGHWAY •=F YARD = r HIGHWAY WIDTH U V EPAIR❑ SIDE PROP LINE LLII USE OF - t = -• N EXISTING BLDG EMO,L ❑ Z el �ee..u . 'CAN APPLTq EL CORNER CUTOFF YES ❑ NO I � t /fri TQ '.7 (PRINT) WLL Ila. YY�Lc.Q-k NO.�.gs�d J- - '� IN OPEN SPACE YES-❑, NO ❑,' "BY (S I G N A T U R,E) IN COASTAL PERMIT ZONE YES ❑ �' NO ❑ VALUATION, AS I HEREBY ACK NOW LEDGE'TNAT I HAVE READ THIS APPLICATION AND STATE TME-ABOVE IS CORRECT AND AGREE-TO COMPLY ORDINANCES WITH ALL ORDNANCES AND LAWS REGULATING BUILDING CON- "STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED _ HEREBY I WILL NOT EMPLOY ANY *PERSON IN VIOLATION OF THE /' _ V "�� _ LABOR 'CODE OF THE STATE OF CALIFORNIA IN RELATING T WORKMEN'S COMPENSATION INSURANCE SIGNATURE OF �J�JPG�L PERMITTEE ADDRESS o? 4 _7 i /�y!- _ r FINAL., CITY•, eoe (P- C-�:•y' L NOL f7 S DATE P. Q •Q MARE CHECKS PAYABLE 10, FECE'a FEE 1 J HARVEY T. BRANDY, COUNTY ENGINEER PLAN CHECK VALIDATION CK MO 'CASH c PERMIT'VALIDATION CK, 'M O CnsH $.1 5 SEP 19 1 0 2 1.7 5',&98 76A638A CE#803 5/74 ©S 76A638A ` CE/803(RFIV R/78) APPLICATION i'®5-. BUILDING PE-kIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN_ ADDRESS BUILDING 7o EIL ADDRESS C O N �s�✓ (/� LOCALITY // NEAREST ` CITY T r� ZIP CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT ti NOWON LOT MAP BOOK PAGE PARCEL //� - _ ^t ', ` DISTRICT GROUP TYPE FIRE RO SED BY TRACT I to BLOCK' 'LOT- e�S L p q ,p CONST Z E TE ' cJ ,_ " OWNER Q �Y y STATISTICAL CLASSIFICATION EWEY MAP ADDRESS CLASS NO DWELL UNITS BK 7G L-t CITY ZIP ARCHITECT OR G' C TEL VALUATION $ ENGINEER NO ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF —ISTREET) CONTRACTOR h NO HIGHWAY t• YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS �t NO ' LIC + CITY" D� CLASS BLDG SETBACK FROM CONSTRUCTION LENDER NAME AND-BRANCH SIDE PROP LINE OF (STREET) TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD ADDRESS CITY SIDEPROP LINE HIGHWAY WIDTH 0 - SO FT NO OF NO OF CHECK + = V SIZE �O STORIES FAMILIES ONE ^v), 0 DESCRIPTION OF WORK NEW ❑ PC Fee$ Permit Fee III O ADD ❑ Issuance Fee ISA ., ALTER REPAIR ❑ Total Fee USE OF EXISTING BLDG DEMOL ❑ Z APPLICANT : TEL' O PRINT) NO Q BY(SIGNATURE) 4 t � HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICATION AND STATE tX , THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ".0 •., AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE _ u 22,707 A WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF - G 2'7 Q 7 A THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM 2 ' PENSATION INSURANCE '' - - #10 OHO O O 1 ..- . SIGNATURE,OF' . 0 0 PERMITTEE " '� 2 2 Q Q ADDRESS Z �o o o 2 5:06.0 a O s .. CITY- NO 0213-79 USE ZONE NOAP C7 O J // SPECIAL' � /a DITIONS g at FINAL BY 6 DATE / G r - ` WORKERS'COMPENSATION DECLARATION p n insure,or affirm certif carte of Worke s' Compensation ent to Insurancef /n1 rD,n /nl ©� I� II ®N RN or a certified copy thereof (Sec 3800, Lab C ) y✓ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified coy is hereby furnished BUILDING ❑ p y FOR APPLICANT-TO FILL IN ADDRESS' E7 ❑ Certified copy is filed with the county building inspec- BUILDING y, tion department ADDRESS �C + �D (� —YI LOCALITY NEAREST Date Applicant CITY::r ,C) r ZIP CROSSST CERTIFICATE OF EXEMPTION N FROM WORKERS' 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 :5VAI I)l - / USE ZONE MAP v , huhdred dollars ($100)or less ) TRACT 5'L• BLOCK LOT NO ( NO TEL f - SPECIAL } I certify that in the performance of the work for which this OWNER NO =9,6-1h39 V-- z CONDITIONS' fes' permit is issued, I shall not employ any person in any manner ADDRESS /N �jJ7-' DISTRICT GROUP TYPE FIRE PROC SSED BY O so as to become subject to the Workers'Compensation.Laws CONST ZONE Q /� ''j� lf} m O J Date v Applicant `� �7 ��' �J`5 CITY ZIP STATISTICAL CLASSIMATION _ Pi CONDO v ARCHITECT OR TEL NOTICE TO APPLICANT If, after ENGINEER NO making this Certificate of, /� �- CLASS NO DWELL UNITS Exemption,"you should become subject to' the'Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP n with comply with such provisios"or this permit shall be Z deemed revoked CONTRACTOR �`T�f_►Y.',TEL 7A BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC - I hereby affirm that I am licensed under provisions of Chapter 9" ADDRESS -�F a NO 2-3 qJ VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions-Code, and my license is in full force and effect CITY CLASS / SQ FT NO OF • NO OF CHECK + License Number Lc Class C9-./ SIZE STORIES FAMILIES ONE Contractor �A-� �� Y h `� b DESCRIPTION OF WORK NEW ❑ $ 1- t'�! (1L Dare_�/�z"�� , I am exempt under Sec T 1a - ADD ❑ , ALTER ❑ FINAL C>��C S'f' C DATE B 8P C for this reason REPAIR I • Date �S USE OF DEMOL ` EXISTING BLDG �C Byi4L Signature APPLICANT •JEL 2cn 1 •OW R-BUI ER D CLARA N PRINT r�- tNO - 6 I hereby affirm tha I am exempt from the Contractor's License '''DDRESS JL�42 �/ SA i-•1 A, " � �: =� � 1J 2 Law for the following reason (Section 7031 5, Business and �i Professions Code) "PRE-SENTIN ( )1 0 0 0 0 0 BUILDING ❑ I, as owner of the property, or,my employees with ADDRESS wages as their sole compensation,will do'the work and y 2 0 1 24,8.8 the structure is not intended or offered fovsale_(Se ction LOCALITY 7044, Business and Professions Code). _ MOVING TEL ,o o 1 2 [)_88 " ❑ I, as owner of The property, am exclusivelylco`ntracting C NTRACTOR NO h with licensed contractors to construct•the project (Sec- ADDRESS .0 P Q`-fi 3 tion 7044, Business and Professions Code) Y REQUIRED TOTAL SETBACK FROM s,. EXIST CONSTRUCTION LENDING-AGENCY SET BACK YARD HWY PROP LIN �`­ 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 o Lender's Name P L • P C Fee$ Permit Fee .,,� •`y - - Lender's Address I certify that I have read this application and state thot'the Issua ce'Fee above information is correct I agree to comply with all County Investigation Fee x + ordinances and State laws relating to building construction, Total Fee >� and'hereby authorize representatives of this County to enter upon Th ove-mentioned p opert or inspection purposes ` �3 SEE REVERSE FOR EXPLANATORY LANGUAGE ignoty a of Applcan or Agent Date - ®s COUNTY-OF LVS F�NGELES 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 0703070029 PHONE (626) 285-0488 EXT. " LEGAL ID: NO. OF CONST BUILDING ADDRESS- ON FILE SQ FT STORIES TYPE 8701 LONGDEN AV ISTRUCTURE 1700 VN SGAB CA 917751813 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ROSEMEAD 15381-022-020 THOMAS PAGE: 596 GRID. G2 LOCALITY TEMPLE CITY, CI TENANT. 1EXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY EXPIRES ON-EXIST OCC GRP. 103/07/07 JK 03/01/08 OWNER- _ TEL NO 1BLDGS. NOW ON LOT VALUATION iF Ai_ DAT FIN?4 CODE LIU, TINA (626) 780-4694- 1 5,000 18701 E LONGDEN AVE. J SAN GABRIEL CA 91775 FEES PAID IDES R TI OF WORK _ 1TEAR OFF AND REROOF WITH COMPOSITION SHINGLES IFEE DESCRIPTION QUANTITY: UOM: AMOUNT: APPLICANT TEL NO: I I SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 1 1 IAC STRONG MOTION RESID 5000 00 VAL 0 50 ISPECIAL CONDITIONS. 1 ID2 PERMIT W/O EN-HC 5000 00 VAL 132 60 1 TOTAL FEES 160 85 CONTRACTOR TEL NO: 1APPROVALS DATE •INSPECTOR SIGNATURE SAME AS OWNER - LIC NO (LOCATION AND SETBACKS 1 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER- TEL. NO. 1FOU1,DATION/TRENCH FORMS I I LIC NO: 1SLAB/UNDER FLOOR I I I I RAISED FLOOR FRAMING IMAP NO. SEWER MAP BOOK: PAGE: FIRE ZONE CMP:1 1UNDERFLOOR INSULATION I I 1153H261 3 011 1 I IFLOOR SHEATHING INO OF FAMILIES DWELLING UNITS APT/GOND- STAT CLASS. I I I I I NO 21 I (ROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I (AIR QUALITY 1000 FEET MATERIALS I I I I I NO NO NO (FRAME INSPECTION I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I ISET BACK YARD HWY PROP LINE. WIDTH I I I l IFRONT PL- (INSULATION/WEATHER STRIPI I SIDE PL- I_ I I '-\ � - ry`I (INTERIOR LATH/DRYWALL I I A W� Cal P_t'e V311*\wt o [,�oljfr .All' 1 EY.TERIOR LATH `I^ jA ��� (RATED FLOOR/CEIL ASSEM(�/� �/ I (RATED WALL ASSEMBLIES I I IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I I I I I I I ILOT DRAINAGE I I I (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I COUN't'Y,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 0703190018 PHONE (626) 285-0488 EXT- ILEGAL ID I NO OF CONST 1 BUILDING ADDRESS: 1 1 ON FILE 1 SQ. FT STORIES TYPE I 8701 LONGDEN AV I 1 ISTRUCTURE 1700 VN I SGAB CA 917751813 1 (ASSESSOR INFORMATION NUMBER- 1 1 NEAREST CROSS STREET ROSEMEAD I 15381-022-020 1 1 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY, Cl ITENANT (EXIST BLDG USE: RESID USE ZONE R-1 (ISSUED ON. PROCESSED BY EXPIRES ON 1 1 1EXIST OCC GRP 103/19/07 JK 03/13/08 1 (OWNER TEL NO IBLDGS NOW ON LOT: VALUATION JFIDWL DATE FI CODE 1 ILIU, TINA (626) 780-4694- 1 20,000 1 l 1 18701 E. LONGDEN AVE I I I 1SAN GABRIEL CA 91775 I FEES PAID 1D CRIPTION O WORK 1 I (REPLACE 14 WINDOWS, INTERIO REMODEL FOR KITCHEN & 2 BATH 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT:IROOMS I (APPLICANT TEL NO. I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 1 1 I IAC STRONG MOTION RESID 20000.00 VAL 2 00 ISPECIAL CONDITIONS: 1 I 1B2 PERMIT W/ENERGY 20000 00 VAL 423 06 1 I IFR INV WORK W/O PERMIT 257 00 DOL 257.00 I 1 I I TOTAL FEES 709.81 I ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I LIC NO I ILOCATION AND SETBACKS I I I 1 1 ISOILS ENGINEER APPROVAL 1 I 1 1ARCHITECT OR ENGINEER- TEL NO. 1 IFOUNDATION/TRENCH FORMS I I I 1 LIC NO 1 ISLAB/UNDER FLOOR I I I ` 1 1 IRAISED FLOOR FRAMING 1 I 1 IMAP NO SEWER MAP BOOK: PAGE FIRE ZONE: CMP.I 1UNDERFLOOR INSULATION I I 1153H261 3 011 1 1-1 I I IFLOOR SHEATHING I 1 INO. OF FAMILIES DWELLING UNITS. APT/GOND STAT CLASS- 1 1 1-1 NO 21 1 IROOF SHEATHING 1 1 I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I (AIR QUALITY- 1000 FEET MATERIALS 1 I I I I 1 NO NO NO 1 IFRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I I ISET BACK YARD. HWY PROP LINE: WIDTH 1 1 1 1 I 1FRONT PL- 1 NSULATI N/WEATHER STRIP( -I I I SIDE PL- I 1 I I I 11NTERIOR LATH/DRYWALL 1 1 (EXTERIOR LATH I I 1 I I I I I I I I IRATED FLOOR/CEIL ASSEM. I I 1 I I I I I I I I IRATED WALL ASSEMBLIES I I I I IRATED SHAFTS/OPENINGS 1 I I I I I I I I 1 I IT-BAR CEILINGS I I I ILOT DRAINAGE 1 I I 1 IREPORT ID: DPR261 ROUTE TO BS0508 1 1 I I I I I I I