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Home My Public Portal About8768 LONGDEN AVE_Building__ 76A636ACE y8032-63 , plCA.Tf_0N. ,.VR. B. LDING PERMIT COUNTY OF LOS ANGELES: BUILDING a' DEPARTMENT OF COUNTY ENGINEER gDDREss m' - eY(�jy J BUILDING AND SAFETY-DIVISION LOCALITY JOHN'•..A. L"AMBI E. COUNTY ENGINtE 13 NEAREST' - WILLIAM A. JENSEN, SUPT,OF.BUILDING. CROSS ST. 'DISTRICT NO. UP" TYPE $ ED B FOR APPLICANT TO `FILL IN ,. ' CONST. .BUILDI NG.; 'y', STATISTICAL CLASSIF ATION S WERMAP � ADORESLongden BK G -CLASS, NO. DWELL. UNITS• ' !. LOT NO. 65 BLOCK WATER NOT,REQUIIRED RECEIVED a CERTIFICATE: LJ '.TRACT MAP HIGHwnY... ' NO. OF BLDGS. NO., (,Y ®� I.RCLE),�'STATE MAJOR SECOND LOCAL SIZE OF LOT NOW,ON-LOT .USE ZONE SPECIAE _ r . USE OF - - CONDITIONS.EXISTING BLDG.BLDG. . - T,E L. 7 OWNER Jan Jamieson ".,.',NO,'287-54A'9 BUILDING. .. "-:- EXIST, SETBACK YARD HWY. STREET.NAME' 'WIDTH- . ADDRESS SS abr•e FRONT' - ARCHITECT OR- _ •. T. P. L ENGINEERS andard. lan r ....NO.: SIDE CL ADDRESS - - r' 'O . TEL. CONTRACTOR O. - - - - "- .. D .. LLQ. :ADDRESS, B d So. Gate _ - 0 .. DESCRIPTION OF. WORK;, CL NEW ' 'ADD . ALTER. .REPAIR DEMOLISH •. - - Z - . I SO.,FT. '-NO. OF NO. OF SIZE - STORIES. FAMILIES - USE OF..- 7 STRUCTUREPrivate swim pool,. - d an X2110. 4 . SIGNATURE ti. -'APPLICANY 4.. •' - VALUATION $2500. 00 - APPROVALS DATE. INSPECTOR'S:SIGNATURE i P C t' pIjT - •r FOUNDATION: LOCATION �,/{� ' FEE $ `.. • FEE $ 'V_� /� '' FORMS;'MATERIALS ;o -Ahyy� '�✓" " . - FRAME: FIRE.STOPS, 17-HEREBY ACKNOWLEDGE THAT, I 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. 1 CERTIFY,-THAT IN -DOING,TFi AUTHORIZED HEREBY I WILL'NOT. EMPLOY ANY P 50'N,"IN VIOLA- ' TION OF THE'.LABOR CODE'OF THE STATE-OF L)FORNIA RELAT- LATH, INT. ING TO WORKMEN'S COMP E SATION IN, IR, EXT. E OF 1 SIGNATUR "•: HOUSE NUMBER COR_ PERMITTEE - ERECT AND POSTED' - '•' noDREssg 1 Firestone Blvd. .So. t FINAL _ • - - f°,.i. ,JOHN F.'LEWIS, PRJ.NC I PAL,ST URAL ENGINEER; - PLAN CHECK'VALIDATION cK.- W9. CASH' -PERMIT VALIDATION( cK. `.-M.O. 'CASH LitoA 4'9'7-- .JtiPd1 2 3 .a'. 3.7 5 ' - LACo 4 4 9 8"oJAN 15 1 -A -1 5.0.0.- 4 -,' APP UC AMOUR FOR BU LhDUNORERNT COUNTY OF LOS ANGELES. BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL 1W , BUILDINGBpE S I hereby affirm that I have a certificate of consent to self insure, BUILDING A KESS -or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) �Yh 1 l p ni e ZIP 1y,O 0 l� � 1 LOCALITY Policy No. Company SIZE OF LOT NO,OF BLDGS.NOW ON LOT ❑ Certified Copy is hereby furnished. NEAREST CROSS ST. OCK LOT NO. El certified copy-is filed with the county building inspection TRACT BL department. - USE ZONE MAP NO. Date Applicant ASSESSOR MAP.BOOK PAGE PARCEL- SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL o. COMPENSATION INSURANCE ZCt- Pi 75 3 e)�5 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADD ESS /_ Low DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) sl� I certify that in the performance of the work for which this permit. is issued, I shall not,employ any person in any manner so• as to CITY ZIP `� �' become subject to the Workers'Compensation Laws. ARCHITECT O ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT - CONDO Date ..?� ,� .. Applicant ADDRESS - CLASS.NO. DWELL UNITS NOTICE TO APPLICANT.- If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become ,subject- to the Workers' CONTRACTOR , TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of,the Labor Code, you must forthwith O ell 61.E 1 U&<- FRONT complywith such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC.CLASS P IL I hereby affirm that I.am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 Of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW El BK PG D a License Number Lic.Class DESCRIPTION OF WK1. 4/6� ADD ❑ VALUATION Q Contractor Date - ALTER ❑ Xz CD Y. PI wo e ❑ 1 am exempt under Sec. REPAIR ❑ $ FEW BAP.C. for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ i IL Signature APPLICANT(PRINT) TEL NO.. LDMA Perm# - - e Z I, as owner of the property, or my employees with wages as, Z - their sole compensation,.will do the'work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and FINAL DATE ,! — •_� Professions Code. € WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL q-Z OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE V J ❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Q i€! 'rii -p Ah i' 40 licensed contractors to construct the project (Section 7044, FINAL BY > _ €..L ->£•-�— Business and Professions Code.) Yes❑ No❑ t,K +' s zf I • WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �,• i CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR ;'-1�'jis` GUIDELINES. - I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance Of the work for which this permit Is Issued(See. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING •' ' fes•,.' ° 3097,.Civ.C. `FIj j-6# I:s ;/ i: t CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES CODE, i•},;:_.+„. N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS ' Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. j € --M 4 o Lender's Address OWNER OR AGENT O o I certify that I have read this application and state under penalty O of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE o . with all county ordinances and State laws relating to building /l v cco truction, and hereby authorize representatives of this County ISSUANCE-FEE M10 Ater uponthabove- ntiohed prop y for inspection p rpo eINVESTIGATION FEETOTAL FEE &App�irant o+Apen1 Date SEE REVERSE FOR EXPLANATORY LANGUAGE