The URL can be used to link to this page

Home My Public Portal About8848 LONGDEN AVE_Building__ 76A638A CE 9803 12/68 CITY OF TEMPLE CITY _ - APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING X�1 JOHN A., LA MBI E, COUNTY ENGINEER ADDRESS 4! e COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY � FOR APPLICANT TO FILL IN NEAREST Print or type only) CROSS ST. BUILDING - .DISTRICT NO,, RO TYPE •, P CES •D BY ADDRESS 88)48 Longden, Tem le City F CONST, G STATISTICAL CLASSIFICATION Y SEWER MAP LOT NO. BLOCK CLASS NO. _DWELL•UNITS .43K--PG TRACT - USE ZONE MAP NO.OF BLOGS. NO. SIZE OF LOT NOW ON LOT SPECIAL. USE OF _._. f CONDITIONS EXISTING BLDG, p pry OWNER MrSe Beaty NO. 2U7� 57 1 BLDG.SETBACK FROM ADDRESS8848 Longden -- FRONT PROP.LINE OF (STREET) CITY Temple City, Ca. . SETBACK FIGH OYE I DTHSTIG FROM C.L. HIGHWAY "-} YARD = TOTAL ARCHITECT OR TEL. } _ ENGINEER NO. BLDG.SETBACK F ADDRESS SIDE PROP.LINE OF (STREET) TETYPE OF EXI STINGI SETBACK HIGH } YARD = TOTAL CONTRACTOR Franke::=Fo NO. 82_1258 HIGHWAY WIDTH FROM C.L.LIC ' ADDRESS 712 So. klareng o NO 253163 + - a Alhambra Ca RoofingZ-5CITY 1 ° CLASSCORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS a N SQ. FT. - NO. OF NO. OF NEW ❑ Z SIZE, STORIES FAMILIES USE STRUOCTURE Reroof .north side ADD ❑ - - spruce green — ALTER ❑ REPAIR - - - - SIGNATURE OF APPLICANT DEMOL ❑ VALUATION $175.OO . APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. 6 QO FOUNDATION: LOCATION FEE $ -FEE $ o FORMS, MATERIALS FRAME: FIRE STOPS, I 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMTIOUCE � LATH EXT. �2N INSRAN -"SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED 4 .4 ADDRESS 712 South Marengo, Alhambra, Ca. FINAL i JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK, M.O. CASH -PERMIT VALIDATION CK. M.O. CASH tAr,7198,c:l ocil5 1 .D 6.00N _74— ;�' 76A638A CE#803 3-66 APPLICATION FOR BU I,LM G P RIle7�IT COUNTY OF LOS ANGELES , B U I L D I N G DEPARTMENT OF COUNTY ENGINEER ADDRESS I BUILDING AND SAFETY DIVISION L O C A L I T Y ° JOHN A. LAMBIE.,COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISTRICT NO G .TXPE - P O rD B, ' FOR APPLICAN TO FILL IN (, CONST. _ji .� BUILDIN STATISTICAL L IFICA TION SEWER AP / ADDRESS CLASS NO.�DWELL UNITS. &K PG n LOT NO ' ��' BLOCK USE ZONE MAP No. TRACT94 1 SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF I N BLDG. SETBACK FROM T FRONT PROP. LINE OF (STREET) OWNER TYPE OF EXISTING SETBACK HIGHWAY, + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. 4 CITY BLDG. SETBACK FROM 7, ARCH TEC OR TEL. SIDE PROP. LINE OF. - (STREET) ENGINEER NO. - TYPE OF ,EXISTING SETBACK HIGHWAY + �- YARD ;_ TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTOR ADDRESS ? p v CORNER CUTOFF YES E] NO. E a C cITY c� SEE REVERSE SIDE FOR SPECIAL, APPROVALS DESCRIPTION OF WORK --- �- LL NEW ADD ALTER REPAIR" DEMOLISH - V SQ.FT. NO. O NO. OP SIZE STORIES - FAMILIE - -USE OF ` STRUCTURE - SIGNATURE OF APPLICANT - VALUATION$ •00 .APPROVALS DATE INSPECTOR'S*SIGNATURE P.C. PMT. t FOUNDATLON, LOCATION - -F.EE$ FEE$ ! FORMS, MATERIALS FRAME, FIRESTOPS,- I HEREBY ACKNOWLEDGE THAT I.HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN G.THE WORK AUTHORIZED HEAINOT EMPLOY ANY E ON IN VIOLA- LATH, INT. TION OF THE LAF THE STATE OF A ORNIA R LAT- INC TO WORKMEATIO. INSURANC . tiLATH. EXT. SIGNATURE OHOUSE NUMBER COR- PERMITTEE RECT AND POSTED' ADDRESS `^ FINAL y JOHN F.LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O.• CASH PERMIT VALIDATIO cK. M.o CASH th Q 0 9 1 a � ;�;M3.0 � D 8•.0om. fAND SAFETY COU,NTY•OF LOS ANGELES S . a, BUILDING WORKERtS COMPENSATION DECLARATION '` FOR`APPLICANT T,O'FILL IN BUILDING DDRESS :•BUILDING ADDRESS . I hereby affirm that I have a certificate of consent to self insure r y or a certificate of Workers'"Compensation Insurance,or a.certified G copy thereof(Sec.3800,Lab.C.) CITY ZIP LO Policy No. Company• e ON Lo GALITY SIZE OF LOTS •; ❑ Certified copy isahereby furnished." - NEAREST CROSS ST. ❑ Certified,copy Is filed with the county building inspection... •TRACT BLOCK : LOT NO. department. , .. USE ZONE FAA7PDate- - Applicant, ASSESS>OR MAP-BOOK .PAGE ��% RCELaef-OWNER53.LZ.�.• o TEL NO. !� „/J-/ PECIA CO TIONS CERTIFICATE OF EXEMPTION FROM WORKERS' �G COMPENSATION.INSURANCE Cr-S' �1/i✓_ Z S WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDAka t e DISTRICT GROUP, TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) CITY. : ZIP j - I certify that in the performance of the work for which this permit /r is,issued, I shall not employ any.person in any manner'so as,to become.subject to the Workers'Compensation Caws. ARCHITEC.OR ENGINEE- TEL NO. ' p - ”. - STATISTICAL CLASSIFICATION APT CONDO" .Date Applicant ADDRESS - CLASS NO. �•DWELL UNITS NOTICE 'TO APPLICANT.' 1f, 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 FRONT comply with such provisions orthis permit shall be deemed revoked. - ADDRESS - Z LIC.NO. - - P IL LICENSED CONTRACTORS DECLARATION sloE CITY - - - 'LIC.CLASS - 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.. /^s r ! NEW ❑ BK /V PG C?�/6 ' D �- '1 DESCRIPTION OF WORK ,- VALUATION f2 License Number Lic.Class ADD 0 Contractor Date ALTER, ❑ $ /��- O b U b ❑ I,arri exempt under Sec. REPAIR, ❑ $ .00 BAP.C.for this reason DEMOL ❑ W LDMA P/C# Date: USE OF EXISTING BLDG.. URM ❑ _ '+Signature APPLICANT(PRINT) A • TEL NO. LDMA Perm-# Z. ❑ I, as owner, of the property, or my employeeswith wages'as C/S N/J Z ter.C•i,s "their sole,compensation, will do the work,,and the structure is ADDR SS/ I J _� __, �_ �_l not intended or offered for sale (Section 7044, Business„and 6 G��G� /V' �, �7 SINAL DATE a ,r r f ”" .�s 1,.a1_ Professions COde.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL i Z` L9' OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL-TO OR GREATER THAN THE I 1, as owner.of the, property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE?'''' FINAL BY - > 1 licensed contractors to construct the project (Section 7044, t ACCT: :g Business and Professions Code.) Yes❑ No 1:1 WILL THE INTENDED USE OF THE aUIDLNGi BY THE APPLICANT OR FUTURE BUILDING _'lei + • OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH- CONSTRUCTION LENDING AGENCY- COAST AIR QUALITY MANAGEMENT, (SCAQMD)SEE PERMITTING CHECKLIST FOR r}..ITEMS - - GUIDELINES ` i _. 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(Sec. (HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING '- TOTAL 649 m 90 3097,-Civ.C.)• - CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, -" ((;;[[''((''.y�, . TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20:140 CONCERNING HAZARDOUS ,i•F CHECK .L 4��'o 9-C, Lender's Name MATERIALS REPORTING.AND FOR OBTAINING A PERMIT FROM THE SCAQMD. - - - 3 - L� CL Lender's Address }l{,i� I..t7H1 113 lis. IJ C) OWNER OR AGENT ='� o I certify that I,have read this application and state under penalty t� 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 V e. 9 00011—�J(•01 /24 y,7 construction, and hereby authorize representatives of,this County. ISSUANCE FEE. ii tit enter u n th above-mention d oparty for inspection purposes. hf �. S i�it i ��4°!'t INVESTIGATION'FEE TOTAL FEE Sig- of AR,fi.-I or Aqe l w SEE REVERSE FOR EXPLANATORY LANGUAGE