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Home My Public Portal About9038 LONGDEN AVE_Building__ I "�_'MWSION OF BUIMING AND SAFETY BUILDING Department of County Engineer Count FO of Los Angeles WM. J. 60X, COUNTY ENGINEER APPLICATION AI ••�� V BUILDING APPIXANTO FIL IN woo SG den 6e LOCALITY DDE646>1 y CROSS BT. LOCALITY NEAREST L ` l DISTRICT NO. - PUN CK. OR Rbc. No. PERMIT NO. , CROSM. u ti L b�N -3,:e,4 2_ OWNER ri _M 11/�� r RECEIVED BY DATE OF APPL. DA E ISS ED ' • AMAI LDDRESS JEN U CA) UC.+ 2rE "z --i- a USE ZONE I AO. OF I TYPE GROUP FIRE ZONE CITY•.//+ G1 d / & NO.• -r -�X� PLANS' ENG ]74: INEER ITE OR 0,W AI � TE r(/L. d 0 APPROVE.OV6D BY �.� ,• // ,(��3 BUILDING �� ) /y ORD �• ADDRESS e, y7 SETBACK LINE: !J^'-'/(r{1 fid/ �•�G��/ CONTRACTOR Q��y C+� NO.• APPROVED HOPSE NUMBERING ) ADDRESS t LEGAL i MAP NUMBER 03 !• NO. ASSIGNED BY DESCRIPTION LOT NO./ �,Z BLOCK �^ /�� DATE (� I ' 0�[ '�,�QN�' I INSPECTOR �y TRACT �('� �J tJ L{- NO. OF BLDGS. SIZE OF LOT (/^ / /® Ii NOW, ON LOT EX SUSETOING BLDG. [/�.d b afr✓1 /Vf;CT I F MIOLIES DESCRIPTION OF WORK �� F z 11 �b `T"2 /vD�7" 0 I A//�F_ 11�/711�rh1 L c>gv�n Z NEW � ALTERATION ]_,.�__ADDITION i > REPAIR NO.DEMOLITIONSO. /, f •�,� /TI S ZEA '3060 ROOMS STORIES / I X-t �L / j / 6 EXT. WALL / qq ROOF AP�J O 5 i r,t C COVERING COVERING S /AJf�-►fr ��,�� ,�!- USE OF STRUCTURE 2ES =/V E -ru 6RC07'g10," fA)P 4 A'7~��. r o a U G s f /rl0�6 APPROVALS INSPECTOR'S,SIGNATURE FOUNDATION: LOCATION FORMS, MATERIAT q 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS 1 U CORRECT. _ 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, V AND STATE LAWS REGULATING BUIL NG CONSTRUCTION. GAS VENT, DUCTS l SIGNATURE OF LATH,' INT. PERMITTE LATH, EXT. ADDRESS AUTHORIZED AGT. PLASTER, INT. / PLASTER, EXT. P C.$ 4 FEE - HOUSE NUMBER COR- �3 RECT AND POSTED y� VALUATION FEE >$ ^�* FINAL 78A898A DBS 8 2-88 +' WORKERS' COMPENSATION PECLARATdON I herebyaffirm that- I have'a certificate of consent-to self b O insure, r a certificate of Workers' Compensation Insurance, ap p d 0 C AU�OO.H FOR M 0 L O ��]C� PER �T or a certified copy thereof (Sec 3800; Lab C.) W ' - COUNTY OF LOS ANGELES BI�IWING-AND SAFETY PoLy'No Company .r k•. . . - , ,FBUILDING E] Certfied copy is hereby'furnished t . -„- ,- - OR APPLICANT TO FILL IN x ADDRESS ❑ Certified copy is filed with the countybuIIdIng Inspec- BUILDING p tion department ' ADDRESS Date Applicant _ CITY l' C17 ZIP LOCALITY NO OF BLDGS NEAREST CERTIFICATE-OF,EXEMPTION FROM WORKERS" SIZE OF LOT NOW ON-LOT CROSS S7 COMPENSATION INSURANCE `` ASSESSOR ,,// (This section,need not be completed if the permit-is for one TRACT BLOCK LOT NO MAP BOOK PAGE �D PARCEL��S'` . hundred dollars ($100),or•less') : :"', 4 f• - ti .T{L 4 OWNER - 7�E C CNOUSE ZONE t E OF J �� sl certify that to the performance of,the work-for which this �y7 �*/t permit is issued, I shall not emp•loyany,person to any manner ADDRESS / -d r- (J��' �v CONDITIONS a so as to,become subject to the Workers'Compensahori Laws' r CITY ( Z "- / L v`Z P O Date Applicant ARCHITECT OR L_ TEL � NOTICE TO APPLICANT If, after makingthis.Ceriificdte` of ENGINEER NO• DISTRICT GROUP TYPE FIRE P OCESS, BY CONST ZO E F Exe tion, you u should become subject to the, Workers' �� ® � i l Q) Compensation rovisions of-the Labor Code, you must forth- ADDRESS /[ `/ with:comply with such provisions or.this, permit shall be TEL STATISTICAL CLASSIFICATION ]7 APT CONDO to Z • deemed revoked . _ .. CONTRACTOR NO CLASS NO �DWELL UNITS LICENSED CONTRACTORS DECLARATION - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO NN SEWER MAP n=' (commencing with,Section 7000)of Division 3 of the Business and Professions Code,and my license-is in full force and effect CITY CLASS BK !_VALIDATION SQ FT (J NO OF NO OF CHECK License Number Lic Class SIZE q 0 1 STORIES FAMILIES ONE _- VALUATION Contractor Date DESCRIPTION OF WORK NEW - ❑ S / y� ;:I ;tL .'T �' -� ! !/ ADD ❑ I'� � A ❑I am exempt under Sec NL Es i•r�hri' F ...1; B&P C for this reason REPAIR Date; te USE OFEXISTING BLDG DEMOL Efl "t Signature APPLICANT TEL FINAL 'OWNER-BUILDER DECLARATION (PRINT) NO' DATE I hereby irm-that I am exempt from the Contractor's License ti . Law f the following reason•(Section 7031 5, Business and ADDRESS FINAL �c Prof Bions Code). PRESENT _ By -I,. as owner of theproperty, or m em to employees with BUILDING g Y P Y ADDRESS wages as their sole compensation,-will do the work and the structure is not intended or offered for sole(Section LOCALITY -7044, Business and Professions Code ) MOVING, TEL ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO #d�a!' �� • ,with licensed contractors to construct,the project (Sec- ADDRESS �OOo2� h 4,on 70Business and Professions Code ) t - REQUIRED —YARD` HWY -TOTAL SETBACK.FROM EXIST CONSTRUCTION-LENDING AGENCY SET BACK 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 D/ (Sec 3097, Gv C.) SIDE -7-777777777 Lender's Name $ - / LDMA Ref # _ P C Fee$ b PermitFee Lenders Address' ° 1 certify that I have read this application and state that the Issuance Fee LDMA P/C# o ' 8 above information is correct I agree to comply with all County Investigation Fee rY7_ L ordinances and State'jaws relating to building construction, Total Fee CJ /v LDMA Perm # a and hereby,authorize representatives of this County to enter upon,she'above-mentioned property for inspection purpoIlies YY SEE REVERSE FOR EXPLANATORY LANGUAGE Y~ Signature of-Applicant or'Agent Dae- - " WORKERS' COMPENSATICW DECLARATION � ) hereby' affirm tfiat I have a certificate of consent to self A p pm ck u p O M Fog u dDOM(G F E RM i%ure, or a certificate of Workers' Compensation Insurance, or a certified'copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES 4 BUILDING AND SAFETY Policy No 'Company ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS GCGw ❑ Certifled•copy is filed with the county building inspec- BUILDING / �p - tion deparimeriT _ ADDR-E-SSS-�9� E' �/�✓/�1�� V�- r. CITY r '•?vim ALE C1' /- `� :ZIP �� 7 LOCALITY Date Applicant NO OF BLDGS CERTIFICATE OF EXEMPTION FROM WORKERS'T SIZE OF LOT NOW ON_LOT NEAREST _ CROSS ST ' COMPENSATION INSURANCE ASSESSOR 1 � '(This sectic,6 need not be completed if the permit is for one • TRACT` BLOCK LOT NO t MAP_BOO PAGE 6fV PARCEL�� hundred dollars($100) or less ) - r� TEL OWNER(2,,*) ►V di; NO Z E r NO I certify that in the performance of the work for which,this p��n � ��E� ��- - i permrf is issued, I shall not employ any person in any manner ADDRESS ��[[// js c _/ SPECLCLDITIONS so.as to become subject to the Workers' Compensation Laws- �y - 9 _ 0 I � CITY / v (%�r ZIP Date Applicant ARCHITECT OR TEL NOTICE TO APPLICANT If, after makingthis Certificate of DISTRICT �ROUR TYPE FIRE PROCESSED BY ENGINEER NO CONST ZONE O Exemption, you,should become subject to the, Workers' D j/ � 1 �' Compensation provisions of the Labor Code, you,must,iforth- _ ADDRESS O j/ w o- with comply with such provisions or This permit shall be TEL STATISTICAL CLASSIFICATION APT CONDON deemed revoked I CONTRACTOR NO :] Z LICENSED CONTRACTORS DECLARATIONLIC CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ui NO (commencing with Section 7000)of Division 3 of the Business LIC SEWER MAP and Professions Code,and my license is in full force and effect CITY CLASS BK PG VALIDATION SQ FT NO OF NO OF CHECK License Number Lic Class SIZE �j STORIES FAMILIES ONE VALUATION Contractor Date DESCCRRRIPTIO,N'OOF�WO,RK Af-0_O NEW ❑ ADD ❑I am exempt under Sec s ~❑ �':,- , _ ALTER S ' B&P C for this reason �,. - - . REPAIR ❑, - - ., - - - ' Date USE OF. :- EXISTING BLDG DEMOL ❑ Signature APPLICANT -TE(PRINT) � y�f L � No � L OWNER-BUILDER DECLARATION DOE I hereby affirm that I am exempt from the Contractor's License " ��: t .e Al E Law for the lowing reason (Section 7031 5, Business and ADDRESS FINAL Profess Code) PRESENT By— BUILDING �� fig-�l�� Q E'" ' .7 I, as owner of the property, or my employees with ADDRESS' wages as Their sole compensation,will do the work and — the structure is not intended or.offered for sale(Section LOCALITY L L �T { _ter_ 704, Business and Professions Code) MOVING TEL = = J.!-E I ❑ I;as owner of the property, am exclusively contracting CONTRACTOR NO I =gv1.b •_s ® 160 with licensed contractors to construct,the project (Sec- ILIAL _ _ S ADDRESS tion 7044, Business and Professions Code )' 3_;;}'.Z REQUIREDTOTAL SETBACK FROM EXIST " CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH, � I hereby affirm that there is a construction lending agency for FRONT l the performance of the work for'which this permit is issued P L (Sec 3097, Civ C ) SIDE ; z r ii- [�� i• z t P L Lender's Name _ - - - - • ., k . _ ,_€it,E t•-.:E_1=� ��.y'_t':r 3 LDMA Ref # - `y P C Fee$ Permit Fee J Lender's Address u r�. I certify that I have read this application and state that the Issuance Fee P/C H `g above information,is correct I agree to comply with all County Investigation Fee D ordinances and State jaws relating to building construction, Total Fee O LDMA Perm # a and hereby authorize representatives of this County to enter upon the above-mentioned property for inspectiorypurpoes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent t D to 4