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Home My Public Portal About9045 LONGDEN AVE_Building__ APPLICATION FOR, PU ILDI NG PERMIT FaR APPLICANT TO FILL IN (Print or type only) BUILGI NG - ,�,/ _ - COUNTY OF LOS ANGELES ADDRESS - -��F;C/c%s� DEPARTMENT OF COUNTY ENGINEER CITY E/�J "�' ZIP BUILDING AND -SAFETY DIVISION t4 OF BLDGS BUILDING r SIZE OF LOT W N ON LOT ADDRESS TRACTBLOC,k14 rk LOT NO - LOCALITY TEL �� .Qr NEAREST OWNER /f7J` /L7 I -'NO /(? GROSS ST sy7 ASSESSOR ADDRESS /%//t'- MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SSED BY CITY ZIP CONST ONE - ARCHITECT OR �7 TEL �1�A/�—, ENGINEER ( �l.Li/C NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO� DWELL UNITS •_� BK PG CONTRACTOR TEL ZONE LIC ADDRESS NOSPECIAL - -q 1113e� 2-- LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG—SETBACK FROM a FRONT PROP LINE OF '(STREET) ADDRESS CITY HIGHWAY + - YARD = TOTAL SETBACK FROM TYPE OF EXISTING a, SQ FT 'ANO OF NO. OF CHECK FRONT PROP LINE HIGHWAY WIDTH C SIZE ` STORIES FAMILIES ONE + = LL DESCRIPTION OF WORK NEW m n ADD ❑ BLDG SETBACK FROM Z L� /f CJI�7 y SIDEPROP LINE OF (STREET) ALTER El HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING _ REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH USE OF + _ EXISTING BLDG _ _ DEMOL ❑ - APPLICANT < TEL QC %` CORNER CUTOFF YES ❑ NO ❑ (PRINT) �l j�f_ J "•��I`10. (J�.7 I/ BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION Y- f O O0 - CATEGORICAL EXEMPTION YES❑ -NO ❑ IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND•STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT - EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - - LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO — 7 AIA C- 65-0-5 �0'?l" C,QV Sk WORMMEN'S CO MPE NSATION��SURA NCE V V SIGNcTURE OF f� PERMITTEE , ADDRESS 1��, NOL ^sQ FINAL BY ^a \ CITY ��///� C DATE ,� / Q "MA KF CHECI PAYABLE TO FEE FEE HARVEY T. BRANDT. COUNTY ENGINEER PMT / PLAN CHECK VALIDATION CK M o CASH o PERMIT VALIDATION CK M o CASH V C. 4 04 JUN -20 1 0 1 5.0 0 Ayb 76A638A CE#803 7/73 t• p , -03 1/71 t • )APPLICATION. FOR BUILDING PERMIT � i COUNTY OF LOS ANGELES ASSESSOR _ DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION AADILDING DRESS: ��v "/�7I, SOL^,�✓ COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY �irill FOR APPLICANT TO FILL°IN NEAREST 114 ,5 / f ' (Print Or 1 e T CROSS ST 11 _ DISTRICT NO GROUP TYPE PROCESSED BY BUILDING +,uy�^ X./ CONST {'�� - ADDRESS O L • C _ `�'J STATISTICAL CLASSIFICATION SEWER MAP ` LOT NO 4 LOCK CLASS NO;Z_DWELL UNITS BK- PG TRACT USE ZONE MAP NO OF BLDGS _ ' NO .- JJ",O r SIZE OF LOT- NOW ON LOTSPE IAL USE OF - - r" CONDITIONS EXISTING BLDG., _ TEL. r_ _ / I OWNER, F G NO i v BLDG SETBACK FROM �'• FRONT PROP-LINE OF (STREET) ADDRESS d L _ k�l_n _ _ ,� - TY OF•EXISTING SETBACK HIGHWAY, + YARD - TOTAL CITY HIGH --WIDTH FROM C L ARCHITECT OR TEL. - + ENGINEER NO. BLDG,SETBACK FR , ADDRESS- SIDE PROP LINE OF (STREET) TEL- - TYPE OF EXISTING SETBACK GHWAY + YARD = TOTAL CL. CONTRACTOR NO. HIGHWAY WIDTH FROM U LIC. O ADDRESS NO _ LIC �! ~W ` CITY' CLASS -' V CORNER CUTOFF YES LJ NO U CONSTRUCTION LENDER NAME AND BRANCH SEE REVERE SIDE FOR SPECIA APPROVALS ? ADDRESS SO 'FT -. NO OF NO. OF ❑ -316 74 . SIZE STORIES I' FAMILIES NEW - USE OF ADD; ❑ L r STRUCTURE V (� ✓� 7• / f?i t ,,��) �y 9 ALTER 7 - O- /ri &_.-Y, n REPAIR❑ r - Z. SIGNATURE OF ' APPLICANT DEMOLP6 71❑ - ' VALUATION $ A ��. PPROV'ALS •- • DATE, iNSPE oR's# A P,C PMT .%S FOUNDATION LOCATION .y FEE $ FEE $ E /. FORMS, MATERIALS 9 FRAME:,FIRE STOPS, S r I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION BRACING BOLTS T / AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION, - WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- -GAS VENT, DUCTS ST RUC TI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED q , HEREBY; 1WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT ' LABOR CODE OF THE ST E OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSAT N INSURANCE , :LATH, EXT,, - SIGNATURE01, ;� ��r > I HOUSE.NUMBER PERMITTEE _ RECT AND POSTED �/ ADDRESS �- '-�'- - FINAL Y sv/1' !/.' fes•¢-v-s�' - r JOHN F.LEWIS PRINCIPAL STRUCTURAL E GINE PLAN CHECK VALIDATION 'CK M o CASH _ PERMIT VALIDATION CK M O CASH 'x'28' ' 0 2' 1.7 5 ` ' c f APPUC AMON O__• R BUD'LMNG [�CG�OT � COUNTY OF LOS ANGELES BUILDING BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN , BUILDI ADDRESS I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS //� n `n l'� � / or a certificate of Workers' Compensation Insurance,or a certified O//� "J r copy thereof (Sec 3800,Lab C) CITY ! L' /-• ZIPyl y�V / LOCALJTY / Policy No Company SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished NEAREST CROSS ST / ❑,Certified Copy Is filed with the county budding Inspection TRACT q BLOCK LOT NO department USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK�� PAGE� 9/ PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER (tuYES No i 9pS�+ `� " ' �✓ O/ COMPENSATION INSURANCE /q�I I �v Cid/✓ 'WITHIN 1000 FT OF SCHOOLS This section need not be completed If the permit Is for one hundred ADDRESS ( P P /f�� ' y�', DISTRICT GROUP XIe-- CONST FIRE ZONE PROCESSED BY dollars($100)or less) - iv CITY ZIP. �� -� I certify that In the perform �performance of the work for which thls�permit is Issued, I shall not employ any person in any manner so as*to ARCHIT CT ORE (NEER TEL NO become subject to the Workers'Compensation Laws 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 FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC CLASS PL 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 ZE NO F STORIES NO OF FAMILIES Professions Code,and my license Is In full force and effect NEW ❑ BK PG a License Number LIC Class DE IPTION WORK ADD ❑ VALUATION O Contractor Date ALTER ❑ $ G �fJ cc ❑ I am exempt under Sec REPAIR ❑ $ F- B&PC for this reason p? DEMOL ❑ LDMA P/C# III U Date USE OF EXI G BLDG - URM ❑ 1 -CL /.III, ature APPLICANT(PRINT) TEL NO LDMA Perm# wn Tog z owner of the property, or my'employees with wages as Z AC their sole compensation, will d0 the work and the structure Is ADDRESS 0 .A]t1S 108.90 not Intended or offered for sale (Section 7044, Business and FINAL DATE Q Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �.1 '✓�, 1ri IT ❑ I, as Owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q TCITAL ILILJ y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE'S FINAL BY licensed contractors to construct the project (Section 7044, YES ElNO 1-1Business and Professions Code) WILL MCC , 108.90 LL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ (y CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR �J�AhIGE n00 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(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMDPERMITTING {� () (�(�() 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 0000-Mo 1 10/ '4/95 TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS I Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD � L►L74 1 Ai{1 I(� 24 CL Lender's Address O 1 av GWNER M 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 PC FEE PERMIT FEE with all,<b—NFIV ordinances and State laws relating to building m construction, sen d her y aut z r tatives of this oun y ISSUANCE FEE f� M It enter hZae mep+ or inspect o s p( 0 i a ro INVESTIGATION FEE- TOTAL FEE s�wm a Appy t neem - SEE REVERSE FOR EXPLANATORY LANGUAGE F, COUNTY OF LOS ANGELES TEMPLE CITY 3i 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0407160026 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONSTBUILDING AD ON FILE SQ. FT STORIES TYPE 9045 LONGDEN AV STRUCTURE: 483 VN TEMP CA 917801510 ASSESSOR INMR IOt N NEAREST CROSS STREET: SULTANA 5382-021-023 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C) TENANT: EXIST BLDG USE: RESID USE ZONE: ISSUED ON: EXPIRES ON: EXIST OCC CRP: 07/16/04 JK 07/11/05 OWNER: TEL. NO: BLBL GLOW ON LOT: VALCIAIIUN- FINAL DA? F A BY: CODE: WHITE PAUL;PHILOMENA - 1,000 9045 LONGDEN AV � TEMP 917801510 S IFID DESC IP N OF 'CjR i/0 AND EROOF FLAT R OF GAR E 1 APPLICANT: TFL. H0: FEE DESCRIPTION: QUANTITY: JOM: AMOUNT: SAME AS OWNED, - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1000.00 VAL 0.50 SPECIAL CONDI IONS: D2 PERMIT W/0 EN-HC 1000.00 `4AL 65.40 TOTAL FEES 93.65 CONTRACTOR:-� TEL. NO: APPROVALS DATE IN.PECTOP. SIGNATURE SAME AS OWNER _ LIC. NO LOCATION AND SErBACKS SOILS ENGINEER APPROVAL ARCHITECT —� - No: ,FOUND4TON/TRENCH MS LIC. NO: S i ---1 iJ>�JcR FLOOR � MAP NO: SEWER'14AP BCJK: PAGE: FIRE -LONE: CMP: 1UNDERFLOOR INSULAT�— — XX 3 03 NO. OF FAVIIIES-DWELL G S: APT/CON : STAT CLASST IFLOOR SHE T tG NO 21 ROOF ;;HEA HING SCHOOL N HAZARDOUS SHEAR PANELS I �� AIR QUALITY: 1000 FEET KATERIALS f NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRESPRIN LER S SET BACK YARD: HWY: PROP LINE: WIDTH: I _ FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH TED FL k C ASS . , RA ED WALL ASSEMBLIES --I— RATED SHAFTS/OPERrITUS— T-BAR CEILINGS 0 DRAINAGE REPORT ID: DPR261 ROUTE 70: BS0508 I—