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HomeMy Public PortalAbout9061 LONGDEN AVE_Building__ ti g 17 76AG38A CE#8035-61 APPLICATION FOR BSUIL®! G PERMIT COUNTY OF 'LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER 4DDRESS BUILDING AND SAFETY DIVISION LOCALI JOH14 A. LAMBIE, COUNTY ENGINEER NEAREST -WILLIAM A. JENSEN SUPT OP BUILDING CROSS ST DISTRI T NO. GROUP TYPE RR S Y FOR APPLICANT'TO FILL IN /p CONST. . BUILDING 1 d STATISTICAL C SIFICATION SEWER MAP ADDRESS D G[L'r /�\✓�+ BK PG CLASS NO DWELL UNITS LOT NO. - BLOCK WATER NOT REQUIRED RECEIVED F �i CERTIFICATE TRACT �/ V MAP HIGHWAY / t NO OF BLDGS. NO ©. (CIRCLE) STATE MAJOR SECOND, OCAL SIZE OF LOT NOW ON.LOT USE ZONE SPECIAL USE OFC+ CONDITIONS EXISTING BLDG S -� _ _ / TEL. • -`- OWNER 0 4+ (7A'ICq NO BUILDING EXIST �e SETBACK YARD STREET NAME WIDTH ADDRESS , L.O FRONT f / ARCH ITECr OR _ TEL - P L � d ENGINEER •NO SIDE / P L D p 0 ADDRESS INSPECTION RECORD CONTRACTOR �l7% f-'O-j >:�� NO /D��' 0 C ADDRESS ��J, � V W DESCRIPTION OF WORK z NEW ADD ALTER REPAIR DEMOLISH - - SQ FT. NO OF NO OF IZE v STORIES —FAMILIES r USE OF f f STRUCTURE SIGNATURE OF APPLICANT _ VALUATION S APPROVALS ATIE INSPECTORS SIGNATURE Fp PMT EE FEE S FO FORMS.MATERIALSON / 3/ '' FRAME FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE. LOCATION, p/ - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS LII BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK r AUTHORIZED,HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. l Iy ! ,yr ��p J✓� ING TO WORKMEN'S CO P NSATION IN RANCE 1 �V ` r LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED G A D D R E S FINAL CLYDE N. DIRLAM, P INCIPAL ST AL ENGINEER FLAN CHECK VALIDATION C . M.O. CASH MIT' PERVA/Il DNON ..:)A K. .o. CASH 4 n NIJV 1 1. D J �. WORKERS' COMPENSATION DECLARATION I'hereby arm that I have a certificate of consert to self � D O � M D O ff p O nsure, or a certificate of Workers, Compensation Insurance," L/—U �L/ �1� lJ V O D �' p �� affirm or a certified copyahereof (Sec 3800, Lab C ) COUNTY OF LOS-ANGELES 'BUILDING AND SAFETY Policy No Company ❑ ' Certified copy Ls hereby,furnished FOR BUILDING APPLICANT TO FILL IN ADDRESSciden ❑ Certified copy is filed with the county building inspec- BUILDING tion department ' ADDRESS -y? IQ CITY ' t ZIPC /� �v LOCALITY Date Applicant NO OF BLD GS _ NEAREST CERTIFICATE —/ CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT oW NOW ON LOT .t CROSS ST COMPENSATION INSURANCE ASSESSOR (This section need not,be completed if the permit is for one TRACT BLOCK LOT NO _ MAP BOOK ' PAGE PARCEL hundred,dollars ($100) or'less ) 7EL' C C J E' > MAP - I certify'That in the performance of the work,for which this OWNER �� NO O USE ZO/ - CONDITIONS NO SPECIAL permit is issued; Fshall not employ any person in any manner ADDRESS, a so as To'become subject to the Workers' Compensation Laws jj�� O CITY. rn lIIL��._/ ZIP V _ U Date Applicant LL ARCHITECT OR T NOTICE TO APPLICANT If, after, making this-Certificate of ENGINEER NO ..DIST G OUP TYPE 5Ni P C ED BY CO Exemption, you should become subject to the Workers' �I w Compensation,provisions of. Labor Code, you must forth- ADDRESS J d N with comply with such provisions•or this permit shall be TEL STATISTICAL C IFI ATION A T NDO Z deem_ed revoked CONTRACTOR NO LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS I hereby`affirm thdt I am licensed under provisions of Chapter 9 ADDRESS - NO (comm"encing 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 A(D � VALIDATION SQ FT NO OF NO OF CHECK _ License Number Lic Class SIZE STORIES FAMILIES ONE ` - VALUATION Contractor Date DESCRIPTION OF WORK J NEW ❑ s b U - - _ADD El am.exempt under' Sec S a rl ALTER ❑ - - - B&P C for this reason REPAIR ❑ $ Dare USE OF r EXISTING BLDG DEMOL ❑ APPLICANT ' Signature 7EL ^� OWNER-BUILDER DECLARATION (PRINT) jrY� Npa� FINAL DATE I hereby affirm that I am exempt from the Contractor's License J law for the following;reason,(Sect1iori 7031 5, Business and ADDRESS- 1-D / Ih Sille ri e CFINAL JX ,Professions Code) PRESENT BUILDING B y I, as owner of.the property, or my employees withADDRESS - , A���,ag - - \ wages as their sole compensation,will do the work andiGG the structure is not intended or offered for sale(Section LOCALITY j� ti t 1�r �•t-'� ❑ 7044, Business and Professions Code`) MOVING TEL .` — . 1 ITEMS 1, as owner of the property, am exclusively contacting CONTRACTOR NO with licensed contractors to construct the project (Sec- _ TOTAL 49 o 44, Business and Professions Code ) ., ADDRESS tion 70 'CHECK 49.v REQUIRED .TOTAL 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 :HANGE .000 the performance of the work for which this permit is issued P L, (Sec 3097, Civ C ) SIDE P L' <. Lender's Name 00001-0101 12/ ' PC Fee$ Permit Fee � 1 1 AM 9:0� 3-� CDMA-Ref n 7L7i i � Lender's Address _ a I`certify'that I have read this application and state that the ti Issuance Fee O CDMA P/C# D 8 above information is correct;I agree to comply with all County+ Investigation Fee } ordinances and State'laws relating to building construction, Total Fee LDMA Perm # a and,,hereby authorize repre ntatives of.this County to enter' up the alt v mention proper `for:inspection purposes x ' SEE REVERSE FOR EXPLANATORY LANGUAGE _ Signature_0T Appficant or AgentDate WORKERS' COMPENSATION De,:LARATI6N I hereby aff4rm that I have a certificate of consent'to self Q p p 0 C�Q70 H. F 0 LIQ OO U��O��]G p Qm d u insure, or a certificate of Workers' Compensation Insurance, LIQ or.o certified copy thereof (Sec.3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No'-' Company BUILDING' ` • =❑ Certtfied"copy is'hereby furnished, FOR APPLICANT TO FILL IN ADDRESS � tP � kO l'1G'c'f f'i ❑ ' Certified copy,is filed with the county buildmg,inspec_ BUILDING I �l iron department ADDRESS• j�c� C' �l ery) ^� 6 ���(� Date' Applicant' CITY i ZIP j �V LOCALITY rp OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM,WORKERS' SIZE OF LOT- NOW ON LOT J CROSS ST (� h COMPENSATION INSURANCE• ASSESSOR _ (This section•,need 'not be completed'if the,permit'is for one TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100) or less ) ` (( TEL p� USE ZONE MAP w + •` OWNER TCLNO D J'�3 _ MA I certify that in the performance of The work for which this ' l i* SPECIAL INO permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONSCL so as to become sublect to the Workers'Compensation Laws p -7C/ O '— CITY1 ZIP /D O - . _ U Date 'Applicant r° ARCHITECT IFTEL DISTRICT GROUP TYPE FIRE ROCESSED BY 1NOTICEExempt TO APPLICANT If, after milking this the :Workers' of ENGINEER NO ^� `� CONST ZONE 0 Exemption, you,-should• become subject,to the :Workers' U � �i V Compensation provisions of�the Labor Code, you must forth- ADDRESS FFF v— w CL with comply with such provisions or this permit shall be TELSTATISTICAL CLASSIFICATION APT CONDO Z deemed revoked CONTRACTOR NO _ LICENSED-CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing wLIC SEWER MAPith Section 7000)of Division 3 of the Business • 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 y "Lic,Class' SIZE STORIES FAMILIES ONE . VALUATION' O� Contractor Date DESCRIPTION OF WORK NEW •❑ ❑I am exempt under Sec ADD ❑ s ALTER< ❑ D B&P C for this reason REPAIR ❑ s Date USE OF + EXISTING BLDG DEMOL ❑ APPLICANT Signature TEL FINAL DATE OWNER-BUILDER DECLARATION (PRINT) NO 7_*3.� I hereby affirm that I am exempt from the Contractor's License Law for the following reason,(Section 7031 5,'Business and ADDRESS FINAL Profess ions.Code) N PRESENT By I, as owner of the property, or'my employees with ADDRESS _ wages as their sole compensation,will do the work and ^'1 1I? LOCALITY the structure is not intended or offered for sale(Section , 7044, Business and Professions Code ) MOVING 7 TEL D 1 ITEMS ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO with licensed contractors to construct The project (Sec- ADDRESS ! TOTAL 78 `+00 tion 7044,,Business and Professions Code) f , REQUIRED TOTAL 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 CHANGE 1jE ,ill the performance of the work for which this permit is issued PL , (Sec 3097, Civ. C ) SIDE ��y� �y P L 0001 1-0001 try/rig:!:n:` ' Lender's Name �� , Lender's Address P C Fee$ Permit Fee LDMA Ref # a 77i0i ,!, 0 1 uO•°L•1_ ` I certify that I have read this application and state that the Issuance Fee Ism LDMA P/C# 8 above information is correct I agree to comply with.all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm # < and hereby authorize representatives of this County to enter up n t dbove-mentidne o er y_for inspection purposes / ' p SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0307010032 PHONE: (626) 285-0488 EXT: L 0. OF CONSTL SS: TR: 12048 LT: 1 SQ. FT STORIES TYPE 9061 LONGDEN AV STRUCTURE: 685 TEMP CA 917801512 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SULTANA 5382-021-027 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG U S N SU 0 EXPIRES EXIST OCC GRP: 10/10/03 JK 10/04/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT FINAL BY: CODE: NAKAMURA TOSHIYUKI;TOMOMI (626) 285-7134- 0 C 9061 LONGDEN AV TEMP 917801512 FEES PAID DESCRIPTION O DEMO EXISTING 2ND FLOOR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: EMI TERAUCHI (626) 285-2562- AA BLDG PERMIT ISSUANCE 27.75 145 N EARLE STREET 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: SAN GABRIEL 91775 TOTAL FEES 191.25 RICHARD CONTRACTWU (626) 285-2562- ®� ���� APP OVALS DATE INSPECTOR SIGNATURE 145 N EARLE ST LIC. NO PEDESTRIAN PROTECTION SAN GABRIEL, CA 91775 540918 B/ / SEWER DISCONNECTION ARCHITECTOR ENG EL. II I 1 ABANDON R DISPOSAL LIC. INO _ I U J ` UND�1\1�11 ESOIDREMOVAL RECOMPACTION ANDL tr MAP NO: SEWER MAP : PAGE: FIRE ZONE: `ICMP: X 11 L01 �J C L'� NO. OF LIES: G NO 2 -- - ---- ----1 O SCHOOL ,Yn AIR QUALITY: 1000 FEET MATERIALS [] NO NO NO �erv7�0-V awa REPORT ID: DPR261 ROUTE TO: BS0508 1_. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0307010027 PHONE: (626) 285-0488 EXT: LEGA CONST NEW BUILDrE ADDRESS: TR: 12048 LT: 1 SQ. FT STORIES TYPE OCCUP GROUP 9061 LONGDEN AV STRUCTURE: 1263 2 VN R3 TEMP CA 917801512 ASSESSOR ION GARAGE: NEAREST CROSS STREET: SULTANA 5382-021-027 OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY EXIST BLDGS PROCESSED BY: E ON: EXIST OCC GRP: 10/21/03 JK 10/15/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: NAKAMURA TOSHIYUKI;TOMOMI (626) 285-7134- 150,000 2 9061 LONGDEN AV TEMP 917801512 D 6 S�T 0 OF WORK ADD 288SF TO 1ST FLR & 975SF TO 2ND FLR; RELOCATE KITCHEN APPLICANT: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TOTAL WHEN DONE: 48R,38A,FAMILY RM,LIVING RM,DINING RM TET INTERNATIONAL (626) 285-2562- B1 PLANCHECK W/ENERGY 105000.00 VAL 800.00 145 N EARLE ST B1 PLANCHECK W/ENERGY 105000.00 VAL 435.88 SPECIAL CONDITIONS: SAN GABRIEL 91775 AA BLDG PERMI-T-ISSUANCE� 27.75 AC STRONG%MO_ T,ION;,RESID.----150000.00 VAL 15.00 B1 PLANCHECK��W/ENERGY X150000:00 VAL 277.70 CONTRACTOR: TEL. NO: B2 PERM ITSW/.ENERGY �150000`,OO�VAL 1,780.68 APPROVALS A INSPECTOR SIGNATURE RICHARD WU (626) 285-2562- � TOTAL`IF,EES, 3,337.01 145 N EARLE ST LIC. NO LOCATION AND SETBACKS SAN GABRIEL, CA 91775 540918 B// SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: - OUNDA R OOCH RMS LIC. .L� . , � i - SLAB/UNDER R _ - - RAISED RA MAP NO: SEWER MAP BOOK: GE: FIRE ZONE: CMP':' r IIII �I'�---- UNDERFLOOR INSULATION N 3 If 01 ��%�� L�l�� 1i �r�C��l S L V SHEATH DWELLING P CO SS: (� —_ ND LEVEL FLOOR SHEATH SC OOL WITHIN \ t, SHEATHING AIR QUALITY: 1000 FEET MATERIALS \ j` NO NO NO �j IRE DEPT. F IN C / TOTALREQUIRED SETBACK FRnT---E-xTs-T �Qg� L L DEPT. FRAME INSPECT SET / • FRONTTACK PL YARD: HWY: PROP LINE: WIDTH: �0�+ �,�Pia g-Th SHEAR PANELS / �• SIDE PL- N H S R P INTERIOR LATH/DRYWALL "(7-7,, EXTERIOR- LATH LOT DRAINAGE SMOKEC FIRE DEPARTMENTAPPROVE REPORT ID: DPR261 ROUTE TO: BS0508