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HomeMy Public PortalAbout9075 LONGDEN AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY Lin APPLICATION FOR PERMIT ~ COUNTY OF LOS ANGELES 14 Almt� WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN , , FOR OFFICE USE ONLY 7 1I 1 DISTRICTO. PLAN CK. NO. PERMIT NO. BUILDING ( L ADDRESS I p Ave- LOCALITY I REE/CC,�,77E��IV-�EDD, BY DATE OF APPL. (DATE IB8 ED NEAREST // bl- /Je. 3''Y A CROSS 9T. BUILDING 17 OWNER . ADDRESS MAIL ADDRESS yl_ II LOCALITYe� TEL. NEAREST NO. CROSS ST.FIRE_ ,r ' ARCHITECT OR TEL. ZONE I PLAN E NO.OF -I TYPE v j ORDUP ENGINEER NO. I !/ BLDG. ORD:NO. ADDRESS - SETBACK LINE LP APPROVED CONTRACTOR 1 1'V Pr V��TEL., ,^ BY . NO, v DATE USEAPPROVED, ADDRESS .151n!A6 .-r-,;a A ZONE BY �' DATE GAL DESCRIPTION I LOT NO. I BLOCK CORRECTIONS TRACT 7j SNO OF LD SIZE OF LOT �Tr. ,' � I NOW ONB BLOTS I , USE OF 1f../_� I A�I�[e I ROOMS EXISTING BLDG. 11"�� DESCRIPTION OF WORK NEW 000" ALTERATION ADDITION O A REPAIR MOVING DEMOLISH p Sq. FT. NO:OF SIZE 3 ROOMS ""m STORIES 4 r WALL ROOF COVERING I COVERING •I` _ -USE OF NEW , BUILDING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION,, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY' ORDINANCES FORMS, MATERIALS - AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTS OWNER LATH, INT.: AUTHORIZED AGT -' ' LATH, EXT.: P. C. III PLASTER, INT. , p FEE -LASTER, EXT. VALUATION -� fJ - FEE `�',�� FINAL �D I E bfENT OF. BUILDING AND SAFETY APPLICATION FOR-P ANT COUNTY OF LOS ANGELES i B ILNG,4.�— , WM. J. FOX, CHIEF ENGINEER NO.OF BLDG. ORD:NO. DISTRICT NO. PLAN CK. NO. PERMIT N PLANS SETBACK LING J 1 Gj l r 6 �D'J Lj FIRE APPROVED T (/ ZONE `A ( BY DATE RECEIVED BY DATE OF APPL. DATE I SU ZUSEONE 7 1 APPROVED DATE "-HP' � '30-44 APPLICANT FILL` IN HEAVILY OUTLINED PORTION ONLY BUILDING O A 1c �.+ a/ K _ NAME \ ADDRESS •I Z L O A6-21C.+JY KI- w , W z ADDRESS \ \ LOCALITY T,�MPL, e. - Y F 5 NEAREST 16I P1,4 p� CITY \ \ CROSS ST. c 1 L r/y P/TT Q STATE TEL. ENAME \ LICENSE NO. MAIL NAME /� /S,,�� O ADDRESS I '7,�jJ / #�LPMD�A 2)R, E /� ADDRESS .. CITY mPALS `.17'Y NO. F 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS Z o CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE /� TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. U /rJ LQT NO. I _ SIZE OF LOT Q / v 130 SIGNATURE OF ` OWNER a NO. OF BLDGS. ,�/ ,t AUTHORIZED AGT. X a _ _ BLOCK NOW ON LOT tr D Vie, J UTRACT .2 CORRECT S ° use of BLDfiS. NOW ON LOT r' DESCRIPTION OF-�gWORK USE OF / BUILD N6 fV ��L I �C9� !`Y fV C� �f- 7 Gr A V� A Pte-E 4 f4.— This C0n.-;jr r War Presvction Board o cra_vy `. °��}�' �nwll AwW lLt� �\ p ccuuoneci to consizlt w.tij your lccal 5'1a IA1 oclore com:nerlc Ina the w ill-11 , _ !u,1 ll�ya IIkiM C D NEW L! TYPE _�+^ ^ GROUP _I� V� ��"O1 (1 (p.." l� NO.OF ` l`` X , ALTERATION ROOMS V' F MIO IES I, 1 QL"c l \ N � V t ADDITION SIZE I r _ / REPAIR STORIES / t - l 9 Y� /�d(Gv/ MOVING WALL COVERING DEMOLISH ROOF COVERING J'� �JrtTl-1� s Ree FINAL��APPROVAL .� INSPECTOR'S' VALUATION FEE s DATE DAM � " DIVISION OF BUILDING AND SAFETY .Department of County Engineer �." County of Los Angeles y WM. J. FOX, COUNTY ENGINEER ,APPLICATION - - FOR APPLICANT TO FILL IN j FOR OFFICE USE ONLY DIBTRIC NQ PLAN CK.OR R¢c.No. PERMIT NO. R'HI° 740 s� �6S� e 6c ,LOCALITY � �^/ % p R EIV BY DATE OFAPPL 6ATE 89UED ARKST ROSH HT. - BUILDING //(//I1 {p��> OWNER /T'- f/— I� I i \�\x/ L C� !X LOCALITYMAIL ADDREBH O /� "�..\n � � NZAREST ,pp { TILA .�,L QfJ CROSS ST. ITY 45" .49 iVd ei &A NO. / /Z' FIRE I NO.Off' I OR ZONE PLAN 1 ARCHITECT OR �� TEL ENGINEER NO. ,L� /' SIO,. �.�-!9`) SETBACK LINE / L D ADDRESS �� ' USEPPROVED A- TEL ZONE :$Y DATE CONTRACTOR NO. �,H_OUSE NUMBERING , ADDRESS MAP NUMBER f-0 —No. ASSIGNED BY LEGAL - DEBORIPTIO�N` LOT NQ / BLOCK CORRECTIONS TRACT / vry' / / r NO. OF BLOWIL SIZE OF LOT/ O / +� I NOW ON LOT USE OFh- �{ NO.OF EXISTING BLDG. �/� / (/ FAMIL M DESCRIPTION OF WORK °a 0 NEW ALTERATION ADDITION Z D • � r REPAIR sD�EEMOLITION - F. go. ZE. 0�' d� RROOMS HTORIEH EXT.WALL ROOF COVERING .- I COVERING USE OF STRUC URE INSPECTION FOR APPROVALS OCCUPANCY AB- - I NSPECTOR'S SIGNATURE DATE FOUNDATIO : LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP= FRAME: FIRE HTOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS 1 ABREE TO COMPLY WITH ALL COUNTY 13RDINANCEH FURNACE: LOCATION, AND STATE LAWS GULATING BUILDINGPCOSTRUCTTIION. GAByENT,DUCTS SIGNATURE OF J LATH, INT. PERMITTEE_ LATH, EXT. ADDRESS PLASTER, INT. AUTHORIZED AOT. PLASTER, EXT. HOUSE NUMBER COR- FEEE RECT AND POSTED VALUATION FEE B 3 � FINAL 7GA636A DSS 3 1-52 V =r �KERWCOMA ENSATION DECLARATION +,I herebytaffarm_thQe.l have•a certificate of consent to self'+v O O O D in;i7Fer or ajcertificate of Workers' Compensation Insurance, Q p p d C�MOON- or G3 Y d_D Gil C� p G3IVl D ' a certified copy thereof (Sec 3800, Lab C ) �7`z! ^_COURITY•OF LOS ANGELES AND BUILDING D SAFETYis ° mpany BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL'IN° ;`� ADDRESS " ' ❑ Certified co is,filed with th unt uildm inspec- _ copy 9 P BUILDING L � - h n de ariment ADDRESS LOCALITY NEAREST • Date lJ�� Applica CITY . . ZIP. ti CROSS S7 RTI KATE OF EXEMPTIO ROM OR ERS' NO OF BLDGS ASSESSOR COMPENSATION I URANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be comp) d_ if the permit is for one US Z E MAP '^ hundred dollars ($100)or less ) TRACT BLOCK. Y LOT NO V7 NO MA I TEL SPECIAL I certify, that in the performance of the work for which this OWNER S NO CONDITIONS d permit is issued, I shall not employ any person'in any manner DISTRICT GROUP TYPE FIRE PROC ED BY O i ADDRESS y /)� CONST ZONE U so as to become subject to the Workers'Compensation Laws l! Date Applicant i f ARCHITECT OR ZIP TEL 4 STATISTICAL CLASSIFICATION I APT JCO 0 NOTICE TO APPLICANT If, after making this Certificfite of - i ENGINEER ♦ NO CLASS NO DWELL UNITS LU Exemption, you should become subject to the Workers' w .� 1 ,:,, to Compensation provisions of the` Labor Code, you must forth- ADDRESS, tt , �' , �L- � %• SEWER MAP with comply with such provisions or this permit shall be �1 4�0f� , L deemed revoked f CONTRACTOR CA�C�510 - - BK /1[ PG, !(/ / VALIDATION - - LICENSED CONTRACTORS DECLARATION f LIC I hereby affirm that 1,6m licensed under provisions of Chapter 9 ADDRESS s{ NO VA TION A10)000 (commencing with•Section 7000)of Dtvisioli 3 of the Business and LIC l - Professions C 'e, and my license is m full force and effect CITY CLASS $ D ' SQ NO OF, NO OF CHECK o _ 2 5 2 0'A Lice umber Lic Class SIZE \ 56'--STORIES - FAMILIES ONE 2 3 DESCRIPTION OF WORK NEW o321,30 Contractor I < •ADD ❑ I am exem under Sec \\\ ALTER DAT L 3 2 1.3 0 B BP.0 for this reason I ❑ o''o REPAIR Date 'USE GEXISTING BLDG DEMOL E] By 0 7.2 3_8 5 Signature APPLICANT ✓_ ) I [;,,�„_ q OWNER-BUILDER,DECLARATION PRINT I hereby affirm that I am exempt from the Contractor's License __ 1 Law for the following reason (Section 7031 5, Business and ADDRESS Professions Code) WRESENT ❑ BUILDING -:2 2 7 4,3 A,- I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY #'-o 0 0 0 0 1 the structure is not intended or offered for sale(Section 7044, Business and Professions Code) MOVING TEL t o ( e 3 8 a 5 0 ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licerised contractors to construct the project (Sec- ADDRESS e * 38 8,5 0 o' tion 7044, Business and Professions Code) ' REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH F 0 8'\ 0-8 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 (Sec 3097, Civ C ) SIDE P'L 'Lender's Name77 _ Lender's Address PC Fee$ . J;I' R Permit Fee I certify that I have read this application and state that the Issuance Fee IO \ '' Land e,inf motion is correct I agree to comply with all County Investigation Fee nanc and tate laws relating to building construction, Total Fee 0 >+) her y a th nze representatives of this County t entern •a v mentioned property for mspech n pu oses " q SEE REVERSE FOR EXPLANATORY LANGUAGE _T_n ' Signature of—Applicant or Agent Date ®s