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