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HomeMy Public PortalAbout9112-9114 LONGDEN AVE_Building__ 70AG38A DBS-3 a-SS , ION FOF� 1G _PEI MIT . APf IC�aT � �BUILa . DIVISION OF BUILDING AND SAFETY BUILDING rjy// �7 ?pOS ent Of County Engineer ADDRESS L/ ge et - COnnty Of TAB Angeles LOCALITY f • WM.J.FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN. SUPT OF BUILDING 'CROSS ST. PTIS� FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP K / PG CONST �fY BUILDING, - ADDRESS [jA,yr �/� N MA ER 2 G HVWY - YES NO LOT NO. 239 - BLOCK USE ZONE SPECIAL - - - CONDITIONS ' TRACT - 5904 R- SIZE OF Ld1'' 80 R 150 I-NO. OF BLDG$. BUILDING MST.NOW ON LOT 1 SETBACK YARD HWY STREET NAME WIDTH. USE OF _ DWe ll Ing -IXFPROINT —EXISTING BLDG. OWNER Harr_v C. Grava. to P. ",$IDE - L. MAIL 10144-E. Green ADDRESS O TRACT DWELL. 1 UNIT 5 INDUSTRIAL TEL- CITY Teeple City No70 8 3246 `NEL'_ 1 UNIT 6 PUBLIC BLDG. •� ARCHITECT OR TEL 2' DUPLEX ' 1 UNIT ENGINEER HarmonyHomes' NO.�'O 8 1880 7 ADDN.,ALT:. ETC. 3 APT. —UNITS ADDRESS 2650 Durree,Ave. E1 onte 4 COMMERCIAL 8 MISCEL. �J TEL. J� 69,74 INSPECTION,RECORD CONTRACT/^S'1// -ty rX,4- NO./t - ADDRESS %Is�,�O OI/ Jr-- J� / �/T"" !/ _ - DESCRIPTION OF WORK NEW" X ADD .ALTER REPAIR DEMOLISH ! ✓1,�-rl Z FT. E -- S1032 - STORIES -I - - FAMILIES 1 I 7- - / / ��`-�'/iJh_ USE OF STRUCTURE , f ` Dwe 11-in and arae p A 1 R6 !.r< MAX�AX TeR) o ri, . S'i �C drr�s rE. i✓"Pf/Rr SIGNATURE O ioo APPLICANT APPROVALS SLA!- �Q11'� Wg! - t�pl� ADDRESS !.n j)' ` 7 I= '_ - •DATE . INSPECTORS SIGNATURE' n1 FOUNDATION: LOCATION _ q OG P.C. $ e�®ff 'FORMS, MATERIALS ✓ [� J ll - Vy`!./7 ash FEE ` ,FRAME: FIRE STOPS, / j ✓1 `L� � E VALUATION B- Pg BRACING,.BRACING,BOLTS FEE FURNACE:LOCATION, I HEREBY ACKNOWLEDGE THAT "I HAVE READ THIS GAS VENT,DUCTSAPPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. -7✓�l AND STATE LAWS REGULATING BUILDWONSTRTION. - - LATH. EXT.SIGPN RMTTEE HRECT AND POSTED OUSE NUMBER R ADDRESS G) 7-- Q -- FINAL WM.J. FOX,CfOUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR l✓a7' Flal"n vgYr VIP JAN 3 1 6 1.1_0 A-V � 3 �� 1 '$ 0- 9 JA r"•76A638A j�#8C38-64 /"'fl P��CATfON FOR SUILDIN PERm,�� r COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS if BUILDING AND SAFETY DIVISION LOCALITY �d JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W JENKINSSUP'T OF BUILDING CROSS ST v1 a DISTRICT No GROUP TYPE - PR ESSED BY FOR APPLICANT TO FILL IN CONST BUILDING STATISTICAL ASSIFICATION SEWER MAP - ADDRESS ! L,Q 6�/Y �V CLASS NO DWELL UNITS BK - PG LOT NO BLOCK USEZONEMAPNO CJD O 2 TRACT �R0 /�(.�� SPECIAL v L-+ NO OF SLOGS 6 CONDITIONS SIZE OF LOT O^ 15-0 NOW ON LOT ' USE OF b N -1AL I BLDG SETBACK FROM , ��rr y�TOL���� /aa FRONT PROP. LINE OF (STREET) OWNER fJ�N TYPE OF EXISTING I SETBACK HIGHWAY + YARD = TOTAL ADDRESS 9//2 Lo A/C AEA/ A VE HIGHWAY WIDTH l'Irp-gM C L I - CITY TE/') PLE G/ 7- / ✓ 1 3o + • �p ARCHITECT OR TEL BLDG SETBACK FROM ENGINEER. NO SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD -= TOTAL ADDRESS HIGHWAY WIDTH' FROM C L - d TEL + = O CONTRACTOR NO U ADDRESS LIC CORNER CUTOFF YES NO NO O CITY LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS I-- DESCRIPTION OF WORK CL V) Z NEW ADD ALTER REPAIR DEMOLISH , SQ.FTNO OF NO OF SIZE 3 2-[�O STORIES FAMILIES USE S TRUOCTURE /'�O / E SIGNATURE OFG APPLICANT VALUATION$ APPROVALS D TE INSP ECTOR'S SIONAT RE FOUNDATION, LOCATION 1��� FEE$ FEE$ FORMS', MATERIALS___ FRAME, FIRE STOPS, - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR CODE OF T E STATE OF CALIFORNIA RELAT- ING TO WORKMEN 5 CO PENSAT N INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE REC AND POSTED ADDRESS IV AVE Fl NAL JOHN F LEWIS'PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M D CASH _ PERMIT VALIDATION CK MO CASH 6 2' 8 :- CCT1 p ' 1 0'1- f f I�.•U � 4•�V v ti APPUCAMON FOR SPLONG PEROT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN sulL ING ADDRE I hereby affirm that I have a certificate of consent to self Insure, BUILDING-ADDRESS or acertificate of Workers'Compensation Insurance,or a certified 91441ONGDEN AVE. copy thereof(Sec 3800,Lab C) CITY TEMPLE CITY ZIP 917$0 LOCA v Policy No 1046140 Company STATE FUND SIZE OF LOT NO OF BLDGS NOW ON LOT - - ❑ Certified copy Is hereby furnished NEAREST CfaOSS ST * Certified copy Is filed with the county bbilding)I spection TRACT BLOCK LOT NO department USE ZONE MAP NO Date 11-1-95 Applicant RANDOL ROOFING ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO G COMPENSATION INSURANCE HARRY GRAVATTE III 355-36 WITHIN 1000 FT OF SCHOOLS YES NO (This section need not be completed If the permit Is for one hundred ADDRESS s dollars($100) Or less) 646 DISTRICT GROUP T CONST FIRE ZONE PROCESSED BY CITY ZIP 1 certify that In the performance of the work for which this permit E �0 G `� Is Issued, I Shall not employ any person In any manner SO as t0 ginn ARCHITECT OR ENGIN ER TEL NO a become subject to the Workers'Compensation Laws STATISTICALCL SIFICATION APT CONDO Date - Applicant - ADDRESS CLASS NO / DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of FV;ALUAn0N TOTAL SETBACK FROM EXIST Exemption, you should become Subject t0 the Workers' CONTRACTOR TEL NO YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith — comply with such provisions or this permit shall be-deemed revoked ADDRESS LIC NO LICENSED CONTRACTORS DECLARATION599 VALLEY .-RIVD 451937 ClCI Y LIC CLASS CL I hereby affirm that I am licensed underprovlSionS of Chapter g SAN GABRIEL, CA C_39 } (commencing with Section 7000)of Division 3 of the Business and SO FT SEE_ NO OF STORIES NO OF FAMILIES 0 Professions Code,and my license Is In full force and effect NEW ❑ PG U License Number 451937 LK: Class C-39 DESCRIPTION OF WORK ADD ❑ D 0 Contractor RANDOL ,ROOFIN(�ate 1-31'-96 RER00 HOUSE ONLY WITH 20—YEARALTER ❑ 00 W CL I am exempt under Sec CLASS A FIBERGLAS SHINGLES REPAIR ❑ - N B&PC for this reason TEAR OFF 2 LAYERS COMP. SHING. DEMOL ❑ LDMA P/C M Date USE OF EXISTING BLDG URM ❑ a SED Signature APPLICANT(PRINT) TEL NO LDMA Perm N-- -- - �` =a El 1.as owner of the property, or my employees with wages as 288_4040 Z -nn-, # n their sole compensation, will do the work and the structure Is ADDRESS O 1 �iii.10 not Intended or offered for sale (Section 7044, Business and VALLEY SAN GABRIEL, CA FINAL DATE G ) i r: Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /1'_��4 _J I)_1 1 ❑ 1, as Owner Of the property, am exclusive) contract) OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Vb P Y. Y MJ with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY �� � licensed contractors to construct the project (Section 7044, Business and Professions Code) CHECK*ves❑ No❑ i,,, �j - WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING t '+ANGE a� OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH .00 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR 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 MATE RIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING ^ 3097,Civ C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, _ TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD ❑ Lender's Address 0 OWNER OR AGENT 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 - N with all county ordiDences and SIB a laws relating to build) $80.25 a constructlo y author e r resentatrves of this Cou ty ISSUANCE FEE CO ato enter u n ntio perty for Insp on purp es 26.85 m bSTIGATION FEE TOTAL FEE $107.10 san d D e SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION _ I hereby affirm that I have a certificate, of consent'to self P P�� L/�1 C U D©M FOR UU insure, or gcertificate,of Workers' Compensation Insurance, L/Z1lJ ` J EIC711 or a certified copy thereof (Sec- 3800, 'Lab C ) ' COUNTY'OF LOS'ANGELES BUILDING AND-SAFETY Policy No 1046140, Company'State Fund _ ❑ Certified`copy is hereby furnished FOR APPLICANT TO FILL-IN ADDRESS, ® Certified copy is filed with the county'building inspec- BUILDING - ^� Tion department. ADDRESS 9112,Longden• r 91780 ,�' + T'.Cy. } Date 11=1-89 Applicant'.Randol, Roofing CITY ZIP LOCALITY . r NO OF BLDGS _- NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS" -SIZE OF LOT ;j NOW ON LOT CROSS ST (COMPENSATION INSURANCE' ASSESSOR '(This section'need,not be completed if'the'Permit is for oneTRACT " BLOCK LOT'NO OC , MAP BOOK PARCEL hundred dollars ($100) or less ) r y. TEL b OWNER '"NO — " USE ZONE MOAP � �-/� I.certify that m'the performance.of,the work.for which this G� permit is issued,,l.shol1,not employ,any person in any manner ADDRESS 646 Alta •Vint:Dr +•- SPECIAL a}.. so as to become subject fo the Workers' Compensation Laws _ CONDITIONS O Sierra Madre', -Ca. _ r ' 'CITY ZIP U Date 1-3-89\• Applicant Randol,ROOfinQ ARCHITECT OR' TEL` _� -NOTICE TO APPLICANT, If, after makingthis Certificate of - DISTRICT' • GROUP TYPE FIRE PR SED BY ENGINEER NO' ' O CONSTZONE Exemption, you=should .beo cme subject To the'Workers" Compensation proVisions of The Labor'Code,-you^must forth- ADDRESS dU v`�' �" a- with comply with_•such:provisions or,this'permit shoo be 'Randol Roofing TEL — STATISTICAL CLASSIFICATION APT CONDO Z deemed revoked. CONTRACTOR -_NO ` — LICENSED CONTRACTORS DECLARATION. ADDRESS 'Np CLASS NO DWELL UNITS - ; I hereby affirm that I am licensed under provisions of Chapter 9 . SEWER MAP (commencing,with'Section 7000)-of Divisiom3 of the Business CIN 'San Gabriel, Ca. ��, •C-39 and Professions Code;and my license is to full,force and effect BK PG VALIDATION SQ FTS; NO OF NO OF-: CHECK ' License Number 451937- ••Lic Class•• C=39 . SIZE STORIES FAMILIES _ ONE : s R2—roof ilOL1Se °.VALUATION ,Contractor, RAhdol RoofingDate 1'31-90 DESCRIPTION OF WORK NEW •❑ witn, a aDo '� s 1986.00 ElI am exempt under Sec ALTER ❑ B&P C for this'reason shingles, Class A. Roof REPAIR ,... Date. USE OF . r• EXISTING BLDG DEMOL ❑ ' Signature APPLICANTV_ L (PRINT] Randol 'Roofing' No,288= 4040' FINAL meq. OWNER-BUILDER DECLARATION' DATE I hereby affirm That I am exempt from the Contractor's License " •' - ADDRESS 529 E. Valley BTvd.-S.G'.91"776 'j • Law for the followingreason Sectioti 7031 5, Business and"' FIN • 1'' Professions Code) i LBUILDING T x P P Y Y employees SS ❑ ` I, as owner of the- ro erT orm em to ees with wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section ITY 7044; Business and Professions Code ) G TEL ❑ I, as owner of the' ro ert ACTOR NO p p y, am exclusively contracting with licensed contractors to construct•the project (Sec- tion 7044, Business and Professions Code ) ' SSt �T REQUIRED- -TOTAL SETBACK FROM EXIST" CONSTRUCTION LENDING AGENCY SET BACK YARD HW PROP' LINE WIDTH' r I hereby affirm that there is•a construction lending agency for FRONT ; -the performance of the'work'fo_r which this,permit is issued P L (Sec 3097, Civ C ) SIDE C,.. PL Lender's Name a~� �• LDMA Ref # PC Fee$ Permit Fee 39-.38 Lender's Address I certify that I have read this application and state that the Issuance Fee $ LDMA above information is correct I agree to comply wrth'all Count Investigation Fee s g PY Y g $49.88 _, = R ordinances and State jaws relating`to,building construction; T tal Fee LDMA perm # a and by out nze a resentatives of this Cou ty to Hier upo t v me ed pr er for inspec)i pu oses / r� SEE REVERSE FOR EXPLANATORY LANGUAGE _ - ( Signature o Applicant or Agent Date