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Home My Public Portal About9121 LONGDEN AVE_Building__ APPLICATION",EOR"BUILDING PERM17 FOR APPLICANT TO FILL IN-(Pnnt or,1Vpe,onlY) BUILDING J �, DEPARTME TY-OF LOS ANGELES ADDRESS ESS NT OF COUNTY ENGINEER � CITYT�' L L C ZIP I�ryO- - BUILDING AND SAFETY DIVISION p NO OF BLDGS BUILDING { / SIZE OF LOT �K f'� NOW ON LOT ADDRESS TRACTflfk BLOCK LOT NO -34/0 LOCALITY '7 TEL NEAREST OWNER ,1/d L /j(.,' Nr� a.10 CROSS ST ASSESSOR ADDRESS Cl I )L I L —i(/ MAP BOOK - PAGE PARCEL ''7�' ) �jy� DISTRICT GROUP TYPE FIRE SSED BY CITY / ,_ NJ (- G ZIP / 7 Q6 I� CONST ZONE ARCHITECT R Off/'' TEL 7 �7 �.J�D ENGINEER (� n!O 1�t,4n+hRQd)O ��/'�- 3/ f STATISTICAL CLASSIFICATION SEWER M P ADDRESS ` CLASS NO�-DWELL UNITS BKW G CONTRACTOR - NOL USE ZCNE MAPLIC o�0 IND ADDRESS NO SPECIAL ' .. LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LEKDER NAME AND BRANCH ,IIJ il NC BLDG SETBACK FROM - a FRONT PROP LI NE OF (STREET) C.; ADDRESS -'^ CIN ' HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING C SO FT V NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH F- SIZE 7if I STORIES J FAMILIES ONE DESCRIPTION OF WORT/gLA-41Z NEW ❑ \'„ n BLDG.SETBACK FROM pi 6Q 1 �G= I'C 60 (�T ADD YYY��"' SIDE PROP LINEOF' (STREET) ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = HIGHWAY 'WIDTH REPAIR❑ SIDE PROP LINE USE OF } _ EXISTING BLDG E' to v�'C� DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO BY (SIGNATURE) -IN OPEN SPACE YES E] NO ❑ Q, 01-0IN COASTAL ZONE YES ❑ NO V ❑ ALUATIONY CATE GORI CAL'EXEMPTION YES❑ NO ❑ f HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS APPLICATION ENVIRONMENTAL D 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 , LABORaCOMPE ATE OF CALIFORNIA IN RELATING TO //� �!C �� ' �`f�, �, WORM MINSURANCE � SIGNA � f _ �„� p G �r PERMI ��-s r u ,/ADDREi 7' / �-/% A� FINAL BY i TEL ' l CITY NO �� ., i !G i i DATE l MAKE CHECKS PAYABLE_ TO FEE � FEE � /// [HARVEY T. BRANDT COUNTY ENGINEER / � ./ /1 - PLAN CHECK VA TION cK M O CASH m / PERMIT VALIDATION CK M 0 CASH 1 4'5f*l R 2 • '2'• 49-50o98 6 1 0 APR 2 r W-1 0, 76A638A CEN803 7/73 �-^ . 6.1 1 APR 22 1 D_ 9 6.0 0 m�a WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self D D O O O insure, or a certificate of Workers' Compensation Insurance, OOl FOR CD3 D d D D Gil p ��D or a certified copy thereof (Sec 3800, b C ) /� COUNTY OF LOS ANGELES BUILDING.AND SAFETY Policy No/�71 Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building mspec BUILDING tion department ADDRESS Date — v Applicant S CITY ZIP lJ LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' O OF BLDGS NEAREST COMPENSATION`INSURANCE SIZE OF LOT OW ON LOT CROSS ST �........... (This section need notbe completed if the permit is for one ASSESSOR hundred dollars ($100)or less ) - TRACT BLOCK LOT N^^O��pp/� MAP BOOK PAGE PARCEL OWNER TEL NO dC 0 /Zf 3D USE ZONE [SPECIAL P I certify that in the performance of the work for which this permit-is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws ADDRESS NDITIONS C) 0 Date Applicant CITY ZIP NOTICE TO APPLICANT- If, after making this Certificate of ARCHITECT OR TEL ENGINEER NO DISTRICT GROUP TYPE FIRE PR ESSED BY C) Exemption, -you should become subject to the Workers' s CONST ZONE Compensation-provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TEL 1 0t' deemed revoked CONTRACTOR NO ct STATISTICAL ClA SI KATION APT CONDO Cn Z LICENSED CONTRACTORS DECLARATION ,LIC p CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO 3g20S Z (commencing with Section 7000)of Division-3 of the Business and -9 . 1 ^ SEWER MAP Professions Code, and my license is in full force and effect CITY �� 6r 1-c CLASS ` —�� BK VALIDATION FT NO OF NO OF CHECK PG License Numbe Lic Class SIZE STORIES FAMILIES ONE 'U �p� VALUATION _ '`^' ` A DESCRIPTION OF WORK NEW ❑ O Q #i�p ontractor Date ❑ f 6.l ADD . I am exempt under,Sec Gv�" e (� ALTER E] B BP.0 for this reason r REPAIR 1❑ $ Date USE OF DE' EXISTING BLDG ❑ Signature APPLICANT5 FINAL OWNER-BUILDER DECLARATION PRINT J NOr {� DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS Q S +�+� r 1{\ tJ Law for the following reason (Section 7.031 5, Business and FINA Professions Code) PRE EN (r tt BY j ❑ BUILDING 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section : LOCALITY �o 7044, Business and Professions Code) I MOVING, TEL 1, as owner of the property, am exclusively contracting CONTRACTOR NO s with licensed contractors,to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) 8 CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACKFRM SET BACK PROP LINE WIDTH 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 PL Lender's Name m LDMA Ref ti PC Fee$ Permit Fee ?j Lender's Address I certify that I have read this application and state that the Issuance Fee (J LDMA P/C tl D a above information is correct I agree to comply with all County Investigation Fee 7 \ \ 0 ordinances and State jaws relating to building,-construction, o and hereby authorize re pr sentatives of this County to enter Total Fee LDA Per q M upon thea ve- bone roperty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant- gent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0708070020 PHONE: (626) 285-0488 EXT ILEGAL ID NO. OF CONST BUILDING ADDRESS: I ITR- 12115 LT: 36 SQ FT STORIES TYPE 9121 LONGDEN AV 1 I ISTRUCTURE VN I TEMP CA 917601604 1 IASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET. LIVIA - 1 15382-023-028 I - THOMAS'-PAGE 596 GRID H2„ LOCALITY TEMPLE CITY, Cl 1TENANT: JEXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 108/07/07 SR 02/03/08 OWNER TEL NO IBLDGS. NOW ON LOT VALUATION IF AL DATE FIN CODE 1 S ROBERT G - i 4,000 I I� i / 191219121 LONGDEN AV If TEMP 917801604 I FEES PAID ID CRIPTION OF WORK II IREFRAMING OF EXISTING GARAGE ROOF WITH MAXLITE TILE 1 (FEE DESCRIPTION QUANTITY UOM AMOUNT 1 1 APPLICANT TEL N0. IVAN DE WATER 626533343 - IAA BLDG PERMIT ISSUANCE 27 75 1428 W. HUNTING DR. IAC STRONG MOTION RESID 4000 00 VAL 0 50 ISPECIAL CONDITIONS: IARCADIA, CA 91007 ID2 PERMIT W/O EN-HC 4000 00 VAL 115-80 I 1 TOTAL FEES 144 05 ICONTRACTOR TEL. NO I 1APPROVALS DATE INSPECTOR SIGNATURE I IVAN DE WATER (626) 533-3343- I 1428 W HUNTINGTON DR. LIC NO I ILOCATION AND SETBACKS I I 1ARCADIA, CA 91006 380470 B I ISOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER TEL. NO 1 IFOUNDATION/TRENCH FORMS I I LIC. NO I SLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE. FIRE ZONE: CMP- 1 (UNDERFLOOR INSULATION I 1153H265 3 011 1 1-1 I I IFLOOR SHEATHING IND OF FAMILIES: DWELLING UNITS: APT/COND STAT CLASS. I I I I NO 21 I IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS Ir I (AIR QUALITY 1000 FEET MATERIALS I I NO NO NO IFRAME INSPECTION I IREQUIRED TOTAL SETBACK FROM EXIST ( IFIRE SPRINKLER HANGERS 1 I I ISET BACK YARD: HWY PROP LINE WIDTH I I I I IFRONT PL- 1 (INSULATION/WEATHER STRIPI I I SIDE PL- 1 I I I 11NTERIOR LATH/DRYWALL 1 (EXTERIOR LATH I I I IRATED FLOOR/CEIL ASSEM. I IRATED WALL ASSEMBLIES I I I I I I IRATED SHAFTS/OPENINGS I I IT-BAR CEILINGS I I I ILOT DRAINAGE I I I I I I IREPORT ID DPR261 ROUTE TO BS0508 1 I I 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 0802150018 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST NEW I BUILDING ADDRESS ITR 12115 LT: 36 I SQ FT STORIES TYPE OCCUP GROUPI 9121 LONGDEN AV I ISTRUCTURE 563 1 VN R3 I TEMP CA 917801604 I (ASSESSOR INFORMATION NUMBER GARAGE I NEAREST-CROSS STREET LIVIA I 15382-023-028 I OTHER 930 1 VN R3 I THOMAS PAGE. 596 GRID H2 LOCALITY TEMPLE CITY, CI I I I I (TENANT- IEXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY EXPIRES ON 1 I (EXIST OCC GRP 104/24/08 VG 10/21/08 I I I I I (OWNER TEL. NO IBLDGS NOW ON LOT. VALUATION. IFINAL DAT FINAL BY CODE 1 IQUIHUIS ROBERT G - 1157,850 n r 19121 LONGDEN AV 1 `.7ilsf C1 .7-oo _�4aYC161 e yr��• ^O ITEMP 917801604 Iv V FEES PAID IDESCRIPTIO OF WORK 1 IEXTEND MAST R BEDROOM, ADD BATHROOM AND CLOSET 563 S F. I IFEE DESCRIPTION QUANTITY UOM AMOUNT IREMODELING OF KITCHEN AND FAMILY ROOM 930 S F I (APPLICANT TEL NO- I I I IVAN DE WATER (626) 533-3343- IAA BLDG PERMIT ISSUANCE 27 75 1 I IP 0 BOX 1088 IAC STRONG MOTION RESID 157850 00 VAL 15.79 ISPECIAL CONDITIONS 1 JARCADIA, CA 91077 JB2 PERMIT W/ENERGY 157850 00 VAL 1,838 76 1 TOTAL FEES 1,882 30 1 I I I I I ICONTRACTOR TEL NO: I JAPPROVALS DATE INSPECTOR SIGNATURE 1 IVAN DE WATER CONSTRUCTION CO (626) 533-3343- I 1 1428 W HUNTINGTON DR LIC NO I ILOCATION AND SETBACKS JARCADIA, CA 91007 380470D 1 I J ISOILS ENGINEER APPROV ' J I JARCHITECT OR ENGINEER- TEL. NO. IFOUNDATION/TRENCH FORMS JARKTECH (626) 275-4368- 1 NV 1411 E HUNTINGTON DR #107-307 LIC NO J JSLAB/UIDEA FLOOR I JARCADIA CA 91006 C64216 I I I I I IRAISED FLOOR FRAMING I I IMAP NO SEWER MAP BOOK- PAGE FIRE ZONE CMP1 , (UNDERFLOOR INSULATION 3 Oil , 1�({]�f� "F-(kj�l�t� �_( �j ��• 11ST LEVEL FLOOR SHEATH 1 INO. OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I \(�. V� 1 NO 21 12ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING J 1 JAIR QUALITY. 1000 FEET MATERIALS 1 I I I 1 NO NO NO I IFIRE DEPT. FRAME INSPECT( I I IREQUIRED TOTAL SETBACK FROM EXIST J JBLDG DEPT FRAME INSPEC ISET BACK YARD HWY- PROP LINE WIDTH IFRONT PL- I ISHEAR PANELS I I I SIDE PL- I I JINSULATION/WEATHER STRIP( I I JINTERIOR LATH/DRYWALL I I I I I (EXTERIOR LATH I I I I ILOT DRAINAGE I I I I I I ISMOKE DETECTION DEVICES I I IFIRE DEPARTMENT APPROVALI I IREPORT ID DPR261 ROUTE TO BS0508 I J I I I I I I I I �r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0704130010 _ PHONE (626) 285-0488 EXT ' ILEGAL ID NO OF CONST NEW I BUILDING ADDRESS I ITR. 12115 LT: 36 SQ FT STORIES TYPE OCCUP GROUPI 9121 LONGDEN AV STRUCTURE. 0 1 VN R3 I TEMP CA 917801604 I a (ASSESSOR INFORMATION NUMBER: GARAGE: 225 1 VN U1 I NEAREST CROSS STREET. LIVIA 15382-023-028 I OTHER: I THOMAS PAGE 596 GRID H2 LOCALITY: TEMPLE CITY, Cl ITENANT IEXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY EXPIRES ON I (EXIST OCC GRP 104/16/07 JK 04/10/08 IOWNER TEL NO- IBLDGS NOW ON LOT VALUATION IFINAL DAT FI Y CODE 1� FINAT, IQUIHUIS ROBERT G - I 9,270 I _ I 19121 LONGDEN AV I `YY/1 ITEMP 917801604 I FEES PAID IDESCRIPTION OF WORK II I I IADD TO EXISTING DETACHED GARAGE 225 S F. I I IFEE DESCRIPTION. QUANTITY UOM: AMOUNT I I (APPLICANT TEL NO I I I IVAN DE WATER 626533343 - ID1 PLANCHECK W/O EN-HC 9270 00 VAL 184 11 I I 1428 W. HUNTING DR IAA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS I IARCADIA, CA 91007 IAC STRONG MOTION RESID 9270.00 VAL 0 93 1 I ID2 PERMIT W/O EN-HC 9270.00 VAL 216 60 I I TOTAL FEES 429.39 I 1 (CONTRACTOR- TEL. NO (APPROVALS DATE INSPECTOR SIGNATURE I IVAN DE WATER (626) 533-3343- I 1428 W HUNTINGTON DR LIC NO I ILOCATION AND SETBACKS I I I IARCADIA, CA 91006 380470 B I I I I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL. NO: IFOUNDATION/TRENCH FORMS II LIC. NO I (SLAB/UNDER FLOOR I I IRAISED FLOOR FRAMING I I I I I I I I I IMAP NO SEWER MAP BOOK. PAGE FIRE ZONE: CMP I (UNDERFLOOR INSULATION I I I I 3 oil 1 11 I I 11ST LEVEL FLOOR SHEATH I I I INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I , I I I NO 21 I 12ND LEVEL FLOOR SHEATH I I I SCHOOL WITHIN HAZAA.DOUS IROOF SHEATHING I 1 (AIR QUALITY: 1000 FEET MATERIALS I ! I I NO - NO NO 1 (FIRE DEPT. FRAME INSPECT �./I I IREQUIRED TOTAL SETBACK FROM EXIST I _ IBLDG DEPT RAME SPECT ISET BACK YARD HWY PROP LINE- WIDTH I I I I I IFRONT PL- I (SHEAR PANELS I I I I SIDE PL- I I I I I f} I IINSULATION/WEATHER STRIPI I I IINTERIOR LATH/DRYWALL T' 1 (EXTERIOR LATH - ILOT DRAINAGE 1 1 ISMOKE DETECTION DEVICES IFIRE DEPARTMENT APPROVALI I I I I I I I I IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I I I