HomeMy Public PortalAbout9132 LONGDEN AVE_Building__ %���0������ �� r ! -1 COUNTY'OF LOS ANGELES
�- -� ( (� - DEPARTMENT'-.OF COUNTY ENGINEER
BfLJ' L.®I N G P E R M 4.�, Ply V BUILDING AND SAFETY DIVISION
BUILDING ,/f � / nB/eP LEI / A
FOR APPLI,GCANT T-0 FILL IN ADDRESS (�p� r G/-wP/`rc7C/ iY 1
EBUILDI
NG
ADDSS L + •LOCALITY _ /- `lTY
ZIP NEAREST ,(),, Lb a/J�(
CITY CROSS ST'. /Y (/(� A
If NO.OF SLOGS - .ASSESSOR
SIZE OF LOT cJJX (7V NOW ON LOT MAP BOOK PAGE PARC L
DISTRICT GROUP TY E FIRE OC SED BY
TRACT� �� BLOCK LOT NO •q•��Q ST, Z jNE
TEL 75-
OWN
CJ v
OWNER NO 7SZ� STATISTICAL CLASSIFICATION
SEWER M P
ADDRESS CLASS NO. � DWELL,UNITS �B G
CITY • e, , ZIP l-7SO 67 SM"
NE NADP 010.19-9.19-
ARCHITEC OR TELA.. SPECCONDIIT ONS
Al
ENGINEER NO. '
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑'
'NEL✓IV 0 ()v BLDG SETBACK FROM -Lo
LIC.
FRONT PROP LI NE OF �� - (STREET)
ADDRESS12E �` E- �C NO HIGHWAY -} YARD = TOTAL SE- BACK FROM TYPE OF EXISTING
"LIC FRONT PROP LINE HIGHWAY WIDTH
CITY
V 6 R CLASS ^ � _ /�
CONSTRUCTION LE, ER +. d� - G% 0
NAME AND BRANCH
BLDG,SETBACKFROM
a•
ADDRESS CITY SIDE PROP LINE OF ,,� (STREET) V
SQ FT NO OF NO. OF CHECK HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING CD
SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH U
DESCRIPTION OF WORK ' NEW ® } /d a rJ d a
_
DD ❑ CORNER CUTOFF YES ❑ NO ❑ Z-
r r ` O/ i 5/, LTER ❑ IN OPEN SPACE YES* ❑ NO ❑
'�- REPAIR❑
USY OF - EMOL ❑ ,IN COASTAL PERMIT ZONE - YES ❑ NO ❑
EXISTING'BLD/G.� NO / �O
APPLICAN T�IV P•C TEL
�� ®rte /'r V.-���'J � yC-
(P R I N T)
BY (SIGNATURE) • '�iI/:.[ i,(_ �i✓Y. '--!P�r�`''i+"�
' A b- Y26
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS PLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGRE TO COMPLY
WITH ALL ORDINANCES; ANDT; IN-S. REGULATING. K LDING CON-
STR UC TION I CERTIFY_ THAT.IN'DOING THE•_W ORK'AUTHORIZED
HEREBY I WILLINOT EMPLOY ANY PERSON IN I�10 CATION WTHE-
LABOR CODE OF THE, STATE OF 'CALIFORNIA IH RELATING TO-
WORKMEN,S
O-WORKMEN'S COMPENSATION INSURANCE'S "'.w'tl } ':4, .•;� - - -•
SIGNATURE OF . FINAL BY
PERMITTEE .D 'I� DATEAull'5�
-
ADDRESS J
TEL.• P.C.'Fee$ Permit Fee .
CITY �' •NO
Issuance Fee
VALUATION$, f /,� Q /+1 '
W V 1 Fee
'PLAN CHECK VALIDATION CK M 0 ` CASH o PERMIT VALID TI N CK O CASH
76A636A CEN803B 12/75 - - - -
QVORKERS'tCOMPENSATION'DECLARATION
iihereby taffirm that I havea certificate of consent, to self r O O D l Q
insure, or a certificate of Workers' Compensation Insurance, �(/11� LI V 0201 t�M� �,D C� p Q6�iv 0�' 1�
9r-g.cartified cop' the reof (Sec 3800 Lab' C ) -
WAi COUNTY OF LOS ANGELES ! _ BUILDING,AND SAFETY
Polic NodinlG.Company BUILDING
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy'is filed with*the countybuilding)mspec-• BUILDING C _
n
fio 'department' ' ADDRESS
Date Applicant' CITY�e ZIP el 171 V LOCALITYLit
S CERTIFICATE OF EXEMPTION FROM WORKERS'i'"` '' •- NO OF BLDGS - •- t• - NEAREST,,.,,
'COMPENSATION INSURANCE I _ SIZE OF LOT NOW ON LOT ~i CROSS ST
(This section need'not,be'completed if the permit is for one -- - ASSESSOR:\, '"_ ,
hundred dollars ($100)or less ), TRACT BLOCK LOT NO MAP BOOK PAGE f PARCEL
l TEL USE ZONE`•' MAP' -
.,,-1: .. OWNER - - `\ - 1 eCCfJ NO•_. _•_- _ �,� NO
i'certrfy'that in the!performanee of the'work for-which this'
permit is'issued, I-shall not employ any person in any'manner - y SPECIAL w - - -
ADDRESS-- - I� CONDITIONS V
so as to•become'sublect to the Workers'••Compensotion Caws i
CITY_ - ZIP _
Date Applicant s. c•,• ., , • O
t T ARCHITECT OR TEL -DISTRICT,• •GROUP I TYPE FIRE PR C SED BY,
NOTICE TO'APPLICANT 'If, after making this Certificate of -
Exemption,`•you-should become subject' to'the Workers'
ENGINEER NO 1 - „ 7 CONST -ZONE
LU
Compensation.prov_isions of the Labor Code, you must forth- _ ADDRESS ��=✓ '_.1` J - n'
with comply with such provisions or,this,permit shall be 't - .TEL STATISTICAL CLAS51 KATION APT CIN DO
deemed,re,voked _ �,, CONTRACTOR R I NO ��� O _ ._ .
LICENSED CONTRACTORS DECLARATION -->.LIC C� { CLASS NO �L DWELL UNITS
I hereby affirm that I am licensedunderprovisions of Chapter 9 ADDRESS - Qfl O +a SEWER MAP r
(commencing with Section'7000)of Division 3 of the Business and _ ___. UC --
P,rofessions'Code, and my license i`it full force and effect CITY ' X15(Z:l CLASS - -- ' VALIDATION'
r'�' ' t'' SQ FT NO'OF NO OF CHECK BK ~�' '
Y _- SIZE STORIES - FAMILIES'- ONE „
License Number Lic`ClassAbD v ,
r-.:i �• - . ..� .. :•• .,. s., ., • _• VALUATION •' - !I, _ .._ �
* .,:,. ., i , a. 5..• "1 ° DESCRIPTION OF WORK - -3Z __ NEW --'
Contractor Date AA ;
❑ *•ts , •>-i- •. - �"t - ADD 1_ __. - - -••--",
I am exempt under Sec
Brit _ ALTER ❑
B&P C for this reason REPAIR- ❑ $ - -_
Y
USE OF
_-.'Date' ' ' '- EXISTING BLDG DEMOL ❑ _
Signature ' ' '' APPLICANT TEL FINAL'
OWNER-BUILDER DECLARATION'- PRINT) NO -DAT �, R
J hereby affirm that I am,exempt from.the Contractor.'s License _w -{ pp
Law for the following,redsonn(Section 7031 5, Business and ADDRESS FI
-Profess i a ns'Cod e) . �.� _:ti - - PRESENT- g - - - --- - •� _
BUILDING ,
❑ I, as owner of the property, or.my employees with, ADDRESS - - - _ _ n - ;, �- I Q L5 O
C,
as c`o
wages their sole- mperisation,will do the work and _
the structure is not intended or offered for sale(Section LOCALITY
70441-Business and Professions Code) MOVING --
CONTRACTOR' NO is
❑ I, as owner of the property, am exclusively contracting 1 i
with licensed contractors to construct the project (Sec- ADDRESSg� q �ti tti�
tion 7044, Business and Professions Code) REQUIREDYARD' NOTAL SETBACK FROM_ _ _ 'e� `•,:�, `.� ~'� ��* ',
CONSTRUCTION LENDING AGENCY' SET BACK HWY PROP LINE WIDTH
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 ! y _ iv V,
PL
Lender's Name - [�/� -r i
_ F $ ._ _., ^- -- - lJ V ! LDMA Ref
-• - -•- - - •- P C Fee Permit Fee - - _
Lender's Address
certify that I.have.read this application and-state that the _ Issuance Fee - - 04 S-({ -1 LDMA P/C# - - -=--- - -• -
above information is correct I agree to comply with all County Investigation Fee Q '
$ ordinances and State jaws relating to.building costruction, --. Total Fee- LDMA Peim #- - r
ri
and hereby authorize representatin
ves of this County to enter
a
upon&e above-mentioned property for inspection purposes
\ t
SEE REVERSE FOR EXPLANATORY LANGUAGE "�•f ;`
Signature-of Applicant or Agent - --- Date - __ -_ _, _ _ - _ _ - -- -- .1 ti�1>-. - - -'q),
�K
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9802250012
PHONE: (818) 285-0488 EXT:
LEGAL ID: N0. OF CONST BUILDING ADDRESS:
TR: 5904 LT: 241 UN: .002 SO. FT STORIES TYPE 9132 LONGDEN AV
STRUCTURE: 0 VN TEMP CA 917801603
ASSESSOR INFORMATION NUREF NEAREST CROSS STREET: LOMA
5384-009-016 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
NA S : RESID USEISSUED N: PROCESSED BY: EXPIRES
EXIST OCC GRP: 02/25!98 UT 02/25/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE, INAL B CODE:
VICKERY CAROL E TR (818) 287-4750- 1 3,000
9132 LONGDEN AV
TEMP 917801603 FEES PAID DESCRIPTIC OFK
LNL. FEE DESCRIPTION: QUANTITY: LKIMAMOUNT:
REMOVE ALL LAYER AND RECOVER WIT IMBERLINE GAF 25 YR.
:
CLASSIC ROOFS (626) 286-6990- AA BLDG PERMIT ISSUANCE 27.75
10603 FREER ST. AC STRONG MOTION RESID_ 3000.00 VAL 0.50 SPECIAL CONDITIONS:
TEMPLE CITY, CA D2 PERMIT W/O EN:,HC3000.00 VAL 99.15
TOayAL-_FE S 127.40
CONTRACTOR: TEL. NO: d ��9\ APPROVALS DATE INSPECTOR SIGNATURE
CLASSIC ROOFS (818) 286-6990- y
10603 FREER ST LIC. NO LOCATION AND SETBACKS
TEMPLE CITY CA 91780 382938 C39
SOILS ENGINEER APPRO AL
ARCH OR L. FOUNDATION/TRENCH FOR S
LIC. N0: SLAB JNDER FLOOR
RAISED FL R FRAMING
.- -
MAP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
153H265 3 ol
�, UNDER LOOR INSULATION
- "
FLOOR
HIN
0. OF FAMILIES: DWELLING NITS: APT/MN157PAT CLASS: -NO 21 - -- - ROOF SHEATHING
SCHOOL WITHINS H AR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NOFRAME INSPECTION
FIRE
REQUIRED TOTAL SETBACK FROM EXIST
SET BACK YARD: HWY: PROP LINE: WIDTH: �'� ,���-% � SPRINK
FRONT PL-
SIDE PL- INSULATION/WEATHERS IP
, _ x -
LATH/DRYWALL
EXTERIOR LATH
RATED FLOOff7UffTU_AT9MF__
RATED WALL ASSEMBLIES
RATED
B R CEILINGS
LOT DRAINAW_
REPORT ID: DPR261 ROUTE TO: SS0508