HomeMy Public PortalAbout9141 LONGDEN AVE_Building__ APPLICATION FOR COUNTY'OF LOS ANGEI:ES
DEPARTMENT OF COUNTY ENGINEER
E W I L D I N C3 PERMIT . BUILDING AND SAFETY DIVISION
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
BUILDING
ADDRESS LOCALITY
x NEAREST
GITY Jl ZIP {,r CRSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE.- CESSED BY
TRACT K LOT NO. �r CONST. - pIE 1
TEL
OWN Aw 6114AR A NO. STATISTICAL CLASSIFICATION
.� , SEWER MAP
ADDRESS CLASS-NO.�DWELL;UNITS BK PG
X USE ZONE MAP
CITY p e5-& ZIP (l NO.ONDITIONS
ARCHITEC OR NAL' • 9•-� CPECIAL
ENGINEER '
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ ' ,
CONTRACTOR & NOL' -- E BLD SETBACK FROM
LI'C.
FRONT PROP..LI NE OF (STREET)
ADDRESS " NO. HIGH AY + YARD = TOTAL_SETBACK FROM TYPE.OF EXISTING
CITY - r--. "LIC. -
FRONT PROP. LINE HIGHWAY WIDTH
CLASS \ _
CONSTRUCTION LENDER
NAME AND•BRANCH BLDG, �TRACK FROM C3
ADDRESS CITY _ SIDEPROFk L,L�NEOF (STREET) V
SQ, FT. NO. OF NO. OF, CHECK HIGHVlAY + YARD = SETBACK FROM TYPE OF EXISTING CD
SIZE O• STORIES' FAMILIES ONE SIDE PROF.. L• HIGHWAY WIDTH
+ LLJ
DESCRIPTION OF WORK NEW El _ ,y
a ADD _ CORNER CUTOFF YES ❑ NO ❑ Z
Y-�
-7-=ALTER ❑
REPAIR❑ IN OPEN SPACE YES ❑' NO ❑
USE O IN COASTAL PERMIT ZONE' YES ❑ NO ❑
EXISTING BLDG. DEMOL ❑
.APPLICANT TEL
(PRINT) NO.
BY (SIGNATURE)
1.HEREBY ACKNOWLEDGE THAT-1 HAVE READ.THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION.- I CERTIFY THAT IN DOING THE WORK AUTHORIZED _
HEREBY I WILL NOT EMPLOY•ANY PERSON IN,VIOLATION OF THE -
.LABOR CODE OF THE STATE OF CALIFORNIA IN ,RELATING TO
WORKMEN'S COMPENSAT 0 INSURANCE.
SIGNATURE OF, FINAL ` /-�'�� BY
LADDRE
DATE
TEL. P.C. Fee$} Permit Fee s
NO.
Issuance-Fee
r
Total Fee ' o L'
PIAN 'CHECK VALIDATION" r .,CK: 'M.O: CASH, : o:' ) PERMIT VALIDATION' cii) M.O.. CASH
76AG38A CIC 08038 12/75
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES L"I
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT PLANCK. NO.
PERMIT�!.
BUILDING '/��
ADDRE88 �. �� /Y
tiE LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
��
NEAREST �! n / vJ` 0 '`� Z�-LhJ�/
CROSSST, • ADDRESS
: OWNER se i -
MAIL LOCALITY
/
ADDRE8S NEAREST y'�
TEL. CROSS ST. �. /I � 1 6
CITY 1-2le _ f
NO. FIRE NO. OF I TYPE I GROUP
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO. BLDG.
SE BACK LINE Z
ADDRESS APPROVED
TEL. �+ + BY DATE
CONTRACTOR 7NO. ^!j / - USE APPROVED
-+ �- " ZON / BY
E DATE
ADDRESS l bre - �5ts�' HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO. 7 1 BLOCK MAP NUMBER.-2110.0--3 FIELD CHECK BY—
TRACT
YTRACTS , �+ S! NO. ASS!GNED 13
SIZE OF LOT,s'('. NO
OOITy^` y V CORRECTIONS
USE
EX STOING BLDG, X I ,5 —A1,0 IlF/►MLLOIES
DESCRIPTION OF WORE 7 913 6L���_
NEW I V-11 ALTERATION I I ADDITION
REPAIR I I DEMOLITION I I I _X
SQ. FTNO. OF 'n
SIZE /� ROOMS STORIES D
EXT.WALL ROOF �_ + P
COVERING,�t( + ', I COVERIN J j*wA
USE OF STRUCTURE ,may
f
-APPROVALS
INSPECTOR'S SIGNATURE' DATE
I HEREBY ACKNOWLEDGE THA+' HAVE READ THIS AP- FOUNDATION:LOCATION 11 �I
PLICATION AND STATE THAT THE INFORMATION GIVEN 1S FORMS, MATERIALS
CORRECT: -ks
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, /
HEREON AND WITH ALL COUNTY ORDINANCES AND STATS BRACING, BOLTS ' , �'A_
LAWS REGULATING BUILDING CONST777,
t FURNACE:GAS VENTDUCTS LOCATION,
SIGNATURE OF ��PERITTE ' _
11i ��)) LATH, INT.
ADDREB 'l(../JG'- V vvvq
LATH, EXT.
AUTHORIZED ACiT. V
PLASTER, INT.
78A898A• DB88 10-80 P. C.
FEE I PLASTER, EXT.
VALUATION �i FEE ,
�•Z,, FINAL ,_ :,
I6A688A CE0803 B-63 APPLICATION FOR BUILDING PERMI •
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST.
DISTRICT Ng. I GRO P ITYPE CESSED B
FOR APPLICANT TO FILL IN } CONST.
BUILDING /± STATISTICAL CLASS( (CATION EWER MAP
ADDRESS - ��v l f J J CLASS. NO. DWELL.UNITS - BK P
LOT NO. F W7 LOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRAC MAP HIGHWAY STATE MAJOR SECOND LOCAL
NO. BL
SIZE OF LOT NO. (CIRCLE)N ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING G.
TEL.
OWNE y NO. ..�1 BUILD NG EXIST.
SETBACK YARD HWY TREET ME WIDTH
ADDRESS 'FRONT
ARCHITECT OR TEL. P• L•
ENGINEER NO. SIDE
P. L.
ADDRESS v 4z
TEL p ,
CONTRAC NO. O V
ADDRESS %�' L Ed
O
DESC-1R4TTcfN dr WORK
W
d.
NEW ADD ALTER REPAIR DEMOLISH z
SQ.FT. NO.OF NO: OF e
SIZE STORIE'S1 FAMILIES
USE OF
STRUCTUR / '
SIGNA RE OF
APPLICANT
VALUATION $ r '
APPROVALS DATE INSPECTOR'S'SI.GNATURE
P.C. PMT. / b r FOUNDATION: LOCATION
FEE $ fp• _ FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS 1
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS '
_ BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK r I
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. 4 ti
TION OF THE LABOR CODE F THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMP ATION INSURANCE. LATH.EXT. 1 ,
SIGNATURE OF HOUSE NUMBER COR-
PERM ITTEE / RECT AND POSTED -
ADDRES FINAL
JOHN F. LEWIS. PRINCIPAL ST
URAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION M.O. CASH
._ Lh'o 1 5 5 2 MAY 12 ID 6.00-
�t ,: . WOPKERS:,'OMPENSATION DECLARATION
of coent to
\hnsu e,r afirmtertif ca'te of Wo ke s'tificate Compensat on Insuran elf ®O'er L!®P L I CAT N O FOR' f .UILDING PERMIT
of a certified copy thereof(Sec. 3806, Lab. C.)
1 BUILDING
COUNTY OF LOS ANGELES AND SAFETY
Policy No. Company BUILDING
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS -
Certified'copy is filed with the county building inspec- BUILDING
tion department. ADDRESS r G'U , j
Date •Applicant CITY ZIP v LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' - NO.OF BLDGS. NEAREST
.',COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT 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 PARCEL
TEL USE NE MAP
I certify that in the performance of the work for which this
OWNS N ( NO. �-
permit is issued, I shall not employ any person in any manner SPECIAL ••
so cis to become subject to the Work'eCompensat' n Laws. ADDRESS CONDITIONS lJ0
r �APPIi CITY . OR e7 ZIP. EC G7
NL�TICE TO AP LICANT: If, a er-making this Certificate of ENGINE [T L. DISTRICT GROUP TYPE FIRE PRO SSED BY
Exemption, you should become subject to the Workers' /�� CONST1. ZO E
Compensation provisions of the Labor Code, you must forth- ADDRESS (/- 1/ (1000, 9L
with comply with such provisions or This permit•shall be •' L, Q STATISTICAL CLASSIFICATION APT. I CINDO.
deemed revoked. :•.;
LICENSED CONTRACTORS DECLARATION :' ' LI CLASS tJO.7/ DWELL:UNITS
I hereby off irm,that I am licensed under provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP
Professions Code, and my license is in full force and effect. CI '� CLASS BK. PG " ' VALIDATION
" NO.OF NO.OF• CHECK
License Num er Lic.Class SI n STORIES FAMILIES ONE
/•�.1� VALUATION- 23 3
Contusly( 1s- 3'✓� �Jd c7� DESCRIPTION OF WORK' NEW ❑ $ 0.7 A'
G� ADD• (�(� # o o.o o c3
❑I am exempt under Sec. "- ALTER ❑ ..,Y, I o•2 8�$8
B.&P.C. for this reason ! REPAIR [J $
Date: EX STOING BLDG. DEMOL ❑; o - 286885
'Signature RI TEL. FINAL I a28-85
OWNER-BUILDER DECLARATION DATE
"I,�
I•.herebyoffirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and AD &aBF A
Professions Code): PRESENT
❑ BUILDING
'I, 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
7044, Business and Professions Code).:, MOVING TEL.
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS !
tion 7044, Business and Professions Code).
REQUIRED - YARD HWY TOTAL SETBACK FRO ST. -;23623A
-CONSTRUCTION LENDING AGENCY " ' 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. - 34a00-
(Sec. 3097, civ. C.). SIDE I a 3 48.0 0
P.L.
QLender's Name - �( . :�..•- .,. •. ,:
CDMA Ref. # 12097
8 5
P.C. Fee$ � Permit Fee' . •r
Lender's Address -
I certify.that.l have read this application and state that the Issuance Fee• 1b rJ CDMA P/C#
a above information is correct. I agree to comply with all County Investigation Fee �'rI ,�`1
$ ordinances and State laws relating to building construction, Total Fee - / r r v CDMA Perm.# -
d and hereby authorize representatives.of this County to enter
9 upon,tlye above-mentioned property.for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signa a of Ap li��Ar g nt � l 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 1206140023
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9141 LONGDEN AV
STRUCTURE: 24 V-B TEMP CA 917801604
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
5382-023-040 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
TENANT: JEXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 06/14/12 SR
OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
ILUK, CHERRY (626) 286-8480- 1 8,500 ���� 2
9141 LONGDEN AV
TEMP 917801604 D51
I FEES PAID 1SCRIPTION OF WORK
NEAR OFF EXISTING ROOFING MATERIAL INSTALL MONIERLIFE TILE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IWALNUT #3453 ON HOUSE AND ATTACHED GARAGE 5.8 PSF ICC #1647
APPLICANT: TEL. NO:
ITA, MANDY (909) 598-8988- JAA BLDG PERMIT ISSUANCE 27.80
516 N. DIAMOND BAR JAB STATE GREEN BLDG FEE 8500.00 VAL 1.00 ISPECIAL CONDITIONS:
DIAMOND BAR CA 91765 IAC STRONG MOTION REBID 8500.00 VAL 0.90
D2 PERMIT W/O EN-HC 8500.00 VAL 199.80
-� TOTAL FEES 229.50
CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE
SUNSHINE ROOFING (909) 598-8988- 1 1
516 N DIAMOND BAR BLVD #183 LIC. NO ILOCATION AND SETBACKS
DIAMOND BAR CA 91765 755126 C39
JSOIL3 ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: (SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION
I153H265 3 OCI FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
0 NO 21 1 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS ISHEAP. PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
(FIRE SPRINKLER HANGERS
i
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM. i
RATED WALL ASSEMBLIES
II RATED SHAFTS/OPENINGS
IT-BAR CEILINGS
LOT DRAINAGE I Ii
(REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF IAS 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 1307290024
PHONE: (626) 285-0488 EXT:
]LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ON FILE I SQ. FT STORIES TYPE 1 9141 LONGDEN AV I
ISTRUCTURE. V-B I TEMP CA 917801604 I
]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
15382-023-040 1 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
I ]EXIST OCC GRP: 107/29/13 SR 1
1OWNER: TEL. NO: IBLDGS. NOW ON IAT: VALUATION: IFINAL DATE FINAL CODE: 1
ILUK, CHERRY (626) 286-8480- 1 3,500 1 I
19141 LONGDEN AV 1 I I
ITEMP 917801604 ] FEES PAID 1DESCRIPTION OF WORK 1
I ] IREM:DEL 2 BATHROOMS
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1
IA3PLICANT: TEL. NO: I I I
ICORREA, MANUEL (626) 786-2347- IAA BLDG PERMIT ISSUANCE 27.80 I_ I
12509 EUCLID CRES E AB STATE GREEN BLDG FEE 3500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
(UPLAND CA 91784 IAC STRONG MOTION RESID 3500.00 VAL 0.50 ] I
1B2 PERMIT W/ENERGY 3500.00 VAL 127.40 I I
I _1 TOTAL FEES 156.70 I_ I
]CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IB X D CONSTRUCTION (626) 786-2347- I I- I
12509 EUCLID CRES E LIC. NO ] ]LOCATION AND SETBACKS I I I
(UPLAND CA 91784 627142 I 1_ I I I
I I ]SOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I
] LIC. NO: ] •ISLAB/UNDER FLOOR I I I
I I IRAISED FLOOR FRAMING
] ] I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:] ITINDERFLOOR INSULATION I I I
I I I
] 3 OOI ]FLOOR SHEATHING ] I 1
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I_ OD I
I NO 21 -i ]ROGF SHEATH144G /
I
I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
]AIR QUALITY: 1000 FEET MATERIALS I_. I I
NO NO NO i IFR?NE INSPECTION
IFIRE SPRINKLER HANGERS
11NSULATION/WEATHER STRIP] I I
]INTERIOR LATH/DRYWALL 1
1 (EXTERIOR LATH I I
I ] ) (RATED FLOOR/CELL ASSEM. I I I
I IRATED WALL ASSEMBLIES I I
I 1 IRATED SHAFTS/OPENINGS I I
] 1 IT-BAR CEILINGS I I
I
ILOT DRAINAGE
I I
IREPORT _TD: DPR261 ROUTE TO: BS0508 I I I
] I I I I I