The URL can be used to link to this page

Home My Public Portal About9164 LONGDEN AVE_Building__ DIVISION OF BUILDING AND SAFETY � Department of'County Engineer Countty� f Los Angeles WM. J. FOXp COUNTY ENGINEER APPLICATION UILDING FOR APPLI&ANT TO FILL IN ADDRESS t''{.; q,'' a,ly meq. BUILDING C]�� 1� � �,a �ev ADDRESS ��'' i " !".l<t LOCALITY ws r NEAREST T-- 1 LOCALITY / /t/J L �' �/ -v CROSS ST. r_`_:�1f! J/ji J NEAREST DISTRICT NO. PLAN CK.OR REC.No. PERMIT NO. CRoss ST. 2° J►Ir"/ AI I -Pd_ 7 7 OWNER ?df AWS RECEIVED B DATE OF APPL.® DATE ISSUED MAIL '�- ADDRESS IA<"- A& � r, •P� ��"�' 6�� USE_Z®E I PL OF I TYPE I G� P I FIRE ZONE TEL.CITY � dry d it M NO. per\ PLANS 7. /s ARCHITECT OR TEL. �ry�� ZONING DATED ENGINEER , NO. APPROVED BY- ADDRESS BUILDING r JAS ORD.No. SETBACK LINE- TEL APPROVED DATE CONTRACTOR NO. BY: HOUSE NUMBERING ADDRESS �� LEGAL MAP NUMBER 4 NO. ASSIGNED BY DESCRIPTION LOT NO. �s ;, BLOCK 5> �f DATE I CORRECTIONS I INSPECTOR TRACT 5 0 ' - NO. OF BLDGS. SIZE OF LOT NOW ON LOTUSE OF Or EXSTING BLDG. I-FAMILIES I `� �-.S a ECD/ZJR �I �(!/! /1 O DESCRZpTION OF WORK /(// � AAA 111--_ � -, NEW 1i'� ALTERATION ADDITION „(3IER"k /' v�'F A/ D r REPAIR DEMOLITION I 151-I('H A,'-- 3 1-11e q(,R 3 ZE A�.r4) ROOMS STORIES I P/i,,rra blILZ EXT. WALL ROOF // COVERING I, COVERING i USE OF STRUCTURE i ,T7K9a IV%'d APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,J / PLICATION AND STATE THAT THE INFORMATION GIVEN IS + CORRECT. BRACING, BOLTS s` 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES., FURNACE: LOCATION, " L AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF ✓.w'ya� a� ^• . LATH, INT. PERMITTE � V ADDRESS 9.0 F, Ce.-�/A_,�°9�/sst•1 11.P+ ?, LATH, EXT. C PLASTER, INT. AUTHORIZED AGT. " PLASTER, EXT. FEE HOUSE NUMBER COR- - ,f RECT AND POSTED VALUATION FEE E FINAL /n;� /��1ff1�� { �� `Tj 7GA696A DOSS 2-88 " 6AS38ACEa8.3...-APPLICATION•FOR BUILDING PERM COUNTY •OF LOS ANGELES- BUILDING DEPARTMENT OF COUNTY ENGINEERADDRESS BUILDING AND SAFETY DIVISION LOCALITY - ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST c WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. J DISTRICTG P T ;P - R D BY FOR APPLICANT TO FILL IN 5 J� ' CONST.. ' Z BUILDING // _ STATISTICAL CL•A [CATION S ER ; _ MA ADDRESS I�/ 40"Yl �Q77�Pr Z K G = CLASS. NO. DWELL.UNITS *` LOT NO. BLOCK WATERNOT REQUIRED RECEIVED t, CERTIFICATE:, IILJJ�� TRACT. 7 MAP HIGriWAY. NO.OF BLDGS. '� NO. (CIRCLE) STATE MAJOR SECOND.LOCAL SIZE OF LOT Q X :�Q NOW ON LOT USE ZONIE SPECIAL - USE OF r CONDITIONS' - EXISTING BLDG. p� / OWNER ,Lp j�112- NO. 6/p'YfJ BUILDING EXIST. ' j SETBACK YARD HWY STREET.NAME W TH ADDRESS y)64f'Aa FRONT, ARCHITECT OR TEL. P. L. ENGINEER NO: SIDE/ P. L ADDRESS TEL. ' J:GDG CONTRACTOR NO.' tt ! ✓ ADDRESS 1~� /lZe_ -__lL — O DESCRIPTION OF WORK ��" "`� �'�'" v r W DL NEW HADD ALTER REPAIR DEMOLISH J _ SQ.FT: NO.OF NO. OF F°v" �J 7 1� �, /':- y •n 3.iF - SIZE. STORIES. FAMILIES USE OF STRUCTURE Cy,��iG( i+� �1 r, r7! �A 1•"�' �,�! SIGNATURE OF APPLICANT r Y /' f'!" •J^" •VALUATION $ ��O U-af f. i APPROVALS DATE INSPECTOR'S SIGNATIORE P.C. PMT: °� ' FOUNDATION: LOCATION f FEE $ FEE $'/ FORMS, MATERIALS /•,�'� FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-APPLICATION BRACING, BOLTS J AND STATE THAT THE ABOVE JS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING: GAS VENT. DUCTS ' BUILDING CONSTRUCTION. I CERTIFY THAT IN, DOING.THE WORK' ' A , AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. ' TION OF-THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- e• .� .a_:,'f� INC TO WORKMEN'S COMPENSATION INSU a r 1 _ .ti• - "t;, •,)wf� / -LATH.EXT. f.i wiA.l.{' .S - ::n .:f �• SIGNATURE OF HOUSE NUMBER COR. J ` PERMITTEE - RECT AND POSTED ADDRESS-. c� FINAL JOHN F. LEWIS. PRINCIPAL ST C RAL'ENGINEER.;PLAN-CHECK VALIDATION CK. M.P.- CASH _ PERMIT VALIDATION CK.' M:O. CASH LI�Uo 4 8 9 JAN"2 U i d 1 S.50— APPLICATION FOR BUILDING PERMIT « COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN • BUILDING ADDRESS /7 I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRES ! G' �L � G or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP copy thereof(Sec.3800,Lab.C.) / - LOCALITY Policy No. Company SIZE OF LOT I NO.OF BLDGS.NO#ON LOT ❑ Certified copy is hereby furnished. Z NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO COMPENSATION INSURANCE +^ Z WITHIN 1000 FT OF SCHOOL? YES NO This section need not be completed if the permit is for one hundred ADDRESS ( P P DISTRICT GROUP TYP ONST FIRE ZONE PROCESSED BY dollars($100)or less.) li 91 I certify that in the performance of the work for which this permit CITY 7ZIP Is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. -2 1 — DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS UC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY UC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES CD Professions Code,and my license is in full force and effect. NEW BK PG License Number Lic.Class D IPT10N OF WORK W ADD ❑ VALUATION F- Contractor Date ALTER ❑ $ 'SA— W n. AIR E] co ❑ I am exempt under Sec. $ BAP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# L I,as owner of the property, or my employees with wages as Z I-1-'= 'T their sole compensation, will do the work and the structure is ADDRESS ti;I;T E not intended or offered for sale (Section 7044, Business and FINAL DATE Q --- - Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 6 - OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B �;�L 1'5j:0 65 licensed contractors to construct the project (Section 7044, YES❑ No El _ '- ._._ - Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPUCANT OR FUTURE BUILDING tr �F•It i:'_e _. OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR PjQoie�GUIDELINESS�A jv � 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. 0 )HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING / I -{-I- -• -,• C. /-,:i t N 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, YL/ i Imo• —� _ :: 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 SCAOMD. C3 Lender's Address QVNER OR AGENT 0 o I certify that I have read this application and state under penalty o P.C.FEE PERMIT FEE /J/I ,/ 0 of perjury that the above information is correct.I agree to comply C1s4.41. f. N with all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County ISSUANCE FEE ID to ente upon the above mentioned property for inspection purpose5. (p I lw./y ?At9 7� INVESTIGATION FEE TOTAL FEE 59MISM Of APDL I C&PWnt &Iopo !O SEE REVERSE FOR EXPLANATORY LANGUAGE ' COUNTY OF LOS ANGELES TEMPLE CITY J 050Q. BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS L �` ALTERATION/REPAIR ri BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA �1 •• `• ,\ SL 0508 9804010006 PHONE: (818) 285-0488 EXT: L ID: NO. OF CONST BUILDING ADDRESS: TR: 5904 LT: 276 SQ. FT STORIES TYPE 9164 LONGDEN AV STRUCTURE: 64 VN TEMP CA 917801605 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA 5384-011-013 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG S : RESID USE ZONE: R- ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/01/98 UT 04/01/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: ITOGE YOSHINOBU;LIMING"W (626) 287-1912- 1 1,000 d 9164 LONGDEN AV � i6, TEMP 917801605 FEES PAID DESCR PT ON OF WORK ENCLOSE PATIO - 64 SQ. FT. APPLICANT: TEL. 0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESI.D=- x..1000.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REV-IEQ-FEE.====__ _•. 54.70 D2 PERMIT W/0 EN-HC `=t 1000 000 `VAL 65.25 `` '•` " ' -TOTAL'"FEES'•' 148.20 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP 53H265 SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 UNDERFLOOR INSULATION FLOOR SHEATHING NO. OF FAMILIES: D E I G UNITS: APT/CORD: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUSSHEAR PANELS / AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST F1RE-SPRINKLER HANGERS-- SET A G RSSET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- _442 INTERIOR LATH/DRYWALL / Z EXTERIOR LATH RATED WALL ASSEMBLIES RATED SH S S T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508