HomeMy Public PortalAbout9227 LONGDEN AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ' C D
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
D18ECT ,
LBUILDING
OCALITY -
C,,NO. PLAN CK.NO. PERMIT NO.
S•
ADDREBB /
L EIV�gED BY DATE OrAPPL. DATE ISSUED
IV
NEAREST - i
CROSS 8
BUILDING
OWNE a
ADDRESS
MAIL LOCALITY
ADDRESSEAREST
CITY Q , TO. a CRO88 ST. �l�✓
FIRE NO.OF TYPE GROUP
ARC HI ECT ORTEL ZONE PLANS t I
ENGINEER NO. BLOM. _ V
BET ACK LINE r!!� .E-r a ORD.NO.
ADDRESS
APPROVED ,�f�`�i, ♦ �c/"4/
CONTRACTOR NOL BY G�' 4!�'�i�"v4 F.•�t� DATE1. Yi r
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL
CORRECTIONS
DESCRIPTJCN LOT NO. BLOC
TRACT
J .N OF BLOGS.
SIZE OF LOT IAO 2 fill NOW ON LOT �j �a 7-- y-fi-O '� OJV I-pw?-1x-1 'eve rr
USE OF NO.OF NO.DF
EXISTING BLDG. FAMILIES ROOMS ��� 7` ♦.-���♦ .�/tif ✓�.MTn �„
DESCRIPTION OF WORg . :r'--W" 74 A)lN�
NEW ALTERATION ADDITION -40000-
A(/,�qI-z.ov O
REPAIR MOVING DEMOLISH ���.1 - ,f"j'fj,p ����y�p�G �`� G
6Q.FT. NO.OF
SIZE ROOMS STORIES �r��/�frs7L�d C�9 d��//-7 �C�T�L F,:7••3 r
/
WALL ROOF
COVERING �.f/ i I COVERING
USE OF NEW J� / 7
BUILDING !,f' 'C c'fAl
rI•�t�i 1L�1^l�.M. 7'�
• /f/�/1./fi'�� `l i ��sl-rte .v1 i-►il/�.
.�- tet-f-r•z��iril�
of ff/Ale
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 10 CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS GULATING BUILDING C NSTRUCTION.
FRAMEI FIRE
SIGNATURE OF BRACING,BOLTS
PERMITTEE talil"
LATH,INT.:
AUTHORIZED AOT
LATH,EXT.:
Des-a SOM BETS 1-46 P.C.9 PLASTER,INT.
FEE 9. PLASTER.EXT.
VALUATION f/ FEE �d'�� FI NAL �L Y�f�-�I e✓�
WORKERS'COMPENSATION DECLARATION
=• y affirm that I have certificate of consent to self APPLICATION F®RBUILDING PERMIT �
insure, or a certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) / COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No.—Company ••�✓ BUILDING
/Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Z Z
Q Certified copy is filed with the county building inspec- BUILDING
tion/department. ���/D ADDRESS Z Z N C /L J p— 1�
Date ` " 6 Applicant — _I �� ITY a ®! Cc ZIP �� O V LOCALITY
CERTI ICATE OF EXEMPTION FROM WORKERS' OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT OW ON LOT CROSS ST.
Ocilift-
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT N" MAP BOOK PAGE PARCEL
TEL' USE ZONE MAP —3
I certify that in the performance of the work for which this
OWNER LQ O!J NO NO. 6 S
permit is issued, I shall not employ any person in any manner _ 1 SPECIAL IL
so as to become subject to the Workers'Compensation Laws. ADDRESS 92-Z? o.
e ,V /� CONDITIONS 0
� CL ZIP @s
Date Applicant ::R_0--.4;26
•
CITY �ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE CESSED BY O
NOTICE TO APPLICANT: If, after making this Certificate of
ENGINEER NO. CONST. ZONE
Exemption, you should become subject to the Workers' � �` �
Compensation provisions of the Labor Code, you must forth- ADDRESS
with comply with such provisions or this permit shall be �(,�
deemed revoked. CONTRACTOR f! -' d USiJ1NO5 Y-<)3 4F STATISTICAL CLASSIFICATION APT. CONDO. g
LICENSED CONTRACTORS DECLARATION l LIC. CLASS NO. 2�4 _DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS lev ,,Cd`/r NO. FU 3-S
EWER MAPE_
02
(commencing with Section 7000)of Division 3 of the Business and /� LIC.
Professions Code, and my license is in full force and effect. CITY a bV/N�s CLASS 1/ 13K,8 VALIDATION
p, �� ��� SQ.FT. NO.OF NO.OF CH CK
License N r �� 7 Lic.Class SIZE STORIES FAMILIE ONE
9 / y VALUATION
Contract e ! / `-' DESCRIPTION OF WORK 6 e '� �� ) A ❑' $ /7
p 77 � 2S.
LTER s
I am exempt under Sec. L
B.BP.C. for this reason r'`� / r�C — L7 REPAIR $
Date: USE OF DEMOL
EXISTING BLDG.
Signature APPLICANTTEL. FINAL G
OWNER-BUILDER DECLARATION PRINT) NO. DATE
1 hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Professions Code): PRESENT By
❑ 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). z 5 4 6 1 A
REQUIRED TOTAL SETBACK FROM Mbl.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH # 0 0 0 0 0 1
1 hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L. I o o 6 8 6 3
(Sec. 3097, Civ. C.). SIDE
a P.L. a a a 68,63
Lender's Name _
p�/� *- Ref. #
09. 18-86
Lender's Address P.C. Fee$ Permit Fee Q
rI certify that I have read this application and state that the Issuance Fee • �� LDMA P/C#
= above information is correct. I agree to comply with all County Investigation Fee / Q
ordinances and State laws relating to building construction, Total Fee V U ► LDMA Perm.#
and hereby authorize representatives of this County to enter
3 on the`boye-m entione roperty for inspection pyrpos � .
SEE REVERSE FOR EXPLANATORY LANGUAGE
D !!
ignature of Applicant or Agent Ddie
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 0208070048
PHONE: (626) 285-0.488 EXT:
_EGAL D: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9227 LONGDEN AV
STRUCTURE: 430 1 VN R3 TEMP CA 917801607
ASSESSOR N OR ON BER: GARAGE: NEAREST CROSS STREET: OAK
5382-017-043 OTHER: 26 1 VN U1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
T ANT: XIS 5% S USE 0 ISSUED 0 : PROCESSED B EXPIRES ON:
EXIST OCC GRP: 09/17/02 JK 03/16/03
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
LAI-YO-LEI (626) 294-0958- 32,250 „ll /
90 LONGDEN AV ��� /� / -
TEMPLE CITY FEES PAID Ugs-c-RUP-Mo-N OF WORK
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ADD ONE FAMILY RM, BDRM, BATH & PORCH
APPLICA L. 0:
SAME AS OWNER - 81 PLANCHECK W/ENERGY 32250.00 VAL 538.42
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION-RESID 32250.00 VAL 3.23
B2 PERMIT W/ENERGY- - 32250.00 VAL 633.44
TOTAL- FEES 1,202.84
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO
LOCATION A D SETBACKS
` SOILS ENGINEER APPROVAL
ARCHITECT ORENGINEER: TEL. NO: , FOUNDATION/TRENCH FORMS
LIC. NO: i SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
14AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
IST LEVEL FLOOR SHEATH v L
N0. OF FAMILIES: DWELLING ITS: AP /C N STAT CLASS: - _ _ •_ —'
NO 21 ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS 7
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED - 0 A SETBACK FROM EXIS
Id
SET BACK YARD: HWY: PROP LINE: WIDTH: BLDG DEP E P C J Q
FRONT PL- SHEAR PANELS
SIDE PL- _ �—
' NS L TIO /WEAT ER STRIP
brol 1!2-A L INTERIOR LATH/DRYWALL r ��
EXTERIOR LATH Z ��-
LOT DRAINAGE
'9M0KE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS05O8
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0307170038
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST
ON FILE SQ. FT STORIES TYPE 9227 LONGDEN.AV BUTLOTNG-JWDRESS-
ASSESSOR - STRUCTURE: 490 TEMP CA 917801607
5382-017-043 NEAREST CROSS STREET: OAK
THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
TENANT: MCIST F8 USE:
D S 0 PROCESSEDS -
EXIST OCC GRP: JK 07/11/04
OWNER: TEL. 0: SLDGS. NOW ON LOT: VAL FINIL FrNAL BY: CODE:
LAI-YO-LEI (626) 294-0958- 0
90 LONGDEN AV
TEMPLE CITY FEES PAID DESCRIPTION OF WORK
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DEMO EXISTING 2CAR GARAGE 8 STORAGE RM (490SF)
APPLICANT: 0;
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS:
TOTAL FEES 191.25
CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO PEDESTRIAN PROTECTION
SEWER DISCONNECTION
ARCHITECT 0 T 0: ABANDON P A D SPOS L
LIC. NO: UNDERGRND STRUCT REMOVAL
AND SOIL RECOMPACTION
P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
X 01
0. 0 : DWELLING S: A /CO D: STAT S
NO 23
SC COL T 0 S
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
REPORT ID: DPR261 ROUTE TO: BS0508