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HomeMy Public PortalAbout9437 LONGDEN AVE_Building__ . .......... ,!4- •76AB38A CE neo9 z_s�-APPLICr4TIoN`R. R_ . 8'0-lLD_I•NG •PERM•IT_ :. COUNTY•OF LOS-.-ANGELES-'­ b, U;ILDING' R ; ADDESS. DEPARTMENT OF COUNTY ENGINEER" ' BUILDING AND SAFETY DMSION• LOdXLITY JOHN A. LAMBIE;.0T OUNv ENGINEER.i, NEAREST WILLI-AM A,:IENSEK, SUP:T'.OF-,BuiLDINq: CROSS ST.. + DISTRICT- O. ROUP TYPE P ESSED-BY FOR..APPLICANT,TO''FILL IN 1, p:•' :" -- coNsr: BUILD,INGtif ! :'r•r. 'STATISTICiAL•CL'ASSIFICAT.I;ON•a' ^ ' ER'MAP' ADDRESS:: Nd. :: ` CLASS!-NO:._.�D„W.ELL.'UNIT.S K' ./PG. "LOT NO / T. BL CK WATER "•+ ' ' NOT FZEQUIRED RECEIVED. ry` y CERTIFICATE: ;TRACT 41.: �. . G 7 �_ ;MAP.:. ' HIGHWAY "STATE MAJOR SECOND, OCAL` NO.OF SIZE OF 0. 7d',d NOW.ON L07S`. •'1 NO.; ' ''USE ZONE SPECIAL USE OF a SPECIAL - c EXISTING BLD•G-- %b0;A L�.' .• + d TEL ;OWNER �tJ NO. - .BU:ILDING:, �' EXIST. YARD EET NA E .SETBACK: • WY WIDTH. ADDRESS: :. '.FRONT- ARCHI,TECT'OR'' TEL.;, P.L.. _ ENGINEER NO. I :$IDE ADDRESSA. /aIl1 C ,i �: Ia a. O TEL CONTRACTOR'' eY/ L' , V -ADDRESS #�- O.Y .� U �°}' +•? a lva:�^ !' Pte:' ,1-1:• :z / . . O RIPTION' OF.WORS �:`i , --�,:,�;I' '• /�-.�- _� �._ x•%' -:�” cLiu r,..� /.. : .T'.P � .`- •, ., •��,r;� •.►�•"�.L��fi��'if.:+!• ..!•' :•W:^'U"•�+="'_.rte�"O_'•y:.i_i_,>�'.r '�:.J w .• 'N NEW''`y'" ADD ALTER REFAI,R' :DEMOLISH• 'I•:? , {� �f ' :., r j� r, '' 'i' L iy SO.FT,,.,. / NO.OF. NO: OF l - F'.41 kms✓+ %�' � Gt v�"�` t fA% �G F' SIZE (O " STORIES •FAMI'LI.ES i USE OF - i ? •t...�/. .• -tr- -r;r''.. , .STRUCTURE G. y(d: ,r �R�3• - 0'' `:+tr-•�/LG:/ •'bre irlc" , SIGNATURE OF '✓` •APPLICANT. A-© VALUATION $: '_ •'n" 0���•_`_• ' � s, APPROVAL$. '� DATE INSPECTOR'S SIGNATURE P-cT' " FOUNDATION: LOCATI ,FEE $o "FORA75,-MATERIALS FRAME;'F.IRE-STOPS, 1 HEREBY ACKNQWLEDGE THAT 1 HAVE READ THIS APPLICATIO[i'•' `BRACING'.BOLTS. - :'A .Til• ..4�3r �''" `+-' •r'„ (',,. 1'4'AbiD`STATE THAT THE ABOVE IS CORRECT$ND AGREE TO`COMPLY- 'FURNACEi LOCATION. 9•'y,v`.�`�`n;7 '_ �°.:,"�"""+�%•� WITH ALL, COUNTY,ORDINANCES`AND..STATE 'LAWS REGUL"ATING ,,;GAS VENT,. DUCTS.• s �' ' ,BUILDI{V G' CONST.I2VCTION.-I.-CERTIFY,THAT IN DOING' THE�.•WORK' � -�•� ACITHOItIZED HEREBY 1•WILLiNOT'E OY..A'NY PERSON IN VIO •L•AT.Fi, INT..•. 5 ' ';TION OF THE.LABO C�OF IH T TE'OF`CALIFOR LAT: _ _ �^!. ✓ rr�• • ING•TO W&RKME CO ENSATIO IN URA E "• '/i "� ,� �%'�� r: LATH.EXT:. .- MGNATURE OF.x ` HOUSE NUMBER.COR- 1 PERM ITTEE q RECT AND.POSTED r j 9^0 --ADDRESStle L: /,d7 ° �'^ -�� FINAL," ' l' "� ' J.OHN>"F:•LEWIS;` R'iNCIPAL STRUCT URAL ENGINEER s" '.,PLAN:CHECH:VALIDAITON'. • cK.: : II:O.' ;cnsH' _ :PERMIT ,VALIDATION CK. , M.O. CASH , tiM1 r WORKERS'COMPENSATION DECLARATION L. hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING 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 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS 2 cJ Certified copy is filed with the county building inspec- BUILDING 1 tion department. ADDRESS FJ, DateApplicant ACITY e tP Clk,4 ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM Y ORKERS' 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.) TRACE BLOCK LOT NO.TEL. MAP BOOK PAGE PARCEL .��GG I certify that in the performance of the work for which this OWNERS�kd1 NO.�-OJ` 1 USE NE NO.MAP 9 permit is issued, I shall not employ any person in any manner1�` SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRES `l CONDITIONS te_ ZIP Date Applicant CITY IN ARCHITECT OR TEL. . NOTICE TO APPLICANT: If, after making this Certificate of DISTRICT GRpUP TYPE FIRE 7PROESSED BY Exemption, you should become subject to the Workers' ENGINEER NO. �, GR CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS ✓' with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. NDO. deemed revoked. CONTRACTOILI).�1. ) Y 1 NO. ( Q g LICENSED CONTRACTORS DECLARATIONLIC, CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS(� j. _91aI -NO. (commencing with Section 7000)of Division 3 of the Business and LIC n SEWER MAP Professions Code, and my license is in full force and effect. CITY A CLASS ` - BK C PG 3 VALIDATION SQ.License Number-�S20/12— Lic.Class SI E� STORIES AMILLIIES CHECK ^�� � ^ ( VALUATION M. Contractor. ( e(x3rLCGf�O}e DESCRIPTION OF WORK NEW ❑ $ l� � (�,6 . `( ADD ❑ L `r vC! , I am exempt under Sec. [E]ALTER B.BP.C. for this reason REPAIR ❑ $ Date: DEMOL USE OF EXISTING BLDG. .h Signature APPLICANT TEL. FINAL ;2 2 8r 8 A OWNER-BUILDER DECLARATIONPRINT NO. DATE 12 I hereby affirm that I am exempt from the Contractor's License i7 # 0 0 0 0 0 Law for the following reason (Section 7031.5, Business and ADDRESS FINAk Professions Code): PRE ENT BY 0 o59.25 ❑ I, as owner of the property, or my employees wiBUILDING th ADDRESS wages as their sole compensation,will do the work and ® o o 0 5 9.2 5 5 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 0 O 5 ;;.8 5 1,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 TOTAL SETBACK FROM I T. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 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 P.L. Q Lender's Name - Lender's Address P.C.Fee$ Permit Fee LDMA Ref. N I certify that I have read this application and state that the Issuance Fee co LDMA P/C# pop. ¢ above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 3, LDMA Perm. q d and hereby authorize representatives of this County to enter $ upon the abo e-mentionedpr .perty for inspection purposes. a ( ',� -I/- d SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur of Applicant or Agent Date 0 i • 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 SL 0508 0101300001 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING D R SS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9437 LONGDEN AV STRUCTURE: 220 1 VN R3 TEMP CA 917801609 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: OAK 5382-020-048 OTHER: 130 1 VN R3 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: E S DG S USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/30/01 UT 07/29/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAJE FINAL BY: CODE: SMITH JACK W (626) 285-4417- 1 12,000 9437 LONGDEN AV a TEMP 917801609 EES PAID qYESCRIPTION OF WORK ADD FAMILY ROOM 220 SQ. FT. AND SOLID PATIO COVER FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 12000.00 VAL 1.20 SPECIAL CONDITIONS: AX BUILDING REV•IE41==FEE--"' � 54.70 B2 PERMIT.W7�N ERGY;,- ----::'l 2000:00 VAL 275.22 _ TOTAr-FEES" 358.87 CONTRACTOR: TEL. N0: '•.':i APPROVALS DATE INSPECTOR IGNATURE SAME AS OWNER - �= �+ �s' LIC. NO �`% /.� �✓"� y' i LOCATION AND SETBACKS SOILS ENGINEER APPROVAL - ARCHITECT PPROVALARCHI ECT OR NGINEER: TEL. 0: '., J ', V\ FOUN AT ON/TRE CH FORMS t�rl �rl �� I -- - ' ` SLAB/UNDER FLOOR LIC. NOS Al ' RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: 1 � 1 l• l UNDERFLOOR INSULATION 3 MR: -J: vS LEVEL FLOOSHEATi ` i NO. OF FAMILIES: DWELLING UNI S: APT COND: STAT C ASS:--- -------------------- ----- ------NO 21\,% - ---- L - - - -- �- ; rpr ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ,\'• \ % �� I 1 ,+ s` f /�� R00 SHEATHING AIR QUALITY: 1000 FEET MATERIALS •y. �l Z Ll - f ,�,'� NO NO NOI, -� - -�% pis' FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK 0 EXIST or l •`'--: l` BLDG D FR E INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: A� ;��py-�� L: '. -•yl�� 4 z� IDE \ FRONT PL-PL- a:: ii'.=mow: SHEAR PANELS - - INS L TION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR AT LOT DRAINAGE SMOKE DTC DE ICS FIRE DEPARTMENT APPROVAL r REPORT ID: DPR261 ROUTE TO: BS0508