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Home My Public Portal About9451 LONGDEN AVE_Building__ FGA638AC11l80e.I-61 APPLICATION 'FOR BUILDING PERMI.I�� COUNTY OF LOS ANGELES = BUILDiNG. ` DEPARTMENT OF COUNTY ENGINEER ADDRESS BUII ING AND SAFETY DIWSION LOCALITY JOHN A. LAMBIE, COUNTY ENQINEER NEAREST ' WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.• DISTRICT.NO. GR UP I TYPE ESSED BY FOR APPLICANT TO FILL.IN CONST. BUILDING ✓y� STATISTICAL,CLASSIFICATION SSR MAP ADDRESS' 6 ICLASS.NO. DWELL.,UNIT LOT NO r, a BLOCK WATERNOT REQUIREDlz RECEIVED Lj TRACT CERTIFICATE: T tae.T MAP HIGHWAY NO.OF BLDGS. NO. �, (CIRCLE) STATE MAJOR SECOND, LOCAL SIZE OF LOT.,N. y( Z.$ I NOW ON LOT I USE'ZONE SPECIAL m USE OF CONDITIONS EXISTING BLDG. �68 />t�FlII�,$ TEL. OWNER IL' NO. O BUILDING YARD 'HWYTREET NAM EXIST' ADDRESS AA: ,O SETBACK WIDTH' T ARCHITECT OR TE P.FROL. NT ENGINEER NO. 7-'3'Lp SIDE t P.,C. ADDRESS '.&,w ,g"lpW 60 TEINSPECTION RECORD' a CONTRACTO NO. 2:D � ADDRESS )/ 7_•y-?:.r�.��A4-174U/a, AR :r., �• f � «•�-. �•�� E$CRIPTION OF WORK i s ;• '�%�,%;.�sZ .W, '.{-,r',o:F�� O L_ !CLu NEW •).(ADD-' 'ALTER: REPAIR '1 DEMOLISH SQ FT: / "NO OF NO.OF IZE �G STORIES l' I FAMILIES �,r •k•r.-,t ;� -i USE OF 1 'p,, ;_�✓�/' .Il7BN!_.L{ rA-N17_fri �t}n r . I"�l �;' '��;I, _ iU-3 ••�;=' ' S�TJRII.CTURE . ,•r ;��,ri SIGNATURE OF APPLICANT „ . VALUATION t ..DAZE DAZE INSPECTOR'S SIGNATURE P.C. UNDATION:LOCATION �}' PMT: FO FEE $ FORMS,MATERIALS IQAEn/ �.J, tsa,•_ ,' �� ' � FEE. $ FRAME:FIRE STOPS, /J0 '// /�J�'j Jl 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION .BRACING,BOLTS / , ` �• ��/P- !.'!. 7 AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, - / / I "• WITH ALL COUNTY ORDINANCES-AND STATE LAWS REGULATING GAS'VENT DUCTS BUILDING CONSTRUCTION. 1 CERTIFY-THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- .LATH;INT. /�l�9 // /t/• `r�,y /��/f TION OF THE.LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING'TO WORKMEN'S COMPENSATION INSURANCE. r' r �/v`✓ /�.� LATH;EXT. 'l 0 1. I f.%�i P SIGNATURE r HOUSE NUMBER COR- P •+' ",!/t' °-! PERM ITTE � RECT,.4ND POSTEDr�trj �y}'M Y,_ ADDRESS 2 FINAL /! l"/1 /!1. Y`- "� CLYDE N. DIRC.AM, PRINCIPAL STR v UrRAL ENGINEER PLAN C2= VALIDATION." ,cK. I .O. CASH PERM VALIDATION CK.. N.O. 'CASH 'o 2 6 .5 2 Z` SEP -j 4. 2 3 D 1 9.5 " _ Li~� 9 0 7 SLP 1 1 D WORKERS' COMPENSATION DECLARATION don hereby affirm that I have certificate of consent to self APPLICATION F BUILDING P E RM I T 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 AVE- E] Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 77 f Date Applicant CIT`1 �c CI ZIP ql&o LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' =.SIZE OF LOT NO.OF BLD NEAREST COMPENSATION INSURANCE NOW ON LOT T CROSS ST. LL-- ASSESSOR (This section need not be completed if the permit is for one TRA6 BLOCK LOT NO. r , � MAP BOOK PAGE PARCEL EL dollars ($100)or less.) OWNE I dAW—K�A�t P _ ` USI ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADRRESS SPECIAL IL CONDITIONS so as to become subject to the Workers'Compensation Laws. m'�Ap p� OO CITY VI�AQ-�� ZIP 60 f O Date Applicant * ARCHITECr r TEL. DISTRICT G TYPE FIRE ROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER c' NO �� '�� per" /�/� CONST. E 13 Exemption, you should become subject to the Workers' r- ' S �1�/ ,x Compensation provisions of the Labor Code, you must forth- ADDRESS • C1� L ✓ �/fJ /ll wQL with comply with such provisions or this permit shall be .a TEL. deemed revoked. CONTRACTOR NO. STATISTICAL CLASSIFICATION APT. NDO. Z L t.�� 5 _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect: CIN CLASS BK. PG. VALIDATION SQ. FT. NO. OF NO.OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE 1" VALLUAT191N� Contractor pate DESCRIPTION OF WORK d� & NEW � -• $6 �``//wpwp JJP ❑1 am exempt under Sec. -� '�ZC(uC /!U� s ADD �J ALTER ❑ B.&P.C. for this reason REPAIR ❑ $ Date: USE OF s EXISTING BLDG. DEMOL ❑ '. SignatureLICANT L n g OWNER-BUILDER DECLARATION APP(PRINT) IC%ftZL oIJC2kwi. 3�-e� DAT V I hereby affirm that I am exempt from the Contractor's License � •� Law for the following reason (Section 7031.5, Business and ADDRESS,/.2,e � �e�.Y1Lt3 M FINA Q J Professions Code): PRESENT ,;r BY ❑ I, as owner of the property, or m employees with BUILDING ACCU01 P P Y� Y =.:ADDRESS �` wages as their sole compensation,will do the work and a LOCALITY x,517 '��o Lik r '� 3, the structure is not intended or offered for sale(Section . 7044, Business and Professions Code.) MOVING TEL. 1 ITEMS ❑ I,as owner of the property,am exclusively contracting `CONTRACTOR NO. --a with licensed contractors to construct the project.(Sec- ADDRESS TOTAL 87 o 3123 tion 7044, Business and Professions Code.) CHECK REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. CHECK37.351 CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT CHANGE ,00 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE Lender's Name P.L. 0000-0001 12/25!89 ` a P.C. Fee$ Permit Fee LDMA Ref.# 7737 1 A9 8:45 Lender's Address I certify that I have read this application and state that the Issuance Fee o V LDMA P/C# 01111, above information is torr t.I agree to comply with all County Investigation Fee ordinances and State la rel a' o building construction, ! Total Fee LDMA Perm.# n r y thor' r r s ae f this County to enter up ► ve- /q rt o ins ection purposes. ems; -/ ` 2• �� SEE REVERSE FOR EXPLANATORY LANGUAGE Si natury A is t or Agent Date • WORKERS' COMPENSATION DECLARATION insure bor °afcertif caare of Worke s'tiCompensat Compensations Insurance, APPLICATION FOR BUILDING P E RM I T " or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ElCertified copy is hereby furnished. FOR APPLICANT TO FILL IN BUDDING } Lo ADDRESS 1 ❑ Certified copy is filed with the county building inspec- BUILDING tion department. 4,ADDRESS Date Applicant e 'CITY 9$4 j ZIP /�D 0 LOCALITY INO.OF BLDGS. NEAREST 1 CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT Z3 NOW ON LOT _Z CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) {�A�� OWNER r — F�NJ�E((?, N /�Y 3r�3,07' USE ZONE MAP NO. I certify that in the performance of the work for which this �+�, SPECIAL >_ permit is issued, I shall not employ any person in any manner ADDRESS� C9 z/Z '0LoVJ' ME+A VOt d CONDITIONS QL so as to become subject to the Workers'Compensation Laws. 9 O CIN A�L ZIP A %O/Q U Date Applicant ARCHITECT OR ♦r /� TEL a NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER Mw SIPF NO, 87^��D� �jDIS7RICi GROUP CONTYPE FIRE ROLE BY P P Y r/ n� +� COf�ST� [Q / O Exemption, you should become subject to the Workers' B g /J IG,fJ�/ / LOU Compensation provisions of the Labor Code, you must forth- "ADDRESS /✓J� `�� L✓� with comply with such provisions or this permit shall be �c1t"� NO•NO. CLASSIFICATI N A CONDO. rA deemed revoked. CONTRACTOR Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ' ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CIN CLASS BK PG VALIDATION SQ. F7. NO.OF NO.OF CHECK License Number Lic. Class SIZE 0 STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK f11ff1'0'v C1 NEW ❑ $ r1K ADD ❑ Poo.ElI am exempt under Sec. g .�./L"� Z'' B.BP.C. for this reason (��oeA�C' ALTER ❑ REPAI ❑ $ Date: USE OF EXISTING BLDG. DEMOL Signature APPLICANT .� 1 TEL• FINAL OWNER-BUILDER DECLARATION (PRINT) j({�� i„�lre- Op NO. :�7CS 3 DATE I hereby affirm that I am exempt from the Contractor's License gDDRESS4lr � /"IO��OL t� D lOio� Law for the following reason (Section 7031.5, Business and FINAL Professions Code): PRESENT ❑ BY BUILDING 4UTo1r I, as owner of the property, or my employees with ADDRESS 0711 33 wages as their sole compensation,will do the work and 07 601.50 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. 1 11GITCt t 3 ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. TOTAL �o�.� with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) CHECK 60.50 CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. CHECK tC SET BACK PROP. LINE WIDTH fti'ii`I i� e�til 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 nt��--tI 0 P.L. (01010 —Il0�1 12/261 L'9 Lender's Name qtt B LDMA Ref.# 7738 1 A i V: 6 P.C. Fee$ Permit Fee �/i Lender's Address , I certify that I have read tis application and state that the Issuance Fee . :� LDMA P/C# above information is torte . I agr to comply with all County Investigation Fee L� i ordinances and State laws rel in to building construction, Total Fee v LDMA Perm. # = and hereby outho iz ep nta' es of this County to enter the bov is ert r inspe Moon pur as s. SEE REVERSE FOR EXPLANATORY LANGUAGE Signotur f App scent or Agent Date