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Home My Public Portal About9511 LONGDEN AVE_Building__ 75 18A8SSA CERS03 8-88 APPLICATION FOR BUILDING PERMIT 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 NO. G P` TYPE D BY FOR APPLICANT TO FILL IN O CONST.�/ BUILDINGt-14 STATISTIC LCLA S FICATION SEWER MAP ADDRESS ..4 BK,_ PG �n CLASS. NO. DWELL.UNITS LOTQ\ BLOCKWATER NOT REQUIRED ❑ RECEIVED _ CERTIFICATE: FT TRAC MAP NO.OF BLDGS. NO. /1 J► HIGHWAY) STATE MAJOR SECON LOCAL (/ (/ (CIRCLE SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF / ' CONDITIONS EXISTING 9BLDG. L OWNE NEL �� y BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT FRONT /\ ARCHITECT OR TEL. P. L. (f ENGINEER NO. SIpE P. L. ADDRESS yyJ gyp' GRADING PERMIT REQUIRED a. CONTRACT6�; h� =a NO �97P ROUGH GRADING APPIROVEDI U ADDRESSFINAL GRADING APPROVEDIIO DESCRIP ION O WORK G W IL NEW ADD ALTER REPAIR DEMOLISH N SQ.FT. NO.OF NO.OF z SIZE STORIES FAMILIES USE OF ST R UCTU Z/ SIGN URE OF APPLICANT VALUATION $ APPROVALS DATE' INSPECTOR'S SIGNATURE P.C. PMT. 1 FOUNDATION: LOCATION FEE $ FEES FORMS. MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS 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 AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S CO P tSATION INSURANCE. I LATH.EXT. SIGNATUREHOUSE NUMBER COR- PERMITTEE - RECT AND POSTED \ ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH j_ACO 4 0 3 ?o SEP 2 1 1 D 6.00- a 7BABBBAcrihos2/BB APPLICATION FOR BUILDING PER IT Z COUNTY OF LOS ANGELES ABUILDING q,5o DDRESS DEPARTNIENNT OF COUNTY ENGINM BUILDING AND SAFETY DMSION LOCALITY ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DIST ICT NO. GRQoP gypE P SED BY FOR APPLICANT TO FILL IN coNsr. . ABUILDDRE /� / 49/V A n - J A _ _ STATISTICAL CLASSIFICATION ER MAP f� ADDR / !� A- CLASS:NO. DWELL.UNITS LOT NO. rI&A LOCK NUMAP MBER YES TRACTy4 G el USE ZONE SPECIAL NO.OF SIZE OF LOT ilo Ili xZd I NOW ON LOTS CONDITIONS USE OF4 T_/ ,/ 4 EXISTING BLDG.J u,�Tr LL-I IV Ici /4 J-Af BUILDING YARD HWY REET NA E EXIST. OWNED L L �G O' SETBACK-- WIDTH ADDRESS K P L SIDE ARCH ITECr OR TEL. P.L. ENGINEER NO. INSPECTION RECORD ADDRESS /hWR, W j R, �y _riTEL (`r(f116J�" �'k!25-'� a1 OQ ADDRESSES !4 at A V 4 -LIP- (J0 l/,ft'V A45-r DESCRIPTION OF WORK 27: i/Z&e, M NEW AIDIQ ALTER REPAIR DEMOLISH SO.FT. Q NO.OF ) NO.OF /�/S ,f1••�;!i a SIZE d .p STORIES / FAMILIESUSE OF I �J STRUCTURE 12 C7 SIGNATUREF/II'fT� �Y S J-T/7 , APPLICANT VALUATION'S v sL•/ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION:LOCATION „/I 4/ / FEE $ /� v FEE $ FORMS,MATERIALS 1J _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME:FIRE STOPS, BRACING,BOLTS SII2 .I 2 �O PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION,' AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT. (/ :•'•., �; ; WILL NOT EMPLOY ANY PERSON IOLATION OF THE V (F l/f:.•. - -• WORKMEN'S CO �SATION LA O CALIFORNIA. LATH,EXT. SIGNATUR HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRES r&t _ FINAL Zt ”-e CLYDE N. DIRLAM, PRINCIPAL ST CT AL ENGINEER PLAN CHE VALIDATION cK. m.o. CASH PERMIT VALIDATIO cK o. CASH Li,Po 4 1 3 E,o JUL _3 7 1D 1 2.0 3 ®P DEPARTMENT OF BUILDING AND SAFETY arrLacw i tvt� �vts resat i COUNTY OF LOS ANGELES ® � WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING //,�� y��/� y DISTRICT NO. PLAN CK.NO. PERMIT NO. ADREBB /D / hh1Z &Al C`r.J/_i14�' V%. �" LOCALITY *%n/`iW fY 1 /�V 1 i RECEIVEDBY /DATE or APPL./) DATE IBBUED C NEAREST!. - d,.l� � O BUILDING OWNER i"'` Q R V"� \1 ' i�J I G I ADDRESS //6D NAIL AD RE88 9 I h B IV eAD Al �VEI LOCALITY ! �/ �yTEL17191ST- CI= �CROBBNZA ST v S 1�1 l ` N137 (e .. CROBBBT. FIRE NO.O TYPE GROUP ARCHITECT OR L TEL ZONE PLANE�� ENGINEER Sr � NO. �� _ADDRESS SETBACK LINE C�jslSol • 7�i Gam/ �R • APPROVEDTEL �f/�^' DATE ` r , CONTRACTOR ✓ NO.' �/ BY _ C f USE APPROVED ADPR9S§ ZONE BY DATE LEGALapp CORRECTIONS DESCRIPTION LOT NV_ N :~ BLOCK i TRAOT SA4 /J/1 1 A SIZE OR LOT �b /� / �� I'NO.OFBL . ,tom^ NOW ON LOOTBT ! P .H �,+�s b EXISTING USE BLDG. Q � Fara [B ROOMS. /V O i DESCRIPTION OF WORK Q�! if sr fsr p-;''a NEW ALTERATION ADDITION 1 B REPAIR MOVING DEMOLISH /&ft. . rr. No or � �✓ c�_ ,�o G B 2E 3j y ROOMS /�8TORIEB / T 4 gQ r F 'pry' COVERING COVERING BU Loi G w I V ,-.- o o /n !�AIJ) 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONIO LOCATION NO EOTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ,FORMS.MATERIALS AND STATE LAWS REGULATINjUILDIN3 CONSTRUCTION. FRAME:FIRE STOPS. SIGNATURE OF )tA,/ ,�fn f BRACING.BULT13 PERMITTED �Ly L LATH. INT. AUTHORIZED AGT- LATH, EXT. affAmmrall 76A63BA-3 a-50 $ �y da B P.C, ("� PLASTER.INT. 7-1"v FEE 11 PLASTER,EXT. VALUATION FEE B �/ �-G FINAL ��r DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY • ^ DISTRICT NO. PLAN CK.NO. / PERMIT NO. ADDRESS ! BUILDING y/�l F L-d /V/rOL AlN :5 .! - l-/ ✓, C-/ sd� oC LOCALITY C `Y �1 RECEI��VE,,rrD BYNEAREST {f/ DATE OFAPPL. DATE ISSUED CROSS ST. / C -f• � I BUILDING �� r � OWNER D i /C ADDRESS /J T ✓ ADDRESS d / �� LQ (9 LOCALITY /I -f •/ KEAREST CITY //�� T �/�1 r 1 ELO.. n CROSS ST. ./ "� t✓`'1'l✓T/C./lam._ �-G G �/' N .. e[ FIRE NO.OF TYPE ']"i GROUP / `' ARCHITECT OR TEL. ZONE PLANSy !�- ENGINEER NO. i t BLDG. p� ORD.NO. /^ ADDRESS SETBACK LINE.. �� / A TEL APPROVED /BY r4+ CONTRACTOR NO. �^--f.L. �� DATE r USE APPROVED- ADDRESS PPROVEDVADDRESS ZONE/`�� BY DATE ��,..') ' t LEGAL r/ CORRECTIONS DESCRIPTION LOT NO. OL13CK TRACT 1J bt/I D ;s �GI/vv� '` GJZ lZt,"GV n.✓W SIZE OF LOT I I NO.OF SLOBS. ® "tip. NOW ON LOT USE OF &.14•t pp NO.OF NO.OF I EXISTING BLDG. Nh FAMILIES ROOMB DESCRIPTION OF WORK ' NEW ALTERATION. ADDITION f •SM R_A REPAIR MOVING DEMOLISH A� Sq.FT. NO.OF pp SIZE ROOMS STORIES 6: ej r WALL �/�0 B ROOF COVERIN I COVERING 0 USE OF NEW BU DING 514 xfdL It +Y' ao a 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION;. LOCATIOgt i "NSPECTOR /ATE AND AGREE TO COMP WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU TING BUILDING CONSTRUCTION. F � t'i//,t✓v �� i FRAME: SIGNATURE OF BRACACINGG..BOLTS PERMITTEEI LATH, INT. AUTHORIZED AGT LATH, EXT. 76A698A 9-48 DES-3 SOM SETS $ P.C.$ PLASTER,INT. 1 FEE PLASTER,EXT. FEE /I V Y VALUATION FINAL ZZ TMENT OF BUILDING AND SAFETY ! PPL LWIrlux ruff JeznNlw COUNTY OF LOS ANGELES 1 ® ' WMt •D. FOX, CHIEF ENGINEER FOR1PPLICANT TO FILL IN FOR OFFICE USE ONLY Z/O 4-lr�'4.jD19TZICT NO. PLAN CK.NO. PERMIT NO. BUILDNG ADRESS pp // LOCALITY -X e"q-"1w11 ( i JC/ RREEC�E/IVED BY DATE OF APPL. /D 1AyT/E•IBSUED NEAREST �Irr`,��1 �.. (�— `Y (J CR089 BT. tet;/ i lI \ p _r� . ' BUILDING _2r OWNER fr j OWNER `f i r-Gn.'� ��. ADDRESS / (J F�r•�P/. r�-i�..1� `¢' MAIL r Y afi r/ r LOCALITY �J 7•; ..lF?. 4`y, -7? ` ADDRESB L4 S� ��Gl/!`�C+-..� -tl�� / ,(��1�) ((;; NEAREST CITY / /1!/�af(.�a i� e"E'g- (/. � -�ak.V CROSS BT. FIRE NO.OF TYPE GROUPZ_ ' ARCHITECT OR //// TEL. ZONE —� PLANG i / a ENGINEER v NO. � I J BLDG. T // ORD.NO. ADDRESS I1i1 // SETBACK LINE APPROVED TEL DATE / CONTRACTOR / / NO. USE - ! APPROVED ONE "17b BY DATE ADDRESS Z LEGALJ -2--doCORRECTIONS DESCRIPTI I LOT NO. / � ;Z BLOCK `/ 3 TRACT r ` � n-•� 0 e• / it ��V �G-°3 ,= ��i A, el N �/ c� O.OF BLDGS. SIZE OF LOT � � J� ��tiS '�•r I NOW ON LOT USE OF NO.ORNO.OF EXISTING BLDG. I FAMILICB I ROOMS DESCRIPTION OF WORD MqA NEW ALTERATION ADDITION • G .s .TF 8- REPAIR /FT" ,/'� dJ MOVING DEMOLISH :11. NO.Or ZE J�X U'7�d� D ROOMS STORIESWALL R13F / J a • �/' x 9 �� lv� COV RING . ,6--;—a I COVERING(. fllllw� 14.1 / (P 4 —AAolg5-USE OF BUILDING NEW U LDINGwffil_ ,moi.. / (M ..� /�' '7r°C _: V��•�� f_ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IH CORRECT FOUNDATION, LOCATION fNbVECTCR DATE �J AND AGREE TO COM'�LY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS !'• �f ,L, Y AND STATE LAWS'REGULATING BUILDING CON TRUCTION. `/// Y n FRAME, FIRE STOPS, SIGNATURE OF:___jg;Qk_4 �N /! BRACING,BOLT5 PERMITTEE,/I ! / 'u'�'�• LATH,INT., AUTHORIZED AS LATH,EXT., oss-a 5oM srrB t-4e $� �0. coO" P.C.III PLASTER,INT. FEE PLASTER,EXT. VALUATION FEE �/ FINAL •/r%f DIVISION OF BUILDING AND SAFETY Department of County Engineer BUILDING County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY lj4 6 DISTRIC NO. PLAN CK.OR REC.No. PERMIT NO. BUILDING r ADDRESS xv y£ EC IYED Y LOCALIDATE OF APPL DAF ISSUED TY I_— / S NEAREST �^ > ' � CROSS ST.p�C�ysf_ w L s e_s.r-y da 4-a D. BUILDINGIF ADDRESS C7 i;_/ OWNER ' Aad L-& - ae, MAILgg LOCALITY ADDRESS G L. saCA EST NRIC mom CITY - NO. FIRE NO.OF �� TYPE I GROUP — ARCHITECT O TEL ZONE PLANS ENGINEER NO. BLDG. SETBACK LINE ADDRESS USE �r APPROVED TEL ZONE BY DATE CONTRACTOR NO. HOUSE NUMBERING ADDRESS MAP NUMBER 0 63 NO: ABBIGNED BY LEGAL DESCRIPTION g� /LOT NO. y�y-y B�L^OCK CORRECTIONS :5TRACT ftW !,011, / i �' ea 7— j::!O: SIZE OF LOT QO / I M06 Or BLDGIL NOW ON LOT USE OF N0.Or EXISTING BLDG. FAMILIES _ DESCRIPTION OF WORK _ _Z m f NEW ALTERATION ADDITION [! Z REPAIR DEMOLITION �+ No.or S ZE ROOMS STORIES RNICOECVE8 ROOF _ F -- US&PFSTRUCTURE /tf-1/11,96 IAISPA/ INSPECTION FOR APPROVALS 7� SiR OODUPANCYAB INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- _ PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME! FIRE STOPS, ^/. CORRECT. BRACING,BOLTS 5 1 AGREE TO COMPLY WITH ALL COUNTY •ORDINANOES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS SIGNATURE OFLATH, INT. h , PERMITTER ��R-+ e►� _� �� .LS ADORES �� _ LATH, EXT. S PLASTER, INT. AUTHORIZED AOT. PLASTER, EXT. P. FEEE R HOUSE NUMBER CCR- RECT AND POSTED VALUATION R FEE FINAL _•/�-�I J�5_,S �f . 76AMEA Ces 3 1-52 WORKERS'COMPENSATION DECLARATION I W C f1 ® I`hereby a#firm that 1 have a certificate of consent to self d• j' .insure, or a`certificate of Workers' Compensation Insurance, F r��kft1 N F f ; I L D I N G' P E RM I T or a certified copy thereof (Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY Polic No. 003531- ompony STATE Fum ' ll BUILDING Certified copy is hereby furnished. -°rM,--1- FOR APPLICANT TO FILL IN ADDRESS ,� ❑ Certified copy is filed with the county building inspec-' BUILDING CIC WON P\1 V►p•� tion deportm nt. i ADDRESS �! L.U/N N s . Date � ApplicantWM 11•Mir�ad� Sr. CITY 1%VAP1/ GQTy ZIP '14,7180 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' I NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. I '(This section need not bb-'completed if the permit is for one: ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT'NO. MAP BOOK PAGE PARCEL . Me ec TEL' '1 USE ANE MAP. . OWNER �� No. 53"{ NO. I certify that in the performance a the work for which this, �I �� Q,+ y)_�. permit is issued, I shall not employ any person in any manner ADDRESS E. V IV kc `1.�J[ CONDITIONS SPECIAL so as to become subject to the Workers'Compensation Laws.I . Date Applicant. CITY 9 m iG v�s ! ZIP .q 1-5 NOTICE TO APPLICANT: If, after making this Certificate of I T OR T1T1f�� NO+ DISTRICT UP TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' y�'�,,nn n CONST. ZONE Compensation provisions of the Labor Code, you must forth ADDRESS �YVIV � "�',`� with comply with such provisions or this permit shall be ('� TEL l _/l CV"Irn STATISTICAL CLASSIFIC TION APT. CONDO. deemed revoked. CONTRACTOR S WNW NO. � LICENSED CONTRACTORS DECLARATION (]O/7 C. �rp LIC. (I}(j12/'jt CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS `�1 ``��{{ G VU NO. ` CO SEWER MAP P(commencing with Section 7000 of Division 3 of the Business and `A -� (�, i ('� /](,� rofessions Code, and my license is in full force and effect. CITY Y W�/` 0OVIN " CLASS V L-J BK PGVALIDATION 'l I�r/IQ� .�Q� SQ. FT. NO.OF NO.OF CHECK a License Number wT N B Lic.Class 4p� � SIZE STORIES �■ FFA�MIILIESS ONE yy�� Contractoyiui I MiraNkate 19-21-00 DESCRIPTION O.F WORK bg11 V�1511W NEW ' ',$AT' Tal V{1UV1u11AI as T•1V WG ADD ❑ u �f ❑ I am exempt under Sec. '� ALTER ®• QMA ad CArth U 10• ❑ ; $ . 8.8P.C. for this reason USE OFPp r p REPAIR ❑ Date: EXISTING BLDG. V+ FHA GO Y• DEMOL I Z Signature APPLICANT WNW M r< h q� �q-�]� TEL./ f g OWNER-BUILDER DECLARATION PRINT ((�]]YI" I_ 1 I 1�rAW l/'F1 N'On"rf � / �Y FDATEINAL __ I hereby offirmt that I am exempt from the Contractor's License ADDRESS I"L OSI �• 1'IG12 �� ry y. 1/�� ;FIN �r z 13 a 8 iA Law for the following reason (Section 7031.5, Business and Professions Code):_ PRESENT BY �' #'•e o 0,0.0.1 E] BUILDING I, as 'owner of the property, or my employees with ADDRESS to o'] 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. CONTRACTOR ]® q;o o ❑ I, as owner of the property, am exclusively contracting; NO. 8 Q 0 5 with.licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code).• ADDRESS. 2 2;1 •::8 8 REQUIRED TOTAL SETBACKFR k 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. I Lender's Name LDMA Ref. fl P.C. Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee Q V V L'DMA P/C q above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee O V 3 and ereby authorize representatives of this County to enter LDMA Perm. H 6 u o t ebov m n oned pro erty for inspection purpo es ' . 2� SEE REVERSE FOR EXPLANATORY LANGUAGE 0 Signature of Applicant or Agent Dote