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Home My Public Portal About9601-9603 LONGDEN AVE_Building__ .APPLICATION( FOR COUNTY OF LOS ANGELES . ; BUILDING PERMIT DEPARTMENT EER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL I ADNG BU(DR)ESS (//�CJ'3 BUILDING",P/ ADDREESS�s LOCALITY CITY T/`1J �� f NEAREST ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP I TYPE FIRE ESSED BY TRACT oZ• Z LO`NO. CONS Z . T . OWNER STATISTICAL CLASSIFICATION `!l— SEWE AP ADDRESS /y/ � C 6 f�� CLASS NO. 6 -2— DWELL.UNITS BK PG CITY e 11491 ZIP USE ZONE MAP • ARCHI Ci OR TEL. NO, O� ENGINEER NO. SPECIAL Q CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ ` TEL. 'CONTRACTOZ -P NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + - NAME AND BRANCH /��l G �.�� a. BLDG.SETBACK FROM ' ADDRESS CITY SIDE PROP.LINE OF (STREET) V SQ.FTS NO.OF NO.OF CHECK HIGHWAY + YARD '= TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY 'WIDTH 0 + U' DESCRIPTION OF WORK NEW PE 2 4 ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ILLI ALTER ❑ cn `�/Z G8 �f1 IN OPEN SPACE YES ❑ NO ❑ Z REPAIR ❑ EXISTUSE TIING BLDG. / DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANTPRNTJw-'�,V NO. BY(SIGN I HEREBY ACKN EDGE TH I HAV REA APPLICATION A STATE _ THAT THE ABOVE CORRECT A D AGR TO MPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. PENSATION INSURANCE. SIGNATURE OF FINAL BY F PERMITTEE DATE f ADDRESS 7, TEL. P.C.Fee$ _ l� Permit Fee CITY NO. VALUATION$ L/8p pP7 ` '7 Q v Issuance Fee ,/ (CJ / Total Fee t. 't? v PLAN CFILIDATION CK. 'M.O. CASH PERMIT VALIDATION- cK. M.O. CASH 2 8 4 AR 2'7 2 5 D 'S' 2 J. 2 L). lig 8 2 292 JUN 5 1 2.5 0 mss r _ _ 07� APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFUY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI G DR BUI s t� J I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insuran r a cert i. d IGS fYl7c• Popcythereof(Sec.No.�D00 at .c.) �''t e G t ?�Cf V LOCALITY Compa SIZ OF LOT NO OF .NOW ON LOT rtified copy is hereby furnished. NEAREST CROSS ST 201ort"'Fled copy is filed with the county building inspection TRACT BLOCK LOT NO ,--,>., ment yG� %, �• USE ZONE MAP NO. Date s �Iicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTI9AOINCEM WORKERS' OWNF�R TEL NO. COMPENSATION I 1 WITHIN 1000 FT.OF SCHOOL? VES No (This section need not be completed if the permit is for one hundred ADDRE S DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100)or less.) CI ` ZIP e7 I certify that in the performance of the work for which this permit / l C r � r/ is issued, I shall not employ any person in any manner so as to ASICHITE 1 O ENGINEER TEL NO. G � become subject to the Workers'Compensation Laws. STATISTICAL CLASISI��FICATION APT CONDO Date Applicant ADDRESS CLASS NO. -=V �/ DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CO RACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith G� ��) � —91%f4 FRONT comply with such provisions or this permit shall be deemed revoked. A pJgLI _ � P L LICENSED CONTRACTORS DECLARATION SIDE CI �� \ L .�S 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 S�,1.�T�IZE NO.OF STORIES NO OF FAMILIES a Professions Code,a my license is in full force and effect. �( NEW 5e BK PG C License Number Lic.Class C� 3 7 DgSZHIPTION OF WORK� �� ADD ❑ VALUATI , ContractoL`, � r _ate r ALTER ❑ ' Ix B I>' C ❑ I am exempt under Sec. X92 INEPAIR ❑ $ H BAP.C.for this reason 3 U 0 OL 11LDMA P/C# a Date: USE OF EXISTIN BLDG. G1 t3 R"%2 URM ❑ 1 Signature APPLICANT(PRINT) TEL NO. LDMA Perm# a El 1. as owner of the property, or my employees with wages as Z Ati'S-'T`aw their sole compensation, will do the work and the structure is ADDRESS O tLIL _i•4°c,I_ not intended or offered for sale (Section 7044, Business and FINAL DATE a Professions Code.) 900. 1 !' =; WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL (®•� J t •- ❑ 1, as owner of the y y g OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE) FINAL BY 5 T'' �'�'-:�' licensed contractors to construct the project (Section 7044, YES❑ No❑ TE i;;y(_ _° 0 4 Business and Professions Code.) 7 Jr- •i 11.12 J-- WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING `.•:Zt�-[�ti J' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR6w {�•'I� NGE GUIDELINES "/ reE I hereby affirm that there is a construction lending agency for YES❑ NO❑ N the performance of the work for which this permit is issued(Sec. m I HAVEREAD THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 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 SCAOMDt-,C i +N r° o Lender's Address 11,1.:.1 I-II OWNER O7 AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply PC.FEE PERMIT FEE 7 o N with all county ordinances and State laws relating to building ZO Z construction, and hereby authorize representatives of this County ISSUANCE FEE ato e r up 4 eabove-mentioned property for inIS n pu po I— n INVESTIGATION FEE TOTAL FEE 61pctmo of a Pant D--I° SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1308200028 PHONE: (626) 285-0488 EXT: ILEGAL ID. CONST OF NO. I I BUILDING ADDRESS: 1 ITR: 33529 UN: 1 1 SQ. FT STORIES TYPE ] 9601 9603 LONGDEN AV I ISTRUCTURE: V-B I TEMP CA 917801449 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY 5383-015-034 1 1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI TENANT: (EXIST BLDG USE: RESID USE ZONE: R-2 ISSUED ON: PROCESSED BY: I 1 1EXIST OCC GRP: 108/20/13 SR 1 TOWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF TE FINAL BY: CODE: 1 ILONGDEN AVE HOA, DONALD DAVIS (626) 285-9410- 1 6,270 I I 19601 LONGDEN AV 1 ITEMP 917801449 I FEES PAID lDE!SCiMPtr0N OF WORK I I IREMOVE RIDGE INSTALL 30 YR CLASS "A" COMP OVER 1 LAYER OF 1 IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IEXISTING COMPOSITION 1 1APPLICANT: TEL. NO: I I I (GRATER, GUY (626) 355-2755- IAA BLDG PERMIT ISSUANCE 27.80 1 I 11407 FOOTHILL BLVD IAB STATE GREEN BLDG FEE 6270.00 VAL 1.00 ISPECIAL CONDITIONS: 1 LA VERNE CA 91750 AC STRONG MOTION RESID 6270.00 VAL 0.60 1 1D2 PERMIT W/0 EN-HC 6270.00 VAL 166.20 1 I I I TOTAL FEES 195.60 I- I 1CONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE ID AND G ROOFING INC. (909) 593-4982- ] 11407 FOOTHILL BLVD #307 LIC. NO I ]LOCA'_'ION AND SETBACKS I I I ILA VERNE CA 91750 534986 1 1 1 ISOILS ENGINEER APPROVAL I I 1ARCHITECT OR ENGINEER: TEL. NO: - ] IFOUNbATION/TRENCH FORMS I ] 1 LIC. NO: 1 1SLABiUNDER FLOOR I I 1 1 1 IRAISED FLOOR FRAMING ] I I (MAP NO: SEWER MAP BOOK: PAGE: FIRB ZONE: CMP:( IUNDERFIAOR INSULATION 1 I I 1 3 OOI IFLOOR. SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:_-I I_ I I I I YES 21 IROOF SHEATHING ] I I ] SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I ] I ]AIR QUALITY: 1000 FEET MATERIALS I1 1 NO NO NO I 1FRAME INSPECTION I I 1 1 1 1FIRE SPRINKLER HANGERS 1 I 1 I (INSULATION/WEATHER STRIP( I I (INTERIOR LATH/DRYWALL ] I 1 I 1 1 1 1EXTERIOR LATH 1 1 I 1RATE15 FLOOR/CELL ASSEM. I I 1 1 1RATED WALL ASSEMBLIES 1 I ] 1 (RATED SHAFTS/OPENINGS I 1 1 IT-BAR CEILINGS 1 I ILOT DRAINAGE 1 1 IREPORT ID: DPR261 ROUTE TO: BS0508 ] I I ] 4 I I I I