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Home My Public Portal About9605-9607 LONGDEN AVE_Building__ APPLICATION FO R COUNTY OF LOS ANGELES -'.'BUILDING PERMITR °Bu LD NG AND SAFETY DIV SION F OR APPLICANT TO FILL IN BUILDING ADDRESS �` c/ y/ LOCALITY NEAREST �d ZIP CROSS ST. O.OF BLDGS. ASSESSOR NOW ON LOT MAPBOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SSED BY `` 7 LOT NO. CONST. ZONE OWNE f�1 //r41lf�/� Z,, o —,,f, i U Q 3 ��_ �r STATISTICAL CLASSIFICATION SEWER P ADDRESS AIz� �Y��/�N�Cf: �G CLASS NO. DWELL.UNITS �� BK PG CITY ZIP ;FI®AOrlP USE ZONE NOP ARCHITECT OR TEL. a�Y SPECIAL ENGINEER NO. CONDITIONS ADDRESS -f ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTG�.6r-O NO.� BLDG.SETBACK FROM LIC FRONTPROP.LINE OF )STREET) ADDRESS NO. _ TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD - FRONT PROP.LINE HIGHWAY WIDTH CITY CLASSf CONSTRUCTION LENDER + - NAME AND BRANCH L/60-!G O}.. BLDG.SETBACK FROM 0 ADDRESS CITY SIDE PROP.LINE OF (STREET) V SQ.FT, / NO OF ,+ NO OF CHECK HIGHWAY. + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE/i .3� STORIES / FAMILIES :7— ONE SIDE PROP.LINE HIGHWAY WIDTH 0 DESCRIPTION OF WORK NEW + U ADD ❑ CORNER CUTOFF YES ❑ NO ❑ LLI ALTER ❑ cnZ Z REPAIR ❑ IN OPEN SPACE YES ❑ NO ❑ EXISTTIING BLDG✓��/192-5- DEMOL ❑USE F IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT �p TEL (PRINT) W/�C W/—.4 BY(SIGN I HEREBY ACKNOW THAT I E R THI LIGATION AND STAT i THAT THE ABOVE IS CORRECT ANDA REE TO COM 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. f �j f SIGNATURE OF DATE B I -- PERMITTE - �' s ADDRESS TEL. P.C.Fee$ ��s�-02 L� Permit Fee CITY NO. `� •p2 d Issuance Fee VALUATIO / / U Total Fee PLAN.CHECK VALIDATIONcK M.O., CASH•, PERMIT VALIDATION K. M.O. CASH ., J. 28 5�;MAF �7 21'3 .D 3_.2 5:? U. 8 2 3 c JU[V r - - 8 4�JUy 8 D JI- 1 2.r4, 0 A.93 8 3 D 79. 'P 9 P 76A636A CE/609A 6/76 -- --. - APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING D SS I hereby affirm that I have a certificate of consent to self insure, BU IN ADDRESS u or a certificate of Workers'Compensation Insurance,or a certified , copy thereof(Sec.3800,Lab.C.) G I T V ZIP /�cq rn ll LOCALITY Policy O. Zl z5a Company. SIZE OF LOT NO OF BLDC�S.NOW ON LOT rtified copy is hereby furnished. 7� NEAREST CROSS ST Certified copy is filed with the county building inspection TRACT BLOCK LOT NO de tm t. Z USE ZONE MAP NO. Dater_$pplicant ' ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FRO ORKERS' OWNER TEL NO. COMPENSATION INSURANCE Nun f\0 V 11g. WITHIN 1000 FT OF SCHOOL? Yes No (This section need not be completed if the permit is for one hundred DD S DISTRICT GROUP T ECO ZONE PROCESSED BY dollars($100)Or less.) Q CITY I �Ip P ' I certify that in the performance of the work for which this permit (/ ® @ i 7 is issued, I shall not employ any person in any manner so as t0 ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. .2 DWELL UNITS NOTICE TO APPLICANT.• If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' (�BNTRACTOR 1 TEL NO. � SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ,�S S FRONT comply with such provisions or this permit shall be deemed revoked. Apr S pA V v P L LICENSED CONTRACTORS DECLARATION C��ITY(O/ ,•'1 LIC.CL P L�` SIDE n ,I' I hereby affirm that I am licensed underprovisions of Chapter 9 �/ (commencing with Section 7000)of Division 3 of the Business and SO.Ff.SIZE NO.OF STORIES NO.OF FAMILIES SEWER MAP d Professions Code, nd m license is in full force eff t. lL-k NEW BK PG ► 0 License Number Lic. SS DESC T N OF WORK pp ❑ VALUATION ContractorCJ f�C �-Dat ALTER 11 � ' r0 p gg � ❑ I am exempt under Sec. 1 ¢� REPAIR ❑ $ V LLI BAP.C.for this reason DEMOL ❑ [LDMA A P/C# a Date: USE OF EXISTING BLDG. `� URM ❑ z Signature APPLICANT(PRINT) TEL NO. Perm# {iCU _R Y ❑ I, as owner of the property, or my employees with wages as ZO AI their sole compensation, will do the work and the structure is ADDRESS -.rte not intended or offered for sale (Section 7044, Business and FINAL DATE Q x•31`- 2�' Professions Code.) Z i Tr WILL THE APPLICANT OR FUTURE BUILDING MATERIAL HANDLE A HAZARDOUS MATERIAL .- J ITEMS ❑ 1, as owner Of the y g 00. OR A MIXTURE CONTAIMNG A HAZARDOUS MATERwL EQUAL TO OR GREATER THAN THE property, am exclusive) contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, yes El No❑ T IlTr�L 228 . 60 Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING {�j ((�( .4." 0. OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �Q/ ry 1 CHECK iiJ a=. CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR �/�4 b 5 J !1A� 1 I GUIDEUNES w 0►.III�� ._I-tr a.e- 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. O\D I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING • _ N 3087,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 0191110-101011 / Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address i6rli9r j AN '�' p OWNER OR AGENT cI certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N ,,qq o with all county ordinances and State laws relating to building 7_V Z•7-Q m construction, and hereby authorize representativesthis of ths County ISSUANCE FEE CD to er upon above-mentionegpropert for inspect* npu os INVESTIGATION FEE TOTAL FEE O 'Ggwuro• ar Agora 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 1308200031 PHONE: (626) 285-0488 EXT: ]LEGAL ID: NO. OF CONST I BUILDING ADDRESS: 1 ITR: 33529 UN: 4 SQ. FT STORIES TYPE 9605 9607 LONGDEN AV 1 ISTRUCTURE: V-B I TEMP CA 917801449 ASSESSOR INFORMATION NUMBER: ] I NEAREST CROSS STREET: TEMPLE CITY I 15383-015-037 I I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI TENANT: ]EXIST BLDG USE: RESID USE ZONE: R-2 ISSUED ON: PROCESSED BY: [EXIST OCC GRP: 108/20/13 SR ]OWNER: TEL. NO: IHLDGS. NOW ON LOT: VALUATION: IFINAL/DATE FINAL BY: CODE: ] ILONGDEN AVE HOA, DONALD DAVIS (626) 285-9410- 1 I � 6,270 9607 LONGDEN AV ITEMP 917801449 I FEES PAID 1D2SCRIPTIO OF WORK ] IREMOVE RIDGE INSTALL 30 YR CLASS "A" COMP OVER 1 LAYER OF ] FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IEXISTING COMPOSITION I 1APPLICANT: TEL. NO: I I I (GRATER, GUY (626) 355-2755- IAA BLDG PERMIT ISSIIANCE 27.80 I 1 11407 FOOTHILL BLVD JAB-STATE GREEN BLDG FEE 6270.00 VAL 1.00 SPECIAL CONDITIONS: I 1LA VERNE CA 91750 IAC STRONG MOTION RESID 6270.00 VAL 0.60 I D2 PERMIT W/O EN-HC 6270.00 VAL 166.20 1 I 1 TOTAL FEES 195.60 1 [ (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I ID AND G ROOFING INC. (909) 593-4982- 1_ [ 11407 FOOTHILL BLVD #307 LIC. NO 1 ILOCATION AND SETBACKS ] ] [ ILA VERNE CA 91750 534986 1 1 I I [ I I ISOILS ENGINEER APPROVAL I I [ I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I ] LIC. NO: 1 SLAB/UNDER FLOOR I I ] [ RAISED FLOOR FRAMING I I 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 1UNDERFLOOR INSULATION I I ] 1 3 001 1 I I I I 1 IFLOOR SHEATHING I I [ INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I YES 21 1 (ROOF' SHEATHING I I I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I AIR QUALITY: 1000 FEET MATERIALS1 1-1 1 NO NO NO 1 (FRAME INSPECTION I I I [ [FIRE SPRINKLER HANGERS 1 I [ (INSULATION/WEATHER STRIPI I [ I ]INTERIOR LATH/DRYWALL ] I I I 1EXTERIOR LATH I [ 1 I I I I [ I 1 [ 1RATED FLOOR/CEIL ASSEM. [ [ I 1 I (RATED WALL ASSEMBLIES I I 1 1 1 1RATED SHAFTS/OPENINGS 1 1 IT-BAR CEILINGS I 1 1 I ILOT DRAINAGE I [ I I [ 1 [ I [ I (REPORT ID: DPR261 ROUTE TO: BS0508 I