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Home My Public Portal About9609-9611 LONGDEN AVE_Building__ AP P L I CAT I O"N FOR COUNTY OF LOS ANGELES RTMENT OF COUNTY BUILDING PERMIT °BUILDING AND SAFETYIVSION ENGINEER BUILDING FOR APPLICANT TO FILL IN ADDRESS 6U BUILDING p ADDRESS L�/� ��/y LOCALITY c^� /� 1 NEAREST CIT 7 ZIP CROSS ST. NO:OF BLDGS. ASSESSOR- SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL q !.1/1// DISTRICT GROUP TYPE FIRE ESSED BY TRACT�6 ? / BLOCK f LOT NO. CONST. ZONE ow► A/.C/�i'1�lGi+,/ .�2 803 15, 499 -3 /' /� I $,TATISTICAL CLASSIFICATION SEWER MAK ADDR IVZW— 1w"Fz.0ev /C Li4NF CLASS NO.s DWELL.UNITS BK PG CIf G A'al"A7- ZIP rjJ USE ZONE I MAP ARCHITECT OR TEL. NO. ENGINEER NO. k-7/SPECIAL CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CON TEL A06 t {/Y GeSiQ1y J, BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET( ADDRESS NO. TOTAL SETBACK FROM TYPE OF 1 EXISTING LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LEN + NAME AND BRANCy/ L/�G_ 0}. BLDG.SETBACK FROM 0 ADDRESS CITY SIDE PROP.LINE OF (STREET) V SQ.F NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING Sl,&.r STORIES FAMILIES �� ONE SIDE PROP.LINE HIGHWAY WIDTH 0 DESCRIPTION OF WORK NEW + U ze.8 ADD ❑ CORNER CUTOFF YES ❑ NO ❑ 0W.• ALTER ❑ N 1 7- -- �L�� IN OPEN SPACE YES ❑ NO ❑ Z REPAIR USE OF [1 IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APP ANT TELy1"4w1v NO. I HEREBY OWLED THAT I E R HIS APPLICATION AND STATE THAT THEA EIS CORR AND REE T OMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE ' WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. PENSATION INSURANCE. PERM TTEGNATURE OF / I TEL 1 i 18',7 9 BY ADDRESS q ��✓✓✓/// �+� TEL. P.C.Fee$ ;S� °�A Permit Fee CITY NO. �ZU Issuance Fee VALUATION.$ Z� `7 t W Total Fee I� PLAN CHECK VALIDATION cK." M.O. CASH PERMIT VALIDATIONc�'K. M.O. CASH 2 8 O E2:4trF• 27 'w'23 o - '3';2 ..5.2'0 8 2 5�Ju�a 8 l 5 12.5. 0 A58 8 2 5 x JUS 8 p• F.s:79.2 0 A 11b . 7SA638A CE/803A 6/76 �_p _ 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 1308200046 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: ITR: 33529 ON: 16 SQ. FT STORIES TYPE I 9609 9611 LONGDEN AV ] STRUCTURE: V-B I TEMP CA 917801456 ] (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY ] 15383-015-049 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI II TENANT: ] (EXIST BLDG USE: RESID USE ZONE: R-2 (ISSUED ON: PROCESSED BY: ] 1 1EXIST OCC GRP: 108/20/13 SR ] (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFT FINAL CODE: I ILONGDEN AVE HOA, DONALD DAVIS (626) 285-9410- 1 6,270 19609 LONGDEN AV ] I 1 ITEMP 917801456 I FEES PAID IDESCRIPTION OF WORK ] I ] IREMOVE RIDGE INSTALL 30 YR CLASS "A" COMP OVER 1 LAYER OF I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IEXISTING COMPOSITION ] (APPLICANT: TEL. NO: I I 1 [GRATER, GUY (626) 355-2755- AA BLDG PERMIT ISSUANCE 27.80 1 [ 11407 FOOTHILL BLVD IAB STATE GREEN BLDG FEE 6270.00 VAL 1.00 ISPECIAL CONDITIONS: ] ILA VERNE CA 91750 IAC STRONG MOTION RESID 6270.00 VAL 0.60 [ [ ID2 PERMIT W/O EN-HC 6270.00 VAL 166.20 1 ] 1 ] TOTAL FEES 195.60 1 1 ICONTRACTOR: TEL. NO: ] (APPROVALS DATE INSPECTOR SIGNATURE ID AND G ROOFING INC. (909) 593-4982- ] 1 [ 11407 FOOTHILL BLVD #307 LIC. NO [ ILOCATION AND SETBACKS [ ] ]LA VERNE CA 91750 534986 ] [SOILS ENGINEER APPROVAL ] [ ]ARCHITECT OR ENGINEER: TEL. NO: - 1 ]FOUNDATION/TRENCH FORMS [ ] [ [ LIC. NO: ] ISLAB/UNDER FLOOR I ] [ 1 I IRAISED FLOOR FRAMING I 1 [ IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I ]UNDERFLOOR INSULATION I I [ ] 3 0 .1 [FLOOR SHEATHING 1 1 [ ] INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I [ [NO 21 I 1 1 1 ROOF SHEATHING [ [ [ SCHOOL WITHIN HAZARDOUS I ]SHEAR PANELS I I [ (AIR QUALITY: 1000 FEET MATERIALS ] I ] 1 1 1 NO NO NO ] IFRAME INSPECTION [ [ I ] IFIRE SPRINKLER HANGERS ] [ ] ] ] 11NSULATION/WEATHER STRIP] ] [ 1 1 IINTERIOR LATH/DRYWALL I ] [ 1 I IEXTERIOR LATH I ] � I ] ] ]RATED FLOOR/CEIL ASSEM. I [ I ] [ IRATED WALL ASSEMBLIES I [ I ] I ]RATED SHAFTS/OPENINGS ] I [ ] IT-BAR CEILINGS ] [ [ [ ] I I (LOT DRAINAGE ] I 1 ] IREPORT ID: DPR261 ROUTE TO: BS0508 ] ] ] I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUII_2 KESS I hereby affirm that I have a certificate of consent to self insure, BUIL �D ES /` p or a certificate of Workers'Compensation Insurance,or a certified Y copy thereof(Sec.3800,Lab..C.) IT Y ` ZI 10 LOCALITY CompanyISIZE OF LOT O OF BLDGS.N w ON LOTSt r✓ Certified copy is hereby furnished. NEAREST CROSS SV' 3�6ertifled copy is filed with the county building inspection TRACT BLOCK LOT NO dep • E � USE ZONE MAP NO. Date pplicant �� ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION F M WORKERS' 001JER �' v TEL NO. YES NO COMPENSATION INSUR NCE U \ I WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADD — dollars($100)or less.) DISTRICT GROUP PE CO E ZONE PROCESSED BY I ZIP I certify that in the performance of the work for which this permitO� _ is issued, I shall not employ any person in any manner so as to AC HITS T ENGIN ER TEL NO. become subject to the Workers'Compensation Laws. STATISTICALCL SI/FICATION APT CONDO O. � Date Applicant ADDRESS CLASS NDWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONT AC R TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRE . � jNO.O. /� PL LICENSED CONTRACTORS DECLARATION C/ SIDE O - LIC.C S P L I Hereby affirm that i am licensed underprovisions of Chapter 9EWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES d Professions Code, d my license is in full force and efft. NEW BK PG , O 3 C� License Number I io.Class DE TION OF WORK ADD ❑ VALUATION Contractors h�� Date ` ALTER ❑ /� ��• 0 � IO ❑ 1 am exempt under Sec. ' REPAIR 11 $ V B.BP.C.for this reason24rDEMOL 13LDMA P/C# UJI d Date: USE( EXISTI BL)G. G�q/!a URM ❑ CO) Signature APPLICANT(PRINT) TEL NO. LDMA Perm# s �.- 3 ❑ I, as owner of the property, or my employees with wages as Z 'A ICT'4 their sole compensation, will do the work and the structure is ADDRESS O FINAL DATE 'I'�' '*3,03 228a6i not intended or offered for sale (Section 7044, Business and Q Professions Code.) 0 i ITEMS WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, yes❑ No 11TOTAL X515q3�.�. e 60 Business and Professions Code.) � 1;141;14z;�.�l (.�r ' til WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING CHECK -At-a L__ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH tI CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR l` HANGS .00 GUIDELINES. 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. a 3Og7,CIV.C.) 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 1_ - --r i1+ / 5. CHECKLIST I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, [;I?I]I�–Ijil 17• r_ 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 SCAOMD. - o Lender's Address ° '1/,n4 1 A�'i OWNER OR AGENT 0 1 certify that I have read this application and state under penalty of perjury that the above information is correct.I agree t0 comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building �OZ• construction,and hereby authorize representatives of this County ISSUANCE FEE ^/ CID to ente pon the above-mentioned property for inspe ",pup m INVESTIGATION FEE TOTAL FEE GW h. Mmmar D. SEE REVERSE FOR EXPLANATORY LANGUAGE