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Home My Public Portal About9615-9617 LONGDEN AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES OF COUNTY NGIN 'BUILDING PERM 1T DEPARTMENT BUILD ND G AND SAFETY EV SION R FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDIN4y,6 / ADDRES / LOCALITY NEAREST CITY G/Y7 LC G�/� ZIP. CROSS ST. O.OF BLDGS. ASSESSOR SIZEOFLOT NOW ON LOT MAP BOOK PAGE PARCEL p /�/✓j DISTRICT GROUP TYPE FIRE ED BY TRACZ/ BLOOK LOT NO. L� 2: CONST. ZONE OWN �/ f Z8o S L do STATISTICAL CLASSIFICATION SEWER NrAP ADDRES /�E2,o4n`oJLz �— CLASS NO. Q� DWELL.UNITS BK PG CIT L ZIP 1/" USE ZONE IMAP ARCHITECT OR TEL. NO. ENGINEER NO: — SPECIAL CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRj J9rp ' /� �f T 0��BD 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 �++ - = a NAME AND BRANCH ,a G BLDG.SETBACK FROM O ADDRESS CITY SIDE PROP.LINE OF [STREET) U SQ.F . NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SI STORIES FAMILIES Z. ONE SIDE PROP.LINE HIGHWAY WIDTH 0 DESCRIPTION OF WORK NEW V L ADD ❑ CORNER CUTOFF YES ❑ NO ❑ a•CA! / - �$ ALTER rn ❑ REPAIR ElIN OPEN SPACE YES ❑ NO ❑ Z USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APPdpAzUroANT�6� � TEL NO'7s�� // B (IV I HEREBY NOWLEDG HAT I H E R HIS APPLICATION AND STATE THAT THE VE IS CORR AND EE COMPLY WITH ALL ORDINANCES AND LAW REGULATING ILDING CO STR ION.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. SIGNATU PERMITTER FINAL/ . FINAL / r' /},�i BY DATE �--$� VV ADDRESS or e 4 TEL. P.C.Fee$—'?=P L5 Q- Permit Fee CITY NO. VALUATION� - OW Issuance Fee Total Fee 5 PLAN CHECK VALIDATION eCrM.0. CASH _ PERMIT VALIDATION CK: M.O. CASH 2 8 2 Nr�;yir 2-1 L j D' 3"2' 5.2.0 �5 ' A96 s E s 10 jUN 8 5 12.5 0 arc's 76AG38A CE I803A 6/76 y " APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUI G DRE$ y I I hereby affirm that I have a certificate of consent to self insure, a GAD ESS `�/ Ave or a certificate of Workers'Compensation Ins�eorcertified v i.-� 1 :?,? copy thereo00 f(Sec.3800,�� C) Wl C `TY Q LOCALITY COmpa SI OF LOT NO.OF BLDGS.NOW ON LOT ertified copy is hereby furnished. ��. NEAREST CROSS ST (?Certified copy is filed with the county building inspection TRACT BLOCK LOT NO departtmen. , USE ZONE MAP NO. Date.=44r`pplicant ASSESSOR MAP BOOK PAGE PARCEL IF SPECIAL CONDITIONS CERTIFICATE OF EXEMPTIO OM WORKERS' o ER t� TEL NO. COMPENSATION IN RANCE ® �I WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred VAACHITECT E dollars($100)or less.) Cie n U DISTRICT GROUP PE E ZONE PROCESSED BY I certify that in the performance of the work for which this permit L C 1 Ips 7 �� is issued, I shall not employ any person in any manner so as t0 O ENGINEER z'TEL NO. , become subject to the Workers'Compensation Laws. STATISTICAL CL SI (CATION APT CONDO Date Applicant ADDRESS CLASS NO. A 7 DWELL UNITS NOTICE TO APPLICANT' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' CONT ACTOR �(� TEL NO. / SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �� `r ®0Z ro FRONT comply with such provisions or this permit shall be deemed revoked. ADDRES LI NO. B P L LICENSED CONTRACTORS DECLARATION i SIDE L . S PL I hereby affirm that I am licensed underprovisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and SO.�SIZE NO.OF STORIES NO.OF FAMILIES SEWER MAP d Professions Code, d m license is in full force a/n1d If t. S (� NEW ❑ BK PG C License Number Lic.Class DESCRIPTION OF WORK p ❑ VALUATION , V Contractor,�nssf'j�� Date r�`3 , I Y ` ER ❑ $ / B�`� • i-+a O ❑ I am exempt under Sec. 3 REPAIR ❑ $ CF7 B&P.C.for this reason MOL ❑ !U LDMA P/C# Date: USE OF EXISTING BLDG. CL URM ❑ VJ Signature a me 14 Z APPLICANT(PRINT) TEL NO LDMA Perm# �r I, as owner of the property, or my employees with wages as O ADDRESS their sole compensation, will do the work and the structure is A�'L' not intended or offered for sale (Section 7044, Business and FINAL DATE a _ Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL gj- j� Colo. L L I T ❑ I, as owner of the y y g OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE "I ! L. 1= property, am exclusive) contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES 11 No 11 ;F lTAL ' a o Business and Professions Code.) 60 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING •-�1v' L.f 'CHECK OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH FOR �1� Q :?'I �.,kJ- CONSTRUCTION LENDING AGENCY GUIpEUNIEs QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR K G � CHANGE I hereby affirm that there is o construction lending agency for YES❑ NO❑ T the performance of the work for which this permit is issued(Sec. O1 3097,CIV.C.) IH VE CHECKLIST I HE UNDERSTAND MY ENTS UNDETION R THE AND ANGELHE ES COUNTMD MITTING CODE, Cy CHECKLIST I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, _ Lender's Name TITLE 2.CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20 140 CONCERNING HAZARDOUS -1_ MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. +�l-I••I�I- 'I"I ' 0 Lender's Address ' `' 4 A °41 C OWNER OR AGENT o I certify that I have read this application and state under penalty C of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building construction,and hereby authorize representatives of this County ISSUANCE FEE m to enter upon the above-mentioned property for inspec' purposes. (]( a 10 INVESTIGATION FEE TOTAL FEE �� a g rc a 1 1 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 1308200048 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 33529 UN: 18 I SQ. FT STORIES TYPE 9615 9617 LONGDEN AV I ISTRUCTURE: V-B TEMP CA 917801456 ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: TEMPLE CITY 15383-015-051 1 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI TENANT: JEXIST BLDG USE: RESID USE ZONE: R-2 ISSUED ON: PROCESSED BY: 1 1EXIST OCC GRP: 108/?0/13 SR OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: 1F� DATE FINAL BY: CODE: 1 ILONGDEN AVE HOA, DONALD DAVIS (626) 285-9410- I 6,270 19615 LONGDEN AV I [ TEMP 917801456 FEES PAID ]DESCRIPTION OF WORK I IREMOVE RIDGE INSTALL 30 YR LASS "A" COMP OVER 1 LAYER OF I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:EXISTING COMPOSITION APPLICANT: TEL. NO: I I [ GRATER, GUY (626) 355-2755- IAA BLDG PERMIT ISSUANCE 27.80 I 11407 FOOTHILL BLVD IAB STATE GREEN BLDG FEE 6270.00 VAL 1.00 ISPECIAL CONDITIONS: 1LA VERNE CA 91750 [AC STRONG MOTION RESID 6270.00 VAL 0.60 ID2 PERMIT W/O EN-HC 6270.00 VAL 166.20 TOTAL FEES 195.60 CONTRACTOR: TEL. NO: [APPROVALS DATE INSPECTOR SIGNATURE ID AND G ROOFING INC. (909) 593-4982- I_ 11407 FOOTHILL BLVD #307 LIC. NO ILOCATION AND SETBACKS ILA VERNE CA 91750 534986 I [ I ISOILS ENGINEER APPROVAL ]ARCHITECT OR ENGINEER: TEL. NO: [FOUNDATION/TRENCH FORMS 1 LIC. NO: ISLAB/UNDER FLOOR II I I I I I 1 IRAISED FLOOR FRAMING I I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ [UNDERFLOOR INSULATION I I I I I I 3 001 1-1 IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I 1 I 1 NO 21 1 1ROOF SHEATHING-1-1 I I SCHOOL WITHIN HAZARDOUS I [SHEAR PANELS I I [AIR QUALITY: 1000 FEET MATERIALS I I I I 1 NO NO NO 1 IFRAME INSPECTION I 1 I 1 1 1FIRE SPRINKLER HANGERS I [ NSULATION/WEATHER STRIP[ 1 1 1 I 11NTERIOR LATH/DRYWALL I I I IEXTBRIOR LATH I I I IRATED FLOOR/CEIL ASSEM. I I 1 1 RATED WALL ASSEMBLIES 1 1 I 1 RATED SHAFTS/OPENINGS 1 1 I IT-BAR CEILINGS I 1 I 1 I [IAT DRAINAGE I 1 [ i IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I [