HomeMy Public PortalAbout9627 LONGDEN AVE_Building__ lJJ5WAJtLTXF.11iT 0Y ZU1LDiNG AND SAFZTY nrra.awa a avar r vati rre�a as a
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DIGTNO. PLAN OK.NO. PERMIT NO.
4 c I
RI
BUILDING t
ADDREBS
LOCALITY I` RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST _ r
CROAK BT
OUILDINGv
OWNER04�
MAIL
ADDRESS LOCALITY
TEL. CPX CROBB ST.
CITY NO.
FIRE No.or TY , GROUP
ARCHITECTcif TEL. ZONE PLANS �I
ENGINEER NO.
}r BLDG. rJ, ORD.NO.
ADDRESS I I I SETBACK LINE r'
APPROVED
CONTRACTO BY DATE
aUSE APPROVED
ADDRESS ZONE BY DATE
LEGALCORRECTIONS
DESCRIPTION L 1-137111 W.CCK
TRACT F&4
912E OF LOT ��_6� NOW ON OT Odd 9si 9'
UBE OF NO.CF NO.OF
EXISTING BLDG. ' I FAMILI6B I ROOMS me
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
REPAIR MOVING DEMOLISH O
SO.FT. NO.OF z
SIZE ROOMS STORIES
WALL ROOK
DOVERIN COVERING
USE OF NEW
BUIL G
I c
'14
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATIOM.LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING ONSTRUCTION.
FRAME= FIRE BTOPEI.
SIGNATURE OF
BRACING.BOLTB
PERMITTE LATH, INT.
AUTHORIZED AOT
LATH, EXT.
76A638A-3 a-so $ P.C.® '' PLASTER.INT.
+ � ' FEE -ASTER.EXT.
®
VALUATION �• FEE FINAL 1
1
,i- WOPKERW COMPENSATION DECLARATION
�)I her off;lm I have a certificate of consent to self P L I T I F BUILDING PERMIT E RM i T
insyre„or icate of Workers'Compensation Insurance,
or a certifie py thereof(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
!j Policy No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN e
❑ �
" ADDRESS '
❑ Certified copy is filed with the county building inspec- BUILDING 9627 Longden Ave
tion department. . ADDRESS
Date Applicant CITY Temple City zip 91780
LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT 60 X 110 NOW ON LOT One CROSS ST. '
(This section need not be completed if the permit is for one "•: ASSESSOR
hundred dollars($100)or less.) TRAC ants n 1 LOT No.,I MAP BOOK PAGE PARCEL
OWNER Joseph Conte TEL. —353 USE ZONE MAP
I certify that in the performance of the work for which this NO.
permit is issued, I shall not employ any person in any manner ADDRESS 731 Southview Rd Q'Z SPECIAL
so as to become subject to the Workers'Compensation Laws. CONDITIONS
2-11-86 Joseph Conte CITY Arcadia Zip 91006 99
Date Applicant ARCHITECT ORS TELry 0
NOTICE TO APPLICANT: If, after making this Certificate of °,ENGINEER u -0 raksnski NO./8 —5157 DISTRICT GROUP TYPE FIRE PRO SED BY
Exemption, you should become subject to the Workers' CONST. ZONE
Compensation provisions of the Labor Code, you must forth- ADDRESS l 00 Ventura Blvd. `-'r"� R-3 V15
with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. ZO.
deemed revoked. CONTRACTOR Self NoL445-3531
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 21_DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Same NO.
(commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP
Professions Code, and my license is in full force and effect. CITY 3 CLASS BK PG VALIDATION
SQ.FT. agar NO.OF NO.OF CHECK
License Number Lic.Class SIZE ISTORIES 1 IFAMILIES 1 ONE
VALUATION
Contractor Date DESCRIPTION OF WORK Add bath & NEW ❑”
ElDining Room ADD n $
, —_ 010.
I am exempt under Sec.
ALTER �! $ ) j¢;r�- _
• B.&P.C. for this reason REPAIR / Qj1'gJs
Date: USE OF
EXISTING BLDG. Dwelling DEMOL ❑ .,..:.x., ;24 0 1,6 A
Signature APPLICANTJ�Se h rionte TEL _IN FINAL
OWNER-BUILDER DECLARATION PRINT P NO. DAT ,i R/o/ # 0 0 0 0 0 3
I hereby affirm that I am exempt from the Contractor's License731 SoUthVle W—Arcadia
Law for the following reason (Section 7031.5, Business and ADDRESS FIN . A
essions Code): PRE ENT B y/ o 2 2 a 0 0
BUILDING
I, as owner of the property, or my employees with ADDRESS 2 x
wages as their sole compensation,will do the work and o 0 G 2 8.Q Q u
the structure is not intended or offered for sale(Section LOCALITY
Ieyt 7044, Business and Professions Code). MOVING TEL. ()7. 1 1 =8 6
Igl I,as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
REQUIREDTOTA
YARD HWY L SETBACK FROM
CONSTRUCTION LENDING AGENCY SETBACK 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 1 P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Q Lender's Name WIM
1 -7, ,S6
] !7 LDMA Ref. #
�. P.C.Fee$ Permit Fee /r v F
Lender's Address
I certify that I have read this application and state that the Issuance Fee 1 �.�� LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
g ordinances and State laws relating to building construction, Total Fee [��j
s LDMA Perm. #
u and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes.
8C SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig ture of Applicant or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT i TEMPLE CITY CA 91780 BL 0508 0203290028
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9627 LONGDEN AV
STRUCTURE: VN TEMP CA 917801457
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY
5383-0.15-022 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLD S". ESIO USE ZONE: R- SSUED 0N: PROCESSED XPI 0 :
EXIST OCC GRP: 03/29/02 JK 09/25/02
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F L DATE FINAL B CODE:
LEE CAROL (626) 287-0669- 1,500
9627 LONGDEN AV �
TEMP 917801457 FEES PAID URIPPTION-OFWORK
T/O HOUSE 8 GARAGE; REROOF W/1/2"CDX AND 30YR FIBERGLASS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COMB SHINGLE
APPLICANT: 0:
DOUG DEARDEN (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75 i
4251 BALDWIN AC STRONG MOTION RESI,D '• 00.00 VAL 0.50 SPECIAL CONDITIONS:
EL MONTE D2 PERMIT W/0 S50dN0 VAL 82.20
�-' �IAGEL
.[F01-p-AFEE 110.45
CONTRACTOR:ROOFING TEL. N287-0669- o ��Ay APPROVALS DATE INSPECTOR SIGNATURE
WEA4251 BALDWIN AVE LIC. NO LOCATION AND SETBACKS
ELMONTE CA 91731 HIC
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TR C FORMS
LIC. NO: 1111111 SLAM/UNDER FLOOR
f ,
IRAISED FLOOR FRAMING
153H269 SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 n DD C VAY 0�M UNDERFLOOR INSULATION
v u� FLOOR SHEATHING
NO. OF FAMILIES: WE UNITS: A COND: ST C SS:
NO 21 O p >v•�I1 ROOF SHEAT ING
_ � 1ro1
SCHOOL HAZARDOUS 0 likEll,
b **. SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS ❑ iNO NO NO ; FRAME INSPECTION
�
REQUIRED O A SETBACK FROM IST 4b� O��L I _ SPRINKLER HANGERS
SET BAC11
K
er YARD: HWY: PROP LINE: WIDTH: �� ice Thai INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR D
EXTERIOR LATH
OOR/C L SE
RATED WALL ASSEMBLIES
RATED S AF S/OPE GS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508