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HomeMy Public PortalAbout9632 LONGDEN AVE_Building__ 81 76A638A,. , C N803'(REV.11/78) APPLICATION F' R B U ILD G PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS _ BUILDING ADDRESS f632- 1-0"o&€N LOCALITY NEAREST CITY ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZ OF LOT 360 NOW ON LOT .7- MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PRO ESSED BY BLOCK LOT NO.. e� CONST. ZON OWNER . NO. 7(0 �- STATISTICAL CLASSIFICATION / SEWER MAP ADDRESS L.I- 14VL CLASS NO. DWELL.UNITS. L.BK G CITY ZIP q/0 6(o ARCHITECT OR TEL. VALUATION $ �� D ENGINEER NO. - - ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR , /�J NO. HIGHWAY + YARD - TOTA TBACKFROM TYPE OF EXISTING , LIC. - FRONT PROP.LINE JHIGWAY WIDTH ADDRESS NO. _ LIC. + CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF (STREET( NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING d ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH. SjZEFL NO.STORIOES F MIIL ES ! ONE K + 0 ❑ USE NE MAP DESCRIPTION OF WORK NEW NO. u -� SPECIAL lid 02.3 ADD ❑ CONDITIONS 4A ALTER ❑ FINAL ` BY f DATE �/ f� i"e-C-..f.ti_. C �OAIV& REPAIR :❑ USE OF C,p/LXj'r DEMOL ❑ � EXISTING BLDG. 0 Z APPLICANT TEL � Y 2 / (PRINT) NO. / Q a3 0 a BY(SIGNATURE(' . 2-0 c/,. Y I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE z 3 37 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES 5i AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE �_ C, 8�D V ' WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKM M• z PENSATION INSURANCE.' d SIGNATURE OF PERMITTEE ADDRESS U 10Z O ' TEL. - ' CITY NO.. 76 l Q P.C.Fee$33 • Permit Fee > Issuance Fee W 6 Total Fee ' _ti CE/803(REV.6/781 'APPLICATION FOR- BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR.APPLICANT TO FILL IN ADIDRLDI ESsSS NG BUILDING ''// I ADDRESS96 3 2-C LOCALITY NEAREST CIT L(- / C�I ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT 6 NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE F3CQESSED BY TRACT BLOCK { / LOT NLO�.�j CONST. ZONE OWNER STATISTICAL CLASSIFICATION SEWER MAP ADDRESS O ffOtL Ave CLASS NO. ,(} DWELL.UNITS BK PG CITY A12090M ZIP • ARCHITECT OR TEL. VALUATION $ / Q-(,j ENGINEER NO. . ` ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR NO. HIGHWAY + Y.ARD _ TOTAL SETBACK FROM TYPE OF EXISTING LIC. .FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. LIC'. + CITY CLASS CONSTRUCTION LENDER /vow ` BLDG.SETBACK FROM NAME AND BRANCH IV®N P SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT //''�� Nt7"9F NO.OF CHECK + = V SIZE �((J •5i5RtEdr71� FAMILIES ONE DESCRIPTIIIO,N OF WORK NEW P.C.Fee$ Permit Fee 7 M V!' ^�571VR, 116111$`— DD ❑ Issuance Fee /7 u, AL REPAI R ❑ Total Fee USE OF DEMOL ClEXISTING BLDG. z APPLICANT J L/� G (PRINT( BY(SIGNATURE) GE E T I HAVE READ THIS APPLICATION AND STATE Y THAT ULATING THE ABOVE IS CORRE ND AGREE TO COMPLY WITH ALL ORDINANCESI HEREBY ACKNOZEDGb AND LAWS REGBU WING CONSTRUCTION.I CERTIFY THAT IN DOING THE f=7 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF _ T THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z - ( • •�•G PENSATION INSURANCE. P SIGNATURE OF PERMITTEE ADDRESS— /7 Q LLe z '!cLR-d�tA TEL. X76 0 CITY NO. USE ZONE MAP NO. G L SPECIAL_ CONDITIONS - FINAL .� BY / W F' - 8576A689A K•� CE Meaa(REN.6/76) APPLICATION FOR, BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRIESSSG �. 3 Z Ave- BUILDING ..jam • ADDRESS 3 LOCALITY NEAREST ' CIT IP CROSS ST. NO.OF BLOGS. ASSESSOR . SIZE OF LO 3 NOW ON LOT MAP BOOK. PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY TRplC'T BLOCK LOT NO. O CONST. Z • TEL. WNER NO. 7/ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 4Qtt" CLASS NO. DWELL.UNITS BK 7 G CITY fd 'ZIF ! ARCHITECT OR TEL. VALUATION �) ENGINEER NO. 3O DV ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR NO. HIGHWAY +• YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP-LINE HIGHWAY.WIDTH ADDRESS NO. LIC. + _ CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + -YARD = TOTAL SETBACK FROM TYPEOF EXISTING ADDRESS SIDE PROP.LINE- HIGHWAY WIDTH SQ.FT. NO.O NO.OF CHECK + SIZE j5v,3rjSTORlES FAMILIES ONE at DESCRIPTION OF WORK NEW P.C.Fee$ Permit Fee 3.(p �j eq►� p o. ADD ❑ Issuance Fee / ALTER ❑ Z • dvb&- REPAIR ❑ Total Fee. U ' OF DEMOL• ❑ EXISTING BLDG. ?S+ ZO APPLICANT r EL J (PRINT) 3 C BY(SIGNATURE( I HEREBY ACKNOWLE THA HAVE READ THIS APPLICATI N AND STATE �j Y - - THAT THE ABOVE IS CO CT A AGREE TO COMPLY WITH ALL ORDINANCES �� a�7fr Si AND LAWS REGULATING UILD.IN CONSTRUCTION.I CERTIFY THAT IN DOING THE {=J 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- Z -,p 1 4 3,3 A PENSATION INSURANCE. g d 2 SIGNATURE OF CC R 1 `-'� —\ PERMITTEE ADDRESS X .r 200 TEL. ° °. ° 4 3.0 0 c� CITY NO. US ONE MAP < 1.20-78 NO. �2.* SPECIAL r CONDITIONS. FINAL BY iL 1 DATE r o _ , APPLICATION FOR COUNTY OF LOS ANGELES OF COUNTY00 B U I L D I N G PERMIT DEPARTMENT BUILDING AND SAFETY DIV ENGINEES ON R FOR APPLICANT TO FILL IN ADIDRESS LDING �j3- �•,.a, BUILDING /J ADDRESS LOCALITY / NEAREST CITY ,� ZIP CROSS ST. L NO.OF BLDGS. ASSESSOR SIZE OF LOT 00 NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT I GROUP ITYPEFIRE SSED BY TRACT BLOCK LOT NO. CONST. Zp TELL EL /` OWNER !7J NO.�I7 2-1 '% ' STATISTICAL CLASSIFICATION SEWER AP ADDRESS I Qqo V CLASS NO. ( af: DWELL,UN ITS B PG 151 'USE ZONE MAP CITY �/^�ar� L4�, ZIP OQ � • NO. �Da� ARCHITECT OR TEL. 1j SPECIAL ENGINEER Q' i^ NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR TEL. B DG.SETBACK FROM K/ r-. NO F ONT PROP.LI NE OF (STREET) LIC. ADDRESS NO. HI WAY + YARD TOTAL SETBACK FROM TYPEOF HIGHWAY EXISTING G LIC. FRONT PROP. LINE CITY CLASS _ -CONSTRUCTION LENDER + NAME AND BRANCH c BLDG.SETBACK FROM C ADDRESS CITY SIDE PROP.LINEOF (STREET) G: SQ. FT NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FRO PE OF EXISTING LY FT,., SIDE.PROP. LINE HI Y WIDTH C SIZE' STORIES FAMILIES ONE + {- L¢ DESCRIPTION OF WORK NEW � ADD LJ CORNER CUTOFF YES ❑ NO Z ❑ ALTER ❑ 6` 44 6-4 REPAIR[] IN.OPEN SPACE YES ❑ NO ❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO DEMOL ❑ EXISTING BLDG. /DEMO APPLICANT Y'YL �Lti Y1. TEL`7/ '1+ 7V / G•� fvs)J•'.+�� � /F f •�• v`�"f�'Iv�. (PRINT) NO. c• s BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC 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 COMPENSATION INSURANCE. SIGNATURE OF ` FINAL BY PERMITTEE DATE ADDRESS TEL. P.C. Fee$ Permit Fee 2�^ CITY NO. Issuance Fee VALUATION$ 0 d Z� Total Fee 3j',_ PLAN CHECK VALIDA'T'ION CK. M.O. CASH ° PERMIT VALIDATION CK. M.O. CASH 2 1 7'_ y 1.1 1 © 3 5.2 5 A56 76A658A CE#80SB 1275 - APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL'IN ADDRESS (�3 � 2- 6 /� BUILDING q ADDRESS � 40161CV LOCALITY i C NEAREST !� CITY 7 ZIP CROSS ST. �� NO.OF BLDGS. 2 ASSESSOR SIZE OF LOT NOW ONhLOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY TRACT FR" n ��B LOT NO. / 1 CONST. ZONE OWNER �! /L LrL/ /'Vr: NO. fp LG ' •r> ,. STATISTICAL STICAL CLASSIFICATION SEWER M ADDRESS ( O DLL AVe CLASS NO. DWELL.UNITS BK PG CITY �Q��- ZIP geloo USE ZONE NO,ARCHITECT OR TEL. SPECIA ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL-REQUIRED YES ❑ NO❑ © 1 1 L h TEL. CONTRACTOR /V �1 NO. BLDG.SETBACK FROM " LIC. FRONT PROP.LINE OF (STREET) ADDRESS NO. _ TOTAL SETBACK FROM TYPE OF EXISTING L I LIC HIGHWAY + YARD - FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER + a NAME AND BRANCH BLDG.-SETBACK FROM 8 ADDRESS CITY SIDE PROP.LINEOF (STREET) 0 SQ.FM NO.OF NO CHECK HIGHWAY + YARD = TO .TAL SETBACK FROM TYPE OF EXISTING U SIZE / STORIES FAXAM ONE SIDE PROPLINE HIGHWAY WIDTH N DESCRIPTION OF WORK NEW ❑ + ADD ❑ CORNER CUTOFF YES ❑ NO ❑ G ALTER ❑ EPAIR E] IN OPEN SPACE YES ElNO [-IUSE OF � IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BW6:2—�/�e ' DEMOL ❑ APPLICANT (PRINT( BY(SIGNATURE • I HEREBY ACKNOWLE THAT I HAVE READ THIS APPLICATION AND STATE ? / THAT THE ABOVE IS C CT AND AGREE TO COMPLY WITH ALL ORDINANCES ., AND LAWS REGULATI UILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED REBY 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 PERMITTEE DATE ADDRESS, TEL. P.C.Fee$ S Permit Fee CITY NO. Issuance Fee VALUATION$ ` L/ Total Fee PLAN CHECK VALIDATION CK! M.0 CAS PERMIT VALIDATION CK. M.O. CASH 30600 623 © . 2145 ®S. 7SA638B CE/803B 6/76 WORKERS'COMPENSATION DECLARATION � hereby affirm that I have a certificate of consent to self q p p i CAT I O�1V FOR BUILDING PERMIT insure,or a certificate of Workers'Compenstian Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. I FOR APPLICANT TO FILL IN B`'LDINDRES ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS U) Ae � LOCALITY `,��— NEAREST Date Applicant CIT C[T ZIP CROSS CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT �, 3 0 67 NOW ON LOT MANO.OF BLDGS. P BOOK PAGE PARCEL OR 100, COMPENSATION INSURANCE (This section need not be completed if the permit is for one O ,vUSE ZONE MAP �r hundred dollars($100)or less.) TRAC . BLOCK LOTT10. NO. ©(/ {ten y� f',p TEL. SPECIAL OWNER L/'K ,LJ AIA/` NO. ��7 -� CONDITIONS I certify that in the performance of the work for which this DISTRICT GROUP TYPE FIRE PROC ED BY V permit is issued, I shall not employ any person in any mann r ADDRESS L� V CONST. �� Z 'so as to ecome subject to the Wor C ensu'o La CITY r qwp ZIP d �7 b• Date U�� Applicant STATISTICAL CLASS CATION APT. CONDO. NOT C TO APPLICANT: If, after maki thi Certific to of ARCHITECT OR TEL. j1 LU Exemption, you should become su 1 ct to the Workers' ENGINEER NO. CLASS NO. DWELL.UNITS Compensation provisions of the Lab r ode, you must forth- ADDRESS SEWER MAP with comply with such provision r this permit shall be deemed revoked. BK. PG, VALIDATION CONTRACTOR O. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS $ �/ SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW ❑ $ ❑ lam exempt from the licensing requirements as I am a `n D ADD ❑ licensed architect or a registered professional engineer ap a�� ALTER ❑ FINAL acting in my professional capacity (Section 7051, 40 U S REPAIR ❑ DATE Business and Professions Code). USE OF -FINAL EXISTING BLDG. DEMOL ❑ By Lic.or Reg.No. Date APPLICANT TEL. ���, OWNER-BUILDER DECLARATION (PRINT) L J NO. /� 34 I hereby affirm that I am exempt from the Contractor's License ADDRESS 7 �L /� /7 �� Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT ❑ BUILDING f_ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY .1 6 2 1 A 7044, Business and Professions Code). MOVING TEL. CONTRACTOR NO. I, as owner of the property, am exclusively contracting # 0 0 0 0 0 1 with licensed contractors to construct the project (Sec- qDD tion 7044, Business and Professions Code). 2 0 - 2500 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT ° 0 0 2 5 0 0 9 the performance of the work for which this permit is issued I P.L. (Sec. 3097, Civ. C.). SIDE i 0 a 0 8—8 0 P.L. I Lender's Name Lender's Address I P.C. Fee$ Permit Fee I certify that-1 have read this application and state that the Issuance Fee above information is correct. I agree comply with all County Investigation Fee ordinances and Stare laws relat' to building construction, Total Fee O`b and by out ori re tiv of this County to enter i ( u n th o -m i pe for inspection purposes. e-—d SEE REVERSE FOR EXPLANATORY LANGUAGE S} ature of pplicant or Agent Date ®s