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Home My Public Portal About9638-9640 LONGDEN AVE_Building__ OA888A CIS#8080-50 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING L DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALI JOHN A.LAMBIE,COUNTY ENGINEER NEAREST 7� CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. V i DISTRICT NO. G I TYPE R ESS I� Y FOR APPLICANT TQ FILL IN „L CONST. BUILDING91; S ISTiCAL SSIFICATION SEWER MAP ADDRESS -.Gz g I B PG SS.NO.-DWELL.DWELL.UNITS LOT NO. P BLOCK MAP �y pl STATE H UMBER 0 V YES NO TRACTr i,S=� "" USE ZONE SPECIAL It NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT �USE OF EXISTING BLDG. r BUILDINGEXIST. i SETBACK YARD HWY STREET NAME WIDTH OWNER J i FRONT o ,�• D MAIL � P.L. ADDRESS � . SIDE CITY ^� , TEL P.L. ARCHITECT OR TEL. INSPECTION RECORD ENGINEER NO. ADDRESS ' " / TEL. a CONTRACTOR _(,IVYd�LLL rNO, ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE -44SIGNATURE OFLenivQ..� + APPROVALS APPLICANT -� //__.. DATE INSPECTOR'S SIGNATURE ADDRESS �� -6PCL• + 1 FOUNDATION: LOCATION FORMS.MATERIALS $ P,C. $ FRAME: FIRE STOPS. L� FEEBRACING.BOLTS VALUATION $ FURNACE: LOCATION, FEE '=- GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT. PLICATION AND ST,&rE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY`wj%H ALL COUNTY ORDINANCES AND STATE LAWS REG U fi1NG��eUILD NO,CONSTR�Tq�I'ION. LATH,EXT. SIGNATURE OF (JLL't-lam Z. + L�[,la^ HOUSE NUMBER COR- PERMITTE l _ RECT AND POSTED ADDRESS- 7' a�['tr�It' "FINAL ,3 3 CLYDE N.DIRLAM.PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATIO CK. i M.O. CASH LACa•2-Z_.s a rta 5 1 A 2.0 O M OF WORKERS'COMPENSATION DECLARA( _r hereby affirm that I have r certificate of tion Ins r self P P L I CATION FOR BUILDING P E RM I T _irfe�,_1^r a certificate of Workers'Compensation Insurance, oil_ tified copy ThereoJNfany ec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY G d Policy IM.0 Vl BUILDING ` Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS /tiJ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS /Z LOCALITY VV7 f I^ NEAREST �/ Date �9 / Applicant ICOWIV r ui "��Q e CI7Y ZIP CROSS ST. I'� r z Ir� 4- CERTIFICATE OF EXEMPTION FROM WORKERS' c NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK I PAGE PARCEL (This section need not be completed if the permit is for one USE ZONEMAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. ' I certify that in the performance of the work for which this OWNER NO.TEL. SPECIAL !-- CONDITIONS 1 Pb permit is issued, I shall not employ any person in any manner ADDRESS _ DISTRICT G OUP TYPE FIRE PROC�ED BY U (� so as to become subject to the Workers'Compensation Laws. D QJ C f,, CONST.! ZONE / Date Applicant CITY /7 ZIP �7 STATISTICAL CLASSIFICATION APT. CO DO. NOTICE TO APPLICANT: If, after makin this Certificate of ARCHITECT OR TEL. i _ g ENGINEER NO. CLASS NO. f DWELL. UNITSRAN Exemption, you should become subject to the Workers' O. Compensation provisions of the Labor Code, you must forth- ADDRESS 4 SEWER MAP u7 with comply with such provisions or this permit shall be N TEL.Q,� deemed revoked. CONTRALTO (� �J�C O,C44 �� BK. / PG, 41 VALIDATION LICENSED CONTRACTORS DECLARATION / LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P le- NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and a rect. CITY--4- udi �- I CLASS $ ''") l/�/ C1 SQ.FT. NO.OF NO.OF CHECK License N F- 3A� Lic.Class" SIZE IN FAMILIES ONE I --22 ❑ $ Contractor 0 Cal 1k Date 00- .DESCRIPiI NOF WORK NEW r ADD ❑ ❑ I am exempt under Sec. ALTER ❑ FINAL B.&P.C. for this reason DATE REPAIR ❑ Date: USE OF DEMOL FI EXISTING BLDG. Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License 2 71 1.8A Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT # 0 0 0 o a 1 BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and I o o 6 Q 5 0 the structure is not intended or offered for sale(Section 1.LOCALITY 7044, Business and Professions Code). MOVING TEL. CONTRACTOR NO. 0 6(15050 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project (Sec- ; ADDRESS o528-87 tion 7044, Business and Professions Code). 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 the performance of the work for which this permit is issued P.L. !Sec. 3097, Civ. C.). SIDE a P.L. Q Lender's Name Lender's Address P.C.Fee$ •Permit Fee ' rI certify that I have read this application and state that the Issuance Fee �f above information is correct. I agree to comply with all CountyInvestigation Fee ordinances and State laws relatingto building construction, and h eby,authorize epresentates of this County to enter Total Fee is upon a ve-m i ned ropertyfor inspection purposes. j } lJ D « SEE REVERSE FOR EXPLANATORY LANGUAGE (,ez sf w 1 i1 Sig plicant or a Date J 1+I es <u )MPE'NSAT•ION DECLARATION rm at !{hover certificate of consent to self APPLICATION F®R BUILDING PERMIT � ,r -Ica of Workers'Compensation Insurance, copy'+hereof(S& 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Company BUILDING 3 �- ertified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS .L Certified copy is filed with the county building inspec- t! BUILDING on department. ADDRESS late Applicant CITY L C i?" ZIP 7 d LOCALITY Nmwh "y CERTIFICATE OF EXEMPTION FROM WORKERS' // , NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT (p{a 3�� NOW ON LOT f CROSS ST. r ASSESSOR (This section need not be completed if the permit is for one TRACT IgEig BLOCK N LOT NO. MAP BOOK y• PAGE PARCEL ' hundred dollars($100)or less.) TEL. OWNER TTS NO. 9� USE ZONE MAP )�3 I certify that in the performance of the work for which this 1i SPOECIAL C J }� permit is issued, I shall not employ any person in any manner ADDRESS 9.x-4/ QLZ.A? CONDITIONS so as to become subject to the Workers'Compensation Laws. a � Date .o /Ij�y��nPn CITY E 'j/'' ZIP Applicant 6l111��1�' ARCHITECT OR TEL. 0 NOTICE TO APPLICANT: If, after making this Certificate of EP1CtNEER F��' dr/ NO DISTRICT GROUP TYPE FIRE PR C SED BY Exemption, you' should become subject to the Workers' t - CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS,� �'.� t V 3 M. with comply with such provisions or this permit shall be TEL. STATI$TAL C:LA§SSWaTION APT. fONDO.deemed revoked. CONTRACTOR NO. (�;jg LICENSED CONTRACTORS DECLARATION LIC. CL}CS$NO. DWELL. UNITS T I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 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 CLASS BK L PG L VALIDATION SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE �� STORIES FAMILIES ONE � VALUATION �4 3 7.6 A DESCRIPTION OF WORK 1J 7"' ( NEW Od Contractor Date I I ADD $ F1I am exempt under Sec. ALTER / /� 1 a870,20 ljCl� B.BP.C. for this reason Date: DEMOL• ❑. EXISTING OF REPAIR E] $ �0V o o EXISTING BLDG. 87a20E Signature APPLICANT � FINAL 0404-86PRINT) NO. / _ OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS �Y` . NLaw for the following reason (Section 7031.5, Business and Y Professions Code): PRESENT By i BUILDING c I, as owner of the property, or my employees with ADDRESS v 6 J 2 0 A wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY # o o a o 23 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. 0 0 6 a 8 5 with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS a o 0 6 8 F• 5 REQUIRED TOTAL SETBACK FROM I T. A CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 0 1 0 O— n 7 1 hereby affirm that there is a construction lending agency for FRONT i the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE a'6321 A P.L. Lender's Name�// .L�! ld� �! 0 0 0 o c 1 /'�f �` LDMA Ref. # � Lender's Address �l' P.C.FeeJ$�. �V�•t� Permit Fee �U f t�J ( 1, i 1525 W 7 � / �U LDMA P/C# ' _ I certify that I have read this application and state that the I Issuance Fee t a I. 1 1 5 2 5 c: above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee I / �� "DMA Perm. # U 10 9—8 7 d and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. Ir SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date 4ENSATION DECL,ARAiIO!,*. have a certificate of consent to self b or a cerci ed c pyc roof Workers' Compensation Lob.nssation Insurance, APPLICATION F R B U I ONG PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDINGr ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 6 �G ❑ Certified copy is filed with the county building inspec- BUILDING �/ C� tion department. ; P7 ADDRESS B6 4,0 G. Date Applicant CITY P ClT ZIP 17d9t0 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE , SIZE OF LOT 3o d NOW ON LOT I CROSS ST. • (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE MAP j ��' NO. T� / 3^� I certify that in the performance of the work for which this OWNER NO. v } permit is issued, I shall not employ any person in any manner ADDRESS SPECIAL so as to become subject to the Workers'Compensation Laws. y CONDITIONS O� 1~Qc✓�r CITY /� Cl T zip /!dpp �t Date icant 0 ARCHITECT O TEL. ` ,y NOTICE TO APPLICANT: If, after making this Certificate of EPd TEC • NO yam! DISTRICT GROUP TYPE FIRE PROCESSE BY Exemption, you should become subject to the Workers' CQ ��` CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS &. � �:D% J`ut ✓ V 3 with comply with such provisions or this permit shall be f TEL, STATISTICAL CLAS IFI ATION y APT. CO O. g deemed revoked. CONTRACTOR { NO. CLASS NO. DWELL. UNITS 7 2 LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (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 BK /. PG 74 VALIDATION SQ. FT NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE ;2 4 3 7.7 A �p VALUATION Contractor Date DESCRIPTION OF WORK �y J $ # 0 0 0 0 23 r ADD ❑I am exempt under Sec. '- C4�� 'C `� r/ ❑ ER I o678,95 ALT ❑ B.&P.C, for this reason REPAIR ❑ $ I / /, 0 0 6 7 8 9 5 c=i USE OF ( ( V Date' EXISTING BLDG. DEMOL E] Signature APPLICANT TEL.�//� FINAL 0 U• 0 4—86 OWNER-BUILDER DECLARATION PRINT Zoe m 7R4 4A NO.T'!`,59` � DATES'" I hereby affirm that I am exempt from the Contractor's License r: ADDRESS--Z/'9-x' ✓� FIN &631.8A Law for the following reason (Section 7031.5, Business andx_. . Professions Code): PRE E T By ` /� # 0 0 0 0 23 BUILDING ❑ I, as owner of the property, or my employees with ADDRESS I o - 4S90 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY = 7044, Business and Professions Code). MOVING TEL. o 0 0 4 5 9 0 5 I, as owner of the property,am exclusively contracting CONTRACTOR NO. 0 1,09-87 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 6 3 1.9 A REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH hereby affirm that there is a construction lending agency for \FRONT # 0 0 0 0 0 1 the performance of the work for which this permit is issuedP.L. (Sec. 3097, Civ. C.). SIDE 1 - 86325 Lender's Name Q 0 - 86a253 + •�) LDMA Ref. # P.C.Fee$ t� Permit Fee a S 01.09-87 - Lender's Address � ,; > ]� I certify that I have read this application and state that the 5-t V Issuance Fee 0 LDMA PJC# above information is correct. I agree to comply with all County Investigation Fee 9 ordinances and State laws relating to building construction, Total FeeID LAMA perm. # , and hereby authorize representatives of this County to enter 3 upon the above-mentioned property for inspection purposes. o (`7 ✓ SEE REVERSE FOR EXPLANATORY LANGUAGE \ Signature of Applicant or Agent Date ®� i