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Home My Public Portal About9675 LONGDEN AVE_Building__ APPL.ICATIO F R BUI DNG PERMIT FORAPPLICANTTO FILL IN (Print or type only) BUILDING COUNTY-'OF LOS ANGELES ADDRESS Cleo DEPARTMENT OF COUNTY ENGINEER CITY Zf BUILDING AND SAFETY DIVISION ` NO.OF BLDGS. BUILDING ' ,. SIZE OF LOT NOW ON LOT ADDRESS 2 BLOCK LOT N LOCALITY TEL- NEAREST OWNER ' NO.2.12 11y6lr CROSSST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP J'TYPE FIRE PRO SED BY -CITY ZIP D T CONSj. ZON ARCHITECT TEL. V `� ENGINEER. NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS TEL. CLASS NO, DWELL.UNITS 1� BK/s3PG CONTRACTOR NO. S� USE ZONE MAP LIC. Q NO. j- aaa ADDRESS ~ NO. • SPEC AL CONDITIONS CITY C CONSTRUION LENDER ASS ' S ROAD DEPARTMENT APPROVAL'REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLDG.SETBACK FROM FRONT-PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE .3`O I STORIES FAMILIES ONE >. DESCRIPTION OF WORK NEW ® + - O ADD ❑ ' BLDG.SETBACK FROM Of SIDE PROP.LINE OF ISTREETI O ALTER ❑ TOTAL SETBACK FROM . TYPE OF EXISTING 13 HIGHWAY +. YARD = SIDE PROP.LINE HIGHWAY WIDTH , ,a USE OF REPAIR ❑ Z EXISTING BLDG. DEMOL ❑ + APPLICANT TEL CORNERCUTOFF YES ❑ NO ❑ (PRINT) NO. IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY 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. SIGNATURE OF PERMITTEE ADDRESS FINA " CITY NO. DATE _ B MAKE CHECKS PAYABLE TO: F E $ FEC. T HARVEY T.BRANDT,COUNTY ENGINEER . PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4 O it APP i�:j i. u1 .0 CJ Os 76A63BA CE#803 3.75' .DEPARTMENT OF BUILDING AND SAFETY 5 - COUNTY OF LOS ANGELES �I ' - WM. J. FOX, CHIEF ENGINEER o�Q APPLICATION . FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRI T NO. !!PLAN,CK.D REP;ND. PERMIT NO. 'ADDRESS Q /�/ ��/ - ;r �d l�I O ., 'o • I Or/y �_ , R 1 E BY DAT OF P"31 DATE ISSUED LOCALITY M. ( `J 4 ® � CROSSNEAREST .11 �J /,r aG /� , CROSS ST. fY !� (_ / � ( BUILDIN /• �j / �f ) r ADORES �o f n 1�j�j ` Q / o OWNER ♦ f rr MAIL ,. 1 LOCALI'T'Y /77,/p •C (i ( 7�j ADDRESS / f+ '�' J !�,rJ/// 'f ll /[J NEAREST ' TEL /J - CROSS ST. CITY !z/m.A�C��a NO. 44 '/'e { "3 FIRE NO.OF I TYPE G ZONE ARCHITECT OR TEL ' PLANS ENGINEER --NO. BLDG. ORD. NO. ADDRESS SETBACK LINE J� lUBEkPRO CONTRACTOR /� //( 7-eAf flee NO. �`�—Z(/17J•:TEL. ZONKlY� BYHEOUSE NUMBERINGATE ADDRES6Tyr- ` / �LIe%/�4� � � i�il� d�lfJ MAP NUMBER o,0NO. ASSIGNED BY LEGAL ' IL CORRECTIONS DESCRIPTION) Z LOT NO.• /J BLOCK / TRACT k)- J '�/ '��'if' Stf/�/I NO. OF BLOBS. 7f�j / 7 �' SIZE OF NOW ON LOT Y C UsE OF NO. OF - EXISTIN BLDG. FAMILIEe DESCRIPTION OF WORK ° NEW ALTERATION ADDITION ` r REPAIR DEMOLITION A/ ,/ NO Or SIZE ROOMS r STORIES r—Ae Ink, EXT.WALLROOF �) COVERING SfLt c[ !7 I. COVERING C` L Our i.ind USE OF STRUCTUR ►A INSPECTION FOR APPROVALS OCCUPANCY A9 INSPECTORS MIGNATURE DATE FOUNDATION: LOCATION / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FORMS, MATERIALS PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, �y CORRECT. BRACING, BOLTS -,-e-- I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS SIGNATURE OF �� "T `f�La�l fG LATH. INT. PERMITTEE !�J/� •:^� / �� # IJP' Ik LATH, EXT. Z () ADDRESS I ' PLASTER, INT. AUTHORIZED AMT. 5PLASTER, EXT. `( C> si FEE � HRECTCOR- RECT -�-�J VALUATION v FEE -a-- FINAL �V1,� "jU�3� 76A638A DBB 3 7-51 APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT RNEE BUILD NG AND SAFETY DNIS ON R BUILDING Q FOR APPLICANT TO FILL IN ADDRESS / BUILDING f? ADDRESS Q ' LOCALITY NEAREST CITY j,"� 01tV ZIP t I 7r� CROSS ST. c NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT I MAP BOOK PAGE PARCEL SAr�i f. pi i'7"� DISTRICT GROUP TYPE FIRE PRO ESSED BY TRACT BLOCK LOT NO. -'a� ' I � CONS TEL. J OWNER �+ NE A STATISTICAL CLASSIFICATION SEWE AP ADDRESS br6 WA CLASS NO._/2—bWELL.UNITs BK PG G CITY ZIP .21790USE ZAP NO. ARCHITECT O TEL. �i�7ONE` MSPECIAL ENGINEER NO.' ��JJJ�� CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR NEL' BLDG.S TRACK FROM LIC. FRONT ROP.LINE OF (STREET) ADDRESS c4 NO. HIGHWA + YARD TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY CITY CLASS _ CONSTRUCTION LENDER + a NAME AND.BRANCH - BLDG.SE CK FROM ADDRESS CITY SIDE PROP.L (STREET) v SQ. FT, r NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL 5 TYPE OF EXISTING hC SIZE J71 STORIES FAMILIES / ONE SIDE PROP. LINE 12!2�tjhyj WIDTH CD DESCRIPTION 0,F WORK NEW ❑ + ti r ADD CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF DEMOL ❑ IN COASTAL PERMIT ZONE YES Cl NO ❑ EXISTING BLDG. RAO 15 APPLICANT d TEL (PRI NT) 1. O. [ADDRESS (SIGNATURE) ffy HEREBY ACKNOWLEDGE HAT I HAVE READ T 5 APPLICATION STATE THAT THE ABO IS CORRECT ANDA REE TO COMPLY H ALL ORDINANCES AND LAWS REGULATING BU ILDI NO CON- S ON- , UCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED - EBYIWILL NOT EMPLOY ANY PERSON INVIOLATION OFTHE OR CODE OF THE STATE OF CALIFORNIA IN RELATING TOKMEN'S COMPENSATION INSURANCE.IGNATU MITTEE OF pIATE/�o j'I',,,. j� BY ff TEL P.C.Fee$ Permit FeeY O.:A2M 43D. ip Issuance Fee LUATION 06 Total Fee oZ ff PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH 28.5 () A8 76A628A CE#80919 1275 APPLICATION FOR COUNTY OF LOS ANGELES OF C6UNTY 8 U I L D I N G PERMIT DEPARTMENT BUILDING AND SAFETY DIVISION ENGINEER BU FOR APPLICANT TO FILL IN ADIDRESS �' ✓ BUILDING + ADDRESSLOCALITY _ NEAREST CITY ZIP CROSS ST. [ O.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK 1 PAGE PARCEL DISTRICT GROUP YPE FIRE SSED BY TRACT BLOCK LOT NO. Q�� V G[e ONST Z TEL. S 0 OWNER NO. / STATISTICAL CLASSIFICATION SEWER M P ADDRESS•jai CLASS NO. rJA DWELL,UNITS BK PG f 'U E M ONAP ��qq CITY Z P NO. 0 ARCHITECT OR TEL SPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR TEL. �' 1 BLDG.SETB CK FROM NO FRONT PROt.LINE OF (STREET) IC. ADDRESS HIGHWAY + YARD TOTAL SETBACK FROM HTYPE OF IGHWAY EXISTING LIC. FRONT PROP. LINE CITY CLASS. _ CONSTROCTrON LENDER + NAME AND BRANCH BLDG.SETBAC ROM ADDRESS CITY SIDE PROP.LINE (STREET) v SQ, FT. NO. OF CHECK HIGHWAY + YARD = TA SETBACK FROM TYPE OF EXISTING SIZE ST I S� FAMILIES ONE SI OP. LINE HIGHWAY WIDTH C) f = W DESCRIPTION OF WORK NEW 0- - ADD ❑ CORNER CUTOFF YES ❑ NO Z ALTER ❑ REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ U8E O NG BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NOEXI ❑ APPLICANT TEL �v (PRINT) NO. , BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS APPLICATION - AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. 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 COMPENSATION INSURANCE. SIGNATURE OF FINAL P�/ BY PERMITTEE DATE G (7 ADDRESS L CITY44 TEL�7 ^'1r3.� P•C.Fee$ Permit Fee 7,5 Issuance Fee VALUATION$ �� Q�i�� c—,21, r\5 Total Fee / J PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4 7 6 .PR 2 1 0 2 1.7 5 ®�b 76AG38A CE#8098 12/75 I APPLICATION FOR BUILDING PERMIT "g COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN ADDRESS I hereby affirm that I have a certificate of consent to self insure, e IN AE,SS or a certificate of Workers'Compensation Insurance,or a certified S copy thereof(Seo.3800,Lab.C.) CITY ZIP ( / S A O LOCALITY Policy No. Company SIZE OF LO NO OF BLDGS.NOW ON LOT e:Tn ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACTBLOC LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' TEL 140. YES NO OW E COMPENSATION INSURANCE 9'7- a 76WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS q� C � dollars($100)or less.) , DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED PY 11 I certifythat in the performance of the work for which this permit P P C41T � ZIP�j;7 is issued, I Shall not employ any person in any manner so as to ARCHIT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR 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. ADDRESS LIC.NO. PL } SIDE M LICENSED CONTRACTORS DECLARATIONC CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO Z NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW BK PG C I- DES OF WORK VALUATION , L License Number Lic.Class DD ❑ Contractor Date $ l� W J_ 9 ALTER ❑ O• Z El am exempt under Sec. REPAIR ❑ $ Z B.BP.C.for this reason OL ❑ 1 LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ a ACCT.ff Signature APPLICANT(PRIM) �` p TEL NO. �1 LDMA Perm# -� I, as owner of the property, or my employees with wages as C/-,+n 9 � v T A! r/Vs oC� - 7� O `303 _ 125.55 their sole compensation, will do the work and the structure is ADDRESS /, I F 1 ITEMS EMS not intended or offered for sale (Section 7044, Business and 75-/-� i-, . i-� C �T FINAL DATE a Professions Code.) TOTAL �_` ' e � WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HA ARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting 4AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > CASH 125.55 licensed contractors to construct the project (Section 70444,, YES 11 No 11Business and Professions Code.) CHANGE °QQ WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. �y�-y �-y I hereby affirm that there is a construction lending agency for YES❑ NO❑ 0000-0001 2/12/96 the performance of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING VQ rit 110°00 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ° GH 2 20 140 Lender's Name MATERIALS REPORTING AND FOR OBTAIN:NGU) TITLE 2.CHAPTER 2 20 SECTIONS 2 20 100THRA PERM T FROM THE SCAOMD NCERNING HAZARDOUS Lender's Address OWNER OR AGENT I certify that I have read this application and state under penalty aP.C.FEE PERMIT FEE c of perjury that the above information is correct.I agree to comply with all county ordinances and State laws relating to building M construction,and hereby authorize representatives of this County ISSUANCE FEE G 2n to ente upon the above-ment' ned pro y for Inspection purposes. :J� \/�Rr�Q ®�7 z� �'-/:L— /Z INVESTIGATION FEE TOTAL FEE N j�,p —a A.PPEN a WM o::e /` SEE REVERSE FOR EXPLANATORY LANGUAGE I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN ADDRESS I hereby affirm that I have a certificate of consent to self insure, KIN E,SS 4por a certificate of Workers'Compensation Insurance,or a certifiedcopy thereof(Sec.3800,Lab.C.) LOCALITY 6-1 ZIP ��Ol S _ Policy No. Company SIZE OF LOIff U I NO OF BLDGS.NOW ON LOTLZ ❑ Certified copy is hereby furnished. NEAREST CROSS ST 101, ❑ Certified copy is filed with the county building inspection TRACT BLOC LOT NO. department. VI USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWE TEL NO. COMPENSATION INSURANCE ?7- a 7G 1 WITHIN 1000 FT OF SCHOOL? vas No (This section need not be completed if the permit is for one hundred ADDRESS — yri dollars($100)or less.) q,6 q G'(�� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY I certifythat in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to ITY ZIP /�� def—of - 0 become subject to the Workers'Compensation Laws. 'ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE 710 APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR 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. ADDRESS LIC.NO. PL } LICENSED CONTRACTORS DECLARATION SIDE C CITY LIC.CLASS P L C: I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO. Z#1 NO.OF STORIES NO.OF FAMILIES IY Professions Code,and my license is in full force and effect. NEW BK PG FC- License Number Lic.Class DE RIPTION OF WORK eD ❑ VALUATION , C, Contractor Date LL 9 ALTER ❑ $ �� a Z ❑ cr I am exempt under Sec. REPAIR ❑ z � B.BP.C.for this reason 6 tRWOL ❑ LDMA P/C# 1 Date: USE OF EXISTING BLDG. 1 URM 13 ACr.j°v Signature APPLICANT(PRINT) / TEL NO. rf LDMA Perm# rjr-r Cc pU I, as owner of the property, or my employees with wages as C_1-4 n 9�-h i S��F r WS a�d --74 Z 3-603 1'--°`(•' `their sole compensation, will do the work and the structure is ADDRESS F 1 ITEMS EMS not intended or offered for sale (Section 7044, Business and 7 Z.f7 & L:/� .rC C T FINAL DATE a Professions Code.) �l^�] C -1 TOTAL 25 o 55 WILL THE APPUCANT OR FUTURE BUILDING OCCUPANT HANDLE A HA AROOUS MATERIAL v�(i�"� OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting 4AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > CASH 1725.55 licensed contractors to construct the project (Section 70444,, YES El No ElBusiness and Professions Code.) ;�^ (�� .00WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ 0000-0001 /2/12!96 the performance Of the work for Which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 4806 1 ryt 11iF° 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE UOS ANGELES COUNTY CODE, °00 TITLE 2.CHAPTER 2.20 2 20 1002 20 Lender's Name MATERIALS REPORTING AND FORSOBTAIN NGTHROUGH A PERMIT FROM4THE SCAOMD CONCERNING HAZARDOUS Lender's Address OWNER OR AGENT 3 I certify that I have read this application and state under penalty G. CI of perjury that the above information is correct.I agree to comply P•C FEE PERMIT FEE m with all county ordinances and State laws relating to building M construction, and hereby authorize representatives of this County ISSUANCE FEE G to ante upon the above-me t' ad pro y for inspection purposes. �S1�� y7;�j�,,,. —� 9� INVESTIGATION FEE TOTAL FEE Xi mu�w a MW�a P4M DCC ,` SEE REVERSE FOR EXPLANATORY LANGUAGE