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HomeMy Public PortalAbout9811 LONGDEN AVE_Building__ iT ITY - �, ' I • .. 76A636A CE b809 2-63 APPLICATIONFOR BUILDING' PER '• . _ ; COUNTY OF LOS ANGELES BUILDING p� DEPARTMENT OF•COUNTY ENGINEER ADDRESS .9 BUILDING AND SAFETY DIVISION - LOCALITY 7 JOHN A. LAMBIE, COUNTY ENGINEER NEAREST. WILLIAM A.JENSEN. SUPT OF BUILDING CROSS ST. DI CT, 1 GR TYPE P B FOR-APPLICANT TO,FILL IN (, .coNST. BUILDINr' mSTATISTICAL CLASSIFICATION SEWER MAP. - ADORES BK G CLASS. NO. DWELL.UNITS LOTNO. - �Q // !s BLOCK. WATER - CERTIFICATE: NOT REQUIRED RECEIVED TRACTM'AP 0. IGHWAY NO.OF LDG CIRCLE) STATE MAJOR SECON LOCAL �. P}O. SIZE-OF LOT �Q �Q NOW ON LOT J . ll , 'SE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. o I � ' ' OWNER NO. 8 ILDING YARD: :IiWY. TREET NAME EXIST, SETBACK.. w WIDTH ADDRES �i; FRONT - ARCH ITECT•OR :r.EL. 'P• L. 4' ENGINEER.' NO. SIDE' I a ADDRESSQQt�1Jtt 1' 0. TEL p. t ' CONTRACTOR -NO. 1/ �if ' ADDRESS a ( A r rF DESCRIPTION OF WORE ''. A1� ` ' a . :E.�. ,f .s r !q -I ca f ( 9 NEW ADD ALTER REPAIR DEMOLISH• Q.FT. ? NO.OF NO: OF SIZE J STORIES FAMILIES USE OF /t !••?ti-••!• ,,%, ..,GSi! 'ei�! STRUCTURE NATujfEOF ��"!!J fes• l ■ APPLICANT Wit..14 ' VALUATION-$ F APPROVALS [DATE, 'INSPECTGR•3 SIGN'ATIURE F,OUNDATIONC LOCATION 1? :C. PMT. FORMS, MATERIALS �1�'r'4 �,y,,f;TE�' '••' FEE' - FEE $ +a`�+ FRAME: FIRE STOPS, .'; ' HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING: BOLTS R � 4..�..rx'.tMr.•t+R• .If.I�` AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION: "/•` /! WITH ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING-CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK _ AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- L•ATH..INT.• . '� 1A F y TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- . INC TO WORKMEN'S COMPENSATI N INSURANCE. - [_ATH.EXT: SIGNATURE OF HOUSE NUMBER COR-- A , PERMITTEE zaRECT,AND POSTED ADDRESS d FIN"X-L• JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG R ,• PLAN CHECK'VALIDATION cK. M.O.- CASH _ PERMIT;VALIDATION CK: M.O. GASH WORKERS'COMPENSATION DECLARATION BUILDING C+r I hereby affirm that I have certificate of consent to self APPLICATION P L I C ®T I® F O (� (�d I� I I T insure, or a certificate of Workers'Compensation Insurance, �\ `�✓ or a certified copy thereof (Sec. 3800, Lab. C.) �� , �C COUNTY OF LOS ANGELES BUILDING AND SAFETY P i�Sl c-y'No�Company ❑ BUILDING - Co1 Certified copy is hereby furnished. ��.bL'� } FOR APPLICANT TO FILL IN ADDRESS ertified copy is filed with the county building inspec- BUILDING �\ 1� tion department. ADDRESS �4 Date Applicant L CITY ( Z LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR TRACia ') 6BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars($100)or less.) TEL. USE Z E MAP I certify that in the performance of the work for which this OWNER O. NO. 0 permit is issued, I shall not employ any person in any manner taSPECIAL`` —I CONDITIONS so as to become subject to the Workers'C)ompensatio Laws. ADDRESS Date ~� Applicants �� CITY N ZIP 1 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP I TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' ENGINEER NO. J� ^ CONST. E Compensation provisions of the Labor Code, you must forth- ADDRESS 1 I/\� !✓, �'(� with comply with such provisions or this permit shall be TEL `Q STATISTICAL CLASSfFI ATION APT. NDO. deemed revoked. CONTRACTOR NO. &26 LICENSED CONTRACTORS DECLARATION LIC, a CLASS NO. _DWELL. UNITS— L I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.�-l3 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 li�5_ BK - VALIDATION C� SQ. FT. NO.OF NO.OF CHECK ` License NumberI Lic.Class ` SIZE STORIES FAMILIES ONE VALUATION Contra ate A DESCRIPTION OF WORK NEW ❑ � ADD ❑ ;��'� ® �981.5A I am exem der Sec. "ALTER ❑ o 0 0 0 0 ❑ B.&P.C. for this reason REPAIR $ Date: DEMOL l USE OF ± a o 9675 EXISTING BLDG. -�• 0 - 96,755 Signature APPLICANT TEL FINAL r10 / OWNER-BUILDER DECLARATION PRINT�'y-� NO. ����� DATE JL/ 0608` 8 1 hereby affirm that I am exempt from the Contractor's License ADDRESS l L - �C \ FIN Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT B ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. ❑ 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). CONSTRUCTION LENDING AGENCY PRO SETQBACK YARD HWY TOTAPROP 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 P.L. Lender's Name LDMA Ref. q m P.C.Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee (! LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee 16 i75 LDMA Perm.q N and hereby authorize representatives of this County to enter u on the above-mentio a property or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date i COUNTY OF'LOS ANGELES TEMPLE CITY # 0508rrBU LI DING PERMIT' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNASRESIDENTIAL,-ADD' rr05 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL TOB 0004110032 PHONE: (626) 285-0488 EXT: L�= LEGA ID: NO. OF CONST NEW BUILDING-ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9811 LONGDEN.-AV, STRUCTURE: 0 1 VN R3 ',TEMP CA 91780'145 ASSESSOR INFOR ATION NUMBER: GARAGE: 'NEAREST-CROSS-STREET: GOLDEN WEST 5383-020-037 OTHER: 204 1 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: E IST BLDG SE: USE ZO : SSUED 0 : PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/11/00 UT 10/08/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: COD CHEN;WIL LIANG - 1 3,000x �n,� 9811 LONGDEN AV �J© TEMP 917801425 FEES PAI ESCRIPT ON OF WORK INSTALL 204 SQ. FT. ALUM. PATIO COVE ICBG #1841P FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PPLICANT: TEL. NO: GLANVILLE CONSTRUCTION (310) 471-5444- AA BLDG PERMIT ISSUANCE 27.75 2801 OCEAN PARK BL. AC STRONG MOTION R" 3000.00 VAL 0.50 SPECIAL CONDITIONS: SANTA MONICA, CA AX BUILDIrWoI 54.70 D2 PERMITN L o.0 VAL 99.00 CONTRACTERCONSTRUCTION TEL. NO: 471-5444- ��J ` 181.95 APPROVALS DATE INSPECTOR SIGNATURE 2801 OCEAN PARK BLVD LIC. NO OCAT ON AND SETBACKS SANTA MONICA CA 90405 681022B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO / 1111111 SLAB/UNDER FLOOR L RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: C PI;_� pD UC W G� 1ST .LEVEL INSULATION ST LEVEL FLOOR SHEATH KS, NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:— NO 21 eg 0 T 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS 0 ❑ � . NO NO NO ❑ ® �' - FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST 48� 1 Dim BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONTPL- �p Servic %I SHEAR PANELS SIDE PL- INSULATION/WEATHER L- INSULATIO /NEAT ER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DET CTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508