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Home My Public Portal About5023 SULTANA AVE_Building__ r DEPARTMENT OFA BUILDING AND SAFE7W2$ 1 APPLICATION FOR PERMIT t COUNTY OF LOS ANGELES t 1 1 [ENDING WMI J FOX, CHIEF RaGIN[[R, -� • V } 'FOW APPLICANT TO FEU INBUILDING '{• FOH OFFICE IIRE ONLY DISTRI NO PLANCK No PERMITNO LOCALITY 1'.t Z' R IVSD BY OAT OF ADP L DAT[188UlD NEAREST C' � -��, J A CA0888T `� BUILDING ADDRESS �j7 �.. A '/ �/T -4 "r- OWNER MAIL LOCALITY ADDRESS A( 7p P{ G a Ye NEARBBT ./ qq .� cRoee er CITY r p L. NO 1r 7-/ O 7 FIRE NO OF, TY P ARCHITECT R TEL „ ZONE PLANS ENGINEERNO BLDG P L I . „ r SETBACKLINE ADORERS { r t APPROVED n p BY DATE CONTRACTOR I ANO RT• ] A�/ USE 1r1 APPROVED � ZONE /7—� BY DAT[ ADDRESS" 7 'r- �) , LA7� v , 2 HOUSE NUMBERING LEGAL DESCRIPTION LOT NO _ BLOCK MAP SNUMBE—FIELD CHECK BY C TRAT J� ` � p•N'�-M4� NO ASSIGNED BY ATE r ( / Q N 1 NO OF BLDGS COHHE=ONS SIZE OF L.OTJ V_.T (Q / I OW ON LOT ' USE OF . _i NO OF r EXISTING BLDG FAN U" DEWUMON OF WORK Ir NEW 1 - r IX ALTERATION I I ADDITION I / REPAIR , DEMOLITION BO FT �j A/ NO OF SIZE �� ROOMS STORIES / r _ J'Z> E7(T WALL ROOF ' CO VERT NO COVERING U86 Or STRU J - APPROVALS INSPECTOR S SIGNATUR! DAT[ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FORMS, MATERIALS CORRECT 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME PIRG STOPS, HQt[ON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING 1 INS CONSIT � RUCTION FURNACE LOCATION, SIGNATURES ((//pp�yCCAA GAB VENT, DUCTS FERMITT LATH. INT ADDRESSB ✓-__ LATH, eXT AUTHORIZED AOT PLASTKR, INT ]MOM DEY IOW j F C E FE[ PLASTER, ®IT VALUATION 1 FES S � FINAL % xlvsi /OF BUILDING AND SAFETY Department of Countyr B U I L ® I N G- « County of Los Angeles / WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY SUI LOINS DIISTRIIOOT�N0. PUN CR Cc OR RO NO oPERMIT NO ADDRESS V[D DAT[OF ADPL. DATE IBSU[D NODALITY - S J-Z NIANGFL [Br BUILDINGr ADDRESS J O Z �C S7 OWNER (/ jJ� MAIL LOCALITY /r- L ADDRESS `= Y NEAREST URCOE BT �6�. Na 1 d s N0.L FIREE N0.GF TYPE OUP ZONPLANS Sr[' MOHIT[Ci OR TEL ENGINEER N4 BLO0. ORD NO SETBACK LIN[ ADDRESS US[ APPROVED T0. ZONE BY DAT[ OONTRACTOq NO HOUR[ NUMBERING ADDIEN MAP NUMBED NO ASSIGNED BY LcowL CORRECTIONS D[BOm PION LOT MQ BLOCK TRACT Na. OF BLOOM / SI26 OF LOT Q / NOW ON LDT UBE OF NO.OF EXISTING BLDG S FAMIUMZ tt)ESCRIPTION OF WOES a 0 NEW ALTERATION ADDITION z REPAIR DEMOLITION r MIT, N0.OF M ROOMS @TORIES EXT Rw mmo 'USEOFSTRUOTUR[ N iD E J INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR'BGIGNATUR[ DATE FOUNDATIONS LOCATION 1 HEREBY ACKNDWLEDOE THATI, 1 HAVE READ THIS AFRM4 MATERIALS PLICATION AND STAT[ THAT THE INFORMATION GIVEN IB FRANKS FIR[STOPB. OOIRCOT BRACING, BOLTS ABRE[ TO OOMPLY WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION FURNACEI LGOATION. o SAS VENT DUCTS SIGNATUgL O LATH. IMT P[RMITT[[1 �JY�JJJ ADDRE LATH. EXT PLARTER._INT AUTHORIZED AOT. PLASTLW EXT. HOU@[NUMBER COR- RECT AND POSTED VALUATION FEE B$ FINALsL- !4 7ue3eA ORR 3 1-52 b_]YISfW OF BUILDING AND SAFETIUL 21 1i 52 B U 1 L ® 1 N A{� - -- -- - -- D7jpartment of County mwiBoer County of Los ADgeles ' WM. J. FOX, COUNTY ENGINEER APPLICATION - FOH APPLICANT TO FILL IN FOH OFFICE USE ONLY • DISTr N0. PUN CK. RR R%n No PERMIT NO BUILDING ` ADDRESS Q / f� 7 LOOALITY � /• R [IVED BY DA OF APP"`` DATEISSUED �-te OFNEAREST �v 000 BUILDING ADDRESS Nu OWNER f� MAIL LOCALITY ADORESS NEAREST " CROSS BY. CITY FIRE NO OF TYP EO TOR OR / � ' IDN[ PLANS W CHIT y _TE"_ _� . BLDG SETBACK ACK LIN[ l� ADD EHB UBE APPROVED ZQN[ BY DAT[ '^ CONTRACTOR NO MOUSE NUMBERING ADDRERS M4P NUMBER NO ASSIGNED BY LEGAL CORRECTIONS —DESCRIPTION LOT N0. BLOCK TRACT NO OF R I[ LO SICF LOTS NOW ON LOT usEOF ND Or L L R EXISTING BLOO FAMII.AO DESCRIPTION OF WORE f a GtiT p NEW ALTERATION ADDITION 2 > r REPAIR DEMOLITION BC FT NO.OF HIE[ ROOMS STORIES EXT WALL I ADM O G/r CDV[RINS COVERING t Q O� (� I USE OF STRUCTURE u INS O CPUPANCY ABR ri&,PPROVALS INBPECTOR'BBIGNATUq E DATE " FOUNDATION LODATION RMB, MATERIALS HH PLIDATION AND STI HEREBY A -THATvLEDule T [ AT E INFORMAT ON GIIS Aj� FO GIVEN S -FRAM[ FIREBTOPS, ✓ CORRECT BRACING, BOLTS I ABR[E TO COMPLY WITH ALL COUNTY 13RDIMANCM rURNACE LOCATION. AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAO VENT DUCTS SIGNATURE OPERMITTER: `_-' ,A" LATH. INT ' PERMITTE - VVV ADDRESS 117 -aH. QT. F p PLASTER. INT. AUTHORIZED AOT PLASTER. EXT ✓ S1� OUSENUMBEROOR- d RECTANDPOSTED H VALUATION O •� FEE FINAL 7"m Dee a �� .r COUNTY OF UOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1304110007 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 5023 SULTANA AV ' ISTRUCTURE 1700 V-B TEMP CA 917803046 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 15388-021-010 �I I THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY CAI TENANT MIST BLDG USE RESID USE ZONE R-2 ISSUED ON PROCESSED BY I (EXIST OCC GRP 04/11/13 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION 15023 SULTANA PAMELA (626) 285-4664- { 100 iFINAI�TEP Y CODE 15023 SDLTANA AV LL//// UUUUUU TEMP 917803046 FEES PAID DESCRIPTION OF WORK IREROOF HOUSE ONLY INSTALL NEW SHINGLES 30 YEARS CLASS -A• IFEE DESCRIPTION QUANTITY UOM AMOUNT IAPPLICANT TEL NO 1 IDEKEL, ISRAEL (818) 652-2138- IAA BLDG PERMIT ISSUANCE 27 80 114125 BELCHER AVE IAB STATE GREEN BLDG FEE 4100 00 VAL 1 00 ISPECIAL CONDITIONS I LA MIRADA CA 90638 AC STRONG MOTION RESID 4100 00 VAL 0 50 ID2 PERMIT W/0 EN-HC 4100 00 VAL 132 60 ` TOTAL FEES 161 90 (CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE IED ELLIS ROOFING (562) 208-7457- 114125 BELCHER ST LIC NO _ LA MIRADA CA 90638 515112 • (LOCATION AND SETBACKS ISOILS ENGINEER APPROVAL ' 1ARCHITECT OR ENGINEER TEL NO - - FOUNOATION/TRENCH FORMS I , LIC NO - SLAB/UNDER FLOOR _ IRAI SED FLOOR FRAMING IMAP NO SEWER MRP BOOK PAGE FIRE ZONE CMP I UNDERFLDOR INSULATION 3 001 FLOOR SHEATHING 1 1 INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS NO 21 1 ' (ROOF SHEATHING I AM I SCHOOL WITHIN HAZARDOUS SHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS - ( I NO NO NO I • FRAME INSPECTION i _ FIRE SPRINKLER HANGERS I ( INSULATION/WEATHER STRIP, INTERIOR LATH/DRYWALL EXTERIOR LATH I IRATRD FLOOR/CEIL ASSET( IRATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS I IT-BAA CEILINGS I ADDITIONAL DATA ON FILE I• (LOT DRAINAGE I 1 ,REPORT ID DPR261 ROUTE TO BS0508 1 I I I I 1 WORKERS COMPENSATION DECLARATION hereby off ter that I haWor ter Come of tion Int to ,elf _ APPLICATt FOR McNNG PERMIT dmdra'or o certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 381 Lab C ) _ - COUNTY OF LOS ANGELES BUILDING AND SAFETY PolicYJNo Company ❑ Certified copy a hereby furnished FOR APPLICANT TO FILL IN - �REss ❑ Certified copy is filed with the county building inspec- BUILDING - - - hon department Date Iicant OTY - ZIP IOGLITy p,,, ' CERTIFICATE OF EXEMPTION FROM WORKEW - SIZE OF LOT (.�0 SOL c NOW ON&LO s NEAREST�L-� __ CROSS ST � 72AIV� COMPENSATION INSURANCE - ��r,.�� \' _ ,� s� ASSESSOR (This section need not be completed if the permit is for one TRACT " BtOT7L LOT NO ' MAP BOOK �PJ ' ' PAGE ''I' PARCELOIO RE hundred dollars ($100)or less ) OWNER �lU rI G[JT ( NO JpU' USE ZONE MAP I certify that in the performance of the work for which this C� ,.w� - _ permit,s issued,I shall not employ any person in any manner NO ADDRESS _CWJ(9L7Z+!V p - �-a- CONSPECDIT� _ d so as to become subject to the Workers'Compensation Laws ^ nay 01 CITY - ` ZIP Q 1 a U Date Applicant ARCHITECT OR TEL Of NOTICE TO APPLICANT If, after making this Certificate of ENGINEER tip _ DIS I GROUP � FIDE PROCESSED BY O Exemption, you should'become subject to the Workers ' / Compensation provisions of the Labor Code, you must forth- ADDRESS .D� . 3 V t with comply with such provisions or,this,permit shall be TEL STATISTICAL CLASSIFICATION APT CONDO deemed revoked , - CONTRACTOR �} - z LICENSED CONTRACTORS DECLARATION Uz MSS NO a, ' DWELL LINI1S I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP with Section 7000)of Division 3 of the Business / LIC and Professions Code,and my license is in full force and effect CITY CLASS CHECK BK PG VALIDATION License Number I Lc ClassSo STORIES FAMILOIES ONE VALUATION Contractor Dale DESCRIPTION Of WORK E NEW $ 730. 6d ADD ❑I am exempt under Sec a ALTER ❑ - ^- , B 8P C for this reason REPAIR ❑ $ Date USE OF EXISTING BLDG DEMrii Signature APPLICANT TEL FINAL s OWNER-BUILDER DECLARATION (PRINT) NO Contractor's affirm that I am exempt from theContractor'sDATE a license - - - _ - - Low for the following reason (Section 7031 S, Business and ADDRESS F1 Professions Code) - i - BT El1, _ I, as owner of the property, or my employewith BUILDING ADDRESS t}�, r 1L C` L_7 4t rc wages as their sale compensation,will do the work and LOCALITY - - }}I ' the structure is not intended or offered for sale(Section - MOVING TEL r his.. i1 r �/( •,�� };. �� 041, Business and Professions Code) - I,as owner of the property,am exclusively controcling CONTRACTOR NO '.,y with licensed contractors to construct the project (Sec- tion 7044 Business and Professions Code ) ADDRESS CONSTRUCTION LENDING AGENCYSET I YARD FTSVY AL L K FROM WIDTH S 1 i j 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 3D97, Civ C) SIDE PL T Lendaes Name q ^ PC Fee f ' �' Permii Fee- -/ r Q 'LDMA Ret N v •lrT:ir� l� 2 Lender s Address n g I ce;.fy that I have read this application and state that the Nuance Fee LDMA P/C N M nformo,on is torr agree to eomj>ly with all Count' _ Inve.ngvuon ee Q p t ord lnances and$tot la relating to bmldmg Contlluction, Total Fee ✓ / Q LDMA Perm N n a d t e r resantahves of this Court to enter c"- i h� I ny for i hi n jyBs O ! ! ME REVEII FOR EXPLANATORY LANGUAGE - Signeiwe of hunt or Agent e