HomeMy Public PortalAbout5027-5029 SULTANA AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
BUILDINGW
M. J. FOX, CHIEF ENGINEER
FADDREGS
OR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DING D19TRMT NO. PLANCK. NO. PERMIT NO.
RESS •� 7 y�r
LITY R CEIVED BY DATE OF APPL. DATE ISSUED
REST / _1 `�
CROBB
BUILDING
OWNER
8T. ADDRESS D �Q q
ER
LOCALITY
RESS NEAREST I A r� S�
TEL. CROSS ST. {i A Y
NO. FIRE NO. OF TV G YP
HITECT OR TEL. ZONE PLANS _
INEER NO. BLDG.
SETBACK LINE `0
RESS APPROVED
TEL BY DATE
TRACTOR NO. USE /� APPROVED
ZONE �/ BY DATE
RlBB � wHOUSE NUMBERINGLEGAL Q Z /� 17SCRIPTION LOT NO. y BLOCK MAP NUMBER �']� ErIEID CHECK BY'TLrG �l �INO. ASSIGNED BY A6 -4XATNO. OF BLDGS. CORRECTIONS
OF LOT NOW ON LOTOF NO. OF �y' . . . TQ riFTING BLDG. FwwILlea
DESCRIPTION OF WORK l i ->`.
NEW I I ALTERATION I I ADDITION
r wu t O
REPAIR I I DEMOLITION I I I L
BQ. FT. NO. OF O
SIZE ROOMS STORIES �� D
EXT. WALL ROOF r
COVERING ( COVERING Q Z GL
USE OF STRUCTURE
N /' Gai C / AJ
/m 2 tla Lrar?- r. G'o A z
APPROVALS
III NSPECTO 'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION - r
PLICATION AND STATE THAT THE INFORMATION GIVEN 15 FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS.
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION.
SIGNATURE OF GAS VENT, DUCTS D
PERMITTEE
LATH, INT.
ADDRESS
LATH, EXT. ~
AUTHORIZED AGT.
PLASTER, INT.
'
76A898A OB99 10-00 .f P. G d
FEE PLASTER, EXT.
VALUATION V S �J) o FINAL
FEE
DJFAATIIna'1 OF DUMDUM AND SAFETY J APPLICATION F08 PERMIT
' cgummOF LOS WdELES SEP 7 1148 BUILDING
WM. J. FOX, OHIEr ENGINEER
FOR APPLICANT TO FIM IN FOR OFFICE II88 ONLY
BUILDING DIB NO PLAN//�DK NO PERMITHIL
ADDRESS 9 3
LOCALITY do M4e • EIVED BY ,�p ATE Or^PPL DAT[ISSUED
NEARESTCROWN ffT.
BUILDING 8 Z
o3
MmcR D ADDRIeasScl
MAIL / `O OOALITY
ADDRESS v
Gp[BT
CITY os e e a T«M Lis DRUGS!BT
rORE NO or TYPE GROu F
ARCH ITEOT OR TEL zONE�_ 'NO
Z
ENGINEER NO Los
c, /�� y
DR O BETBAOK LIN[ `O ( /
APPROVED
L'
BY DAT[
CONTRACTOR TNIL EL.
UR[ APPROVED
A DR .NEr"..BY DATE
LEGAL ((++ CORRECTIONS
DESCRIPTION LOTNCJti'/, RLOCK Q
e1zE or Lor .S X /_32 NOOrBLDOGNOW ON LOT -- Y �/
USE or NO Or No or //��
IXIBT NOR ......
V
DESCRnMON OF WORK
NEW ALTERATION ADDITION o
A
REPAIR MOVING D[NOLIBH p
Bq tT / No Or _
BIZ[ ROOMS BTORIES D 1
WALL if J. i /p O0► _ r
WALL NOU�'��-�� 131/ .0 OV[RIND
USE Or NEW
BUILDING
Z
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS -
APPLIOATION AND BTATE THAT THE ABOVE IB CORRECT rouNDAT10Nt LOCATION 1 SP[OTOR DAT1
ANDAOR[[ TO COMPLY WITH ALL COUNTY ORDINANO[B rORMSr MATERIALS v/(/1/S �(� (Q-(/0
AND STAT[ LAWS REGULATING BUILDING CDNBTRUDTIDN
Ft1AM K' r'
1 rIRE BTOPBr
BIONATUR[Or BRACING SOUR (1 d 7
PERMITT[ LATNr INT.t D
AUTHORIZED AOTLATH.OIT t
o —i
88-3 wM t P" ®1/ReQ J P D.B I PLASTER,INT. 1 g
7c� r[[ PWT[R,EXT. 9apov
VALUATION P E B/��'— FINAL �t G
I WORKERS COMPENSATION DECLARATION - �• -
hereby affirm that I have r certificate of tion Int to ,elf APPLICATION FOR -BUILDING PERMIT
insure, or a certificate of Workers'Compensation Insurance ,
r or o certified copy thereof (Sec 380D, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Company - !�
Certified copy Is hereby furnished FOR APPLICANT TO FILL IN =ESS (�
Certified copy Is filed with the county budding mapec- BUILDING b ��
hon department ADDRESS L—gy
NEAREST
Date Applicant CITY ZIP CROSS ST
CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT AWP BOOK PAGE PARCEL
(This section need not be completed If the permit Is for one TRACE BLOCK LOT NO USE ZOfB NO oaSPECAL
U /
hundred dol lore ($1 DD)or less )
I certify that In the performance of the work for which this OWNER CONDITIONS d
permit Is Issued, I shall not employ any persfn in ony manner _ DISTRICT GROUP TYPE FIRE $$ED BV O
so os to become subject to the Workers pe t n Laws ADDRESS o Gr CONST/ 'O V
Date phcant CITY ZIP STATISTICAL CLASSIFICATION - CONDOFO
NOTICE TO APPLICANT If, after m ing thl ertificate of ARCJil1ECi _ 1� , G
Exemption, you should become subject to the Workers'
ENGINEER NO' CLASS NOp�DWELL UNITS_ i d
Compensation provisions of the Labor Code you must forth- ADDRESS SEWER MAP N
with comply with such provisions or this permit shall be ' ?
deemed revoked
CONTRACTOR TE BK` I'G j VALIDATION a
LICENSED CONTRACTORS DECLARATION'
I hereby off,"that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION
(commencing with Section 7001D)of Divnion 3 of the Business and lIC 6 C700 ,� 1
Professions Code, and my license s In full face and effect CITY CLASS $ ►
SO FT IND OF NO OF CHECK
License Number 1, Clan SIZE STORIES FAMILIES / ONE
S
Contractor Date DESCRIPTION OF WORK NEW ❑ c
J ADD
I am exempt under Sec ALTER ❑ FINAL
J
B 8P C for this Leeson REPAIR C3 DATE
Date
USE _
EXISTING
DEMOL NG BLDG ❑ FINAL
Signature APPLICANT TEL
OWNER-BUILDER DECLARATION PRIM NO
I hereby offlrm that I am exempt from the Contractor's License ►
Law for the following reason (Section 7031 5, Business and ADDRESS
Professions Code) PRESENT
y employees BUDDING
1, as owner of the
property, or m em to sea with ADORING
wages as their sole compensation,will do the work and
the structure Is not intended or offered for sale(Section LOCALITY _ 977 4 A
7040 Business and Professions Code) MOVING TEL '
1,as owner of the property, am exclusively contracting CONTRACTOR NO i
with licensed contractors to construct the project (Sec-
tion 704, Business and Professions Code) ADDRESS
ss _ 2 •\7375 CONSTRUCTION LENDING AGENCY R�K�l16AIX TOTAL ACK F-ROM EXIST
YARD HV✓Y UNf WIDTH hereby affirm that there Is o conatrucfion lending ogency for j:RONT y e •he performance of the work for which this permit Is Issued P LG O(Sec 3097, Civ C ) SIDE 0 2
PL
1_ Lender's Name J
B P C Fee S Permit Fee 3
Lender's Address
I certify that I have read this application and state that the Issuance Fee
above Information is correct I agree to comply with all County Inveatigaimn Fee �� r •s ,-
ordinances d Stat Iowa relotirsg to building construnion, Total Fee .i J
and here uthorl repr ntativea of thn County to enter
upon the v I nod rty for Inspection purposes -
o fE![EV65[FOR EXPIANATO[Y lAM6UA6E
'SCmiwe of AppTcarlfor/gent Dote
4 4 r
WORKERS'COMPENSATION DECLARATIONw, �L
hereby affirm Ger that I haver certificate of consenttoself APPLICATION FOR BUILDING PERMIT
insure or a certificate of Waken'Compensation Insurance,
or o certified copy thereof (Sec 3800, Lab C )
Policy No Company '
COUNTY OF LOS ANGELS BUILDING AND SAFETY,,
F1 Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS �2j
Certified copy is filed with the cou b mg inspec- BUILDING '—
tion department ADDRESS LOC4LIT�
'
NEAREST
Date
Date Applicant CITY ZIP CROSS ST '
CERTIFICATE OF EXEMPTIO F KERSNO OF BLDGS ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON L �/U� MAP BOOK PAGE PARCEL
(This section need not be completed rf the jxrmit Is for one USE ZONE M4
' hundred,dollars ($100)or less ) , TRACT BLOC( LOT NO NO
I certify that in the performance of th work or which this OWNER v gC IN `",T5-%_3q
^-'3 CONDITIONS �
permit Is Issued, 1 shall not employ an n a manner DISTRICT GROUP TYPE FIRE SSED BY O
so as to become subject to the Work.#,Co ADDRESS ✓ N� CONST ZONE U
Qwrza0
Date ^ �71'`pp"co AIRCHITER OR ZIP TISTICAL FICATION APT O
NOTICE O- N7 If, a eking t I Certificate of ENGINEER NO CLA55 NO DWELL UNITS_TEL LU
Exemption, you should become subject to the Workers' 6
Compensation provisions of the Labor Code, you must forth ADDRESS SEWER 'N
with comply with such provisions or this permit shall be Z
deemed revoked CONTRACTOR NO
BK pG VALIDATION
LICENSED CONTRACTORS DECLARATION UC ,
_I hereby offlrm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION
(commenting with Section 7ODD)of Division 3 of the Bwlness and LIC
Professiore Code, and my license is In full force and effect CITY CLASS y.DQO
SO FT NO OF NO OF CHECK ,.
.license Number LIc Class SIZE STORIES IFAMILIES Ofd
❑ {
Contractor Date DESCRIPTION OF WORK NEW '
1 am exempt under Sec jQ6,1E kOOAA
ADO
DAT! 5
B BPC for this reason ,0 p v `1 ALTER ❑c0REPAIR ❑
Date EXISTING OLS DFMOI ❑ Pe NAL
Signature T
OWNER BUILDER DECLARATIONIPRIM d S �L 235
I hereby affirm that I am exempt from the Contractor's License O ,
Low for the following reason (Section 7031 5, Business and
Professions Code) '
❑ BUILDING :20890A
'
I, g owner of the property or my employees with ADDRESS
wagesctas their sole comped ar compensation,willfor
the work and LOCALITY
the structure Is not intended a offered for sale(Section e
70", Business and Professions Code) MOVING TEL is e e e 1
0 1, as owner of the property, am exclusively contracting CONTRACTOR NO 2 •`• 6 fl•6 3
with licensed contractors to construct the project (Sec- ADDRESStion 704, Business and Professions Code) p� - 686301
CONSTRUCTION LENDING AGENCY PUN YARD HWY TOTAL FROM IM EXIST
I hereby affirm that there is a construction lending agency for FRONT Pool 0"3 3 1 —'8 3
the performance of the work for which this permit is issued P L
(Sec 3097, Civ C ) SIDE
PL
Lender's Name '
lender s Address PC Fee$ Permit Fee
I certify that I have read this application and state that the Issuance Fee
above information Is correct I agree to comply with all County Invepigotion Fee -
ordinances an Sesta I rel Inp o building construction, Total Fee
and hereby a ortze tativ of this County to enter _
upon thea e-m r Inspection purposes
SM MVEM FOR EXPLANATORY LANGUAGE ,
ig re of tit or Agent o- �a
r r a COMPENSATIQN gECLARATION
e, jhthat I have r certificate of tion Intra nee, APPLICATION F R BUILDING PERMIT Il
.t I of Worker Compensation Insurance,
or a certified copy thereof (Sec 38DD,,Lab C ) -
COUNTY OF-LOS ANGELES BUILDING AI'Ip SAFETY
Policy No Company -
Certified copy is hereby furnished FOR APPLI TO FILL IN gUDIO�RENG
$5 OZ I
Certified copy is filed with the county budding m
hspec- BUILDING
on deportment ADDRESS �, LOCALITY
NEAREST
Date Applicant ITY ZIP o CROSS ST
CERTIFICATE OF EXEMPTION FROM WORKERS' / NO OF BLDGSASSESSOR
COMPENSATION INSURANCE SIZE CF LOT Ip NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one ONE MAP
hundred dollars(5100)or less ) TRACT BLOCK LOT NO NO c-
�7O
--� TEL- - _Z SPECIAL
I certify that in the performance of the work for which this OWNER NO CONDITIONS ` G.
permit is issued, I shall not employ any person In any manner DISTRICT GROUP TYPE FIRE PROCE BY O
to as to become subject to the Workers hon ws ADDRESS -5 �/� S� /+. A _� CONST ZONE U
Date JL5- Apphmnt CITY ZIP STATISTICAL CLASSIFICATION 3 APT O
NOTICE TO APPLICANT If after inq t Certificate of ARCIiIT[{I OR /VI �. TEL p(� Z �— U
Exemption, you should become subject to the Workers NGINEER L' ���/q�Q NO / CLASS NO y DWELL UNITS_ 6
Compensation provisions of the Labor Code you must forth _ ADDRESSt SEWER MAPus
with comply with such provisions'or this permit shall be ?
deemed revoked I
CONTRACTOR TEj LL BK PG VAUDATION r
LICENSED CONTRACTORS DECLARATIONUC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION
(commencing with Sechon 7000)of Division 3 of the Business and LIC
Professions Code, and my license is in full face and effect CITY CLASS S tSQ d ► _
SQ FT NO OF r _ _• NO OF CHECK
License Number Lic ClassSIZE STORIES f FAMILIES ONE
_ S
Contractor Date DESCRIPTION OF WORK L1
tx NEW ❑
I am exempt under Sec ADD 29 '
ALTER ❑ FINAL �-
B 8P C for this reason - ❑ DATE '
REPAIR
Date USE OF RE 1 txNC t oEAa ❑ FINAL
EXISTING BLDG By t
SignatureTEL
1 APRICANT />/ NO GC p3� L
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031 5, Business and N pLc C/T - ;22 3 214 A f j
Professions Code) r - 4
1, as owner of the property, or my employees with CRESS - - ` # . . . . 21
wages=their sole compensation,will do the work and I '
the structure is not intended or offered for sale(Semon LOCALITY - 1 ' 15300
7044, Business and Professions Code) MOVING TEL ;
1,as owner of the property, am exclusively contracting CONTRACTOR NO 1 - - 1 5 3 0 O'=-'
with licensed contractors to construct the project (Sec ADDRESS 0 625-85
tion 7044, Business and Professions Code) ,
REQUIRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY SET BACK Y' Hwv PROP LI WIDTH 'r
I hereby offirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued PL , _i 3 2 5 1 8 A
iSec 3097, Civ C ) SIDE # . . . . . ,
PL 1 . 1905
m Lender s Name _ • . 190506
@ Pc Fees 00
Pa
Lander
p 0723-85
Lender s Address
I certify that I have read this application and state that the Imuance Fee
above information is correct I agree to comply with all County Investigation Fee ,
ordinances and State laws relating to building construction Total Fee
and her asst ropresentotrves of this County to enter
still upon the o operty for inspection purposes i
/ e z@ REVERSE FOR EXPLANATORY LANWAGR -
ywture eApplicernt W Agent
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1109200026
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST ( BUILDING ADDRESS 1
ON FILE SQ FT STORIES TYPE 5029 SULTANA AV
STRUCTURE 650 V-B TEMP CA 917803046
IASSFSSOR INFORMATION NUMBER NEAREST CROSS STREET PENTLAND 1
15388-021-009 I THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY, Cl
TENANTl•\ i1- .l _�
EXIST BLDG USE GARAG USE ZONE R-2 (ISSUED ON PROCESSED BY
EXIST OCC GRP 109/20/11 SR _
IoW I
TEL NO �BLDGS NOW ON LOT VALUATION 1 T INAL BY CODE 1
LAM, EMILY (626) 287-8161- 1 850
15029 SULTANA AV
TEMP 917803046 FEES PAID IDASMPTION OF FORK
IRE-ROOF A SMALL SECTION PLACE SHINGLES FROM THE GARAGE TO 1
APPLICANT IFEE DESCRIPTION QUANTITY DOM AMOUNT ITHE IPATIO APPROX 650 SQFT
TEL NO
ILAM, EMILY (626) 257-8161- 'IAA BLDG PERMIT ISSUANCE 27 80 1 4 1
15029 SULTANA AVE AS STATE GREEN BLDG FEE 850 00 VAL 1 00 SPEIIAL CONDITIONS
TEMPLE CITY CA 91780 'IAC STRONG MOTION RESID 850 00 VAL 0 50 1
I ID2 PERMIT W/0 EN-HC 850 00 VAL 65 40
ICONTRACTOR TEL NO 'IFR INV WORK W/O PERMIT 257 00 DOL 257 00
'I TOTAL FEES 351 70 IAPPFOVALS DATE INSPECTOR SIGNATURE
CHARTONG CONSTRUCTION (626) 236-6232-ij Iv
113392 ROBERTA CIRCLE LIC NO ' IIACFTION AND SETBACKS
(GARDEN GROVE, CA 92843 - 891250 1_/
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER TEL NO 1 1FOUNTNTIONTR
/ ENCH FORMS
3
LIC NO ISL /UNDER FLOOR _
RAISED FLOOR FRAMING
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDEPPLOOR INSULATION
1144H265 3 001 • 111
I I IPLDIR SHEATHING
IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I_
1 0 NO 21 IROO SHEATHING I I
I I
SCHOOL WITHIN HAZARDOUS SHE PANELS
1AIR QUALITY 1000 FEET MATERIALS
I NO NO NO FRAC INSPECTION
__
i (FIRE SPRINKLER HANGERS
SII (INSOLATION/WEATHER STRIP( I
itIINTERIOR LATH/DRYWALL
LXTSRIOR LATH
I �I (RATED FLOOR/CEIL Assets I I I
RA.TID WALL ASSEMBLIES
I I I I I II I
RATED SHAFTS/OPENINGS
T-BnR CEILINGS
1AT'pRA1NAGE
' +(REPORT ID DPR261 ROUTE TO BS0508
' COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0412130004
PHONE. (626) 285-0488 EXT
LEGAL ID NO. OF CONST NEW BUILDING
ON FILE SQ. FT STORIES TYPE OCCP GROUP 5029 SULTANA AV ADDRESS.
STRUCTURE 363 1 VN R3 TEMP CA 917803046
ASSESSOR INFORMWIMM— GARAGE " - NEAREST CROSS STREET PENTLAND
5388-021-009 OTHER THOMAS PAGE: 5% GRID- H5 LOCALITY TEMPLE CITY, C
IENANT EXIST BLDG USE USE ZONt ISSUED ON PROCESSF D BY EXPIRES ON
EXIST OCC GRP 01/11/05 "" JK 01/06/06
OWNER TEL NO. SLOGS NOW ON LOT VALUATION FINAL GAT FINAL BY CODE,
LAM MICHAEL
509 SULTANA AY (626) 319-2390- - 30,000 WORK
ifi
TEFF 917803046 "7 _
ADD NEW ASTER BEDROOM W/FULL BATHROOM
APPLICANT TEE-W— FEE DESCRIPTION QUANTITY MOM. AMOUNT:
SAME AS OWNER - 81 PLANCHECK W/ENERGY 30000 00 VAL 501 80 '
AA BLDG PERMIT ISSUANCE _ 27 75 SPECIAL CONDITIONS
AC STRONG NOTION RESID 30000 00 VAL 3 00
B2 PERMIT W/ENERGY 30000 00 VAL 590 37 + ' -
TOTAL FEES .1,122 92
CONTRACTOR: TEL NO
SAME AS OWNER - + r
LIC NO LOCATION AND SETBACKS
SOILS ENGINEER APPRNAU-
LIC NO
r "
RAISED FLOOR FRAMING
MAP NO. SEWER KhP BOOK PAGE: UNDERFLOOR iNSULATIW-
3 01
NO. OF FAMILIES 15T LEVEL FLOOR SHEATH
NO 21,
SCHOOL WITHIN HAZARDOUS 2ND LEVEL FLOOR SHEATff-
AIR QUALITY 1000 FEET MATERIALS ROOF SHEATH
4 r
NO NO NO
REQUIRED BLDG DEPT FRAME INS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PLSHEAR PANELS
-
SIDE PL- - -
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVI nT-
�`' - REPORT ID- DPR261 ROUTE TO BS050B