HomeMy Public PortalAbout5074 SULTANA AVE_Building__ `•
TEMPLE CiT-Y_
NAO"Sam, APPLICATION FOR BUILDING P MIT
COUNTY OF LOS ANGELES BADUR
EseIDLDING rJ
DEPAHTBUM OF COUNTY ENGINEER
BUIMING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY BNGINEER NEAREST
WI AM JE su. or BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT TYPE P ED BY
CONST
BUILDING STATISTICAL IFICATION SMEMAP
ADDRESS K
CLASS NO WELL UNIT
LOT N05- / O' 33 BLOCK WATER NOT REQUIRED RECEIVED
TRACT / CERTIFICATE
HIONwAY STATE MAJOR SECOND OCAL
NO OF SLOGS NO (CIRCLE
SIZE OF LOT -'5-,gNOW ON LOT USE ZONE SPECIAL
USE OF '' / CONDITIONS
USEDEXISTING BLDG LY�j
AV
TEL
OWNER i NO BUILDING YARD HWY RE AM! EXIST
SETBACK WIDTH
ADDRESS FRONT
ARCHITECT OR TEL , P L Air
ENGINEER NO SIDE
ADDRESS L a
TEL INSPECTION RECOBD p
CONTRACTOR NO V
ADDRESS K
0
DESCRIPTION OF WOHB
d
NEW ADD ALTER REPAIR DEMOLISH
8Q FT NO OF NO OF ?
IZE STORIESF [LIES
USE OF
STRUCTURE
SIGNATURE )
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR S SIGNATURE
PCT
0 FOUNDATION LOCATION
FE! FE! S 0/ �� FORMS MATERIALS
FRAMEFIRESTOPS
I HERE"ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AIT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAB VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK /
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA REI-ATI
NO TO WORKMEN S COMPENSATION INSURANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PS RM 177E RECT AND POSTED _
ADDRESS ` FINAL
CLYDE N DIRLAM P INCIPAL STRTURAL
PLAN CH= VALIDATION EDL no wUC
K PEBM VALIDATION DOC no cABH
�}I(�1 6 5 8Q1 APR ;:)5 1 D 6.0 0
DEPARTKOW A8 BUIIPING AND SAFETY 1 APPLICATION FOR PEN IIT
CbVNT_Y_OFlWS ANGELES
. t BUILDING
WM. Jrc&bMI[F ENGINEER
FOR APPLICANT TO FELL IN FOR OFFICE USE ONLY
BUILDING DISTRICT M0. PLAN OK.NO. PERM�IJT N0.
ACDRtee O 7 ., AlaO Z -S
LOCALITY i �-t+,V` RECEIVED BY DATE or APPL. DATE OUR=
�T
NGR[B7 1— C� LP � Z) ! C�
BUILD No
L /S N a
O"Em ADDRKS
ADDRESS I O LOCALITY G
TEL CRO®
Br N T LAS NNO riRc No or T T)
ARCHITECT R TEL. ZONE PPLANO 2 TYPEGAOUP r
ENGINEER No � 1
BLDG. 17pXL
REM6 � B[TBACK LIN[ �. L , !
APPROVED ALLOW FoQ %5. CT, DC-DIC b/
CONTRACTOR V .C.1 4Z V J/ 6 r Z BY DATE
use ..I APPROVED
ADDRESS �O Z � ZONE
BY DATE
DES
CRI�PrION LOTNO 121., P/t-BLOCK
`o !"] COBHECITONB
TRACY R 3 .5(6 — — I
BIUGrLOT 7
No or BLOMS
NOW ON LOT O 0;47 L ISO ' of PA2CL
UB[Or 4 NO Cr NO D►
INS OWIL F tt O
DESCR PTION OF WORK p 1?G 3 2.
NEW ALTERATION ADDITION -2'441
O
S
REPAIR MOVING /� DEMOLISH 7 O_
B Z[ - D b NOUN" '7 STORIES ` /QGC Ssp
.
WALL
ROCr
COVERING COVERING ST sip L
USE or NEW
Bl1ILDING cf
9-/ ocfE /'TIF'
/q.r,. y .er„►r c�
OtilT �Ll1G i^r � Fi •••,
1 W
HEREBY AGKHOLEDG[ THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE 18 CORRECT INSP R DAT[
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION?LOCATION
AND STATE LAWS REGULATING BUILDING OON UCTION FORNS.MATERIALS w�_/ -lQi-
FRAM[t flR[BTOPS. / /
SIGNATUREOF BRACING BOLTR
PERMITTKI LATH, INT. G
AUTHORIZED ACT LATH. [XT
9e✓b'fM-a L-eD !0 Pa S rO PLASTER.INT.
FEE J PLASTER.EXT.
VALUATION ZEE B 2 1 , 00 FINAL La}n
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES 0 BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION - FOR APPLICANT TO FILL IN 81.1f
L
AGG
I hereby affirm that I have a certificate d consent t0 sell Inane ,
BUILDING
«e certificate d to
Workers Cornperisan Inaum «nca a caroled ifiy/ a
copy thereof(Sec 3800 Lab C) Cm "P
Policy Ido COmlPemy LOCALITY
SIZE LOT NO OF B NOW ON LOT
❑ Certified copy is hereby fumisfed , NEAREST CROSS ST I
❑ Certified COPY M filed with the county building Inspecten TRACT BLOCK LOT NO
department USE ZONE AMP NO
Date Apploent ASSESSOR AMP BOOK R4GE PARCEL
SPECIAL conanoNs // _O
CERTIFICATE OF EXEMPTION FROM WORKERS R L z
COMPENSATION INSURANCE R G Sit 5 'W1 HIN 10M FT OF SCHOOL' YES NO
(This sedorn reed not be completed it the permit is for one hundred ADDRESS
DISTRICT GROUP CONST FIRE ZONE PRCCESSED BY
dollars(fstoo)or less) ,
I certify that,n the perl«mance of the work for Which this permit CTTY ZIP �`/ - '
9 Issued I Shall not WOW any person In any manlier s0 as t0 ARCHITECT OR ENGINEER � TEL NO D� -�
become ar6leCt to the Workers Compersatlon Laws STATISTICAL CLASSIFICATION APT CONDO
Date App ri ADDRESS CLASS NO fCLn� DWELL UNIT$ ,
W710E TO APPLICWT If after makvV this Certificate of REWIRED TOTAL SETBACK FROM EXIST
Exemplon you should become BUbreof t0 the WUrkem - TEL NO SET BACK YARD HWY PROP UNE WIDTH
Compensation provisions; of the Labor Code you must forthwith
comply with such provisions«Aha permit shall be deemed revoked ADDRESS -LIC NO PROM
LICENSED CONTRACTORS DECLARATION CITY LIC CLASS ploE a0
I hereby affirm that I am Icensed underprovitora of Chapter B _ SEWEU
(cmrind
« melg with Secton 7000) Division 3 of the Busmess and SO FT SIZE NO OF STORIES NO OF FAAIRIES NEW +❑ BK RAMP PG O
Professoro Code and my loense Is In full force and effect
Llcaree Number LAC Class DESCRIPTION OF\KIRK ADD ❑- X11111* , 0
Contractor Date _ odd P ALTER ❑ `P / i/ oD. a.
❑ 1 am exempt under Sec I G L/` REPAIR ❑ $ Z
BBPC for this reason /e GV/jT pC DEMOL ❑ '
TDMA PIC
Date USE OF EXISTING BLDG n �., URM ❑
Signature Fti 1
AFiPL7lPIUYTI TEL Ib IDMA Perm
�1 as owner d the properly or my employees with wages as - 5 _j z ACGT.O
I their sok corrperseton will do the wok and the structure is ADDRESS ' N _ O 92.215
Professions
intended or offered f« sale (Section 7044 Business and LC L FINAL DATE FQ 3303
Professions Code) NLL THE A➢PLKAM OR FULIxE BULONa OOCINAHi HANpLE A HAZARDp1a WVEfGt G
❑ I as owner of the property am exclusively C«Itracting w th ca A wTURE c«ra..av A HAZAmous NMTERML Eouu To oR aREaEa TFVN TIE 1 ITEMS
.rO NTS SPIT s D ON E HAZARoaus MATED woRMAnoN G eE+ TOTAL
Busied Cnd Protes or cC de) the poled (Becton 7044 TEs❑ ro❑ FlIIAL BY 92. 25
Business and Prdesaxxis Code) MLL TW MEDED EaA aTI THOR nUE
GASH �lr
.
A%PuR FOR QRMCigN OR CATION AE 6
CONSTRUCTION LENDING AGENCY cQASr NR OUXUTY £MENT aT iGI E PRNECKusr Foo
auoEurEs CHANGE , .Q�
I hereby affirm that there is a coratru0cm lending agency for YEs❑ Io❑ '
the performance of the wok for whch this permit is Issued(Sec IHAVEREAn TIE HAawnousrlATEra.uslrsoRAwaHouoE AID THE ywolovEw.nTro I
3087 Civ C) CHE UST I UNDEnaWD W RE0.IREN UN R THE UDI ANGEiE9 COMfTY LOGE
Lender 9 Name hRV�I.R TER 2 20 a CT I A 100 AA FKXGHH FROM THE 9CAOND HAUID«IS
Lander a Address 5E33 1 F11 4:48
oA.eR
I Cffldy I have read Ifas apploatDn and sate uMer penalty PC FEE FEE
d ry abae Id .Z w a correct I agree to cortply
y h end Sate laws relating to budding
dJ ulhonze representatives d this County ISSUANCE FEE
in
to t PmPenY lotl�
?IJ30 •__ " ' I� �; T
ESTIOATION FEE TOTAL FEE '
. TY yw
SEE REVERSE FOR EXPLANATORY LAk6UAGE
COUNTY OF LOS ANGELES TEMPLE CITY M 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVRLOPMENT TEMPLE CITY CA 91780 BL 0508 0506070049
PHONE (636) 285-0488 EXT DUPLICATE
LEGAL ID NO OF CONST BUILDING ADDRESS
BS 56 PG 13 PC 33 SQ PT ,STORIES TYPE 5074 SULTANA AV
STRUCTURE VN TBMP,CA 91780
ASSESSOR INFORMATION NUXHER -NEAREST CROSS STREET 1
5388-017-014 THOMAS PAGE GRID - LOCALITY TEMPLE CITY, C
TEBANT EXIST BLDG USE RESID USE ZONE R-2 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC ORP 06/07/05 JR 06/02/06
OWNER TEL NO BLDGS NOW ON LOT VALUATIONFF''// �1�T �
FINAL BY CODE
DUBE, CHERYL (626) 222-0163- 4,550 y �
5074 SULTANA (J��
AVE Ln�'
TEMPLE CITY CA 91780 FEES PAID D�
WINDOW CHANGE OUT 10 WINDOWS (SAME SIZE)
PER DESCRIPTION QUANTITY DOM AUNT )
APPLICANT TEL NO MO
HARDY (714) 996-1807- AA BLDG PEEWIT I65UANCE 27 75
1275 LANCE LABS AC STRONG MOTION RESID 4550 00 VAL 0 50 SPCCIAL CONDITIONS
AHABBIM CA 92806 D] PERMIT W/0 EN-RC 4550 00 VAL 132 60
TOTAL PEES 160 85
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
HARDY WINDOW COMPANY (714) 996-1807- _
1275 LANCE LANE LIC NO ` - "� LOCATION AND SETBACKS
ANAHEIM CA 92806 5033238 S i
SOILS ENGINEER APPROVAL
1
ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH POR
_ 1
LIC NO SLAB UNDER FLOOR
RAISED FLOOR FRAMING
NAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
1448265 3 01
PLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS _
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS 1
NO NO NO FRAME INSPECTION
i
REQUIRED TOTAL SETBACK FROM EXIST FINE SPRINKLER HANGERS
SET BACK YARD RWY PROP LINE WIDTH
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ASSEM
RATED WALL ASSEMBLIES
RATED SRAFTS OPENINGS
T-BI CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
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