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HomeMy Public PortalAbout5114 SULTANA AVE_Building__ JOA63 BA`EaB0o 365 APPLICATION FOR BUILDING PERMIT T COUNTY OF LOS ANGELES ADDRESS - ✓ /�� DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP T OF BUILDING CROSSST - DIS RICT NO GROUP _ TYPE_ _ PROCESSED BY RENGINEER OR APPLICANT TO FILL IN JO _ coNST NG � TATI9TICAL C A1PICATION - SEWER P49 _EK PGCLASS NO -DWELL UNIT,~Q BLOCK USSEEEZONE MAAPT /� ECIALF LOT / NOw ILK LOT�' BLDG alTeAcn )ROMTEL IMONT PROP LINE OF NO 3 TYPE 01 !%)STING SETBACK XIBX WAY YMp A= r.TOTAL SS L ID v - F MCL %r-- - - - - - I C ZO T4wpBLDG SETBACK FROM `ECT OR TEL BIO[ PROP LIKE OF4 - - ' -----'- STREET) ER NO TYPE 01 f%)DTI NG SETBACK_ HIGHWAY_-+---YARD __YARO ___ TOTAL bDR SS xIBH.Ay WIDTN FROM C L I TEL - _ __- _ ._ -_ -+ ACTOR NO O LIC CORNER CUTOFF YES NO V S LNO I CITY CL SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK / �i n i- a ADO ALTER REPAIR DEMOLISH / � /NO OF NO OFZSTORIES FAMILIFSI /I I URE Fr4�!, ♦CO��� �URE FANTVTION$ yZQO� APPROVALS- DATE Ix3P[ A'D SIGNATURE P C_ PTFOUNDATION LOCATION FEE$ FEE$ ZZ � FORMS MATERIALS 7- IRAM FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGRC[ TO COMPLY FURNACE LOCATION WITH ALL COUNTY OROINANCCS AND STATE LAWS REGULATING GAS VENT DUCTS T %UILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK f' AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT "K{{ ' TION OF THE LABOR CODC OF THE STATE ( CALIFORI RE LAT ]NO TO WORKMEN SCOM { N IN ICE LATH EXT SIGNATURE O HOUSE NUMBER COR- PERMITTEE RE AND POST ADDRESS -IF� & U FI NAL -Z"GSI JOHN F LEWIS PRINCIPAL STRU TURAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERM VALIDATION cK M o CASH LA, 3,0 a 7�S sJN27 1 o 2.00- 4n4t ' l DEPASn =T OF COURIY SNOB v arVMION OF BUMDING AND SAFErY 1953 BUILDING A COUNTY OF LOS ANON 1 1 WILLIAM J. FOX. CouNrr ENGINEER APPLICArION • CASSATT D GIFUMN. WF'T Or BUILDING 1_ - , BUILDING FOR CANr TO FU IN OFFICE USE ONL"1f ADDRESS • j%U L � PC T DISTRICT NO CK OR q No PERMIT NO LOCALITY eM L E I/ f� R IvrD BY DATE OF APPLE DATA 88 NEAREST CROSS ST. r �0 - BUILDING OWNER C r ADDRESS MAIL �y /1 LOCALITY ADD. l SST1 CITY S ��Ty .T-Q `L/ CROSS O 1 HT PIRG NO OP TY GROUP/ ARCHITECTOR TEL ZONA PLANS Z .T ENGINEER O ADDRESS SLDG / ORD SETBACK LINE L CONTRACTOR C P7� G/0/1 ua6 APPROVHD SONS BY DATE ADDRESS Zd HOUSE NUMBERING I LE MAP NUMB O ASSIGN BY- DESCRIXIONDNO , I COHRECrIONB TRACT SIZE OF WTA O 9v istmi,NOW ONS 1 USE OP NO OF KK BT NG SLOG FAMIIJWS DESCFJMON OF WORK D - NEW O 2 REPAIR DEMOLITION r EO PT �S� NO OP SIZE V ROOMS STORIES BZT WALL ROOF COVERING O/ eJ USE OF UCTUR6 a /j 00 �� .� G�,p APPROVALS I PRCTOOSBIGNATUR6 E AT Oy. �/" iS'>e Jx IoFOORMATMATERL LOCATION -7 9 f3 1 HEREBY ACKNOWLEDGE THAT71 HAVE READ THISAP- FRANK FIRHSTOPS. PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS CORRECT FURNACE LOCATION. I AGREE TO COMELY WITH ALL COUNTY ORDINANCES GAS VENT DUCTS AND STATE LAWS YLATI O CONSTRUCTION SIGNATURE OF LATM' INT PERMITTER 4 :1 p t (icy h f LATH EXT J ADD orb C��j AUTHORIZ®AGT �l✓�� Y•T PLASTER, INT PLASTER. STT HOUSE S Q I/O u P S 00 NUMBER COR E - 1 //VS F� ORECTUSE AND POSTED vwwwnoN — C' FINAL �d TSAOMM ops e-e� I WORKERS COMPENSATION DECLARATION hereby affirm that I have r certificate of tion Int to ranelf APPLICATION- FOR BUILDING PERMIT LI IS insure, or a certificate of Workers'Compensation Insurance ' 'or a certified copy thereof (Sec 38DO Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAF PolicyNo PC975585romponlRenublic Indemnit - El Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUAD�S�S It> ® Certified copy is filed with the county building inapec BUILDING ton deportment ADDRESSLOCALITY Date 11 -1 -RS Applicant RandrIl Rnnfnng CITY Temple City zip 91780 NEAREST CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS , NO OF BLDGS ASMSSW COMPENSATION INSURANCE „ SIZE OF LOT NOW ON LOT MAP BOOK PACE PARCEL (Thu section need not be completed if the permit is for one TRACT BIOd( LOT IJO U E 2 !O hundred dollars(5100)or less ) X,I certify that in the performance of the work for which this OWNER Mar Burke 85-7929 COND IONS S ,permit is Issued I shall not employ any person in any manner - I - - - — -- - _ DIST ICT G71, TYPE FIRE D BY r so as to become subject to the Workers'Compensation Lows ADDRESS Sultana /`f7g / ) 3 CONST^r� ZONECITY t V Date -1 -26 ApPIIcantD ...i..1 D-o F f. r o n e ARCHITECT OR Temple City ZIP TEL STATISTICAL CLASSIFICATION - APT DO V NOTICE TO APPLICANT If after making this Certificate of ENGINEER - NO- LASS NO DWELL UNITS_ W Exemption you should become subject to the Workers d Compensation provisions of the Labor Code, you must forth- ADDRESS - - - P so with comply with such provisions or this permit shall be ? deemed revoked CONTRACT TEL a PG VALIDATION LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 529 E.V e l l e Bl - NO 451937 VALUATION - (commencing with Section 7000)of Dlvuon 3 of the Business and LIC Professions Code, and my license is In full force and effect CITY San �ahjriel CLASS C-39 It 1677 . 00 ► SQ FT NO OF - NO OF CHECK License Number. 4 5 19 3 7 Lic Class C-39 SIZE STORIES FAMILIES ONE Contract&andol Roof- DESCRIPTION OFWORK Re—roof house NEW ❑ $ O l am exempt under Sec and REara2e with Class "A" AMFINAL❑ p BBPC far thisremon REPAIR fiber las shingles . - - ALTER C] �J DATE 4- ZJ U� USE OF Date - - EXISTING BLDG _ DEMOL ❑ E N Signature APPLICANT TEL OWNER-BUILDER DECLARATION _ PRIM I hereby affirm that I am exempt from the Contractor's License r Law for the following reason (Section 7031 5, Busmen and ADDRESS 592 gan rabp - ' Professions Code) ' ❑ - _ _ _ , I, as owner of the I employeesBUILDING property, or my employewith ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LQCALITY 7044 Business and Professions Code) MOVING TEL _ I, as owner of the property, am exclusively contracting CONTRACrOR NO - 4 0 9.9 A with licensed contractors to construct the project (Sec ADDRESStion 7044, Business and Professions Code) # e e REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SE7 BACK YARD HWY PROP LINE WIDTH I e e 49.8,8 1 hereby affirm that there u o construction lending agency for ,, FRONT the performance of the work for which this Permit is Issued P L • • • 49.886 ISec 3097 Civ C ) SIDE PL 0224-86 Lender s Name Lender s Address P C Fee f Permit Fee 39 . 38 - , I certify that I have rood this application and state that the issuance Fee 10 . 50 above information Is correct I agree to comply with all County Invmtigaean—F— ordinances and State laws relating to building construction Total Fee $ '49 . 88 ' and hereby authorize representatives of this County to enter upon the ab v nt grope f Inspection purposes SEE tEVE16E FOR EXPLANATORY LANGUAGE _ - Signatufi Applicant or A411int Date ma COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1304180021 _ PHONE (626) 285-0488 EXT LEGAL ID , NO OF CONST BUILDING ADDRESS ON FILE SQ FT (STORIES TYPE 1 5114 SULTANA AV _ (ASSESSOR INFORMATION NUMBER (STRUCTURE V-B TEMP CA 917803047 NEAREST CROSS STREET 5388-018-005 THOMAS PAGE 596 GRID H5 IACALTTY TEMPLE CITY CAI I TENANT !DGS IST BLDG USE RESID USE ZONE R-2 ISSUED ON PROCESSED BY IST OCC GRP 104/16/13 SR 1 1 - TOWNER TEL NO NOW ON IAT VALUATION IF DATE; 3i1 Y CODE (SULTANA TC LLC - 12 000 �/] 15114 SULTANA AVIR (TEMP 917803047 FEES PAID 1dE9 ,IPTIO OF WORK REMODEL KITCHEN 2 BATHROOMS AND REPLACE 17 WINDOWS (FEE DESCRIPTION QUANTITY UOM AMOUNT I (NO GRIDS) APPLICANT TEL NO (DAM STEVEN - 626 - IAA BLDG PERMIT ISSUANCE 27 BO 19320 RALPH STREET IAB STATE GREEN BLDG FEE 12000 00 VAL- 1 00 SPECIAL CONDITIONS - 1 IROSEVEAD CA 91770 AC STRONG MOTION RESID 12000 00 VAL 1 20 IB2 PERMIT W/ENERGY 12000 00 VAL 275 20 1 IFR INV WORK W/O PERMIT 339 60 DOL 339 60 1 CONTRACTOR TEL NO 1 TOTAL FEES 644 80 (APPROVALS DATE INSPECTOR SIGNATURE 1 (SEASON CONSTRUCTION INC (626) 625-5248- 1 19320 RALPH STREET LIC NO IIOCATION AND SETBACKS IROSEMEAD CA 91770 827959 1 I (SOILS ENGINEER APPROVAL 1 ARCHITECT OR ENGINEER TEL NO - FOUNCATION/TRENCH FORMS LIC NO SLAB/UNDER FLOOR (RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP � � UNDERFLOOR INSULATION 0 FLOOR SNEATHING NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS ' ,� II NO 21 "�` (ROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS I (AIR QUALITY 1000 FEET MATERIALS - NO NO NO (FRAME INSPECTION I 1 FIRE SPRINKLER HANGERS 1 INSULATION/WEATHER STRIP (INTERIOR LATH/DRYWALL 1 (EXTERIOR LATH 1RATED,FLOOR/CEIL ASSEM RATED FALL ASSEMBLIES RATED SHAFTS/OPENINGS 1 1 T-BAR CEILINGS 1 • ADDITIONAL DATA ON FILE --- '- 1 l AT DRAINAGE 1 1 IMPORT ID DPR261 ROUTE TO BS0508 I I I I