HomeMy Public PortalAbout5139 SULTANA AVE_Building__ Y ; X�f3399 ,
T.Ao.A aa,.e.eo APPLICATION FOR BU ILCi N�P�,ERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGRUn ADDRESS
BUILDING AND SAFETY DTVLSION LOCALITY
JOHN A LAMBIE. COUNTY ENGINHGR NEAREST
CABBATT D GRIFFIN aU''T OF BUIMING CROSS ST A
DI N GROUP TYPE , PR E88 BY
PP
FOR ALIC TO FILL IN S CONST
BUILDING ST ISTICAL CLASSIFICATION SEWER MAP
ADDRESS / BK
CLASS No_ZUNITE
LOT NO BLOCK MAP qq STATE
NUMBER YES NO
iQ HWY
U E ZONESPECIAL
TRACT NO OF SLDGS ��� CONDITION
SIZE OF LO NOW ON LOT
USE OF
EXISTING BLDG BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER L� AFRONT 9 r�
ta
MAIL ` P L �)
ADDRESS J SIDE
TEL P L
CITY No INSPECTION RECORD
ARCHITECT O)rTEL
ENGINEER NO
ADDRESS
THL
CONTRACTOR E f NO
ADDRESS �/I
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
NO OF NO OF L S
SIZE CT94r STORIES FAMILIES
USE OF
STRUCTURE
%IGNAT4RE OF -
APPLICANT
APPROVALS /DATE IN9PECT g99IGNATURE
ADDRESS .lP FOUNDATION LOCATION
FORMS MATERIALS
VALUATION s�300`_ FRAME PIRESTOPS
BRACING BOLTS r1zZ7Y Cltq V-Q G
PC pOH' PMT FURNACE LOCATION
FEE O FEE S p4 GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY IT L COUNTY ORDINANCES AND
STATE LAWS R BUILDING CONSTRUCTION LATH EXT t V
BI O NATURE OF /1 HOUSE NUMBER CDR
-
PERMITTE �/ RECTANDPOSTED
ADDRESS FINAL /E]
CLYDE N DIRLAM PRINCIPAL ST CT AL ENGINEER
PLAN CHECK VALIDATION cK r o cALH PERM VALIDATION cK o CASK
! To29.6.7APR 62 3 18.00AR
OF
L}Cp 9 4 6 6 E APR 19 1 A 3?�6.0 0
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES -BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANTTO FILL IN BUILDING ADDREI!
I hereby affirm that I hove a certificate of oanwd to asif Irmam BUILDING ADDRESS �d
or a certificate of YlbnkeW Compensellon su
Inrance,or a certified 5139 Sultana
capyy1139547b c) State Compensate n� Temple Cit LP 91780 LOCALITYPOSOY IVNo Company_Trig T'U➢d SIZE OF LOT NO OF BLOW NOW ON LOT
,�❑1 Certified copy N hereby fumNhed NEAREST CROSS ST
]LW Certified copy s Hied with a county
)bbuuiildtrp Inspection TAT BLOCS LOT NOdepartirrim USE ZONE MAP NO
Dea_Q88-0t9-9 W / ASSESSOR MAP BOON PAGE PARCEL SPECIAL CONDITIONS
OWNER TEL.CERTIFICATE OFEIGEMPTIONFROM WORKERS! Marty Merendino 875788 WmleNToonFTOFSCNODLx YES NO
COMPENSATION INSURANCE ADDRESS(TTN section read not be completed fi the permit s for one hundred 5139 Sultana D1 M r GROUP TYPECONST FIREZONE PROCESSEDBY
dollars($100)m less)
I coney that In the performance of the work for which this permit' CITY Temple Cit im 91780 ��� 3 V 3
N Need I shall not employ a1ry person In any manner so as to ARCHITECT OR ENGMEER TEL No ,L�
become"act to the Nbrkers'CompensaBDn laws _ None STATISTICAL CLABMSI/EICATTON APT
CONDO Data Applicant ADDRESS c1Ae8 No SGL DWELL UNITS
NOTICE TO APPLICANT If, after making this certificate of REOINRED TOTALBETBACKFAOM oder
Exemption, you should become subject to the Workers CONTRACTOR TF No SETBACK YARD tevy PROPLINEWIDSFI
comparmevon pmmios of the Labor code,You must lorthmth United RoofingCo. , Inc. 13 223-4081
comply with such KOM"or this permit elisll be deemed revoked ADDRESS LIC NO FRONT
1821 Dal St. 137650 PL
&DE >_
LICENSED CONTRACTORS DECLARATION �' uc CLASS a
I hereby affirm yet I am Incensed under pv ia«s of chapter S Los Angeles C-39 PSEWER MAP 8
(comm,enchhg with Section 7000)of Dnmuon 3 of the Business,and SO FT SIZE NO OF STORES NO OF FAMILIES
Prolmbrs Code, is In fun force and aff NEW ❑ SK PG
L=T /O5U C-19 DESCRIPnONOFWORK ADD ❑ VALUATION , DS
Y�c�9 Install 3—tab fiberglassDS
L=T
pate 08-09-91 ALS ❑ $ 1175.00 =
shingles over existing roof. REPAIR ❑ ;
❑ 1 am exempt under sec
B SPC for this reason Class A. DEMOL ❑ LDMA PIC•
USE OF EXISTING BLDp
Date Garage URM ❑
91grisWrsAPPLICANT(RmfT) TEL NO LDMA P01711
❑ I, as owner of the property, or my employees wth wages r United Roofing Co. Inc 223-4081
their ole compensation will do the work and the structure N ADDRESS
not Intended or offered for sale (section 7044, Bu si ess end 1821 Dal St. Los AngelesCA 90031 FtrIALrNLT[ i -7117 7-I
Prolesiloris Conte) wuTTaAParkiwraaFunuREeuoanooccurNrhwmLEANATARooLisaAThesvi bq�q a �.JJ
❑ 1 m owner of the property, am exclusively, contracting with an A Nocnse CONssIING A hWM✓0011a SAT EOLrL To OR oReoah THAN i L I' 11:
IlCefheetl CoflbHCters IO construct the Tena nECIF®ON The hWT/Jm01p 1LV6tlAla1MOlelAlloN aeon FINALBY >
likenBusied and Pales to
Cods) proles (sectloo 7D" Yea❑ W❑ - TOTAL 1 AL 70 _ 3 v
" AUW OFa ,a�a"`a ate ¢ems rHE:V 71 .
CONSTRUCTION LENDING AGENCY COAST No MR ..•"•" --nisaaCT MCAD l IiEE rsmrten ChecxUBT
CHANGE rI.1
I hereby affirm that there N a construction lending agency for y®❑ W❑
the performance of the work for witch yds permit N issued(sec
e 3087,Cly C) IPh m�miNW ae� UST I eT W REouommna R THE LOS� 1 iC1)0—
Lenders writhe l 1 {{[[ {{
5 CDUN YCOOE E2 CHAP ER Y906ECPO ID?�tOeT eq nM]a 1,000NCE erPq I AyI}+ L�1 71
Yl16aAl81WRagAlO Fon aenK�KTAFmrrneoY ne9CMm C�?l 1PMJJs, 3:35
Lelldart Address aruacAmR
0 1 certify yet I have need this application and Wte that the above MYs PC FEE PERMIT FEE Inromstiah N correct I agree to comply with county 57.38
orclinermp and state laws retailing to building construction,and
s mpresentarthiesof this County to enter upon ISSUANCE FEE
13.00
purposes—09-91 INvEsTnAnoN FIE TOTAL FEE
70.38
SFE REVERSE FOR EXPLANATORY LANGUAGE
' COUNTY OF IAS 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 0506 1208150013
PHONE (626) 285-0488 EXT DUPLICATE
LEGAL ID NO OF CONST
BUILDING ADDRESS 5139 SULTANA AV
ON FILE _ SQ FT STORIES TYPE
(STRUCTURE - V-B
(ASSESSOR INFORMATION NUMBER .� TEMP CA 917803048
15388-019-025 _ NEAREST CROSS STREET
THOMAS PAGE 596 GRID HS LOCALITY TEMPLE CITY Cl
TENANTEXIST BLDG USE REBID USE ZONE R-2 ' - ISSUED ON PROCESSED BY
'I EXIST OCC GRP �`_' 108/15/12 SR
TOWNER TEL NO IBLDGS NOW ON IAT VALUATION IF FINAL BY CODE
IMERENDINO MARTIN T (626) 692-9392- 1 3,500
5139 SULTANA AVE -j{�/�A/��T,E/��/__
ITEMPLE CITY CA 91780 i FEES PAID �D SC IPTION'IF WORK
IRETRO FIT NEW 8 VINYL LAW E WINDOWS ALL EXISTING WINDOWS
IFEE DESCRIPTION QUANTITY QOM AMOUNT (1) 'ONE PATIO DOOR (1) ONE ENTRY DOOR REPLACE OUTSIDE SIDINGI
1APPLICANT TEL NO I AND SAINT
JX-TREME BUILDERS (626) 786-2347- IAA BLDG PERMIT ISSUANCE 27 BO I
12509 EUCLID CRESCENT IAB STATE GREEN BLDG FEE 3500 00 VAL 1 00 SPECIAL CONDITIONS
(UPLAND CA 91784 AC STRONG MOTION RESID 3500 00 VAL 0 50
D2 PERMIT W/O EN-HC 3500 00 VAL 115 80
TOTAL FEES 145 10
CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE
X-TREME BUILDERS INC (909) 931-9964-
12509 EUCLID CRESCENT EAST LIC NO
VACATION AND SETBACKS
I I
UPLAND CA 91784 6271428
ISOILG ENGINEER APPROVAL
(ARCHITECT OR ENGINEER TEL NO
1FOUNDATION/TRENCH FORMS 1 1
LIC NO (SLAB/UNDER FLOOR
(RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CNP (UNDERFLOOR INSULATION
199H265 3 001
1FIAOR SHEATHING
N0 OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
0 NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
LAIR QUALITY 1000 FEET MATERIALS 1
NO NO NO i �` FRAME INSPECTION
•`` (FIRE SPRINKLER HANGERS
INSU[ATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM
RATED WALL ASSEMBLIES
(RATED SHAFTS/OPENINGS
ti IT-BAR CEILINGS
I Ll �I LOT DRAINAGE I
REPORT ID- DPR261 ROUTO BS0508
- -TE
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT ,
DEPARTMENT OF PUBLIC,WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1304050011
PHONE (626) 285-0488 EXT
LEGAL IO NO OF CONST BUILDING ADDRESS
ON FILE SQ FT - STORIES TYPE 5139 SULTANA AV
STRUCTURE 1000 V-B ` TEMP CA 917803048
M
ORINFORMATION NUMBER NEAREST CROSS STREET
19-025 ' THOMAS PAGE 596 GRID ` H5 LOCALITY TEMPLE CITY CAJrxIST BLDG USE REBID USE ZONE R-2 ISSUED ON PROCESSED BY
EX ST OCC GRP _ - (04/05/13 SR
I I
(OWNER TEL NO IBLDGS NOW ON TOT VALUATION JFIW DATE FINAL BY CODE
IMERENDINO MARTIN T (626) 537-1214- 1 7 500 1
15139 SULTANA AVE ' �I 1�2
TEMPLE CITY CA 91780 FEES PAID (DESCRIPTION OF WORK
KITCHEN AND BATHROOM REMODEL
FEE DESCRIPTION QUANTITY UOM AMOUNT
IA P-LICANT TEL NO
CORREA, MANUEL (909)1931-4464- AA BLDG PERMIT ISSUANCE 27 80 1 -
2509 EUCLID CRESCENT AB STATE GREEN BLDG FEE 7500 00 VAI,- 1 00 SPECIAL CONDITIONS
UPLAND CA 91784 1AC STRONG MOTION RESID 7500 00 VAL 0 BO
1D2 PERMIT W/O EN-HC 7500 00 VAL 183 00
TOTAL FEES 212 60 f
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
XTREME BUILDERS (626) 786-2347-
_ 2509 EUCLID CRESENT E LIC NO (LOCATION AND SETBACKS _
UPLAND CA 91784 627142
(SOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
LTC NO j jSLAB/UNDER FLOOR - -
(RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION
1 3 001 _
` I FLOOR SHEATHING -
1N0 OF FAMILIES DWELLING UNITS API/COND STAT CLASS I I-
I NO 21 1 ROOF SHEATHING
I I
I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS _
NO NO NO IF'RAME INSPECTION
` -
(FIRE SPRINKLER HANGERS
1 1
INSULATION/WEATHER STRIP(
INTERIOR LATH/DRYWALL
(EXTERIOR LATH
IRATED FLOOR/CEIL ASSEM
I i
(RATED WALL ASSEMBLIES
. 1
_ RATED SHAFTS/OPENINGS
T-BAR CEILINGS
•� 1 ♦ LOT DRAINAGE
.. (REPORT IO DPR261 '_ _ROUTE TQ BS0508