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611
DVARTMENT OF BUDSf'AND SAFETY APPLICATION FOR PERMT
COUNTY OF WYANGELES ) I� w t B p I L® I Ea 1 G
a LO
WM J FOX, CHIEF ENGINEER �J 1 tl
FOR APPLICANT TO FILL IN FOB-OFFICE USE ONLY
BUILDING 1 DISTRICT NO I PLANCKNO PERMIT NO
ADDRESS �^_ 37S So _ ,
, 7
I � � RECEIVED BY DATE OF APPL DATE ISSUED
LOCALITY
NEAREST /y.�
CROSSHT ,ti 11r��,1gQ w1/.yw4 �J. J 7w: tel BUILDING
8 '-L7S �, •i
OWNER I
' g_nA �4 ♦MAIL Cp •
ADDRESS ./J/O o✓I✓Y,� NEAREST
.�
J Q TEL CROSS ST
CITY �,� / / J LA NO FIRE NO OF TYPE GROUP
ARCHITECT OR / TEL ZONE PLANE 1 L) .J•]�I J
ENGINEER NO BLDG ' ORD NO
_ y SETBACK LINE �y y�
ADDRESS ' APPROVED , - --
• TEL BY DATE
CONTRACTOR J/ A NO - USE / APPROVED -
•��-^ �� ZONE A,/ BY p DATE I
ADDRESS HOUSE NUMBERING
1
LEGAL cq - O b I F '
DESCRIPTION �-OTrN r BLOCK MAP NUMBS IELD CHECK BY
TRACT�`yI MJa U+�•OIi/ �h�� NO ASSIGNED BY DATF
1 NO OF BLDGe],.. - CORRECTIONS
SIZE OF LOT NOW ON LOT r/ / ^; Ir"
• ,r /�' / JAn�
USE OF NO OF 'l �/j +. / '
¢X16TING BLDG FANI LI[¢
DESCRIMON OF WORK
NEW I I ALTERATION I I ADDITION
O
REPAIR DEMOLITION - - +' _ - + - — - - Fi
SO FT + NO OF 'I O
SIZE ROOMS STORIES � ' U Z
EXT I _ /J NNN 1
COVERINQA3 k,� . w__ I COVOHRINGjfA.%.M /.••••p) r
USE OF STRUCTURE
v 41
APPROVALS
INSPECTOR 8 SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION
CATION AND STATE THAT THE INFORMATION GIVEN I6 FORMS MATERIALS �/
PLICATION
(/✓ C
CORRECT
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRHBTOPS /
HERRON AND WITH ALLICOUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTIONFURNACE LOCATION,' d
HIGNPATURE OFERMITfEE �' � ��r-I /�Iq .• GAB VENT, DUCTS _
LATH, INT
ADDRESS
' LATH, EXT rI
AUTHORIZED AGT
PLASTER, INT
EVALUATILON .
38cFee PLASTER, EXT
I 3% FeE f Z FINAL
i0
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN Bu1LD1Na
I hereby affirm that I have a certificate of consent to self Insure,
RE
«a cert irate of Workers Compenmtpn Insurance,or a certified1^p��copy thereof(Sec 3900 Lab C) n Policy Nu �nyLOCALRY
— NO OF NOW ON LOT❑ Carthfied copy b hereby furnished W NEAREST
❑ Certified copy b flied with the county building Inspection BLOC( LOT f�
department USEZONE MAP NO
Dale ApplicantASSEMAPrPAGE PARCEL SPECIAL COND/TIONS
CERTIFICATE OF EXEMPTION FROM WORI ERVTEL g YES NO
COMPENSATION INSURANCEVVLA WRHtN 1000 FT OFSCHOOL?
(mils section need not be completed H the permit is kir one hundredDISTFJT;FJFIREZONEICr GROUP BY
dollars(:100)«lees) ,to w A
I certify that in the performance of the work for which this perms
Is Issued I shell not employ airy parson In any marcor so es to AgcN OR ENGINEER TEL NO
become subject to the NbrkerW Compensation LewyKATION ��� \/ APT
Deft-Applicant ADDRESS CLASS NO DWELL IINITB_SL
NOTICE TO APPLICANT If after making this Certificate of REOUIgEO TOTAL SETBACK IXtST
Exemption you should become subject to the Workers CONTRACTOR TEL NO BET BACK YARD HWY PROP UNE WIDTH
Oomperreetion prorlelons of the Labor Code you must foMw9h FRONT
comply with such pnovfdore or this permit shall be deemed revoked ASSLIC NO PL
LICENSED CONTRACTORS DECLARATION CITY LID sass PDE a
I Hereby affirm that I sin licensed under provielorm of Chapter 9 SEWER MAP 8
(Comirm ng wnh Section 7000)of DIVldon 3 of the Business and SOFT 912E NO OF
STORE$ NO OF FAMILJEB OC
Professions Code and my license m in hill form and effect NEW BK PO ,
License Number Uc Class DESCRIPTION OF WORK ADD ❑ Y
rxW
Cormtraor Date ALTER ❑ ; z
REPAIR ❑
❑ I em exempt under Sec REPAIR
B BPC for this reason d' DEMOL ❑ LDIAA P/C0
Date USE OF EXISTING A, URM ❑
SignlBtilre cAlrr NT) NO IDW Pwm1 L
en owner of the property « my employaee warm wages r AtCT.:
their sob mmpensation will do the work end the structure reAOORESS
not Intended «offered f«sale (Section 7044. Business and FINAL DATA J:,07 70.38
Professions Code) w1tLT1�APPl1rJlRcels!MEeWIneIOOCQxwNrmWIDIEAHAZAROOUaMR6WL A 1lAl
OR A L ITEMS❑ I, as OWlar Of the prop", em exG Ii(inAE lxxnAlNRq .NOOl1B mW6aAL®I1.LL TO ori OREAIFA TINN '
W.Nely CW*Wtxg With TIeA1gLNTe oNTlewvAnnousmAaFwNssaaerArallouier F
LaY TOTAL ?a _ �..
licensed Contractors to Construct the Wood (Section M44 ,�,❑ � Q
Business and Pmfaedorro Code)
wu ne snr9m®uses«Tl�enw.olnc er Tie AP0.IGHI Cn nrlome euacsq CHECY, 70.3:'
CONSTRUCTION LENDING AGENCY occuvAIROu weAPeernwncamrwlT(SCAQ uoSErmroroN n10YTHaapI111
corer An omTRmcr teuwuot AEE Peamnma a�matar
I hereby affirm that there Is a c«utructlon bndmg agency for YES❑ �
CHANGE .Ou
the performance of the work for which this perms Is Issued(Sec
9087 CIV C) �NG � OsRlOANO w Ulifia T Mia (�r�ry� �m(�r� L 4/WI pr
COUIIIYC00 TreR c�twr�eRrnasrsp flELTnOrOsm lmTHlIXgR➢�tre CONCBbeNo L0001—OMI p/ 4/WI
Lendevs Name HArArao�wor A�aNpAPeear marTseecwsro LDEL L AFI 7:32
Lender's Address awnat.mF`n ��Gl. ��
0 1 cBrirfy that I have read this application and atase that the abo a MYSPC FEE PEAMR FEE I information is I agree to Comply With all county
Ordinances;and State laws relating lo building coneVuc6wn and
§<if hereby aut orRa repreeem�attm of this Cthe abAve-mentioned Inspection %mita upon ISSUANEE
CE F
INVEEMGATION FEE TOTAL FEE
0@ REVERSE FOR EXPLANATORY
� I
COUNTY OF LOS ANGELES +i TEMPLE CITY # 0508 1 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS I 9071 LAS TUNAS I ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT f TEMPLE CITY CA _ BL 0508 9610140006
I PHONE (818) 285-0488 EXT I
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SO FT STORIES TYPE 5509 SULTANA AV
STRUCTURE 0 V TEMP CA 917802323
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5387-027-013 I THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE RESID ISSUED ON PROCESSED BY EXPIRES ON
OUST OCC GRP 10/14/96 TC 10/14/97
OWNER -TEL NO: BLDGS. NOW ON LOT VAL9UTUW_ FINAL DATE
r a�
GIBBS RONALD W,MARY-LWISE (818) 287-8418- 1 2,500 l�'Z
5509 SULTANA AV !�
TEMP 917802323 FEES PAID
F WORK
REMOVE�/INSTAALLL WITH 30# FELT 25 ELK FIBER SHINGLE ,
FEE DESCRIPTION QUANTITY UCM AMOUNT
xpperomr__ TEL NO
HAUKOM ROOFING (818) 285-9011- AA BLDG PERMIT ISSUANCE 27 75 -
6122 N IVAR AVE AC STRONG MOTION RESID 2500 00 VAL 0 50
TEMPLE CITY, CA D2 PERMIT W/0 EN:HC— I �TAL0000 VAL EES1 127 15
40
q`�`_(V.a`
CONTRACTOR:
1V
HAUK0M ROOFING (818) 285-9011- ,
r I
6122 N IVAR LIC NO GLOCATION AND SETBACKr____
TE14PLE CITY, CA 438388 C39 O-✓
ARCHITECT OR ENGINEER: TEF-0 '�j RMS
LIC NO 1,1, SLAB/LINDER FLOOR
14AP NO SEWER MAP BOOK: PAGE F rWF76WF___W7 147H265 3 01 PUBLIC WORKS ,
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
NO 21
SCHOOL WITHIN HAZARDOUS
AIR ONO O
No Mn1000 FEET MATERIALS SHEAR/Y�/ FRAML INSPECTION
REQUIRED TOTAL SETBACFTM OR, FIRE SPRINKLER HANGERS
^ l\
SET BACK YARD FAY: PROP LINE WIDTH V C y, _���
FRONT PL- IINSULATIONNEATHER UM
SIDE PL-
INTERIOR LATH/DRYWALL
S,
EXTERIOR LATH
I
RATO SHAFTS/OPENINGS
T-BAR CEILINGS
GE
REPORT ID DPR261 ROUTE TO BS050B 1
I
COUNTY OF LAS ANGELES TEMPLE CITY K 0506 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/%PAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0804240015
PHONE (626) 285-0488 EXT '
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 5509 SULTANA AV
BROADWAY
ON NUMBER NEAREST CROSS SIRE=STRUCTURE V-B I TEMP CA 917802323
ASSESSOR INFORMATI
538]-02]-013 I I THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, Cl
I '
TENANT EXIST BLDG USE RESID USE ZONE A-1 JISSUED ON PROCESSED BY EXPIRES ON
I EXIST OCC GRP 104/24/08 VG 10/21/08
(OWNER TEL NO JBLDGS NOW ON IAT VALUATION
GIBB5 RONALD W MARY-LOUISE (818) 287-8418- I 2,500 BY CODE
5509 SULTANA AV
TEMP 917802323 I FEES PAID
1DBSCRIPTION OF WORK 1
(BATHROOM REMODEL
I FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO It
(DAN MIKOLASKO CONSTRUCTION (626) 338-0055- AA BLDG PERMIT ISSUANCE 27 75 1 1
AC STRONG MOTION RESID 2500 00 VAL 0 50 SPECIAL CONDITIONS
D2 PERMIT W/O EN-HC 2500 00 VAL 9901
TOTAL FEES 127 25
ICONTRACTOR TEL NO I APPROVALS DATE INSPECTOR SIGNATURE
1DAN MIKOLASKO CONSTRUCTION (626) 338-0055- I 1
5048 A CALMVIEW AVE LIC NO I LOCATION AND SETBACKS I
BALDWIN PARI( CA 91706 855601B
SOILS,ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO
1FOUNDATION/TRENCH FORMS
ILIC NO l ISLABjUND &R FLOOR
RAISED FLOOR FRAMING
I
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP
14]-265 3 011 UNDERFLOOR INSULATION
k
I I IFLOOR SHEATHING I
ANO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 1 4
NO 21 JAOOF}SHEATHING
SCHOOL WITHIN HAZARDOUS I iSHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
I NO NO NO FRAME INSPECTION
IAEWIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
1SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INSULATION/WEATHER STRIP
I SIDE PL- I
INTERIOR LATH/DRYWALL
EXTERIOR LATH
(RATED FLOOR/CEIL ASSEM
RATED WALL ASSEMBLIES
lRATED SHAFTS/OPENINGS
T-HRR CEILINGS
LAT DRAINAGE
I
1 IREPORT ID DPR261 ROUTE TO BS0508 i `
J