HomeMy Public PortalAbout5521 SULTANA AVE_Building__ I�eGr a APPLICATION FOR BUILDING PERMIT
DIVISION OF BUMDING AND SAFETY BUILDING
Depmtmwl of County Engbmw ADDRESS
(.'Opp1� Of Lop Angeles LOCALITY
JOHN A LA Ai B1E, COUNTY ENGINEER NEAREST
CABEATT D GRIFFIN, Our T Or BUILDING CROSS ST
FOR APPLICANT TO FILL IN D16:7 NO c OUP TYre SE E PG
CONST I
�
ADDRESS— /-
NU Ap STATE Via O
LoqIFIO t BLOCK USE SPECIAL yy '
CONDITIONS!i
TRACT
NO OF SLOGS
SIZE OF LOT NOW ON LOT BUILDING YARD HWY STREET NAM! EXIST
USE OP SETBACK WIDTH
EXISTING BLDG FRONT
P L
OWNER SIDE
MAIL
�+ LL P L
ADDRESS�/ /`
O TRACT DWELL 1 UNIT $ INOUBTRIAL
TEL I DWELL 1 UNIT
CITY NO B PUBLIC BLDG
ARCHITECT OR TEL 2 DUPLEX E UNITE
ENGINEER NO 9 APT UNITS MIDCE ALT, ETC
8 MIOCHL
ADDRESS / p 4 COMMERCIAL
CONTRACTOR ( NO TEL�7/6 II INSPECTION_RECORD
ADDRESS O "ylII, r
DESCRIPTION OF WORN o. .
NEW ADD ALTER REPAIR DEMOLISH
HO FT NO OF NO OF
SIZE STORIES FAMILIES
US 8TR IjRE I
SIGNATURE O
APPLICANT F - APPROVALS
ADDRESS DATE IK PECT01 99IGNATURE
r' FOUNDATION LOCATION
Y / f P C E (��� FORMS MATERIALS 5
U ('o (/ FEE
FRAME FIRE STOPS,
VALUATION FEE
!f O_ BRACING BOLTS 1 1 Lry'
FURNACE LOCATION,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS OAS VENT DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT I
AND STATE LAWS ULA NO ILDING CONSTRUC-
TION 1 v
LATH EXT
SIGNATURE OF HOUSE NUMBER COR- �-I
PERMITTEE RECT AND POSTED 4 S\ C�
ADORE FINAL
JOHN A.LAMBIE, COUNTY ENa1NvER VALMATION CLYDE N DIRLAM. CHIEF BLDG INSPECTOR
Cu MO C H
I
Lp 5 1 8 6—. rEB 15 1 6 1 10 01
ulr'- 59496 MAR12 1 2200 in
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILIt IN (Pant Or type GHIY)
BUILDING COUNTY OF LOS ANGELES
AooREs q DEPARTMENT OF COUNTY ENGINEER
CITY— ZIP / BUILDING AND SAFETY DIVISION
! NO OF BLOCS BUILDING ` �7
SIZE OF 1-0,00, NOW ON LOT ADDRESS -5�pG
TRACT BLOCK LOT NO LOCALIT
TEL NEAREST
OWNER ` NO CROSS ST
ASSESSOR
A D D R E S A MAP BOOK PAGE PARCEL
DISTRICT GROUPIlYPE FIRE PR ESSED BY
CITY Z ,} Q ONST ZON
ARCHITECT R EL ---<,
I 7t
ENGINEER NO
_ _ _ STATISTICAL CLASSIFICATION� SEWER MAP
ADDRESS CLASS NO '/ DWELL UNITS BK/- Pt//
CONTRACTOR USE ZONE MAP �7 O
NO O�
ADDRESS - - NO SPECIAL
CITY LIC CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG SETBACK FROM
FRONTPROP LINEOF ISTREE TI 0
ADDRESS CITY - Gi
-SQ FT NO OF NO OF CHECK HIGHWAY } YARD = TOTAL SETBACK FROM IG WAY WIDTHTYPE OF
C
FRONT PROP LINE
SIZE STORIES FAMILIES ONE O
DESCRIPTION OF WORK NEW ❑ + 1
BLDG SETBACK FROM to
DD SIDE PROP LINE OF (STREET) _
/ - / - ALTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
REPAIR C] SIDE PROP LINE HIGHWAYI WIDTH
USE OF i =
EXISTING BLDG DEMOL ❑
rA ,NT TEL CORNER CUTOFF YES ❑ NO ❑
NATUR j� IN OPEN SPACE YES ❑ NO ❑
ttuk— ^ IN COASTAL ZONE YES ❑ NOIONY �'�/de
CATEGORICAL EXEMPTION YES❑ NOBY AC ILEDGE THAT I HAVE BEAD THIS APPLICATION ENVIRONMENTAE THAT THE ABOVE 1! CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (OATO
ORDINANCES AND LAWS REGULATING BUILDING CON
I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCE EO (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA ION 0! TH[ �� ^��
LABOR CODE OF THE STATE O! CALIFORNIA IN LATINO TO Lfl'�
WORKMEN S COMPENSA TIOM IMS ANCE
SIGNATURE OF !
PERMITTEE
ADDRESS
TE FINAL A
CITY d N DATE
11 Ihf ( I///( h5 P I) 31-L 10 FEE $ PMT 4tFEE Y
HARVEY T BRANDT COUNTY ENGINEER _ _ '
PLAN CHECK VALIDATION CK M 0 CAB. PERMIT VALIDATION cK M o CABN
nr 2 2 2 5731 JUL 16 1 D 2 1 .756 7
]b A633A CE*803 12/72 _
COUNTY OF LOS ANG LES TEMPLE CITY p 0508 BUD^ '' P"6
DEPARTMENT OF PUBIIL ^ORKS 9701 LAS TUNAS ALT�Pi_ `h-,.IK
BUILDING AND SAFETY / LAN) CLVELWMENT TEMPLE CITY CA 917:0 BL O-LC -.10270025
°HONE (626) 235-0489 E'T
I ON FILE SO FT STORIES T(PE 5521 SULTANA AVS
A3$FSS�6� STRUCTURF VN 1 TEMP CA 917802340
HEPREST CROSS ST4"' ^- DWAY
5387-027-030 - - - ' THOMAS PAGE 596 (PID04 LOCALITY TEMP,=
TENAjTi- -- f�fET--PLuUSE REBID - �' EXPIRES ON --
EnI�T CCC GRP '10/_7/04 10/22/05
-- — -
CHi L,,EN WANG EL�ITO dLU il r� �V [ -- ��22E_C
l 1• 1, w
(026) 286-0127- 500 _
5521 -ULTPNA AVE
TEMP X17801843 ----- IS PAID �II
— FEE UES,RIOTION .,� TIT, UOM AM0.1nT ,AFP 4'- 4 WINDOWS (SAME �v-1
'EL NO
SAME AS OWNER - ,.D. PERMIT ISSUANCE 27 '
IAC RU9d MOTION RESID 500 OL, VAL 0 Su CI>tL C`�I61YTbFJS -
D_2 PERMIT 1./0 EN-HC 570 OJ VAL 43 _
4/O PERMIT 50 DOL 128 S
-- = 200 -
s'NI 'ALIO
Mt'E 1G 0"NER - '
LIC _NU
N S s '-
I
FNGiNFER APPROVA,
ARCii rEc, n� J—(LO
LIC NO ---
joLA6MV'vER ��-- ___ _
APxO SE E17T-t1Ti5�t5311�PRGh - - .tdt 20N�---f.Mo iUND�d FLOOR INS ON -- - --
IN'ls—CT- ST-ATULT5Vf
NO 21
N I I�NEAR 6TAELSr -
Ald ALI` 1000 FEE- "ATERIALS
nu NO NO i
iRAI't IRSPLCTION
'ISE eL SETBACK FRS- Ii,o,_
R L
SET ",r "ARD HYY WIDTH
FRONT PL- jINb JLAT 11OAT4EATRER S R-[PI--- — - - - -----
a'uc PL
TQ1tLATH/DRYWALL
E CPiU4 LATH ---
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Page 1 of 9
Attachment B
OWNER-BUILDER VE=RIFICATION
Attention Property Owner.
An'Owner-Builder building permit has been applied for in your name and bearing your signature.Please
complete and return this form in the envelope provided at your earliest opportunity, to avoid unnecessary
delay In progressing and issuing your building permit. No budding permit will be issued until this
verificabon is received.
1. I personally plan top the major tabor and materials for construction of the proposed
Imprnveme o)
2 Dave not) an eppGcation for a building permit for the proposed work.
3 1 have contracted with the following person (fes to provide the proposed construction.
Name (L" - [.Q a _ W arena
Address_ s5-al S„1 },a.,� 'Aye City Te nIe
Telephone hih�o/i7 Contractors License Number_ownoa^
4 1 pian to provide portions of the work, but 1 have hired the folkrwing person to coordinate,
supervise and provide the major work
Name
Address City
Telephone Contractors Ucense Number
5. 1 will provide some of the work but I have contracted (hired)the following persons to provide the
work indicated:
Name Address Telephone - Type of Work
Signed.
Property Owner a*-,. ia :i 1
Dater o 41-
Referenoe: Section 19831 Chapter 9 of Part 3 of division B Return Form to Address Below
Of the State Health and Safety Code