HomeMy Public PortalAbout5630-5630 1/2 SULTANA AVE_Building__ .......a.?.m to.. APPLICATION FOR BUILDING P RMIT Z
,CO OF LOS ANGELES BUILDING � SOL DL`-PAATMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY 7-
JOHN A LAMBIE CouNTY ENGINEBn NEAREST �_ C! /1/ /�- 5
CABBATT D GRIFFIN CUP i of BUILDINa CROSS ST.
FOR APPLICANT TO FILL IN DI STR'C�jd0 GROUP CCOO E� P ESSED BY
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BUILDINGADDRESS '� Q SEWER MAP
STATISTICAL CLASSIFICATION p/G
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CLASS NO DWELL ITS ^ -
LOT NO BLOCK MAP STATE
NUMBER d60 YES NO
TRACT USEZON8
NO OF
6NDITIO
SIZE OF LOT NOW ON SLOGS
/��/I- `1 CONDITIONSDITIONS
USE OP Dr
I r BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT ( /_
MAIL P L L�
ADDRESS PCa- SIDE i
TEL P L
" INSPECTION RECORD
ARCHITECT OR EL -
ENGINEER / O
TEL7-
CONTRACTOR Ee Z V1 NO '
DD -
DESCRUMON OF WORE G 3 A F
_ I _ Ir TI?FK -rn
,NEW ADO ALTER REPAIR DEMOLISH
60 PT 7,0 FAM
STORIES IOLIES I ^
SIZE
USE OF STRUCTUREOf
4
SIGNATURE OF
APPROVALS
APPLICANT
' DATE IRSPECTDR 9 SIGNATURE
ADDRESS G 64- FOUNDATION LOCATION /I `Q- /
FORMS MATERIALS r- / I' A
FRAME FIRESTOPS
BRACING
ION FURNACE LOCATION
DOLTS
'
FEE GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT D
PLICATION AND STATE THAT THE ABOVE 16 CORRECT AND
AGREE TO COMPLY W LL-COUNTY ORDINANCES ANDIXT, - I!,
STATE LAWS REGU TI G BUILDI CON RUCTION
USE NUMBER COR
PERMITT ' -
SIGNATURE P 'RECTANDPOSTHD
ADDRE36 FINAL Z��
I CLYDEN DIRLAM PRINCIPALS RAL ENGINEER
PLAN CH= VALIDATION CK mocAmf I PEAT VALmATIOHCK Y O a H_
Laco 9 1 7 5 ALL g 2 3 A 2 7 0 1p , ,
L'}ICo 916 3 5 � J'JL 16 1 A 5 4 0 0 j „0,,
APPLICATION FOR BUILDING PERMIT ]
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN
I hereby affirm that I have a certificate of consent to sell insure BULDNG ADDRESS (o
or a certificate of Workers Compensation Insurance or a certified C ZIP _
copy thereof(sec 3800 lab C) TEMPLE CITY
p,I,cy No1046140 Co moa y STATF, MIND 91780
SIZE OF LOT NO OF BLDGS NOW ON LOT
❑ Certified copy is hereby furnished NEAREST ST
1p3Certfiwd copy is filed with the county bwldrp inspection TRACT BLOCK LOT NO .
� USE ZONE MAP NO
�N
meat
I,a 11-1-95Appj,,m R ANDOL ROOFING ASSESSOR MAP BOOK PAGE RARCEL SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' d R TEL NO
COMPENSATION INSURANCE -11
PATRICIA VAUGHN WITT1IN 1000 FT OF SCHOOL' YES(ThIs NO
-
section need not be completed
nd
the permit 563 SULTANA DISTRICT GROUP CONST FIRE ZONE PROCESSED BY
s far one hundred
dollars(5 100)or lees) CITY - LP
I certify that in the performance of the work for which this permit TEMPLE CITY
s as M p5O� -,5 "
3 '
issued I shell not employ airy person In any manner so
become subject to the Vkrk re Compensation Laws ARCHITECT OR ENGINEER TEL NO -
STPTI$TIGL CAA PPS CONDO
Gate Applicant ADDRESS CLASS NO pwELL UN(i5
A00710E TO APPLICANT If after making thin Certificate of REWIRED TOTAL SETBACK FROM EXIST .
Exemption you should become subject to the V*wkm CONTRACTOR TEL f♦D SET BACK ypgp HWy PROP DINE WIDTH
COmpermatron provisions Of the Labor Code you must forthwith RANDOL ROOFING
comply with suchprvyl8ef18 or the permit shall be deemed revoked ADDRESSUC NO FRONTP L
LICENSED CONTRACTORS DECLARATION 96 52 VALLEY SDE
I hereby affirm that I am licensed underprovsans of Chapter B CITY �& - SEWER MAP >
(commerlcug with Section 7000)of Division 3 of the Businessnd aSO IES I NO OF FAMILIES NEW 11 ell PO
Professlona Code and my license s in full force and effect
License Number 451937 Lrc Class C-39 CESCWTION CF wORK <. ADD ❑ VALUATION HD o
CanhactcrRANDOT. ROOVTN Date 1-11-96 ITER — ALTER El $ �
❑ 1 am exempt ander Sec YEAR CLASS A FIBERGLAS SHINGL REPAIR I❑ $ T y
BaPC for the reason OVER EXISTING COMP SHINGLES. DEMOL ❑ �jT 1-11"'il =
USE LOf.M P/C♦ r- rg
Date llUPLERNG BLDG T � URM ❑ 05 Mj+ %
Signature `� bOFING Li3tS-4040 LDMAParm. Qrj-1'1'1'11 . = 7
❑ 1 as owner of-the property or my employees with wages as z ,
their sole compensation well do the work and the structures ADDRESS 0
rot intended or offered to sale (Section 7044 Business and 529 E. VALLEY BLVD SAN FINAL DATE I Q
Professions Code) - Z, y Q�
WLL TIE APPJVJfn OR FURfiE BNLDNO OcrUYwT HANIXE A HWPDOUa r.I.iEw1
❑ I as owner of the property am exclusively contrachng withlicensA I.E%TIE CONWIYq A HAUrmW9 rMTERLLL EgYL To oR oREATER THAN TIE
N.IOLNta SPECFEO ON THE HAZMppIs 4AWRNLS W0RMT10N WWI FINAL BY
Busmed con Profea to construct the protect (Section 7044
Busrnsae ofd Ixrofes9lorns Code) YEs❑ ND❑
wLL TIE wnENDED USE (1F THE 0L®11140 at THE APPLK:ANn OR FUTURE E 30LMH
OCOUfwa lEIXARE A PERMi FOR L ITUCT(CI10N OR EE�TM RM11TU FROM THE T FOR
CONSTRUCTION LENDING AGENCY Gw I AIR ouurrr rwuoENErrr DsrRx;T ISCMN)SEE PERIIlnTNO uEcxusr FOR
GLWEUHEa r
I hereby affirm that there is a construction lending agency for YES❑ - r»❑ - _ _
the performance of the work for which this permit Is Issued(Sec
T r fEAaTIE HASAmppl6MATEF1LL9lf WAUTICNDICE HO nE 9CACNOPER WrnNG
3097 Cr, C) _ cHEIXIJ4i I JvMF[STAND TAY RE0.1PfMEN%LIVER THE LOS NeELES CDUMY CDOE
Larder Name Winn YLSFEEPP0PTW ASErDc FOUR oawnm�e A Flap THE o IuzAaDous
Lendera Address
0 oN ER w der
I certify that I have read the application and sate under penalty c
g of perjury that the above Wometpn s to act I agree to comply, PC FEE PER)AT FEE 78.90
it with allW..=6
asSatelawso bu nDCOnsV etrve9 Of s my ISSUANCE FEE 26.40
a enter for pu
m INVESTIGATION FEE TOTAL FEE
105.30
SEE REVERSE FOR EXPLANATORY LANGUAGE
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1203300026
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SO FT STORIES TYPE 5630 SULTANA AV —
ASSESSOR INFORMATION NUMBER STRUCTURE 2800 V-8 TEMP CA 91]80232]
1538]-025-023 NEAREST CROSS STREET
1 THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY CAI
TENANTEXIST BLDG USE CARPO USE ZONE R-3 ISSJED ON PROCESSED BY -
EXIST OCC GRP 03/30/12 SR
OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL RATE FINAL CODE —
VAUGHN PATRICIA E TRUSTEE — 1 5 600 A
11 CAMISA LN
FEES PAID DESCRIPTIO. OF WORK
I
TEAF OFF AND REROOF CARPORT
' FEE DESCRIPTION QUANTITY DOM AMOUNT
APPLICANT TEL NO
IPOWELL, GARLAN (310) 909-3292— IAA BLDG PERMIT ISSUANCE - 27 BO
13748 MILITARY AVE IAB STATE GREEN BLDG FEE 5600 00 VAL 1 00 (SPECIAL CONDITIONS
LOS ANGELES CA 90034 AC STRONG MOTION RES ID 5600 00 VAL 0 60
ID2 PERMIT W/O EN—HC 5600 00 VAL 149 40
I TOTAL FEES 178 80
CONTRACTOR TEL NO I IAPPROVALS DATE INSPECTOR SIGNATURE
1ED0E ROOFING (310) LIC 3202 ddl
I
13748 MILITARY AVENUE
LOS ANGELES CA 90034 LOMI B/L • (LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL �
AACHITECT OR ENGINEER
TEL NO (FOUNDATION/TRENCH FORMS
LIC NO ISLAS/UNDER FLOOR
I
RAISED FLOOR FRAMING
- MAP NO SEWER MAP HOOK PAGE FIRE ZONE CMP UNDERFLOOR INSDIATION
1147H265 3 OCI
I _ FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
0 NO 22 1 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS ' SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
I NO NO NO _ FRAME INSPECTION
(FIRE SPRINKLER HANGERS
I I
INSULATION/{fBATHER STRIP
INTERIOR LATH/DRYWALL
I
E%TERIOR LATH
I
IRATEO PIOOR/CEIL AS
- RATED WALL ASSEM03LIES
IRA I'ED SHAFTS OPENINGS
•
T—BAR CEILINGS
ADDITIONAL DATA ON FILE f
LOT DRAINAGE
(REPORT ID DPR261 ROUTE TO BS0506
1
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 1203300020
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 5630 SULTANA AV
ISTRUCTURE 5000 V-B TEMP CA 917802327
1ASSESSOR INFORMATION NUMBER _ NEAREST CROSS STREET
5387-025-023 THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY CAI
ITENANT EXIST BLDG USE RESID USE ZONE R-3 TISSUED ON PROCESSED BY 1
EXIST OCC GRP 103/30/12 SR
I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION (FINALTE FINAL BY CODE I
VAUGHN PATRICIA E TRUSTEE - 1 14 800 /`rJJlp�/��'
111 CAMISA LN1` , ' , ' , I`
FEES PAID IDESCRIPTION OF WORK
ITEAR OFF AND REROOF WITH 30 COMPOSITION SHINGLES
(FEE DESCRIPTION QUANTITY UOM AMOUNT
(APPLICANT TEL NO
I POWELL, GARLAN (310) 909-3292- IAA BLDG PERMIT ISSUANCE 27 10 1
13748 MILITARY AVE IAB STATE GREEN BLDG FEE 14800 00 VAL 1 00 SPECIAL CONDITIONS
ILOS ANGELES CA 90034 ACSTRONG MOTION RESID 14800 00 VAL 1 50
I
102 PERMIT W/O EN-HC 14800 00 VAI. 300 60
TOTAL FEES 330 90
CONTRACTOR 1 I
TEL NO I APPRIVAIS DATE INSPECOR SIGNATURE
1EDGE ROOFING (310) 909-3292-
13748 MILITARY AVENUE LIC NO LOCATION AND SETBACKS
ILOS ANGELES CA 90034 LOMI B/L • 1 -1-1
1
SOILS ENGINEER APPROVAL
1ARCHITECI OR ENGINEER TEL NO
I L (FOUNDATION/TRENCH FORMS 1 1
LIC NO SLAB/UNDER FLOOR
I RAISED FLOOR FRAMING
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDEPFLOOR INSULATION
I147H265 3 ' 001
I I 1FL0OR SHEATHING 1 1
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
0 NO 22 1 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS
1AIR QUALITY 1000 FEET MATERIALS 1 1 1 1
NO NO NO FRAME INSPECTION I
FIRS SPRINKLER HANGERS
I
INSOLATION/WEATHER STRIP
I
I
I INTERIOR WTH/DRYYAi.r. I
I
1 1 EXTERIOR LATH I
RATED FLOOR/CEIL ASSET(
I) RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
' ADDITIONAL. DATA ON FILE
_ ILOT DRAINAGE
I
REPORT ID DPA261 ROUTE TO 850508
1 I I I I