Loading...
HomeMy Public PortalAbout5638-5638 1/2 SULTANA AVE_Building__ OaAa Z6A DOE]13 54 . �^ APPLICATION FOWBUILDING PERMIT ], MSION OF BUILDING AND SAFETY ' �poRelss°Department •- of County Engmeer ' County of Los Angeles LOCALITY WM J FOX COUNTY ENGINEER t p 17 • CA68ATT D GRIFFIN SUP T OF BWLeINe NE _17,AREST r - CRO55 ST •r, � / ..fi-v1,�R FOR APPLICANT TO FILL IN DISIRICT NO GR - nPE T SEWER ,MAP SK PG BUILDINGJ / CONST ADDRESS ��/Yl�7.161 �� � N{ft ITV'-ems MAP' 2 STATE �yge LOT NO '5 ,o 7 G �}�L )"L/�7 -f( BLOCK U E ZONE SPECIAL HWY + TRACT CONDITIONS 'S,.//-s-YLY�7.� �/ "' /JJ�-,Ci T- 1l/ - � NO OF BLDGS SIZE OF LOT�OA/ 2 `7 I NOW ON LOT BUI DING ypRO HWY STREET NAME EXIST R USEOF ;� 1 C r K'. - SETBACK _ WIDTH E%I6TING BLDG Ob"b' (R4yC. FRONT • OWNER iI !/A 'f/� <_.�'/of/'GIi I...X/�l SIDE I MAIL �- ADORESS/1G CITY /�/jj�l�y( �r1 /� , /V76�aI3 11 DWELL 1UNIT 5 INDUSTRIAL JI' C 'TE _ ARCHITECT OR(' TEL 2. OUPLEX_UNIT 6 PUBLIC BLDG ENGINEER NO 3 APT UNITS 7 ADDN ALT ETC ADDRESS - q COMMERCIAL 8 MISCEL CONTRACTOR/YJ/Lr/F}x _A'/�vg 'NOL.f. •INSPECTION RECORD ADDRESS Z6 A �^, DESCRIPTION'OF WORE 2 F a NEW L ADD ALTER REPAIR DEMOLISH SFT ry No OF NO OF STORIES / FAMIILIES4 SIZE L USE OF STRUCTURE / SA PLICANT GILITUfRIE F-' '14� l-l-l.J ) �(i APPROVALS ADDRESS Ti 4 -a < DATE INSPECTOR 5 SIGNATURE S �p FOUNDATION LOCATION ((�� I•" P C e J FORMS MATERIALS 1 1 •ab ]4• •- / QUI FEE ` FRAME FIRE STOP9 n VALUATION /'�� ` BRACING BOLTS ' /v ZEN FEE _f FURNACE LOCATION , + 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ` GAS VENT DUCTS APPLICATION AND STATE THAT THE ABOVE CORRECT O 1 1 AND'AE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT t AND STATE LA EGULATING BUILDING CONSTRUC- T ,LATH EXT ' SIGNATURE OF HOUSE NUMBER COR- PERMITTEE REIT AND POSTED It �_S ADDRESS ' FINAL lI 7 S 5 WM J " FOX' COUNTY ENGINEUR .r "VALIDATION BY=,ACp4 8,7 31S=_ 0 1.6 1 7'0 ` d -6 Z' .JUN,2 1 3 4`0 0 v -•, DEPUTY- Y /y DEPUTY BY BY ® - DEPUTY _DEPUTY r APPLICATION FOR BUILDING PERMITZ COUNTY OF LOS ANGELES Bu1LDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE. COUNTY ENGINEER NEAREST CASEATT D GRIFFIN SUP T OF DUILOINO CR O63 6T DISTRICT NO GROUP I TYPE PR FOR APPLICANT TO FILL IN tT CON BUIL INC /t c STATISTICAL C SIFIWECATION SEWER MAP V NOS, CLASS NO LL UNIT B PO LOT NO.) 0' 1 BLOCK MAP STATE .YES O NUMBER © HWY TRACT 6 USE ZONE SPEC AL NO OF BLOGS CONDITIONS SIZE OF LOT 6 X_ Z Z NOW ON LOT USE OP EXISTING S,6DG A BUILDING EXIST YARD HWY STREET NAME SETBACK WIDTH OWNER AFP I O/ . MAIL (/ ADORESH / SIDE TEL P I' CITY NO yL yy INSPECTION RECORD ARCH ECT OR TEL ENGINEER NO ADDRESS TEL CONTRACTOR NO ADDRESS / 5 DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH � - 6O NO OF NOM O OF 612E STORIESFAMILIES // USE OP /' y 4 STRUCTURE E TJIll6 SIGNATURE OF CROWC N&2 APPLICANT / �- APPROVALS DATE INSPECTOR S SIGNATURE ADDRESS FOUNDATION LOCATION FORMS MATERIALS VALUATIONS OO FRAME FIRE STOPS BRACING BOLTS PC PMT FURNACE LOCATION FEE S FEE GAB VENT DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT PLI CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ITH A COU ORDINANCES AND STATE LAWS R IN BUILD O C TRUCTIO (LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTVF ` RECT AND POSTED ADORES J FINAL I O' CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENQOKER PLAN CIECK VALIDATION CK 00 cAeH PERMIT VALIDATION CK MO CAYH I to 4 5 9 4 e- c=c 2 2 1 A 5.0 0 Nm, WORKERS COMPENSATION DECLARATION - 850170 LA ` �• - - - APPLICATION -FOR BUILDING- PERMIT - I hereby affirm that I hove a certificate of consent to self Insure or e I copy ate of Workers Compensation Insurance or a<ernheif copy thereof (Sec 3800, Lab C ) 1, ' - I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy,NoIV84=22rLI-CA_ompony Fremont Indemnlilty - - - - t Certified co Is here furnished BUILDING ❑ copy FOR APPLICANT TO FILL IN ADDRESS 6 3& L ® Certified copy is filed with the county budding inspec BUILDING 'tion department t ' ADDRESS 5638 1/2 Sj n Date 3/18/85 , Applicant B V i rQ i n Roof CO. CITY Temple City ZIP - LOCALITY ' CERTIFICATE OF EXEMPTION FROM WORKERS"- - - - - ' NO OF BLDGS - NEAREST 1n COMPENSATION INSURANCE I SIZE OF LOT NOW ON LOT ST 1 (This section need not be`completed If the permit is for one - - ASSESSOR 1 hundred dollars ($100)or less ) TRACT BLOCK - LOT NO MAP BOOK ' PAGEPARCEL USE ZONE I I certify that in the performance of the work for which this OWNER - Mrs. Rub Gi lbreth `TN - - NO permit Is Issued, I shall not employ any person In any manner ' �- SPECIAL - r t - -- - so as to become subject to the Workers Compensation Laws ADDRESS 85 above- - - -- - - CONDITIONS I O V Date s Applicant ' CITY _ _ _ _ ZIP � O NOTICE TO APPLICANT If, cher making tho'Cerhhcate of ARCHITECT OR TEL DISTRICT UP TYPE FIRE SSfD BY ' Exemption` you should become subject to the Workers ENGINEER NO CONST ZONE Compensation provisions of the Labor Code, you must forth ADDRESS S,oO _ ' ✓ _ u� with comply with such provisions or this permit !hall be - ZZ deemed revoked I L , TEL STATISTICAL CLASSIFICATION APT coNrRAcroR Vir i n Roof Co, rIo�87-0507 LICENSED CONTRACTORS DECLARATION , -- - - - - - - -LK - - CLASS NO DWELL UNITS— I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P J NO t 606 0 (commencing with Section 7000)of Divivon 3 of the B mess and _ _ LIC SEWER MAP Professions Code, and my license is In full force and effect City San Gabr i e 1 1 8 CLASS C f- "'1- VALIDATION ` 1 SO FIT tJ0 OF _ NO OF CHFCX BK PG 160650' c SIZE - —t License Number Lm Close STORIES FAMILIES DESCRIPTION OF WORK -Re-roof SOUtOfias _ � 1000.N _• contractor V i rg I n Roof CO.Date 3/18/85 "� - s 1000.00 � - - _• - ' _� � 1 ADD ,❑ jam exempt under Sec - - - - ALTER " ;s1 7 3 9 A.', I B 8P C for this reason - - S REPAIR t " Date USE OF OFA10L # • • • • • 1 EXISTING BLDG _ -Signature OWNER-BUILDER DECLARATION _ A71=MT Vir i n Roof Co. NO 287-0507DATE- -Signature ATE —Z 7 1 • • 4 Q 5 0 -I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5, Business and ADDRESS P.O. 'BOX J San Gabriel 91778 LANAI ,1 I • • • a Q 50 'Profesmons Code) - _ '- - '-- BY - - - _ -'- 0 325-85 ❑ 1 as owner of the property or my employee! with BADDRRESS t _ wages as their sole compensation wdj do the work and the structure is not Intended or offered for sole(Section LOCALITY 70" Business and Professions Code) -'- _ MOVING -- - - TEL - - - - ❑_ I as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- - ADDRESS - - - --' - - - - - - tion 7041, Business and Profession!Code) , - CONSTRUCTION LENDING AGENCY _ gT BHd( YARD HWY TOT pj7OP LINE WIDTH I hereby affirm that there Is a construction lending agency for FROM j the performance of the work for which this permit Is Issued - P L (Sec 3097 Civ C 715—DE ' g _ _ _ _ _ _PL Lender s Nome LDMA Ref Lender sAddress - Permit Fee - - 30.01) _ - I comfy that I have rood this application and !tate that the _ _ _ ___ _ - Issuance Fee 10.50-- LOMA P/C above information n correct agree to comply with st County Investigation Fee-- - ' " 1 ordlrwnc and State jaws relating to building construction, -40.50 _ ' _ _ I and her by outhonze representanv of this County to enter Tocol Fee-- IDMA Perm •-- - upon above-mentioned perry action purposes 1 J - r • - _- ~ a f@ REVIEWFOR EXPLANATORY lAN6UAbl Sipa 0 f Appl¢ont or ant - - Dob - - — - - - - ^- -- -- - - D 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 0909290002 PHONE (626) 285-0488 EXT 1 1 LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ PT STORIES TYPE 5638 SULTANA AV ISTRUCURE 3400 V-B I TEMP CA 917802327 (ASSESSOR INFORMATION NUMBER 1 NEAREST CROSS STREET 15387-025-017 I THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY CI I 1 ITENANT (EXIST BLDG USE REBID USE ZONE R-3 ISSUED ON PROCESSED BY 15638 - 5638 1/2 SULTANA AVENUE EXIST OCC GRP 109/29/09 SR (OWNER ] I TEL NO ISLDG5 NOW ON LOT VALUATION �D DATE FIyAL. BY CODE IWONG SHAW (626) 287-8691- 7,500 / /O �+//y,7�J 15638 SULTANA AV ' ITEM@ 917802327 FEES PAID ESCRRIPTION rOF WORK vI , IT/O OLD ROOF INSTALS. CLASS A 30 YR COMP SHINGLES FEE DESCRIPTION QUANTITY UOM AMOUNT I 1APPLICANT TEL NO 1 LAU (626) 622-8108- AA BLDG PERMIT ISSUANCE 27 75 ] 4533 SHIRLEY AVE AB STATE GREEN BLDG FEE 7500 00 VAL 1 00, SPECIAL CONDITIONS SEL MONTE, CA 91731 AC STRONG MOTION RFSID 7500 00 VAL 0 75 1 D2 PERMIT W/O EN-HC 7500 00 VAL 183 00 TOTAL FEES 212 50 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE (GOLDEN KEY INC (626) 285-9016- IDBA NEVADA GOLDEN KEY LIC NO ] LOCATION AND SETBACKS 14533 S14IRLEY AVENUE 775115 C31 i 1 1EL MONTE, CA 91731 ]SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO i (FOUNDATION/TRENCH FORMS `. GIC NO ISLAB/UNDER FLOOR (RAISED FLOOR FRAMING I MAP NO SEWER MAP BOOK PAGE PIAE ZONE CNP _ (UNDERFLOOR INSULATION 147H265 3 00 11 e FLOOR SHEATHING IND OF FAMILIES DWELLING UNITS APP/COND STAT CLASS I NO 21 I IROOF SHEATHING I`I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I AIR QUALITY 1000 FEET MATERIALS I 1 1 1 NO NO NO FRAM INSPECTION _ REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS I ISET RACK YARD HWY PROP LINE WIDTH 1 ]FRONT PL- (INSULATION/WEATHER STRIP 1 SIDE PL- I (INTERIOR LATH/DRYWALL. ] (EXTERIOR LATH I I I I I (RATED FLOOR/CEIL ASSEM (RATED WALL ASSEMBLIES , RATED SHAFTS/OPENINGS _ T-BAR CEILIN05 (LOT DRAINAGE 1 (REPORT ID DPR261 ROUTE TO 850508 I I