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HomeMy Public PortalAbout5668 SULTANA AVE_Building__ DIVISION OF BUILDING AND SAFETY Department of County Engineer BUILDING County of Los Angeles WM. d. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT N0. PLAN CK.OR REC.No. PERMIT NO. BUILDING _ADDRESS, 71 RECEIVE BY DATE'OFAP L DATE ISSUED LOCALITY g NEAREST ` 5-0 ORDER ST. y ' BUILDING BB � E� -:5 OWNER n. Y i/ /-(o:,�r�'r.'.�+-'i� MAIL LOCALITY ADDRESS IiL,t( _ �b..i( ! NEAREST pTEL. /�,}./ ��J/ CROBB BT. CITY NO. /i-1 (O() / ' FIRE NO.OF TYPE i OR UP ® ARCHITECT OR TEL ZONE PLANS U ENGINEER NO. BLD,. ORD. NO. SETBACK LINE ADDRESS URE APPROVED 1 TEL ZONE BY CONTRACTOR ✓j/O�/ i O. "oK7q� HOUSE NUMBERING ADDRESS A 'i-� C MAP NUMBED �7 d GM NO. ASSIGNED BY - LEGAL CORRECTIONS DESORIPT ON LOT NO. J 11 BLOCK TRACT NO. OF BLOGIL SIZE OF L E(f/Q _ II��sy rj S 'N'�OW ON LOT USE OFEXISTING BLD,. Ivry{ "y����Q�G I FAMt�9/ DESCRIPTION OF WORK A a NEW ALTERATION ADDITION Z D REPAIR FT. f /� DEMOLITION r NO.OF 9 ZE V/ ®LJ ROOMS STORIES ' EXT.WALL I ROOF COVERING COVERIN USE OF BTR CTUR^^E INSPECTION FOR APPROVALS OCCUPANCYAB INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TN18 APS FORMS, MATERIALS PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS, CORRECT. BRACING,BOLTS I AGREE TO COMPLY WITH ALL COUNTY •ORDINANCES FURNACE. LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. pA8 VENT.DUCTS SIGNATURE OF L- LATH, INT. PERMITTEE / ��^/� li' �7 .4"'wli v OC.�1.� LATH. EXT. ADDRESS �s PLASTER, INT. AUTHORIZED AOT. S / PLASTER, EXT.7 _^ FEES O HOUSE NUMBER COR- / RECT AND POSTED VALUATION O 7 �n FINAL FEE ��" / a 76A538A OB0 3 1-52 WORKERS'COMPENSATION DECLARATION I 840622 LA I hereby affirm that I have certificate of consent to self L I T e �uU "U I I P E RM I T insure, or a certificate of Workers' C kers'Compensation Insurance, uU or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.I V 8--2251 4npany Erngtnnt I pdenm.^i ty W77 BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 1510 69 © Certified copy is filed with the county building inspec- FADDREss tion department. 8 Su1tana LOCALITY Date 11/27/84 Applicant V i rg 1 n Roof Co. ple City ZIP CCRSSSs.CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE Z NE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. TEL. SPECIAL I certify that in the performance of the work for which this ' OWNER Mr. E Caswel 1 NO. CONDITIONS 12- DISTRICT DISTRICT GROUP TYPE FIRE PRO SSED BY C3 permit is issued, I shall not employ any person in any manner ADDRESS as above �tV ,/I ^ CONST. �E V so as to become subject to the Workers'Compensation Laws. K>JS v 1 &N E� Date Applicant S CITY ZIP STATISTICAL CLASSIFICATION AFT. CON NOTICE TO APPLICANT: If, after making this Certificate of f ARCHITECT OR TEL. E.7 ENGINEER NO. CLASS NO. DWELL. UNITS- Exemption, t� you should become subject to the Workers' E+ Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be TEL. i deemed revoked. i CONTRACTOR Virgin NO. BK. PG, 17 VALIDATION LICENSED CONTRACTORS DECLARATION LIC. 6SIM I hereby affirm that I am licensed under provisions of Chapter 9 R ADDRESS P. 0. BOX .� NO. 1606 0 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY San Gabriel CLASS C $ 700000 SQ. FT. N0-0. F NO.OF CHECK License Number 160650 Lic.Class C39 SIZE STORIES FAMILIES ONE Contractor V i r9 i n Roof �. 1 1/2]/84 a DESCRIPTION OF WORAe-roof house with NEW ❑ $ .21 1 &6 A ADD ❑ ,..., ..;,-,:,,., ...: : # 0 0 0 0 0 1 ❑I am exempt under Sec. Class A Comp. Shingles. ALTER ❑ FINAL _f� B.$P.C. for this reason 5 REPAIR ❑ DAT - 1?2 C./ 1 0 - 3a00 Date: USE OF'EXISTING BLDG. dwelling DEMOL ❑ . BNA a a a 3 3'0 0 35 Signature ,1 °-:APPLICANT TEL y 1 206-84 OWNER-BUILDER DECLARATION PRINT Virgin Roof Co. NO. 287-0507 I hereby affirm that I am exempt from the Contractor's License v: P.O. BOX J, San Gabriel 9177 Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.).. SIPE io P.L. v Lender's Name Lender's Address P.C:Fee$ Permit Fee 22 a 50 S. I certify that I have read this application and state that the Issuance Fee 10,50 above information is correct. I agree to comply with all County a Investigation Fee ordinances and State laws relating to building construction, Total Fee 33-00 d and her by authorize representatives f this County to enter upon th above-mentioned pr erty f r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign a of Applicant or Agent Date ®s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0401290043 PHONE: (626) 285-0488 EXT: GA ID: NO. OF CONST BUFEUING ADDRESS: ON FILE SQ. FT STORIES TYPE 5668 SULTANA AV STRUCTURE: 1000 TEMP CA 917802327 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5387-025-014 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESI SE ZONE: SS ED, ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/29/04 VG 01/23/05 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE, FI BY: CODE: CHANG, JOHN (626) 589-6879- 1,200 !/ 9722 LEMON ARCADIA, CA FEES PAID DESCRIPTION OF WORK DEMO EXISTING 1 RESIDENCE & CAP SEWER FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: T . NO: CAMARENA LAND CLEARING (626) 705-5505- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1200.00 VAL 0.50 SPECIAL CONDITIONS: 02 DEMOLITION INSPECTN 163.50 TOTAL FEES 191.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CAMARENA LAND CLEARING (909) 865-1128- 26 MILL VALLEY LIC. NO PEDESTRIAN PROT C 0 PHILIPS RANCH CA 6778SOC12 SEWER DISCONNECTION ARCHITECT OR ENGINEER: TE 0: A8AID0 —PRIVATE DISPOSA LIC. N0: UNDERGRND STRUCT REMOVAL AND SOIL RECOMPACTION NAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: XX 01 NO. OF FAMILIES: D E LING UNITS: APT/COND: STAT CLASS: NO 23 SCHUOT-W-InTIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0401290045 PHONE: (626) 285-0488 EXT: LEGA D: NO. OF CONST BUILDING ADDRESS: TR: 53978 LT: 08 F-TBL . FT STORIES TYPE 5670 SULTANA AV 00 TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C TENANT: : RES D USE ZONE: ISSU DON: PROCESSED BY: EXPIRES 0 : ST OCC GRP: 01/29/04 VG 01/23/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CHANG, JOHN (626) 589-6879- 1,200 9722 LEMON AVENUE -'-t !� ARCADIA CA 91007 FEES PAID DESCRIPTION UP WORK DEMO EXIST RESIDENCE & CAP SEWER FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. O: CAMARENA LAND CLEARING (626) 705-5505- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1200.00 VAL 0.50 SPECIAL CONDITIONS: 02 DEMOLITION INSPECTN 163.50 TOTAL FEES 191.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CAMARENA LAND CLEARING (909) 865-1128- 26 MILL VALLEY LIC. NO PEDESTRIAN PROTECTION PHILIPS RANCH CA 67785OC12 SEWERIDISCONNECTION RCHITECT OR ENGINEER: TEL. NO: ABANDON-PRIVATE DISPOSAL LIC. NO: UNDERGRND STRUCT REMOVAL AND SOIL RECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: XX 01 NO. OF FAMILIES: D E LING TS: APT COND: STAT CL SS: NO 23 SCHOOL IT I HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0401290049 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 53978 LT: 07 SQ. FT STORIES TYPE 5672 SULTANA AV STRUCTURE: 1000 TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE 0 E: ISSUED ON: PROCESSED-BY: XPIRES ON: EXIST OCC GRP: 01/29/04 VG 01/23/05 OWNER: TEL. NO: BL GS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CHANG, JOHN (626) 589-6879- 1,200 9722 LEMON AVE ��� ARCADIA CA 91007 FEES PA D DESCRIPTION OF WORK DEMO EXIST RESIDENCE & CAP SEWER APPLICA TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CAMARENA LAND CLEARING (626) 705-5505- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1200.00 VAL 0.50 SPECIAL CONDITIONS: 02 DEMOLITION INSPECTN 163.50 TOTAL FEES 191.75 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE CAMARENA LAND CLEARING (909) 865-1128- 26 MILL VALLEY LIC. NO PEDESTRIAN PROTECTION PHILIPS RANCH CA 677850C12 SEWER DISCONNECTION ARCHITECT OR ENGINEER: TEL. 0: ABANDON PRIVATE DISPOSA - I LIC. NO: UNDERGRND STRUCT REMOVAL i AND SOIL RECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: XX 01 N0. OF FAMILIES: DWELLING U ITS: APT/COND: STAT-CL-ASS- NO TATCLASS:NO 23 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0401290051 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONST BUILDING DDRESS: TR: 53978 LT: 07 SQ. FT STORIES TYPE 5674 SULTANA AV STRUCTURE: 1000 TEMP CA 91780 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: LAS TUNAS THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C TENANT: EXI-Sr BDG USE: R SID USE ZO ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/29/04 VG 01/23/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI AL DATE FINAL BY: CODE: CHANG, JOHN (626) 589-6879- 1,200 9722 LEMON AVE ' 4 . ARCADIA CA 91007 FEES PAID DESCRIPTION OF WORK DEMO EXIST RESIDENCE & CAP SEWER FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICA . NO: CAMARENA LAND CLEARING (626) 705-5505- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1200.00 VAL 0.50 SPECIAL CONDITIONS: 02 DEMOLITION INSPECTN 163.50 TOTAL FEES 191.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CAMARENA LAND CLEARING (909) 865-1128- 26 MILL VALLEY LIC. NO PEDESTRIAN 0 EC 0 PHILIPS RANCH CA 677850C12 SEWER DISCONNECTION ARCHITECT OR ENGINEER: TEL. NO: ABANDON PRIVATE DISPOSAL LIC. NO: UNDERGRND STRUCT REMOVAL AND SOIL RECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: XX 01 N0. OF FAMILIES: DWELLING ITS: APT/COND: STAT CLASS: NO 23 SCHOOL WITHIN HAZARDOUS- AIR AZARDO SAIR QUALITY: 1000 FEET MATERIALS NO NO NO * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: 8S0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0401290050 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CO ST BUILDING ADDR SS: TR: 53978 LT: 06 SQ. FT STORIES TYPE 5676 SULTANA AV STRUCTURE: 1000 TEMP CA 91780 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: LAS TUNAS THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/29/04 VG 01/23/05 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CHANG, JOHN (626) 589-6879- 1,200 9722 LEMON AV -Gt ARCADIA CA 91007 FEES PAID DESCRIPTION OF WORK DEMO EXIST RESIDENCE & CAP SEWER APPLICANT: TELFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: . CAMARENA LAND CLEARING (626) 705-50:505- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1200.00 VAL 0.50 SPECIAL CONDITIONS: 02 DEMOLITION INSPECTN 163.50 TOTAL FEES 191.75 CONTRACTOR: TEL. NOF APPROVALS DATE INSPECTOR SIGNATURE CAMARENA LAND CLEARING (909) 865-1128- 26 MILL VALLEY LIC. NO PEDESTRIAN PROTECTION PHILIPS RANCH CA 67785OC12 SEWER DISCONNECTION ARCHITECT OR ENGINEER: TEL. NO: ABANDON PRIVATE DISPOSAL LIC. NO: UNDERGRND STRUCT REMOVAL AND SOIL RECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: XX 01 0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT-CLASS: NO 23 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508