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HomeMy Public PortalAbout5846 SULTANA AVE_Building__ APPLICATION FOR COUNTY"OF LOS ANGELES B"U ILD INS PERMIT -' DEPARTMENT OF COUNTY ENGINEER. ' 2 BUILDING AND SAFETY DIVISION ,FOR APPLICANT TO FILL N A�DkW v BUILDING r ' ' ADDRESS LOCALITY NEAREST CITY. jZIP Y . v CROSS ST. OF BLDGS. ASSESSOR SIZE OF LOT !/�`i NOW ON LOT ' MAPBOOK PAGE PARCEL �} DISTRICT GROUP TYPE FIRE ROC ED BY TRACT ; �:o - BLOCK LOT NO. / N ZONE .2 oop • TEL. s OWNER. NO.=KTP!•�Z " STATISTICAL CLASSIFICATION EWER MsP� ADDRES -F �( J`C�J�' CLASS NO. d DWELL.UNITS BKIS�4 Gf CITY r ZIP ` f USE ZONE MP- �� A'RCHITECi OR TEL. NO' SPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. . 4tJ CONTRACTOR NO. _ BLDG.SETBACK FROM LIC FRONT PROP.LINE OF' (STREET( ADDRESS t `L'4O: - TOTAL SETBACK FROM - TYPE OF EXISTING ' HIGHWAY' '+ YgRD', = FRONT PROP.LINE HIGHWAY WIDTH LIC.' -CITY CLASS.. CONSTRUCTION LENDER,' O NAME AND BRANCH BLDG.SETBACK FROM V I SIDE PROP.LINE OF (STREET) ADDRESS CITY '_ O SO.FT. : NO.OF No.OF- CHECK HIGHWAY +- YARD = AL SETBACK FROM TYPE OF EXISTING V SIZE STORIES FAMILIES' ONE SIDE PROP.LINE HIGHWAY WIDTH N + 1.. = Z DESCRIPTION OF WORK O"ra EW N ❑ ADD CORNER CUTOFF YES' ❑ NO ❑ V .., IV ALTER IN OPEN SPACE'" YES ❑ NO ❑ REPAIR. ❑ EXISTING BLDG. DEMOL ❑ IN COASTAL PERMIT ONE YES ❑ NO ❑ APPLICANT TEL (PRINT) NO.' BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICdRDINANT TATE THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY WITHNCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY TTHE WORK•AUTHORIZED HEREBY I WILL NOT EMPLOY-ANY PERSONN OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO COM. PENSATION INSURANCE. _SIGNATURE OF � FINAL BY-PERMITTEE' _ DArr DDRESS ' GNOo /� P.� Fee$ Permit Fee Q@ Issuance Fee VALUATION �fi 1 .Total Fee PLAN CHECK VALIDATION' PERMIT VALIDATIONCK. M.O. cases :'24 A-9 DS 76A638A CE/803A 6/78 •-' - , -APPLICATION ,FOR- OUILDING PE.RIVIIT 12 BUILDING FOR APPLICANT TO FILL IN ADDRESS 5 49 .6 BUILDING ADDRESS c+" CG/✓� LOCALITY. NEAREST CITY CROSS ST. {—Q J'NO.O LDGS. ASSESSOR I SIZE OF LOT ,J. . NO N LOT oC._ MAP BOOK PAGE PARCEL ,,(( DISTRICT GROUP ' TYPE FIRE ESSED Y TRACT �J - /�'S BLOC - LOT NO.' ,, �J CON 7 ZONE 9 OWNER a��'�. 7 - X10. ��3�7Z1 1� STATISTICAL CLASSIFICATION SEWER WO ADDRESS T. / `� CLASS NO. DWELL.UNITS. � .0-2—PG CITY w_ ZIP '91/7 &V USE ZONE MAP. ' ARCHITECTOR ° TEL. • NO ENGINEER NO. 413� SPECIAL : CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED "YES❑ NO❑' ' CONTRACTOR TEL. BLDG.S BACK FROM' LIC. FRONT TROP.LINE OF )STREET) ' ADDRESS A A NO. -TOTAL SETBACK FROM TYPE OF EXISTING LIC.' FRONT PROP.LINE HIGHWAY WIDTH ' CITY CLASS. _ CONSTRUCTIO DER a NAME AND BRANCH l � BLDG..SETBACK FROM U ADDRESS CITY SIDE PROP.LINE OF (STREET) SQ.FT. NO.OF NO.OF CHECK HIGHWAY t YARD TOT TYPE OF EXISTING U SIZE STORIES FAMILIES ONE DE PRO . NE GHWAY WIDTH wa tn DESCRIPTION OF WORK G'!% �N .NEW !•`! ❑ &'v-Pr�C ',/ �c a ADD ❑ CORNER CUTOFF YES ❑ NO ❑ .2( ALTER/ El IN OPEN SPACE YES ❑ NO ❑ -USE OF REPAIR El IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ / APPLICANT TEL Jd Q i y�,,,,,� (PRINT) ' � NO. /` 6 v/��� BY)SIGNATURE) • I-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVEIIS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ' AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF ' THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. PENSATION INSURANCE. SIGNATURE'OF FINAL BY PERMITTEE DATE ADDRESS L �e CITY TEL, { � P.C.Fee$ Permit Fee _ !• @ Issuonce Fee VALUATION'.p �v ' Total Fee _ PLAN CHECK VALIDATION' '•":= cK M.o. CASH PERMIT VALIDATION CK. M. CASH, 5. 8 .WV 4 I,. D . 1 2.0 0 ,kJa 55 76A6388 CE®8038 6/76 WORKERS' COMPENSATION DECLARATION hereby r`firm that I have certificate of consent to self AP P L I CATION C� U I L D I N G PERMIT insure, or °certificate of Workers' Compensatiosara , c e th f(Sec. 38 La COUNTY OF LOS ANGELES I BUILDING AND SAFETY orrip ❑ Certi led co y is hereb rnished. FOR APPLICANT TO FILL I BUILDING /• � ElGem Cer Med; p i file the y b i 'ng ins ec- UILDING ADDRESS ti r t. ADDRESS A CIN' ZIP LOCAUTY CERT ICATE OF EXEMPTION FROM ORKERS', NO.OF BLD NEAREST Or SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. OWNER /• N �' USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADDRESS SPECIAL d 0 JJC/�- CONDITIONS so as to become subject to the Workers'Compensation Laws. O CITY ZIP Date Applicant ARCHITECT OR TEL, 0 DISTRICT GRO NOTICE TO APPLICANT: If, after making this•Certificate of ENGINEER NO. TYPE FIRE PROCESSED BY Exemption, you should become .subject to the Workers' CONST./ NE U Compensation provisions of the Labor Code, you must forth- ADDRESS �� -s UP V CL w with comply with such provisions or this permit shall bei NO.TEL• deemed revoked. CONTRACTOR STATISTICAL CLASSIFICATION APT. CONDO. Z _ LICENSED CONTRACTORS DECLARATION ' LIC. (� CLASS NO. C— DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES i � a?A bl) NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business 'LIC. _ and Professions r Tense is in full for t. CITY CLASS - e , BK PGVALIDATION // SQ. FT. NO. OF NO. OF CHECK License Number Ltc. Class SIZE STORIES FAMILIES ONE V7ALT N Contractor7 Date DESCRIPTION OF WOR EW ❑ - ADD ❑ ► ❑I am exempt under Sec. I / - , 5 r ALTER LJB.&P.C. for This reason REPAIR El $ Date: USE OF EXISTING BLD DEMO' ❑ Signature APPLICANT L. FINAL OWNER-BUILDER DECLARATION (PRIN NO. I hereby affirm that I am exempt from the Contractor's License �.,1�_ DATE 7` Law for the following reason (Section 7031.5, Business and ADDRES /IVL FINAL Professions Code): BUILDING By t.` !.`. .:ti ❑ I, as owner of the property, or myemployees with ADDRESS IZ� , �,�� 1 - wages as their sole compensation,will do The work and , : ��_: the structure is not intended or offered for sale(Section LOCALITY 1n -- 7044, Business and Professions Code.) MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. rl//'/L �L with licensed contractors to construct the project (Sec- =!i rL, -'` ` '' ADDRESS _ `'""' " =.a'_s tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM. EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINEWIDTH ` I hereby affirm that there is a construction lendirig agency for FRONT the performance of the work for which this permit is'issued I P.L. w" (Sec. 3097, Civ. C.). SIDE i P.L. I Lender's Name I IN-1 -:f is; : . ��•'_!;-';; LDMA Ref. # -,.ti , ••„i Z, • P.C. Fee$ Permit Fee �� tD6 '' r Lender's Ad ess Poo -" I certify t I have read t s appI! and state that the I Issuance Fee 7 7� P/C# I I or ation is corre .I gree to com with all Co my Investigation Fee G J ordtna ce and Stc�e la r acing to uildi. constru ion, Total Fee L ' LDMA Perm. # and here y out ri�-re ntaIN s o this ounty nter upon th o men-tio d p er fo s e do roes ( SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Applicant or Agent ate , L APPLICATION FOR BUILDING PERMIT • COUNTY OF LOS ANGELES BUILDING AND SAFETY WOR ER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDR SS 1-1or a certificate of Workers'Compensation Insurance,or a certified Sb 4 5 V C- copy thereof(Sec.3800,Lab.C.) sri'^ CIT ZIP LITY Policy No. —� l 7 Company iJ�r� SIZE OF LOT NO.OF BLDGS.NOW ON LOT Certified copy is hereby furnished. ! NEAREST CROSSOBT. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. dep??art��men��t.��i�Q Date Appliiccant9t � `�,A,AAdn �� ASSESSOR MAP BO ��-7 PAGE PARCEL 1� � SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER i TEL NO. YES NO COMPENSATION INSURANCE ' vOC 36 2 WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS �C � DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) �r Z I certify that in the performance of the work for which this permit CITY IP (�� h� is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. !/ become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.-L_ DWELL UNITS NOTICE TO APPLICANT.• If, after making this Certificate of REQUIRED' TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' C NTRACTQBPTEL NO, SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith C C a 44-S' —d FRONT comply with such provisions or this permit shall be deemed revoked. AD KESS LIC.NO. PL w LICENSED CONTRACTORS DECLARATION CI tU 0 SIDE CITY LIC.CLA)b P L I hereby affirm that I am licensed underprovisions of Chapter 9 C 4SEWER MAP nom. (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES NEW ❑ BK PG CD Professions Code,and my license is in full force and effect. License Number O 1A Ic.Class is DEPQRIPTION OF WORK ADD ❑ VALUATION 00 Contrectore/2i1!�� a�e 7` ,'�—?-�^�� o LZ' ALTER $' ti ❑ I am exempt under Sec. REPAIR ❑ $ � ' B.&P.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ 1 I Signature APPLICANT(PRINT) TEL NO. LDMA Perm# C C Ta 111,as owner of the property, or my employees with wages as Do PL/ 5r5 ' their sole compensation, will do the work and the structure is AD KESS t O 3303 . not intended or offered for sale (Section 7044, Business and Q IA.I vt+ z FINAL DATE Professions Code.) II Er WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J != ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY TOTAL AL 24 licensed contractors to construct the project (Section 7044, YES 1:1 NO❑ Business and Professions Code.) 4.4 WILL THE INTENDED USE'OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ,.ft CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ` CHANGE +l': GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ cythe performance Of the Work for which this permit IS ISSUed(SeC. 1HAVEREADTHEHAZARDOUSMATERIALSINFORMATIONGUIDEANDTHESCAOMDPERMITTING ') 7 WC.J 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE, 103010–)„001 3/23/10 . 44 Lender's Name TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH MA MATERIALS REPORTING AND'FOR OBTAIN NG A PERMIT FROM4TMCOSCHAZARDOUS AOMDNG L i' aLender's Address LS O OWNER OR AGENT , 61 certify that I have read this application and state under penalty o P.C.FEE PERMIT FEE p of perjury that the above information is correct.I agree to comply a N with all county ordinances and State laws relating to building m construction,and here authorize representatives of this County ISSUANCE FEE <� CIO a I ter upon theL4b - entioned property for inspection purposes. A 3 �r INVESTIGATION FEE TOTAL FEE a AcW I m roam SEE REVERSE FOR EXPLANATORY LANGUAGE 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 1104180009 PHONE: (626) 285-0488 EXT: ]LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: ITR: 5905 LT: 99 I SQ. FT STORIES TYPE 1 5846 SULTANA AV ISTRUCTURE: 961 V-B I TEMP CA 917801838 [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 1 15387-015-015 1 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 [ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 104/18/11 SR ] (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF DATE FI Y: CODE: I ING, EUGENE (626) 201-0911- 1 3,000 I I 15846 SULTANA AV [ I [ ITEMP 917801838 ] FEES PAID DrSCRnT101q OF WORK v1 I I ITEAR OFF AND REROOF EXISTING, INSTALL PLYWOOD, ASPHALT I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISHINGLES TO MATCH NEW ADDITION I (APPLICANT: TEL. NO: I I 1 ING, EUGENE (626) 201-0911- ]AA BLDG PERMIT ISSUANCE 27.80 1 ] 15846 SULTANA AVE ]AB STATE GREEN BLDG FEE 3000.00 VAL 1.00 [SPECIAL CONDITIONS: 1 TEMPLE CITY CA 91780 IAC STRONG MOTION RESID 3000.00 VAL 0.50 I 1 ID2 PERMIT W/O EN-HC 3000.00 VAL 99.10 I I TOTAL FEES 128.40 1 1 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ING, KIN W. (626) 287-7728- I 1 I ILINDA C. NG LIC. NO I ILOCATION AND SETBACKS [ I I IP.O. BOX 1725 NONEI I [ I I 1TEMPLE CITY, CA 91780 1 1SOILS ENGINEER APPROVAL ] 1 I 1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS I I I LIC. NO: 1 [SLAB/UNDER FLOOR I I ]RAISED FLOOR FRAMING 1 I I ] I I I 1M50H265 SEWER MAP BOOK: PAGE: FIRE ZON3 CM001 1UNDERFLOOR INSULATION 1-1 I I I IFLOOR SHEATHING I I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I ] I I [ NO 21 I 1ROOF SHEATHING ` I I [ SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I ( I ]AIR QUALITY: 1000 FEET MATERIALS I I I I 1 NO NO NO 1 IFRAME INSPECTION I 1 1 [FIRE SPRINKLER HANGERS 1 I (INSULATION/WEATHER STRIPI I I I 1 IINTERIOR LATH/DRYWALL ] I [ I ] ] I 1EXTERIOR LATH I I I I I I I ] IRATED FLOOR/CEIL ASSEM. I I I IRATED WALL ASSEMBLIES I I I I ] IRATED SHAFTS/OPENINGS I I I I I I 1 I IT-BAR CEILINGS 1 1 I I I I ILOT DRAINAGE 1 I I I I I [ —1REPORT ID: DPR261 ROUTE TO: BS0508 I I 1 I 1 I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1012020028 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NfiW I BIIILDING ADDRESS: ITR: 5905 LT: 99 I SQ. FT STORIES TYPE OCCUP GROUPI 5846 SULTANA AV 1 (ASSESSOR INFORMATION NUMBER: ISTRUCTURE: 875 1 V-B R3 I TEMP CA 917801838 1 I GARAGE: I NEAREST CROSS STREET: LAS TUNAS 15387-015-015 ] OTHER: 165 1 V-B U ] THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: USE ZONE: TISSUED ON: PROCESSED BY: I EXIST OCC GRP: 101/27/11 SR 1 (OWNER: TEL. NO: 19LDGS. NOW ON LOT: VALUATION: 1F DATE FILIAL-BY: CODE: 1 ING, EUGENE (626) 201-0911- 1 120,900 15846 SULTANA AV 11 II zyy ITEMP 917801838 J FEES PAID DESCRIPTIN OF WORK v1 I 1 (ADD 2 BEDROOMS, 2 BATHROOMS AND FRONT PORCH 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I (APPLICANT: TEL. NO: I I I ING, EUGENE (626) 201-0911- IB1 PLANCHECK W/ENERGY 120900.00 VAL 1,334.00 1 I 15846 SULTANA AVE JAA BLDG PERMIT ISSUANCE 27.80 (SPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 IAB STATE GREEN BLDG FEE 120900.00 VAL 5.00 J I JAC STRONG MOTION RESID 120900.00 VAL 12.10 J I JB2 PERMIT W/ENERGY 120900.00 VAL 1,569.40 1 I ICONTRACTOR: TEL. NO: I TOTAL FEES 2,948.30 1APPROVALS DATE INSPECTOR SIGNATURE 1 ING, KIN W. (626) 201-0911- 1 1 1I ILINDA C. NG LIC. NO J ILOCATION AND SETBACKS �I I (P.O. BOX 1725 NONE TEMPLE CITY, CA 91780 I ISOILS ENGINEER APPROVAL F I ] ]ARCHITECT OR ENGINEER: TEL. NO: - ] ]FOUNDATION/TRENCH FORMS 1 ] ] jj LIC. NO: 1 ` ISLAB/UNDER FLOOR I (RAISED FLOOR FRAMING I 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J 1`, l►If I 1UNDERFLOOR INSULATION ] 3 001L —JIV6� t'�Ca� ddd J I I Vr` ` ) \,%C� �- /i I1ST LEVEL FLOOR SHEATH 1 I I [NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I NO 21 ] 7+ 7�•�� � "� 1 A C 12ND LEVEL FLOOR SHEATH J 1 1 1 SCHOOL WITHIN HAZARDOUS J { IROOF SHEATHING J JAIR QUALITY: 1000 FEET MATERIALS 1 I I I NO NO NO I !� L IFIRE DEPT. FRAME INSPECTI I (BLDG DEPT. FRAME INSPECT( 1 I ISHEAR PANELS I I J I I I I I JINSULATION/WEATHER STRIPIXIV J l ^ I I (INTERIOR LATH/DRYWALL JEXTERIOR LATH 1 I I ]LOT DRAINAGE 1 I I (SMOKE DETECTION DEVICES 1 ] I (FIRE DEPARTMENT APPROVAL( ] I ] I I ] I I ] ]REPORT ID: DPR261 ROUTE TO: BS0508 I I I ]