HomeMy Public PortalAbout5926 SULTANA AVE_Building__ APPLICATION FOR BUILJ�7ING MRrT
FOR APP�.ICANT TO FILL IN (Print or type only) (�� /�-P�s�6r ���
BUIL]INC -��, + COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDING AND SA , TY DIVISION
NO.OF BLDGS. BUILDING
SIZE OF LOT NOW ON LOT'IF ADDRESS J
1pod
TRACT F C76 BLOCK ''^ 'LOT NO S LOCALITY .y
NEAREST
OWNER Q � c /� C'/ 0 NO� 4j�r� CROSS ST.
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
DISTRICT JGROU�PTYPE FIRE ROC SED BY
CITY f� ZIP ONSSTTAZONE
ARCHITECT OR TEL. �Q� (it/L..
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO.. DWELL,UNITS BK PG
CONTRACTOR
TEL ZONE MAP
0
NO.�) C+
LIC.
ADDRESS NO, SPECIAL
CITY LIC. CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SQ, F NO. NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZ I FAMILIES ONE
DE PTION OF WORK NEW
DG,SETBROM
SILIN
� T ADD ❑ SIDE PROP.LINE OF 1 EET)
ALTER ❑ _ TOTAL SETBACK FROM TYPE OF (STING
HIGHWAY + YARD HIGHWAY DTH
REPAIR❑01USIDE PROP. LINE
SE OF + _
EXISTING BLDG, DEMOL ❑
Ap INT)
) T 6 / v m TE
NO Y,31�/ � CORNER CUTOFF YES ❑ NO(FR ❑
BY (SIGNATURE IN OPEN SPACE YES ❑ NO ❑
IN COASTAL ZONE YES ❑ NO ❑
VALUATION a W /a CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACK OWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO L
WORKMEN'S COMPENSATION INSURANCE. p / �� •P ri! ',� %f
y \ /
SIGNATURE OF
PERMITTEE _
ADDRESS ,
FINAL / BY
CITY
NO DATE f�
Q a
MA KF_ CIIE'CKS PAYABLE TU: FEE $ FEE
HARVEY T. BRANDT, COUNTY ENGINEER /
PLAN CHECK VALIDATION CK. M 0. CASH ® PERMIT VALIDATION CK. M 0. CASH
18 1 0 2 1.7 5 oz,d
7BA638A CENS03 7/73
COUNTY+OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
a DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0107030036
PHONE: (626) 285-0488 EXT:
LEGAL I
NO. 0 OS DIG ADDRESS:
TR: 5904 LT: 311 SQ. FT STORIES TYPE ,5926 SULTANA AV
[ STRUCTURE: 3600 VN TEMP CA 917801547
SSESSOR 0 IO BER: NEAREST CROSS STREET: LAS TUNAS DR
5364-015-001 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDGS : SFR W USE 0 ISSUE 0 0 P R 5
EXIST OCC GRP: 07/03. 01 UT 12/30/01 .
OWNER: N0: BLDGS. NOW ON LOT: VALUATION: FINALI DIT,,,,E F CODE:
PAYNE WYATT L;EDITH M (626) 285-1500- 6,500 •�J t
5926 SULTANA AV Ig
TEMP 917801547 FEES PAID D SCRIPT 0OF OR
TEAR-OFF ROOF INCLU NG S EATING RE-ROOF 1/2 CDX CELOTEX
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
DOUG DEARDEN (626) 287-0669- I AA BLDG PERMIT ISSUANCE 27.75
4251 BALDWIN AVE AC STRONG MOTION RESI,D-, 6500.00 VAL 0.65 SPECIAL CONDITIONS:
D2 PERMIT W/Or_EN HC___-:-'6500.00 VAL 166.20
7��cL� \�E 194.60
CONTRACT-DR: TEL. 6: i •9 f11J�.�; APPROVALS ATE INSPECTOR SIGNATURE
WEATHERITE ROOFING (626) 287-0669- / ®/ y•!= '+
4251 BALDWIN AVE LIC. NODSETBACKS
ELMONTE CA 91731 HIC * s" y
`} ��� SOILS ENGINEER APPROVAL
ARCHITECT 0 ENGINEER: E - +}` r•1 1 ," ;. _- •� ',1FOUNDATION/TRENCH FORMS
LIC. NOti I i __--_I _ i 1—-- - - SLAB,UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: ;I i�,_ ;i �i ' ' :; UNDERFLOOR INSULATION
XX 3 11A,
FLOOR SHEATHING
0. OF FAMILIES: DWELLING N S: A CO : STAT CLAS - - — -- — -- - - -- - --- -
NO 21 1 \. \ - - s �' I�' , '+— - �� ROOF SHEATHING
SCHOOL WITHIN A R 0 S R PA S
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO `• �� j� /� FRAME INSPECTION
REQUIRED 0 A SETBACK RO EXIST (f�� +�l �;-��aji�' ' ' IRE SPRINKLER ERS
SET BACK YARD: HWY: PROP LINE: WIDTH: f`'
FRONT PL- C INSULATION/WEATHER STRIP
SIDE PL- �- -t- --�
TER OR LATH/DRYWAL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.FLOOR/C
RATED WALL ASSEMBLIES
RATED i
SHAFTS/OP5NINGS
* ADDITIONAL DATA ON FILE T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
I
r ti
�r t 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 0708160021
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 5904 IT: 311 I SQ. FT STORIES TYPE 1 5926 SULTANA AV I
I ISTRUCTURE: 365 VN I TEMP CA 917801547 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15384-015-001 I I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
]TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1
1 (EXIST OCC GRP: 108/16/07 SR 02/12/08
I I I I
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: ]FINAL FI Y: CODE: 1
ITONG, JOANNE (626) 757-6970- 1 5,000 ] I I
15926 SULTANA AV I
ITEMP 917801547 ] FEES PAID ]DESCRIPTION OF WORK I
I ] ICHANGE HALF BATH TO FULL BATH, CONVERT EXISTING DINING ROOM ]
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ITO BEDROOM, REPLACE KITCHEN CABINETS & LAUNDRY ROOM ]
[APPLICANT: TEL. NO: I I - I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 I
I IAC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: 1
1AX BUILDING REVIEW FEE 54.70
IB2 PERMIT W/ENERGY 5000.00 VAL 145.86
I I TOTAL FEES 228.81 I I
(CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I
I LIC. NO 1 LOCATION AND SETBACKS I I I
1 I ISOILS ENGINEER APPROVAL 1 I I
I I I I I I
[ARCHITECT OR ENGINEER: TEL. NO: 1 ]FOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 [SLAB/UNDER FLOOR I I I
1 (RAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( UNDERFLOOR INSULATION ] I I
1150H265 3 O1] I ] I
I I [FLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
1 NO 21 1 IROOF SHEATHING I I
[ SCHOOL WITHIN HAZARDOUS 1 ]SHEAR PANELS I I I
[AIR QUALITY: 1000 FEET MATERIALS I ] I
1 NO NO NO I IFRAME INSPECTION 1
]REQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS ] I
ISET BACK YARD: RWY: PROP LINE: WIDTH: [ I I [ I
FRONT PL- ] 11NSULATION/WEATHER STRIP( I I
SIDE PL- ] I 1 I
I I [INTERIOR LATH/DRYWALL I
Q I (EXTERIOR LATH [ I I
IRATED FLOOR/CEIL ASSEM. ] I I
I I IRATED WALL ASSEMBLIES 1 1 I
I I I
I (RATED SHAFTS/OPENINGS 1 I I
I I I
I I IT-BAR CEILINGS I ] I
I I (LOT DRAINAGE
1_1_1 1 I
1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 ] I I
I 1 I 1 I I