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Home My Public Portal About6005 SULTANA AVE_Building__ '8A838A 089'3 3'88 1 APOLICATION FOR BUILDING PER-MIT DIVISION OF BUILDING AND SAFETY BUILDING .tS • Deportment of County Engineer- ADDRESS 4 � County of Los Angeles LOCALITY - WM.J.FOX.COUNTY ENGINEER NEAREST ( � CASSATT D.GRIFFIN,SUPT OF BUILDING CAOSS.ST. r DISTRICT NO. GROUP I SPE I SEWER MAP: FOR APPLICANT TO FILL IN CONST BUILDING MAP STATE ADDRESS /� Zile o NUMBER ' HWY YBS �' LOT NO. 040 BLOCK U¢E ZONE SPEC CONDITIONS TRACT NO.OF SIZE OF LOT NOW ON LOTS BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH USE OF EXISTING BLDG. p FPROL T OWNER SIDE r P.L. MAIL ADDRESS 0O7 yJAwn -5 TRACTDyl I'UNIT TEL. ZZ 1 DWELL • I UNIT 5 INDUSTRIAL CITY NO. 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX I UNIT 7 ADDN..ALT.. ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL $ TTio' INSPECTION RECORD CONTRACTV Ri '� ADDRE9 W/ - J DESCRIPTION. OF WORK ',/�Q4�,�' NEW ALTER REPAIR DEMOLISH Y(0 IAI Sq.FT. a NO.OF . NO.OF 4" r SIZE STORIES. FAMILIES 'r ��'� Y'l? 'G� RJ:`� G F 6r"Pi3.' U E #F TRUCTURE L. r J'7r11�S r' / .S HD�'�' • 6r- Re-r7-I K d/tla#r R1n_--N6T STNATUR APPLICANT F APPROVALS 17CCE j;Pj t r 0" IL ADDRESS DATE INSPECTORS SIGNATURE FOUNDATION:LOCATION. �J Key g•1 $ P.C. S r„ FORMS,MATERIALS �'"F ��7 / .PS, A 'Ar1 FEE FRAME:FIRE STOPS, BRACING.BOL2TS - VALUATION S FE FGAS VENT.DUCTISN. 3`ZD �7 fsi�!' Yl/INPG 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMP Y WITH ALL COUNTY ORDINANCES -LATH.INT. h lie ! !f AND STATE LAWS GU TING BUILDIN CONSTRUC- �+ L�'/P.yybV•"-�+ TION. LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED cftr� ADORES @.. • �� FiNAL ' — ��Q"tf'� 10 hUA4r.6J WM.J.FOX,COUNTY ENGINEER- VALIDATION C.N.DIRLAM.CHIEF BLDG. INSPECTOR ACo 4.3 5 0 JAN 21 1 8.0 U '� DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRI PLAN CK. NO. PEAMIT NO. ADDRESS �' LOCALITY RE EIVED BY DATE O APPL.)' DATE ISSUED NEAREST giv CROSS ST. BUILDING r OWNER ADDRESS Q S(/ MAIL LOCALITY CoeT ADDRESS NEAREST /� TEL. CROSS ST. A ` L CITY NO. FIRE NO. OF TYPE GROUR,— ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. / VD SETBACK LINE Z^' ADDRESS APPROVED TEL. BY DATE CONTRACTOR NO. USE _/APPROVED ZONE BY DATE ADDRESS - HOUSE NUMBERING LEGAL DESCRIPTION LOT NO. BLOCK MAP NUMBER C T FIELD CHECK BY TRACT NO. ASSIGNED BY 46i J ATF NO. OF BLDGS. CORRECTIONS SIZE OF LOT NOW ON LOT USEOF EXISTING BLDG. I FAMwES _ DESCRIPTION OF WORg ,A /y Unt NEW I ;\; I ALTERATION I I ADDITION �� r- ) /6'n L, TLo O lv its. REPAIR I I DEMOLITION SQ. FT. / NO. OF ^ D SIZE ROOMS STORIES "9,9_G / 11 LEI Z>EXT. WALL ROOF ! I P COVERING COVERING USE OF STRUCTURE "a m C� t-f . �►/�LL- !fid APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION � PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS I / J CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, D HEREON ANWITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS PERMITTER LATH, INT. ADDRESS / LATH, EXT. ' �.i., z AUTHORIZED AGI. PLASTER, INT. 78A8i8A• 08113 10-SO P. C. $ J O FEEPLASTER, EXT. VALUATION �_. FEE $ FINAL Lam/ S L. I r ' WORK§RS'COMPENSATION DECLARATION I 'hereby affirm that I have certificate of consent self APPLICATION F®R BUILDING P E RM I T insGre, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDINGR` 50 RAN /I_ 1:1 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS G005- /V P�tl B'� ❑ Certified copy is filed with the county building inspec- BUILDING C06 r,`, 5 r pR l� tion department. ADDRESST I�l+�. J TrP" A T�! Date Applicant CITY l CX+Y ZIP IID® LOCALITY g NO.OF BLDGS. ,may NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 0% LL ® NOW ON LOT f CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT is ABpLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) OWNER tAVLK AISTj t NO. 33oS USE ZONE MAP I certify that in the performance of the work for which this / /� ��py��, NO. permit is issued, I shall not employ any person in any manner ADDRESS (aCD5 Sv IT+ � - SPECIAL CL CONDITIONS O so as to become subject to thAWoene Com nsationLaws. �. U `/ CITY � ' ZIP 4170$,JC` Date ApplicanARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY QNOTICE TO APPLICANT: If, ag this Certificate of ENGINEER NO. CON ZONE Exemption, you should become subject to the Workers- �T Compensation provisions of the Labor Code, you must forth- ADDRESS O V with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT. NO OF NO. OF CHECK License Number Lic. Class SIZE 2000 STORIES FAMILIES t ONE AT o VALUATION AUT ' DESCRIPTION OF WORK ft6pA NEW ❑ _,.,,.-F c:t Contractor Date f a�� , D ► _,_;i s ' � ADD ❑ "`• ❑1 am exempt under Sec. 1 gTEh� I loft ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ T I e k 40.510- Date: 0 o 510 Date: USE OF EXISTING BLDG. DEMOL ❑ CHECK 40.513 Signature APPLICANT(PRINT) rel(, iG1aST NO. Z 3�� FINALAID OWNER-BUILDER DECLARATION DATE }Tr '►plc °0.1 - I hereby affirm that I am exempt from the Contractor's License ADDRESS (o�S SUS T G` Law for the following reason (Section 7031.5, Business and FINAL Pr_omissions Code): PRESENT By , ,^�_^ t ; CD IK�L 1, as owner of theproperty, or MY, employees with BUILDING 1_I,+._l. I` I�a .:/i4�Lr Y ' ADDRESS -+ s o wages as their sole compensation,will do the work and , m (, j �1 �. 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.) CONSTRUCTION LENDING AGENCY REQUIRED BACK YARD HWY TOTAL SETBACK LINE WIDTH EXIST. ID H 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. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name g 30.c � LDMA Ref. # P.C. Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee d LDMA P/C# , 3 above information is correct. I agree to comply with all County Investigation Fee � / ordinances and State laws relating to building construction, Total Fee `TOS V LDMA Perm. # a and hereby authorize representatives of this County to enter upo=A, Witmented property for inspection purposes. 3-to-mu,"'T SEE REVERSE FOR EXPLANATORY LANGUAGE ir Signatu a of Applicant or Agent Date APPLICATION FOR [BUILDING PERMIT " COUNTY OF LOS ANGELES I BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BU DING ADDRESS I hereby affirm that I have a certificate of consent to self insure, a ILDING ADDRESS C -5S or a certificate of Workers'Compensation Insurance,or a certified c)o S UL copy thereof(Sec.3800,Lab.C.) CITY ZIP L Q 2 qZ—q +S•TA W 'F UAl LOCAUTY Policy No. Company ��i�s SIZE OF LOT NO.OF BLDGS.NOW ON LOT 01�❑ . ertified copy is hereby furnished. NEAREST CROSS S ertified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. 1'�A-UUSE ZONE MAP NO. Date 8^&7 �t Applicant k.6hl Qnn10101%F % ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER I TEL NO. G/ COMPENSATION INSURANCE ,ST —TTk I IP,(,—330 WITHIN 1000 FT OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred A DRESS dollars($100)or less.) lloey�ls 5 V DISTRICT GROUP TYP ONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit Y e 0— -r ZIAP ""`R �J'i9p is issued, I Shall not employ any person in any manner so as t0 ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. s / DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers QQNTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwithFRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION 6 C 3 SIDE CLIC.C S PL ITY I hereby affirm that I am licensed underprovisions of Chapter 9 C-• T SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT.SIZE NO.OF STORIES 41 NO OF FAMILIES NEW BK PG c Professions Code,and my license is in full force and effect. C License Number X1$$33 S Lic.Class C DESCRIPTION OF WORK ADD ❑ VALUATION c To Contractor �Mk.0bft ZCIO Date 8-, "q �� $ ALTER ❑ �� LL - REPAIR ❑ a ❑ I am exempt under Sec. � ItiUs 3C� �E1�T �� $ vz BAP.C.for this reaso -,-� DEMOL ❑ LDMA P/C+Y Date: USE OF EXISTING BLDG. `F , URM 13SignaturePPLICANT(PRINT) 1� ,,� TEL NO LDMA Perm k ❑ 1.as owner of the property, or my employees with wages as Z .S^ �l Z their sole compensation, will do the work and the structure isDRESS T ft 9^7 O '41 j °s not intended or offered for sale (Section 7044, Business and �� . .L.V NX.T,& O`l 1 FINAL DATE, ~ _ Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /O C s'3013 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner of the property, am exclusively contracting with Q AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY IC licensed contractors to construct the project (Section 7044, ves❑ No❑ Business and Professions Code.) !) !i -s_ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH V '• +'• w -• s CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAOMD)SEE PERMITTING CHECKUST FOR I.lirr_(.:1 GUIDEUNES I hereby affirm that there is a construction lending agency for YES❑ No❑ (-�i �14 �Ll- athe performance of the work for which this permit is issued(Sec. 0 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING a 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. TITLE 2 CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20 140 CONCERNING HAZARDOUS _ Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Q Lender's Address r ti; M •j r f. - C OWNER OR AGENTr1 c I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all count ordinances and State laws relating to building con on,and h by authorize representatives of this County ISSUANCE FEE / 7/O aenter on th ve-menti d property for inspection purposes. (� 7' 1001M - !e-- INVESTIGATION FEE TOTAL FEE }� Spn::no a b n aa„1 0.:.o !/ SEE REVERSE FOR EXPLANATORY LANGUAGE � Y COUNTY OF LOS ANGELES TEMPLE CITY # 050 BUILDING PERMIT •i DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS -• �_ ..' , . a RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY l LAND DEVELOPMENT TEMPLE CITY CA .. SL 0508 9709180007 PHONE: (818) 285-0488 EXT: 0. OF C S ULD ES TR: 5904 LT: 300 SQ. FT STORIES TYPE OCCUP GROUP 6005 SULTANA AV STRUCTURE: 786 1 VN R3 TEMP CA 917801550 ASSESSOR F A O NUMBER: GARAGE: NEAREST CROSS STREET: HERMOSA 5384-016-030 OTHER: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EIS BDG 2 E: IS R ES ED Y: EXPIRES EXIST OCC GRP: 11/12/97 . VG 11/12/98 TEL. NO. BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL Y: DE" MISTRETTA MICK C;DEBRAH 1 (818) 286-3305- 2 58,100 6005 SULTANA AV F �® TEMP 917801550 S AI D SCR PT ON 0WORK ADDITION OF NEW FAMILY AND EXTE EXISTING MASTER BEDROOM PIC T _ , FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND NEW CLOSET IN MASTER BEDROOM SAME AS OWNER - B1 PLANCHECK W/ENERGY 51800.00 VAL 767,02 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ;AC STRONG MOTION RES 58100.00 58100.00 VAL 5.81 81 PLANCHECK �Il,ENE GYN58100,00 VAL 63.81 82 PERMIT WAEt�ERi`�,L E�8100:00�AL 977.46 CONTRACTOR: TEL. NO: TO.. L iFEES }� 1,841.85 APPROVALS DA TE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LUTON AND SETBACKS }" f% �� SOILS EN IN ER AP OVAL ARCHITECT ENGINEER: EL. 0: ° ��% G 8 ARCHITECTS (909) 949-6999- S�y� f 0 X/ RE C OR S 275 CANTERBURY CT. LIC. N0: t / { UPLAND, CA 91784 NONE J '' ri 1 �`` `l� S BLUNDER13. m AAA L il_�I, - ` -'-' '� •il _-! 'v' ,.IV, S F 00 FRAMING AP 0: SEWER MAP B PAGE: F EON CMq -'- —— --- - --- - --- 3� 01. ''_�) r�� ,( � ljl��it 11 C + UNDERFLOOR INS LA 10 S O. 0 FAMILIES: D ELL G UNITS: / : STAT C SS: - - - -— - - ------— - -_�---- LV FOORS H NO 21JJ s1, -P..'�. ,l le 2ND LEVEL F OOR S EATH QUALITY: SCHOOL HAZARDOUS `�1 h, :,' i_ '; , � i ' s ROOF SHEATHING— AIR UAL TY• 1000 FEET MATERIALS t •�,. ,; i., • , NO NO NO r '.�_ ` , ,; o FIRE DEPT. FRAME INSPECT REQUIRED OT L SETBACK FROM i {9�' ' v�`� - r r ,+ RG r 4 a a' BLDG DEPT. E INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: :--__ _-- •,`�� FRONT PL- y ,, }'; SIDE PL- SHEAR PANELS{ ,moi ;,'�„�'�° afih t. f ,, '• s Y I LTI IEA HE S I A . INTERN LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION D S I FRE DEPARTMENT APPROVE REPORT ID: DPR261 ROUTE TO: BS0508 ~ -&-f ----- I I