HomeMy Public PortalAbout6035 SULTANA AVE_Building__ BUILDING
B U ' L i N G ADDRESS D�d�
APPLICATION LOCALITY
DIVISION OF BUILDING AND SAFETY NEAREST
CROSS BT. h-1!
Department of County Engineer DISTRICT NO.' RECEIPT NO. PERMIT NO.
County of Los Angeles ler „�.?(0i rj
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUPIT OF BUILDING
FOR APPLICANT TO FrI,LL IN TYPE CONST. RECEIVED BY ISSUED BY
OWNER 6 %;•:J C.(,, 'IA Uiii MAP STATE YES NO
MAILADDRESS ���) �` , � yt,(ld NUMBER 1 D ` HWY
USE ZONE SPECIAL
CITY NOL. i
-l CONDITIONS
ARCHITECT OR! TEL
ENGINEER NO.
BUILDING YARD HWY 'STREET NAME EXIST.
ADDRESS SETBACK WIDTH
FRONT
7J ?/ TEL. P.L.
CONTRACTOR din 0�! / l�l��•1 Y:tUk
NO. In '� BIDE
f, t P.L.
ADDRESS n/i/1 1t• �t. l"JA . l %L
BUILDING DATE CORRECTIONS INSPECTOR
ADDRESS
LOT NO. r pLp�i► BLOCK
TRACT
NO.OF BLDG9.
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
DESCRIPTION OF WORK °a
0
NEW ADD ALTER REPAIR DEMOLISH ' Z
9q.FT. NO.OF NO.OF r
SIZE STORIES FAMILIES
USE OF STRUCTURE
11 !1
NO.OF
EMPLOYEES
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS
FRAME: FIRE STOPS,
SIGNATURE OF rr BRACING,BOLTS
PERMITTEE .f C YJ r �'
FURNACE: LOCATION,
t (� /, GAS VENT,DUCTS
ADDRESS
T�' t
AUTHORIZED AMT. ��l ��C us•Y If/s>'• LATH. INT.
LATH, EXT.
S O ✓ P.C.# HOUSE NUMBER COR-
FEE RECT AND POSTED ' n
VALUATION # /1�V FINAL =�' ��/�/ �If%11 rr
FEE
76A638A 088 3 12-53
WORKERS'COMPENSATION DECLARATION
"I hereby affirm that I have certificate of consent to self FOR BE'
U�L I PERMIT
.insure, or a certificate of Workers'Compensation Insurance, �
pr a certified copy thereof(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
PolicyNCom pany_� /�/7'"/�i�
,.•., :;,.:;...-; .••. ,,•..__:,,..:.�.:�.:..,... ,,. •„m-,::,..., BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- I BUILDING r `I
4�1 tion epar ment. j ADDRE-IMSS 3 0—T) LOCALITY
/J NEAREST
Date ` Applicant I CITY ` ZIP CROSS ST.
CERTI CATE OF EXEMPTION FROM W RKERS' NO.OF BLDGS. e� ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT �� NOW ON LOT MAP BOOK PAG
E PARCEL
(This section need not be completed if the permit is for one SLfr USE ZONE MAP O
hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. ��
TEL SPECIAL
I certify that in the performan e o the work for which this OWNS ��� NO. CONDITIONS
DISTRICT GROUP TYPE FIRE PR ED BY O
permit is issued, I shall not o y person in any manner i ADDRESS CONST. ZONE Lt
so as to become subject to rs'Compensation Laws. O� i29
Date Appl• a CITY (/1E<. ZIP STATISTICAL CLASSIFICATION CONDO. 0
NOTICE TO APPLICANT: If, after making this Certificate of `ARCHITECT OR TEL. �_ LU
Exemption, you should become subject to the Workers'
ENGINEER NO. CLASS NO.. DWELL.UNITS
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be TEL
deemed revoked. CONTRALTO � • NO. �••�� BK. �PG,
A VALIDATION
LICENSED CONTRACTORS DECLARATION LIC, <
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE 6 .N0fq3'-Z64-- VALUATION �p
(commencing with Section 7000)of Division 3 of the Business and LIC. 1
Professions Code,and my license is in full force and effect. CITY CLASS �� $2 DD
'(r Lic.Class ``/ S Z
License Num EA O
STORIES FAMILIES CHECK
er
�7 g $
Contract ate DESCRIPTION OF WORK AL3 tt/E NEW
El Lam exempt nder Sec. t�►U�e2 ADD'r� � ALTER ❑ FINAL.BP.C. for this reason ,,� DATE ( J
REPAIR
EMOL
Date: USE OFCF/0) DFINAL `
” EXISTING BLDG. ( p- ❑ By
Signature APPLICANT � f TEL.951 El
OWNER-BUILDER DECLARATION PRINT NO. �r-2""7d
'
I hereby affirm that I am exempt from the Contractor's License U}
Law for the following reason (Section 7031.5, Business and ADDRES
Professions Code): ;PREEN J
I, as owner of the property, or my employees with
'BUILDING
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 ich this permit is issued P.L.
iSec. 3097,Civ. C.). SIDE
P.L.
Lender's Name
P.C.Fee$ Permit Fee ,
= Lender's Address
B I certify that I have read this application and state that the Issuance Fee 1,4— J
above information is correct. I agree to comply with all County Investigation Fee f/
ordinances and State laws relating to building construction, Total Fee cryo
and hereby authorize rep •e t tives of this County to enter
�=en ti d rty fo inspection urpos
SEE REVERSE FOR EXPLANATORY LANGUAGE
es
Signature Applicant or Agent Dat
j I
'COUNTY•OF LOS ANGELES TEMPLE CITY # 0508 1 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9711200049
PHONE: (818) 285-0488 EXT: l
LEGAL 0. 0 S ADDRESS:
TR: 5904• LT: 296 I SQ. FT STORIES TYPE 16035 SULTANAAV
STRUCTURE: 0 VN TEMP CA 917801550
ASSESSOR IN0 0 BER: NEAREST CROSS STREET:
5384-016-026 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG E: ESID USE 0 - SSUED ON: PROCESSED B P RE 0 :
EXIST OCC GRP: 11/20/97 UT 11/20/98
14
OWNER: . TEL. N0: BLDGS. NOW ON LOT: VALUATION: FI AL,D TE FINAL BY CODE:
6b39 SULTANA AV (818) .'38rr•k836o 2 1,380 Z,
TEMP 917801550 FEES PAIDCRIPTION 0 OR
REMOVE EXISTING ROOF AND RECOYU WITH CELOTEX 25 YR CLASS A
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: COMP.' SHINGLE
PPL NO:
WEATHERITE ROOFING (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 1380.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN- C 1380.00 VAL 82.20
�TL FEES 110.45 ,
CONTRACTOR: TEL. N0: ®� APPROVALS DATE INSPECTOR SIGNATURE
WEATHERITE ROOFING (818) 287-0669- 1
4016 TEMPLE CITY BLVD LIC. NO LOCATION AMD SETBACKS
ROSEMEAD CA 91770 423177039 �
i «<777 SOIL ENGINEER APPROVAL
1
ARCHITECT OR ENGINEER: TEL. NO: D 0 RE CH FOR S
L.IC. NO: v SLAB UNDER FLOOR
A
SED FLOORRA
I �
14APNO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPI: �p p� �aJ/� NDE FLOOR INSULATION
150H265 u ��C �% FLOOR S A G
NO. OF FifLIES: DWELLING UNITS: A 4 o D: STAT CLXIS:' —
NO 21 0 0 .;1k]�,g1i RooF SHEATHING
SCHOOL WITHIN HAZARD
, / (]
f %`
AIR QUALITY: 1000 FEET MATERIALS i r� =11�,I SH N
ELS
NO NO NO I �e � u f ��� FRAM INSPECTION
REQUIRED TOTAL SETBACK REXIST ' ± oE' + �S LER ANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: '
FRONT PL- 1 INSULATION/WEAT ER STRIP
SIDE PL- i L rvi(c
I0I '��ss IINTERIUM LATH/DRYWALL
EXT L IOR LAT
RATPD FLMRICEIL ASSEN.
i
RATM
WALL SEMBLI S
RATEU' I
S S G
T- R CEILINGS
LOT'IDRAINAGE
i REPORT ID: DPR261 ROUTE TO: BS0508
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