HomeMy Public PortalAbout6124 SULTANA AVE_Building__ ',JOA986A C8#8031C_!9 APPLICATION FOR BUILDING PERMIT, �.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS arL G(
BUILDING AND SAFETY DIVISION LOCALITY.
JOHN A. LAMBIE, COUNTY ENGINEER CNEAREST
ROSS T. a�L
CASSATT D.GRIFFIN,SUPT OF BUILDING
DISTRICT NO. GR P TYP ESSED BY
FOR APPLICANT TO FILL IN I torts
BUILDING / �1 STATISTICAL CLASSIFICATION I SEWER MAP
ADDRESS (d ov A/ ,� I 0 BK
CLASS.NO. WELL.UNITS-Lt--j
LOT NO 00C'# E' BLOCK MAP'. STATE -
NUMBER �V O HWY. YES N®
if TRAACT O USE ZONE SPECIAL ` -
r 'NO.OF.BLDGSO I CONDITIONS \ r
' SIZE OF LOT cJ /� /1 NOW ON LOT �`
USE OF
n EXISTING BLDG. AtO Al e- BUILDING YARD HWY STREET NAME EXIST.
//JJ SETBACK WIDTH
OWNER N/ �Q/!/ G e S FPROINT �M l7 LZ o
MAIL !!L �(J
ADDRESS S� /�'� �P J•/L a`� -,j/ SIDE
�` / TELAP.L.
'+ CITY ,S9 GGl� <j/E.0 NO •OC.S_3
O
ARCHITECT OR TEL. INSPECTION RECORD
r —
ENGINEER NO.
ADDRESS _
TEL.CONTRACTOR S��z 'NO. - 11
ADDRESS
DESCRIPTION OF WORK r AI
NEW v ADD ALTER REPAIR DEMOLISH
S ZET. /-� NO.OF NO.OF
(1 STORIES FAMILIES
USE OF !� d l C/,�
STRUCTURE
SIGNATURE OF
APPLICANT
�yi ,( APPROVALS DATE INSPECTOR'S SIGNATURE
G ADDRESS dpY l%��/�e KORMSTION:LOCATION /k/m. q.
VALUATION$ 3'7j00 FRAME:FIRE STOPS .•
P C. .p / LOCATION.
BOLTS
F
FEE 7 �-' I FURNACE:LOCATIO , /
`�
�
F E
E GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT.. r J✓ / r/ �/�•
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WIT 11LL COUNTY ORDINMgPJCES AND V / ( �r(J�
STATE LAWS REGU G BUIL ING COfISTRUCTION. LATH,EXT.
SIGNATURE OP �C�� HOUSE NUMBER COR-
PERMITTE RECTANDPOSTED
bDDRESS FINAL
CLYDE
C•e�G
CLYDE N. DIRLAM,PRINCIPAL Sl R RAL ENGINEER. -
PLAN CHECK VALIDATION CK. M.O. CASH PERICT VALIDATION CK.. M.O. CASH'
1. 4 6 2. AUG 19 2 3 A 2 2.5 0 A
LAC01 5 5 49; AUG 21 1 A 4 5.0 0 �
APPLICATION FOR BUILDING PERMIT „
FOR APPLICANT TO FILL IN (Print or type only)
7ADDR.E
; ._. COUNTY OF LOS ANGELES
. J�UL DEPARTMENT OF CO jTY ENGINEER/
� ZIPq/Igo BUILDING ANDS TY DIVISION
NO.OF BLDGS. BUILDING�-' X �y� NOW ON LOT ADDRESS ��
TRACT-6-fo, * BLOCK LOT NO fi?3 LOCALITY /
T�9v� ��/ E NEAREST
OWNER Ll /7��.1.OTTE .:�4��� CROSS ST.
�y ) ASSESSOR
ADDRESS Q�61V� �p ! ��ro/ 'MAP BOOK PAGE RCEL
DISTRICT IGIROUPITYPE FIRE PRO SSED BY
CITY ZIP �� �/� CONST i f/ ZON t
ARCHITECT OR TEL. /-• w��/�4
ENGINEER 0cc,AJ'1= NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO.52!!EJ DWELL.UNITS BI5_�PG
CONTRACTOR OGrjA'um No. U ZONE MAR
LIC. NO.' Q a3
ADDRESS NO, SPECIAL
LIC. 1CONDITIONS
CITY CLASS
ROAD DEPARTMENT APPROVAL QUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM C
FRONT PROP.LINE OF (STREET) C
ADDRESS CITY HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING C
SQ. FT./� NO. OF NO. OF CHECK FR T PROP. LINE HIGHWAY WIDTH F
SIZE -.0 STORIES FAMILIES— ONE t
® + -5
DESCRIPTION OF WORK NEW (j C
ADD ElS DEGPROP.LIC EOFOM (STREET)
ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
�7 REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH
USE OF J\15.$ + _
EXISTING BLDG. DEMOL ❑
APPLICANTTEL ) CORNER CUTOFF YES ❑ NO ❑
(PRINT) -�`,., 't, NO._397i-Tff(y
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL ZONE YES ❑ NO ❑
VALUATION � CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE 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 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THELABOR
WORKMEN'S COCALIFORNIA IN RELATING TO MPENSAT ON INSURANCEj3��
SIGNATURE OF k ,� Ly/ of, sT
PERMITTEE
ADDRESS leZzAvow G"
1 1 p�r/ FINAL#,,",j B'Y�
CITYilPJdllj NOL�J' OOQy DATE `t..1't�
V 4$44
MAKE RCHECKSANDT, PAYABLE N- fo
FEE FEE*9
HARVEY T. BRAN DT, COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH ^ PERMIT VALIDATION GK. M.O. CASH
0 2 2r---JUL 15 �, A 2 8.5 0 v�,-d
'76A638A CE#803 7/73 � .1,
i
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 0508080040
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 5904 LT: 192 SQ. FT STORIES TYPE 6124 SULTANA AV
STRUCTURE: 2400 VN TEMP CA 917801551
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5384-008-006 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/08/05np VG 08/03/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIW1p FINAL BY: CODE:
FISCHER CYNTHIA B TR - 3,000
6124 SULTANA AV ri
TEMP 917801551 FEES PAID DEMRIPTIONUOVEWRK
REROOF OVER EXIST 1 LAYER OF ROOF WITH COMP SHINGLES
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
COMPETITION ROOFING (909) 599-6270- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 3000.00 VAL 99.00
TOTAL FEES 127.25
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
COMPETITION ROOFING (909) 599-6270-
9044 CITATION COURT LIC. NO LOCATION AND SETBACKS
ALTA LOMA, CA 91737 638220 HIC
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
• ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508