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Home My Public Portal About6132 SULTANA AVE_Building__ COMPENSATION OLtLAR-ATION ,/he' t hat I have r certificate ns consent to self APPLICATION � ��°��® BUILDING �Q�®'� PERMIT� '� ensu �icate of Workers'Compensation Insurance, ora 6a.' copy thereof(Sec. 3800, lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company , Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING C =':ADDRESS Certified copy is filed with the county building inspec- BUILDING A, 4w/ tion department. ADDRESS a' N_ S�L7�� Ali Date Applicant CITY r6AA&& CITY ZIP f1d,62 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT SO X i'Ql� NO.OF BLDGS. NEAREST / COMPENSATION INSURANCE NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one p-101r'. ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. ,2, MAP BOOK PAGE PARCEL LA0/ATN CH,5N Cr NO.606 7Zr{-U USE NE' NO l S I certify that in the performance of the work for which this OWNER r/ permit is Issued, I shall not employ any person in any manner NA AI/J SPECIAL O so as to become subject to the Workers Compensati n Laws. ADDRESS X32 N. TA CONDITIONS 7 CITY C/T zip 91790 Date Applicant L-3 -_ ARCHITECT OR ^ T L DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER &,4/1'd AV& HuNL ll CONST• Zpp_E 7 (— Exemption, you should become subject to the Workers' / 7 `/ �, C Ca Compensation provisions of the Labor Code, you must forth- ADDRESS t/7 Er / , pW with comply with such provisions or this permit shall be ?:STATISTICAL CLASSIFICATION APT. CONDO. f/7 deemed revoked. CONTRACTOR 4 IIMN& Z LICENSED CONTRACTORS DECLARATION V LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 13 EMS" (commencing with Section 7000)of Division 3 of the Business and ✓ LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK E PG'J 5 VALIk)Affl QN1 A SQ. FT. ��9 NO.OF NO.OF CHECK License Number Lic.Class SIZE /'fwd STORIES 2 FAMILIES ONE 3 Contractor Date DESCRIPTION OF WORK U S2(L. �0��% NEW $ lG�P X I am exempt under Sec. .7 RTif _ 0%LP.STrid�I&I'm ADDVAILLITISSSJJJ ! V ® ° ° 5 0 1'U 8? ALTER ❑.� 0 1,L 5 5 8 B.BP.C. for this reason (7N�FRM'gown, GNJ- pI N$V& REPAIR $ Date: USE OF DEMOL EXISTING BLDG. ❑' Signature APPLICANT TEL. FINAL PRINT 4kl�N�GHGN .- NO. (7z�� OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS G�3 Z (/><N AUS T�NY'� L�T r Law for the following reason (Section 7031.5, Business and FINAL Pro ssions Code): PRESENT By BUILDING /f I, as owner of the property, or my employees with 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 �9 3 a.8 A tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETQBACK YARD HWY TOTAPREOTPACIKEF WIDTH # 0 0 0 0 0 1 1 hereby affirm that there is a construction lending agency for FRONT 0/ o the performance of the work for which this permit is issued P.L. 6 0 Q 0 0 (Sec. 3097, Civ. C.). SIDE S ° 60000 Lender's Name LDMA Ref. q Lender's Address P.C. Fee$ Permit Fee l� l 0 IL 0 S d 8 8 V/� 1 certify that I have read this application and state that the Issuance Fee V"fNTV LDMA P/C i 9 above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee O f ✓ LDMA Perm. t1 R and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. ro I! � ) �� iz )�� b1 SEE REVERSE FOR EXPLANATORY LANGUAGE r Signature 4f pp scant or Agent Date I COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNASDEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT i TEMPLE CITY CA 91780 ` BL 0508 0203110054 PHONE: (626) 285-0488 EXT: -LEGAL ID: NO' OF CONST I BUILDING DDR SS: TR: 5904 LT: 193 SQ. FT STORIES TYPE 6132 SULTANA AV STRUCTURE: TEMP•CA 917801551 ASSESSOR IN0 0 NUMBER: NEAREST CROSS STREET: LONGDEN 5384-008-007 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: E B G USE: RESID USE 0 S¢ ED 0 : PROC D B S 0 : EXIST OCC GRP: 03/11/02 JK 09/07/02 i OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F1 AL DATE FINA BY: CODE: CHEN; VICTORIA (626) 286-7240- 1 6132 SULTANA AV TEMP 917801551 FEES PAID lUESCRIPTIONOF WORK DEMO 2 CAR GARAGE PPLI N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 02 DEMOLITION INSPEC. 163.50 SPECIAL CONDITIO S: •AL E 191.25 (;ELES Cp CONTRACTOR: TEL. NO: - i �� /,.� APPROVALS DATE INSPECTOR SIGNATURE SAME AS LIC. NO PEDESTRIAN PROTECTION IVIA— SEWER DISCONNECTION 1 ' ARCHITECT OR ENGINEER: BANDON PRIVATE DISPOSAL CHANG, NELSON CHI-MIN G (213) 485-7725- l 9157 CAMINO RAL AVE LIC. N0: SAN GABRIEL, CA 91775 NONE 1111111 UNDERGRND STRUCT REMO AL AND SOIL RECOMPACTION MAP XNO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP. ' E1 P C pD L E C W O U K 3 NO. OF S: L S: P CO D: STAT CLASS,- NO 23 a p s� ICHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS1 0 O NO NO NO '� � �y El serVe i i REPORT ID: DPR261 ROUTE TO: BS0508 y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0202250008 PHONE: (626) 285-0488 EXT: LGA . OF CONST NEW BUILDING RS : TR: 5904 LT: 193 SQ. FT STORIES TYPE OCCUP GROUP 6132 SULTANA AV STRUCTURE: 672 1 VN U1 TEMP CA 917801551 ASSESSOR 0 0 NUMBER: GARAGE: NEAREST CROSS STREET: LONGDEN 5384-008-007 OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG S USE D 0 OC SS D BY: EXPIRES 0 : EXIST OCC GRP: 03/11/02 JK 09/07/02 OWNER: TEL. NO: BLDGS. NO ON LOT: VALUATION: F L' DATE _FINAL BY: CODE: CHEN; VICTORIA (626) 286-7240- 19,000 6132 SULTANA AV TEMP 917801551 FEES PAID DESCRIPTION OF WORK Cr- - ADD NEW 3 CAR GARAGE APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ' SAME AS OWNER - Al PLANCHECK W/EN-HC 19000.00 VAL 359.52 AA BLDG PERMIT ISSUANCF--- r 27.75 SPECIAL CONDITIONS: AC STRONG MOTIONoRESjp:: 9000-00_VAL 1.90 D2 PERMIT W HC,vGE�E�,90�001ZO AL 322.91 CONTRACTOR: TEL. N0: OCj a ��T 712.08 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNERJ- LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVA C ITEC OR ENGINEER: TE 0: 0 N TION TRENC FORMS CHANG, NELSON CHI-MIN G (213) 485-7725- 9157 CAMINO RAL AVE LIC. NO: 1111111 SLAB/UNDER FLOOR SAN GABRIEL, CA 91775 NONE I RAISED FLOORRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZON3: CMP01 pD CW � K S ST LEVEL FLOG SHEATH UNDERFLOOR INSULATION u . 0 ES: DWELLING S: A CO D: STAT CLAS S: NO 21 O p , ND LEVEL FLOOR SHEATH SCHOOL WITHIN HXATD-DVS f+•'' '*+. 00 S EATHI G AIR QUALITY: 1000 FEET MATERIALS U ❑ V� '';' - NO NO NO ��„ - FIRE DEPT. FRAME INSPECT � q�` -®� REQUIRED A SETBACK FROM EX I ST 4b0BLDG DEPT. FRAME INSPECT 1,1102- SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- Service-1 SHEAR PANELS SIDE PL- L T 0 /W H STRIP INTERIOR LATH/DRYWALL / MUM LA LOT DRAINAGE i SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508