The URL can be used to link to this page

Home My Public Portal About6141 SULTANA AVE_Building__ S, Jr,. VPJI�RrMIT BA980A CE9C8•B.BD • APPLICATION FOR BUILDIN COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GR UP .TYPE CESSED BY FOR APPLICANT TO FILL IN ! &-9- �" CONST. BUILDING STATISTICAL CLASSIFICATION 4gWER MAP ADDRESS _�• S tt CLASS.NO. DWELL.UNITS LOT N �/a BLOCK MAP NUMBER H STATE TRACT USE ZONE SPECIAL NO.OF BLDG . CONDITIONS L SIZE OF LOT I NOW ON LOT USM G BLDG. �C� �A. BUILDING YARD HWY STREET AME EXIST. TEL. SETBACK, WIDTH OWNER NO. FRONT P.L. ADDRESS SIDE ARCHITECT OR TEL. P.L. ENGINEER NO. INSPECTION RECORD } ADDRESS / O- TEL. /E. G. /' . .C! 5x" A �.;_. rJ.;.. ,,3 o CONTRACT O N ADDRESS DESCRIPTION OF WORK h�/,, 0 I-�'�'� ��' - LuG r� A .i d`Mt_ rf.��A.-. vLy NEW ADD ALTER REPAIR DEMOLISH � s SME`FT. .. ro� NO.OF NO.OF CA �► /1VL/' r' SIZE ;A TOIES FAMILI ` .✓ USE OF STRUCTURE42t92Z SIGNATURE OF APPLICANT en VALUATION$ j ��-� I APPROVALS lDATEI INSPECTOR'S SI NATURE PJC. I FPMT EE $ FOUNDATION: MATERIALS ON `�/ /CnP * � �n s�f.1• - - FEE $ •� FRAME:FIRE STOPS. :�1 •~'/ I HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION BRACING.BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, v / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS s iY BUILDING CONSTRUCTION. I CERTIFY THAT IN'THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH.INT. EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT 0 TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. L'AT13;E'XT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECTAND/POSTED .. _� `a FINAL 1 ., Wo-1 � ...ft�r rf_f V ADDRES '` CLYDE N. DIRL.AM. PRINCIPAL STRVGTJJRAL ENGINEER PLAN CHECK VALIDATION (cx) M.o: CASH PERIM VALIDATIONGK. M.o. CASH 7 1 1 5 5 c 3 D 2 4.' 0 "' r, .. APPLICATION FOR BUILDING PERMIT f COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING A DRES BUILDING DDREiS I hereby affirm that I have a certificate of consent to self insure, /P l S or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) �Q Rv � ^— C�r l 0 O ZIP LOCALITY , Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT 11 Certified copy is hereby'furnished. � NEAREST CRO%.ST._ ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. r department. � � USE ZONE MAP NO. Date. Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATEOF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE GA—,V M Ag&&—R ;L 9d, 7777 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred A DRES dollars($100)or less.) U r4-W-4 � !J DISTRICT GROUP TYPE.CON ST FIRE ZONE' PROCESSED BY I certify that in the performance of the work for which this permit CITY �� // ZIP is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. �� DWELL UNITS NOTICE TO' APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become 'subject to the Workers' CONTRACTOR /� TEL NO. SET BACK YARD HWY. PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith /V!/�� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL _ LICENSED CONTRACTORS DECLARATION PILE , CITY LIC.CLASS PL I,hereby affirm that I am licensed underprovisions of Chapter 9 EWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE' NO.OF STORIES NO,OF FAMILIES Professions Code,and my'license is in full force and effect. NEW BK PG , IL License Number LIC.Class DE RIPTIO OF V ADD ❑ VALUATION /! ,7K F $ v� BSD• U Contractor Date ALTER ❑ � REPAIR ❑ ❑ 1 am exempt under Sec. $, B.&P.C.for this reason DEMOL ❑ LDMA PLC# LLI Date: USE OF EXISTING BLDG. URM ❑ n- ,/ co Signature APPLICANT(PPoNT) TEL NO. LDMA Perm# 6 107`10 z 0 I, as owner of the property, of my employees with images as Z r their sole compensation, will do the work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and FINAL.DATE C Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL T�IT``L T a ❑ 1, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE CHECK ID Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 'I v i licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) CHANGE' =.00 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT.FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �r� r'� CONSTRUCTION LENDING AGENCY GUIDELINES.Es AIR QUALITY MANAGEMENT DISTRICT(3CAOMD)SEE PERMITTING CHECKLIST FOR I+1�dSi8�[i1 L3 q mi i I hereby affirm that there is a constriction lending agency for YES❑ NO❑ - �33 LF 1 aF{:J3r cli the performance Of the work for which this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING ' .N 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 SCAQMD.. ' o Lender's Address 0 OWNER OR ANENT cI certify that I have read this application and state under penalty c of perjury that the above information is correct.I agree to comply 3, P.C.FEE PERMIT FEE D� a with all county ordinances and State laws relating to building construction,and hereby authorize representatives of this County ISSUANCE FEE m ter upon the ab - entione rop ' spe 'on purIpses. �o j INVESTIGATION FEE TOTAL FEE Dare /D / O SEE REVERSE FOR EXPLANATORY LANGUAGE 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 1206110004 PHONE: (626) 285-0488 EXT: ILEGAL ID: I N0. OF CONST I BIIILDING ADDRESS: I ITR: 5904 IT: 185 UN: .002 I SQ. FT STORIES TYPE 1 6141 SULTANA AV 702 1 -ISTRUCTURE: 2400 V-B I TEMP CA 917801552 1 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LONGDEN I 15384-006-023 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 106/11/12 SR OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: I;R,4 DATE F AL BY: CODE: 1 IARUNRAJ, RAMALINGAM (626) 309-9675- 1 6;000 1I 16141 SULTANA AV ITEMP 917801552 1 FEES PAID [DESCRIPTION OF WORK 1 I I IT/O REROOF CLASS A 30 YR COMPOSITION SHINGLES HOUSE ATTACHEDI I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IGARAGE I APPLICANT: TEL. N0: BLANCIE JR GUY (626) 679-1284- IAA BLDG PERMIT ISSUANCE 27.80 1 1 16252 TEMPLE CITY BL IAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS: I TEMPLE CITY CA 91780 IAC STRONG MOTION RESID 6000.00 VAL 0.60 ID2 PERMIT W/0 EN-HC 6000.00 VAL 149.40 1 TOTAL FEES 178.80 ]CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE IS AND G ROOFING (626) 679-1284- I 1- ] 16252 N TEMPLE CITY BLVD LIC. NO I ILOCATION AND SETBACKS I I ITEMPLE CITY,CA 91780 903492 I 1 1 _1 ]SOILS ENGINEER APPROVAL 1 1 ]ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUITDATION/TRENCH FORMS I I 1 LIC. NO: I (SLAB/UNDER FLOOR 1 I 1 ]RAISED FLOOR FRAMING 1 1 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( IIINDERFLOOR INSULATION I I 150H265 3 001 I I I ]FLOOR SHEATHING 1 I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I Lo 11 1 0 NO 21 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I ]AIR QUALITY: 1000 FEET MATERIALS I I I 1 NO NO NO 1 ]FRAME INSPECTION I I I I IF RE SPRINKLER HANGERS I ] I NSL?LATION/WEATHER STRIP[ I I 1 1 ]INTERIOR LATH/DRYWALL I ] 1 1 (EXTERIOR LATH I I I I I I 1 1 (RATED FLOOR/CEIL ASSEM. I I ] I ] IRATED WALL ASSEMBLIES I I 1 1 1 ]RATED SHAFTS/OPENINGS 1 1 1 ] I IT-BAR CEILINGS I I I I I I 1 1 ILOT DRAINAGE 1 1 1 1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 I 1 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 BL08 13030002 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ITR: 5904 IT: 185 UN: -002 I SQ. FT STORIES TYPE I 6141 SULTANA AV 702 I -ISTRUCTURE: 60 V-B TEMP CA 917801552 I (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15384-006-023 1 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I (TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: 1 1EXIST OCC GRP: 105/23/13 SR I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF A E FI Y: CODE: I IRAMALINGAM, ARUNRAS (626) 309-9675- I 5,000 16141 SULTANA AV I j I ITEMP 917801552 FEES PAID ID S R P OF WORK 0I 1 IBATHROOM REMODEL - EXTEND BATHROOM BY REMOVING THE NON- I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IBEARING WALL BETWEEN BATHROOM & CLOSET 1 (APPLICANT: TEL. NO: I 1SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I I IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS: I I 1AC STRONG MOTION RESID 5000.00 VAL 0.50 1 B2 PERMIT W/ENERGY 5000.00 VAL 145.90 I I _IFR INV WORK W/O PERMIT 339.60 DOL 339.60 ICONTRACTOR: TEL. NO: I TOTAL FEES 514.80 (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - II 1 LIC. NO 1 1LOCATION AND SETBACKS I I I 1 1 ISOILS ENGINEER APPROVAL I I 1 1ARCHITECT OR ENGINEER: TEL. NO: - 1 IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: I ISLAB/UNDER FLOOR I I 1 1 I 1RAISED FLOOR FRAMING I 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I 1 3 001 1FLOOR. SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I1 1 I I NO 21 1 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS I I 1 NO NO NO I IFRAME INSPECTION I I 1FIRE SPRINKLER HANGERS I r I I 1 i • a'• IINSULATION/WEATHER STRIP( I 1 1 11NTERIOR LATH/DRYWALL 1 1 (EXTERIOR LATH �/ I 1 1 1RATED FLOOR/CELL ASSEM. 1 I 1 1 1 1RATED WALL ASSEMBLIES 1 I IRATED SHAFTS/OPENINGS 1 r I IT-BAR CEILINGS I I I I •I ILOT DRAINAGE I • II I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I