HomeMy Public PortalAbout6165 SULTANA AVE_Building__ I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0603010052
PHONE: (626) 285-0488 ERT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 5904 LT: 182 SQ. FT STORIES TYPE 6165 SULTANA AV
STRUCTURE: 15 VN TEMP CA 917801552
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5384-006-019 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: 03/01/06 JK 02/24/07
OWNER: TEL. NO: I BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
ONG GINA M (626) 286-1379- 4,850
6165 SULTANA AV ^�� ca
TEMP 917801552 FEES PAID DESCRIPTION OF WORK
T.O. SHINGLES 6 REROOF CLASS A 30 YR SINGLES REPLACE PLYWOOD
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 10 S.F. 5 S.F. GARAGE
APPLICANT: TEL. NO:
WILLARD, JAMES (626) 451-1976- AA BLDG PERMIT ISSUANCE 27.75
4152 BALDWIN AVE AC STRONG MOTION REBID 4850.00 VAL 0.50 SPECIAL CONDITIONS:
EL MONTE, CA 91731 D2 PERMIT W/O EN-HC 4850.00 VAL 132.60
TOTAL FEES 160.85
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
LIGHTHOUSE ROOFING AND REPAIR (626) 447-2826;
4152 BALDWIN AVE LIC. NO I LOCATION AND SETBACKS
EL MONTE, CA 91731 751595 C39I
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: P: UNDERFLOOR INSULATION
1508265 3 '01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEk, 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- I
INTERIOR LATH DRYWALL
I
EXTERIOR LATH
RATED FLOOR CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
i
T-,BAR CEILINGS
I
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
I
I '
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7eAeseAaE�Aba-.8_g, APPLICATIOIiI FOR BUILDING PERMIT '
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER A°DREss.l0/(oS' U /� �19 !!E
BUILDING AND SAFETY DIVISION LOCALITY Jl9' a/
ry
JOHN A.LAM)IE,COUNTY ENGINEER NEAREST /
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. �Ay
DISTRICT NO. GROUP CONST. SEWER MAP
J
BUILDING
FOR APPLICANT TO FILL IN — -I+ I'
TYPE jeKIS11-
, 1
ADDRESS w J "W/9 STATISTICAL CLASSIFICATION
LOT NO. BLOCK CLASS.NO. DINELL..UN•IT
. e' V
MAPST
TRACT ATE YES
N
Q�t! NUMBER' 4R® 0 HWY.
!'. i TT ONE SPECIAL
�/��/ g� NO.OF BLDGS, j CONDITIONS
SIZE OF LOT 44 X Q . I NOW ON LOT 1 d Q
USE A
EXISTITI NG BLDG. BUILDINGYARD FIWY STREET NAME EXIST.
_/ ,s SETBACK WIDTH
OWNER J .r/2/'9 S 4- Vito FRONTMIL �y
ADDRESS aI.' Q
SI L: 6f:/
DE
/ G�rJ
TEL P.L..
CITY ' D
TEL
INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS me�qq'
CONTRACTOR LJ ,v 4,C. TEL
ADDRESS I:
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH -
SQ.FT. t , NO.OF NO.OF
SIZE STORIES FAMILIES
USE O CT T.lel /
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE'
ADDRESS. FOUNDATION: LOCATION
�
j FORMS.MATERIALS
$ X OO [7 P.C. S FRAME: FIRE STOPS.
(J FEE BRACING.BOLTSr� , v:
VALUATION i ®G FURNACEi LOCATION,
FfE CEJ GAS VENT,.DUCTS
1 HEREBY ACKNOWL DGE THAT 1.HAVE READ THIS AP- LATH,INT.
T
PLICATION AND STATEHAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY W ALL COUNTY ORDINANCES'AND LATH,EXT.
STATE LAWS REG G BUIL-D17 C93d1S±RUCTION.
SIGNATUREOF ''ter//// HOUSE NUMBER COR-
PERMITTE19
RECT AND POSTED
ADDRESS-f4& AL Z d'-6o/
JOHN A.LAMBIE.COON .Y ENGINEER. CLYDE N.DIRLAM.PRINCIPAL STRUCTURAL @WEER
PLAN CHECK ALIDATION CK. M.O. CASH• PERMIT VALIDATION CIC, Ia. cnsH
2 7 5n° AR 24 1 A 6.00 M
^
�Aa OF DUH D= AND SAFETY APPLICATION FOR PST
M COUNTY OF LOS ANGE M ? 2BUILDING
WM. J. FCX. CHIEF ENGINEER
FOS JLPPLZCJLN't TO Fa.L FOS OFFICE NSB ONLY
BUILDING DINT
NO. PLAN CK./NCO. R+MIT NO.
ADDREN g ,'%D O)
LOCALITY RSCS AW3 BY DATE OF APPL- QATE SWUM
NEAREST
CRON BT. A dr BUILDINGAD REN CI�i '� , 1
OWNER • /' /
MAIL LOCALITY J`� 7 I •
cf-
ADDREN NEAREST
TEL. CROBB ST. t' Otto
CITY NO. FIRE NO.OF TYPE ` ; 1 GROUP
ARCHITECT OR TEL ZONE PLANE - V
ENGINEER NO. BLnG. L NO.
BLTBACK LINE
ADDRNS APPROVED
BV p/ DATE
y
CONTRACTOR �•,f37 • /.t�i aL ZDNS /L'' APPROVED PATS _
ADDRNB / J/ K • b4. � /, r j 1 HOUSE NUMBERING
LEGAL
DESCRIPTION LOT NO. / 00 BLOCK MAP NUMBER 19 D 17 3 FIELD CHECK BY
Tm= Q ) QNO. ABBIGNED BY DAT
SIZE OF LOT /6 NO0.NIOON LO
UBS OF NO. OF
' EXISTING BLDG. FAMIYLB
nssca>PSION o� WC= �
NSW I ALTiRATION I ADDITION
REPAIR11 y� I DEMOLITION11Q. B
NO. or
SIZE�. d V ROOMS 1 STORIES
EXT.WALL r 4' ROOF P
COVERING "PIP% COVERIN ■ ,/ ,•
UBS OF STRUCTURE /
APPSOVALB
INBPXCTOR'B SIGNATURE DATE
If HEREBY ACKNOWLEDGE THAT I HAIR READ THIS AR ' FOUNDATION:LOCATION • -, ■
PLI IOMdRlD STATE THAT THE INFORMATION GIVyEN 10 FORMS. MATERIALS f r
HERE R ITN ALL COUNTY ORDCOMPLY WITH THENANCRRXCTLB AND STATE FRAN BRACING■ 110=111 ■ '
LAWS R ING BUILDING CONSTRUCTION. 'FURNACE:LOCATION.
NOV, ' GAS VENT, DUCTS
PER l
' ■ LATH. INT.
ADDRIPME 1
LATH, Mr.
AUTHRDiD OGT.
PLABTSR■ INT.
® ,� ' FEE -7h�' PLJIBTSR■ ®LT.
VALUATION s
FEs FINAL �-ni
WOPKERS'COMPENSATION DECLARATION
5. ;
r
aff hat t have certificateof consent to self'certificate of Workers'Compensation Insurance, APPLICATION FOR BUILDING P E RM I T
or a certifie co y thereof(S 3800 Lab. C.)
�__P�[� �� y rs COUNTY OF LOS ANGELES BUILDING AND SAFETY
Poli N Com an BUILDING
Certified copy is hereby furnished. FOR APPLICA T TO FILL IN ADDRESS
Certified copy is filed with the county buildi inspe - BUILDING -.�L
tion department. ADDRESS I /�
Date _or G Applica CITY[�e[/G� ZIP LOCALITY
NO.OF BLDGS. �f CROSS ST. ,
CERJIFICATE OF EXEMPTI FROM ORKERS' SIZE OF LOT D 2 NOW ON LOT !/+
NEAREST
COMPENSATION INSURANCE
(This section need not be completed if the permit is for one p PZ ASSESSOR
hundred dollars($100)or less.) TRACE 6 p BLOCK LOT NO. Q MAP BOOK PAGE PARCEL
,Q /TEL. /� USE ZONE MAP
OWNER S �� IBJ mob. CIAO I certify that in the performance of the work for which this G � SPECIAL
permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS 00
so as to become subject to the Workers'Compensation Laws.
clr.Y � zip
Date Applicant
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR /�,/� TEL. DISTRICT G OUP TYPE. FIRE PROCESSED BY ONE 0
Exemption, you should become subject to the Workers' ENGINEER / "�/v6- NO. CONST.'
Z
Compensation provisions of the Labor Code, you must forth- ADDRESS SIL
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT, I C,-DO.
deemed revoked. CONTRACTOR NO. e
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 and LIC.
Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ.FT. NO.OF NO.OF CHECK
License Num er 13�! Lic.Class SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW VALUATION
Sp
Contractor Date —& -f ADD $ v
❑I am exempt under Sec. 6W4g �d loop.ALTER
B.BP.C. for this reason REPAIR ❑ $
`p - �
Dat USE OFEXISTING BLDG. DEMOL ❑
Signature
APPLICANT TEL O. FINAL f�'�
NER- ILD DECLA r DATE d
I hereby a irm that I am exempt from the Contractor's License gDDRE55 O O G FINAL
Law for the following reason (Section 7031.5, Business and
Professions Code): PR ENT By 4 9 6 3 A
❑ BUILDING
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 ' , #.0 0 0 0 0
7044, Business and Professions Code). MOVING TEL.
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. II o o 7 a o o
with licensed contractors to construct the project (Sec- ADDRESS - 07E=20:
tion 7044, Business and Professions Code).
REQUIRED YARD HWY TOTAL SETBACK F
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH 07.07-86
1 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
g P.L.
e Lender's Name / �Q LDMA Ref. #
P.C.Fee$ Permit Fee (� r L� '
Lender's Address
W I certifythat I have read this a licabon and state that the
pp Issuance Fee10
LDMA P/C#
above information is correct. I agree to comply with all Coun}y Investigation Fee
ordi es nd State laws relating to building construction, Total Fee 0 LDMA Perm. #
a
ere b uthorize re pr Yes of this County to enter
on the a-me t'on p r inspection purposes.
, + /^rG. r� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signa}ure p 1 t or A t Date