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Home My Public Portal About6219 SULTANA AVE_Building__ 7GA6 A CEII803 5-65 3B APPLICATION FOR BUILDING PERMIT _ COUNTY OF LOS ANGELES BUILDING /'^.• / (1�� DEPARTMENT OF COUNTY ENGINEER ADDRESS (r3 �j p� BUILDING AND SAFETY DIVISION' LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEA'R'EST COLEMAN W. JENKINS.SUP•T OF BUILDING CROSS ST. DISTJJICT NO. GR U TYPE 'PRO�CESSEjD'B.Y FOR APPLICANT TO FILL IN �e CONST.- -le ONST:' /G/ BUILDING � n STATISTICAL CLASSIFICATION SEWER,MAP- ADDRESS ,(moi "• CLASS NO. DWELL UNITS BK ' G y ' LOT NO. BLOCK USE ZONE MAP �a� SP TRACT SPECIAL ' NO. OF BLOBS. CONDITIONS. SIZE OF LOT NOW ON LOT USE OF J/ E IS NG BLDG. BLDG. SETBACK FROM Z�J /��T/G � //�' TEL. FRONT PROP. LINE OF OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY " YARD = TOTAL _ ADDRESS �� HIGHWAY WIDTHFROM C:L. CITY ARCHITECT OR TE BLD.G. SETBACK FROM ENGINEER NO.V SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL + _ CONTRACTOR NO O ADDRESS Lp - CORNER CUTOFF YES NO V CITY_ CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O ffE-9rRTPTIa OF WORK NEW ADD' ALTER REPAIR DEMOLISH Z SQ.FT. NO. OF NO. OF z SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE O ' APPLICANT VALUATION$ APPROVALS DATE INSPEC R' SIGNATURE P.C. PMT. U FOUNDATION, LOCATION FEE$ FEE$ "�-�� FORMS, MATERIALS !(FF FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. 1 CERTIFY THAT. IN GOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA= LATH. INT. - TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMP S TION INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS �C9 L J'OHN'F. LEWIS. PRINCIPAL STW3TLRAL EN ER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMT VALIDATION CK. M.O CA - L .3 2 7 2 JUL 51 D 3,d�7 - TEMPLE CRTT r6Al091,C9 h03-I-6I APPLICATION FOR BUILDING P MI COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINM ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. Q DISTRJCT NO. I GROUP- T.p P ESSED BY FOR APPLICANT TO FILL IN ��;� CONST. . BUILDING / �A STATISTICAL CLASSIFICATION S ER MAP ADDRESS DDR �0)' //� CLASS.NO.A!l nWELL.UNITS c7 LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE: TRACT .n �( HWAY H'C NO OF BLDGS NO. rte' `f (clRc EI STATE MAJOR SECON LOCAL SIZE OF LOT I NOW ON LO SE ZONE SPECIAL USE OF CONDITIONS EXISTING B G. ' OWNER NO. BUILDING EXIST. SETBACK YARD HWY RME WIDTH/ADDRESSna NFRONi ARCHITECT OR TEL. P.L. �U ENGINEER NO. SIDE P.L.• } ADDRESS TEL. INSPECTION RECORD` O CONTRACTOR NO. f /�.• ADDRESS l��/�! 3 r C f✓i R::-�.:��.Cs'.t")'1! O� DESCRIPTION OF WORK to NEW ADD ALTER REPAIR SQ.FT. NO.OF SIZE ST RIES FAMILIES r fisE OF STRUCTURE ![T GC>• r�I.tx it ✓ '`��(��.-- f Jr . 1 SIGNATURE OF APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE FP C.EE $ 'I FEE $ FOUNDATION:LOCATION FORMS,MATERIALS FRAME:-FIRE STOPS, �I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS w U AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY FURNACE'LOCATION, f WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS I w BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK i AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. TION OF THE LABOR CODE OF E STATE OF CALI NIA RELAT- AA �nJy ,uJ A ING TO WORKMEN'S CO A ON INSURANCE., NSURANCE. LATH,EXT. SIGNATOR F H USE NUMBER COR- vv 11 v PERMITTE RECT AND POSTED ADDRESS ' FINAL v CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ER PLAN CHECK VALIDATION CK. M.O. x J PERMIT VALIDATION CKlb.o. cwsx LP1l,,o"<' 0 3 1" �1�R �I• 1 D 4,0 p" IN TEMPLIt CITY 76A638A CE b8032-63 APPLICATION FOR BUILDING"-.PE IT 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. GROG P I TY. P ESSED BY FOR APPLICANT TO FML IN CONST. FLOTNO. n� / 'l �J STATISTICAL CLASSIFICATION SEWER MAP ^^�� CLASS. NO.A13DWELL.UNITS � r"K��b+G BLOCK WATER NOT REQUIRED fg RECEIVED �7❑ CERTIFICATE: TRACT MAP HIGHWAY STATE MAJOR SECOND, CAL NO.OF SIZE OF LOT � �d�i� NOW ON LOTS NO. p��(f (CIRCLE) U.SE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG, OWNER iG A.t' T• ONO.sVr .^y- BUILDING EXIST. SETBACK YARD HWY TRE AME WIDTH ADDRESS�Y/� SyL/ 9// FRONT ARCHITECT ORTEL. P. L. ENGINEER NO. SIDE I d P. L. ADDRESS I O TEL. n n CONTRACTOR NO. n O u I ADDRESS E-. DESCRIPTION OF WORK a NEV) '.ADD ALTER REPAIR DEMOLISH' SQ.FT. NO.OF NO. OF SIZE d STORIES FAMILIES USE OF STRUCTURE l¢.lfh c Y SToRIg e_ SIGNATURE O APPLICANT VALUATION APPROVALS DATE, INSr4CTOR'S SIGNATURE P.C. PMT. (}' FOUNDATION: LOCATION FEE $ FEE777 FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATHINT: TION OF THE LABOR C OF THE STATE OF CALIFO .RNIA RELAT- ING TO WORKMEN'S P SATION INSURAN - LATH,EXT. SIGNATURE O HOUSE NIL,��MB'ER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL , - j 'JOHN F. LEWIS, PRINGIPAL'STRUCTURAL E R PLAN CHECK VALIDATION; CK. M.O. CASH _ PERMIT VALIDATION cK. M.O. GASH �2 0 S-6� OCT31 1 D 15.00- APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS IBUILDITAIR�s7 J/� L A! I hereby affirm that I have a certificate of consent to self Insure, (r or a certificate of Workers'Compensation Insurance or a rtified CITY zIP (— copy thereof(Sec.3800,Lab.C.) I�.Y r LOCALITY (/^1' io Policy NO. Company SIZE OF__Tr_ NO.OF BLDGS.NOW ON LOT LC v ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building Inspection (TRACT BLOCK LOT No. department. , 1 USE ZONE MAP NO. PP ' �� (ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS Dgj- Applicant N •r r• r • — V — C�rirre It SS3 Y—OD' —O �j CERTIFICATE OF EXEMPTION FROM WORKERS' I ` q 7 YES NO COMPENSATION INSURANCENOY WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed If the permit is for one hundred / DISTRICT GROUP TYPE CONST' FIRE ZONE CW%" dollars($100)or less.) CI ZIP V I certify that in the performance of the work for which this permit � � 0 '1\/► / Y -3 is Issued, I shall not employ any person in any manner so as t0 ARCHITECT R ENGINEER TEL.NO. f become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT COedO Data Applicant IADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST ONTRACTOR EL.NO. Exemption, you should become subject to the Workers' r � '� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith It wC r Arr �.dw h �� comply with such provisions or this permit shall be deemed revoked. I A RESSr LIC.NO. P L IS. SIDE >_ LICENSED CONTRACTORS DECLARATIONI C�L ♦ Lla CLASS PL C I hereby affirm that I am licensed under provisions of Chapter 9 1(i ai d c• SEWER MAP v I (commencing with Section 7000)of Division 3 of the Business and ISO.FT.SIZE NO.OF STORES NO.OF FAMILIES- Professions Code,and my�license is In full force and effect. I License Number x'7�y/ LIC.Class rS D CRIPTION OF WORK r ADD ❑ VALUATIO /� Contractor Date "/1�•!d ~ ALTER ❑ � ��LAI' o ❑ I am exempt under Sec. _ REPAIR B.&P.C.for this reason DEMOL ❑ LDMA PIC I) Date: 'USE OF EXISTING BLDG. URM ❑ Signature t� ! (APPLICANT(PAINT) TEL NO. LDMA Penn p Z u}I�f �,,"'I,t°7�E ❑ 1, as owner of the property, or my employees with wages as I O their sole compensation,will do the work and the structure is IADDRESS ` f., 1 ITEMS not Intended or offered for sale (Section 7044, Business and I FINAL G �Iri ® � Professions Code.) WILLTHEAPPUCANTORFUTUREBUILDINGOCCUPANTHANDLEAHAZARDOUSMATERIAL J 7 i !_ _� ❑ I, as owner of theproperty, am exclusively contracting with I OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN I ` ,� Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL -.CHEC 151° licensed contractors to construct the project.(Section 7044, IYESI Business and Professions Code.) I WIL❑ NO❑ CHANGE 'LO WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING I � OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH CONSTRUCTION LENDING AGENCY WAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I , _ �+.y `I-Iry ! �{ Jgr I hereby affirm that there is a construction lending agency for YES❑ NO❑ +LI 00;I i /1 l 3 t the performance Of the work for which this permit Is Issued(See. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 1 Lf r'„1=,~'} 1 �Il i J°34 3097,Civ.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES I • COUNTY CODE,TITLEZ CHAPTER 220 SECTION32.20AWTHROUGH 220.140 CONCERNING Lenders Name r, HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. a Lenders Address OWNMORAweaT �t 0 o° I certify that I have read this application and state that the above i Information 1s correct. I agree to comply with all countyIRC.FEE PERMIT FEE e ,3 S, Q i ordinances and State laws relating to building construction,and + f hereby authorize repry1bentatives of this County to enter upon ISSUANCE FEE the above-m tion roperty for inspection purposes. 13, 00 . • ��f INVESTIGATION FEE TOTAL FEE &OnWoaaApplluntarAq,6 oms I - SEE REVERSE FOR EXPLANATORY LANGUAGE � I _ I • APPLICATION KOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADD SS I hereby affirm that I have a certificate of consent to self insure, I BUI�gING l DRESS rY :=-F or a certificate of Workers'Compensation Insurance,or a certified t!J /g V u copy thereof S c 38 L C.) _ CITY ,,f I_ ` ZIP Policy No. Company )� �-yN� C-1_I LF (2' LOCALITY SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereb furnished. I NEAREST CROSS ST. Certified copy is fled with the county building inspection TRACT BLOCK LOT NO. de artme USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS �J A� n / CERTIFICATE OF EXEMPTION FRO WORKERS' OWNER EL NO. ,, COMPENSATION INSURANCE )a/-D ui N0: 2 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS ` ,J L DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIPel I certify that in the performance of the work for which this permit !� ` is issued, I shall not employ any person in any manner so as.to ARCHITECT OR ENGINEER TEL NO. O become subject to the Workers'Compensation Laws. STATISTICAL C SSIFICATION 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' CONTRACTORL _ SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith A /� -- tS�' 33� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS - NO PL LICENSED CONTRACTORS DECLARATION 157_ !�Z Q SIDE ' CITY%J� ,, LIC. S P L. I hereby affirm that I am licensed underprovisions of Chapter 9 I "' �' �� SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES I NO.OF FAMILIES Professions Code,and mY licens Is in full force and effect. NEW ❑ BK PG 0} License Number GTr Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION ContractorL�0 Dated T ALTER 11 $ iU U r ❑ I am exempt under Sec. REPAIR $ U BAP.C.for this reason DEMOL 1:1 LDMA P/C# 8 Date: USE O EXISTING BLDG. URM ❑ IL 1 co Signature APPLICANT(PRINT) TEL NO. LDMA Perm# Z 3 ❑ I, as owner of the property, or my employees with wages as O 1=i v s •e their sole compensation, will do the work and the structure is I ADDRESS not intended or offered for sale (Section 7044, Business and FINAL 3DAJ� Q =301,= Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL El I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINALB =o' ' licensed contractors to.construct the project (Section 7044, :'I: Business and Professions Code.) YES 11 NO❑ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 'Sil._� OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH --' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES _ 11 CA K.; I hereby affirm that there is a construction lending agency for YES❑ No❑ lyq.L '90, a the performance of the work for which this permit is issued(Sec. 3097,CIV.C. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, a TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS t-HECK Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 10* 42L o Lender's Address C OWNER OR AGENT E; I certify that I have read this application and state under penalty 4 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE a with all county ordinances and State laws relating to building construction,and hereby authorize representatives of this County ISSUANCE FEE -'r m to enter upon IDS above-mentio p art r for inspection purpos nAA `,\ �, INVESTIGATION FEE TOTAL FEE / /• �� r�SiBrowle of Appy VC„'.�V��=��-- --- (� 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 1210050007 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. OF CONST BUILDING ADDRESS: ITR: 5904 IT: 179 SQ. FT STORIES TYPE 6219 SULTANA AV I STRUCTURE: 1400 V-B TEMP CA 917801554 ASSESSOR INFORMATION NUMBER: ] NEAREST CROSS STREET: 15384-005-027 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI ](TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY; EXIST OCC GRP: 110/05/12 SR OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: IFINI ATE FI BY: CODE: ] YEUNG EDWARD;HELEN H - 1 4,000 1 l 6219 SULTANA AV (- TEMP 917801554 FEES PAID ETESC11IPTION OF WORK [REPLACE 21 WINDOWS IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: I I SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I IAB STATE GREEN BLDG FEE 4000.00 VAL 1.00 ISPECTAL CONDITIONS: IAC STRONG MOTION RESID 4000.00 VAL 0.50 ID2 PERMIT W/O EN-HC 4000.00 VAL 115.80 ] TOTAL FEES 145.10 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I I ] LIC. NO ]LOCATION AND SETBACKS I I I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I I I ] ] ]RAISED FLOOR FRAMING ] ] ] IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I ]UNDERFLOOR INSULATION I I I153H265 3 001 I I I I I IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I- I I I I 0 NO 21 I IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS I ISHEPR PANELS I I AIR QUALITY: 1000 FEET MATERIALS NO NO NO I IFRAME INSPECTION ] ] ] (FIRE SPRINKLER HANGERS I I I I I I I I I ] ]INSULATION/WEATHER STRIP( I I ] I NTERIOR LATH/DRYWALL ] ] I ]EXTERIOR LATH I ] I I ] RATED FLOOR/CEIL ASSEM. I I I RATED WALL ASSEMBLIES I I I ] ] ]RATED SHAFTS/OPENINGS ] 1 ] I IT-BAR CEILINGS ] I I ILOT DRAINAGE I I I I ] I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I ] I