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Home My Public Portal About6242 SULTANA AVE_Building__ '�Vf/ORKES'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent'to Self APPLICATION FOR BUILDING PERMIT sure, or a certificate of Workers'Compenstion Insurance, or certified copy the (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY )Icy Na. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS J Certified copy-is filed with the county building inspec- FADPR�ESS G y� tion department. ��C7&,I a6.m L. LOCALITY NEAREST ote Applicant �. ZIP / Q CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' 'NO-OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT \ NOW ON LOT MAP BOOK PAGE PARCEL his section need not be completed if the permit is for one ONE MAP ^ .rndred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. /ted TEL. V SPECIAL OWNE C /OIZG NO. �� ® CONDITIONS certify that in the performance of the work for which this O FIRE ermit is issued, I shall not employ any person in any manner DISTRICT G�F CONTYPEST. ZON PROCESSED BY V t as to become subject to the Workers'Compensation Laws. ADDRESS(®� •c7 S s _ Ix Ste Applicant CITY C �� STATISTICAL CLASSIFICATION APT. CONDO. OTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. cemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. �DWELL. UNITS' ompensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP ith comply with such provisions or this permit shall be TEL. BemCONTRACTOR NO. ed revoked. BK. PG, VALIDATION - r LICENSED CONTRACTORS DECLARATION LIC. nereby,affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION ammencing with Section 7000)of'Division 3 of the Business and LIC. ^� •ofessions Code, and my license is in full force and effect. CITY CLASS $ �iA4trC� SQ.FT AI NO.OF NO.OF -CHECK cense Number Lic.Class SIZE )yXI STORIES FAMILIES ONE $ ontractor Date k. DESCRIPTION ❑DESCRIPTION OF WORK I am exempt from the licensing requirements as I am a ADD licensed architect or a registered professional engineer LTER ❑ FINAL y acting in my professional capacity. (Section 7051, f ❑ • REPAIR DATE Business and Professions Code). USE OF FINAL EXISTING BLDG. DEMOL ❑: By �� J c.or Reg.No. Date APPLICANTTEL. OWNER-BUILDER DECLARATION IPRINT)Jp NO. ��/ hereby affirm that I am exempt from the Contractor's License w ��++ �./ 2 8 6 7 A sw for the following reason (Section 7031.5, Business and ADDRESS?,.% /��d��JM�1 /.(e. # aaaaa1 ofessions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS 2 0 052.00 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY J 2(1 07044, Business and Professions Code). MOVING TEL. I, as owne'r of the property, am exclusively contracting CONTRACTOR NO. 0205-82 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY, PROP. LINE WIDTH hereby affirm that there is a construction lending agency for FRONT to performance of the work for which this permit is issued P.L. Tec. 3097, Civ. C.). SIDE t P.L. :nder's Name snder's Address P.C. Fee$ Permit Fee 441 certify that I have read this application and state that the Issuance Fee , Bove information is correct. I agree to comply with all County Investigation Fee ; rdinances and State laws relating to building construction, Total Fee nd hereby authorize representatives of this County to enter p the above-menti operty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si ature of Applicant or Agent Dote t /' I ' Os ORKERS'COMPENSATION DECLARATION 'C�ky affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RSA I T insure, cY a certificate of Workers'Compensation Insurance, a'-or a certified 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 ADDRESS �Z Z L Certified copy is filed with the county building inspec- BUILDING `1_ e p ,1 tion department. ADDRESS 7_`T Z � Lr— CJ r 1 ! O Date Applicant CITY � ZIP O LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEARESTd�` COMPENSATIOWINSURANCE SIZE OF LOT NOW ON LOT CROSS ST. 45 (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or Jess.) TRACT r�BLOC/K1 {Q LOT NO. ASSESSOR MAP BOOK PAGE PARCEL OWNER N lT �/'s N CT N L w USE ZONE MAP I certify that in the performance of the work for which this / NO. s1 permit is issued,I shall riot employ any person in any manner �- ® SPECIAL t so as to become subject to the Workers'Compensati n Laws. ADDRESS 2 2 L CONDITIONS 0• CITY EM ME ZIP a 1-76-0 V' Date Applicant NOTICE TO APPLICANT: If, after 'aking'this Cerfifieat ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O ENGINEER NO. Exemption, you should become subject to the Workers' ig R� CONS ZONE U; Compensation provisions of the Labor Code, you must forth- • LtJ ADDRESS s� with comply with such provisions or this permit shall be =� TEL, STATISTICAL CLASSIFICATION ✓ APT. CONDO. [�/)v deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (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 PG VALIDATION SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE E] VALUATION Contractor Date DESCRIPTION OF W NEW ® ADD $ ❑I am exempt under Sec. ALTER B.BP.C. for this reason REPAIR ❑ $ Date: USE OF DEMOL EXISTING BLDG. O r C] Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT O�N U ES'NO. DATE I hereby affirm that I nm exempt from the Contractor's License .•��f p 1 , 2.0 3 4 2 A Law for the following reason (Section 7031.5, Business and ADDRESS GJI� Z S R W. FI # 0 0 0 0 0 Professions Code): PRESENT ❑ BUILDING - . 33.00 1, as owner of the property, or my employegs with ADDRESS wages as their sole compensation,will do the work and LOCALITY ' 0 0 - 33,00.9 the structure is not intended or offered for sale(Section I 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. 0 a O 3—8 8 with licensed contractors to construct the project (Sec- P tion 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK LINE FROM WIDTH I hereby affirm that there is a construction lending agency for FRONT a r the performance of the work for which this permit is issued P.L. i (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name 7 m P.C.Fee$ Permit Fee ,�G. z t.1) LDMA Ref. # Lender's Address ' 1 certify that I have read this application and state that the Issuance Fee h kLD P/C# I above information is correct. I agree to comply with all County Investigation Fee I o ordinances and State laws relating to building construction, [�Q I N and hereby authorize representatives of this County to enter Total Fee d LDMA Perm. # I I upon the above-ment ed pr pert inspectiog purposes. gevvD3 SEE REVERSE FOR EXPLANATORY LANGUAGE i nature of AlYplic=2r&ent to I y '1�1WORKERS'COMPENSATION DECLARATION ure boioafcertif cote of Workers''Compensat on Insuran elf APPLICATION FORBUILDING PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company WILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 1111117 -+�'L Nr�jV`TA�/ v Certified copy is filed with the county building inspec- BUILDING 2¢Z IV. Sc�1.T��,4�. tion department. ADDRESS ��y �y . Date Applicant CITY �"~ 7 Cir ZIP LOCALITY �M CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one 0/'� ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. L/� MAP BOOK PAGE PARCEL TEL. USE ONE MAP I certify that in the performance of the work for which this OWNER dL'- NO. NO. permit is issued, I shall not employ any person in any manner ADDRESS 624.2- IV- SUL AWA _( SPECIAL so as to become subject to the Workers'Comp sation Laws. - L CONDITIONS U CITY ,�'r' E Z ZIP Date - Applicant f ARCHITECT OR /� TEL. 3'St7o�i.3 DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this fico of ENGINEER ��N x NO. CONST. ZONE F- Exemption, you should become subject to a Workers' T/ V Compensation provisions of the Labor Code, you must forth- ADDRESS Z3 �� V W with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. ENDO. N deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. LDWELL. 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. EPGS'�j VALIDATION SQ.FT. NO,OF NO.OF CHECK License Number Lic.Class SIZE �i� STORIES FAMILIES / ONE VALUATION Contractor Date DESCRIPTION OF WORK APP /7&> A%4S NEIN U4 � 1 24.3 A 14YADD $ � ❑I am exempt under Sec. �'� 2 �A'T�s ❑ ® 0.0 °'O 2 3 ALTER � B.&P.C. for this reason USE OF REPAIR ❑ $ •v 7 3 �6'-0- ( - 437,97 Date: EXISTING BLDG. DEMOL C:] 1 0 0 4 3 7, 9 7 Signature APPLICANT j��/' TEL. FINA /jr D ILDE EC TION PRINT / NO. 35ooli,3 DATE U �o I hereby affirm that I am exe t from a Con tor's License �3 Gds ��- 2 -8 8 Law for the following reason (Section 7031.5, Business and ADDRESS F Professions Code): PR N 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 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 �' $ tion 7044, Business and Professions Code). AC ICT CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK LINE WIDTH 3-307 _25.75 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. i 17��1� (Sec. 3097, Civ. C.). SIDE 1•�Ii•AL o=a t� -- ti Lender's Name LDI1KMA Ref. # CHECK 525.75 Lender's Address P.C.Fee$ Permit Fee V ` 0 1 certify that I have read this application and state that the Issuance Fee (J, LDM' P/C q poll" CHANGE above information is correct. I agree to comply with all County Investigation Fee i f Ct ? ordinances and State laws relating to building construction, 3 and herebyauthorize representatives of this Count to enter Total Fee LDMA perm.N S upon the bove- ntiond property,\r inspection l rposes. I]u ? 1 AM 9:08 SEE REVERSE FOR EXPLANATORY LANGUAGE D r Signature of Agollcont a nt V Datef COUNTYOF 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 0709260027 PHONE: (626) 285-0488 EXT: (LEGAL ID: II NO. OF CONST I BUILDING ADDRESS: TR: 5904 LT: 203 j[ SQ. FT STORIES TYPE I I 6242 SULTANA AV [ IISTRUCTURE: 27 VN I TEMP CA 917801553 [ (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15384-007-008 I 1 + THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl (TENANT: IIEXIST BLDG USE: RESID USE ZONE: R-1 IISS[yED ON: PROCESSED BY: EXPIRES ON: 1 [EXIST OCC GRP: 09/ 6/07 SR 03/24/08 4I1 I I OWNER: TEL. NO: 11BLDGS. NOW ON LOT: VALUATION: 1F N� FI CODE: CHIEN HSING LAI (626) 241-6146- 700 . 8I l I 6242 SULTANA AV I I I ITEMP 917801553 1I FEES PAID 102MRIPTION OF WORK I I 1TEAi OFF & RE ROOF HOUSE & G RAGE. INSTALL MONIER LIFE TILE I I :(FEE DESCRIPTION: QIIANTITY: UOM: AMOUNT:IICBO ER 2656 SHARE TILE 5.9 LBS. 1 IAPPLICANT: TEL. NO: I I I I ISUNSHINE ROOFING (626) 581-7688- IAA BLDG PERMIT ISSUANCE 27.75 1 - I 1516 N. DIAMOND BAR IAC STRONG MOTION REBID 8700.00 VAL 0.87 ISPECIAL CONDITIONS: I IDIAMOND BAR CA 91765 ID2 PERMIT W/O EN-HC 8700.00 VAL 199.80 1 I I TOTAL FEES 228.42 I � I ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE 1 ISUNSHINE ROOFING (626) 581-7688-11 1 1 I (516 N. DIAMOND BAR BLVD. LIC. NO :1 ILOCATION AND SETBACKS [ I I DIAMOND BAR CA 91765 755126 11 I 1 I I I 1 1 ISOILS ENGINEER APPROVAL I I I [ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I LIC. NO: 1 ISLAB/UNDER FLOOR I [ [ 1 7I/�X �3 IRAISED FLOOR FRAMING (MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( ��"\��C �e . `j IIINDERFLOOR INSULATION I I 1 1153H265 3 Oil I I I I I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 1 I I I NO 21 [ �c, a I ROOF' SHEATHING y 1 SCHOOL WITHIN HAZARDOUS 1 � � [SHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALSI P I I I I I NO NO NO I i/ ,��/7 [FRAME INSPECTION -- I I I IREQUIRED TOTAL SETBACK FROM EXIST [ �f(J IFIREISPRINKLER HANGERS I I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I IFRONT PL- I IINSU�ATION/WEATHER STRIP( I I 1 SIDE PL- iI I I I I I I I (INTERIOR LATH/DRYWALL 1 1 I I I IEXTEgIOR LATH I I [ �j I I IRATE; FLOOR/CEIL ASSEM. I I [ I I II [RATED WALL ASSEMBLIES [ I IRATED SHAFTS/OPENINGS IT-BAR CEILINGS I I [ ILOT DRAINAGE I [ [ IREPORT ID: DPR261 ROUTE TO: BS0508 ' I i COUNTY OF LAS 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 0709260027 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 5904 LT: 203 SQ. FT STORIES TYPE 6242 SULTANA AV ISTRUCTURE: 27 VN TEMP CA 917801553 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: I5384-007-008 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, CI TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXPIRES ON: (EXIST OCC GRP: 109/26/07 SR 03/24/08 OWNER: TEL. NO: 1HDGS. NOW ON LOT: VALUATION: IF NAL FI CODE: ICHIEN HSING LAI (626) 241-6146- 8,700 1 16242 SULTANA AV ../ TEMP 917801553 FEES PAID RCRIPTION OF WORK TEAR OFF & RE ROOF HOUSE & CIRAGE. INSTALL MONIER LIFE TILE IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICBO ER 2656 SHAKE TILE 5.9 LBS. APPLICANT: TEL. NO: I SUNSHINE ROOFING (626) 581-7688- IAA BLDG PERMIT ISSIIANCE 27.75 1516 N. DIAMOND BAR JAC STRONG MOTION RESID 8700.00 VAL 0.87 ISPECIAL CONDITIONS: DIAMOND BAR CA 91765 ID2 PERMIT W/O EN-HC 8700.00 VAL 199.80 TOTAL FEES 228.42 CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE [SUNSHINE ROOFING (626) 581-7688- I 1516 N. DIAMOND BAR BLVD. LIC. NO 1LOCATION AND SETBACKS DIAMOND BAR CA 91765 755126 1 1 (SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - i (FOUNDATION/TRENCH FORMS LIC. NO: [SLAB/UNDER FLOOR 17 �( 137 IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I CC INSULATION I 1153H265 3 011 1 I I (FLOOR SHEATHING I I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 / /`� ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I (/� ` C SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS / y NO NO NO 1FRAME INSPECTION 1REQIIIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: I FRONT PL- 11NSULATION/WEATHER STRIP I SIDE PL- 1 1 11NTERIOR LATH/DRYWALL 1 [EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS IT-BAR CEILINGS 1 ILOT DRAINAGE 1 (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I APPLICATION FO ( COUNTY OF.LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DI ISION FOR APPLICALDINGNT TO FILL IN ADDRESS BU ADIDRESS LOCALITY J /17 LL'' �// ZIP NEAREST CITY / �D CROSS ST. i NO.OF BLDGS. / " ASSESSOR SIZE OF LOT �'d �j NOW ON LOT / MAP BOOK PAGE PARCEL TRACE DISTRICT GROUP TYPE FIRE PR CESSED BY D BLOCK LOT NPO. 11003 CONST. r ZQbwl l OWNER G//�'J- i?E/.Jt�2 - N07'T�'+ZG SO� J 2-11 STATISTICAL CLASSIFICATION SEWER MAP ADDRESSS e,0A0,V ,0O• CLASS NO. l7 DWELL.UNITS BK PG CITY IV 6,404W4 efl. ZIP %/.006 USE ZONE LMN . ARCHITECT OR TEL.ENGINEER. NO. AL ITIONS ADDRESS RO D DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR d74V o/�/�i NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS NO. TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD = FRONT PROP:LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER + O NAME AND BRANCH /9I BLDG.SETBACK FROM, U ADDRESS CITY SIDE PROP.LINE OF (STREET) ix SQ.FT. �i NO.OF / NO.OF CHECK HIGHWAY + YARD = TOTALSETBACKFROM TYPE OF EXISTING SIZE TSD STORIES / FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH CL G tn + - Z DESCRIPTION OF WORK f NEW ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USE OF REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APPLICANT TEL 3 ,.f .b lAl2� r„ (PRINT) NO. BY(SIGNATURE) e A- e- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE. WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF.CALIFORNIA IN RELATING TO WORKMEN'S COM-_ PENSATION INSURANCE. ^ SIGNATURE OF FINAL v BY PERMITTEE DATA ADDRESS ei TEL. P.C.Fee$` Permit Fee a r.'S CITY NO.� �P @ Issuance Fee VALUATION pDD� °`� Total Fee PLAN CHECK VALIDATION CK: M.O. CASH PERMIT VALIDATION CK. M.O. GASH 9 3 i;I E6 8 l D 2 8.5_ 0 ,&- , ®S 76A638A CE/803A 6/76