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HomeMy Public PortalAbout6272 SULTANA AVE_Building__ 7GA638A CE#6089-66 APPLICATION FOR;'BUILDING ERIV[rr COUNTY..OF LOS ANGELES :BUILDING DEPARTMENT OF COUNTY ENGINEER, ADDRESS BUILDING AND SAFETY DIVISION !LOCALITY J JOHN A. LAMBIE.COUNTY ENGINEER (NEAREST COLEMAN W. JENKINSAUP'T OF BUILDING CROSS ST. :DISTRIC T N Oma/ ar_ - PE; PR BY FRE APPLICANT TO FILL IN ��J^ VI CONST. r �f� ' - STATISTICAL C�/�SSIFICATION SEWER MAP' • CLASS NO. DWELL UNITSBK BLOCK USE ZONE MAP NO.SPECIAL NO. OF BLDGS. CONDI IONS NOW ON LOT BLDG. SETBACR FROMTEL.• ItT PROP. LINE OF (STREET) NO. TYPEkr EXISTING SETBACK HIGHWAY YARD,' _ TOTAL ADDRESS HIGHWA D FROM C.L. +' CITY BLDG..SETBA FROM ARCHITECT O TEL. SIDE PROP. LIN OP (STREET) ENGINEER NO. _ TYPE OF EXIST SETBACK HIGHWAY i-. YARD TOTAL ADDRESS 9 • i HIGHWAY WIDTH FROM C.L. CONTRACTOR fiw .NOL.�s7O IC Ad S'0 e NO CORNER CUTOF YES NO CITY I cL SEE REVERSE SIDE FORS CIAL-APPROVALS D SCRIPTIO.N . F WORK NEW ADD ALTER. REPAIR 'DEMOLISH C SQ.FT. NO. OF NO. OF .SIZE STORIES FAMILIES USE OF STRUCTURE I I s SIGNATURE OF j APPLtCAN7 1, VALUATION$ ii`J !, ? / •00 ' 1 ' ' APPROVALS DATE INSPECTOR'SSIGNATURE P.C. PMT. I .FOUNDATION, LOCATION FEE$' FEE$ d� ; FORMS,MATERIALS FRAME, FIRE STOPS,• •)•HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING!, GAS VENT. DUCTS GUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK' AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-i LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-I .. ING TO WORKM N'S COMPENSATION INSURANCE. t LATH. EXT. , SIGNATURE 4. HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS r F I NAL G, ' ) JOHN F. LEWIS. PRINCIPAL ST!7R:L ENGINEER:W, eazv " PLAN CLEC A ATION M.o. enBH !_ PERNIIT VALIDATION .D CASH cl -< -4.7.3::-6-to (AYg7 1 D x.00"' ,a 1 WORKERS'COMPENSATION DECLARATION hereby affirm that I have r certificate of consent to self, A P P L I CATIOI N 'F OR BUILDING P E RM I T idi5urr,or a cefl�,tificate of Workers' Compensation Insurance; or a certif!ed coy thereof(Sec. 3800, Lab.C.) Jp' COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli y No. � o21 mpany � L� BUILDING .r Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS loa I Date licant �� CITY ZIP LOCALITY PP --�6'� —� NO.OF BLDGS. NEAREST CERTIFICA OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. �i COMPENSATION INSURANCE ASSESSOR (Th!s section need not be completed if the permit is for one TRACT O •BLOCK LOT NO. 2LO MAP BOOK PAG PARCEL. hundred dollars ($100)or less,) j OWNER TEL USE ZONE MAP �' NO. NO. I certify that in the performance of the work for which this ,fJ / ECIALL / r permit is issued, I shall not employ any person in any manner ADDRESS .?� jet,O f`�' CONDITIONS A /d a so as to become subject to the Workers'Compensation Laws. 3 OO ' CITY ZIP C' Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE . PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER Lt s NO. ��� CONST. ZONE Exemption, you 'should become subject to the, Workers' � Compensation provisions of the Labor Code, you must forth- ADDRESSL v 2'^`'' a with comply with such provisions or this permit shall be L•f�A7 9 STATISTICAL CLASSIFICATION t'iAro CONDO. Z deemed revoked. CONTRACTO O. "'d1 v: LIC. • /� CLASS NO. DWELL. UNITS ''7; LICENSED CONTRACTORS DECLARATION ADDRESS /• NO. 2•ri 1° I hereby affirm that I am licensed under provisions of Chapter 9, SEWER MAP i,ir- (commencing with-Section 7000)of Division 3 of the Business LIC. i NEMIl and Professions Code,and my license is in full force and effect. CITY CLASS BK..G PG. NALIDA O SQ. FT: NO.OF NO.OF CHECK i�li t :L o, bo License Number Lic. Cldss SIZE STORIES FAMILIES / ONE ��'� � a�i i / DESCRIPTION OF WORK NEW ❑ VALUATION `t •6t C 1 i a=Pry"' J 1 ii.•_ n e .t7_■l.•j.+ 'Contract ..ttom� B'� i ADD 10 ` =�} �_.r+ dit� .❑I am exempt under Sec. Q ��� ► ALTER ❑ �• TEHE; BAP.C. for this reason7ZO o U44 $ _ ( -i REPAIR ❑ I},f —,3�, '- Date: USE OF 11�i d .a''&6 r EXISTING BLDG. DEMOL ❑ tAto� s C=1 APPLICANT ; Q &Iffiri 3 ,,`{'�;'!r�r Signature OWNER-BUILDER DECLARATION (PRINT) OFINA® DATEL C'H'ANGE •ISI+ I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS. FINAL' Professions Code): PRESENT By ,_ r-) 9./1319.,: . El I, as owner of the property, or- my employees with. BUILDING �0n1 ADDRESS #;-!I_14 ) ,r.('I { :I 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 tol'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 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. . (Sec. 3097, Civ. C.). SIDE. P.L. Lender's Name I P.C. Fee$ Permit Fee LDMA Ref. # Lender's Address _ I certify that I have read this application and state that thei Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County' Investigation Fee ordinances and State laws relating to building construction, Total Fee f - .7 LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. f SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applican or Ag't Date ?• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF DUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0612180020 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5904 IT: 206 BL: .001 SQ. PT STORIES TYPE 6272 SULTANA AV STRUCTURE: 2479 VN TEMP CA 917801553 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5364-007-015 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: 12./18/06 JK 12/13/07 OWNER: TEL. NO: FLOGS. NOW ON LOT' VALUATION: MA/. F Y: CODE: LUONG, BILLY (626) 285-4592- 7,620 6272 SULTANA AVE. TEMPLE CITY CA 91780 FEES PAID DESCRIPTION` OF WORK EXTENDED FRONT ENTRY PORCH I�S.F. TEAR ROOF & REROOF WITH FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 30 YR. COMPOSITION SHINGLES APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION REBID 7620.00 VAL 0.76 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/0 EN-HC 7620.00 VAL 183.00 TOTAL FEES 266.21 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS i F LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 153H265 3 Oil FLOOR SHEATHING N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: .41 NO 21 I ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR 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- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508