HomeMy Public PortalAbout6278 SULTANA AVE_Building__ 7BA638A CE#910811-87 APPLICATION FOR BUILDING PER ;T 1
COUNTY OF LOS ANGELES BU LDI s
DEPARTMENT OF COUNTY ENGINEER PDRE .
BUILDING AND SAFETY DMSION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUF T OF BUILDING CROSS ST.
DISTRIC NO. 1 GROUP SEWER MAP
FOR APPLICANT TO FML IN er CONST
ADDRESS �� �j 'Ir`�L STATISTICAL CLASSIFICATION
LOT NO �/_I 6?' O BLOCK CLASS.NO WELL.UNIT S
MAP /i
STATE
NUMBER HWY. YE5
TRACT D V
USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT Jt v I NOW ON LOT
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
SETBACK 4 WIDTH
OWNE ., FRONT �l J
MAIL ESS _ q 7� ,O _ P.L: �LfJ
ADDROI- SIDE
TEL-
T� P.L.
TY.
CINO.' - INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS• n p
TEL. -. rS' l/G U mg' / L'Iq'
CONTRACTOR NO. 121)//Apl h1;Th',o07`1i6, A B:
ADDRESS
DESCRIPTION OF WORK � l'_W4 D '/��y Nem��nT/1H0•
NEW ADD ALTER' REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE V d STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF APPROVALS
"APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS d "�� FOUNDATION: LOCATION
FORMS,MATERIALSP./ E $ FRAME: FIRE STOPS.FEE BRACING,BOLTS
VALUATION $ / FURNACE: LOCATION,
FEE GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULAT G BUILDING CONSTRUCTION. LATH.EXT.
SIGNATURE OFi�IL HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
- ADDRIT FINAL �-
CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENqUWgFZ
PLAN CHECK VALIDATION Cu. 11.0. CASH PFJUW VALIDATION cr. M.D. CASH. ,
r
5A698A CE#809.10.86 APPLICATION F®R -BU•IL®ING PERMIT - 1
BUILDING AND SAFETY DIVISION BUILDING n
Department of County Engineer ADDRESS f�
County of Los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST
DISTRICTGR pE SEWE MAP G
FOR APPLICANT TO FILL IN
�y CONST.
BUILDING �
ADDRESS 0 /�/ STATISTICAL C iF1CATION I
LOT NO ~ / �t3�°,J BLOCK CLASS.NO. WELL.UNITS
MAP STATE
L - Q ` NUMBER 40 HWY YES
TRACT 6J U£ O SPECIAL
NO.OF BLDGS. CONDITIONS- -
SIZE OF LOT ,.1-- NOW ON LOT
USE OF _
EXISTING BLDG. BUILDINGEXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNE r L •r_ (L �/' :�!�( �I"+L� FRONT r �
MAIL �{ P.L.
ADDRESS SIDE
cI INSPECTION RECORD -
ARCHITECTkOR TEL.
ENGINEER 1 NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK ,� to,t;
NEW ADD 4p A L:,-MOP 4915"'f DEMOLISH r`r
SQ.FT O.f3 F NO.OF
SIZE. ORIES FAMILIES n
U
/OF {�1'JCT f Cr r r f'L r vp
_ F�0 7eq,
,� y APPROVALS
SIGNATUREOP�/"j �JZ-"-'
APPLICAN�QQ'� `v��rrss �] C � [ DATE INSPECTOR'S SIGNATURE
�C / / l_
ADDRESS „/l QS�J '•/ y ,{ y FOUNDATION:LOCATION �j / 7 ,Q �,
FORMS. MATERIALS /'�6 �/ (/. ..I.TJhE+.
$ P.C. S FRAME: FIRE STOPS, D
FEE BRACING.BOLTS. r_ r/✓.ilr.l....:•.�I'
FURNACE: LOCATION..
VALUATION S �� GAS VENT. DUCTS
FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APr LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO.COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. ✓a'ah
STATE LAWS`REGU ING ,RVILDING CONSTRUCTIO�{,�
SIGNATURE by��:s � 2/� _F.I,0 00� HOUSE NUMBER ED
OR-
PERMITT B*�72' 29;L-1,
y �� RECT AND POSTED
ADDRES 2 A -%_n[ FINAL J�b'S d .lifN 11/Lf f R�Q�O
OHN A.LAMBIE. COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGIN R
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
,��s B 2 76; Auc 2 9 s - 1.00 g o
SA898A CE#808.10.158 APPLICATION FOR BUILDING PERMIT 1,
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
Deportment of County Engineer
County of Los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP YPE' SEWER MAP
FOR APPLICANT TO FILL IN BK PG
CONST.
BUILDING) 7(, 4 p
ADDRESS(,/ d �7'�+ STATISTICAL IFICATION
/ CLASS. NO. DWELL. UNITS-----:.—
LOT
NITS 'LOT BLOCKMAPSTATE YES O
NUMBER O O c HWY
TRACT J q®14/ U E ZO E SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT 3— O-aI NOW 011 LOT
USE OF
EXISTING BLDG. "A BOTLDING YARD HWY STREET NAME EXIST.
SETBACK I WIDTH
FRONT
MAIL � p P. L. �(J
ADDRES ! SIDE
1 • r T P. L.
INSPECTION RECORD
ARCH! CT OR TEL.
ENGIN ER NO.
ADDRESS
TEL
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
`P�PPI z 1 F/.✓/7H
NEW ADD aok ALTER REPAIR DEMOLISH
SQ17T. NO.OF NO.OF
SI STORIES FAMILIES
BE OF TRUCTURE
s
APPROVALS
SIGNATURE
APPLICANT J DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION
FORMS. MATERIALS
$, p rFF;E
S FRAME: FIRE STOPS.
BRACING.BOLTS
VALUATION Q ' 3 FURNACE: LOCATION.
GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT.
STATE LAWS REGULATING BUILDING CONSTRUCTION.
SIGNATURE O ��jj HOUSE NUMBER COR-
PERMITTE ^' C! RECT AND POSTED
ADDRESS FINAL
OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM.PRINCIPAL STRUCTURAL ENG I ER
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
0 2 7 0' 7V; SEP 2 6 1 4.0 0- M
c „
A ROAD DEPT.
2 :TTeo; =o-1VI :
FOR
ANY MATERIAL STC:AGE U;; Vl .RK
DONE IN ,THEROAD RIGriT .OF
F.BAU:ACE#863!1.07- APPLICATION -FOR BUILDING PERMIT
COUNTY OF-LOSANGELES BUILDING'
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
• 'BU]lD]NG AND SAFETY DIVISION LoCALI
JOHN A. LAMBIE, COUNTY ENGINEER- NEARES
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. �
DISTRICT NO. GR P TYPE- P CESSEOLBY
FOR APPLICANT TO FILL IN L CONS'•
BUILDING STATISTICAL C SSIFICATION SEWER MAP
ADDRESS 1 A� ;y.v BK G
!� q CLASS.NO:�DWELL.UNITS -
LOT IQO. ,� atd' BLOCK MAP STATE YES NO
NUMBER HWY.
TRACT USE'ZONE SPECIAL
NO'.OF BLDGS. �� ONDITIONS'
SIZE OF LOT I NOW ON LOT
USE OF
EXISTING BLDG. % 'A/G BUILDING EXIST.
SETBACK-. YARD HWY STREET NAME WIDTH
OWNER.' 41A 6G C h if FRONT.
MAIL
ADDRESS 0SIDE '
TEL. P.L.
CITY .. d c A g I NO. INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO.
ADDRESS
CONTRACTOR
ADDRESS Q gF
DESCRIPTION OF WORK
NEW ADD/ ALTER REPAIR DEMOLISH
SQ. FT. NO. OF y NO. OF
SIZE ' STORIES / FAMILIES
USE OF
STRUCTURE 0eas., air A-1 G Adr
SIGNATE'OF
APPLI- NT
APPROVALS- DATE INSPECTOR'S SIGNATURE
[ADDRESS FOUNDATION:LOCATION /"
FORMS,MATERIALS f_X/STlJ�/G J.
VALUATION $ Q D I FRAME:'FIRE STOPS, ,
BRACING,BOLTS �J `27�(�7Li fgr /ff
P.C. PMT. C'CJ FURNACE'LOCATION.. `
FEE .S FEE 3 GAS VENT DUCTS_
1 HEREBY ACKNOWLEDGk THAT I HAVE READ THIS AP-. LATH,INT. ,3'LIL'C�lO lif7�'Ijj�'
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND -_
STATE LAWS REGULATING BU16DIN.G STRUCTION. LATH,'EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMIT. E RECT AND POSTED
ADDRES FINAL.
CLYDE N. DIRLAM,-PRINCIPAL STitlieTRAL ENGINEER
PLAN CHECK VALIDATION CK. M.G. CARR PERMIT.VALIDATION aK.. w.o. CASH_
M6,0,8-8 FSB 2 4 1- .A 6-0:0 �
I
WORKERS'COMPENSATION DECLARATION 1
hereby affirm that I have certificate of consent to Self I APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.)
ogrk19
RQ-400-1013Zany Argonaut I COUNTY OF LOS ANGELES BUILDING AND SAFETY
Certified co is hereby furnished. BUILDING
❑ copy y FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- BUILDING
I133�� tion department. ADDRESS LOCALITY
NEAREST
Datell-182• Applicant Howard L. RandolCo CITY Temple City zip 91770 CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed.if the permit is for one USE ZONE MAP
hundred dollars.($100)or less.) TRACT BLOCK LOT NO. � I
NO.
TEL. , SPECIAL
I certify that in the performance of the work for which this OWNER NO. — CONDITIONS [C
permit is issued,I shall not employany person in any manner DISTRICT. GROUP TYPE FIRE PROCESSED BY O
so as to become subject to the Workers'Compensation Laws. ADDRESS 6278 N. ri CONST. ZONE 09
Date 6—7 1� 8 7 Applicar 1 Co
CITY Temple Cit Ca. ZIP 91-770 . STATISTICAL CLASSIFICATION AFT. c
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL.
Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. �rf DWELL.UNITS LU
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be ,
deemed revoked. CONTRA NO. _ 40 BK. PG, VALIDATION
LICENSED CONTRACTORS DECLARATION LIC,
1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSO. VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code,and my license is in full force and effect. CITY San Gabriel, Ca. CLASS C-39 $ 1060. 00
,
SQ.FT. T6 OF. NO.OF CHECK
License Number 186086 Lic.Class C—3 9 SIZE STORIES ] FAMILIES ] ONE
$
Contractff nwa-rd b R�n� to F—71—$2 DESCRIPTION OF WORK — NEW
❑
❑
ADD
I am exempt under Sec. f lat area of house ❑
ALTER ❑ FINAL
B.BP.C. for this reason REPAIR DATE J
Date:
USE OF FINAL
B❑'
EXISTING BLDG, DEMOL
Signature APPLICANT
THoward L. Randol NO
(PRINT)Howard
NT . 288-404C.
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS
Professions Code): PRESENT
❑ BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and LOCALITY 4'b 2 b A
the structure is not intended or offered for sale(Section
7044, Business and Professions Code). I MOVING TEL. 4 0 0 0 0 0
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS 2 ° ° 4 a 0 0
tion 7044, Business and Professions Code). ;
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY ' SET BACK YARD HWY PROP.LINE WIDTH •r o 0 o430007:
I hereby affirm that there iso construction lending agency for FRONT `
the performance of the work for which this permit is issued P.L. 0
6.2 8— 2
tSec. 3097, Civ. C.). ! SIDE
m P.L.
Lender's Name
$ Lender's Address P.C.Fee$ Permit Fee
I certify that I have read this application and state that the Issuance Fee 8.50
above information is correct. I agree to comply with.all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee $43. 00 s
3 and hereby authorize representatives of this County to enter
upo the above-mentioned property r inspection purposes. ,
O / 115r�� s. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature o Applica f or Agent Date es
I '
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 SL 0508 0209120021
PHONE: (626) 285-0488 EXT:
LEGAL -
NO. OF CONST L -
TR: 5904LT: 204 SQ. FT STORIES TYPE 6278 SULTANA AV -
STRUCTURE: VN TEMP CA 917801553
S I NEAREST CROSS STREET: LONGDEN
5384-007-009 ! THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
- REBID USE ZONV: R-1 ISSUED - PRO :
S 0
EXIST OCC GRP: 09/12/02 - JK 03/11/03 -
I
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
LUNDGREN FRANCINE L (626) 285-0952- 4,800
6278 SULTANA AV ' / 2 I-D f
TEMP 917801553 FEES PAID DESCRIPTION OF 6URr—
T/O 3LAYERSO NSTALL PLYWOOD & 25YR FIBERGLASS COMP SHINGLE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: EL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION REBID 4800.00 VAL 0.50 SPEC AL CONDITIONS:
D2 PERMIT W/O-EN-HC---- '-•=4800.00 VAL 132.60
TOTAL'FEES 160.85
CONTRACTOR: TEL. N0: APPROVALS DATE lNSPECTO SIGNATURE
SAME AS OWNER - •`fes J" •'�`� � -
LIC. NO `• �� - ~ ' MCA' 0 SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECTOR ENGINEER: TEL. NO: , �- 0FORMS
LIC. NO:' = SLA / NDER FLOOR
FAT§ D FLOOR FRAMIffG
MAP O: SEWER MAP BOOK: PGE: FIRE ZONE: CMP: UNDERFLOOR-INSULATION
I
153H265 3 01. ! '
FLOOR SHEATHING
0. OF FAMILIES: DWELLING S: P D: S Sr :-
NO 21 '+ ROOF SHEATHING
SCHOOL WITHIN HAZAR OU I' f '' S
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED 0 ALS BA RM FIRESPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER, STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
! EX R OR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RAAD
T-9iff
CaILINGS
LOT-DRAINAGE
REPORT ID: DPR261 ROUTE TO: 8SO508