HomeMy Public PortalAbout6317 SULTANA AVE_Building__ 76AF}38A CE #803 4/72
. 4 -%.,, APPLICATION FOR BUILDING PERM1� fl
COUNTY OF LOS ANGELES ASSESSOR
r DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
f BUILDING AND SAFETY DIVISION BUILDING
.0. MAKE CHECKS PAYABLE TO: ADDRESS ,
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe Onl CROSS ST.
nISTING
BUILDING7 -5K A DISTRICr t�g� GR P PE P SS BY
K ((//..��C,/(� ONST.
STATISTICAL �LASSIFICATION SEWER MAP
BLOCK - - CLASS NO. DWELL,UNITS BK PG
t '� USE ZONE MAP
NO.OF BLDGS. NO.
NOW ON LOT �/ SPECIAL
USE DG. G c I CONDITIONS
�) TEL.4 AJ 5 If V NO. BLDG.SETBACK FROM
'(,�G FRONT PROP.LINE OF (STREET)
_ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY SA 4 laL � . HIGHWAY WIDTH FROM C.L.
ARCHI CT OR TEL. + =
ENGINE NO, BLDG.SETBACK FROM n}
ADDRESS SIDE PROP.LINE OF (STREET) v
CONTRACTOR D TOL �- TYPE OF EXISTING SETBACK HIGHWAY + Y = TOTAL
J HIGHWAY WIDTH FROM C.L. p
F
ADDRESS - �/ pLjp + = a
LIC. f'
CITY CLASS d� CORNER CUTOFF YES ❑ NO ❑
CON RUCTION LENDER
NAME ND BRANCH SEE REVERSE SIDE FOR SPECIA APPROVALS
ADDRESS
SQ. FT. //�� ppe�d NO. OF NO. OF NEW ❑ ` �'
SIZE /�v STORIES FAMILIES
USE OF ��� ,e, ADD
STRUCTURE
74/x' �` ✓ o Q n ALTER
SIGNATU'RYEOFF •7' 'fn
�/J REPAIR❑
APPLICANT . .r EMOL ❑
VALUATION$ ♦ APPROVALS DATE INs TOR'S S NATURE
P.C. PMT. � FOUNDATION: LOCATION4?1N
FEE$ FEE$✓c --515" FORMS, MATERIALS /
FRAME: FIRE STOPS, �{
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S OF
INSURAN LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED / k"-
ADDRESS jFINA r�rf •-�
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VA _ TION CK. M.O. CASH
j.til� 8 0 4 4 SEP 26 1 D 5 5,5 0 M 17
I l�
S_t
76A688A CE#805 6-62 APPLICATION FOR BUILDING PERMIT,,
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /
+ WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. ESSED BY
FOR APPLICANT TO FILL IN c Nsr.
BUILDING STATISTICAL CLASSIFICATION WER MAP
ADDRESS 4,317 Mo lei1 ! CLASS.NO.ig-DWELL.UNITS K
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT NOP G HIGHWAY
STATE MAJOR SECOND, CAL
NO.OF BLDGS. `
SIZE OF LOT x NOW ON LOT / USE ZONE WPECIAL
USE OF CONDITIONS.
EXISTING BLDG. "op / 1
TEL. "V H�
OWNER 47 AAAIripA NO. BUILDING EXIST.
`/ SETBACK YARD HWY STR` AME WIDTH
ADDRESS /Y� 1'19 A7 FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIRE
r- P: L 77o&
I�J .¢
ADDRESS ,4 r�L ! S✓�-%. C
TEL
CONTRACTOR �/,.�r1' '/A.. NO..�+,
ADDRESS,yg bA I z. 5. a8 r i�9.
r
:DESCRIPTION OF WOU . r _ 1-
I I
NEW ADD':'ALTER REPAIR DEMOLISH N
SQ.;FT.. NO.OF NO. OF Z
SIZE STORIES FAMILIES
USE,OF •' ts
,i
STRUCTURE-' iG/h!
SIGNATURE OF ff
��Pf"a'(ii'S{': �s
APPLICANT �-' -
VALUATION APPROVALS } 7 DATTf_ ./ INSPECFTORt/SSlSjl0"ITURE
FEEP C. $ a FEE $ � -1 FOFORMS!OMATER A S LOCATION' /� !f,? �.l
FRAME: FIRESTOPS,
I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY. FURNACE: LOCATION. {! r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS ` / 0 e' a•
BUILDING CONSTRUCTION. I CERTIFY THAT IN.DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. Lam" !�j,�,,,s ' �'•`,�;•%.�L,�-- /
TION OF THE LABOR'CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPEI9SATION INSURANCE. ff •• •j ���S If _ r i / '
LATH.EXT. � �Jt%t(sJ't� -!:''•!=:%.-.-:-^i',�'
SIGNATURE OF GI / {+,e 4-`O,r HOUSE NUMBER COR-
PERMITTEE 1 "3 .- RECT AND POSTED
ADDRESS C + C i rC . +`7' FINAL A, 1) 3, .n It.wn.._n
JOHN F. LEWIS, PRINCIPAL STRUCZURAL EGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
IiC9b20 �c� 15 1 1 SOON
L/
WORKERS'COMPENSATION DECLARATION j
+;l herehysaffcer that j haver certificate of consent to self APPLICATION FOR .BUILDING PERMIT �
ir?sure, or a certificate of Workers'Compensation Insurance,
or a certified copygL*Attof,(ompony �t olmop./.Sec. 3800, Lab. C.) (
Poli y No. CCOUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDING f c
Certified copy is hgreby furnished. I FOR APPLICANT TO FILL IN ADDRESS �l 1 J L T�¢ e
❑ Certified copy is filed with the county building inspec- BUILDING
tions department. ADDRESS (J St;117f1 N A v lQ
Date �7 Applicant CITY amp�Q ZIP eA 91"%r LOCALITY
CERTIFICATE OF EXEMPTION FROM WOR RS' y�-x l�b NO.OF BLDGS. NEAREST w
COMPENSATION INSURANCE SIZE OF LOT ,� NOW ON LOT CROSS ST..
(This section need not be completed if the permit is for one' ASSESSOR
hundred dollars($100)or.less.) TRACE �^ BLOCK LOT NO. MAP BOOK PAGE PARCEL
OWNER Ct l TQ `JjO,2 �/� USE ZONE MAP
I certify that in the performance of the work for which this d NO. _.
permit is issued, I shall not employ any person in any manner S ` /Y� /�✓P ��--/ SPECIAL IL
ADDRESS
so as to become subject to the Workers'Compensation'Laws. CONDITIONS O
J� V
Date Applicant � �%CITY Mph ie ZIP A � ad
ARCHITECT OR TEL. /'O DISTRICT GROUP TYPE. FIRE PROCESSED BY
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEERS`fiYLICE! 1. NO.. 3� / CONST. ZONE 1y
Exemption, you should become subject to the Workers' � Q �
Compensation provisions of the Labor Code, you must forth- ADDRESS ,_,91 - IL
with comply with such provisions or this permit shall be C 'I
TEL. STATISTICAL CLASSIFCATION� APT. [CONDO. #A
deemed revoked. CONTRACTOR J X �il"I NO. 3 3
LICENSED CONTRACTORS DECLARATION a LIC. pp CLASS NO." DWELL. UNITS
-
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS B�x j 3J2 NO. �O Gt
(commencing with Section 7000)of Division 3 of the Business and .. , _ /1M �j Q LIC SEWER MAP
Professions Code, and my license is in full force anndd'effect. CITY INt9 I ORA C� /V d'2 CLASS I BK PGVALIDATION
HECK
License Number Lic.Clasls ✓ o/ SIZES Z� S ORIOES FAMILOIES CONE
TMJ Dote CN -QCT 9TJ3/Qa v DESCRIPTION OF WORK /�Q j'ei X14. NEW ❑ VALUATION
ContractorS�'"r/ � / •�
ADD ® $
❑ 1 am exempt under Sec.
• ALTER ❑ � ��(�
B.BIP.C. for this reason I REPAIR ❑ $ ( ;948 9 A
Date: USE OF
EXISTING BLDG. DEMOL ❑ # o o a o..°
APPLICANT T�/ /�/� -(q TEL L +
Signature PRINT i l/ (tet/��`�►1-1 NO.5��3~� FINAL ( ° o87,38
OWNER-BUILDER DECLARATION .;DA
I herebyaffirm that I am exempt from-the Contractor's License /� A �1 0 a 0 cz.�!
Law fothe following reason(Section 7031.5, Business and ADDRESS �r7� 33a ,tGl�/7M�/ } �4 �' FI L 8 71 3
Professions Code): PRESENT i� Q 1 3 86
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).
CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM
PROP.LINE WIDTH ,-�.•
I hereby affirm that there is a construction lending agency for SET BACK FRONT
the performance of the work for which this permit is issued -P.L. `aY
(Sec. 3097, Civ. C.). SIDE
$ P.L. `
Q Lender's Name
LDMA Ref:•#-
Lender's Address `
P.C.Fee$ Permit Fee 7
-
oil,
> J I certify that I have read this application and state that the 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 C LDMA Perm. #
and hereby authorize representatives of this County to enter
upon above-me tinned property for inspection purposes.
/ 4
-M. Or
o �/3-11. �p SEE REVERSE FOR EXPLANATORY LANGUAGE C�O
Signature of AppIIcaWt or Agent Date
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 1207090088
PHONE: (626) 285-0488 EXT: I z
LEGAL ID: I NO. OF CONST
BUILDING ADDRESS:
ON FILE I SQ. FT STORIES TYPE I I
I (STRUCTURE: 30 V-B I SCAB CA 917752031
6317 SULTANA AV 1
(ASSESSOR INFORMATION NUMBER: I 1
15382-021-021 I I NEAREST CROSS STREET:
THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 107/09/12 SR
TOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF T TE F BY: CODE:
I
IBALBUENA, MARIANO - I 9,710
16317 SULTANA AV [
ISGAB 917752031 I FEES PAID ID SC P ON OF WORK ]
I I IR MOVE AND REPLACE ROOF WI H ASPHALT SHINGLES HOUSE AND ]
I _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IGARAGE ]
[APPLICANT: TEL. NO: I I I
METRO, RYAN P (626) 463-7049- IAA BLDG PERMIT ISSUANCE 27.80 1 I
170 S. LAKE AVE IAB STATE GREEN BLDG FEE 9710.00 VAL 1.00 ISPECIAL CONDITIONS: 1
PASADENA CA 91101 AC STRONG MOTION RESID 9710.00 VAL 1.00 1 I
ID2 PERMIT W/O EN-HC 9710.00 VAL 216.60 ] I
I I TOTAL FEES 246.40 I I
CONTRACTOR: TEL. NO: 1 APPROVALS DATE INSPECTOR SIGNATURE
BEACH CITIES ROOFING (626) 463-7049- [ I
125775 AVENIDA PEDREGAL LIC. NO LOCATION AND SETBACKS I I [
ISAN JUAN CAPISTRANO, CA 92675 697489C39
I I (SOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. N0:
- I (FOUNDATION/TRENCH FORMS [ I I
I LIC. NO: I ISLAB/UNDER FLOOR
(RAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I
1153H265 3 00
I I (FLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: [
0 NO 21 IROOF SHEATHING 1-10
I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS [ I
(AIR QUALITY: 1000 FEET MATERIALS
INO NO NO I IFRAME INSPECTION I I I
I I FIRE SPRINKLER HANGERS
I I I I
(INSULATION/WEATHER STRIP 1 1
(INTERIOR LATH/DRYWALL
(EXTERIOR LATH I [
(RATED FLOOR/CEIL ASSEM. I I I
IRATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS I
IT-BAR CEILINGS I I I
I ] ILOT DRAINAGE [ I I
I ]REPORT ID: DPR261 ROUTE TO: BS0508 I I I
1 I I ] ] I
6 J
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 0608250002
PHONE: (626) 285-0488 ERT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 6317 SULTANA AV
STRUCTURE: VN SGAB CA 917752031
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5382-021-021 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: 08/25/06 JK 08/20/07
OWNER: TEL. NO: SLUGS. NOW ON LOT: VALUATION: Y: CODE:
BALBUENA MARIANO C;TRINIDAD (626) 287-1926- 7,000
6317 SULTANA AV J✓ G
SGAB 917752031 FEES PAID DESCRIPTION OF WORK
BATHROOM REMODEL
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION REBID 7000.00 VAL 0.70 SPECIAL CONDITIONS:
B2 PERMIT W/ENERGY 7000.00 VAL 182.82
FR INV WORK W/O PERMIT 128.50 DOL 128.50
TOTAL FEES 339.77
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
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
153H265 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 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: RWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL- t�^
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: BSO508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0311050022
PHONE: (626) 285-0488 EXT:
LEGAL OF CONST NEW BUILDING DDR S :
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6317 SULTANA AV
STRUCTURE: 36 1 VN R3 SGAB CA 917752031
ASSESSOR-INFORMATION R: GARAGE: NEAREST CROSS STREET: LONGDEN
5382-021-021 OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
TENANT: IST BLDG USE: USE-ZONE: ISSUED 0 ---PROCESSED B EXPIRES ON:
EXIST OCC GRP: 11/06/03 JK 10/31/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
BALBUENA MARIANO C;TRINIDAD 2,500
6317 SULTANA AV
SGAB 917752031 FEES PAID DESCRIPTION -OF WOR
ADD CLOSET TO BEDROOM
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
MUTZATI;JAY (818) 506-6671- AA BLDG PERMIT ISSUANCE 27.75
12427 ALBERS ST AC STRONG MOTION RESID 2500.00 VAL 0.50 SPECIAL CONDITIONS:
N HOLLYWOOD 91601 81 PLANCHECK W/ENERGY 2500.00 VAL 92.57
B2 PERMIT W/ENERGY 2500.00 VAL 108.90
CONTRACTOR: TEL. 0: TOTAL FEES 229.72APPROVALS DATE INSPECTOR SIGNATURE
TOUCH OF CLASS CONSTRUCTION & (310) 863-4835-
REMODELING INC LIC. NO LOCATION AWD-TSETBACKS / �o p 3
289 S ROBERTSON BLVD 806782 B
BEVERLY HILLS, CA 90211 SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - FOUNDA IO /TRE C FORMS 7--/&--,6.%
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
N0. OF FAMILIES: DWELLING UNITS: AP COND: STAT SS: ST LEVEL FR SHEATH
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL THIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED E BACK FROMS BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION/WEATHER S RIP Z
5
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECT 0 VICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508