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Home My Public Portal About6326 SULTANA AVE_Building__ • ` `f t, APPLICATION FOR BUILDING-PERMIT '• • COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL,IN BUILDING ADDRtS WOIiKER'S COMPENSATION DECLARATION 6376 4L1 L ��A AVE 1 � BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, �/� y- b i or a certificate of Workers'Compensation Insurance,or a certified C6 32-65 601-TA•IA ZIP / 6�(�f GlT f [ I copy thereof(Sec.3800.Lab.C.) F—��j L� u-� I CA Policy No. Company f LOCALITY SIZE OF LOT ( NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. GO 1 X I D EAR CRO ST. t DD 1 ❑ Certified copy is tiled with the.county building inspection TRACT BLOCK LOT NO. department. 1204 s USE ZONE MAPNlpdO��. Date Applicant ASSESSOR MAPBOOKPAGE PARCEL SPECIAL CONDITIONS OWNEI TEL NO. CERTIFICATE OF EXEMPTION FROM WORKERS' F-AkZVINL�(,J 81$�r��v�ZISL WITHIN 10DOFr..OFSCHOOL? YES NO COMPENSATION INSURANCE ADDRESS �+, - (This section need not be completed if the permit is for one hundred 6426 U CTAQA /-�V�- ) DISTRICT GROUP TYPE CONST' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY. 7PI certify that in the performance of the work for which this permit _TENtrLs e_(T �Q -3 �' Is Issued, I shall not employ any person in any manner so as to ARCHITE OR GINEER TF1.NO. STATISTICAL CLASSIFICATION APT CONDO become subject to the Workers'Compensation Laws. C A �J I �,L.�.4 818 -9 y' Date I I Applicant ADDRESSs. �T A�, a�leCl rIA, �9100/ CLASS NO. L DWELL UNITS • I NOTICE TO APPLICANT., If, after making this Certificate of 1� CJ REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the.Labor Code,you must forthwith comply with such provisions or this permit shall be deemed-revoked. ADDRESS LIC.NO. FRONTL 2b, 2-77 Ir i I j LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PILE b I (D I—D I f aDI I c I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP - V (commencing with Section 7000)of Division 3 of the Business and FT E NO. STORES NO.OF FAMILIES A� _ O Professions Code,and my license is in full force and effect. 4 Z j NEW ❑ BK /a PG (✓Q ti_I., D RIPTION OF WORK ADD �( ` f °a License Number Lic.Class vAWATION 'ryr� C� c � Contractor Date MWOL is)(11 (S Art' �IUJ�S� 330 1..+°�-° C) A00 AVP 14-• ,6SF IU'EJ' 2— ALTER ❑ $ z z ❑ I am exempt under Sec. REPAIR ❑ $ BARC.for this reason :!�ry APO'1 ID 0' DEMOL ❑ AU, z Date: USE OF EXISTING BLDcG�t w URM ❑ LDMA P/C# iT'�� '€3.� Signature APPLICANT(PA NT)r,,�`� TEL NO. LDMA Perm# r 'r T 1 : 1,as owner of the property, or my employees with wages as MAeuiQ LAU 0— TOTAL ;S� their sole compensation,will do the work and the structure is ADDRESS p not intended or offered for sale (Section 7044, Business and 6�i-2-6 '50LW-Av AVr- v?• FIM DAIM Q10-CH Professions Code.) WILLTHEAPPLICANTORFUTUREBUILDINGOCCUPANT HANDLEAHAZARDOUSMATERIAL / F/ j �� !. OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN a .r7i IwiL `P 1, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FI BY y licensed contractors to construct the project.(Section 7044, YES;❑ NO Q Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH 93 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(scAQMD)SEE PERMITTING CHECKLIST war FOR GUIDELINES. T'F,(,,y AF[ I hereby affirm that there is a construction lending agency for YES 11 NO No the performance Of the work for which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD Q 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,TI 6E2,CHAPTER 220 SECTIONS 220.100THROUGH 220.140 CONCERNING Lender's Name HAZARDOU M RIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address „ " Ew �+ o' I certify that I have read this application and state that the above P C.FEE �� PERMIT FEE �/•�� % Information is correct. I agree to comply with all county �• ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE the 1b02VS-malonedd property for inspection purpo INVESTIGATION FEE TOTAL FEE A➢pkenta�pc,° Dab SEE REVERSE FOR EXPLANATORY LANGUAGE i WORKERS'COMPENSATION DECLARATION I � reraffmtifhat I have certificate of consent to self .,r4a !cote of Workers'Compensation Insurance, I APPLICATION FOR BUILDING PERMIT 4,a ceriiirf•ied , 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 ADDRESS BUILDING AA, 5 q V e.,FV, Certified copy is filed with the county building inspec- BUILDING El q tion department. ADDRESS A .J Date Applicant CITY 1 Zip 417 7 7 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. La �O (This section need not be completed if.the permit Is for one ASSESSOR hundred dollars($100)or less.) TRACT I BLOCK LOT NO. MAP,BOOK PAGE PARCEL USE ONE MAP I certify that in the performance of the work for which this OWNER Wel, '1' C' mvp4wx 'w NO.TEL.�20-477`7 NO. permit is issued, I shall not employ any person in any manner SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS � V (N• g, ko `C. CONDITIONS 0 Date °� & Applicant CITY _ &46 fit ZIP �t1777 FY NOTICE TO APPLICANT: If,.after making'this to Certifi of ARCHITECT OR TEL. DISTRICT GR P TYPE FIRE PROCESSED BY O ENGINEER NO. Exemption, you should become subject to the Workers' �/tC/ ? CONS`T.J ZO E V Compensation provisions of the Labor Code, you must forth- ADDRESS ✓` � V with comply with such provisions or this permit shall be i TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 70DD)of Division 3 of the Business and LIC. 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 VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ $ ❑ ADD ❑ pill.I am exempt under Sec. �' ALTER M82Q5A B.&P.C. for t is reason REPAIR $ USE OF # 0 0 0 0.0 1 Date: EXISTING BLDG. DEMOL Signature APPLICANT TEL. FINA ( o,0 3 31 Q 0 OWNER-BUILDER DECLARATION PRINT NO. L �/ xmi I hereby affirm that I am exempt from the Contractor's License CAT 7/ 0 0 0 3 3 0 0 Law for the following reason (Section 7031.5, Business and ADDRESS FIN Pr fessions Code): FKrbrNi By 'I a2' 9-.87 BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY ' the structure is not Intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. L__J- 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 BACK YARD HWY TOTAPSETBACK-FOR' OP L NE 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 LDMA Ref. N / P.C.Fee$ Permit Fee m Lender's Address I I certify that I have read this application and state that the Issuance Fee t/ LV LDMA P/C N above information is correct. I agree to comply with all County Investigation Fee 2 //+) 9 ordinances and State laws relating to building construction, Total Fee L--ZJ V 6 LOMA Perm.N $ and hereby authorize representatives of this County to enter up the above-mentioned property for Inspection pur oses. 17 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applidpd r Agent Date , WORKERS'COMPENSATION DECLARATION su re lbr a cer that I have r certificate of consent to self APPLICATION FOR BUILDING PERMIT �sure,tor a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800,1ob. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No�Company �r�. Certified copy is hereby furnished. FOR APPLI% NT TO FILL IN BUILDING ADDRESS Certified copy is filed with the co building inspec- BUILDING tion de artment. ADDRESS 3 I r Date Zia Applicant CITY ZIP LOCALITY CE&IFICATE OF EXEMPT FROM WORKERS' NEAREST COMPENSATIO NSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE MAP I certify that in the performance of the work for which this OWNER �� NO. NO. permit is issued, I shall not employ any person in any manner — / SPECIAL + so as to become subject to the Workers'Compensation Lows. ADDRESS CONDITIONS U CITY ZIP Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP O ENGINEER NO. TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' Compensatioprovisions of the Labor Code, you must forth- ADDRESS f V CONST. ZONE 0 with comply with such provisions or this permit shall be STATISTICAL C IFI TION APT. CONDO. IL deemed revoked. CONTRACTOR tel►/�67� U) LICENSED CONTRACTORS DECLARATION C. CLASS NO. DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS to NO. J. f (commencing with Section 7000)of Division 3 of the Business and 011 OF LIC, SEWER MAP Professions Code,and my license is in full force and effect. CITY CLASS e—-5� BK PG VALIDATION SQ. HECK License Number -1113/ s Lic.Class 3 S ZEFT STORIES MIOLIES CONE �$ ^ �g ❑ VALUATION Contracto�� 4A Date -vo DESCRI ON OF WORK NEW El $ 4 ADD , I am exempt under Sec. + ALTER �` s 81 411 A B.BP.C. for this renr s REPAIR D SE OF DEMOL a EXISTING BLDG. # o 0 o a 11 Signature APPLICANT TEL. FINAL PRINT NO. � :� 0.07a. Q N R-BUILDER DECLARATION DATE I hereby off that I am exempt from the Contractor's License Law for the allowing reason (Section 7031.5, Business and ADDRESS FINAL 0 0 0 7 a Q Qc=) Professions Code): BY BUILDING 1, as owner of the property, or my employees with ADDRESS (a'1 6-87 wages as their sale compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. 1, 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 SETBACK FROM BETOBACK YARD HWY TOTAPROP. 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. (Ser. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. R P.C.Fee$ Permit Fee ' Lender's Address I certify that I have read this application and state that the Issuance Fee r LDMA P/C 0 g above information is correct. I agree to comply with all County Investigation Fee ff 9 ordinances and State laws relating to building construction, Total Fee lam" LDMA Perm. q R and her by orize representatives of this County to enter L upon a ova entioned pro arty for inspection purposes. m SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent I Da e 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 1404070070 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ITR: 12048 LT: 5 I SQ. FT STORIES TYPE I 6326 SULTANA AV I ISTRUCTURE: V-B I SGAB CA 917752032 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 15382-021-031 I I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED BY: [ (EXIST OCC GRP: 04/07/14 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL AT FI BY: CODE: [ ILAU MARVIN;KATHY C;CHANG HWA YING (626) 283-9179- 1 5,600 I I 16326 SULTANA AV I I < I ISGAB 917752032 FEES PAID 'RIPtIdN OF WORK I I I IWINDOW REPLACEMENT OF 14 WINDOWS IN FAMILY ROOM, LIVING ROOM[ [ -(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IKITCHEN, AND BEDROOMS I [APPLICANT: TEL. NO: I I [ ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 [ [ IAB STATE GREEN BLDG FEE 5600.00 VAL 1.00 ISPECIAL CONDITIONS: [ IAC STRONG MOTION REBID 5600.00 VAL 0.60 [ ID1 PLANCHECK W/O EN-HC 5600.00 VAL 127.00 [ ID2 PERMIT W/O EN-HC 5600.00 VAL 149.40 [ (CONTRACTOR: TEL. NO: 1FR INV WORK W/O PERMIT 171.90 DOL 171.90 [APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I TOTAL FEES 477.70 _ [ LIC. NO [ (LOCATION AND SETBACKS [ I I I I [ ISOILS ENGINEER APPROVAL [ [ [ [ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIC. NO: I JSLAB/UNDER FLOOR i [ RAISED FLOOR FRAMING I I [ MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 [UNDERFLOOR INSULATION I I _I IFLOOR SHEATHING [ I [ INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I_ [ [ [ NO 21 i (ROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS [ ISHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS I I- I I [ NO NO NO ( IFRAN,E INSPECTION I I [ I I I I IFIRE SPRINKLER HANGERS I I [ I I (INSULATION/WEATHER STRIPI I I [ I (INTERIOR LATH/DRYWALL 1 I [ I I I I 1EXTERIOR LATH [ I I I [ IRATED FLOOR/CEIL ASSEM. [ I I IRATED WALL ASSEMBLIES I I [ RATED SHAFTS/OPENINGS I IT-BAR CEILINGS I 1LOT DRAINAGE I I I [ IREPORT ID: DPR261 ROUTE TO: BS0508 [ I I I I I