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Home My Public Portal About6329 SULTANA AVE_Building__ CY 1 76A636A eE#6092-69 APPLICATION, FOR BUILDING PERMIT. COUNTY OF LOS1ANGELI:S BUILDING Z LTA ffA DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY i e JOHN A. LAMBIE. COUNTY ENGINEER NEAREST �.0�/s _},. WILLIAM A.JENSEN,SUPT OF BUILDIIIG CROSS ST. C� C/ DIS CT NQS GUP TYPE PR SSED BY FOR APPLICANT TO ML IlN' . p CX/ coNST. BUILDING ADDRESS 5.Z/t,'T�A/,A'' " STATISTICAL CLASSIFICATION SEWER MAI? CLASS .NO.•Z_DWELL.UNITS j /O LOT NfJ. BLOCK i WATER CERTIFICATE: NOT REQUIRED [:] RECEIVED ❑ TRACT MAPHIGHWAY ..� l NO.OF BLDGS. NO. OQ (CIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT �T/ NOW ON LOT U,7S 7.ONE SPECIAL USE.OF q / CONDITIONS EXISTING'BLDG. �� ./ - T 'r�1 EL' / ' OWNER / /V F1• PT v N �`'� BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS J �^r �' �� '� ' ,SMD FRONT. , ARCHITECT OR _ TEL ' P. L. V'G.. P•f", j ENGINEER NO., SIDE P. L. d ADDRESS O. TEL. V CONTRACTOR 1/� NO. ADDRESS 0 DESCRIPTION OF WORE ' W - - Z 3 -� •� ,nom � --��.l��c,,,r� NEW ADD ALTER REPAIR DEMOLISH ' ! SQ.FT." -! .NO.OF NO. OF, i7, SIZE STORIES (, FAMILIES• yg USE OF � ./..L.1 /✓J' 'V1J : r' _ STRUCTURE LG ,;` i SIGNATURE OF lJfL- r APPLICANT /-ry VALUATION $ �, APPROVALS DATE INSPECTOR'S.SIGNATURE. P.C. PMT; +> FOUNDATION: LOCATIO FEE $ ,4 / 33 FEE $� / Z FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS r' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATIO _ WITH ALL COUNTY ORDINANCES AND STATE'LAWS REGULATING GAS VENT.DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK Y AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIF N A-RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE B HOUSE NUMBER COR. A' PERMITTEE RECT AND POSTED AN"1 f ADDRESS FINAL I �+ (1, GIZ/�/j�?.tw�-G JOHN F. LEWIS. PRI CIPAL S U RAL ENGINEER PLAN CHECK VALMATIO, pCC14! M.O. CASH PERMIT VA ATIOW CK M.O. CASH LAL o S 6 2 4f.-. JUL l 7 2 3 D 19.1 3-A cv 9 7 2 7% JUL2 D 3 8.25M t �y (WORKERS'COMPENSATION DECLARATION JJ'ror°b�fftcertificate eIcertifcate of Workes'Compensation Insurance, APPLICATION F R BUILDING PERMIT dr a certified copy thereof(Sec. 3800, Lab. C.) i COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified co is hereby furnished. i BUILDING df Pr Y I FOR APPLICANT TO FILL IN ',ADDRESS I ❑ Certified copy is filed with the county building inspec- BUILDING 5 T �� tion department. ADDRESS632Y c u LOCALITY !� ✓ NEAREST L � Date Applicant CITY 4M C — ZIP 1/VU CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT �, 0 NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one U ZO E MAP r1 ii/12 hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. Zell" `� TEL* a, c� SPECIAL �- I certify that in the performance of the work for which this OWNER 0Ni91 NO. 7y 0p/ CONDITIONS ib permit is issued,I shall not employ an person in an manner _ DISTRICT GR P TYPE FIRE PROC ED BY O P I P y y P P y ADDRESS / N V V L A� CONST. , ZONE 67 so as to become subject to the Workers'Compensation omensatio/nLaw�s. J IJP � (t// 09 Date Applicant [Lw CITY - C yV ZIP 1 STATISTICAL CLASSIFICATION APT. NOTICE IroAPPLICANT: If, after making this Certificate of i ARCHITECT OR r TEL. ��" U ENGINEER C �N✓ W SJG.NO. y /E/ CLASS NO. DWELL. UNITS RAI 'Exemption, you should become subject to the Workers' B. Compensation provisions of the Labor Code, you must forth- ADDRESS & SEWER MAP with comply with such provisions or this permit shall be TEL. Z deemed revoked. CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC, R /VI Professions Code, and my license is in full force and effect. CITY CLASS $ , SQ.FT. NO.OF ` NO.OF CHECK License Number Lic.Class SIZE STORIES / FAMILIES ONE $ Contractor pate DESCRIPTION OF WORK NEW ❑ I am exempt under Sec. Liv — 0t17 Lr/�L ADD ❑ B.&P.C. for this reason aih, W& OR.90QfALG REPAIR ®' DA E ,7; L �2 3 a 9 A ❑. USE OF FIN # 0 0 0 0 0 Date' EXISTING BLDG. S/AJG(E' /J /,C }f DEMOL ❑` 8 Signature APPLICANT TEL y OWNER-BUILDER DECLARATION PRINT ON&D dVJ&i✓ NO. /W3 rt?7 I o 3$S 5 O I hereby affirm that I am exempt from the Contractor's License ADDRESS a f yd /t�/( O /• + 3 g$ 5 _ Law for the followingreason Section 7031.5, Business and o o xo Professions Code): PRE ENT .BUILDING - 7.0-85 13 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. M1, 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). 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 a P.L. ',y Q Lender's Name Lender's Address P.C.Fee$ Permit Fee 9[•, �• ' xI certify that I have read. this application and state that the Issuance Fee [ `ro above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee �� and hereby authorize representatives of this County to enter $ upon the above-mentioned property for inspection purposes. I �t At» SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent D to ®s 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 1104130053 PHONE: (626) 285-0488 EXT: [LEGAL ID: NO. OF CONST I BUILDING ADDRESS: IBK: 180 PG: 91 PC: 2 [ SQ. FT STORIES TYPE [ 6329 SULTANA AV [ [STRUCTURE: 2500 V-B [ SGAB CA 917752031 [ [ASSESSOR INFORMATION NUMBER: [ [ NEAREST CROSS STREET: 15382-021-043 [ [ THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl ITENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 [ISSUED ON: PROCESSED BY: [ 1EXIST OCC GRP: 104/13/11 SR 1 [OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: FIVAL OATE FINAL BY: CODE: 1 [WONG, ZOHREH (626) 285-0322- 1 8,000 [ 16329 SULTANA AV [ I I ISGAB 917752031 [ FEES PAID ID SCRIPTION OF WORK 4 [ [ [TEAR OFF EXISTING ROOFS PUT ON FELT NAIL ON 30 YR CLASS A [ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ICOMPOSITION SHINGLES [ APPLICANT: TEL. NO: I [ [TANG, HENRY (562) 244-7796- 1AA BLDG PERMIT ISSUANCE 27.80 I 1 118734 ALBURTIS AVE. IAB STATE GREEN BLDG FEE 8000.00 VAL 1.00 ISPECIAL CONDITIONS: I IARTESIA, CA 90701 IAC STRONG MOTION RESID 8000.00 VAL 0.80 I I ID2 PERMIT W/O EN-HC 8000.00 VAL 183.40 I TOTAL FEES 213.00 I 1 ]CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ]HL ROOFING (562) 244-7796- 1 [ 118734 ALBURTIS AVENUE LIC. NO ILOCATION AND SETBACKS [ [ I 1ARTESIA, CA 90701 670406 C39 ] I ] [ I ISOILS ENGINEER APPROVAL I [ [ [ARCHITECT OR ENGINEER: TEL. NO: [ IFOUNDATION/TRENCH FORMS I [ I 1 LIC. NO: 1 (SLAB/UNDER FLOOR I I 1RAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 IUNDERFLOOR INSULATION I I I 1153H265 3 001 1 [ [ I IFLOOR SHEATHING [NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I [ I 1 NO 21 1 IROOF SHEATHING [ SCHOOL WITHIN HAZARDOUS [ ISHEAR PANELS 1 1 AIR QUALITY: 1000 FEET MATERIALS 1 I [ I I NO NO NO 1 IFRAME INSPECTION I I I I I IFIRE SPRINKLER HANGERS I I I I I I (INSULATION/WEATHER STRIPI I I I I I I [INTERIOR LATH/DRYWALL I I I I I I I EXTERIOR LATH I I I I I I I IRATED FLOOR/CEIL ASSEM. 1 I I � I 1 IRATED WALL ASSEMBLIES 1 1 I 1 1RATED SHAFTS/OPENINGS 1 I I IT-BAR CEILINGS ] I I I I I ILOT DRAINAGE I ] I I I � REPORT ID: DPR261 ROUTE TO: BS0508 ] I I