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HomeMy Public PortalAbout6358 SULTANA AVE_Building__ 7GA696A CF#803 11_57 APPLICATION FOR BUILDING PERMIT GJ COUNTY OF LOS ANGELES BUILDING --- DEPARTMENT OF COUNTY ENGINEER ADDRESS - + �,_(,. ✓-, BUILDING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CAB BATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. s DISTRICT NO. GROUP SEWER MAP FOTYPE R APPLICANT TO FILL IN t'' I I BK P BU14DING CONST. AV ADDRESS STATISTICAL CJL. .SIFICATION iFf BLOCka CLASS.NO. � DWELL.UNITS Z OT NO. MAP1 STATE YES /NO TRACT t� NUMBER �� �' �J HWY. l USE NE SPECIAL 1 ' .� NO.OF BLDGS. ./(' CONDITIONS SIZE OF LOT NOW ON LOT USE OF _ (� EXISTING BLDG. 1 lj BUILDING EXIST. SETBACK YARD HWY STREET_.NAME WIDTH OWNER c i FRONT ....y �' MAIL ADDRESS. SIDE TEL. r P.L: CITY NO, ARCHITECT OR TEL. INSPECTION RECORD ENGINEER NO. ADDRESS TEL. CONTRACTOR Z NO. ADDRESS r DESCRIPTION OF WORK NEW ADD ALTER 'REPAIR,' DEMOLISH SQ.FT. NO. F NO.OF SIZE STORIES FAMILIES USE OF STRUCT RE• SIGNATURE OF APPROVALS APP41CANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION $ FORMS,MATERIALS FFEE-F s FRAME: FIRE STOPS. BRACING.BOLTS VALUATION FURNACE: LOCATION. / -^"' GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I 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 REGULATING fa7UILDING CONSTRUCTION. LATH,EXT. SIGNATURE OF +f 1 r- ' HOUSE R RECT AND POSTED PERMITTEE ADDRESS ✓ -' .°� ��' •' FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH {• OF 76AG38A CE x80311-57 APPLICATION FOR BUILDING PERMIT ) COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDREss --r. BUILDING AND SAFETY DIVISION LOCALITY F>s_z- ~" JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP .TYPE EWER MAP FADDRESS OR APPLICANT TO FILL IN I coNsr. EWER 1, PGI ING I SS _ STATISTICAL CLA45SIFICATION .� CLASS.NO. DWELL.UNITS O. 3r BLOCK •1 ��� _ NUMBER fc�MAP . '� Sj..ITyrYE YES ANO USE ZONE SPECIAL NO.OF BLDGS. �i CONDITIONS F LOT I NOW ON LOT ,(I F ING BLDG. --c9 BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH R FRONT _ P.L. SS SIDE TEL. P.L. No: INSPECTION RECORD TECT OR TEEER ADDRESS CONTRACTOR %L v NO. ADDRESS DESCRIPTION OF WORK NEW ADD :ALTER- REPAIR DEMOLISH SQ. FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE / SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS.MATERIALS LVA P.C. $ ��" FRAME: FIRE STOPS. ✓�-7` FEE BRACING.BOLTS ATION l $ raj FURNACE: LOCATION. FEE '` '� GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT i 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 REGULATING BUILDING CONSTRUCTION. LATH,EXT. HOUSE NUMBER COR- PERRF1fI'E SIGN NWI E RECT AND POSTED � �' � `, r ADDRESS F` "CL[� FINAL CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 78A68SA DBS.912.54 APPLICATION ■ OR BUILDING , PERMIT - DIVISION OF BUILDING AND SAFETY ABDo Ess 6 3 © SU l 7"/9 A/^ Department of County Engineeryy /' County Of LOS Angeles LOCALITY c./ Al C7-A T3 WM.J.FOX, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING- O CROSS ST. BUILDING FOR APPLICANT TO FILL IN DIST T NO. G`R�O�UP TYPE SE SK WERMA PG A� L- CON'STr +�"� ADDRESS U /!/ MAPd Q STATE - yES /NO NUMBER V HWY LOT NO.�I�ST''�//F /gyp//�O BCONDITIONS LOCK USE ZONE SPECIAL TRACT M Y-1 p NO.OF BLDGS. SIZE OF LOT •• Y-.! Z{ I NOW ON LOT BUILDINGEXIST. YARD HWY STREET NAME USE OF.. + SETBACK �J—�'�f� }� WIDTH EXISTING BL / FPROL T ��" I 1� Irb A �� 60 OWNER SIDE MAIL P. L. ADDRESS TEL. 1 DWELL. I UNIT 5 INDUSTRIAL - CITY NO Q / 2 DUPLEX UNIT— 6 PUBLIC BLDG. ENG ARCHITECTOR IC l/ se- NO. 60 /�i� f!" s N $ APT. UNIT 7 ADDN.,ALT.,ETC. -ADDRESS ���/yJf y..(/ e d(J 4 COMMERCIAL 8. �:MISCEL. TEL: CONTRACTOR NO. INSPECTION rrfLRECORD 'ADDRESS �A. � 170. � DESCRIPTION OF'WORK 184,62-1 46,,, 1 NEW ADD LT/C ER�REPAIR DEMOLISH 7r SQ.FT., NO. OF NO. OF — r- ! ( - SIZE. A A STORIES . FAMILIES USE OF RUCTUR s 7-b &�A-J' /-tl A•(17�r SIGNATAE APPLICANT F A,r<",_',APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATIONp� N fir/ V, O P.C. S FORMS, MATERIALS /r! /1�.) s Y'� 7 FEE FRAME: FIRE STOPS, VALUATION 5 BRACING,BOLTS FEE ie-94' FURNACE: LOCATION, GAS VENT, DUCTS I HEREBY ACKNgWLEDGE THAT I HAVE READ THIS APPLICATION AND ATE THAT THE ABOVE IS CORRECT AND AGREE To CO LY WITH ALL COUNT OR NANCES LATH, INT. AND STATE LAW R UL NG ILDI STRUC- T10N. � � LATH, EXT. ' SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS � 'S� - � �" �' �' - FINAL WM. J. FOX. COUNTY ENGINEER VALIDATION G1 (_4 6Y 2Y6 3; APR 2$ 1 2.0 0 � T DEPUTY ,- r 3 .DEPUTY BY BY ® DEPUTY DEPUTY - i WORKERS'COMPENSATION DECLARATION �+,Iinsu re, o affirm that I have r certificate of consent to self A P P L SCAT I O N, FOR BUILDING PERMIT ' insure, or gcertificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lob. C.) !, y�'� �[ •`_ � '• � COUNTY'OF LOS ANGELES' BUILDING AND SAFETY Policy No.!„ij�� Company /1 n+e_ �m� ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 2 ADDRESS Y- ❑ Certified copy is filed with unty bui din inspec BUILDING 585 1 tion department. 1 ADDRESS r \� 1 / C? r Date 11-17-45R Applicant I CITY l .-% C M ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' .�J _ NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT_ j 7���1 NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one f ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. 6 MAP BOOK PAGE PARCEL TEL. USE ZONE MAP 2 /`� I certify that in the performance of the work for which this OWNER I NO. NO. ✓��(p permit is issued, I shall not employ any person in any manner ,�,,,, SPECIAL at so as to become subject to the Workers'Compensation Laws. ADDRESS /.t•- CONDITIONS O NE CITY ZIP Date Applicant— NOTICE TO APPLICANT: If, after making'this Certificate of ARCHITECT ORC ,/� TEL. V d�, DISTRICT �GRQUP TYPE FIRE PROCESSED BY O (1OU' Exemption, you should become subject to the Workers' ENGINEER NO. � CONST.�K Compensation provisions of the Labor Code, you must forth- ADDRESS f � W with comply with such provisions or this permit shall be G.^ deemed revoked. -./ �rh.L�TEI r STATISTICAL CLASSIFICATI N APT. CO DO. to CONTRACTOR i r�'lcic►l, I NO. 7 - � CLASS NO._�/ DWELL. UNITS LICENSED CONTRACTORS DECLARATION �LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS r - / it YlJ/! 'NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. p� Professions Code, and my license is in full force and effect. CITY ( &nf-AI �- CLASS C`4x BK /V PG VALIDATION ,r SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class CZE 1 GIC��a F SIZE STORIES FAMILIES ONE Contractor[ZY�1��4�Ct DESCRIPTION OF WORK NEW ❑ s VALUATION � ��0 F1 am exempt under Sec. 7 �) �- ADD fi� I01111. qq� yyL� / L ALTER B.BP.C. for this reason l.D 1� fT C 1' REPAIR ❑ $ D USE OF n r , DEMOL ❑ z 1 17.1 A EXISTING BLDG. V Signature , • . APPLICANT i( / TEL. FINAL 0 OWNER-BUILDER DECLARATION (PRINT)AIt.`-'1:1/1( �.(I•C"" NO. DAT o 1 hereby affirm that I am exempt from the Contractor's License ) 1, 17-88 Low for the following reason (Section 7031.5, Business and ADDRESS FINA Professions Code): PRESENT BY ❑ 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. r ❑ I, as owner of the property,am exclusively contracting CONTRACT NO. with licensed contractors to construct the project (Sec- '.I- tion 7044, Business and Professions Code). ADDRESS QEDSETB CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROPACK LNEFR 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 o LE Ref. N Lender's Address P.C.Fee$ Permit Fee �/) 1 certify that 1 have read this application and state that the Issuance Fee O ��/ EA P/C q above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee , LDMA Perm.N and I eby authorize repress tati es of this County to enter upon f e above-m tiorled p fly for inspection purposes. (fes/ / 1-t -�--sr— ✓�✓� � SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Aop scant or Agent Date ' G COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 BL 0508 0208140024 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 6358 SULTANA AV 'STRUCTURE: VN I SGAB CA 917752068 ASSESSOR BER: NEAREST CROSS STREET: LONGDEN 5382-019-027 I I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY SANT. N 0 . PROCESSED . ; EXIST OCC GRP: 08/14/02JK 02/10/03 I i OWNER: TEL. O: IBLDGS. NOW ON LOT: VA UATION: FI ''AT FIA CODE: SU (626) 286-7183- 4,000 , Z 6358 SULTANA AV I SGAB 917752068 FEES-PAID DESCRIPTION T/O;INSTALL PLYWOOD & 30YR SHINGLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: LOUIE LU (626) 282-6871- AA BLDG PERMIT ISSUANCE 27.75 1719 S STONEMAN AVE AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: ALHAMBRA D2 PERMIT W/0_EN,HC`-_=__----4000.00 VAL 115.80 -,TOT.AL'`FEES 144.05 CONTRACTOR: T 0: APPROVALS DATE INSPECTOR SIGNATURE LOUIE XUN LU (626) 282-6871- +! +'% r �:• 1719 S STONEMAN AVE. LIC. NO tl'�' `� n� LOCATION CK ALHAMBRA, CA 91801 15433B/L * � is SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TTEL. TO: i F�6 N/ R S LIC. NJ," J i' SLAB/.UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP : - UNDER,-FLOOR INSULATION 153H265 3 ' 01' FLOOR SH OF FAMILIES: DEL ING IT COND: STAT CLASS:-- NO SS:NO 21 c, -- ROOF SHEATHING J�f� L9-- SCHOOL WITHINHAZMOUS •� �� _ S NE S AIR QUALITY: 1000 FEET MATERIALS . i•, I NO NO NO `` `, ,j= FRAME' INSPECT ON REQUIRED OT C EXIST °•` � ��`.` r1 ; - ; �:, SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- NSUL ION EA R STRIP SIDE PL- INTEOOR I EXTER OR LATH MT€6 s TED,WALL ASSE BLIES T-BAR!CEILINGS * ADDITIONAL DATA ON FILE LOT DMINAGE REPORT ID: DPR261 ROUTE TO: 8S0508