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HomeMy Public PortalAbout6371 SULTANA AVE_Building__ APPLICATION FOR' BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING // ��. COUNTY OF LOS ANGELES ADDRESS 63 S'�JL /J�/1f� _ DEPARTMENT OF COUNTY ENGINEER CITY ���1:/ L ZIP 7/7%`J BUILDING AND SAFETY DIVISION SIZE OF LOT 53- . .26NOW ON LOTNO.OF S. BUILDING / ADDRESS J TRACTS�l-A.? / BLOCK //++ LOT NgeO�pp �J�/� LOCALITY NEAREST OWNER g�E 0/v TO. -4 ��JC,lI CROSS ST. ASSESSOR ADDRESS 637 /6� �j lJ(r� �/� �`C_ MAP BOOK PA PARCEL /y ) (v DISTRICT GROUP TYPE FIRE R ESS BY CITY �I-%l (51 49R/ j/ ZIP �/-)'?V �d CONST- Z2 E ARCHITECT OREL. ENGINEER © Q T QUIZ �� NO•aGQ STATISTICAL CLASSIFICATION gE1KbPPG ER MAP ADDRESS CLASSNO,�DWELL.UNITS====j CONTRACTOR NO, US ZONE MAP ,y d LIC. C V ADDRESS NO. l �� SPECIAL DI LIC. CONTIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BDG.SETBACK FROM C FRONT PROP.LINE OF (STREET) C ADDRESS CITY C_ TOTAL SETBACK FROM TYPE OF EXISTING H HWAY + YARD - C SQ, FT. �) NO. OF NO. OF ) CHECK FRONT PROP. LINE FSIGHWAY WIDTH C SIZE �J✓ STORIES FAMILIES / ONE FC (-y/n', L DESCRIPTION OF WORK NEW ❑ ® BLDG.SETBACK FROM 2 + ADD SIDE PROP,LINE OF (STREET) ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM PE OF EXISTING REPAIR❑ SIDE PROP. LINE HI WAY WIDTH USE OF EXISTING BLDG, DEMOL ❑ + APPLICANT TEL - CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. �� BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ - IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE EAD THIS APPLICATION ENVIRONME NTiAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT �. EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING 'BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE / r�r w' LABOR CODE OF THE ATE OF CALIFORNIA IN RELATING TO y/-�� ^n�/err* I.AIS. P" r .� fp//1 /�%� �! !Y/�i WORKMEN'S COM PEN NS URANC E. /' F („'7 J ( N SIGNATURE OF PERMITTEE ADDRESS �V �' /��7t � n0l�. :S SCS, f�L'rAlJ C P L�f ,' ^,� %�,��, r f•./ �/y y�y® FINAL _ BY CITY. `( ( NO.�f� DATE MA F. CHECKS PAYABLE TO: FEE $ PMT. G HARVEY T. BRANDT. COUNTY ENGINEER FEE FEE PP PLAN CHECK VALIDATION CK. M.O.. CASH _ PERMIT VALIDATION CK. M.O. CASH 119� 292.3 D 2 9.2 5 T BtiAPR 22 2.3 D t 6.21? - 76A638A CE4803 7/73 _ _ 2, - 6 1 9'L--AFIR 22 1 0 7.5.7 5 ,&L,8 DEPAR 'LENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT '11J,NTY OF LOS ANGELES "RU I LD ING WM. J. FOX, CHIEF ENGINEER JON FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS LOCAL IT ..�j,� ,�./.G. / v RECEIVED BY DATE OFAPPL. DATE ISSUED i NEAREST CROSS ST ' / BUILDING OWNER !� ADDRESS MAIL LOCALITY ADDRESS �J NEAREST TEL ./ t' Gt CROSS ST. CITY. 7� J NO. FIRE NO.DF TYPE GROUP ARCHITECT O TEL. ZONE I' PLANS ENGINEER NO.. BLDG. ORD.NO. ADDRESS , _ SETBACK LINE APPROVED I,,A p A TEL. BY DATE CONTRACTO��jy, i NO. USE APPROVED ADDRESS ZONE BY DATE LEGAL � 1 - CORRECTIONS DEIONLO�T�IbD. /BLOCK TRACT NO.OF BLDGS. SIZE OF LOT �'��,�•% NOW ON LOT_ USE OF I NO.OF NO.OF EXISTINGBLDG. FAMiuEe I ROOMS DESCRIPTION OF OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH 6q.FT. LI / 1v' NO.OF Z SIZE -V ;s�/�j',ROOMS STORIES y WALLROOF COVERING l,��G I COVERING r USE OF NEW �� BUILDING de a! 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF� BRACING,BOLTS PERMITTEE LATH,INT.: AUTHORIZED ADT LATH,EXT.: NOW 9US-3 Sona SETS 7-47 ,rA IJ C $ PLASTER, INT. e)C FEE PLASTER,EXT. % c VALUATION FINAL FEE ' APPLICATION FOR BUILDING PERMIT ` COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATIONFOR APPLICANT TO FILL IN BUILDING_AD4REESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS 1J`/7�M AIle �� G or a certificate of Workers'Compensation Insurance,or a certified ' copy thereof(Sec.3800,Lab.C.) rSIZE L� C/l r ZIP ^/7 r ✓ LOCALITY policy No. Company F LOT NO.OF BLDGS.NOW ON/LOST ❑ Certified copy is hereby furnished. Ofi S , j NEAREST CROSS ST Jf ❑ Certified copy is filed with the county building inspection BLOCK LOT No. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNERr ^ TEL NO ���, COMPENSATION INSURANCEADDRESS C�G ��`� 4�� WITHIN 1000 FT OF SCHOOL? Yes No (This section need not be completed if the permit is for one hundred / 7 �✓ 5d PQ4114 /�,&: _ DISTRICT GROUP TYP NST. FIRE ZONE PROCESSED BY dollars($100)or less.) P7 CITY ZIP 1 certify that in the performance of the work for which this permit je CLT" 9177s� is issued, I shall not employ any person in any manner so as to ARCHITECTOCR ENGINEER TEL NO. 6 become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.Z DWELL UNITS NOTICE 70 APPLICANT. If, after making this Certificate of 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 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9EWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW BK PG ® Q License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION C $� O�� CO-0- C Contractor Date ALTER ❑ a 111 am exempt under Sec. I- _ REPAIR ❑ $ B.BP.C.for this reason o DEMOL ❑ LDMA P/C# LL Date: USE OF E NG BLDG. URM ❑ Q U. SignatureAPPLICANT(PRINT) ! TEL NO. LDMA Perm # Iyt_,y;�'o$ L Aheir as owner of the property, or my employees with wages asAe Oti ilk q r sole compensation, will do the work and the structure is ADDRES -I 113. ,.• not intended or offered for sale (Section 7044, Business and l FINAL DATE C 1 I.�.EM�_ Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE a TOTAL licensed contractors to construct the project (Section 7044, r� IJ 1, as owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY 123 o � Business and Professions Code.) VES El NO CHECK_ 1�.�e 61 C WILL THE INTEN ED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHANGE OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH •t"��f';t,' CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR GUIDELINES p,� I hereby affirm that there is a construction lending agency for YES C1 NO 11 cN the performance of the work for which this permit is issued(Sec. 11;1-`t,�'=-i fjlr F� :.i= ��� p1 IHAVE READ THE ZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING r �• �L 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2 CHAPTER 2 20 SECTIONS2 0 100 THROUGH 2 20 140 CONCERNING HAZARDOUS q7 Lender's Name MATERIALS REPORTING AND OR O AINING A PERMIT FROM THE SCAQMD. !fl i /o s�r�e a Lender's Address OWNER OR MENT 0 c I certify that I have read this application and state under penalty 4of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building m construction, anne �Ithorize representatives of this County ISSUANCE FEE �7 CD to enter upon tfSntionedproperty for inspection purposes. a ( INVESTIGATION FEE TOTAL FEE / CD 11d.1 Sgna�wo of M F SEE REVERSE FOR EXPLANATORY LANGUAGE 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 1208100016 PHONE: (626) 285-0488 EXT: ]LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 6371 SULTANA AV ISTRUCTURE: 2700 V-B SGAB CA 917752031 1 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15382-021-012 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI ITE�T: EXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: 1 1 1EXIST OCC GRP: 108/10/12 SR OWNER: TEL NO: [BLDGS. NOW ON LOT: VALUATION: IFINAL DATE F BY: CODE: KONG, JENNY (626) 281-8720- 1 1 6,200 / 4 16371 SULTANA AV II 1 ISGAB 917752031 FEES PAID IDE CRIPTION OF WORK I ITEAR OFF AND RE ROOF WITH /2° PLYWOOD AND 30 YEAR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ICOMPOSITION SHINGLES (HOUSE AND ATTACHED GARAGE) IAPPLICANT: TEL. NO: I I I IRAMIREZ, MAROLO (213) 925-1170- IAA BLDG PERMIT ISSUANCE 27.80 I I 16133 JOHN AVE IAB STATE GREEN BLDG FEE 6200.00 VAL 1.00 ISPECIAL CONDITIONS: I ILONG BEACH CA 90805 IAC STRONG MOTION RESID 6200.00 VAL 0.60 I I I ID2 PERMIT W/O EN-HC 6200.00 VAL 166.20 I I I TOTAL FEES 195.60 I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE IMANOLIS ROOFING CO. (562) 599-7900- 1 12172 PACIFIC AVENUE LIC. NO 1 [LOCATION AND SETBACKS I I ILONG BEACH CA 90806 878959 * I 1 I I [SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS [ I [ 1 LIC. NO: I ISLAB/UNDER FLOOR IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 \ (UNDERFLOOR INSULATION [ 1153H265 3 001 1 I I [ I I IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I 1 0 NO 21 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS IAIR QUALITY: 1000 FEET MATERIALS I I II [ NO NO NO i 1FRAME INSPECTION I [ I IFIRE SPRINKLER HANGERS I I I 1INSULATION/WEATHER STRIP[ I I I (INTERIOR LATH/DRYWALL I I I (EXTERIOR LATH I 1 I I I IRATED FLOOR/CEIL ASSEM. I [ I 1 [ (RATED WALL ASSEMBLIES I I I 1 IRATED SHAFTS/OPENINGS 1 I IT-BAR CEILINGS I I I I* ADDITIONAL DATA ON FILE ILOT DRAINAGE I I [ I I I REPORT ID: DPR261 ROUTE T0: BS0508 I I I I I I 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 SL 0508 0209130047 PHONE: (626) 285-0488 EXT: LEGAL ID: — NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6371 SULTANA AV STRUCTURE: 128 1 VN R3 SGAB CA 917752031 ASSESSOR GARAGE: NEAREST CROSS STREET: LONGOEN 5382-021-012 OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT-- • USE ZONE: I-SSU50 ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/20/02 JK 03/19/03 OWNER: TEL. 0: BLDGS. NOW ON LO LUA IO • FI TE FINAL B CODE: DAMING CAO AND JIAN YING KONG (626) 274-4159- 9,600 2� 6371 SULTANA AV SGAB 917752031 FEES PAID OF WORK ADD BATH APPLICANT: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID- 9600.00 VAL 0.96 SPECIAL CONDITIONS: B1 PLANCHECK:-W/ENERGY - _= 9600.00 VAL 202.52 82 PERMIT•W%ENERGY;+-; ; -• 9600.00 VAL 238.26 °:• .�'_ TOTAL+',FEES - 469.49 ONT ACTOR: TEL. N0: A=i��.';.- = •a�5._ ••;< APPROVALS DATE INSPECTOR SIGNAT RE SAME AS OWNER LIC. NO �% LOCATION C SOILS ENGINEER—APPROVAL C C N TEL N ,, �' ;' FOUNDATION/TRENCHFORMS _ '` vim__•____—_...._-— LIC. NO.: SLAB/UNDER FLOOR - RAISED FLOOR fRAMING 14AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ; UNDERFLOOR INSULATION /w 1ST LEVELFLOOR SHEATH -A FAMILIES:NO. OF DWELLING S: PT/C D: STAT C ASS': - - ' NO 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN DO AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIR DEPT. FRAME INSPEC t REQUIRED A SETBACK R EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- '�;' - ''':•tr i, ~�a '� S EA PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR AT /D YWALL EXTERIOR L LIM LOT DRA A t 0 FIRE DEPARTMENT PR REPORT ID: DPR261 ROUTE TO: BSO5O8