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HomeMy Public PortalAbout6401 SULTANA AVE_Building__ DEPABTN[ENT OF COUNTY ENGIIMER DMSION OF BUILDING AND SAFETY �, ®� -,�- .,•�3 COUNTY OF LOS ANGELES NG WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CABSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN' FOR OFFICE USE ONLY BUILDING 7 DISTRICT NO. PLAN CK,OR REC.No. PERMIT NO. ADDRESS 14 !RaG LOCALITY // RECEIVED BY DATE F APPL. DAT ISS.. Rib C EARS ST Q. (J�• r V BUILDING OWNER ADDRESS MAIL `� I ADDRESSig RY LOCALITY EL. NEAREST' I - ,p CITY NO CROSS ST. F�-p h R n V ARCHITECT OR TEL FIRE NO. OF TYPE GROUP ENGINEER NO. ' ZONE I PLANS ADDRESS BLDG SETBACK INE ® O .�- TEL. zON APPROVED � DATE CONTRACTOR - .. 13Y ADDR D HOUSE NUMBING F LEGALMAP NUMBER 2603 NO. ASSIGNED BY DESCRIPTIO I LOT NO. BLOCK CORRECTIONS TRACTA4 L ! s ( NO. OF LDGS. 9 n..ih r•UC V SIZE OF LOT O I NOW ON LOT ,� �, xc a USE OF NO. OF EXISTING.BLDG. FAMILIES DESCRIPTION OF WORK O - X REW ALTERATION P ADDITION' IR I-I DEMOLITION Y r 8Q. FT. NO.OF J SIZE' ROOMS # STORIES ! 1 O WALL ROOF 5rLIC CO I COVERING C O USE OR STRUCTURE9A A _ -� APPROVALS INSPE OR'B SIGNATURE DATE FOUNDATION:LOCATION FORMS, MATERIALS l 1 J y( j/I� . 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, Tn ` PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS v F!l!1 ! Z. 7 CORRECTREE TO COMPLY WITH',.ALL COUNTY O DINANCES FURNACE:LOCATION, / AND SPATE LAWS REGULATING BUILD11�i6�CO RUCTIO GAS VENT, DUCTS SIGNATURE OF `/V/�' LATH, INT. y PERMITTEE_ l I� t LATH. EXT. '� I�N 6 ADDRESS PLASTER, INT. AUTHORIZED AST. PLASTER, EXT. P.FEE. $ HOUSE NUMBER COR- RECT AND POSTED CD VALUATIONFEE S d"r�� FINALIle 76ASSBA DBS 3 6-62 APPLICATION FOR BUILDING PERMIT a r COUNTY OF LOS ANGELES f BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified 6W-,o/ SU L'T,4,Vf J AX copy thereof(Sec.3800,Lab.C.) CITU ZIP L � 6A �� 1J LOCALITY Policy IN Company SIZE OF LOT NO OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAR ST CRO S ST /dR a/ 13Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.� aS i) ZA0 department. US9 ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE Z( PARCEL pIq 3 SPECIAL CONDITIONS M CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO // VES NO COMPENSATION INSURANCE — I —3D O WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS `,LT DISTRICT GROUP TYPE CONST. FIREjEROCES dollars($100)or less.) 6 � I certify that in the performance of the work for which this permit CITY G C(T ZIPe-14 � /��� is issued. I h I not employ any person in any manner so as to `_ (� {` becom to the Workers'Compen tion La ARCHITECT OR NGINEER TEL NO. �, STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO 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 forthwithon FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L > SIDE a LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L C I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO. NO.OF7oRIES NO OF MILIES Q Professions Code,and my license is in full force and effect. 1 r NEW ❑ BK PG F ADD License Number Lic.Class DESCRIPTION OF WORK VALUATION ® L ❑ Contractor Date �U () �� �d ALTER ❑ $ ' %h EPAIR ❑ J ' 23 a z ❑ I am exempt under Sec. ACCT. Q 9' BAP.C.for this reason L DEMOL LDMA P/C# 33-2033 Date: US F EXI TING BLDG c URM ❑ Si ature KA442I APP IC NT(PRINT TEL NO. LDMA Perm# y A[, as ner of the property, or my employees with wages as Z ACCT.Tr their s le compensation, will do the work and the structure is ADDRESS / �+ O 3903 208-86 not int nded or offered for sale (Section 7044, Business and C!L ( L� L` FINAL DATE Q Profes ions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDL A HAZARDOUS MA RIAL ��. 2 ITEMS OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES Q —O FINAL BY TOTAL�AL 2 9 o a�. 6 lic sed contractors to construct the project (Section 7044, YES 11NO❑ _ B siness and Professions Code.) CHECK 259.36 59 R 35 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING i OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CHANGE GUIDELINES .00 I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance Of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING (}:lf9fi�o['}tyi 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ss��LLlltlllt0 LLffL011 rye/ 8/96 y TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 5761 i AM 8 a 2 QLender's Address OWNER OR AGENT F II t O I certify that I have read this application and state under penalty P.C.FEE L` PERMIT FEE of perjury that the above information is correct.I agree to comply J .r�� with all county ordinances and State laws relating to building O m construction, and hereby authorize representatives of this County ISSUANCE FEE -y apito enter•ppon,)he above-mentioned inspecti=n purposes. / / INVESTIGATION FEE TOTAL FEE •' Num of Apples gofa SEE REVERSE FOR EXPLANATORY LANGUAGE ♦ COUNTY OF LOS ANGELES TEMPLE CITY # 08 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0606080036 PHONE: (626) 285-0488 EXT: o LEGAL ID: NO. OF CONST / NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6401 SULTANA AV STRUCTURE: 809 1 VN / R3 SGAB CA 917752033 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LONGDEN 5382-021-010 OTHER: 236 1 VN R3 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE. ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/01/06 JK 10/27/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI AAT FIN CODE: HO, VICTOR (626) 309-0386- 76,430 fa_r 6401 SULTANA AV SGAB 917752033 FEES PAID DESCRIPTION OF WORK ADD 2 BEDROOMS, 3 BATHROOMS, 1 LAUNDRY ROOM 809 S.F. REMODEL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: KITCHEN 236 S.F. ROOF PITCH TO BE CHANGED 2IN12 TO 4 IN 12 APPLICANT: TEL. NO: YUM (626) 410-3113- B1 PLANCRECK W/ENERGY 76430.00 VAL 998.71 260 E. GARVEY AVE AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: MONTEREY PARK 91755 AC STRONG MOTION REBID 76430.00 VAL 7.64 B2 PERMIT W/ENERGY 76430.00 VAL 1,174.97 TOTAL FEES 2,209.07 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE P S REMODELING CORPORATION (626) 378-2781- 9059 WOOLLEY ST LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 7540898 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS TERENCE KWOK (626) 410-3113- 260 E. GARVEY AVE LIC. NO: SLAB/UNDER FLOOR MONTEREY PARK, CA 91755 24796 C RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UW..)ERFLOOR INSULATION •���. 3 01 IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS _ NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP a� INTERIOR LATH/DRYWALL EXFERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508