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