HomeMy Public PortalAbout6438 SULTANA AVE_Building__ APPLICATION FOR -` COUNTY OF LOS ANGELES
COUNTY
O U I L D I N G PERMIT DEPARTMENT BUIILD NG D S FETY DIVISIONER
BU
FOR APPLICANT TO FILL IN ADIDRESS JO ✓
BUILDING
ADDRESSG� l T LOCALITY
NEAREST u
CITY ,WMC lry ZIP CROSS ST. /
r NO.OF BLOGS. a� ASSESSOR
S17E OF LOT�l V O,/� NOW ON LOT Q\ MAP BOOK PAGE PARCEL
J DISTRICT I GROUP ITYPE FIRE WDRUMSSED BY
TRAC ISLOCK LOT NO. sDg � CONS`T / ONE
7r E L. y ' /�
OWNER rO U O. STATISTICAL CLASSIFICATION
..��'' SE E MAP
ADDRESS �,( CLASS NO.�DWELL.UNITS BK 9 PG
CITY ,� '/SE ZIP USE ZONE MAP � O�
NO.
ARCHITECT TEL. —I SPECIAL +
ENGINEER NO. CONDITIONS
ADDRESS 774, 44 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR R)S IflASZ, Np `d 23 7 BLDG.SETBACK FROM
/1' LIC. FRONT PROP.LINE OF (STREET)
ADDRESS/,$O/',?// lw +l— NO. O HIGHWAY + YARD - TOTAL SETBACK FROM HTYPE OF IGHWAY EXISTING
CITY '/ LIC. FRONT PROP. LINE
.f 2 CLASS _
CONSTRUCTION LEND +
NAME AND BRANCH
BLDG.SETBACK FROM ,3, C
ADDRESS eAJ�j( CITY SIDE PROP.LINE OF (STREET) E
SQ. F NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ft
SIZE STORIES FAMILIES > ONE SIDE PROP. LINE HIGHWAY WIDTH
DESCRIPTION OF WORK//P/w�, NEW ❑ + col
ADD CORNER CUTOFF YES ❑ NO ❑ Z
ALTER ❑
REPAIR❑ IN OPEN SPACE YES ❑ NO ❑
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. ' DEMOL ❑ -9
APPRINT) TE� 6 rr
6 FI�i.S� JN s L/` ��S7
(PRINT) NO dy f ^"
BY (SIGNATU
I HEREBY ACKNOWLEDGE THAT i HAVE THIS APPLICATION
AND STATE THAT THE ABOVE IS CoRREC NO AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF TME ATE OF ALIFORNIA IN RELATING TO - •�
WORKMEN'S COMPENqrWN SUR CE.
SIGNATURE FINAL /7��� BY
PERMITTEE e' DATE
ADDRES ±44 Y
CITY /� N d.2 ,; P.C.Fee$ Permit Fee 7�� 7.5
Issuance Fee
VALUATION$ 6 70 7 t
Total Fee _
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH
1 3 2��a;v �8 1 D 7 5.7 5 ,a,,-,
76AS38A CEO8098 12/75
�v �
DIVISION OF BUILDING AND SAFETY
"" Department of County Engineer BUILDING
-
.4 County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
—i DISTRICT NO. Pi AN CK.OR REC.No. PERMIT NO.
B - 170 V�/1
AGUDRESHILDING
ECEIVED BY DATE OF APPL D TE ISSUED
LEGALITY 17CMP�/ / u .q q a��� ^7�
NEAREST ae -tom. s�. .1 :7g
DROSSET. t//1 BUILDADD
ADDRESS �� [n ,
OWNER
MAIL LOCALITY
ADDRESSZ.6 L�7m, NEAREST
CROSS ST.
CITY 1 a NOL�O- 0 'err 1 NO.OF TYPE I S
fr CpQ PLANS
ARCHITECT OR �_ TEL
ENGINEER NO. BLDG. RD. No.
SETBACK LINE �C)
ADDRESS UB APPROVED
A � CEO ZONE - BY 1 Q_. A DATE
CONTRACTOR J J�QU HOUS NUMB TNG,
ADDRESS if MAP NUMBER Zd® �NO. ASSIGNED BLEGAL Y
DESCRIPTION LOT NO.���� � BLOCK aa�� CORRECTIONS
TRACT ♦/�wly S !!r
ID/ n' 1/"jPy 402 �/`�}A 0
OF BLOOD
NNC06WSIZE OF LOT ON LOT
USE OF r6,210& )('I/ I NO.OF PkinflaI
EXISTING BLDG. FAMILIZE
DESCRIPTION OF WORK u°
NEW ALTERATION ADDITIONJ J- z
F.
REPAIR g DEMOLITION r�[ % �r ,.�� �./,�_ �� ••- �'�
NO.
air
So.
ZE /0EXT.WALLC('-9 4 ROOMS STORIES , ��;7 1,L `v f AK G' 'j j�
_COVER NO J�.tcC 6 I COVERING `Q 44,rcp p
UHE OF STRUCTURE
o 1-? -to
�] / /�,.� r r J)v r: •rbiz
INBPECTICN FOR APPROVALS
OCCUPANCYAS INBPECTORISBIONATURE DATE
FOUNDATION: LOCATION �1 J
FORMS, MATERIALS .
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAME: FIRE STOPS, Tj� c��
CORRECT. BRACING,BOLTS I I-/'
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION.
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT.DUCTS o-
W
SIGNATURE OF LATH, INT. �' A
01
PERMITTE
A.)DRES Z.44el LATH. EXT.
AfITNORI2ED ADT. PLABTERP INT.
PLASTER, EXT. L.
C.BFEE""
O C�
1 �b FEE HOUSE NUMBER
G q.O
RECTAND POSTEDED
VALUATION FEE FINAL
VA.An.A DBC[J ,.cam
WORKERS'COMPENSATION DECLARATION 1 .
hereby affirm that I have certificate of consent to self P P L I C i I®N FOR - BUILDING_ I PERMIT �
insure, or a certificate of Workers'
®
kers'Compensation Insurance; r\ r\T
or a certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES k BUILDING AND SAFETY
P❑olicyNo-1004037-37Company State Compedsaiion BUILDING
Certified copy is hereby furnished. Ins.Fund FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspect BUILDING 6438 sultana
tion department. ADDRESS I
Dated/g/$7 ApplicantL,ytle Specialties,In CITYTem le City zIP91775 LOCALITY C
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT 2 CROSS ST.
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
OWNERMr. Baumann N�86-0410 USE ZONE MAP ` _ >
I certify that in the performance of the work for which this NO. J �
permit is issued, I shall not employ any person in any mannef SPECIAL
so as to become subject to the Work ompensati n La ADDRESS 6438 Sultana I CONDITIONS 0
CITY T ZIP 5 ad
Date Applican ,' ARCHITECT OR TEL. O
NOTICE TO APPLICANT: If, after• akin his Certifl e o , DISTRICT GROUP TYPE FIRE P OCESSED BY
Exemption, you should become subject to the Workers'i ENGINEER NO. !� CONST. ZONE W
Compensation provisions of the Labor Code, you must forth �tvG ��� LI W
with comply with such provisions or this permit shall be; ADDRESS TEL STATISTICAL CLASSIFICATION APT. ONDO. Z
deemed revoked. CONTRACTOR L t l e Specialists No792-5171
LICENSED CONTRACTORS DECLARATIONLICti i CLASS NO. 2 1 DWELL UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. Box 5327 NO.-s .�0.�
(commencing with Section 7000)of Division 3 of the Business and, LICSEWER MAP
Professions Code, and my license is in full force and effect. CITY Pasadena cLASS C39BK- -VALIDATION
License Number_186303 Lic.Class C39 SIZE 26 S TORIES NO.OF1 FAMILIESOF 1 CHECK ONE
_ VALUATION
ContractorL_ytle Specialist%ate 7/8/57 DESCRIPTION OFWORK T O roofs, Install NEW ❑ I $ 3,000.
I am exempt under Sec. G.A.F. Timberline shingles, ADD
house & ALTER El
B.&P.C. for this reason i R-21-E Class "An REPAIR ❑X $
f USE OF ;27545A
ate' EXISTING BLDC•res i dente DEMOII ❑
Signatur APPLICANT TEL. r
FINAL- # 0 0 0 0 0 1
OWNER-B LDER ECLARATI PRINT L t 1 e S ec i a 1 i st S No.792-5171 DATE
I hereby affirm that I a exempt.from the Contractor's License ° 8 O U
Law for the following reason (Section 7031.5, Business and• ADDRESS Pasadena
F _
Professions Code): PRE ENT ° ° 1 1 a 0 4 5,
❑ BUILDING 07,28-87
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.
❑ I,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 FRO ST.
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.). 1 SIDE
P.L.
e
Lender's Name
$
49.41 LDMA Ref. q P.C. Fee$ Permit Fee ,
- Lender's Address
x I certify that I have read this application and state that the Issuance Fee 6x'63 LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee 118.04 LDMA Perm.N
and hereby authorize represenJ36tives of this County to enter
3 upon th bove-menti ed pr erty for inspection purposes.
7
x aL87 SEE REVERSE FOR EXPLANATORY LANGUAGE
o —
Signatu QI
of Applicants r gent Date
` 71
COUNTY OF LOS ANGELES $ TEMPLE CITY # OSOS BUILDING .PSRMIT
DEPARTMENT OF PUBLIC WORKS 9701'LAS.TUNAS', ALTERATION/REPAIR
BUILDING'AND SAFETY /: LAND DEVELOPMENT,''.': : TEMPLE:CITY CA;91780 "BL OS08o 1511070087 ,
:.. , .
—
286 0488 EXT:
NO. .OF CONST`',
LEGAL ID. .:. .'�_:�,;...1
I -r; ;•:.: .. ,. ,. $:I ' BUILDING:ADDRESS: :,:-
" ON FILE .. ..... :: .I SQ. FT•.::.' "STORIES TYPE I:. ;. 6438. SULTANA AV
I :
r STRUCTURE: ;23' -8 17
. V 3GAB.CA 9752039•••'
. I.
[ASSESSOR INFORMATION NUMBER: �I IN TREE
NEAREST-CROSS: TS
ROSS:'S [
[5382-019-018 ;[ [` .':'. ' THOMAS,PAGE-: 596. GRID: Hl LOCALITY:. TEMPLE CITY, C
[TENANT: EXIST BLDG'.FPEt RESID USE:ZONE: R-1..'- [;ISSUED ON;: •. `,PROCESSED BY:.
[ .
EXIST' [.11/07/11,
SR I.
[OWNER: :. TEL...NO-;.- ..'.. IBLDGS-: NOW ON'LOT:• VALUATION: .. [TW41' ..
AL DATE .Y.''FI AL BY': CODE:.
IBAUMANN, DON (626) 286-0410'— [ 4,500 •I6438•SULTANA AV [ [ I
ISGAB 917752039 FEES PAID [LV I TION OF WORK
TEAR':IOFF TO EXISTING SH .A INSTALL ASPHALT SHINGLE ROOF [
[ •
I IFEE DESCRIPTION:' : QUANTITY:' UOM: AMOUNT:I(CLASS A) [
[APPLICANT: TEL. NO: I :.
IGUY LABBE — ,.. .IAA BLDG. PERMIT ISSUANCE '27.80'I ':-'`".`:
I AS STATE'•'GREEN'BLDG FEE 4500.00:VAL 1:00. SPECIAL'CONDITIONS:'
I AC STRONG`MOTION'RESID 4500.00 VAL 0.50
I iD2 PERMIT-W/O EN—HC 4500.00 VAL 13.2:.80
I TOTAL FEES 162:10 I. :.it
ICONTRACTOR:. TEL. NO; [ [APPROVALS DATE INSPECTOR SIGNATURE
IJ N..DAVIS ROOFING CO. (626). 815-1279-:'!l I :- it
[1308 E, 'COLO' BLVD, #B LIC. N6: -. 1. [LOCATION AM SETBACKS
I.PASADEm' CA' 91106 572125039 * [ I.: :. ,ij`
I SOIL 'ENGINEER APPROVAL.':.[
I...
ARCHITECT OR ENGINEER: TEL. NO: IFOUN TION/TRENCH,.FORMS i [
LIC. NO e' I I� -,$ I
[ (SLAB/UNDER FLOOR I ., . I I
I I, [.RAISED FLOOR:FRAMING
IMAP NO.- -SEWER MAP BOOK: PAGE: FIRE ZONE: CMP;,I IUNDERFLOOR.INSULATIOIQ I I I
I153H265 3 00I
I' I (FLOOR SHEATHING''
INO. OF FAMILIES: DWELLING UNITS: APT/COND:' STAT CLASS:
0 NO 21 ' [ [ROOF."•SHEATHING I '
SCHOOL WITHIN HAZARDOUS
SHEAR PANELS : • [ I
[AIR QUALITY: 1000 FEET MATERIALS I• I I I
NO NO NO ; I FRAMEINSPECTION
I I, I I
FIRE}i.SPRINKLER:HANGERS
I=NSULATION/WEATHER:STRIPI'
I [ [INTERIOR LATH/DRYWALL [
I I [EXTERIOR LATH
[ :':IRATfiI FLOOR/CEIL•ASSEM. [
RATED WALL ASSEMBLIES: [ I [
[ IPATE15 SHAFTS/OPENINGS I I
I — I T—HATc CEILINGS
I�* ADDITIONAL DATA ON FIL& A• I I.
_
LOT,,: I NAGE,
")
t ;
I' REPORT IDT DPR261' BS0508
ROUTE TO: I-
A :I::s. :c•