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Home My Public Portal About6261 SULTANA AVE_Building__ OS 7SA63e0e� .. .. . CE/603(REV.6/76) APPLICATION FOA BUILDING-!PE'RM•IT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING gyp ADDRESS — /!! p LOCALITY _ +� NEAREST CITY �• I J'F'& ZIP CROSS ST. ' NO&F BLDGS. ASSESSOR SIZE OF LOT-, C) NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE RO SED BY TRACT O BLOCK LOT NO. 7.5 CONST ZONE STATISTICAL CLASSIFICATION EWER ADDRESS - CLASS NO: DWELL.UNITS_J. BK G CITY ZIP .. ARCHITECT ,q NO: VALUATION $ - �� ENGINEER i V/ tV L � ADDRESS �/(,J mss. _ / BLDG.SETBACK FROM TEL. . FRONT PROP.LINE OF (STREET) CONTRACTOR NO. . TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD,. _ FRONT PROP.LINE HIGHWAY WIDTH � ADDRESS NO. LIC. F CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM. .. ' SIDE-PROP.LINE OF (STREET) NAME AND BRANCH HIGHWAY .+ YARD '= TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. NO:OF NO.OF CHECK ' + _ SIZED STORIESFAMILIES ONE DESCRIPTION OF WORK 1C ~J54,/- NEW ❑ P.0 f Permit Fee L Aj6 a ADD Issuance Fee ta ALTER ❑ ta REPAIR ❑ Total Fee" E F USO //• DEMID EXISTING BLDG. + �-L r, ❑ Z APPLICANT, ' ` r TEL F . 0 (PRINTL� a �:'moi/ 1 C,' x .: Q9 BY(SIGNATURE) -I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE '' Y '•'" THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALCORDINANCES bd _ AND LAWS REGULATING BUILDING CONSTRUCTION.L CERTIFY THAT IN DOING THE _ S WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE.LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-• Z PENSATION INSURANCE. - '. g :29 A 0 3 1, d SIGNATURE OF # 0 0 0.? o 1 alePERMITTEE ADDRESS 207900• • Z .TEL. 0 6- 7q005 CITY NO. USE ZONE MAP I • 9.19-7 8 SPE �//[�✓, SPECIAL ' CONDITIONS _ FINAL DATE ,7 ��✓� Jay/ '✓d``-�, d 7GA689A CE#808II-57 APPLICATION FOR BUILDING PERMIT ONO'COUNTY OF LOS ANGELES BUILDING 6 . a DEPARTMENT OF' COUNTY ENGINEER BUILDING AND SAFETY- DIVISION LOCALITY , c C JOHN A.LAMBIE,COUNTY ENGINEER NEAREST „ ' CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.IIIIIIIIIIEll CY FOR APPLICANT TO .FILL IN DISTRICT UP TYPE SEWER MAP K rD CONST. e BUILDING ADDRESS STATISTICAL L.SSIFICATION LOT NO. BLOCK CLASS.NDWELUNIT MAP . 9 HWY. YES NO ® NUMBER pL;O O TRACT : ll�I- ONE SPECIAL D/I NO.OF BLDGS, ,6/v / CONDITIONS SIZE OF LOT NOW ON LOT _ . USE OF S5 ' EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER f C FRONT MAIL P.L., ADDRESS VQ SIDE CI Y Q/ , NOL.P .L. ARCHITECT OR TEL. INSPECTION RECORD ENGINEER -NO. ADDRESS TEL. CONTRACTOR NO. ADDRESS . DESCRIPTION OF WORK PAf` A EW ADD 'ALTER REPAIR . DEMOLISH nc� NO.OF NO.OF SIZE o�O it) STORIES FAMILIES - USE OF STRUCTURE DD O ! / �%I/ /C /G //�,/R •O.PC 12 SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION 1) /� FORMS.MATERIALS ) ls-rl YI" FRAME: FIRE STOPS. (� p :::� FEE BRACING.BOLTS d S l�tl I_uGr/i VALUATION $=7 �D FURNACE: LOCATION, FEE vim- GAS VENT,DUCTS THEREBY ACKNOWLEDGE THAT 1 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 REGULAT ILDING CONSTRUCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTEDlAr ADDRES FINAL CLYDE N.DIRLAM,PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION cK bLO. CASH PEBMIT VMMATIO ctc. M.D. CASH LICo3 0 8 710 JUL.22 1 A 2.0 ®. WORKERS'COMPENSATION DECLARATION i ! t � I hereaffirm that I have a certificate of coent to self insure,or a certificate of Workers'Compensation Insurance, APPLICATION FOR BUILDING P E RM I T or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NJ CS 137886Company PpYal Ins. Co. 13013 2 ❑ Certified copy is hereby furnished. i FOR APPLICANT TO FILL IN BUILDING ADDRESS ® Certified copy is filed with the county building inspec- BUILDING tion department. " ADDRESS 6261 N. Sultana Avenue LOCALITY NEAREST Date 10/4/84 Applicant I CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' j NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USF ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. r W. Hendrix TEL. „� SPECIAL y. I certify that in the performance of the work for which this OWNER '+r`- NO. n/a R—�, CONDITIONS n. permit is issued,I shall not employ any person in any manner + DISTRICT GROUP TYPE FIRE PR CESSED BY Q so as to become subject to the Workers'Compensation Laws. I ADDRESS 6261 N. SUltana. .Avenile +s v f/ CONST. ZONE t in CITY le City, ZIP / 8 '- 3 O Date ApplicantSTATISTICAL CLASSIFICATION APT. CONDO. 11— NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. I / 'Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS 2 Compensation provisions.of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be CAIrPAC ROOFING TEL.978-2668 VALIDATION deemed revoked. CONTRACTOR NO. BK. PG, LICENSED CONTRACTORS DECLARATION LIQ I hereby affirm that I arts licensed under provisions of Chapter 9 I ADDRESS618 N. ECkhoff St. NC' 379503 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY Orange, CA 92668 CLASS B ;$3,600.00 , SQ.FT. NO.OF NO.OF CHECK License Numbe 379503 Lic.Class $ SIZE STORIES FAMILIES ONE Contract a 10/4/84 DESCRIPTION OF WORK NEIN ❑ $ P-0 8 a 4 A Til24 squares IMO #4 340 DD ❑ # ° ° ° ° ° 1 e ❑I am exempt under Sec. t i • ALTER ❑ FINAL � � V- o b 8,63 B.BP.C, for this reason DAT E Date: USE OF REPAIR ® FIN o*o o b a b 3 U XISTING BLDG. single family dwelling DEMOL ❑ sY � /fj� .�, Signature APPLICANT I Q 15-8 4 TEL. OWNER-BUILDER DECLARATION PRINT CATS-PAC ROOFING IWWO. 978-266 I hereby affirm that I am exempt from the Contractor's License 618 N. ECkhoff St. Oranae,' CA 92668 " Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): 'PRESENT /❑ Q 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. ❑ I,as owner of the property,am exclusively contracting i CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LIN WIDTH ► I hereby affirm that there is a construction lending agency for I FRONT the performance of the work for which this permit is issued I P.L. tSec. 3097, Civ. C.). SIDE ii P.L. : Lender's Name a I $58.13 = Lender's Address P.C.Fee$ Permit Fee rI certify that I have read this application and state that the Issuance Fee 10.50 above information Is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee $68.63 and hereby authorize representatives of this County to enter ; upo the above-men' ned roperty for inspection purposes. ; ' 0/4/84 SEE REVERSE FOR EXPLANATORY LANGUAGE Sign re of App icant or Agent Date - es • 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 BL 0508 0205020042 PHONE: (626) 285-0488 EXT: LEGAL ID: N . OF CONST NEW BUILDING ADDRESS: TR: 5904 LT: 175 SQ. FT STORIES TYPE OCCUP GROUP 6261 SULTANA AV STRUCTURE: 384 1 VN R3 TENP CA 917801554 ASS59SOR INFORMATION NUMBER:- GARAGE: NEAREST CROSS STREET: LONGDEN 5384-005-020 OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY • L 0 0 : EXIST OCC GRP:• 07/09/02 JK 01/05/03 OWNER: TEL. N0: LDGS. NOW ON LOT: VALUATION: F= FI BY: CODE: HENDRIX DONALD 8 PATRICIA (626) 287-5424- 4,000 6261 SULTANA AV TEMP 917801554 FEES PAID 0lE§CRlPTI0N OF WORK ATTACHED COVERED PATIO A FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG NOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: D1 PLANCHECK W/.0 EN.=HC 4000.00 VAL 98.43 D2 PERMIT.W/O EN=HC--. -4000.00 VAL 115.80 TOTAL.:FEES,� 242.48 CONTRACTOR: TEL. N0: -'% -_' '� APPROVALS DATE INSPECTOR SIUN UR SAME AS OWNER LIC. NO Y ' ' ' �. \ , LOCATION AND SETBACKS SOILS ENGINEER APPR AL ARCHITECT-OR ENGINEER: TEL. 0: / i•. i \ �' ' N CH FORMS - LIC. 0 S LIC. NO: SLAB/UNDER FLOOR RAISEDFLOOR FRAMING MAP 0: SEWER MAP BOO AGE: FIRE ZONE: ICM01 UNDERFLOOR INS LA IO 1ST LEVEL FCC& SWEATr- NO. OF FAMILIES: DWELLING : STAT CLAW-- NO 21 2ND LEVEL FLOOR SHEA H AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIR20 TOTAL 55TBACK FROM EXIST BLDG DEPT. FRAME INSPFCT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANEL9 SIDE PL- INSULATION/WEATHER INTERIORLATH/DRYWALL RT5RIOR LATH LOT-DRAINAGE DFTlffr5W-dRTEff- FIRE DEPARTMENT P REPORT ID: DPR261 ROUTE TO: 9SO508