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Home My Public Portal About6420 SULTANA AVE_Building__ TEMPLE 'CflT !, roue A 0eus?ISO APPLICATION FOR •BUILDING P .IRMIT COUNTY OF LOS ANGELES - BUILbIADDRESs DEPARTMENT OF COUNTY:ENGINEER . BUILDING AND SAFETY-DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL-IN DISTRICT NO GROUP 'TYPE R SED BY >. J CONST:• BUILDING ! ` p STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 40420 M. JUNTA W G BK' LOT 4"3 CLASS.NO. WELL.UNITS LOT NO. 12S OF -5,Mm3 C BLOCK NUMBER TATE MAP YES 60 TRACT USE ZONE' SPECIAL SIZE OF LOT NO.OF SLOGS. CONDITIONS. } NOW ON LOT /� USE OF 4-. [� C-. J EXISTING BLDG. P� Si p�'NT I/�lv BUILDING YARD HWY ETRE ME EXIST.' TEL. SETBACK WIDTH . .OWNER A.'R. Fr A C7 NO.A. FRONT P.L. ADDRESS 442o M. 6VU—skNA, lkVi=- SIDE ARCHITECT OR TEL. 'P•L. ENGINEER NO. INSPEGWOWhECORD ADDRESS TEL `S�/•:Gs>� � .. CONTRACTOR iUi✓ NO. O ADDRESS `....�.i� l� tE'�A�. /•1'Ad1'a�l�t.�/� C� DESCRIPTION OF WORK,, pq 401 NEW DD ALTS REPAIR DEMOLISH SQ.FT. NO.OF NO.O.F., �� .(a SIZE �OC1'SO' STORIES I FAMILIES USE OF STRUCTURE SIGNATURE OF se, APPLICANT VALUATI ON S s b APPROVALS PATE INSPEC R'S SIGNATURE PMTFOUNDATION:LOCATION ?' y F E '$ "�- FEE*S . v`� :• FORMS,MATERIALS �Y a•.�I/ - �,� /(Ay.m,,srx I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME:FIRE STOPS, PLICATION AND STATE THAT THE ABOVE 18 CORRECT AND BRACING,BOLTS [2. Z•p fct/- {1: l.ra L,?�- L_ FURNACE:LOCATION,. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND ` GAS VENT,DUCTS . iI STATE LAWS REGULATING BUILDING CONSTRUCTION. p 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH INT. ,��A v, WILL•NOT .EMPLOY.ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS O CALIFORNIA. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED / ADDRES FINAL "'�G✓ I CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL Enc-1 PLAN CHECK VALIDATION cK. "m.o. CASH PERMIT VALIDATION 'cK. m.o.: \� DEPARTMENT OF BUILDING AND SAF Y '" ArrLu:A klwJm r its rzsu�►u i _ COUNTY OF LOS ANGELES 19` ' I . ' WM. J. FOX. CHIEF ENGINEER ' OEM FOR APPLICANT TO FILL N"` FOR OFFICE USE ONLY BUILDINGL, {� 't DISTRICT NO: PLlAN CK.NO. PERMIT NO. ADDRESS 77 C) V�i 'V LOCALITY TE'mAe— RECEIV/EP/.//',By 4DATJE 6F A`PPL. DATE IISSUigDD, NEAREST / i- ✓ !6+� L�" 'J� i7 ` '/ .�C/` CROBB BT. // � - t ! / �O cn j'�I M S .� 0.�� 'f40t!/ ADDRES C; ADDRESS MAIL OWNER ADDRESS LOCALITY ':C '��-"J NEAREST TEL. CROSS 5T: l CITY ._ NO. FIRE NG:OF / TYPE GROUP ARCHITECT OR TEL. ZONE' . PLANS Gam- Y ENGINEER NO. BLDG. NO. ADDRESS SETBACK LINE TEL. /1/�� APPROVED ")- �� n ((�� By + ..r ,s t DATE ,/ Y CONTRACTOR 1i J('6 i T NO USE APPROVED ADDRESS Z�f 9 ./1i�r'7,v vA7.r Or. /. f�, ZONE J/ BY, DATE /L LEGAL �LY/ ,� ,BLOCK CORRECTIONS DESCRIPTION LOT/No. �/ ry r f ,I /�� r / TRACT /Da f0+�1 �J F/V I.),7/ Q I-' �I 'G� ��r1 rT l!' /�i 1 /U /�4J� Tf�60 1• F �i�� SIZE OF LOT r/J f A7 I NOW ON LOTNO OF SYlrILI& ! '�I: !�- t1' !J USE OF' NO.OF NO.OF 1 r7 EXISTING BLDG. FA IL:E9 ROOMS DESCRIPTION OF WORD de. / NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH _ Bq FT. ii�� .�,oV/ NO.OF SIZE f 0-JQ ROOMS +r STORIES WALL �j ROOF I.'f�f COVERING I�,L Q s r�r,� I COVERING °S��{� {�C USE OF-NEW"�nuA, BUILDING r1��r I HEREBY ACKNOWLEDGE THAT 1 HAVE -READ-'THIS APPROVALS APPLICATION AND STATE THAT.THE ABOVE IS CORRECT' _ INBPECTOR DATE' FOUNDATION: LOCATION AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ' FORMS,MATERIALS '' _ � /f 1 AND STATE LAWS REGULATING BUILDING CONSTRUCTION.' FRAME: FIRE STOPS, SIGNATURE OF .rp e,, BRACING.BOLTS 0. PERMITTEE r Ate' LATH. INT. AUTHORIZED AST- LATH, EXT. } 7GA617) 3BA-3 7-4e $ - p,C,1G / PLASTER,INT. tyt(P FEE � ! PLASTER.EXT. •S VALUATION ��./s/ / q!f -- FEE FINAL - moi( �A �f / WORKERS'COMPENSATION DECLARATIOPV APPLICATION FOR BUILDING PERMIT � tereby affi%r that I have a certificate of consent to self" lure, or a certificate of Workers'Compensation Insurance, a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES ! BUILDING AND SAFETY licy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ADDRESS 1 Certified copy is filed with the county building inspec- ; BUILDING / /� c /�� ° J jz_ ��I- tion department. 'ADDRESS (p /L✓° .�/[- 4V� LOCALITY �� NEAREST ite Applicant CITY N `T'V"CJr`/ ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE 'SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL tis section need not be completed if the permit is for one USE ZONE MAP mdred dollars($100)or less.) TRACr /� /BS�L*CK LOT NO. NO. OWNER///�i(/O .A�vC'�l' TEL �y SPECIAL :ertify that in the performance of the work for which this NO. 7 wP1-/ 11 CONDITIONS r/ IL !rmit is issued, I shall not employ any person in any manner Com,' DISTRICT GROUP TYPE FIRE PRO ESSED BY O as to become subject to the Workers'Compensation Laws. ADDRESS i�7 CONST. ZOE ll 46-- 8 Aayw &�- �, 0 ite Applicant CITY ZIP STATISTICA CLASSIFICATION APT. CONDO. d ARCHITECT OR•��,,,,�/�� q,��RR� -- TEL. )TICE TO APPLICANT: If, after making this Certificate of ENGINEER a��l/J!�!� NlCJC�I� NO. �' emption, you should become subject to the Workers' CLASS NO. DWELL.UNITS 0. impensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP V) th comply with such provisions or this-permit shall be TEL. VALIDATION !emed revoked. CONTRACTOR � NO. BK. PG, LICENSED CONTRACTORS DECLARATION LIC, tereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION )mmencing with Section 7000)of Division 3 of the Business and LIC n� Dfessions Code, and my license is in full force and effect. CITY CLASS q $ SQ.F NO.OF NO.OF f CHECK :ense Number Lic.Class SIZE STORIES w FAMILIES ONE mtractor Date DESCRIPTION OF WORK AAD 177V NEW ❑ $ I am exempt under Sec. 73c^J�,®.pQ/y ADD ❑ p ALTER ❑ FINALS �` B.BP.C. for this reason REPAIR ❑ DATE Date: USE OF DEMOL FINAL EXISTING BLDG. ❑ By; - (tom-, Signature APPLICANT �/�0 � TEL. �I b"' OWNER-BUILDER DECLARATION PRINT NO. tereby affirm that I am exempt from the Contractor's License �¢ j N.5/17AUd-Ma J%J w for the following reason (Section 7031.5, Business and ADDRESS ofessions Code): 'PRESENT ^^ BUILDING �d/tr 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. NO I,as owner of the property, am exclusively contracting CONTRACTOR . 7 (2 ,. (? with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS c -7 ;) r`: REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH tereby affirm that there is a construction lending agency for LInveitigotiognFee e performance of the work for which this permit is issued ec. 3097, Civ. C.). nder's Name ` Permit Fee .,7 nder's Address :ertify that I have read this application and state that the Issuance Fee ove information is correct. I agree to comply with all County dinances and State.laws relating•to'building cortstruct ori, Total Fee. ,/e�'� •' id hereby authorize representatives of this County to enfer ion the above-' ntioned properttyy ffor.eRspection purposes. I.' � I��/ F SEE REVERSE FOR EXPLANATORY LANGUAGE v� Signature of Applicant or Agent Date I ®s WORKERS'COMPENSATION DECLARATION. ' 4 I. hereby affirm that I have certificate of consent to eAPPLICATION F OR U I L D I N G PERMIT insure, or a certificate of Workers'Compensation Insurance, ,i or a certified copy thereof(Sec. 3800, Lab. C.) 1 1:1 y 230770 y COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli* No. Company State CQ7nsp ( BUILI Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDIt'N ® Certified copy is filed with the county buildingec-i BUILDING 1 tion department. 1 ADDRESS - 6420 N. . Sultana Ave„ LOC LITY NEAgEST Date-1/1/86 Applicant 44eLPres„ I CITY ZIP ,] CROSS ST. CERTIFICATE OF EXEMPT! FROM W KE NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE j SIZE OF LOT NOW ON LOT MAP$OOK PAGE PARCEL (This section need not be completed if the permit is for one i USE ZQN MAP TRACT BLOCK LOT NO. hundred dollars($100)or less.) ; �(,��J NO. TEL. I✓I SPECIAL I certify that in the performance of the work for which thOWNER NO. — t CONDITIONS IL is, DISTRICT .GROUP TYPE FIRE PROC SED BY permit is issued,J shall not employ any person in any manner ADDRESS 6420 N. Sultana Ave., nI CONST, / ZONE V so as to become subject to the Workers''Compensation Laws. � . (V& Date AP litant I CITY ZIP 91775 STATISTICAL CLASSIFI TION APT. JCTbO. NOTICE To APPLICANT: If, after making this Certificate of ' ARCHITECT OR TEL. ..// � 'Exemption, you should. become 'subject to the Workers"!. ENGINEER NO. CLASS NO.—DWELL.UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS' I SEWER MAP with comply with such provisions or this permit shall be . I deemed revoked. CONTRACTOR Montebello Rfcj No. 722-6975 tBK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSNO. VALUATION (commencing with Section 7000)of Division.3 of the Business and sJ LIC. I - Professions Code,..and my license is in full force and effect.` + CITY Montebello CLASS C-39 $j 3402*00 , 39' tr SQ.FT. NO.OF NO.OF CHECK License Num r 24$852 Lic.Class C.. I SIZE STORIES FAMILIES ONE f Contractor T�re�O1e 8/31/871 DESCRIPTION OF WORK 1 existing roc Ew ❑ �; ❑ I am exempt un er I roof. Reroof Di1 —C bu l t ADD ❑ i ALTER ❑ FINAL DATE B.BP.C. for this reason 1 REPAIR .® J 71 Date: I. i USE OF BLDG. dwelling DEMOL C] F N Signature + i APPLICANT TEL I PRINT 064 OWNER-BUILDER DECLARATION ! Montebello Rf . NO. 722»697i. I hereby affirm that I am exempt from the Contractor's License I ® 3 4 3 8 A Law for the following reason (Section 7031.5, Business and ADDREss868 Truck Wa Montebello SERIES- # a o 0 0 0 1 Professions Code): I PRESENT ❑ I, as owner of the property, or my employees with I AD I NG RESS I a a 6 8 6 3 wages as their sole compensation,will do the work and the structure is not Intended or offered for sale(Section LOCALITY o 68,635 7044, Business and Professions Code). i MOVING TEL. ❑ I,as owner of the property,.am exclusively contracting CONTRACTOR NO. 1 1 v 8 5 with licensed contractors to construct the project (Sec- I ADDRESS 1 lion 7044, Business and Professions Code). j REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY I SPBACK YARD Hwl' PROP.LINE WIDTH 7 hereby affirm that there is a construction lending agency'for FRONT the performance of the work for which this permit is issued , p.L.(Sec. 3097, Civ. C.), SIDE o P.L. r Lender's Name i 3a t P.C.Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the i Issuance Fee above Information is correct. I agree to comply with.all County Investigation Fee ordinances and State laws relating to building construction, 68.63 and hereby authorize representatives of this County to enter I Total Fee ■ i upon th bove-mentioned property for inspection purposes, t i AY Prep. 11/8/85 i SEE REVERSE FOR EXPLANATORY LANGUAGE I ®s i Signature t Ap nt or Agent Date I I ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 Bi:iiDiNG PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTFRATIOII/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0408260003 PHONE: (626) 285-0488 EXT: LEGAL ID: i:b. Of TORST I BUILDING-ADDRESS: ON FILE SQ. FT STORIES TYPE 6420 SULTANA AV STRUCTURE: 24 VN SGAB CA 917752034 ASS SOR I OR 0 B . . NEAREST CROSS STREET: "382-019-017 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY, C TE:I,.1: EX S BLDG U : RES D S 0 - ISSUED D 0. : OCCS ED EXPIRES I!.: EXIST OCC GRP: 08/26/04 JK 08/21/05 CTNFK: TEL. N0: BLDG5. NOW ON LOT: VALUATION: FI ' L ATE FINAL BY: CODE: DECIANO ANCAD - 4,500 S 9 6420 SULTANA AV — SGAB 917752034 FEES PAID UES I I N 0 OR - - TEA -OFF FLAT ROOF ROUGE & GARAGE INSTALL FLAT F:f?7F. FEE DESCRIPTION: F1whHTITY: UOM: AMOUNT: fiPPLICAl. TEL. 0: FINE CONSTRUCTION - AA BLDG PERMIT ISSUANCE 27.75 - 1435 S. lA CIENEGA AC STRONG MOTION RESID 45000.00 VAL n.50 SPECIAL CONDITIONS: LOS ANGELES, CA D2 PERMIT W/O EN-HC 4500.00 VAL 132.60 ! TOTAL FEES 150.85 IGONIXAC(UR: TEL. NO: APPROVALS GATE INSPECTOR 3j',NAPl(FE FINE CONSTRUCTION (310) 623-4902- 1435 S LA CIENEGA LIC. NO [05ATION AND SETBACKS _ ILOS ANGELES CA 792155 B 'SOILS ENGINEER APPROVAL — �ARCF�TE�T 1500D DATIDN/TRENCH FURM17 — LIC. NO: �� !SLAB/UNDER. FLOOR ,I yilli ED FLOOR FRAMING "i__-- _•_.—_--- -- - —-----�! it•1AP h^u: SCNER MAP BOCK: ?AGC: FIRe ZONE: CMF; U)Ip7Fl.'FLOOR INSULh717.15 XY. 3 05 FLOOR SH IMG IWO—. OF+•AtWLIES: DWELLING UNI S: P /C ND: STAT CLAgS-. NO 21 IRCCF SHEATHING (- SCHOOL WITHINDO S f 9R. 9 PANELS AIR QUALITY: 1000 FEET MATERIALS III NO NO NO FRAME INSPECTION RSI ED TOTAL SETBACK FROM EXIST - RE SPRINKLEW'HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- IKSULATION/WEATHER STRIP SIDE PL- Lif R ORH DRY ALL E3,TERIOR LATH — R TED FLOOR C IL AS EM. RATED WALL ASSEMBLIES .RATED AF OPEN NGS T-BAR CEILINGS LOY DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508