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Home My Public Portal About5017 SULTANA AVE_Building__ r 76A838A CB 0803 3.69 APPLIC "Tr IT OR BUILDING PERMIT +� COUNTY OF LOS ANGELES Ao REiIN D/ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING NEAREST _ CROSS ST FOR APPLICANT TO FILL IN D1s�1cr N O TYPE P v_ " (PRINT OR-TYPE ONLY) c-5 BUILDINGy fj017 gllZtBIIa STATISTICAL CLA (CATION i SEWER MAP ADDRESS P CLASS NO DWELL UNITS BK PG - LOT NO BLOCK USE ZONEMAP NO TRACT SPECIAL -- - NO OF SLOGS CONDTIONS SIZE OF LOT NOW ON LOT USE -reeidwoo EXISTING BLDG - BLDG SETBACK FROM I OWNER James Giebelhaus NO —0 -� FRONT PROP LINE OF. (STREET) p��♦�� TYPE OF EKI9T1 SETBACK HIGHWAY y � YARO = TOTAL � ADDRESS 5017 SnitaDa IGHWAY WIDTH I FROM C L CITY Temple Citi 7zzzz --I _ _ _ . , _ ARCHITECT OR TEL S OE PROP LDGSETBACK L NE OF (STREET) ENGINEER NO TYPE OF EXISTINGK HIGHW YARD = TOTAL ADDRESS - � - - - - K HIGHWAY WIDTHHFROM ROM C L TE CONTRACTOR$ id Mp i Camimmy NOL qp 181LIC ADDRESS 37 S. Woods Ave, NO 159496 CORNER CUTOFF YES E) NO CITY L. A. 22 CLASS 0.39 SEE REVERSE SIDE FOR SPECIAL APPROVALS (((a CONSTRUCTION LENDER (, NAME AND BRANCH L7L ADDRESS I SO FT NO OF NO OF S1ZE ADD IES FAMILIES NEW ❑ STRUCTURE Roof - - - - _ ALT El ALTER Rigid Mf • GompW REPAIR X] SIGNATUREOF I DEMOL ❑ APPLICANT �/T VALUATION 450.00 1 APPROVALS DATE INSPECTOR E SIGNATURE P C PMT E� FOUNDATION LOCATION FEES FEE $ 9.00 F R MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS.BRACING. BOLTS AND STAT! THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, W ALL ORDINANCES AND LAWS REGULATING BUILDING R BUC- TION ON I CERTIFYIFY THAT H HAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT, DUCTS WILL NOT EMPLOY ANY PERSON IN RELATING OF THE LABOR CODE LATH INT OF TX! !TATE OF CALIFORNIA IM RELATING TO WORKMEN'S COM- PENSATION IH9URAN[p�,.a,fie. ( ems' LATH, EXT SIGNATURE OF n•��.6��J OlI `^""!'�'V HOUSE NUMBER CORRECT PERMITTEE �j/-/// ;Q' a�1.•�W eN) AND POSTED ADDRESS— 537�So' WO048 AV60 Aye• 22 FINAL JOHN F LEWIS, PRI CI PAL S TURAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH _ _ PERMIT VALIDATION cA M o CA.. 1_9 74% SEP23 1 0 9AOp ts,CE#803 CE N003(REV 11 i 78) APPLICATION_F BU ILDWaG PERMIT I COUNTY OF LOS ANGELES— BUILDING AND SAFETY FOR APPLICANT TO FILL IN _ ADDRESS _ BUILDING ADDRESS U LOCALITY_ CITY zIP 17d'U NN�sss NO OF BLDG$ ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK I -. PAGE- PARCEL TRACT �' n� -� LOT 0"L -Ly DISTRICT GROUP TYPE CONST�N EFIRE ZONE = uED BY OWNER L q- -IS TEL CIMS-837 SE�g � 3 3 _��IE�� _ STATISTICAL IFICATION SEWER MAP - ADDRESSSO1 nLl �T CLASS NO DWELL UNITS _BK SPG, nt CITY Q Q C\ ZIP - 91-70- ARCHITECT � -' ARCHIi Ci 0 TEL 'I PC- 7 VALUATION $ - - ENGINEER 1 NO- /�C� - ', 1 ADDRESS U _ BLDG A FROM TEL ' R RONT PROP LINE OF ISI REETI CONTRACTOR NO ^'�' HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO -LIC- + CITY 0 CONSTRICTION LENDER - - ^ -- CLASS- .� __ BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF ` ISTREETI ' HIGHWAY + YARD - TOTALS ETBACK FROM TYPEOF EXISTING 16- ADDRESS CITY (SIDE PROP LINE HIGHWAY WIDTH v, 50 FT NO OF NO OF CHECK _ + - _ SIZE STORIES FAMILIES - -ONE - w USE ZONE [SJj( 0 DESCRIPTION OF WORK NEW - ALADD CITIONS - - - ALTER FINAL BY _ REPAIR- ❑ DATE ' USE OF _ DEMALEl EXISTING BLDG APPLICANT ` TEL IPRINTI NO BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ' THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES Z �/ _ AND LAWS REGULATING BUILDING CON5TR KIN 1 CERTIFY THAT IN DdNG THE �j� • �8 O .A / A WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA n OF CCrr 1 THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM _ �I 0123 PENSATION INSURANCE EF : : ��,L •- — 2 • • 2400. 1 T SIGNATURE OF _ t ) • • • 2400F ' ADDRESS jj Q_TEL _ 1 1 30-79 I �� __ •_ 1 CITY NO Q PC Fee , Pe,mlr Fee - -- I > Issuance Fee I Torol Fee _ ' ` i TEMPLE CITY 1� ... APPLICATION FOR BUILDING PERMIT COUM OF LOS ANGELES BUILDING ADDRESSDEPARTMENT OF COUNTY ENGINEERiog4o/ l 2) MWING AND SAFETY DMSION LOCALITY OF JOHN A LAMBIE COUNTY ENGINEER NEAREST WI AM JENSEN. ISUP' OF BUILIpINO CROSS ST DIBTRILT NO O Types HD BY FOR APPLICANT TO FILL IN eoNer BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS a Fv BK Po CLASS NO DWELL UNIT LOT NO BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE TRACT MA HIGHWAY NO OF BLDGB NO (CIRCLE) STATE MAJOR SECOND OCAL BTLH OF LOT 0 NOW ON LOT USE ONE SPECIAL USE OF CONDITIONS E%ISTING BLDG TEL 1411 OWNER W47NO BUILDING YARD BEET NAME EXIST ` SETBACK WIDTH ADDRE38 7 O FROM ARCHITECT OR TEL P L ENGINEER NO BIDE P L ADDRESS ;FAR E INSPECTION RECORD CONTRALTO . N �V( ADDRESS OL DESCRIPTION OF WOEX a NEW ADD ALTER REPAIR DEMOLISH h SO FT NO OF NO OF ? IZE STORIES FAMILIES USE OF F / STRUCT SIGNATURE a" APPLICANT VALUATION E 5O APPROVALS DATE INSPECTOR S SIGNATURE P C IT FOUNDATION LOCATION PEE FORMS MATERIALS U FRAME FIRESTOPS 1 Iyer/, I X[fl6[Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS Il 161,1//A 1 ANO QTATQ THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORD NANCQB AND STAT[ LAWS REOULATINO GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK H AUTORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH IM TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT IND TO WORKMEN 8 COMPENSATION INSURANCE LATH EXT .n SIGNATURE O HOUSE NUMBER COR- PERMITTE ^ RECT AND POSTED H/ ADDRES 7—C `, IN c ONCiPAL RAL ENGINEER PLAN CHECK VALIDATION a Y o eA«I PERM VALIDATION : Y o cABN LAC03 6 3 8 OCT 6 1 D 900 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PER IIT COUNTY OF LOS ANGELES BUILDING t ®� WM J. FOX. CHIEF ENGINEER U FOR APPLICANS SO FILL Di I FOR OFFICE USE ONLY DISTRICT NO - PLAN CK NO PERMIT NO BUILDING ADDRESS N. Sul-fAwA LOCALITYRECEIVED BY DATE OP APPL DATE ISSUED 4 Ay NEAREST a,5 CROBB BT. BUILDING y/ ADDRESS O UL Nry OWNER MAILLOCALITY • G• ADDRE[6 Y AREST CROOBIl SST Lfl/✓� TEL CITY NO FIRE NO OF TYPE GROUP ARCHITECT OR TEL ZONE PLANS V ENGINEER NO BLDG O pp''N SETBACK LINE w ADDRESS APPROVED TEL BY DATE CONTRACTOR Ej NO USEyJ APPROVED - " ZONE 1'/ BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION LOT NO BLOCK MAP NUMBER�� FIELD CHECK BY TRACT NO ASSIGNED / NO OFBLDGS CORRECTIONS - EIZ[OF LOT I NOW ON LOT USEOF NO C5F EXISTING BLDG, FAYILIu DESCRIPTION OF WORK I NEW ✓I ALTERATION I ( ADDITION O REPAIR DEMOLITION " r NO OF-SI F- Q SIZE -AI ROOMS STORIES EXT WALL ROOF Q P COVERING I COVERING /� S USE OF ST CTU APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT 1 AOR[[ TO COMPLY WITH T E CORRECTIONS LISTED FRAME PIRESTOPS, N[R[ON AND WIT LL COUNTY RDINANCM AND STATE BRACING BOLTS LAWS REGULATI UIL�{NO CO RUCTION FURNACE LOCATION, 81GNATUR60F C(/ GAS VENT, DUCTS PtitM1TT LATH. INT ADDR H LATH, EDIT AUTHORIZEDAGT PLASTER, INT TMOM DEL ItrEO f � P C � �- T) .Q,� � FEE PLASTER. EXT VALUATION jJ " I S SO FEE FINAL Y AEPARTMENT OF BU=ING AND SAFETY } APPLICATION FOR PERMIT COUNTY OF LOS ANGELES i g U l 1. D I N G Wm. J. FOX, OHIEF [NOINE[II 1 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLAN OK.NO PERMIT NO BUILDING 33 _� 029 Ps' ADDRESS LOCALITY sc RECEIVED DAT[Or APPL. DAT[IMU6 NEAREST �, e�aa�o 2 CROSS BT. n BUILDING OWNER ADDREBB 9 3 wuow b� Z j. LOCALITY //� a N[APEBT QITY>�Qdd_.fw/IiQ_i f/ N Ls y� s c i CRD BT FIRE NO OF TYPE OROUP� ENGINEER MNEEOR TEL. �- PLANS BLDS DRD NO ADDRCSB BETBAOKLINE APPROVED TEL BY DATE CONTRACTOR �vl o_h� No USE / APPROVED ADDRESS ZONE A- BY DAT[ LEGAL �d/ CORRECTIONS DESCRIPTION LOTNO. Pj— BLOCK TRACT -_P, �S�_ T=/S - �//- to , SW/3 n !r No or eLpL Biz[or LOT NOW ON Lar �j S URE or ` ND or No or EXISTI BLOW FAM IERROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION ~ O p REPAIR MOVING_ DEMOLISH p Bq FT. NO OF BIZC ROOMS STORIES WALL R COVERING Q V[RIMG USE OF NEW SUILDINO 1 HEREBY ACKNOWLEDGE THAT I 'HAV[ READ THIS APPROVALS APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INBP[CTOR DAT[ AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STAT[ LAWS REGULATING BUILDING CONSTRUCTIONJ q/-�/ FRANC rIRESTOPH, URo (/O BIONAT [OF / BRACING.BOLTS PERNITT[ LATH,INT.t AUTHORIZED LATH.EXT mIn-a Rcmarra IVB ® _ 0 P ILS } PLASTER.INT RE PLABT[R.GIT. ' a = 0-.J/— VALUATION FEE FINAL d Y 5 t r� 1�enol t APPLICATION FOR BUILDING PERMIT 0), COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN nolo eSS / BUILDING ADDRESS NEARSLOCALITY NEAREST - CITY ZIP O CROSS Si r OF BLDG$ ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL // DISTRICT GROUP TYPE, FIRE D BV TRACT 7— 1 -5 BLO LOT Ado" pS k5i U p CONT t / z PRO TEL S'p311 V �/ OWNER f NO STATISTICAL CLASSIFICATION W ER MAP ADDRESS t C CLASS NO Sa DWELL UNITS BK PG Ory + ZIP Q ?e?, ( ARCHITECT OR TEL — VALUATION $ /�V v v ENGINEER NO ADDRESS Q 71 Q, BLDG SETBA KF M , TEL FRONT PROP LINE OF (STREET) CONTRACTOR NO HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO C + CITY CLASS - CONSTRUCTION LENDER BLDG SETBACK FROM , NAMEANDBRANCH " SIDE PROP LINE OF ISTREETI STING HIGHWAY + YARD TOTAL SETBACK FROM TYPE A EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH SO FT— NO OF NO OF CHECK + SIZ STORIES FAMILIES ONE DESCRIPTION OF WORKQAA NEW PC Fee$ Permlt Fee s ADD IrEC Issuance Fee ALTER REPAIR Total Fee USE OF 42 EXISTING BLDG DEMOL Ll i� Z APPLICANT TEL - r IPRINTI NO t BYISIGNATUREI, - 1 r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APFLCATON AND STATE uY ' THAT THE ABOVE IS CORRECT ANDAGREE TO COMPLY WITH All ORDINANCES FL a AND IAWS REGULATING BUIIOING CONSTRUCTION I CERTIFY THAT IN DOING THE TTj WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIO ATION OF TH�BOORRJ CODE OFF iTHEE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COM f 5 6 616 A t • i96�Jfi� URCP PEIRMITTEADDRESS 7— ^ • 1 9 60L,3 TEC 9 67, 24-751 NO USE ZONE MAP _ - NO . 01 01 .4C/ SPECIAL - t> CONDITIONS FINAL BY DATE L WORKERS COMPENSATION DECLARATION rlr r hereby affirm that I have certificate of consent to self insure, w a certificate of Workers APPLICATION F6R BUILDING PERMITrs Compensation Insurance 1 or a certified copy thereof(Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING ND SAFETY Policy No Company LDING F1 Certified copy is hereby furnished FOR APPLICANT O FILL IN BUIADDRESS -,S L., ' Certified copy is filed with the county building inspec- BUILDING - hon department ADDRESS AV LOCALITY TR le + b DataApplicant 61179 CCRY ZIP ROSSST CERTIFICATE OF EXEMPTION FROM WORKERS - NO OF BIDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is fat one i USE ZONE MA hundred dollars ($100)or leu ) TRAIT BLOCK LOT NO NO TEL PE Al I certify that in the performance of the work fat which this OWNER e- is NO / `/ CONDITIONS d permit is issued I shall not employ any person in any manner _ _ _ DISTRICT GROUP TYPE FIRE SSED BY 0 so as to become subject to the Workers'Compensation Laws ADDRESS CONST ZONE U r �P-r3 �/ 3 0 Dote Applicant i O ZIP TEL BTATIB..CAL CLASSIFICATION APT CONDO F NOTICE TO APPLICANT If, after making this Certificate ofV Exemption you should become subject to the Workers' ' ENGINEER NO CLASS NO OZ DWELL UNITS_ W IL Compensation provisions of the Labor Code you must forth- l ADDRESS SEWER�A�A� N provisions w t with comply with such his permit shall be TEL PG 93 VALIDATION Z deemed revoked CONTRACTOR NO I�- LICENSED CONTRACTORS DECLARATION LIC r I hereby offam that I am licensed under provisions of Chapter 9 I ADDRESS NO VALUATION (commencing with Section 70(10)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect CITY CUSS $ 71 Q , • e LicensNumber Lic CI SIZD E5:2-6 ORNO S C FAMILIES ONE , A 'A Contractor Dote DESCRIPTION OF WORK NEW ❑ $ I am exempt under Sec eA Q a qkqe gEPAILTADD R ER El FINAL �3815A B 8P C for this reason � ❑ DATE , � � # • • • • • 1 R Date tiOF I l BLDG — DEh 0l ❑ 9y - 2 • • 9 6 7 5 Signature qATION FIC N I Ngo - • • • 9 6 7 5 U OWNER-BUILDER fromt the Pilo ' I hereby affirm that j g r exempt from the Contractor's License (Pc 0720-83 Law fat the following reason (Section 7031 5 Business and Professions Code) BUILDING I� I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY structure is not Intended w offered for wits(Section 7044, Business and Professions Code) 1 MOVING TEL 0 I, as owner of the property, am exclusively contracting RA'CTOR NO with licensed contractors to construct the project (Sec- r bon 70", Business and Professions Code) ADDRESS REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY ' SET BACK YARD HWY PROP LIKE WIDTH ► I hereby affirm that there iso construction lending agency for FRONT- the performance of the work for which this permit is issued P L ISec 3097, Civ C SIDE �Q P L Lenders Name $ PC Fee S Permit Fee J (/i Lenders Address 1 certify that I have read this application and state that the haaonce Fee 0 5- 0 , - above information is correct I ogree to comply with all County Investigation Fee ordinances and State laws relating to building construction, S i l L and hereby authorize representatives of this County to enter total Fes . k YS upon the bouts-menhone ro arty for ms Baron purposes �r� P,uJ� l f6 REVERSE FOR EXPLANATORY LANGUAGE _ priaiure of Applicant w Agent _ 901• JJJ res