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Home My Public Portal About5022 SULTANA AVE_Building__ DIVISION OF BUILDING AND SAFETY BUILDING _ Dsparb nmt of Como EnginiIw Comty of Las Aggda WM J FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN j ADDRESS BUILDING RESS 1 BUILDING LOCALITY i G / ADDRESSNEAREST �• y LOCALITY , CROSS ST NEAREST DIBT�'T O PUN C[ OR R[a. No PERMIT NO C ST. S / i r OWNER RECEIVED DATE OF ADPL DA ISS MAIL / 21-5Y ADDRESS Is- USE ZONE I OP TYPE GROUP PREZONE n TEL PLANS / ARCHITECT.*EITEL TZONING APFRov[o By BUILDING L SETBACK LINE / TEL '�// " Rov" CONTRACTOR NO V l/`�q BTr r N NUYSlRING 14,A av—o— ��tt�� `J ! DESCRIPTION O NO.7�-'-1 BLOCK MAP NUMBER O/ / - w0 ASSIGNED LBY /2 -10 DATE CORRECTIONS I INSPECTOR TRACT / �7 y '7 NOL SIZE OP LOT / ^ � 7 [ I NOWOF ON BLOTDGS USE OP EC 1ST G BLDG 's L EB O DESCREMON OF WORK - o' i NEW ALTERATION ADDITION I I r I T REPAIR /DEMOLITION 01, S ZEA �fti/ ��'/�ROOMS // STORIES CWALLS v�iv COOP � 'e- COVERING COVERING / USE OF STPUCJURK /BK/f5 F'eoTrLla APPROV INSPECTO S SIGNATURE DATE FOUNDATION LOCATION L FORMS MATERIALS 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THR INFORMATION GIVEN IS FRAME FIRE STOPS, CORRECT BRACING, BOLTS B 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION OAS VENT DUCTS SIGNATURE OF LATH INT PERM LATH' ATH EET ADDRESS PLASTER INT AUTHORIZED AST s �DOO IP C S I PLASTER, EE HOUSE NUMBER COR RECT AND POSTED VALI A O S B FES FINAL 7"80" ops �DWARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT 'l COUNTY OF LOS ANGELES i� S 1 C3�dBUILDING WM. J. FOX. CHIEF [NOINEER 1 G POA APPLICANTTO F FOR OFFICE USE ONLY — FOR DISTRICT NO - PLAN OK NO - PERMIT NO ADDRLRB O LOCALITY �/ L'( REC[IV / DATEF�M]P�L OAT[100=6D� NEARESTPROU15 ST. BU 3oS ILDING OWNER l ADDRESS NAIL LOOAL� 7 ADDRESS [AR[ST N TEL CROBBST CITY O ARrFIR[ ) NO O �J TYPE OROUP� IEOT OR TEL ENG , ZONE PLANS L� ENOINENECR NO BLDG L 7 ADDRESS SETBACK LIN[ � APPROVED - CONTRADTOq BY • DATE 1 UDEAPPROVED DOR ZON BY DATE DESCRIPTIO( ID NN I Lo NO /0 BLDG .. ] r/ v 7 CORRECTIONS TRACT /�—/ S e -2 �0;, ,Z f1N NO OF BLDOS RIZC OF LOT NOW ON LOT EXE OF `O bF NOO F 3 -�- S6 r✓N/Z,D - DESCRIPTION OF WORK NEW I 0 ALTERATION D REPAIR 1. M12V7NG 1 DEMOLISHS✓�GV6!✓ L .✓ B Z[ No OF J ROOMS r WALL ROOF cGvwING cw[a1No i USE DF NLW O, e W LDING /`i F e � 1 1 HEREBY AOKNOWLEOOE THAT I HAVE READ THIS JG?PROVALS APPLICATION AND RTAT[ THAT THE ABOVE IR CORRECT FOUNDATION LOCATION INSPECTOR DAT[ AND AGREE TO COMPLY WITH ALL COUNTY 13ROINANDKE FORME.MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIR[BTOPB. SIGNATURE or BRACING.DOLTS .r P[RMITTM II�U1/J w�I�ll�i✓L0� l`/li�"u J� LATH, INT Y-- AUTHORIZ[D AOT l LATX. [XT � ti PLASTER,INT 9ds�w.a TW Y FE[ , jV I PLABTEW EXT FEE VALUATION f & `r FINAL � a DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OFBUILDING LOS ANGELES f 'WM J FOX, CHIEF BNGINre[e FOR APPLICANT TQ FILL IN FOR OFFICE USE ONLY DISTRI NO PLAN CK NO PERMIT NO BUILDING -w 1 �7 BUILDING ADDRESS LOCALITY' R IVSD BY DATE OF APPL DATE ISSUED Ar NEAREST CROSS ST id /� i� BUILDING �/ I ADDRESS OWNER tlAIL \ LOCALITY ' c C ADORIBB A ♦ NEAREST TELROSSST CITY NO ` FIRE NO OF�_ O ARCHITECT OR / -.Tgv ONA PLANS ENGINEER BLDG B ETBACK LINE ADDRESS APPROVED ' TEL. BY DAT[ CONTRACTOR NO USE APPROVED ZONE BY DATE ADDRESS HOUSE NUMBERING LEGAL '— • ' DESCRIPTION LOT BLOCK MAP NUMBFIELD CHECK BY TRACT NO ASSIGNED BY / A NO OF BLDGS CORRECTIONS SIZE OF LOT NOW ON LOT , _ Usual, rA NO Op EXISTING BLDG J2pAY1L1U DESCRIPTION OF WORK NEW /\< ALTERATION I I ADDITION 0 REPAIR DEMOLITION BG FT NO OF D S IZQROOMS STORIES Z EXT WALL ROO► ,/ r COVERING / I COVBRIN J( 0 USE OF BTRUCI'UR[ / r APPROVALS INSPECTOR S SIGNA R[ DAT 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION PLICATION AND,STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRESTOPB. HERON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS (/ J LAWS REGULATING UILDING CONSTRUCTION PU RNACE LOCATION, ' SIGHATUREOF GAB VENT, DUCTS P[AMITT 1 AD13REBO P7 OZ Nu �,,.,,e GZtr�i LATH. INT LATH, EXT AUTHORIZED AOT PLASTER, INT TMOOOA DOG, IM1EO s P C E B o-O FE8 PLASTER IDIT VALUATION FEe O FINAL ,WORKERS COMPENSATION DECLARATION • I hereby affirmthat I have certificate of consentto ,elf APPLICATION FOR BUILDING PERMIT insure or a certificate of Workers Com kers Compensation Insurance, ' oLa certified copy thereof (Sec 3800 Lob C) a COUNTY CIF LOS ANGELES BUILDING AND SAFETY Pdlicy44o Company BUILDING Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING 2� u t tion department / 6_ Date Applicant CITY 6 ZIP p LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 5 NOW ON LOT - NEAREST - COMPENSATION INSURANCE CROSS STASSESSOR /L (This section need not be completed if the permit is for one TRACT BLGCK LOT NO MAP BOOK T7!/ PAGE PARCEL Q hundred dollars ($100) or less ) TEL y� ' OWNER O _NO _ __ USE ZONE MAP I certify that in the performance of the work for which this /f INO permit is issued, I shall not employ any person in any manner ADDRESS 02Z - - - /C,'�" SPECIAL a CONDITIONS i so as to become subject to the Workers Compernation Laws ! VA O CITY G ZIP (• W - i - V Date Applicant ARCHI TEL rr e _ NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO 730 OG DISTRICT GROUP ro� FIRE PROCESSED BY O Exemption, you should ,become subject to the Workers f] 0 ,Qr/ 3 Compensation provisions of the Labor Code, you must forth- ADDRESS O with comply with such provisions or this permit shall be TEL I STATISTICAL CLASSIFICATION APT I CONDO Z deemed revoked CONTRACTOR NO CLASS NODWELL UNITS_ ' LICENSED CONTRACTORS DECLARATION ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 LIC SEWER MAP (commencing with Section 7000)of Division 3 of the Business CITU CLASS a� and Professions Code,and my license is in full force and effect BK yALDATION SO FT // NO OF NO OF CHEac 4 FG it'-LfAUDA— License Number. Lic Class SIZE IO STORIES FAM,UES ONE r n J.� VALUAVOIN �.iJUi YJJ�.: Contractor Date DESCRIPTION OF WORK O NEW v t D00,.00 1 I I EI'!'c `� /L��J TOTAL 439 _ ,_,? EDI am exempt under Se< ALTER 4 B 8P C for this reason : i ^r ;- REPAIR ❑ i,HE-rs t-r7.-- EXISTING BLDG DFMOL ❑ CHANGE Signature - '��'M TEL I FINAL OWNER-BUILDER DECLARATION (PRINT) NO „DATE —Z I hereby affirm that I am exempt from the Contractor s License I]Ijl II�-IjQlji O!17, '�1 Loyy��''''' for the following reason(Section 7031 5, Business and ADDRESS FINAL essions Cade) PWSENT I I _ Br I, as owner of the property or my employees with BUILDINGADDRESS t wagescis their sole compensation,will do the work ord LOCALITY ,./!�!%` the structure is not intended or offered for sole(Section 7044, Business and Professions Code ) MOVING - TEL ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- `� - tion 70" Business and Professions Code ) ADDRESS b T I CONSTRUCTION LENDING AGENCY SET REQUIRED ACK YARDTOTAL MAL(iNE WIDTH FROM I I hereby affirm that there is o construction lending agency for FRONT + , the performance of the work for which this permit is issued P L ,T- (Sec 3097, Civ C ) SIDEPl. a ^ -�-i - s a iii iii Lender s Name LD" P C Fee Permit Fee H Lender Address •j - a I certify that I hove read this application and stale tha(the laavonce Fee LDMA P/C! fn m ► ' R above information a correct I agree to comply with all County Invesegmion Fee ordinances and State jaws relating to building construction Total Fee s:A LDMA Pwm 0 e and hereby authorize r presentatrves of this County to enter 1Y9 upod the ae-ment ed r perry for inspedio s ^n CONN SEE REVERSE FOR FOR EXPLANATORY LANGUAGE rO �T Jr Signa re�Appltront or ry Dare