HomeMy Public PortalAbout5036 SULTANA AVE_Building__ T.A.`. 3F.APPLICATION FOR BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFM BUILDING "ll 171,l
ADDR6DS
Deparlmwt of Co ty EDginew _
Coll of Loa Angeles LOCALITY
WM J FOX. COUNTY ENGINEER NEAREST �
CASSATTO GRIFFIN,SUPTOPBa1La1HO C BT 41
FOR APPLICANT TO FILL IN DI•TRILjro a TYPE SEW
BEKR MAPS
BUILDINGMAP 0! STATEADDRESS / �4! NUMBER vas-
LOT NOBLOCK US6 NH BPH IAL
CONDITIONS
TRACT S
p NoOF•LDGS BUILDING
SIZE OF LOT �i! NOW ON LOT
SETBACK YARD NWY STREET NAM[ EXIST
WIDTH
[OF I FRONT
P L
OWNE .I / SMAIL IDE
ADDRESS D�In I // �/ / O TRACT DWELL I UNIT
5 INDUSTRIAL
CI / / / TE]":/{9�`l`✓ 1 DWELL I UNIT B PUBLIC BLDG
ARCHITECT O TEL 2 DUPLEX1 UNIT 7 ADDN ALT ETC
ENGINEER NO 9 APT _UNITS
MISCO
ADDRESS 4 COMMERCIAL
TEL. INSPECTION RECORD
CONTRACTOR / NO
DOREIS 6
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
So FT F4 NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF
APPLICA /J APPROVALS
NT
ADDRESS / DATE IME TOR BRIGRATURE
s P C • FFORMSTMATIl STION
O✓ I= FRAME FIRESTOPS,
VALUATION / A00 • yp BRACING BOLTS
lit �� FURNACE LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAB VENT DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION 1 \//'/�/ LATH ZKT.
SIGNATURE OR����/i/���� /� J HOUSENUMBERCOR-
PERMITTEH �L �/" 'I AA RECT AND POSTED
n
ADDRESS FINAL 1 �5-
WM J FOX.COUNTY ENGINEER VALIDATION C.N DI LAM. CHII[P il INSPECTOR
_ 4.9 9 AUG 10 1 800 In