The URL can be used to link to this page

Home My Public Portal About5107 SULTANA AVE_Building__ 70A63aA DOG➢ly 64 ' APPLICATION FOR BUILDING PERMIT 1 DIVISION OF WELDING AND SAFETY BUILDING 6 D DepmtIDCounty ant of Engm*w ADDRESS County of Los JingsLs LOCALITY WM J FOX COUNTY ENGINEER NEAREST CAS&ATT D GRIFFIN Bu.i of BUILDING ,ZRE ST FOR APPLICANT TO FILL IN DISTRICTNO GROUP TYPE 6E 8K MA FG EF eu1LDI S%107 SULTANA � co usr ADDRESBJ MAP ;/� O� STATE A NUMBER /lL/ HWY YES NO LOT NO43 BLOCK U$E�ONE SPECIAL (� 9^ [-{ _ / l / CONDITIONS TRACT IC� J f u�7 / 0.�/ 3 - SIZE OF LOT 5000 I NO OF SLOGS NOW ON LOT BUILDING YARD HWY STREET NAME EXIST USE OF SETBACK WIDTH EXISTING yy��BLDG pp FRONT '^�C(/I/1 'f ✓/J 1 OWNER Mil Bei[ ]). Wilkinson SIDE A2 q/ MAIL 7715 KOLMA R AVE P L �J ADDRESS NO DWELL 1 UNIT °S INDUSTRIAL C,TY S KOKIEILL• ARCHITECTOR TEL 2 DUPLEX UNIT- 6 PUBLICSLDG ENGINEER NO 3 APT UNITE 7 ADON ,ALT ,ETC ADDRESS mtP SPARKS 4 COMMERCIAL B MISCEL CONTRAC'tTOIF L• SPARKS NO INSPECTION RECORD ADDRESS•'OO5 NO-RUMBEGA DR. MONROVI �S 'S i cr n ? - - DESCRIPTION OF WORK _ t)R �/ IQ � �rti aH A f NEWX ADD ALTER REPAIR DEMOLISH So FT _ STORIES FANO F M II LI ES OF SIZE___ ` Y'"MLLING PLUS ATTACEFD GARAGE. SIGNATURE OF APPLICANT APPROVALS ADDRESS 7209 N, ROSEMEAD DATE INSPECTOR S SIGNATURE S FrION MATERIALS ION FORMSIS S A.•- 7�I/�a / FEE FRAME FIRE STOPS VALUATION 6 /�/DD BRACING BOLTS FEE r FURNACE LOCATION GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT f1 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INTGL..---- AND STATE LAW& REGULATING BUILDING CONSTRUCG TION. LATH EXT N �' SIGNATURE OP ` HOUSE NUMBER COR. PERDIITTEE19� RECT AND POSTED ADDRESS FINAL. V` t WIL J. Fox. CourrY GNOMOM VALIDATION BY 0 3 2 6 iR FEB 8 1 6 -� ,gym .9.0 0_ A%O 3 2 7 1 FEB 8 1 -18.00 p BY ISY ® DEPUTY DEPUTY cB leoa rev easel r. o �c APPLICATION F BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING O ADDRESS BUILDING ADDRESS LOCALITY NEAREST CITY � ZIP CROSS Si NO OF BLDGS ASSESSOR ` SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE QONE ESSED BY iRAGT ♦• BLOCK LOi NO CONST EL U3 OWNER NO STATISTIC Al CLA551 FICATION SEWER ADDRESS T ✓ CLASS NOp��DWELL UNITS BK PG CITY" •/ ZIP Q ARCH EC TEL �7 VALUATION ENGINEER J NO -/ /3 �QQ ADDRESS c BLDG SE BACK FROM y Q. FRONT PROP LINE OF (STREETI CONTRACTOR L T�' TEL >19S O>9s- HIGHWAY TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH ADDRESS I NOA81.2.L 3182 C + CITY LE Q CLASS CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF ISTREETI HIGHWAY + YARD = TOTAL SETBACK FROM TYPEOF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH O SO Fi O OF NO OF , CHECK + - U SIZE -IS NTORIES FAMILIES ONE OI DESCRIPTION OF WO NEW PC F"$ Permit Fee 3S ADD ❑ Issuance Fee y� ALTER El Z_ REPAIR ❑ Totol Fee USE OF EXISTING BLDG DEMOI Z APPLICANT TEL IPRINTI NON 0 t O BY ISIGNATUREIW. V4 2 2 2 313 A _ 7 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP TKO' AND STATE t y� EF a 0 0 0 THAT THE ABOVE IS CORRECT AND AGREE TO CONVEY ALL ORDINANCES AND lAV15 REGULATING BUILDING CONSTRUCTION I CERT THAT IN DOING THE 2 /, q2O O WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V <p - 14200 14 THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE I T . , . - 1420 1 /� 2 0 0 2 SIGNATURE O 0_1, 1 5—7 9 U ` PERMITTEE ADDRESS T 2 - CITU EL C` NO 0 Q - O USE ZONE OP SPEO �COO/NtD7RIIOONSZ ' FI NA ' Y / I �. ..�j DATE ,OZ,, _" I .. WORKERS COMPENSATION DECLARATION hereby affirm that have a certificate of tonne an,or - APPLICATION FO VILDING PERMIT Insure or a certificate of Workers Compenshon Insurance, or a certified copy thereof (Sec 3800 Lab CCOUNTY OF LOS ANGE S BUILDING AND SAFETY Policy No Company _ Certified copy is hereby furnishedFOR APPLICANT TO FILL IN - nDOuessc,;5-1 ,o7G7 Certified copy is filed with the county building inspec BUILDING bon department - ADDRESS 3/075(/1;-4 N/9 q✓E LOCALITY L Data Applicant CITY E/YP[E G• 7 _ZIP �SO cR�'osssT CERTIFICATE OF EXEMPTION FROM WORKERS rJ0 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 USE ZONE MAP / hundred dollars (§100)or less J _ TRACT BLOCK` LOT NO NO } r OWNER nuc igNo SC.ORCTA TEL /yrs / SPECIAL �7 Q d NO 8�367N SPECIAL NS !� Cf O certify that m the performance of the work for which this DISTRICT GROUPTYPE FIRE BV V permit is issued I shall not employ any person in any manner ADDRESS J!"j07 S✓LTi3 N9 /�'✓G I CONST so as to become subject to the Workers Compensation Laws D� V x OC CITY Tc� •P�'f G zip -- Date Applicant after STATISTICAL CLASSIF TION APT CONDO ARCHITECT OR -. - TEL NOTICE TO APPLICANT If cher making this the Workers of ENGINEER NO W Exemption you should become subject to the Workers CLASS t40 DWELL UNITS_ ly Compensation provisions of the Labor Code you must forthl SE MAP Z with comply with such provisions or this permit shall be ADDRESS deemed revoked I I I CONTRACTOR TEL BK PG VALIDATION L - .LICENSED CONTRACTORS DECLARATION ^ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS VALUATION (commencing with Section 7000)of Division 3 of the Business and ' 3� LIC , Professions Code and my license Is in full force and effect I CITV V CLASS $ 1 , - - SO NO NO OF CHECK License Number Lic Class SIZ CRIES FAMILIES ONE ]• _ ` Contractor DESCRIPTION OF WORK NEW Q� _ Date _ /� p ❑ I am exempt from the licensing requirements as I am a 7�/�F� ( �T�xr ADD ,licensed architect or a registered professional engineer _ ALTER ❑ FINAL acting in my professional capacity (Section 7051REPAIR ❑ DATE Business and Professions Code) USE OF FINAL ` EXISTING BLDG DEMOL ❑ RY Lit or Reg NO Dote APPLICANTTEL OWNER-BUILDER DECLARATION - PRINT - NO hereby irm that I am exempt from the Contractor s License Law fo he following reason (Section 7031 5 Business and ADDRESS Prof ions Code) PRESENT I as ownerBUILDING of the property or my employees with ADDRESS wages as their sole compensation will do the work and LOCALITY S '.i 7 8 A the structure Is not Intended or offered for sole(Sect an i 7044 Business and Professions Code) MOVING TEL I as owner of the property am exclusively contracting CONTRACTOR NO i —� •j• with licensed contractors to construct the project (Sec ADDRESS - 2 . . 3 Q hon 7044 Business and Professions Code) - REQUIRED TOTAL SETBACK FROM EXIST 3 O 0 0 CONSTRUCTION LENDING AGENCY SET BACK YARD HWV PROP LINE WIDTH • .'. XU I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is Issued PL ' (Sec 3097 Civ C ) SIDE 0522—a Lvc�.yNo scoacs P` Lenders Name $ � /y s G/��^~O �v�^ P C Fae 5 Permit Fe { _ Lender s Address > I terrify that I have read this application and state that the hsuonce Fae ` above information is correct I agree to comply with all County Inv.igahon Fee - B ordinances and State laws relating to building construction Total Fee`/ , and hereby authorize representatives of this County to enter upon th abov``e��m__e__nt__ioned pr ee�rtl�y�.ff�orr inspection purposes •' .Q�+-Jre t OCd•��! SEE REVERSE FOR EXPLANATORY LANGUAGE FF ®F ^ Signature of Applicant or Agent pate i WORKERS COMPENSATION DECLARATION 2 '� —�—� hereby ofifirroter that 1 have a certificate Cof ompensation Int to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers Compensation Inwrance, or a certified copy thereof (Sec 3800, Lob C ) PolioG4 I , COUNTY OF LOS ANGELES- _ BUILDING AND SAFETY 0 7 Company SFn.�L �✓101 ` Certified copy is hereby furnishedFOR APPLICANT TO FILL IN ADDRESS 5 01 .5uvaji NG Certified copy is filed with the county budding mapec- BUILDING C tion department -� L 1 Imo, ADDREss �J d SV(. +arta. V - LOCALITY 'ti Cl' Date ��1'7 -\eG Applicant 7Illl G ./ c knar-� CITY G ZIP HRORES� CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF L. 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 TRACT BLOCK LOT NO U ONE AIANOP hundred dollar ($I DO)or leu ) _ 1 certify that in the performance of the work for which this OWNETEL SPECIAL R L $ Q NO ��- Z CONDITIONS d mit is owed, I shall not employ an DISTRICT GROUP TYPE FIRE SSED BY Per P Y Y Peron in any manner ADDRESS �aM ,n so as to become subject to the Work"'Compensation Lawn 1 CONSt ZONE cc cc Dale Applicant CITY samii ARCHITCCT ZIP TEL STATISTICAL CLASSIFICATION APT CONDO O NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO - CLASS NO H/ DWELL UNITS_ W Exemption you should become subject to the Workers' d Compensation provisions of the Labor Code, you must forth- ADDRESS _ SEAp H with comply with such provisions or this permit shall be ��PG�{� _ ? S4-- deemed revoked CONT4ACT0 $ LIA. rJ0 5`I '7.7 B PD , 5 VALIDATION LICENSED CONTRACTORS DECLARATION �'77 1 hereby affirm that I am licensed under provisions of Chapter 9 AA P 1 n bf i LNKO X39 VALUATION (commencing with Section 7ODD)of Division 3 of the Business and LIC p Professions Code, and my llicense is in full force and L effect CITY CLASS B-� S O zr , z V�� Lic Classes �EPT STORIES FAMI S C HECK License NumberOBE �Cb(1St Dat Clxs�n DESCRIPTION OF WORK - NEW ❑ s 1 Cifteo' e I�-I��► ADD a I am exempt under Sec _ ALTER ❑ DA AL B 8P C for this reason � REPAIR ❑ G Date USE OF OFA10L ❑ IFI BLDG IF Signature APPLPRIM we ! 'I'f0 NO .L��I _ OWNER-BUILDER DECLARATION ` 'i ..JY I hereby affirm that I am exempt from the Contractors License A —791.0 IOI n us ]�(�. i W A't.NL1.>t 100Law for the following reason (Section 7031 5, Business and - Professions Code) BUILDING , ID1, as owner of the property, or'my employees with ADDRESS - wages w their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 70", Business and Profenions Code) MOVING TEL 13 1, as owner of the property am exclusively contracting CONTRACTOR NO _ _ with licensed contractors to construct the project (Sec- ADDRESS ;S5 9 I 2 A tion 7040, Business and Professions Code) - - # • • • • • ' REIXIIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY y MUCK YARD HWY PROP u WIDTH I' 5 9 2 5 I hereby affirm that there is a construction lending agent for the performance of the work far which this permit is issued P L - 'i t ZSec 3097, C• C ) S • • • 59.255 PL Lender's Name 8 PC Fees Peimit Fee - Lender's Address ori) I certify that I hove read this application and state that the hwance Fee - ✓ r� - - above information is correct I agree to comply with all County Imeftigation Fee ordinances and State jaws relating to budding construction, Tom]Fee -z and herepresentatives of this County to enter upo th above-mentioned operty for inspection purposes RH![VOS6/Ot EXPLANATORY LANGUAGE $igrature of AppllcdKt or Agent Date mn