HomeMy Public PortalAbout5134 SULTANA AVE_Building__ 78A638A CER¢D3 S S3 APPLICATION FOR BUILDINGS P RMIT
COUNTY OF LOS ANGELES BUILDING/
DEPARTMENT OF COUNTY ENGIIQEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OR BUILDING CROSS ST
OISTR CT t{OGR UP TYPE -SED BY
FOR APPLICANT TO FELL IN CD% CONST
BUILDING (� STATISTICAL CLASSIFICATION SEWER MAP
�f f
ADOR E93 J� n CLASS NO DWELL UNITS �� BK G
LOT NO (� /� 4 C CK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT MAPHIGHWAv
NO OF BLDGS NO ICIRCLEI STATE MAJOR qvrnNn
OCA
SIZE OF LOT 042197NOW ON LOT USE ZONE SPECIAL
USE OF /'� CONDITIONS
EXISTING BLDG • J}L�
TEL
OWNER NO BUILDING EXIST
�
//��L�� SETBACK YARD HWY ST NAME WIDTH
ADDRESS Vn" FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L
ADDRESS
Tj
C
CONTRACTOR N ✓ U
ADDRESS �
6Ja r
DESCRIPTION OF WORK sY
NEW D ALTER E IR SO FTESIZE $TORIES
USE OF \
STRUCTURE p
/1..'. C�
I /
SIGNATURE OF O
APPLICANT
VALUATIONS (GQ {�Y
APPROVALS DATE INSPECTOR 6eloHA u
O FOUNDATION LOCATION
FEE S �� FEES FORMS MATERIALS
FRAME FIRE STOPS
1 HER tRY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS fn
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS R¢OULATINO GAS VENT DUCTS V C
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT 1
TION OF THE LASOR CODE OF THE STATE OF CALIFORNIA RELAT
INO TO WORKMEN S COIEPEATION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
wooREss FINAL
PRINQIPAL
PLAN CHECK VALIDATION CK NO CASH JOHN F LEWIS ST URAL ENGINEER
PERMIT VALIDATION CK NO CASH
LAC,05822Z MV 12 1 0 18.50 a
;y -
- t
3 � ,/�
APPLICATION FOR lc �D ° � � Il
�. BUILDING PERMIT
FOR APPLICANT TO FILL IN ADDRESS /
BUILDING �/
ADDRESS / Yom. LOCALITY O Y v Q � Q
NEAREST
CITYZIP CROSS ST C MIP
NO OF BLDGS ASSESSOR �jQO
SIZE OF LOT NOW ON LOT MAP BOOK JPAGE PARCEL
DISTRICT GROUP I TYPE ' �+ FIRE P ED BY
TRACT BLOCK OT NO CONS; / ZONE
TEL UO �V
OWNER NO
STATISTICAL CLASSIFICATION SEWER P
ADDRESS S� S .e CLASS NgpL�DWELL UNITS BK PG
CITY / ZIP U ZONE P /
ARCH( OR TELA E SPEGAL
ENGINEER NO CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑
El
CONTRACTOR r Y L O BL SETBACK FROM -
LIC F TPROP LINE OF (STREET(
ADDRESSho/ NO TOTALSETBACKFROM TYPE OF EXISTING
CITY CCJ�.� HI WAY + YARD FRONT PROP LINE HIGH WAV WIDTH
ASIS 6J Z
CalK'TION LEN R + i
NAME AND BRANCH kVe5$-,p e BLDG SETBACK FRO OV
ADDRESS CITY SIDE PROP LINE OF (STREET) Q
50 FT NO OF / NO U CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIZE STORIES / FAMILIES ONE SIDE PROP LINE WAY WIDTH d
+ Z
DESCRIPTION OF WORK NEW
L S ADD CORNER CUTOFF YES ❑ NO ❑
4 ALTER IN OPEN SPACE VES ❑ NO ❑
USE OF T REPAIR IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG Re DEMOL /y
APPLICANT TEL
IPRINTI IYO NO
BY(SIGNATURE) / '
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE / / )
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORN AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIO ATICN Of l' 1 2.
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RDATIFIG TO WORKMEN S COM
PENSADON INSURANCE
/,J/'
SIGNATURE OF �� FINAL f/!
PERMITTEE `iLJ/�./�/1IIVVV A�� Q DATE /
ADDRESS
TEL 914 PC Fees Permit Fee
CITY NO 1
Issuance Fee
VALUATION$ $9I D, Q
Total Fee
PLAN CHECK VALIDATION CK Aso c"H PERMIT VALIDATION K o c'"H
I
7 9 APR 18 q D g_-,Q707A-Ca
mR 7"imeczfe onl