HomeMy Public PortalAbout5328 SULTANA AVE_Building__ 79Af]!•CE#a03 a ea APPLICATION FOR BUILDING PE IT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY B
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
U'ST�i ICT NO GROUP TYP ES
BY
FOR APPLICANT TO FILL. IN �, CONST
BUILDING ` STATISTICAL CLASSIFICATION WER MAP
ADDRESS SVK
CLASS NO DWELL UNITS
LOT NO 5 BLOCK E WATER
CERTIFICATE NOT REQUIRED ❑ RECEIVED
TRACT MAP HIGHWAY
NO OF BLDGS NO 'CIRCLE) STATE MAJOR SECOND LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS 7457 460
EXISTING BLDG c
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1 HEREBY AC K NOWLEDOE THAT I HAVE READ THIS APPLICATION BRACING BOLTS /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION E 0✓
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORN
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT An
TION OF THE LABOR CODC OP THE STATE OF CALIFORNIA RELIT
ING TO WORKMEN S COMPENSATION INSURANCE ✓ /
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEErr^^ • RECT AND POSTED
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ADDRESS "1 I:I VY' IY< FINAL '
O cK wo JOHN F LEWIS PRINCIPAL ST RU TURAL ENGINEER
PLAN CHECK VALIDATION CASH _ PERMIT VALIDATION M D CASH
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76A63SA CE 41503 6l APPLICATION FOR BUILDING? p�PERMIT
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST L.L
DISTRICT NO RO TYPE ESSHD V
FOR APPLICANT TO FILL IN CONST
BUILDING Q (� STATISTICAL CLA IFICATION ER MAP
ADDRESS S32v ` CLASS NO DWELL UNITS—] 14BKSIPG ,
LOT NO BLOCK WATER ryOT REQUIRED RECEIVED
CERTIFMAP ICATE _
TRACT Z 8 NO OF SLOGS ' NO 4EJ I l HIGHWAY
STATE MAJOR SECON LOCA
SIZE OF LOT CLI,(, (' NOW ON LOT USE ZONE SPECIAL ,
USE OF �A' ' ^ 1�• CON OITIONS
EXISTING BLDG ,�E�fifF f�
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OWNER WNO BUILDING YARD HWY TR NAME E%IST
'y • l r SETBACK WIDTH
ADDRESS J� /v �V LTk/�H- 1• FRONT
ARCHITECT OR TEL P L
ENGINEER N SIDE
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ADDRESS d
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CONTRACTORH. PLMCNO� LO V
ADDRESS OC
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DESCRIPTION OF WORK
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NEW ADD ALTER REPAIR DEMOLISH U!
-50 FT ^ NO OF , NO OF -
SIZE 6J STORIES FAMILIES'
USE OF -
STRUCTURE 4 L ,
SIGNATURE OF
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VALUATION $ Q
APPROVALS I D
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PC PMT / FOUNDATION LOCATION All(/
FEE $ FEE $ FORMS MATERIALS / /
FRAME FIRE STOPS /
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OP THE STATE OF CALIFORNIA RELAT
ING TO WORKM COMPENSATION INSURANCE LATH EXT A!-V
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE • RECT AND POSTED
ADDRESS 5/'7 riAB- FINAL ✓
JOHN F LEWIS PRINCIPAL STIRTU RAL ENGINEER
PLAN CHECK VALIDATION CK MO CASH _ PERM VALIDATIONGK NO CASH
L14C07 6 2 1 JUL 1 7 1 D 1 1 .50-