HomeMy Public PortalAbout5469 SULTANA AVE_Building__ ,
76A694A CE0003 96APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY Temple Cit
„c JOHN A LA MBI E, COUNTY ENGINEER NEAREST
�1 COLEMAN W JENKINS, SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DlsrRaa� No GRO corP+E s BY
(Pont ort S oFl ._ i
BUILDING STATISTICAL CLAS IFICA TI ON SEWER MAP
ADDRESS 5469 North Sultana CLASS NO DWELL UNITS_ B
LOT NO BLOCK USE ZONE MAP
/
NO
TRACT SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG Dwelling BLDG SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
OWNER NO TYPE OF EXISTING1 SETBACKHIGHWAY } YARD = TOTAL
ADDRESS HI WAY WIDTH FROM C L
CITY Temple Cit }
ARCHITECT OR TEL BLDG L
SIDE PRROPOP LINEOF (STREET)
ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY RD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L T
CONTRACTORV In Roo NOL 287-0507 }
LIC
ADDRESS Gabriel 1 NO 06 0 CORNER CUTOFF YES ❑ NO ❑ C
clry San Gabriel LASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS U.
CONSTRUCTION LENDER a
NAME AND BRANCH F
ADDRESS
SO FT NO OF NO OF NEW ❑
SIZE STORIES 1 FAMILIES _
USE OF ADD ❑
STRUCTURE
ALTER ❑
SIGNATURE OF REPAIR®
APPLICANT DEMOL ❑
VALUATION S 491.00 APPROVALS DATE INSPECTOR S SIGNATURE
P C, PMT FOUNDATION LOCATION
FEE S FEE 5 9 00 FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PER30N IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSAT IG INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL S U
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK N O CASH • - PERMIT VALIDATION 0
M O CASH
1378% AL611 1 D 9.00~
..N..Aar.m.o APPLICATION FOR BUILDING PERMIT �.
COUNTY OF LOS ANGELES BUILDIey
NG s�
DEPARTMENT OF COUNTY ENGINEER ADDREBB
BUWING AND SAFETY DIVL9ION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN •T or Bu LDINa 8S
DISTRICT' GR P'. TypE ROCESS Y
FOR APPLICANT TO FILL IN CONST
BUILDING
CAL CLASSIFICATION SEWER
ERP
ADDRESS SLi i. O BPO
LOT NO BLOCK MAP STATE
NUMBER HWY YES NO
TT+AcT NUMBER
SPECIAL
NO OF BLDGS 1/`J + CONDITIONS
SIZE OF LOT U O NOW ON LOT
USEOF l�6 rGN2
BUILDING YARD HWY STREET NAME EXIST
SETBACK WIDTH
OWNER L L FRONT
MAIL P L
ADDRESS R SIDE
TEL P L
CITY NO INSPECTION RECOHD
ARCHITECT OR TEL
ENGINEER NO
ADDRESS
CONTRACTO G 1- TO !7'=912—�fkiv
- / DESCHEMON OF WORE
NEW VZ)D ALTER REPAIR DEMOLISH
8 ZE 7 6 O STORIES FAMIOLIES
USE OF STRUCTURE
io✓L
SIGNATORAPPROVALS
APPLI
DATE INSPECTOR 9 SIGNATURE
ADDRESS FOUNDATION LOCATION
s `f FORMS MATERIALS _
/ ME FIRESTOPS
FEE s I S FB ACING BOLTS
VALUATION $, O — FURNACE LOCATION
plim GAB VENT DUCTS h59
1 HEREBY ACKNOWLEDG THAT I HAVE READ THIS AP LATH INT -s'
PLICATION AND STATE THA THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCE NO LATH.EXT -
STATE LAWS TING BUI ING CO _
SIGNATURE H BE NUMBER COR-
PERM CT AND POSTED 17-CPS -9
-7
woo E FINAL / "C PS -
CLYDEN DIRLAM PRINCIPAL STRU URAL ENGI NEER
V T[ lc cM o GaN PEE=VALIDATION v o CASH
_M, 235 SM FEB 1023A 15.00A
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