HomeMy Public PortalAbout5515 SULTANA AVE_Building__ --Fc-wlrI- CI r Y
,..NY C[:GLLY BD APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY 6w PL 6 GI-
JOHN A LAMBIE COUNTY ENGINEER NEAREST Ti
WILLIAM JENSEN SUP T OF BUILDING CROSS ST
ED
FOR APPLICANT TO FILL IN DIST57,
NO GROUP CoNST� P ROCESS G O(.p VI BY
BUILDING STATISTICAL CLASSI FICATION SEWER MAP
ADDRESS q SK PO
CLASS NO_ -DWELL UNITS
LOT NO BLOCK MAPSTATE yE9 O
NUMBER ZOO HK
TRACT USEZONE SPECIAL '
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT h-)
USE OF
EXISTING BLDGG BUILDINGYARD HWY STREET NAME EXIST
TEL ETBACK WIDTH
OWNER NE FRONT
�^ ( P L
ADDRESS !Y!D SIDE
ARCHITECT OR I P L
ENGINEER NO INSPECTION RECORD
ADDRESS 1
TEL 0CONTRA NO
OL
ADDRESS Q
DESCRIPTION OF ORK
a
N
NEW ADD ALTER REPAIR DEMOLISH Z
SO FT NO OF NO OF -
SIZE STORIES FAMILIES
USE OF
STRUCTURE
bl NATUREOF
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR 851GNATURE
PC PMT a FOUNDATION LOCATION
FEE S FEE S FORMS MATERIALS
FRAME FIRESTOPS
I HEREBY ACKNOWLEDGE THAT 1 HAVE HEAD 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
SUILDI NO CONSTRUCTION 1 CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED 1 SHALL NOT LATH INT
EMPLOY ANY PERSON IN ANY MANNER SO AB TO BECOME SURIECT
TO THE WORKMEN S COMPENSATION LAWS OF CALIFORNIA
LATH EXT
SIGNATURE O USE UMBER COR-
PERMITTE D POSTED
ADDRE98 A -
LYDE N DIRT AM PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION m mo cASN PERNUT VALIDATION cK r o cA,,H
Liao 6 8 6 9'- JUL 1 1 6 4.00- <-
oaw- /
'DEPARTMENT OF BUILDING AND SAFFJ APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES L �s5 BUILDING
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS S 7I! 1—
LOCALITY RIVED BY DATE OF APPL. DATE ISSUED
NEAREST
CROSS 8T, 14n, UILDING .fie
ADDRESS S.� / • Q.�,
OWNER
MAIL r� � LOCALITY 7� L'
ADDRESS / '� � � � 1�. NEAREST
TEL. CROBB BT.
CITY NO. FIRE NO. OF PE GROUP
ARCHITECT OR TEL. ZONE PLANS i G�-
ENGINEER NO. BLDG. ORD. NO.
SETBACK LINE Z- f, y S
ADDRESS APPROVED
TEL. BY DATE
CONTRACTOR NO. USE APPROVED
ZONE -/ BY DATE
ADDRESS HOUSE NUMBERING
LEGAL LL
DESCRIPTION LO I'LL / BLACK MAP NUMBER ` FIELD CHECK BY
—
n
TRACT . ( ,c J / ! lI / /
NO. ASSIGNED BY oAT
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT I NOW ON LOT
USE OF NO. OF
""TING■LDG. FAMILIES
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION
O
REPAIR I DEMOLITION I I I a
BG. FT. NO. OF
SIZE 4 ROOMS STORIES -v 3 Y
EXT. WALL I COROOF /7
COVERING.USE Or STRUCTURE
y
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN 13 FORMS, MATERIALS (�� ��r( C
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS.
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS 0(J
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE OF GAB VENT, DUCTS II I
PERMITTEE 1' C
LATH, INT.
ADDRESS
LATH, EXT. 4
AUTHORIZED AGT.
PLASTER, INT.
76AC30A DOSS ID-OD i �5—� PEE S Z •i
PLASTER. EXT.
VALUATION S
FEE Z.N ' FINAL
'/i
R- (/
_ APPLICATION FOR BUILDING PERMIT
u
FOR
APPLICANT TO FILL IN (Print o type only) COUNTY OF LOS ANGEL
B
ADDRESS „OF 7LDG
DEPARTMENT OF COUNTY GINEER
cln p It f zip
BUILDING AND SA DIVISION �
SIZE OF LOT p/ / �6 NBUILDING
OWNO OF ADDRESS �JtiJ V V�-TRACI5V*1"Y Vje BLOCK LOCALITYTEL NEAREST
`
OWNER Demi, A . NO -/06 CROSSST
ADDRESSASSESSOR
'I tI'et I MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE P ESSED Y
-CITY 4 0. Jmoi, , C.- - ZIP Oa co ZONE
ARCHITECT OR TEL , Op 1
ENGINEER NO STATISTICAL CLASSIFICATION SEWER/ P
ADDRESS CLASS NO DWELL UNITS BK1 PG
CONTRACTOR W F
TEL YY4-/06/ USE ZONE �P
LIC 0
ADDRESS NO - j SPECIAL
LIC / CONDITIONS
CITY CLASS
CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REO YES ❑ NO ❑
NAME AND BRANCH BLDG SETBACK FROM
FRONT PROP LINE OF (STREET(
ADDRESS CITY TOTAL SETBACK FROM TYPE OF E%ISTING
SO FT NO OF FA OF CJI( HIGHWAY + YARD FRONT PROP LINE HIG AY WIDTH
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK - NEW ❑ + O U S T� p
ADD BLDG SETBACK FROM
SIDE PROP LINE OF (STREET) O
LTER ❑ TOTAL SETBACK FROM TYPE OF EXIST NG
o HIGHWAY + YARD SI DEPROP LINE HIGHWAY WIDTH N
LISEOF - '5/00 REPAIR ❑ Z
EXISTINGBLDG 1 N/ DEMOL ❑ +
APPLICANT Tw TEL '1e CORNERCUTOFF YES NO
INPea ir A - ❑
C NO Y V7
IN OPEN SPACE YE NO ❑
if I
BV(SIGNATURE( a IN COASTAL PERMIT ZONE / YE ❑ NO ❑
VALUATION� I VJPC
� �I HEREBY VE IS WLEDGE THAT HAVE READ THIS APPLKATEillAiTILE ABOVE IS COI&ECT AND AGREE TO COMRY Wrtll cAND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THE / )/�THEPENLABORDOTIONI SIIRAN�WORK AILITHOOZED �BATE OF CAUFOY I WIILL NOT RNAIIN RELATIOY ANY�VION E I •L//SIGNATURE OF ZSPERAAMEEADDRESS ' SfhjLo 7��7 ?N�'7 F4J� 7AAV?r.
CITY P s- jlz" N NO ANAL -J-3- , By
MAKE CHECKS PAYABLE TOF E $ FEET $HARVEYT BRANDT COUNTY ENGIO
PLAN CHECK VALIDATION CK N 0 CASH PERMIT VALIDATION c c w 0 CASH
236L' ,EP 20 1 B 109.50 "
ms 75AA38ACERB03375 / v m