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HomeMy Public PortalAbout5564 SULTANA AVE_Building__ 76AeneA cl=aeon a-ee APPLICATION FOR BUIL/PER COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 5564. Sultana Ave BUILDING AND SAFETY DIMION ILocAUTY T®ple City Calif. JOHN A LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JERKINS, sur r or BUILDING CROSS ST Broadwy & Las Tunas DISTRICT NO . GROUP TYPE. ESSEO BY FOR APPLICANT 0 FILL IN mm Co N3T PnM or onV .0 U I'O BUILDING ISTATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO DWELL UNITS BK Z- PG/Z LOT NO lot 18 BLOCK USE ZONE OP DD TRACT SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT NOW ON LOT ' RNEWXADD BLDG Residence BLDG SETBACK FROM ` TEL FRONT OP LINE OF f (STREET) Pica NO TYPE OF IND SETBACK HIGHWAY } YARD = TOTAL Same HIOHWA WI FROM C L } _ j�ii 5�.. BLDG SETBACK FROM R"OR Adams Eng No` 73-22I0 SIDE PROP LINEOF -(STREET) TYPE OF EXISTING SETBACK HIGHWAY YARD - TOTAL C 0 Anthony Pools, Inc• HIGHWAY WIDTH FROM C L TOR Anthony ,TOE L285-3163 LI O4O H=t:Ln t _ CORNER CUTOFF YES ❑ NO LT V San Gabriel CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a z NEWADD ALTER REPAIR DEMOLISH 50 FT NO OF NO OF SIZE 719 STORIES FAMI USE STRUOCTUREIBX411 Swim Pools STANDARD5-08- SIGNATURE ' APPLICANT VALUATION 3876.$0 APPROVALS ATE Ixe Tony E Tae[ P C PMT FOUNDATION LOCATION FEE S 8.33 FEE 5 2 FORMS MATERIALS FRAME FIRE STOPS I HEeceY-ACKNOWLEDO[ THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND ETAT[,THAT THE ABOVE IS CORRECT AND AGN[[ TO COMPLY FURNACE LOCATION WITH ALL COUNTY OOOINANCKS AND STAT[ LAWS REGULATING GAS VENT DUCTS BUILDING CONSTNWOF IFY THAT IN DOI TN[ WORK AUTHORIZLD HEREEMPLOY ANY IN OLA LATH INT TION OF THE LAE [ ST OP F RNI kLATIND TO WORKMEN R C LATH EXT SIGNATURE F UMBER COR- PERMITTE REC AND POSTED ADDRESS FINAL Q� D / JOHNTT�Fp�L�TE.PWISPRRIIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CN M O GSH _ PERMIT VALIDATION CK M O CASH pr_ 6 3 8 OR X1'9 2 1 0 833— Q " - I p(`r 6 3 8 JP, nuc 19 1 0 2 7.7 5 ms,7ewexA I •, n IFq�iai wiv e77el l+'j APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS Q.A7 CKJ Al BUILDING " ADDRESS IY LOCALITY // NEAREST CITY L ZIP D CRO55 SIT NO OF DGS ESSOR SIZEOFrLLO�T -5 /L / Ors" NOWONLLOT MAP BOOK PAGE PARCEL TRACT.J(/NH I//C BLOCK LOT NO DISTRICT GROUP CON TYPE FIRES ROLE BV OWNER e'/V t Ce it�dd y6-So3/ 3 og X ,3 yogF(J/ ADDRESS IJ L T//I'V!�_ �/Jve STATISTICAL CLASSIFICATION WEIR MAP CLASS NO DWELL UNITS BK CITY m LP ZIP_ /J O ARCHITECT OR /f/ c� f TE NO 6SCJ,3 VALUATION $ Z, fj O v ADDRESS (/G /Y BL SETBACK FROM , TEL FRONT PROP LINEOF ISTREETI CONTRACTOR NO TOTAL SETBACK FROM TVPE OF EXISTING LIC HIGHWAY + YARD = FRONT PROP LINE, HIGHWAY WIDTH ADDRESS NO LIC + _ CITY CLASS CONSTRUCTION LENDER/7 d ,/,� �,[ BLDG SETBACK FROM NAME AND BRANCH (J ��7 ✓e,V aro b(// SIDE PROP LINE Of (STREET) /,�� HIGHWAY + YARD = TOTAL SET BACX FROM EXISTING ADDRESS 0 G(/ q•c CITY SIDE PROP OM TVPE OF LINE HIGHWAY WIDTH SO Fig-/ NO OF NO OF CHKK + SIZE / �0 STORIES FAMILIES ONE _ DESCRIPTION OF WORK NEW PC Fee m $ Perit Fee d •lx,s O �,�0 ADD 8(o A�O Issuance Fee ,n?a.tL� ALTER. usg� REPAIR Total Fee USEOF DEMOL EXISTING BLDG d -E� A _ 's G C APP PR `� ✓ �// TEL �6.So.3/ 8 9 3 3`, ;?7064A BY(SIGNATURE) 7� ' ` # 23 1 HEREBY ACKNOWLEDGE THAT KNAVE READ THIS APPLICATION AND SLATEVE1 ES AND IAWSAREGI.NSI GBVE BU DING CONSTRIX:iIONAI CERTIFY iHAiRR� AND AGREE TO COPLY WITH ALLINR DOINGNODINAIHE S 2'- • 8 b 4 0 THAT THEWORK AUTHORIZED HEREBY WILL NOT EMFLOY ANY PERSON IN VIO ATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN SCOM �• • • °b40U IS PEATION INSURANCE SIGNATURE OF I/ 1 0 0 4-7 9 PERMITTEE ;?7 0 b 5 A ADDRESS = 17� 0 # •�• • • • � CITY m _L Q / NOL (J�/ Q rFINAL ONE MAP 2 2 2 3 0 0 SPCIAL D D > • - 2 .t 0 0 v CONDITIONS 9 BY I DM" ` °r `OUNTYEffamon BUILDINGDIVISION OF BUII.DIIiG AND SAFEiY mum OF Lob mmm WILLIAM .I FOX. COUNTY ZIGINEmt APPLICATION CADBA7T D ONIFFIN. SU T of BUIMIM FOR AMICANS TO FM IN FOR OFFICE USE ONLY ADDRES �� DIYTRI N� PLnN CK ORR= No Pmt NO SS IVSD BY DATEOFAPPL DATE ISSUED LOCALITY NEAREST 1-A--• a — — N J CROSS BUILD ADDRESS Yb4`MAIL 1p OWNOt `` . ADDRESS i LOCALITY NEAREST CI TEL CROSS ST _ ARCXITECTOR TEL FIRE NO OF' TY OROUP^'7-- ENGINEER N ZONE PLANS �L BLDG T� L� ORD NO ADDRESS SETBACK LINE TEL USE OVED CONTRACT ZON BY • DATE DRESS ODUSSILNUUM�JBERING .�� LEGAL MAPNUMBER /'� Y'� O ASSIGNED BY DESCRIPTION LOT NO BLOCK O � � COHSECTIONS /1`-? NO OF BLDY 817E OF LOT NOW ON LOT S' USE OF NO OF KxISTINQBLpQ DESOMPMN OF W D - A HW ADD 7 REPAIR DEMOLITION r 80 PT NO OP / SIZE S� ROOMS STORIES B77 WALL ROOF COVERING COVERING USS OF UCTUR `— OVAJA INSPECT SSIGNATURE DATE FOUNDATION LOCATION .th TO .S FORME MATERIALS 1 HEREBY ACIWOWL®OE THAT 1 RAVE READ THIS AP- FRAME VIRE STOPS PLICATION AND STATE THAT THU INFORMATION GIVEN 18 BRACING BOLTS CORRECT 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS 81GMATUR[LW LATH INT PERM / LATH ®Tr ADD 17,d. PLASTER. INT AUTHORIZED AGT PLASTER 87T FEE S HOUSE NUMBER COR- �7RECT AND POSTED VALUATION FEES 11 FINAL )EAOOA 131111118 S-eE WORKERS COMPENSATION DECLARATION m hereby affirm that I have r certComeeof rsortomInsutran e,, APPLICATION FOR BUIL ING PERMIT insure, or a certificate of Workers Com or a certified copy here�o/f/(/Sec 3800, Lab ) Polls �e^Compony / 7/p COUNTY OF LOS ANGELES BUIL ING AND SAFETY Certified copy Is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS d Certified copy Is filed with the county building inWec BUILDING �/- n ton department ADDRESS U� //�/V•7 LOCALITY NEARE Dote Applicant CITY77L-mar- C` ZIP o s„� CROSS ST u'�< CERTIFICATE ASSESSOR COMPENSSAATION INSURANCEPTION FROM KERS SIZE OF LOT KNOW ONO OFBLLO Z MAP BOOR PAGE PARCEL (This section need not be completed if the permit Is for one USE ZONE va/ i hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO Ct7 OWNER NO - � ". SPECIAL )• I certify that In the performance of the work for which this CONDITIONS d permit Is Issued I shall riot employ any person In any manner - - ISTRICT GROUP TYPE FIRE PROCESSED BY O was to become subject to the Workers Compensation Laws ADDRESS _ 0 12 CONST Z E V 7% tY Date Applicant _ CITY 45 ZIP / STATISTICAL CLASSIFICATION APT ONDO 0 NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR •-4, TEL Il_/ V Exemption you should\become subject to the Workers' ENGINEER •r�ilMJO 576-7 CLASS NO DWELL UNITS_ d Compensation provisions of the Labor Code, you must forth ADDRESS W ST SEWER MAP - w with comply with such provisions or this permit shall be TEL / ? deemed revoked CONTRACTOR < < VALIDATION LICENSED CONTRACTORS DECLARATIONLICO I hereby offmn that I am licensed under provisions of Chapter 9 ADDRESS NVALUATION (mmmenong with Section 7000)of Division 3 of the Business and Professions Code, LICCLASS and my license Is In full force and effect CITY\ — S SQ FT NO - NO OF CHECK ► License Number. Lic CI SIZE Q STORIES FAMRIES ONE Contractor Dote DESCRIPTION OF WORK /CCN NEW ❑ "� ' I am exempt under Sec tew'p� O ADD B 8P C for this reason . L i/M ♦-4 ALTER "❑ FDIANAL 7_Z(? rJ2 REPAIR TBS v t'J T Date USE EXISTING BLDG DEMO! ❑ FINAL Signature APPLICANT TEL BY t OWNER-BUILDER DECLARATION INT x•12 No /6 I hereby affirm that I am exempt from the Contactor n License Law for the following reason (Section 7031 5, Business and ADDRESS " Profesuons Code) ❑ I, as owner of the property, or my employees with BUILDING wages as their sole compensation,will do the work and the structure Is not Intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL , j, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS , tion 7044, Business and Professions Code) I CONSTRUCTION TENDING AGENCY REQUIRED YARD HW1' TOTAL SETBACK FROM EXIST - I hereby offirm that there is a construction lending agency for FFRRONT PROP LI WIDTH F 1 72 5 A the performance of the work for which this permit is issued P L loop (Sec 3097, Civ C ) SIDE iT • • • •1. 1 m Lender's Noma [ • 3 .', 1 Jr O B Lender's Address ` PC Fee S Permit Fee •• • .}.. I J O 6 I certify that I hove read this application and state that the Issuance Fee O O 5 04 —S 'J above inforrnation Is correct I agree to comply with all County Inveaigatlon Fee ordinances and State jaws relating to building construction, Toro.Fee and hereby authorize regralleDilativel of this County to enter V t ve-mer or inspection purposes 7 w eFV9i!FOR EXPLANATORY LANGUAGE _ Sgmium o Applicant or Agent aN