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
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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