HomeMy Public PortalAbout5567 SULTANA AVE_Building__ bAB,BACEKBDDA 'APPLICATION FOR BUILDING PERMIT
I - -COUNTY OF LOS ANGELES ASSESSOR
{ DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
,SIA RE CHECAS PAI ABLE 10 ADORERS�-5
HARVEY T BRANDT. COUNTY ENGINEER LOCALIT
FOR APPLICANT TO FILL IN NEARES
CROSS ST
BUILDING DISTRICT NO GROUP TYPE EKSSE BY
ADDRESS CONST
LOT NO 9 BLOCK STA TIS TI Al- CLASSIFICATION SEWER
CLASS NO,. S DWELL UNITS BK L PG/
TRA USE ZONE I MAP
NO OF BLDGS NO b
SIZE OF LOT NOW ON LOT _2 SPECIAL
USE OF J CONDITIONS
EXISTING BLDG
TEL
OWNER NO BLDG SETBACK FROM
ADDRESS FRONT PROP LINE OF (STREET)
TYPE OF JEXISTIMGJ SETBACK HIGHWAY } YARD = TOTAL
CITY C HID AY WIDTH FROM C L
ARCHITECT R TEL }
ENGINEER NO BLDG SETBACK FROM
ADDRESS SIDEPROP LINEOF (STREET) p
TEL V# �p TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL C7
CONTRALTO NO TT �O IG AY WIDTH FROM C L
ADDRESS LIC =
� NO +
LIC
CITY L CLASS C CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVE,4SE SIDE FOR SPECIAL APPROVALS
ADDRESS
SO FT NO OF NO OFNEM, ❑
SIZE TORIES FAMILIES
USE OF ADD ❑
STRUCTURE
ALTER ❑
SIGNATURE OF �+ REPAIR❑
APPLICANT DEMOL
VALUATIONS Q
APPROVALS DATE INSPECTOR a SIGNATURE
P C PMT pp FOUNDATION LOCATION
FEE $ FEE S •E/O FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE BEAD THIS APPLICATION BRACING BOLT$
AND STATE THAT THE ABOVE 19 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 1 WILL NOT EMPLOY ANY FERE IN VIOLAT{ON OF THE LATH INT
LABOR CODE OF TI T��/1 OF CA O IIA I LATII P
WORKMEN'S COMP N TURANC LATH EXT
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL }�p��.�. �TT�
PLAN CHECK VALIDATION CN M O CASH _ (ER Y1 VALLLJA NCO. .0 CASH
LACO C 7 6 r.) M29 1 D VCII/ ".00— o