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HomeMy Public PortalAbout5609 SULTANA AVE_Building__ IIXTtl D A I NT OF BUILDING AND SAFETY/ APPLICATION FOR PERMIT 'COUNTY OF LOS ANGELES BUILDING WMI. J. FOX. OHI[F [NOINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO PLAN OK NO PERMIT NO ADDRESS 1 /1 .(J fI /1 �t .C�n . � ./.�lL LOCALITY / R[CKIIV SY DATE Or APPL DAT[ ISSUED NEAREST CROSS BT J BUILDING .2 !� OWNER ///„X/n , /� /�Z. / /'//lam. �N;AJ ADOR[SS V / MAILLOOALITY A1 sy I r CITY �'!♦J i'../ �N �DI NOL CROSS BT F. FIR[ NO Or TYPE GROUP ARCHITECT OR V : TEL XON[ I PLANS ENGINEER NO BLDG ORD NO. ADD BLTBACK LIN[ APPROVED CONTRACTOR Ih (IC�I/lic�.l.,tiA NOL BV DATE l rJ US[ APPROVED ADDRESS V ZONif/ BY I DAT[ LEGALa CORRECTION DESCRIPTION I LOT NO 3 BLOCK % TRACT .nnM�x+A l� a XE Or LOT /4V �t d"AyU♦I NOW ON LOT UBE orE%IBTIMG BLDG. 4� / I NO Of / I NO O► fwHlLl[s RODMB DESCRIPTION OF WORK NEW ALTERATION ADDITION 1 O a REPAIR MOVING DEMOLISH O_ BO rT NO 0► SIZE ROOMS BTORIEB WALL ( ROOF COVERING COV IND USE Or NEW l I BUILDING _ 1 APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT FOUNDATION LOCATION,FORM% MATERIALS ��{{ INSP[�T?R DA AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES / AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION FRANC FIR[ STOPS. SIGNATURE OF BRACING. BOLTS OWNER ♦J1}� 1 LATH. INT. AUTHORIZED AOT •� �^ ^/ ���"/-��VI LATH. [XTi I N P C p PLASTER. INT / Al76/ B D f[[ PLASTER. EXT iii S B VALUATION FINAL r[c / ozw 11"s"*sj= I APPLICATION FOR PERMIT 9 DEPARTMENT OF BUILDING AND SAFETY �������� 1 COUNTY OF LOS ANGELES WM J FOX. CHIEF ENGINEER NO OF BLDG ` ORD NO DISTRICT NO PLAN CK NO POMIT NO. P INE b- 7 610 FIRE APPROYED ZONE BY DATE RECEVED BY DATE OF APPL ''II DATE ISSUEDI' USK APPROVED 0 - 3- Y - 3 - V- ZONE BY DATE APPLICANT FI L IN HEAVILY OUTLINED PORTION ONLY - BUILDING p NAME ADDRESS 2 2 L- R 1O5 c jFF� Z ADDRESS LOCALITY LIC CI = KAREST Nwp M CITY CROP ST I LICENSE NO TEL NAME �y H. H I L E 1f t✓ EMAIL - L A NAME ADDRws O TM ADDRESS CITY NO CT' '\ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE iS CORRECT STATE TEL AND AGRKB TO COMPLY WITH ALL COUNTY ORDINANCES LICENSEE NO NO AND STATE LAWS REGULATING BUILDING CONSTRUCTION _ ZLQT NO O O SIZE OF LOT1'7VO SIGNATURE OF " OWNER O . NO. OR BLDG° AUTHORIZED AOT D - BLOCK NOW ON LOT O E Yl TRACT 3 u N NY Rc-T M5 13-IA CORRECTIONS ° USK OF BLDGE / NOW ON LOT /yam 1 .�✓.��__, DESCRIPTION OF WORK BUILDING i J ' n I ' ' • " 'v t 0 0 z s r NEW TYPE GROUP NO OF NO OF ALTERATION ROD" FAMILIES ADDITION SDu REPAIR STORIES MOVING WALL COVERING STucco DEMOLISH V IN compo . s P C ° FINAL APPR AL' FSE i � /INSPKG70R' VALUA-n 200 OO F� 2N�5 — 'I,NAM6 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT- \ COUNTY OF LOS ANGELES BUILDING 2T TTT Y171�T� WM J. FOX. CHIEF ENGINEER B lJ ILDI1�I NO OF � BLDG ORD NO DISTRICT PLAN CK NO PERMIT NO PLANS SETBACK LIN[ ,n{ v/7` FIRE APPROVED (/ /g ?If ZONE `- BY DATE ED `( DA OF PL DA ISS D USE APPROVED �A 1 `// //` N 7V APPLICANT FILL IN HEAVILY OUTL RTION ONLY [ BUILDING Og NAME ADDRESS GB Z ADDREBS LOCALITY /, Z Z NEAREST K y CITY CROSS BY / LICESTATE NSE NO NAME E HAMS Z MAIL O ; ADDRESS G S ADDRESS OCITY pL T O L G CITY 1 HEREBY ACKNOWLE [ THAT 1 HAVE READ THIS U APPLICATION AND STATE AT TX6 ABOVE IS CORRECT STA TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 1 NO AND STATE LAWS REGULATING BUILDING CONSTRUCTION ZO Ice / SIGNATURE OP _ J F NO OP SLDGS _ p C BLOCK NOW ON LOT AUTHORRED AGT � [ cc� CIlORRECTIONS /� O OF SLOGS NOW /!v I'4"`GC //ii,�o�9i� i�.� NO / - DESCRIPTION OF WORK USE OF 1 BUILDING L �✓-3-T H `�l � e o � o NEW TYPE GROUP NO OF 2 NO OF �\ - ALTBRATION- ROOMS PAMI IES ADDITION SIZE l REPAIR STORIES MOVING WALL COVERING .CO OEM H ROOF COVERING Co M/p IF B FEE FINAL APPRO AL �j✓ S �'7 j� E' INSPECTOR'S V VALUATION VIM OA NAME I ' DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMT COUNTY OF LOS ANGELES BUILDING p 9 ' 9L®I 1►f WM J FOX, CHIEF ENGINEER ®UJ N V FOR APPLICANT TO FRS IN FOR OFFICE USE ONLY BUILDING DISTRICT No PLANCK NO U (;ERMIT O ADDRESS 0 �' V LOCALITY 1W=IVHD BY - D APPL DATE ISSUXD NHAREBT l !V CROBB BT BUILDING �/ ADDREBB U �+ Y L I Ni A OWNER / �,/ MAIL C LOCALITY ADDRESS NEAREST THL CRO88 ST �a 7,./ CITY NOTHL FIRM NO OF O TYPE ♦/ GROUP ARCHI CT OR ZONE PLANE � Y ENGINEER NO BLDG `' U @ 1 1 /�O NQ S ETBACK LINE / LP ADDRESS APPROVED .� TEL BY DATE CONTRACTOR NO U86 APPROVED ZONE I BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO 1 BLOCK �— MAP NUMBER FIELD CHECK BY TRACT W N N N WV NO ASSIGNED BY DAT eOG! N NO OF SIZE OF LOT " O�yW�ON LOGS CORRECTIONS Mow 1 (f f 7- No OP EXISTING BLDG FAYILIEE DESCRIPTION OF WORK L v NEW ALTERATION I ADDITION ✓ O • LP �NJtY iNSb /0� �� �N AaO�H� 1✓OT yCTOON,E REPAIR DEMOLITION 8Q FT NO OF. kr O SIZE 7aT� / ROOMS STORIES I Z WALL C � > COVER NG �1 71/C E V IROOFCOVERING ` dd%IIQ r U8H OF STRUCTURE APPROV INSPECTO e1GNATURE DATE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP• FOUNDATION LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS MATERIALS CORRECT I AGREE TO COMPLY WITH THE CORRECTIONS LISTS. FRAME FIRESTOPS, A HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS LAWS REGULATING BU FDING CON TRUCTION FURNACE LOCATION, SIGNATURE OF GAS VENT, DUCTS PERMITTER.-/. ADDRESS_�J o-ok //!, LATH. INT n` LATH, EXT AUTHORIZED AGT PLASTER, INT 7"w" P810 Io-COS /� P C 4 r ® [/O� FEE PLASTER, EXT VALUATION FEB C-1) FINAL �M..�A✓ �r S+--i o[a'-a aea Erre 2-u - l 'L. -DEPARTMENT OF BUILDING AIPITSAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES g !J I L D I N 6 WM. J. FOX. OHIEr ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING q DISTRICT NO PLAN CK NO PERMIT NO. ADDRESS .(,. 12 LOCALITY RECEIVED BY DATE Or APPL DATE ISSUED NEARESTr CROSS ST. J ♦ �_ 1-1 �" BUILDING OWNER ADDRESS MAIL LOCALITY AGGRESS NEATRES CITY NO .��` 6ROBB BT rIREO O► _TYPE - GROUP IT ARCHECT O TEL ZONE PLANS - ENGIN[LR NO BLDG ORD. NG. ADDRESS SETBACK LINE TEL APPROVED CONTRACTOR NO BY DATE MR APPROVED ADDRESS ZONE/ BY DATE LEGAL.DESCRIPTION LOT NO 3 I BLOCK CORRECTIONS TRAOr NO r BLDOB SIZE Or LOT/a U 06 NOW ON LOT USE Or NO Or ND Or s EXI INC B rAM1Utl ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH B s a rr./, XA�,O No or ROOMS STORIES WALL ROor COVERING COVERING USE or N BUILDING 0^7' APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS INBPLOTOR DATE APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION PRAMEI rIRE BTOPIL SIGNATURE Of BRACING. BOLTS OWNER // LATH. INT AUTHORIZED AGT _� /I,J�M/I�µ�J LATH. EXT I ` P C B PLASTER, INT 1) �/ Vv/VLI r([ � PLASTER. D(T VALUATION e.0 T v FINAL Ll' _ __ _____ _ oo �P WORKERS'COMPENSATION DECLARATION ' I hereby Daum that I have r certificate of tionconsentra ce APPLICATION FOR BUILDING PERMIT insure, or a certificate of Worker, Compensation Insurance or a certified copy thereof (Sec 3900 Lob C ) /n'� n COUNTY OF l05 ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING, tTD ADDRESS ElCertified copy to filed with the county building mapsc BUILDING `� non department ADDRESS yc Dote Applicant w cTYTFMPLZ ciTY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROMWolzwtst� NO OF BLDGS y NEAREST COMPENSATION INSURANCE OF LOT F0 i� NOW ON LOT CROSS ST - hundred dollar, ($100)is section need not Boer Iesscompleted if the permit Is for one BLOCX LOT NO ASSESSORMAPJEK - PAGE PARCEL I certify that in the performance of the work for which this OWF1Dt3U ��/ I NO 1417- Z44Z, permit is issued, I shall not employ any person in any manner R PRIAL w w to became subject to the Workers'Compenwhon Lows ADDRESS CONDITIONS CITY ZIP 41246 Dote Applicant � NOTICE TO APPLICANT If, after making this Certificate of ARGIITECrr5L NO _ 2,2 DISTRICT v TYPE FIRE Y O Exemption, you should become subject to the Waken' ENGIINUR CONST , / ZONE 1- Compensation proviuch of the Labor Cods, you must lane ADDRESS S IMMAM WKS A �4 y 3i with comply with such provisions or Mrs permit shall be deemed revoked tTEL _ r STATISTICAL CLASSIFICATION APT NDO fn CONTRACraa [ _ Z LICENSED CONTRACTORS DECLARATION CLASS NO DWELL UNITS r I hereby affmm that I am licensed under provivom of Chapter 9 ADDRESS (commenanp with Section 7000)of Drwsron 3 of the Businen and _ SEWER MAP _ Professions Code, and my license is in full force and effect pry �� % - - VALIDATION SQ FT//ZOO NO OP / NO OF CHECK BK PG License Number. ' Lic CI rfZZ-- SIZE STORIES { FANI / ONE �n��y/G NEW VALUATION Contractor pate )30 DESCRIPTION OF WORK ,Do $ 1 am exempt under Sec U A' , Pilo — ALTER B AP C for this reason �. 1 REPAIR ��tosp EXI TING BLDG 1MNr IA 1— 01 Signature ' APPLICANT TEL FINAL5— OWNERI LDER DECLARATION PRINT _NO DA r I hereby affirm that I g r exempt from the Contractors ss n d ADDRESS ,$9 5 6 3 A Low for the following reason (Semon 7031 S, Business and J Professions Code) ^ I INGs e 0 e j 1, as owner of the property, or my employees with ADDRESS in&zzdj� _ # , wages as their sole compensation,wdl do the work and I e e 6 Q'5 O the structure is not intended or offered for sale(Section LOCALITY 70W, Business and Professions Code) I ' MOVING TEL, e e e b a 5 0 3 I, as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractor,to construct the project (Sec- S09&88 h 41 on 70 , Business and Professions Code) ADDRESS CONSTRUCTION LENDING AGENCYI YARD FRVYTOTAL PROP LINE WIDTH I hereby off um that there is a construction lending agency for FRONT , the performance of the work for which this permit is issued P L (Sec 3047 Civ C ) SIDE Lender's Nams-MIGll MOV,MOV, OF 2wf Ip7DFYLQ PL Od IDMA Ref • lender s Addre••A3a E AMFDA�L A GA44101-4 PC Fee' Permn F« - 1 I terrify that have read this application and state that the Issuance Ess IDMA P/C R, . =�. pop above information is correct I agree to comply with oil County Inveeniarwn Fee ordinances and State lows relating to building construction Total F« IDMA Perm Yeti`-' ,\ `a and hereby a thorue representatives of this County to enter `1 upon the a-menho r try for Inspection purposes - w FOR tuPLANATORY LALe00A01 Q s ssJ /49 L agrranx.of I, ;: em - Date - p1 � c "/ m