HomeMy Public PortalAbout5631 SULTANA AVE_Building__ Jj TEMPLE CI'T'Y
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELESBU ILDINa
DEPARTMENT OF COUNTY ENGINEER ADDREHH
BUILDING AND SAFETY DIVISION Louun
JOHN A LAMBIE, COUNn ENGINEER NEAREST _
WI A JENSEN Bur Y or BOLDING CR0888T
DISTRICT NO OUP TYPE EDBPR Y
FOR APPLICANT TO FILL IN CONST21
BUILDING STATISTICAL CLASSIFICATION 8 MAP
ADDRESS
_ CLASS NO WELL UNITS B
LOT NO ' BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACE MAPS �H HIGHWAY
G // NO sfi�(/ ICIRCLEI STATE MAJOR SECOND OCAL
SIZE OP LOT LOT lO USEZONE SPECIAL
USE OP �I� CONDITIONS
E%IHTING BLDG 1!J(`/
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OWNER N BUILDING EXIST
S./a- SETBACK YARD HWY HTR NAME WIDTH
ADDRESS /1 FRONT
ARCHITECT OR
TEL P L [/ F
ENGINEER N HIDE
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ADDRESSTEL INSPECTION RECORD O
CONTRACTOR NO i V
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ADDRESS O
DESCRIPTION OF WORN l l PJY,u-tom z f d i l l T ,f�y4 r
NEW y/ADD ALTER REPAIR DEMOLISH 1��
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USE ONO OF
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SIGNATUREO - G �I�
APPLICANT / r
VALUATION S
APPROVALS DAT • INSPECTOR S SIGNATURE
FOUNDATION LOCATION / /f
FEE Q FEE FORMS MATERIALS !j �✓f ,u� /'
FRAME FIRESTOPB / .
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' BRACING BOLTS I
AND STATE THAT THE ABOVE I{CORR[CT ANO AGREE TO COMPLY FURNACE LOCATION L"
WITH ALL COUNTY ORDINANCES AND {TATE LAW[ REGULATING G VENT DUCTS
BUILNG
CONSTRUCTION CERTIFY THAT IN
DOING THE WORK
AUYMORIZW HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH iNT ! I
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT q _ _
ING TO WORKMEN COMPENSATION INSURANCE
LATH E%T
SIGNATUREO a Ops A (/y HOUSE NUMBER COR r I
PERMITTE �x �;7 - RECT AND POSTED I 7
ADDRE85 FINAL
CLYDE N DIRLAM F114INCIPALSTRUSZURALEN
PLAN CHECK VALIDATION no DA{N PERMIT VALIDATION O mo (
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APPLICATION FOR BUILDING PEEWIT,
COUNTY OF LOS ANGELES ABUILDING
DDRESS
DEPARTWNT OF COUNTY ENGOnMR
BUWING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
LLI M JENG N or BUILDING CROSS ST
DISNO GRD TYPE ESSED BY
FOR APPLICANT TO FILL IN CONST
BUILDING / STATISTICAL CLASSIFICATION F.WER MAP
ADDRESg (/
CLASS NO04LDWELL UNITS 2
BK //PG�
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE Li
TRACT MAP HIGHWAY
NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND OCAL
SIZE OP LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
T
OWNER NO BUILDING YARD HWY S NAME EXIST
SETBACK WIDTH
ADDRESS FRONT �ci/1
ARCHITECT OR TEL P L 7 C/
ENGINEER NO HIDE
ADDRESS
TEL u
SPECTION BECORD Q
CONTRACTOR NO 7 ��/ ����� Ed
ADDRESS S - if^"'ri�I ! / 0
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR EMOLIBH / I Z
HO FT NO OF
IZE STORI EH FAMILIES II i
USE OF
6TRUCTURE00
SIGNATURE OF
APPLICANT
VALUATION E
APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT Q FOUNDATION LOCATION
FEE 5 FEE FORMS MATERIALS
PRAME FIRESTOPS
1 HERESY ACK N OWLEDG!THAT I HAVE READ 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
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED A RE BY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OP THE LABOR CODE OF THE STATE OP CALIFORNIA RELAT
INO TO WORKMEN*COMPENSATION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER CDR-
PERMITTE REST AND POST D A
ADDRESS q' I FINAL I
CLYDE N DIRLAM PNcl wL ST R EN
PLAN CHECK VALIDATION m r o cABx PERM V ATION r o /(wx/
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