HomeMy Public PortalAbout5632 SULTANA AVE_Building__ 7aA636A CE 4003 &62APPLICATION FOR BUILDING PEWIT.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
' WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT O GROUP ITYPE
CONST ESSED
BUILDING STATISTICAL CLASSIFICATION EWER MAP
ADDRESSAja
4v CLASS NO DWELL UNITS BK
LOT NO I fBLO� N
_ WATER NOT REQUIRED RECEIVED
CERTIFICATE
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maAyy// NO ONO � (/ ICIRCLEI STATEMAJOR SECOND CASIZEOFLOT 6VNOW USE ZONE SPECIALUSE OF �� CONDITIONStip LEXISTING D TEL
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SETBACK WIDTH
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DESCRIPTION OF WOO
S.DD ALTER REPAIR NO OF Z
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URE
ATURE OFLICANTATION SAPPROVALS DATE INSPECTOR�6IONATURE
PMT /O ✓_ FOUNDATION LOCA ION
FEES J FORMS MATERIALFRAME FIRE STOPSRESY ACKNOWLEDGE THAT I HAVE READ THIS ACPLICATION BRACING BOLTTATE TN AT THE ABOVE IY CORRECT AND AGREE TO COMPLY FURNACE LOCA ONALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS.IING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK /
AUTHORIZED HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE "BOB COO IOF THE BT LIFORNIA RELAY
ING TOWORK 6 M IpATM 1 ORANGE LATH EXT
SIGN URE
NUMBER
PERM=EE OF I C HOUSE=EEAND POSTEDR
ADDRESS W E FINAL
JOHN F LEWIS PRINCIPAL ST R URAL ENGINEER
PLAN CHECK,VALIDATION cK mo CASH NBT_ PERVALIDATION CKT M o CASH
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Ll�/J2294 IWkR20— 1 D 5000"
F�....11ppkLLICATION FOR BUILDING PE MIT �.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE. COUNTY ENGINGER NEAREST
CASSATTD GRIFFIN SUPT OFB INO CROSS ST
DISTRI T N GROUiit
P TypE BED BY
FOB APPLICANT TO FILL IN coNsr EBt
ADD BUILDING l/ STATISTICAL CLASSIFICATION BER MAP
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OT NO BOCK I CLASSNO_LDWELL UNIT STATE
NUMBER HWY YES NO
TRACTsm= View USE ZONE SPECIAL
/ NO OF BLDGS CONDITION1
SIZE OF LOT NOW ON LOT ' J•(
USE OF
EXISTING BLDG resiftnce BUILDING EXIST
SETBACK YARD HWY 8TR AME WIDTH
OWNER TMAIL
`_,�_ I FRONT _
ADDRESS 5632 Sultana SIE
TEL r P L
cln No INSPECTIOIK WOF0
ARCHITECT OR TEL I `
ENGINEER / NO ` H � r
ADDRESS
CONTRACTOR NO
ADDRESS 1190i Lower Azusa Rd. pmplA ri /
DESCRIPTION OF WORN
NEW y ADD ALTER REPAIR DEMOLISH • •- �) "t
eG 12211_ NO OF I NO OF I �� S' -�".- e
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SIZE 2w 4ea STORIES FAMILIE91 i
USEOFSTRUCUR
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SIGNATURE OF w /!✓16 ) �•=f.r-'lam' y'a�(i\�r�/1 C.j
APPLICANT / /
APPROVALS DATE INSPECTOR 3SIGNATURE
ADDRESS FOUNDATION LOCATIONL
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FORMS MATERIALS / / I/ i✓A F
VALUATION $ FRAME FIRESTOPS ( ��/
BRACING BOLTS /J !'X .114
PC UG PMT D FURNACE LOCATION /// d/
FEE FEE GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. /
LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGU66TING BUI ING CqNSTRUCTION LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL
N o cweN PERM' CLYDE N DIRLAM PRINCIPAL S t:K RALO ENGINEER
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PLAN CHECK VALIDATION � PEHVALIDATION
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Lrko 6 aEe t e 2 5 bm.
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6867-, DIC27 1 D 50.00"