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Home My Public Portal About5635 1/2 SULTANA AVE_Building__ DSION OF UI DOGMA SAF BUILDING ' A I ®I DMSION OF BUILDING AMID SAFETY !A c om" OP un "=a VALU M J. PDX. Couw" ENa1NEme APPLICATION CABBATT D GRIFFIN. BUIPT of BUILDIIID FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY AMU'LDOR=ES / DIBTR0 PUN DS 2a gyp. .2/7I O/ L�� R IVHD BY DATE AAP�L AT71/HH D N[�T fol-ols �ofvS3 BUILDING OWNER � p � AOu"'N33 /J MAIL LOCALITY I ADDRESS NEAREST CITY 1 l"ilA TICL CROBH HT ARCHITECT TEL FIRE NO OF ZONE PLANS ' TY G ENGINEER N ADDR `� SLOGORD NO BET13ACK LINE A,-10", TEL USE APPROVED CONTRALTO ZONE BY DATE A DRESS ` NO NUMBERING LEGAL ..NUMBfa—NO ASSIGNED BY D�CRIPT1pN TRACT A CORRECTIONS / No op mL SQE of LOT NOW ON LOT USE OF NO OP fF EXISTING DESCH>PlION OFWORK y jk �J/ss a X71-0 - [UI O REPAIR DEMOLITIONr1 Ho PT = SR[ RNOOOMS BTORIEH C EZT WALL ROOF COVSRINO COVmIi I USEOFSTRUCTUR[ APPROVALS INSPECTOR S SIGMA H ATH FOUNDATION LOCATION FORMS MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS Al' FRAME FIRE STOPS PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS CORRECT FURNACE LOCATION 1 AGREE TO COMPLYLAWS WITH IN ALL COUNTY ORDINANCSS GAB V[NT DUCTS AND STAT[ LAV.7 REGULATING BUnILDINGOONSTRUCTION SIGNATURE uTM• IST PER Y/C LATH EXT ADDRESS PLAHTmL INT AUTHORIZED/A^GT f OO�OO P C S Q QO PLANTER 17[T Irk ,7 E HOUSHNUMBRCOR- R[CTANDPOSTED VALUATION FEE S FINAL )aA� DS[s DW • ,\ DIVISION Or BUILDINGDepartment of unity END sAFSfY ngineft BUILDING WM J FO COUNTY ENGINEER CATION i FO R APPLICANT TO FILL IN wonp�e s� "fes ING - ! LOCALITY , Eee �- NEAREST ITY CROSS ST EST DISTRRIICT NO PUN CE ON RED. No PERMIT NO R IV BY DATE OF APPL DAT[ ISSUED / I L. ESS b S " USE ZONE NO OF T)(p� GROUP PIRG ZONE CITY (-- TQL _o ITECT OR TEL ZONING _t_EER —� NO AFPNOYND BY—BUILDINGADDRESS SETBACK LINE: ACTOR No BNov[DIHOUSE NUMBERING EGALMAP NUMBER /� _NO_ASSIGNED BYRIPTION LOT NO BLOCK DATE CORRWTIONS INSPECTOR NO OP BLDG' IF LOT NOW ON LOT u UB8 of No OF / L D DESCRIPTION OF WORK A P Z NEW AL7M2ATIONADDITION I I I1, REPAIR DEMOLITION BO FT NO OF SIZE ROOMS STORIES ' EXT WALL ROOF COVM11N6 ICOVERING USE OF STRUCTURE IS INSPECTOR B SIIG TUR6 DAT[ FOUNDATION LOCATIO T FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 18 FRAME FIRE STOPS, CORRECT ON AND STATE THAT THE INFORMATION GIVEN IB CORRECT BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY OIIDINANCES FURNACE LOCATION. AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS SIGNATURE LATH INT 4 / PERMITTE ADDRESS vIr LATH MIT / AUTHORIZED AGT PLASTER INT $ / PLASTER EXT l� C 6 Q j8Q S HOUSE NUMBER COR- VALUATION OR- ` E RECT AND POSTED VALVA ON F� $ ✓ FINAL - w - ,- 4 74.•MOA DUS i i 52 .u c ,!• ,, ua+I uu..s a... . u..wuw .,-+., ...,. APPLICATION FOR BUILDING PERMIT • COUNTY OF LOS ANGELES BUILDING SAFETY WORKER'S COMPENSATION DECLARATION FOR AP CAM TO FILL IN BLUING ADORE hereby affirm that I have a ceridioa oorlspat to f Irene BULOwO �py'��tdioat WUIVers CSC r e cerhled � �J , 0) LOC�LRY F I� OF lD NO OF BLD0.5 NOW ON LOT ❑ Certdled copy la hereby tum NEAREST CROSS ST ❑ Certdled m e filed c bul ion TRACT BLOCK LOT NO department 115E ZONE MAP NO y Date ASSESSOR MAP BOOK PAGE PARCEL • SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS OYINER (� COMPENSATION INSURANCE WITHIN loop FT OF SCHOOL' YES NO (This secton need not be completed If the Permit a for ore hundred ADCHMSS dollars($100) or less) DISTRICT GROUP CONST FIRE 201E PROCESS€D 81' I certify that In the performance of the work for which this perrmt� Cm ZIP is Issued I ahall not employ arty Person In arty manner so as to �`� .../ ✓ become subject to the Workers Compensation Laws ARCHITECT OR ENOagER TEL NO STATISTICAL CLASSIFICATION APT CONDO Data Applicant ADDRESS CLASS NO C_ DWELL UNITS NOTICE TO APPLIC4NT If 'akar making this Certificate of REQUIREDTOTAL SETBACK FROM EXIST Exemption you 'should become subject to the Workers SET BACK YARD HWY PROP UNE WIDTH Compensation Provision of the Labor Code you must forthwith FRONT campy with such provisions or this permit shell be deemed revoked E PL LICENSED CONTRACTORS DECLARATION s� CITY LIC C P L hereby all m t t I am licensed underproalslons of Chapter g SEWER MAP I (cornmenaP. Dveon 3 i>p�arlU SO FT 918 NO OF STORIES NO OF FAMILIES Proles f mW 77 NEW ❑ BK PG a C ADD ❑PW 'tom I O Cont ALTER ❑ $ cc El am exempt under Sec REPAIR ❑ $ B&PC for ttus reason DEMOL ❑ LDMA P/C♦ W Date USE OF EXISTING BLDG URM ❑ 1 d Signature ACGTw' . z PJ'PLICAM(PMT) TEL NO LOWPerm• : ❑ 1 as owner of the property or my employees with wages w �3 1FTp.prT their sole compensation will do the work and the structure a ADDRESS W 7v not ntended or offered for sale (Section 7044 Business and FINAL DATE F Professions Code) wsL THE APRJCWT OR Fu W MULOW OCCURT HN A HXVVIDOus uATERAL 1-_l M 1 ITEMS ❑ 1 as owner of the Property am excWarvey Contracting with OR A MIXTURE GONIA AHALwpul9S WnZ IN_erg TO CRpO��En T THE FlNAL BY > T4TAL 108.` 0 licensed contractors to construct the project (Section 7044 Of ,.I� Business and Professions Code) vas❑ No❑ Oryf��ACl/K� 108.90 w'LL TIE NIEICEO of TIE 9MnUG BY TIE ARVWlT OR FURFIE BlRaeq Un J 1 �eT11�r�r - OCCUMNL REOIQE RMT FOR CONSTRUCTION OR MOpfiJTpN Fnpll TIE SOUTH � .00 CONSTRUCTION LENDING AGENCY ai AA awTry usmcT IeC/OI.pI SEE KRMrTeo clEcxusr FOR olpEUEs I hereby affirm that there Is a construoXin lending agency for mss ❑ Np w the performance of the work for which this permR Is Issued(Sec �I�9'L (�TL 1 9/27/95 m AIME READ NF IICNrypE TIE SCs PERAAR4q LA�V"./w n 3087 Cry C) G IZCKU o Daps Nm A,oEIEs ca.Nry cooE ��pp Ay Lenders Name WALE3 1 3to1 2201 TIESCM}U INZAfiWU$ 2518 1 AM11907 Awthntyt the a;Pon and erste under Perelty ' grotor ton correct I spree to comply PC FEE PERMfT FEE A O $ es and State relatig to budding e pre I of ISSUANCE FEE f 3 Q m INVESTIGATION FEE ' TOTAL FEE O sp.uin a qsr o 4 I or SEE REVERSE FOR EXPLANATORY LANGUAGE