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HomeMy Public PortalAbout5637 SULTANA AVE_Building__ 6 L-1 Z_ ^DIVISION OF BUILDING AND SAFETY 7 -ryey �,qq. Department of County Engineer OBJ t 1952 t _'- D 1_.Y G---- --=—� I� County of Los Angeles P1 „ WM J FOX, COUNTY ENGINEER APPL-KATION•------ FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ! 1 BUILDING DiBTR1OTN0.4 P"N CK RIC No ��[RMIT,NO i ADORES, yy//f����- _ RED D BVI DAT[OF APPL DAT[ISSUED 1 IOCITY LBT / -��-• //-/ `S i BUILDING 1 T ADDRESS OWNER / S MAIL LOCALITY r 4 ADDRESStLL NEAREST r ✓ T�C�L.r«� S' ITY Q G N6 FIREf ANO OF TYPE GROUP , ARCHITECT OR -rc6 ZONE f rPLAMB _ _ ENGINEER NO. r B1 ORD No SETBCTU ACK LIN[ ADDRESS US[ APPROVED 7 CONTRACTOR T13- ZoNchrl I BY HOUSE NUMBERING DAT[ i ADDRESS MAP NU MB[R�q_0MO NO ASSIGNED BY DERCRIPTION LOT N0. 3 ■LOOK 1 �/ CTIONS r TRAOTSLL 1'I ki N I W SLOGL BIZ[ OF LOT NOW ON LOT USEor NO EXISTING BLDG F.,'.r. DESCRIPTION OF WORK v� 0 otif �d ' B O NEW � ACTUATION ADDITION ^ _ IO o0� Ooiv� Taw/( r REPAIR DEMOLITION OR.FT N0.W t T SIZE Q 8 ROOMS STORIES ExT WALL ROOF L COV[MNG WLL OOVERING v/\ V Si NSC UBE OF BTRUCTUR[ 5 G. tid , le�rr- INSPECTION MR ROVALS OCCUPANCY AS INBPECTO BIGNATURE DATE FOUNDATIONS LOCATION FORMS, MATUTALB 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-' v / PLICATION AND STAT[ THAT THE INFORMATION GIVEN IB FRAM[ FIREBTOPB, CORRECT I BRACING,SOLTB 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES`` FURNACE LOCATION, -i•Z AND STATE LAWS REGULATING BUILDING CONSTRUCTION 1 GAB VENT DUCTS /Z� BIBNATURE '�'o'oI OJJ/J , LATH, INT PERMITTEE urN. ExT � S wDDa 'T�1� i �I PLASTER, INT AUTHORIZED AOT >P P O • PLASTER, [KT 14 FEE ��i II HOUSE NUMBER COR- RECT AND POSTED FE[ VALUATION / OO 3J 'e FINAL 7"b3 D85 1-59 `� S U ' L ® I N G - ADDRESS /V h 1, APPLICATION d LOCALITY 'r G, DIVISION OF BUILDING AND SAFETY CROSSNEAREST / w NEARE HT �/ Department of County Engineer DISTRICT RECEIPT NO PERMIT NO County of Los Angeles y O WM J FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASSATT D GRIFFIN,_SUPT or BUILOM0 i FOR APPLICANT TO FILL IN TYPE CONST RECEIVED BY IBBUED BY OWNER 0_5A A y MAP � 0` MAIL � `/ r� O ADDREBB S� �d [,(�/ Ja. NUMBER O HWYE UHE ZONE SPECIAL TEL CONDITIONS CI TEL /I �13 ARCHITECT DR TEL 'N/ ENGINEER NO 1 BUILDING YARD HWY STREET NAME EXIST " SETBACK WIDTH ADDREBB FRONT CONTRACTOR �Q-{�h p TEL F NO ADDRESS DATE CORRECTIONS INSPECTOR BUILDING ADDRCBB LOT NO BLOCK TRACT .SUiVAIk v/F_ W a 3 V ^ a D NO OF BLTS / SIZE OF LOT �l < NOW ON LOOT J r LIGE OF F%IRTING BLDG i S DESCRIPTION OF ORS °a Ile, o NEW ADD ALTER REPAIR DEMOLISH BO FT O NO OF NO OF �� r SIZE STORIES FAMILIES UBE OF STRUCTURE Tl'Y O D w I— a NO OF EMPLOYEES 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IB APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS,MATERIALS FRAME FI B, SIGNATURE OR ,BCLTS PERMITEF FURNACE LOCATION, ADDRESS. �� T ti// TIX DAB VENT,DUCTS / CCC^^^ LATH, INT AUTHORIZED AST _ LATH, EXT $ Q f� .7L HOUSE NUMBER COR- 7 sa O( EE /IC RECT AND PORTED VALUATION A FEE R L FINAL 76A638A D6 3 0b 5.5A T WORKERS COMPENSATION DECLARATION hereby affirm that I have-acertificate of do nInt to ,elf APPLICATION _FOR_ BUILDING �P ERMI,T insure,e ora certificate of Workers Compensation Insurance .;_...� a or a certified copy thereof (Sec 3800' Lab C � fR n' ``r t - 2 w . r' '^ - .� +COUNTY OF LOS ANGELES n.r `-'•,- BUILDING AND SAFETY 1046140' Stateun`d ti tti T PO I, No - Company r - ' s - .,T . r _ BUILDING. ❑ CertifLad copy is hereby°farni'shed FOR APPLICANT'TO'FILL IN }T ' ADDRESS © Certified copy Is fdad'wnh the county building mspec`by_ ¢ BuuDINGy Yr , t > )_• ' ' _ ,�, q t�,}•�} .f _ _, _ ,,•- - a r -r + + ,« than deportment L t` ADDRESSP rT tans ��- ` ! • - x �- �T . 11-1-,90 -" 'Randol' Roofing S CITY 'L ,TeMPle City,*Ca:- zip 91780 , i L n ' Data ' ' Applicant ' LOCALIM E I r -� �- �I CERTIFICATE OF EXEMPTION FROM WORKERS' 'S rte' + `�,- NOW ONI NO OF LLOTS' "' - 1 NEAREST, 'b 4" , - • ^� ; ' - _s SIZE OF LOT. ' COMPENSATION INSURANCES a� ., (This section need'notrbe completed if the permit'is'foF one TRACT' `+I BLOCK LOT NO - --�, ASSESSOR, , ` ' ' MAP BOOK" ' s' ' - PAGE PARCEL x - hundred dollars (E100)'or less )•�' t -Ap1 r � ` X11 t p �, ' '• I- C , - e OWNER Glenn Alga _ ._ T,, 19-242,-264 USE ZONE' MAP I e certify that m the performance,of the work for which thu ` 19025 Chole Road ^ u 1 SPECIAL CONDITIONS ,. 1 permit is issued, I,sholl not employ cm rson in an manner), _ _ d P Y YrPe Y ADDRESS r - s CONDITIONS n� f so as to betaine sublect,to the Workers' Compensation Laws ' T ' > pleValley, Ca.y ' 92307 ,,O 2 Roofing CIN „ApZIP, yd Date v ApplicantARCHITECT OR ” TEL > - n ! NOTICE TO APPLICANT If, after•moking,this Certificate of, ENGINEER ` j _ ttp„ DISTRICT GRLOUP TYPE FIRE ,r I>ROC'FI BYe _, O-..a, I -Exemption you should become subject t the Workers' L-� �y , !/ �CO E _ '{,�"` + w•,r` Compensation provisions of the Labor Code,you must forth ADORE55' with,comply with ,such provlsians,or„thisupermit shall be - TEL � ,. ' deemed revoked - CONTRACTOR t NO - ' ' STATISTICAL Q}�A7SSIFIICATION d - _ APT CONDO„ ! Z. ,ae LICENSED,CONTRACTORS DECLARATION- ' ' LI ~CLASS NO DWELL UNITS_ t ~hereby affirm l am licensed under provisi6ns of•Chapter9 ADDRESS 529 E. Valley B1Vd N551937 (commencing with Section 7000)of Division 3 of the Business San Gabriel, Ca. LIC SEWER MAA , n� 1 and Professions Code,and my license is m full face and affect ,'` CIN + C1A55 C-39 BK PG VALIDATION rl 451937'�t C-39 F j , No of - - No of CHECK _ p ,Liceree'NumI5er Lic ;Class `r' SIZE •b STORIES FAMILIES ONE ' , , - ComrfoctoF Randol• Roof ln; ieR1-31-92, rA pESCRIPfIONOF WORK 'NEWE VALUAnON. , ,• ,e p E]l om'exempt under`Sec-` �' ,r+ house With Genstar f ibbr- '�"' Q $624�.00.' -+,• B$P C for this reason las shingles. Class -A. Roof- -ALTER EJ ' -�> '-" - ► ' Date - c < USE OF - . - REPAIR ® SS EXISTING BLDG SFD _ 'DEMOL 0 w • • n, t - „Signature- APPLICANT TEL r r OWNER-BUILDER DECLARATION .` (PRINT)-,Randol RoofingNO'288-4040 FINAL DATE bhereby,offirm that I am exempt from the Contractor's License r.._ 1'.529 E. Valley Blvd.. S.G.,.91-77,61 Law for the f611owing reason (Section 7031 5, Business and ADDRESS 4 FIA Professions Code) _ ' + ❑ 4 , .. NT. _ e _ BY'�. + _ F" sa 1 -1 BUILDING I, as ownerPsof the property, or my'empoyees with ADDRESS F �• �� • wages as tfiev sole compensation,will do the work and ,o - LOCALITY '' 3307-- 7044,-B 307-- the siructureii's not intended or offered for sale(Section ' „ 7044,-Business and Professions Code )^ -- - '� -+-. MOVING, _ TEL _ ►_ '� '' -1- ITEM s.�.r ❑ I as owne,riof the property am exclusively contracting CONTRACTOR�, .NO R I - r - t ` " -r e f' ,with licensedyconiracfors to construct the project (Sec- ADDRESS; ` " -' ✓ �' - 'x''` t TuTAL- � ' tion 7Gj-0,•Business and Professions'Code ) _ - X43 7C ' °`tea 4 ' - _- _ REQUIRED- , ,TOTAL SETBACK FROM.- IST ' CONSTRUCTION LENDING AGENCY SET BAS YARD FPNY PROP LINE WID f _ - ' '.'^ ` r�HE�Y 111. _ ' a I hereby offirm'thatdh6re is a c6nstruction lending agency for° , FRONT + . CK4ff3E +• a t ' :cl(1 't t the performance°6fiihe work for which this , ermit ts'issued P L " (Sec t r ^• - Y - b - + - - I, i tt - - , SIDE ' Lender's Name"1' }P L h 3/ r/90 Pe 11 Fe� V`-"^Cl> LD Ref M s - 9307 4 1 AMID I i`1T 'Lender s Address5'''b' P C`Fee E ', , r L.. ,b 7 certify that I,hove`ead this application and state that the , nce Fee - L)MA P/C R _ above information is correct I agree to comply with all County Inve,t,gation Fee ordinances d'Stotellaws relating to budding`construction and h y nom' s ntatrva of this Count o en - r, Y - upo the e.��(/rL6rlfi pro or inspect r o a '' y`Ey `�' • 0 •SEE REVERSE FOR EXPLANATORY ,GU n Signature of ApplicaN or Agent e _ #t VE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY • WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BU I ING ADDRESS IS6 37 76 `� N I hereby afhrmdre h.t I have a certificate of consent to self Insu , e� A or a certificate of Workers Compansatgn Insurance Or a certifletl 3 7 'Q Av ' copy the p ) ''' .���nn cfry - ZIP r "A Poll No Company 1[.(l�//� 77//V1/ I LOCAurY ,.(�.y SIZE OF LOT NO OF SLOGS NOV:ON LOT iJ' .rthfletl Copy Is hereby furnished ' NEAREST CROSS ST f ` ❑,Cert)/ped copy is filed with the county,build,ng' Inspection TRACT BLOCK LOT NO department of USE ZONE MAP NO ASSESSOR MAP BOOK ` P E PARCEL t i Date Applicant I y SPECIAL CONDITIONS , CERTIFICATE OF EXEMP N FROM,WORKERS COMPENSATION INSURANCE �gY(N�R Alice 6- TEL No 1/ -THIN 1000 FT of scHooL+ vas rpo (This section need not be completed if the permit G for one hundred Am ESS > i JC'Ft /�� •.OP-/✓ <` DISTRICT GROUP TY CONST FIRE ZONE PROCESSED BY ddlars'($100)'or less) , { I 33,5-433 7- a ) certify that m the pertormance of the work for which this permit C�y,� ZIP Is Issued I shall not employ any person in and mCap anner so as to become subject to the Workers Cornpensation Laws ARCHITECT OR ENGINEER TEL NO STATISTICAL CLASSIFICATIONAPT CONDO • Date Applicant '- ADDRESS CLASS NO pG DNELL UNITS • NOTICE TO APPLICANT If after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exempton yOu should bacomew subject to the Workers CONTRACTOR SET BACK YARD -HNY PROP LINE `WIDTH �Campensaton provisions of the Labor Code you must forthwith r Q (/ �/p comply with such provisions or this permit shall be deemed revoked - FRONT SS LIC NO P L LICENSED CONTRACTORS DECLARATION =e - —gDE— Lid C PL I hereby affirm that,I am licensed underprovisons of Chapter 9 SEy RMAP } (commencing with Sectori 7000)of Division 3 of the Business and 1Qr IZElj_ NO OF STORIES _ NO OF FA ESQ - d - - Professions Code and-my liceyns-e�As In full force and effect , / I NEW E] BK PG - U License Num r / , L,C Class es R �/� RK �L DD ❑ VALUAA ON )r , Contract Dete Jami' L I$ �+ 0 / ALTER ❑ ❑ I am examunder Sec / REPAIR U •BSPC for this reason A DEMOL ❑ LOnw PIC 0 , - W CL EXI NG BL URM ❑ W 1 to Signature (7L�I �` APPLICANT,(PRAFT) .TEL No LDMA Perm� Ai.�T,a. • 2 ❑ I as owner of the -party or my employees with wages as' Z their sole compensation will do the work and the structure rs •ADDRESS SSD? 105.71 not intended Or Offered for sale (Sectiorl 7044 Business and FINAL DATEa Professions Code) ' /Z 7 3` 7 1 ITEM- , VALL THE APRICAM OR FUTURE BULGNG OCGUMNT HANDIF A HAZARDOUS MATERIAL ❑ I as Owner Of the property am e%Glusvely contracting with OR A MIXTURE CONUINNG A H BOO'IIS MATERIAL EQUAL TO OF GREATER THAN THE a /�� �'"y ('� n9 AH-LNIS s CRIED CN THE HAZAROCUS WTERMLS I FORMAT GUIDE? FINAL BY 5 TOTAL 10-5 _ .3.J licensed contractors to construct the project (Section 7044 YES El �❑ -• /XLL �� Business and Professions Code) _ __ (}� L '{ WLL THE wTENDEO USE OF THE SUIDI BY THE APPLICAI.T Q9 FUTURE BULnING CT1Lf`f ! , OCGURWT RECUPRE A PEROT FOR CCNSTRUGTgN OR MODFICATION FROM THE SOUTH, • CONSTRUCTION LENDING AGENCY COAST AUR-uAUTY u GEMENT DISTRICT Is D)SEE PERMnnro C Ec UST FOR (�(jE GumuiYEs , I hereby affirm that there Is a construction lending agency for YES❑ uo❑ the performance of the work for which this permit Is issued(SecTTING HAVEREAD ,'R, _�('�� {'� m THE 3097 CN C) v CHECKUSTT I UNDERSTAND MY REIXAPEMENTS U R THE 05 ANGELESCOSCAOMUNTY I]QL1LI—N01 la/ 21 7 TITLE 2 CHAPTER 110 SECICm 2 20 ICO THROUGH 110 IA-COACERNW INZARDOCS _ - LCilfler 9 Name AMTERLLLB REPORIINO AND FOR CHTAW2K A PERMIT FROM THE S MO �°J45 ~ i AM CI c`- a Lenders Address 1 11'I / 0 omcF1 cR Aoery*+ I _ ILcerhfy that I have read this application and state under penally r 0f perjury that the above Information Is =met I agree to comply PC FEE PERMIT FEE R with all county ordinances and State laws relating to building constrU ron and her by authDnze r presentaWes of M6 County ISSUANCE FEE / • .LO to en r ion the ab mentioned perty for Inspection purposes (/ 7 -m INVESTIGATION FEE TOTAL FEE /D D SEE REVERSE FOR EXPLANATORY LANGUAGE