HomeMy Public PortalAbout6043 SULTANA AVE_Building__ wee E NN - 1-el u
Y 9 �Cry6C9 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING / 3
DEPARTMENT OF COUNTY ENGINEER ADDRESS 7 O ¢ S vL i A NA
BUILDING AND SAFETY DIVISION LOCALITY TE m L E CITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT or BUILDING CROSS ST. 15 A t1 :,
DISTRICT NO. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN S-- oI " y CONST 6,�, , , I ,
BUILDING ` < STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS v o 4-3 J UL- ANA BK PG
A/,,4--r f1 6u CLASS. NO. 1 DWELL. UNITS
LOT NO. of ceT' I-q BLOCK WATER NOT REQUIRED1:1RECEIVED
CERTIFICATE:
TRACT �Q MAP HIGHWAY
-- r G NO.OFBLDGS. NO. �--nO (CIRCLE) STATE MAJOR SECOND LOCAL
!! :5
SIZE OF LOT /O Jt(Q I NOW ON LOT USE.ZONE SPECIAL 1 P -3 p
7.
USE OF bbb"���---"'=== �_I CONDITIONS /
EXISTING LDG.
(� s o i-v D 4-- S LT r
OWNEF °, J BUILDING EXIST.
//(�- SETBACK YARD HWY STREET NAME WIDTH
ADDRESS (C qS FRONT
ARCHITECT OR TEL. P. L.
Zp SUL-rA /V A SL
ENGINEER NO. SIDE
P.L.
ADDRESS INSPECTION RECORD O
CONTRACTOR cr.ycr J �;
ADDRESS Cn e/ CP-�fI�� 0
DESCRIPTION OF WORK
w
a
N
NEWj/ ADD ALTER REPAIR DEMOLISH Z
. FT. NO.OF NO.OF
IZE STOR- FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ 300
APPRO ,t,I dECTIIR'S�SIGNATURE'
P.!E5
7�^ PMT. S/O FOUNDATION: LOCATION
FFEE FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, ,
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT,
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S YCO2MNS710 INSURANCE. LATH, EXT.
SIGNATUREPRMITTEE OF � � / HOUSE NUMBER
/ RECT AND POSTED
ADDRESS / J
FINAL
CLYDE N. DIRLAM, PRINCIPAL STRyjr-TURAL ENGINEER
PLAN CHECK VALIDATION
CKM.o. CASH PERMIT VALIDATION( CK. M.O. CASH
t ,q,
L,IUD
t.