HomeMy Public PortalAbout6049 SULTANA AVE_Building__ IBA880A CE#008 2/80 APPLICATION FOR BUILDING PE MIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
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WILLIAM A. JENSEN SUPT OF BUILDING I CROSS ST.
DIST ICT P
FOR APPLICANT TO FILL INS NO. GROUP TYPE SED BY CONST.
BUILDING STATISTICAL CLASSIFICATION SE ER MAPoc
ADDRdY
ESS K
CLASS.NO. DWELL.UNITS
LOT NO. 2
p BLOCK MAP NUMBER HWY.STAT YES
TRACT P, USE ZONE SPECIAL r
NO.OF BLDGS, / CONDITI NS
SIZE OF LOT a• I NOW ON LOT !�
USE OF
EXISTING BLDG. J BUILDING EXIST.
TEL.�, SETBACK YARD HWY STR•ET NAME WIDTH
OWNER n N0.4LJ.- F30NT
ADDRESS SIDE
7 P.L.
ARCHITECT O TEL. 1 P.L.
ENGINEER - HO INSPECTION RECORD
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ADDRESS G r A ? D /f✓77/ -SA llit, t e. 7
DESCRIPTION OF WORK 7_S 6-ICI TQ/7,7A,? N Y 0
NADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OFi-
SIZE STORIES FAMILIES
USE OF
STRUCTURE a,;
SIGNATURE
APPLICANT
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VALUATIONS d
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION X/.)
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FEE S �j I FEE S n c� _FORMS.MATERIALS
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I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRE3RACAME:ING FIRE BOLTS -23�n�t)
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION,
AGREE TO'COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS A✓
STATE LAWS REGULATING BUILDING CONSTRUCTION.
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT. _ h /.'•�),,, �/�
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE c�
WORKMEN'S C MPEN N LAWS_QFCALIFdFtNIA. / v"' /'}i //�•v.v.�+v�
LATH,EXT.
SIGNATUREHOUSE NUMBER COR-
PERMITTE RECT AND POSTED J. C!/9 fl +./•C !/'/'/
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL ST C AL ENGINEER
PLAN CHECg VALIDATION CK., M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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