HomeMy Public PortalAbout6122 SULTANA AVE_Building__ yr.rAn-Kr" VT OF BUiLDiNG AND SAFETY J%rra.+%►aaavr rvia rz"VALA
COUNTY OF LOS ANGELES
wm. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
NIII e� DISTRICT NO. PLAN CK.NO. PERMIT NO.
[ADDRESS
DDREUILDISS V
OCALITY /// RECEIVED BY DATE OF APPL.L� DATE IENUaED
NEARESTCROSS
T ./ / 0 �f/' '9,00�
WNER '�� ,�� ADDRESSMAIL
BUILDING E�
�pA s. � LOCALITY i G•
NQAREBT
CROBE BT. G
CITY NO. FIRE NO.OF TYPE SRDU''
ARCHITECT OR TEL. ZONE PLANE
ENGINEER NO.
BLDB. ORD.NO.
ADDREBB I 1 , SETBACK LINE
(y EL. APPROVED
CONTRACTOR � p'
1 4 �( Fjp•{ i BY NATE
USE !APPROVED
ADDRESS
ZONE < BY DATE
LEGAL CORRECTIONS
DESORIPTION LOT NO. BLOCK
TRACT
NO.OF SLOGS.
SIZE OF LOT NOW ON LOT
USE OF NO.OF NO.OF
EXISTING BLDG. FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
R
REPAIR MOVING DEMOLISH p
BI4.FT. No.air
SIZE ROOMS STORIES
WALL ROOF
COVERING I COVERING
USE OF NEW
BUILDI G /f
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
FORMS.MATERIAL,
AND STATE LAWS R U TINS BUILDING CONTR CTION.
d FRAME: FIRE TOPE,
SIGNATURE OF F BRACING.BOLT,
PERM ITT,
LATH, INT.
AUTHORIZED AST LATH, EXT.
76A63HA-3 2-5O $ _0 P.C.® PLATER.INT.
4_,O/�y'y���f�,�al.�Jm''_ FEE PLATER.EXT.
VALUATION R
FEE � '.--1 FINAL EI NAL
DIBUILDING w
-ADDRESS / y
APPLICATION LOCALITY
NEAREST D7 r /7
DIVISION OF BUILDING AND SAFETY caoss BT. �T t...' //�""/ C:
Del a"nwnt of plumy ]Engineer DISTRICT C. RECEIPT NO. �E CIT
CennLy of Los Angeles
WM. J. FOX, .COUNTY ENGINEER GROUP DATE RECEIVED O ATE ISSUED
CABBATT D. GRIFFIN, SUPT OF BUILDING -r(
r4 i
FOR APPLICANT TO FILL INI
TYPE c�o,1�Br. RECEIVED BY � ISSUED B
OWNER ^1x,r- 1Y. �'���/ir 1^ MAP, STATEr
MAIL // r� HWY df,EB NO
ADDREBB, ,) 1 ,�U I'
'r y�i P e0 A. NUMBER V!
/ TEL. ^� UB ZO E SPECIAL`
CITY -t�U�t�Q �i. ( , O I�fI�' l °��;i rA -Y. CONDITIONS
ARCHITECT OR r I TEL _ � 0
ENGINEER- NO.
BUILDING YARD HWY STREET NAME EXIST.
ADDRESS SETBACK WIDTH
FRONT
CONTRACTOR NO. P.L.
SIDE
ADDRESS P.L.
BUILDING A /a a /� GATE CORRECTIONS INSPECTOR
ADDRESS
//�� C Il R �-
LOT NO. ED 20 A I s"S BLOCK
TRACTNo.or GLOB
SIZE OF LOT 0 Inw ZS,� I NOW ON LOTS I
UBE OF �.
(STING
DESCRIPTION OF WORE p
0
NEW ADD ALTER REPAIR DEMOLISH) Z
NC.OF NO.OF D
SIZE f STORIES FAMILIES r
USE OF STRUCTURE
NO.OF —�
EMPLOYEES
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IB APPROVALS INBPECTOR'B SIGNATURE DATE
CORRECT.
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS
i, � rV ! A�iI FRAME: FIRE BOLTS— SIGNATURE OF BRACING.BOLTS
PERMITTEE t, /1 ,�
ADDRESS - X �^" — FURNACE: LOCATION,
DAB VENT,DUCTS
LATH, INT.
AUTHORIZED AMT.
LATH, EXT.
S ) D /firms P•O•S HOUSE NUMBER COR-
// (/ ��� REE RECT AND PORTED
VALUATION o FINAL i
FEE
76A63BA DBB 3 4-64
•SA838A D138.3 8.88 &/2—
APPLICATION FOR BUIL® NCP MIT 1
DIVISION OF BUILDING AND SAFETY ADDRESS fYG g• , .51vL X11UA
Department Of County Engineer ADDRE /p /m�
County of LOS Angeles LOCALITY �yry aB�C R_ �+L�•r
WM.J.FOX,COUNTY ENGINEER NEAREST /1.��� r♦l+�L
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DIST CT 'GROUP ROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN ;, �` I I a SSS
CONST.
ADD EBUILISS /. Ylf�a l/.�lytl�GC�4f•�fti��i/�!J NUMA ER STATE Y NO
LOT NO. �%LS WNf BLOCK USE ZONE - SPECIAL
CONDITIONS
y 5 -%p i p J=.LOT /IFZf
TRACT ole 6�Q�y/ P .2$1 °J, S Cb-b
SIZE OF LOTe—v X`Op S!J NOW ON NO.CVFBLOTLDGS BUILDING WIDTH
YARD HWY STREET NAME E DT
SETBACKS.
ETBACK H
USE OF
Le� ,•�e� F L
=STING BLDG. .GC�.C�e,iaGl�, �, .eeer�. FRONT
OWNER �P. �.s C� v SIDE
_ P.L.
MAIL
ADDRESS O TRACT-DWELL. I N INDUSTRIAL
TEL. 1� D1IVELL7
CITY NO. `' 6 PUB>SIC sBLDG.
ARCHITECT OR TEL 2 'DUPLEX' ` yi IT
A 7 ADDN., LT.. ETC. I�
ENGINEER. NO. 3 APT. _1yyUNITS ,A
// ' 8 MIS EL.
.ADDRESS 4 COM RCI
fife CTION AECO '
CONTRACTOR //��,`` t �� NO. �iS/ • g
_ADDRES823dVALWI-_
DESCRIPTIO OF WORK —k-, '
NEW k ADD ALTER REPAIR DEMOLISH riv
SO.FT. SNO
T OF NO.OF v�
yk
SIZE / STORIES FAMILIES
USEA STRA URE nn
Q4�
-
SIGNATURE OR a
APPLICANT f. i�. r" / .
APPROVALS
ADDRESS CSS•L�.!!/�Z,EG4r a! va a�/i/lyJ DATE INSPECTOR'S SIGNATURE
FOUNIO :LOCATION
$ T /D,2012 P.C. S. p0 FORMS,Mi4 ERIALS
^� /QOO ,.__ FEE FRAME: FIRE STOPS,
�J ea S p•C BRACING,BOLTS
VALUATION /I 2OG "� -
FEE � FURNACE:LOCATION.
I HEREBY/CKNOWLEDGS THAT 1 HAVE READ THI8 GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT.
-AND STATE LAWS REGULATING BUILDING CONSTRUC-.
TION. LATH.EXT.
SJGNATURE OF ' /� HOUSE NUMBER COR-
PERMITTE?E ����,, RECT AND POSTED
ADDRESS °"v "I 'tel FINAL
WM.J.FOX,COUNTY ENGINEER VALIDATION C.N.DIRLAM.CHIEF BLDG. INSPECTOR
L;jCo 5'0 5 7 APR 13 1 6 3.0 0 ••�
7GA698AC�;#809B'C APPLICATION FOR BUILDIN PERrM, 1T u
COiTNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSAUP•T OF BUILDING CROSS ST.
DISI N G TYPE. F BY
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL SSIFICATION SEWERR SAP
ADDRESS BK/- PG�� 1
CLASS NO. DWELL UNITS fes'
� L
LOT NO. �`" 6 � $ BLOCK USE ZONE MAP
NO. J
TRACT SPECIAL
/w N0. OP SLOGS. CONDITIONS `
SIZE OF LOT r a 7t- NOW ON LOT
USE O
Ell'T'N 'F -1-T BLDG. SETBACK FROM
TE . FRONT PROP. LINE OF (STREET)
OWNER e I L�-J NO.L -7-3-1 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS a P)P HIGXWAY IDT 'P OM C.L.
CITY BLDG. SETBACK FROM
ARCHITECT OR I I TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK I HIGHWAY -F YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. C
TEL. + - O
CONTRACTOR NO1 V
LIC CORNER CUTOFF YES NO 0
ADDNO RESS LI
CITY C A - SEE REVERSE SIDE FOR SPECIAL APPROVALS V
DESCRIPTION OF WORK----
NEW X ADD A ALTER REPAIR DEMOLISH r
SQ.FT. . NO. OF NO. OF
SIZE. STORIES FAMILIES
USE OF �� f� 1 //f P• ) >.�,F .�:• &t` �. /�i/• :' - e
STRUCTURE •'�G�/ ' Y ' 7/7
rf �
SIGNATURE OF dt1��cy� IO�FO b!Jz>al�!rg }►:7 OI:WIJ���%
APPLICANT _
VALUATION$ 3 C Q--O If
APPROVALS gATEA INSP CTOf('SSIGNATLRF,
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ fir/ v FORMS, MATERIALS
FRAME, FIRE STOPS, ♦ "
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION V8 - vi.�•�•:-
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT..DUCTS
9UILDINO CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK �p
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 COMPENSATION INSURANCE.
EXT.
SIGNATURE OF 7.. P ,. HOUSE NUMBER COR-,
PE4tMITTEE r' IRECT AND POSTED*\ _ R
ADDRESS �. FINAL
JOHN F. LEWIS. PRIN61PA6 STRUCTURAL ENGINFEER
PLAN CHECK VALIDATION - CK. M.O. CASH _' PERMIT VALIDATION CK. M.O. CASH
LFtGO 5 1�9 6 c;. MAR 5 1 0 1 5 v 0" �'
i
APPLICATION FOR BUILDING PERMIT
' COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION I FOR APPLICANT TO FILL IN BUILDING ADDRESS
BUILDING ADDRESS
I hereby affirm that I have a Compensation
of consent t0 self insure, .!_ J L I L G
or a certificate of Workers'Compensation Insurance,or a certified G
copythe �Sec.3600,Lab.C.) qITY IP
POI cy _Company U�--aW C.Z'7` DG.N (} LOIL
Fes, SIZE OF LOT NO.OF BUDGS.NOW ON LOT ITY
❑ Certified co NEAREST CROSS ST
py is hereby furnished.
Certified copy is filed with the county building Inspect• n TRACT BLOCK LOT NO.
USEZONE MAP NO.
department.
� ,
Date J� Applicant +� / r��3 P SOAK PAGE PARCEL
I� SPECIAL CONDITIONS
CERTIFICATECOMPENSATION INSURANCEORKERS' APDOWNER
ER.gs /�Et�LC TEL NO. WITHIN 7000 FT OF SCHOOL?.. YES No
(This section need not be completed if the permit is for one hundred �s DISTRICT GROUP I.TYPE CONST." FIRE ZONEPROC D BY
dollarsthat or less.) ITY ZIP V t DYI certify that in the performance of the work for which this permit ,(��/`7PL�' ��
Is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO.
t -3 _vT
become subject to the Workers'Compensation Laws. I STATISTICAL gWSIFICATION APi C NDO
Date Applicant ADDRESS CLASS NO.-, N DWELL UNITS
NOTICE TO APPLICANT. If, after making this. Certificate of I REQUIRED TOTAL SETBACK FROM EXIST
Exemption, CO ACTOR TEL.NO.
p you ShOUId become subject t0 the Workers' `!Q3�y��U SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code,you must forthwith P7 VY e
ADDRESS LIC.NO. FRONT
comply with such provisions or this permit shall be deemed revoked. �7
2d �C FST 3��.2 PL
LICENSED CONTRACTORS DECLARATION CITY LI CLASS SIDE C
1 hereby affirm that I am licensed under provisions of Chapter 9 ® SEWER MAP v
SQ.FT.SIZE NO.OF STORES NO.OF FAMILIES
(commencing with Section 7000)of Division 3 of the Business and NEW ❑ BK PG �
Professions Code,and my license is in full force and effect.
DESCRIPTION OF WORK VALUATION
License.Numbery�.�ay2Lio.Class � � ADD ❑
Contracto�a�� Date Yi—` ALTER $ �� CO)
jr ❑
❑ I am exempt under Sec. �I REPAIR1
B.BP.C.for this reason DEMOL ❑
Date: USE OF EXISTI BLDG. URM ❑ =DMA #
i Ste'!
Signature PPLICANT(PRINT) TEL NO. LDMA Perm q 1
❑ I, as owner of the property, or my employees with wages as Z
their sole compensation,will do the work and the structure is A DRESS O ACCT.v'
e4
not intended or offered for sate (Section 7044, Business and C l,/dFi�• .• _0 z' FINAL OA Q
Professions Code.) C 00 3307 1 o �
ORYWIA MIXTURECANTO NI G REBUILDING OCCUPANTL EQUAL
TO OR OUS
THAN
. —1
❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO TI GREATER THAN' a
Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B ITEMS
1+7
licensed contractors to construct the project.(Section 7044, YES❑ NO
Business and Professions Code.) TOTAL �-5 1 m 95 r
WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING
OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH C
CONSTRUCTION LENDING.AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST CHECK 1510 95
FOR GUIDELINES.
I hereby affirm that there Is a construction lending agency for YES❑ NO;6 CHANGE p DO
the performance Of the work for which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD
3097,CIV.C.). PERMrMNG CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES
CAZU'n,ODE,TRLE CHAPTER220SE NS220.100THROUGH2 I4000NCERNING 0000--0001 I`�/g1�
Lender's Name HAZA OUS ERI 3C.
N D ROBTAINING A PERMIT FROM THE SCAOMD.- 4 .G
Lenders Address �� 1 Qua
-421 I certify that I have read this application and state that the above
information is correct. I agree to comply with all county C.FEE PERMIT FEE 1,eQ
ordinances and State laws relating to building construction,and I J
hereby authorize representatives this County to enter upon ISSUANCE FEE
=abor- ne ppe y f Inspection purposes. 13. 00
x.23 d INVESTIGATION FEE TOTAL FEE
ggna0„adMPO�.aAOenl Dtls
f SEE REVERSE FOR EXPLANATORY LANGUAGE