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Home My Public Portal About6149 SULTANA AVE_Building__ 76A639A CE#9082-69 APPLICATION•FOR, BU I LD.I N.G.:,PERM IT- COUNTY OF LOS 'ANGELES ' BUJL.DING . DEPARTMENT OF COUNTY 'ENGINEER- ` ADDRESS BUILDING AND SAFETY DIVISION i_OCALIr-Y JOHN A. LAMBIE. COUNTY ENGINEER j NEAREST / WILLIAM A.JENSEN!SUPT OF•BUILDING CROSS ST.' DISTRINO G TYPE., P E BY FOR APPLICANT'TO FML IN . C� CONST. fBUILDING STATISTICAL CLA SIFICATION' SEWER MAP DRESS ultana K' CLASS. NO. DWELL.UNITS• � �• . NO. BLOCK a WATER NOT REQUIRED RECEIVED CERTIFICATE: CT• .5-904' :' MAPHIGHWAY NO OF BLDGS. NO. '(CIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT, g �j NOW ON LOT USE ZONE SPECIAL a� USE OFT1 CONDITIONS aJ EXISTING BLDG.DVIelll and GaSa e TEL OWNER a a. o �. NO: —4' UILDING EXIST.'.• SETBACK .YARD HWY STREET NAME WIDTH ' ADDRESS FRONT ARCH ITECT O TEL P. L. ' ' l./ .VQv ENGINEER NO:. SPIDE .ADDRESS ��J/ /• I 'n `i \ f 1 CONTRACTOR �f ' TEL. lYt� C7,�TGM�1!O t��L' I �.� 1,�"Itr ��I>•jbY; O NO, ��.�! /' ADDRESS In L�fs:4rtf /=�^ L'+"fd7 i 'Uis O I.. DESCRIPTION. OF WORK "� "� ,, > id NEW XADD ALTER REPAIR "DEMOLISH ;i� r��- ,4 e,-. L�- SQ.FT. NO.OF NO.OF - s7b�r6` (.iC i�;uia v-;yL z' "�•� •. SIZE FAMILIES f �;' ter• USE OF ` STRUCTURE a �tiI• i r? I>;J ': y v1.�3�I / kttc Cheda'r�,Crye .Cr: :} ;,,�' 2�' :i�)tL• .. 22fl�i�r� •�`1''I{,�s••t SIGNATURE APPLICANT PPLICAN VALUATION � {_.#1151W i^'•'s'Yr! 1'` JITURE-- APPROVALS DATE INS EO PMT. FOUNDATION: LOCATIONP.C. FEE $ FORMS.* FEE � �� I FRAME: FIRE.STOPS', I HEREBY ACKNOWLEDGE THAT 1,HAVE READ THIS APPLICATION 4BRACING. BOLTS t AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:-LOCATION,. WITH ALL.COUNTY ORDINANCES AND 'STATE LAWS'REGULATING IGAS'VENT. DUCTS- e ,/ BUILDING CONSTRUCTION. I CERTIFY THAT-IN DOING.THE WORK . . .. •AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN.VIOLA- LATH.-IN T:• TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LAT �, • H.EXT: ' SIGNATURE OF. y' HOUSE NUMBER CO - PERMITTEE RECT AND POSTE ADDRESS INAL ' _ JOHNeP.•'LEW1S. PRINCIPAL.ST URAL ENGINEER' DATION CK. M.D. s PERMIT VALICK. M.O.•. CASH PLAN CHECK'VALIDATIOk L&8-7'9:1.� -AUG 12.2 3''D -• 0 SEP.13 ' :.1 :D 7.,$::fl•: � . )6A688A CE0803 6-63 APPL.ICA,'I®•N F®.R BUILDING PERMIT. COUNTY OF LOS ANGELES BUILDING //// �f% �� / � DEPARTMENT OF COUNTY_ ENGINEER ADDRESS " •7 �Y74 BUILDING AND SAFETY DIVISION LOCALITY -7 JOHN A. LAMBIE. COUNTY ENGINEER NEAREST r r WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP .TYPE• �= .. P GESSED.BY FOR APPLICANT TO FILL IN s—,O_ T_ CONST. V C,44 E1, BUILDING' �' , STATISTICAL'CLASSIFICATION SEWER MAP ADDRESS Z-- .DWELL " �K CLASS.NO.--' / - _DW.ELL:.UNItTS��/ 6 S LOT NO. BLOCK WATER NOT REQUIRED a RECEIVED El CERTIFICATE: C� TRACT MAP " HIGHWAY G NO.OF ILDGS. NO. Z B O3 (CIRCLE) STATE MAJOR SECO ,LOCAL SIZE OF LOT o,w ✓j NOW ON LOT USE ZONE SPECIAL } p USE OF CONDITIONS 3' / 3 EXISTING BLDG. / OWNER TE,_0417 j�� BUILDING EXIST. /� NO., 77 ADDRESS . s I�LlA-- FRONTSETBACK YARD' HW`? STREET NAME /WIDTH , ARCHITEC OR TEL P•-.L• �'O � / .�J •� ENGINEER IP NO. SIDE P. L. •' ADDRESS � �'. � , CONTRACTOR'' NO.TEL. C'/J�i`• ADDRESS / 'ICti�i .0` ?4C I�Cs7�j ®L DESCRIPTION OF WORK �% '# 4 Z O, �. /s' �3 , 1 J; . !c�e r�-'•:'?j��f* �.fl d'.`fwd': �f��E� �?`.�'r�i_ _:aim t�.�j`J�,i'•! W NEW J ADD ALTER REPAIR DEMOLISH 6 gr• .�ir '6D �N SQ.FT. O.QQpp. AID.OF v Q /'h ,trys'iv` Z. SIZEQ$fES FAINILIES USE OF G�L�� / ./� �l;tvc�/2,�, 9d.vls ';c[ '!�✓�. .°. STRUCTURE r a/�� - i!� .i'if�3 L• bi.d" +a�3 rw'.rr t1f SIGNATURE OF / It nl�e'°.�-•L�``i :%".laJ� ;ti"1r::,:iy'+I �z APPLICANT . �3 1'`t+: `�/ ��Y�.i!/L'�C.r+Y.Rsif%/"• 1�.%)!�_, l'!ri•''/ '.d`?.dt VALUATION $ �{J/(/� i �� APPROVALS RDATE INSPECTORA SIGNAT-416 P.C. PMT. B-p FOUNDATION: LOCATIONI ++�� FEE $ •�� 61 FEE $ c7 9• FORMS, MATERIALS �;'• it .'R" •.� ,,,rp> r,•_ „ �;. 'FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS' 'o !�EP -a? •r'f✓fiJ{ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY. FURNACE: LOCATION. f�•..I�°f ,�• �" ?•13°y" WITH ALL COUNTY ORDINANCES'AND STATE •LAWS REGULATING GAS VENT, DUCTS + BUILDING CONSTRUCTION, I CERTIFY THAT IN 'DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA-• LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT -ING TO WORKMEN'S MPENSATION IN ORANGE. LATH. EXT. y SIGNATURE OF HOUSE NUMBER COR- _ PERMITTEE RECT AND POSTED 1 ► ADDRESS FINAL JOHN F. LEWIS, RINLIPAL ST RAL. GE✓NGINEER PLAN CHECK VALIDATION CK. CAs , . PERMIT VALIDATIO cK. M.o. cases - APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUIL ING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified L �C% copy thereof(Sec.3800,Lab.C.) - 1- ZIP � Pi J ? LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. I NEAREST CROSS 11Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER t/ R® TEL NO. COMPENSATION INSURANCE C. 64 I WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADD SS �� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit CITY ZIPTEL 7 9 0 I,0 is issued, I shall not employ any person in any manner so as to / 5 J become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. r STATISTICAL CLASSIFICATION APT CONDO Date 3 --).6-3 yApplicant J 1164- .1.... ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CO TRACTOR TELT. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 5 ' FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC. PL -40 gZ LICENSED CONTRACTORS DECLARATION r S"��Z SIDE CIS UC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 / G`Z (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZ NO.OF STO NO.OF FAMILIES SEWER MAP Professions Code,and my license is in full force and effect. NEW ❑ BK'VA PG ® } 13- License Number 2 4 1 Lic.Class C-Z 7 DESCR ON OF ADD ❑ VALUATION O Contractor%J I ng c e. Date �� Z G �'- 4 ALTER ❑ � U U U � ❑ I am exempt under Sec. REPAIR ❑ $ Q B.BP.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ 11 Signature APPLICANT(PR/ T) TEL NO. LDMA Perm# ,r '�:� ,R.45 z ❑ I, as owner of theproperty, or m employees with wages as ) I " �G w 0� f1r, 7 f 4f le Z Y9 their sole compensation, will do the work and the structure is ADDRESS 0 not intended or offered for sale (Section 7044, Business and d4 1519 e6�6 n9 0-.),-/, e. FINAL DATE Q i -� Professions Code.) 'CIT L 'L5��_�5 WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �• 'L_ _ ❑ 1, as owner of theproperty, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY�� i.(yi'!.. 1 Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES CHECK licensed contractors to construct the project (Section 7044, ;` _� -,-• Business and Professions Code.) YES 11 NO❑ i l"AN S= !'. WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. •r.: I hereby affirm that there is a construction lending agency fori_i Vii:)'-i_i,i�ICY r stir ,�• YES❑ NO❑ the performance Of the Work for which this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 7� ANf!1 e2.' a 3087,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2.CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS iLender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address 0 OM1YNER OR AGENT c I certify that I have read this application and state under penalty of perjury that the above Information is correct.I agree to comply P.C.FEE PERMIT FEE . N with all county ordinances and State laws relating to building m c struction, and hereby authorize representatives of this County ISSUANCE FEE m ter upon the above- ntioned proper for inspection purposes. 101 e;z-6 Val m -Z �� INVESTIGATION FEE TOTAL FE r .Aon,cm>aQ u Gyo SEE REVERSE FOR EXPLANATORY LANGUAGE